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HomeMy WebLinkAboutAMPCO Contracting, Inc. - 2017-06-05Stop Payment Notice CALIFORNIA CIVIL CODE SECTION 8044 NOTICE TO: CITY OF HUNTINGTON BEACH, 2000 MAIN STREET, HUNTINGTON BEACH, CA 92648 (If Private Job - File with responsible officer or person at office or branch of construction lender administering the constriction funds or with the owner - CIVIL CODE SECTIONS 8500 - 8560) (If Public Job - file with office of controller, auditor, or other public disbursing officer whose duty it is to make payments under provisions of the contract - CIVIL CODE SECTIONS 9350 - 9510j Direct Contractor: AMPCO CONTRACTING INC Sub Contractor (If Any): Ownier or Public Body: CITY OF HUNTINGTON BEACH 2000 MAIN STREET, HUNTINGTON BEACH, CA 92648 Improvement known as BEACH BLVD. WATER MAIN EXTENSION PROJECT CC-1406 / CC-1399 BEACH BLVD. AT HOLT DRIVE AND BLAYOCK DRIVE TO RUBIDOUX, HUNTINGTON BEACH County of ORANGE State of California. EBS UTILITIES ADJUSTING, INC Claimant, a CORPORATION furnished certain labor, service, equipment or materials used in the above described work of improvement. The name of the person or company by whom claimant was employed or to whom claimant 'furnished labor, service, equipment, or materials is AMPCO CONTRACTING INC The kind of labor, service, equipment, or materials furnished or agreed to be famished by claimant was: LABOR, EQUIPMENT, MATERIALS FOR AJUSTMENT TO WATER VALVES BOXES AND MISC. TRENCH Total value of labor, service, equipment, or materials agreed to be fiirnished................ $ 6,825.00 Total value of labor, service, equipment, or materials actually furnished is .. . ............... $ 19,930.89 Credit for materials retunied, if anv...................... $ 0.00 Amount paid on account, if any.......... _ ................................. ........................ $ 0.00 Amount due after deducting all just credits and offsets ... ..................................... .. $ 19,930.89 YOU ARE HEREBY NOTIFIED to withhold sufficient monies held by you on the above described project to satisfy claimant's demand in the amount of $ 19,930.89 and in addition thereto sums sufficient to cover interest, court costs and reasonable costs of litigation, as provided by law. A bond (CIVIL CODE SECTION 8532) is not attached. (Bond required with Stop Payment Notice served on construction lender on private jobs - bond not required on public jobs or on Stop Payment Notice served on owner on private jobs) Date: 11-12-2018 Name of Claimant: AEBSUTIIES ADJUSTING, INC B v:Thomas Nand ION I, the undersigned, state: I am the PRESIDENT of the claimant named in the foregoing Stop Payment Notice; I have read said claim of Stop Payment Notice and know the contents thereof, and I certify that the same is true of my own knowledge. I certify (or declare) under penalty of perjury mid Vt thelaws of the State of California that the foregoing is true and correct. Executed on NOVEMBER 12, 2018 C O,F�ONA , State of California. REQUEST FOR NOTICE OF ELECTION (Private Works Only) If an election is made not to withhold fiords pursuant to this Stop Payment Notice by reason of a payment bond having been recorded in accordance with Sections 8600, 8536 or 8542, please send notice of such election and a cony 4) the,bon� within 30 days of such election in the enclosed preaddressed stamped envelope to the address of tine claimant shown above. buy d,n yr#,"A �in st be provided by you under Civil Code Section 8538. Signed: n -- v - _ r tJ �,•� Document-4769170-Page-1 Page 1 of 1 PLEASE COMPLETE THIS INFORMATION RECORDING REQUESTED BY: WHEN RECORDED MAIL TO: CITY OF HUNTINGTON BEACH PUBLIC WORKS DEPARTMENT Attn: John Griffin P.O. Box 190 — 2000 Main Street Huntington Beach, CA 92648 Recorded in Official Records, Orange County Hugh Nguyen, Clerk -Recorder 111 II II II11111 I[R II 111 NO FEE *$ R 0 0 0 9 8 6 7 6 1 0 $ * 201800003859610:38 am 02/02/18 47 NC-5 N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.000.00 0.00 THIS SPACE FOR RECORDER'S USE ONLY NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN by the City of Huntington Beach, owner in fee, 2000 Main Street, Huntington Beach, CA 92648, that the contract heretofore awarded to AMPCO Contracting, who was the company thereon for doing the following work to -wit: Beach Boulevard Watermain Extension Project, Project # CC-1406 1 CC-1399 That said work was completed 02/01/2018 by said company according to plans and specifications and to the satisfaction of the City Engineer of the City of Huntington Beach and that said work was accepted by the Director of Public Works on 02/01/2018, per City Council Resolution No. 2003-70 adopted October 6, 2003. That upon said contract Fidelity and Deposit Company of Maryland, was surety for the bond given by the said company as required This document is solely for the official business of the City of Huntington Beach, as contemplated under Government Code Section 27383 and should be recorded free of charge. Dir for drMlic Works or City Engineer 'Date City City of Huntington Beach, California STATE OF CALIFORNIA) County of Orange ) ss: City of Huntington Beach ) I, the undersigned, say: I am an Agent of the City of Huntington Beach, owner in fee, in the foregoing NOTICE OF COMPLETION. I have read said NOTICE OF COMPLETION and know the contents thereof; the same is true of my knowledge. I declare under penalty of perjury that the foregoing is true and correct, and that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the County Recorder of Orange County. This document is solely the official business of /J y/� the City of Huntington Beach, as contemplated �= (/ under Government code section 27383 and Dire of Pu is Wo s or City Engineer Date should be recorded free of charge. City of Huntington Beach, California THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) about:blank 2/5/2018 n r RECEIVED BY- CITY CLERK RECEIPT COPY �'rl�-Z Return DUPLICATE to City Clerk's Office (Name) after signing/dating 9 (Date) ' N CITY OF HUNTINGTON BEACH E INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: I3 SUBJECT: Bond Acceptance I have received the bonds for (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. ::�-16J 3173 Payment Bond (Labor and Materials) Bond No. :::�J -30 73 .Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. CC No. 1[� MSC No. Other No. g:/forms/bond transmittal to treasurer Approved Agenda Item No. t� IrI17 (Council Approval Date) City Clerk Vault No. /,)M. J U SIRE System ID No. CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND AMPCO CONTRACTING, INC. FOR BEACI BOULEVARD WATER MAIN EXTENSION PROJECTS CC1399 AND CCl406 THIS AGREEMENT ("Agreement") is made and entered into by and between the City of Huntington Beach, a municipal corporation of the State of California, hereinafter referred to as "CITY," and AMPCO Contracting, Inc., a California corporation, hereinafter referred to as "CONTRACTOR." WHEREAS, CITY has solicited bids for a public works project, hereinafter referred to as "PROJECT," more fully described as. Beach Boulevard Water Main Extension. Projects CC 1399 and CC1406 in the City of Huntington Beach; and CONTRACTOR has been selected to perform said services, NOW, THEREFORE, in consideration of the promises and agreements hereinafter made and exchanged the parties covenant and agree as follows: I. STATEMENT OF WORK; ACCEPTANCE OF RISK CONTRACTOR shall complete and construct the PROJECT pursuant to this Agreement and the Contract Documents (as hereinafter defined) and 'furnish, at its own cost and expense, all Labor, plans; tools, equipment, supplies, transportation, utilities and all other items, services and facilities necessary to complete and construct .the PROJECT in a .good and workmanlike manner. CONTRACTOR agrees to fully assume the risk of: all loss or damage arising out of the nature of the PROJECT, during its progress or prior to acceptance by CITY, from the action of the elements, from any unforeseen difficulties which may arise or be encountered in the prosecution of work, and for all other risks of any description in connection with the work,, 1 16-5195/AMPCO Contracting; Inca including, but not limited to, all expenses incurred by or in consequence of the suspension or discontinuance of work, except suchas are herein expressly stipulated to be borne by CITY, and for well. and faithfully completing the work within the stipulated time and.in the:manner shown and described in this Agreement, and in accordance with the requirements of CITY for the compensation set'forth in the accepted bid proposal. 2. ACCEPTANCE OF CONDITIONS OF WORK; PLANS AND , SPECIFICATIONS CONTRACTOR acknowledges that it is fully familiar with all the terms, conditions and obligations of this Agreement and the Contract Documents (as defined below in this Section), has inspected the location of the job site, and the conditions under which the work is to be performed, and that it enters into this Agreement based upon its thorough investigation of all such matters and is relying in no way upon any opinions or representations of CITY. It is agreed that the Contract Documents are incorporated into this Agreement by this reference, with the same force and effect as if the same were set forth at length herein, and that CONTRACTOR and its subcontractors, if any, shall be bound by the Contract. Documents insofar .as they relate in part or in any way; directly or indirectly, to the work covered by this Agreement. "Contract Documents" as defined herein mean and include: A. This Agreement; B. Bonds covering the work herein agreed upon; C. The CITY's standard Plans and Specifications and special contractual provisions, including those on file in the office of the Department of Public Works of CITY, and any revisions, amendments or. addenda thereto; 2 16-5195/AMI'CO Contracting, Inc. D. The edition of Standard Sped fications for Public Works Construction, published by Builders' News, Inc., 10801 National. Boulevard, Los Angeles, CA 90064, and all amendments thereto, written and promulgated by the Southern California chapter of the American Public Works Association and the Southern California District Associated General Contractors of the California Joint Cooperative Committee as specified in the particular Plans, Specifications, Special Provisions and Addendum applicable to the Project; E. Bid documents including the Notice Inviting Bids, the Special. Instructions to Bidders and the CONTRACTOR's proposal, (which is attached hereto as Exhibit "A" and incorporated herein by this reference); F. The; particular Plans, Specifications, Special Provisions and Addenda applicable to the PROJECT. Anything mentioned in the Specifications and not indicated in the Plans or indicated in the Plans and not mentioned in the Specifications, shall be of like effect as if indicated and mentioned in both. In case of a discrepancy between any Plans, Specifications, Special provisions, or Addenda, the. matter shall be immediately. submitted by CONTRACTOR to the Director of Public Works of CITY or his or her written designee (hereinafter referred to as "DPW"), and CONTRACTOR shall not attempt to resolve or adjust the discrepancy without the decision of DPW, save only at its own risk and expense. Should there be any conflict between the. terms of this Agreement and the bid or proposal of CONTRACTOR, then this Agreement shall control and nothing herein 'shall he considered as an acceptance of the terms of the bid or proposal which is in conflict herewith. 3 16-5195/AMPCO Contracting, Inc. COMPENSATION CITY agrees to pay and CONTRACTOR agrees to accept as dill compensation for the faithful performance of this Agreement, subject to any additions or deductions made under the provisions of this Agreement or the Contract Documents; a sum not. to exceed. Five Hundred Seventy -Five Thousand, Two Hundred Forty Dollars and Zero Cents ($575,240.00), as set forth in the Contract Documents, to be paid as provided in this Agreement. 4. COMMENCEMENT OF PROJECT CONTRACTOR agrees to commence the PROJECT within ten (10) working days after the Notice To Proceed is issued and diligently prosecute the PROJECT to completion within eighty (80) consecutive Working days from the day the Notice to Proceed is issued by DPW, excluding delays provided for in this Agreement. 5. TIME OF THE ESSENCE The parties hereto recognize and agree that. time is of the essence in the performance of this Agreement and each and every provision of the Contract Documents. CONTRACTOR shall prepare and obtain approval as required by the Contract Documents for all shop drawings, details and samples, and do all other things necessary and incidental to the prosecution of its work in conformance with the progress schedule set forth in the Contract. Documents. CONTRACTOR shall coordinate its work with the work of all other contractors, subcontractors, and CITY forces working on the PROJECT in a' manner that will facilitate the efficient completion of the PROJECT and in accordance with the terms and provisions of this Agreement. CITY shall have complete control of the.premises on which the work is to be performed and shall have the right to decide the time and order in which, the various portions of the work shall be performed and the priority of the work of other contractors, 4 16-51951AMPCO Contracting, Inc. subcontractors and. CITY forces and, in general, all matters concerning the timely ,and 'orderly conduct of the work of CONTRACTOR on the premises. 6. CHANGES CONTRACTOR shall adhere strictly to the plans and specifications set .forth in the Contract Documents unless a change therefrom is authorized in writing by DPW. CONTRACTOR agrees to make any and all changes., furnish materials and perform all work necessary within the scope of the PROJECT as DPW may require in writing. Under no condition shall CONTRACTOR make any changes without the prior written order or acceptance of DPW, and CITY shall not pay any extra charges made by CONTRACTOR that have not been agreed upon in writing by DPW. When directed to change the work, CONTRACTOR shall submit immediately to DPW a written cost proposal reflecting the effect of the change. Should DPW not agree to such cost proposal, the work shall be performed according to the changes ordered. in writing by DPW and the proper cost thereof shall be negotiated by the parties upon cost and pricing data submitted by CONTRACTOR; thereupon, CITY will promptly issue an adjusted change order to CONTRACTOR and the contract price will be adjusted upward or downward accordingly. 7. NOTICE TO PROCEED No work, services; material, or equipment shall be performed or furnished under this Agreement unless and until a Notice to Proceed has been given to CONTRACTOR. by CITY. CITY does not warrant that the work will be available on the date the Notice to Proceed is issued. In the event of a delay in commencement of the work due to unavailability of the job site, for any reason, relief to CONTRACTOR shall be 'limited to a time extension equal to the delay due to such unavailability. 5 16-51951AMPCO Contracting; Inc. .8. BONDS Only bonds issued by California admitted sureties will be accepted. CONTRACTOR shall, prior to its performance of this Agreement, furnish the following two (2) bonds approved by the City Attorney: One in the amount of one hundred percent (100%) of the contract price to guaranteethe CONTRACTOR's faithful performance of the work, and one in the amount of one hundred percent of the contract price to guarantee_ payment of all claims for labor and materials furnished. In addition, CONTRACTOR shall submit to CITY a bond in the amount of one hundred percent (100%) of the final contract price, including all change orders, to warrant such performance for a period of one (1) year after CITY's acceptance thereof within ten (10) days of filing of the Notice of Completion. 9. WARRANTIES CONTRACTOR unconditionally guarantees all work done under this Agreement including, but not limited to, any workmanship, installation, fabrication, material or structural facilities constructed. CONTRACTOR, within ten (10) days after notice by CITY of any defect in the work, shall have the option to make appropriate repairs or replace the defective item or items. Upon expiration of such ten (10) day period, CITY may then make appropriate repair or replacement at CONTRACTOR's risk and own cost and expense. ID. INDEPENDENT CONTRACTOR It is understood` and agreed that CONTRACTOR is, and shall be, acting at all times hereunder as an independent contractor and not an employee of CITY. CONTRACTOR shall secure at its own cost and expense; and be responsible for any and all payment of all taxes, social security, state disability insurance compensation, unemployment compensation and other 6 16-51951AMPCO Contracting, Inc. payroll deductions for CONTRACTOR and its officers, agents and employees and all business licenses, if any, in connection with the PROJECT and/or the services performed hereunder. 11. LIQUIDATED DAMAGES/DELAYS It is agreed by the parties hereto that in. case the total work called for hereunder is not in all parts and requirements finished or completed within the. number of calendar days as set forth herein, damage will be sustained by CITY; and that it is, and would be, impractical and extremely difficult to ascertain and determine the actual damage which CITY would sustain in the event of and;by reason of such delay. It is, therefore, agreed that CONTRACTOR will pay to CITY, as liquidated damages and not as a penalty, the sum of Fine Hundred Dollars ($500.00) per each calendar day's delay in completing the work in excess of the number of working/calendar days set forth herein, which represents a reasonable endeavor by the parties hereto to estimate a fair compensation for the foreseeable damages CITY would sustain in the event of and by reason of such delay; and CONTRACTOR agrees to pay these damages herein provided, and further agrees that CITY may deduct the amount thereof from any monies due or that may become due to CONTRACTOR hereunder. CONTRACTOR will be granted an extension of time and will not be assessed damages for any portion of the delay in the completion of the work due to unforeseeable causes beyond the control and without the :fault or negligence of CONTRACTOR,. including, but not limited to, acts of God or of the public enemy, fire, floods, epidemics, quarantine restrictions, strikes; unsuitable weather, or delays of subcontractors due to such causes. CONTRACTOR shall, within fifteen (I5) days from the beginning of any such delay (unless DPW shall grant a further period of time), notify DPW in writing of the cause of the delay and CITY shall extend the time for completing the work if, in its judgment, the 7 16=5195/AMPCO Contracting, Inc. .findings of fact thereon justify the delay;. and the decision of DPW shall be conclusive on the parties hereto. Should CONTRACTOR be delayed in the prosecution or completion of the work by the act, neglect or default of CITY, or should CONTRACTOR be delayed by waiting for materials required by this Agreement to be furnished by CITY, or by damage caused by fire or other casualty at the job site for which CONTRACTOR is not responsible, or by the combined action of the workers, in no way caused by or resulting from:. default or collusion on the part of CONTRACTOR, or in the event of a lockout by CITY, then the time herein fixed for the completion of the work shall be extended by the number of days CONTRACTOR has thus been delayed, but no allowance or extension shall be made unless a claim therefor is presented in writing to CITY within fifteen (15) days of the commencement of such delay. No claims for additional compensation or damages for delays; irrespective of the cause thereof, and including without limitation the furnishing of materials by CITY or delays by other contractors or subcontractors will be allowed and an extension of time for completion shall be the'sole remedy of CONTRACTOR. 12. DEMANDS FOR ADDITIONAL TIME OR MONEY. A. Definitions. (1) "Change Order means a document: signed by the CONTRACTOR and CITYwhich authorizes an addition, deletion or revision in the work, or an adjustment in the Compensation under Section 3, or the Completion Time specified at Section 4.. (2) "Demand" means a written demand for a Change Order by. the CONTRACTOR for any of the fol.lowing: (a) A time extension; 8 t6-5195/AMPCO Contracting, Inn. (b) Payment of money or damages arising from work done by; or on behalf of, the CONTRACTOR pursuant to this Agreement and payment of which is not expressly permitted pursuant to Section 3 of this Agreement; (c) Payment of an amount the CITY disputes; (d) Any disputes and other matters relating to the acceptability of the work performed or the interpretation of the Contract Documents; (e) A request for a tune extension or additional payment based upon differing site conditions, such as subsurface or latent physical conditions at the job site differing materially from those indicated in this Agreement or the Contract Documents, or unknown physical conditions at the job site, of an unusual nature;differing materially from those ordinarily encountered and generally recognized as inherent to work of the PROJECT; or (f) A request for a time extension or additional payment based upon: acts of neglect by CITY or due to fires, floods, labor disputes, epidemics, abnormal weather conditions or acts of God. B. A Demand for a time extension or payment of money or damages may only be granted by a Change. Order. C. No Change Order may be granted except where the Contractor has submitted a Demand to the DPW (or his or her written designee). All Demands shall be submitted promptly; but in no event; later than thirty (30) days after the occurrence of the event giving rise to the Demand. The Demand shall be in writing and include all documents necessary to substantiate the Demand. The DPW shall act on the Demand within fifteen (15) days after receipt, including by requesting additional information from the CONTRACTOR. to determine whether to approve the Change Order the Demand seeks. The DPW shall act on the Demand 9 16-51.95/AMPCO Contracting, Inc. within fifteen (15) days after receipt of the additional information or within a period of time no greater than the time the CONTRACTOR took to produce the additional information requested, whichever is greater. D. Notwithstanding the thirty (30) days to submit a Demand under Subparagraph C, in the case of differing or unknown site conditions, immediately upon encountering the conditions, CONTRACTOR shall notify the DPW in writing of the conditions, so that the CITY may promptly investigate the conditions. E. If the CONTRACTOR disputes the DPW's written response on the Demand, or the CITY fails to respond within the time prescribed, the CONTRACTOR may so notify the City Engineer, in writing, either within fifteen (I5) days of receipt of the City Engineer's response or within fifteen (15) days of the DPW''s failure to respond within the time prescribed, respectively, and request an informal conference to meet and confer for settlement of the Demand. Upon the CONTRACTOR's request,.the.DPW shall schedule a meet and confer conference within thirty (30) days to seek to resolve. F. CITY and CONTRACTOR shall execute appropriate Change Orders covering changes to the time or price by executing the Change Order by mutual agreement. If the. CITY and CONTRACTOR are unable to reach a mutual agreement, then the City Engineer shall.issue a written decision on the claim within a reasonabletime. G. Following the meet and confer conference, if the Demand remains in dispute, the CONTRACTOR may file: a claim with the City as: provided in Chapter 1 (commencing with Section 900) and Chapter 2 (commencing with Section 910) of Part 3 of Division 3.6 of Title 1 of the Government Code. For purposes of those provisions, the running of the period of time within which a claim must be filed shall be tolled from the time the 10 16-5195/AMPCO Contracting, Inc. CONTRACTOR submits his or her Demand until the Demand is denied as a result of the meet and confer process, including any period of time utilized by the meet and confer process. 13. VARIA:TIONS IN ESTIMATED QUANTITIES The quantities listed in the bid schedule will. not:govern final payment. Payment to CONTRACTOR will be made only for the actual quantities of contract items used in construction of the PROJECT, in accordance with the plans and specifications. Upon completion of the PROJECT, if the actual quantities used are either more than or less than the quantities listed in the bid schedule, the bid price shall prevail subject to the provisions of this Section.. DPW may; at its sole discretion, when warranted by the facts and circumstances, order an equitable adjustment, upwards or downwards, in payment to CONTRACTOR where the actual quantities used in construction of the PROJECT are in variation to the quantities listed in the bid schedule. No claim by CONTRACTOR for an equitable adjustment in price or time for completion shall be allowed if asserted after final payment under this Agreement. If the quantity variation is such as to cause an increase in the time necessary for completion, DPW shall ascertain the facts and circumstances and make such adjustment for extending the completion date as in its sole judgment the findings warrant. 14. PROGRESS PAYMENTS Each month DPW will make an estimate in writing of the work performed. by CONTRACTOR and the value thereof From each progress estimate, five percent (5%) will be deducted and retained by CITY and the remainder of the progress estimate,: less the amount of all previous payments since commencement of the work, will be paid to CONTRACTOR. When. CONTRACTOR has, in the judgment of .DPW, faithfully executed fifty percent (50%) or more of the value of the work as determined from the bid schedule, and if DPW finds that satisfactory progress has been and is being made, CONTRACTOR may be paid such I 16-5195/AMPCO Contracting, Inc. sum as will: bring the payments of each month up to. one hundred percent (100%)of the value of the work completed since the commencement of the PROJECT; as determined in its sole discretion by DPW, less all previous payments and_less all previous retained amounts. CITY's final payment to CONTRACTOR, if unencumbered, or any part thereof 'unencumbered, shall be made thirty-five (35) days after the acceptance of the work and the filing of a. Notice of Completion by CITY. Provided, however, that in the event of a dispute between CITY and CONTRACTOR, CITY may withhold from the final. payment an amount not to exceed 150 percent of the value of any disputed amount of work. Payments shall be made on demands drawn in the manner required by law, each payment to be accompanied by a certificate signed by .DPW, affirming that the work for which payment is demanded has been performed in accordance with the terms of the Agreement and that the amount stated in the certificate is due under the terms of the Agreement. Partial payments on the contract price shall not be considered as an acceptance of any part of the work. 15. WITHHELD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES At the request and at the sole cast and expense of CONTRACTOR, who shall retain beneficial ownership and receive interest, if any thereon, CITY shall permit the substitution and deposit therewith of securities equivalent to the amount of any monies withheld by CITY to ensure performance under the terms of this Agreement. 16. AFFIDAVITSOF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall. file with DPW:its affidavit' stating that all workers and persons employed, all firms supplying materials and all subcontractors working upon the PROJECT have been paid in full and that there are no claims outstanding against the PROJECT for either labor or material, except certain items, if any, to be set forth in CONTRACT.OR's affidavit covering disputed 12 16=5195GAMPCO Contracting, Inc. claims, or items in connection with. Notices to Withhold, which have been filed under the provisions of the statutes of the State of California. 17. WAIVER OF CLAIMS The acceptance by CONTRACTOR of the payment of the final certificate shall constitute a waiver of all claims against CITY under or arising out of this Agreement. A. The CITY has ascertained from the Director of Industrial Relations of the. State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work ;is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section .1774 and ;1775 of the California Labor Code, CONTRACTOR shall, as penalty to CITY, forfeit twenty -:five dollars ($25) for each calendar day or portion thereof for each worker paid (either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 18. CALIFORNIA PREVAILING WAGE LAW A. The CITY has ascertained from the. Director. of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by 13 16-5195/AMPCO Contracting, I.nc. resolution on 'file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with theprovisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee.. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code; CONTRACTOR shall, as penalty to CITY, forfeit. twenty-five dollars ($25) for each Calendar day or portion thereof for each worker paid (either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 19. CALIFORNIA EIGHT -HOUR LAW A. California Labor Code, Sections 1810 et seq, shall apply to the performance of this Agreement; thereunder, not more than eight (8) hours shall constitute one day's work and CONTRACTOR and each subcontractor employed by its hereunder, shall not require more than eight (8) hours of labor per day or forty (40) hours per week from any one person employed by it hereunder, except as stipulated in California Labor Code Section 1815. CONTRACTOR and each subcontractor employed by it hereunder shall, in accordance with California Labor Code Section 1812, keep an accurate record, open to inspection at all reasonable hours, showing the name and actual hours worked each calendar day and each calendar week by each worker employed in. connection with the PROJECT. B. Pursuant to this Agreement and in accordance with. California Labor Code Section 1813, CONTRACTOR shall, as a penalty to CITY; forfeit twenty-five dollars ($25) for each worker employed hereunder by .CONTRACTOR or any .subcontractor 'for each calendar day during which such worker is required or permitted to work more than eight (8) hours in any 14 16-5195/AMPCO Contracting, Inc. one (1) calendar day;or forty (40) hours in any (1) calendar week in violation of California Labor Code Section 1815. 20. PAYMENT OF TRAVEL AND SUBSISTENCE ALLOWANCE Section 1773.8 of the California Labor Code, regarding the payment of travel and subsistenceallowance is applicable to this PROJECT. 21. EMPLOYMENT OF APPRENTICES Section 1777.5" of. the California Labor Code, regarding the employment of apprentices is applicable to this PROJECT. 22. PAYROLL RECORDS CONTRACTOR agrees to keep accurate payroll record showing the name, address, social security number, work classification, straight time and overtime hours worked each day and week, and the actual per diem wages paid to each journeyman, apprentice or worker employed by it in connection with the PROJECT and agrees to require each of its subcontractors to do the same. CONTRACTOR further agrees that its payroll records and those of its subcontractors, if any, shall be available at all reasonable times to the CITY, and the employee or his representative, and the Division of Labor Standards Enforcement and the Division of Apprenticeship Standards, and to comply with all of the provisions of California Labor Code Section 1776, in general. 23. INDEMNIFICATION DEFENSE HOLD HARMLESS CONTRACTOR hereby agrees to protect, defend, indemnifyand hold harmless CITY, its officers, elected or appointed, officials; employees, agents, and volunteers from and against any and all claims, damages,, losses, expenses, judgments, demands, defense costs, and consequential damage or liability of any kind or nature, however caused, including those resulting from death or injury to CONTRACTOR's employees and damage to CONTRACTOWs 15 I6-5195/AMPCO Contracting; Inc. property, arisingdirectly or indirectly out of the obligations or operations .herein undertaken. by CONTRACTOR, caused in whole or in part by any negligent act or omission of the CONTRACTOR, any subcontractors, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable; including but not limited to concurrent active or passive negligence, except where caused by the active negligence, sole negligence, or willful misconduct of the CITY, its officers, elected or appointed officials, employees, agents, and volunteers. CONTRACTOR will conduct all defense at its sole cost and expense and CITY shall approve selection of CONTRACTO.R's counsel. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by CONTRACTOR. 24. WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE Pursuant to California Labor Code Section 1861, CONTRACTOR acknowledges awareness of Section 3700 et seq: of this Code, which requires every employer to be insured against liability for workers' compensation; CONTRACTOR covenants that it will comply with such provisions prior to commencing performance of the work hereunder. CONTRACTOR shall obtain and furnish to City workers' compensation and employer's liability insurance in an amount of not less than the State statutory limits. CONTRACTOR shall require all subcontractors to .provide such workers' compensation and employer's liability insurance for all :of the subcontractors' employees. CONTRACTOR shall fitrnish to CITY a certificate of waiver of subrogation under the terms of the workers' compensation and employer's liability insurance and CONTRACTOR shall similarly require all subcontractors to waive subrogation. 16 16-5195/AMPCO Contracting, Inc. 25. INSURANCE In addition to the workers' compensation and employer's liability insurance and CONTRACTOR's covenant to defend, hold harmless and indemnify CITY, CONTRACTOR shall obtain and furnish to CITY, a policy of general public liability insurance, including motor vehicle coverage covering the PROJECT. This policy shall indemnify CONTRACTOR, its officers, employees and agents while acting within the scope of their duties, against any and all claims arising out or in connection with the PROJECT, and shall providecoverage. in not less than the following amount; combined single limit bodily injury and property damage, including products/completed operations liability and blanket contractual liability; of One Million Dollars ($1,000,000) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit, the aggregate limit must be no less than One Million Dollars ($1,000,000) for this PROJECT. This policy shall name CITY, its officers, elected or appointed officials, employees, agents, and volunteers (the "Additionally Insured Parties") as Additional Insureds; and shall specifically provide that any other .insurance coverage which may be applicable to the PROJECT shall be deemed excess coverage and that. CONTRACTOR's insurance shall be primary and non-contributory with any other valid and collectible insurance or self-insurance available to the Additionally Insured Parties. Any available insurance proceeds in excess of the minimum coverage amount specified herein shall be available to the Additionally Insured Parties. All coverage available to CONTRACTOR shall also be available to the Additionally Insured Parties. Under no circumstances shall said above -mentioned insurance contain a self -insured retention without the express written consent of CITY; however an insurance policy "deductible" of Five Thousand Dollars ($5,000.00) is permitted. CONTRACTOR shall be responsible for causing all Subcontractors to maintain the same types and limits of insurance coverage as that required of CONTRACTOR by this Agreement. 17 16-5195/AMPCO Contracting, Inc. 26. CERTIFICATES OF INSURANCE; ADDITIONAL INSURED ENDORSEMENTS Prior to commencing performance: of the work hereunder, CONTRACTOR shall furnish to CITY certificates of insurance subject to approval. of City Attorney evidencing the foregoing insurance coverages as required by this Agreement; the certificates shall: I . Provide the name and policy. number of each carrier and policy; 2. State that the policy is currently in force; and 3. Promise to provide that such policies will not be canceled or modified without thirty (30) days' prior written notice of CITY. CONTRACTOR shall maintain the foregoing insurance coverages in force until the work under this Agreement is fully completed and accepted by CITY. The requirement for carrying the foregoing insurance coverages shall not derogate from the CONTRACTOR's defense, hold harmless and.. indemnification obligations asset forth under this Agreement. CITY or its representative shall at all times have the right to demand the original or a copy of all the policies of insurance. CONTRACTOR shall pay, in a prompt and timely manner, the premiums on all insurance hereinabove required. CONTRACTOR shall provide a separate copy of the additional insured endorsement to each of CONTRACTOR's insurance policies; naming CITY, its officers, elected. and appointed officials,. employees, agents and volunteers as Additional Insureds, to the City Attorney for approval prior to any payment hereunder. 27. NOTICE OF THIRD PARTY CLAIM Pursuant to Public Contracts Code §9202, CITY shall provide notice to CONTRACTOR of receipt of any claim filed with CITY or a court of competent jurisdiction 18 1675195/AMPC0 Contracting; Inc. which arises out of performance of this agreement within ten (1.0) days of receipt of such claim or claims. 28. DEFAULT AND TERMINATION If CONTRACTOR failsor refuses to prosecute the work hereunder with diligence, or fails to complete the work within the time specified, or is adjudged bankrupt or makes an assignment :for the benefit of creditors or becomes insolvent, or violates any provision of this Agreement or the Contract Documents, CITY may give CONTRACTOR notice in writing of its intention to terminate this Agreement. Unless the violation is cured within ten (10) days after such Notice of Intention has been served on CONTRACTOR, CITY may, without.. prejudice to any other. remedy it may have, terminate this Agreement upon the expiration of that time. Upon such default by CONTRACTOR, CITY may elect not to terminate this Agreement; in such event. CITY may make good the deficiency in which the default consists and deduct the resulting costs from the progress payments then or to become due to CONTRACTOR. If it is subsequently determined by a court of competent jurisdiction that CITY's termination of this Agreement under this Section was wrongful, such termination shall be converted to a termination for convenience under Section 29 and any damages shall be assessed as set forth in Section 29. 29. TERMINATION FOR CONVENIENCE CITY may terminate this Agreement for convenience at any time with or without cause, and whether or not PROJECT is fully complete upon seven (7) calendar days written notice to CONTRACTOR. In the event of termination, under this Section CITY 'shall pay CONTRACTOR for value of work in place on the. PROJECT through the tennination period less all such payments already made. In case of such termination for convenience, the CONTRACTOR shall be entitled to receive payment for work executed, and costs incurred by 19 1 b-5195/AMPCO Contracting, Inc. reason of such termination. In no event shall CONTRACTOR be entitled to recover overhead, profit or CONTRACTOR's fee on work not performed. Such payment by CITY shall be CONTRACTOR's sole and exclusive remedy for termination by CITY for its convenience and CITYshall have no further obligation to CONTRACTOR. 30. DISPOSITION OF PLANS ESTIMATES AND OTHER DOCUMENTS CONTRACTOR agrees that upon completion of the work to be performed hereunder, or upon expiration or earlier termination of this Agreement, all original plans; specifications, drawings, reports, calculations, maps and other documents pertaining to this Agreement shall be delivered to CITY and become its sole property at no further cost. 31. NONASSIGNABILITY CONTRACTOR shall not sell, assign, transfer, convey or encumber this Agreement, or any part hereof, or any right or duty created herein, without the prior written. consent of CITY and the surety. 32. CITY EMPLOYEES AND OFFICIALS CONTRACTOR shall employ no CITY official nor any regular CITY employee in the work performed pursuant to this Agreement. No officer or employee of CITY shall have any financial interest: in. this Agreement in violation of the California Government Code. 33. STOP NOTICES• RECOVERY Or. ADMINISTRATIVE COSTS CITY :shall be entitled to all reasonable administrative costs and necessary disbursements arising out of the processing of Stop Notices, Notices to Withhold, or any similar legal document. This obligation shall be provided. for in the labor and materials payment bond required of .CONTRACTOR. CITY may charge an administrative fee: of One Hundred Dollars ($ -00) for every ,Stop Notice filed in. excess of two (2), regardless of whether or not. CITY is named in an action to enforce. such stop notices. CITY may set off any unreimbursed cost or. 20 16-51951AMPCO Contracting, Inc. expense so incurred against any sum or sums awed by CITY to CONTRACTOR under this Agreement. 34. NOTICES Any notices; certificates, or other comrnnunications hereunder shall be given either by personal delivery to CONTRACTOR's agent (as designated in Section 1 hereinabove)or to CITY as the situation shall warrant, or by enclosing the same in a sealed envelope, postage prepaid, and depositing the same in the United States Postal Service, to the addresses specified below;' provided that CITY and CONTRACTOR may designate different addresses to which subsequent notices, certificates or other communications will be sent by notifying the other party via personal delivery, reputable overnight carrier. or U. S. certified mail -return receipt requested: TO CITY: City of Huntington Beach ATTN: John Griffm,.Public Works 2000 Main Street Huntington Beach, CA 92648 35. SECTION HEADINGS TO CONTRACTOR: AMPCO Contracting, Inc. ATTN: Robert Valousky, President 1.540 S. Lewis Street Anaheim, CA 92805 The titles, captions, section, paragraph and subject headings, and descriptive phrases at the beginning of the various sections in this Agreement are merely descriptive and are included solely for convenience of reference only and are not representative of maters included or excluded from such provisions, and do not interpret; define, limit or describe, or construe the intent of the parties or affect the construction or interpretation, of any provision of this Agreement. 21 16-5,1951AMPCO Contracting, Inc. 36. IMMIGRATION. CONTRACTOR shall be responsible for full compliance with the immigration and naturalization laws of the United States and shall, in particular, comply with the provisions of United States Code Section 1324a regarding employment verification. 37. LEGAL SERVICES SUBCONTRACTING.PROHIBITED CONTRACTOR and CITY agree that. CITY is not liable for payment of any subcontractor work involving legal services, and that such legal services are expressly outside the scope of services contemplated hereunder. CONTRACTOR understands that pursuant to Huntington Beach City Charter Section 309, the City Attorney is the exclusive legal counsel for CITY; and CITY shall not be liable for payment of any legal services expenses incurred by CONTRACTOR 38. ATTORNEY'`S FEES In the event suit is brought by either party to construe, interpret and/or enforce the terms and/or provisions of this Agreement or to secure the performance hereof; each party shall bear its own attorney's fees, such that the prevailing party shall not be entitled to recover its attorney's fees from the non -prevailing party. 39. INTERPRETATION OF THIS AGREEMENT The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of the parties. If any provision of this Agreement: is held by an arbitrator or court of competent jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other 22 16-5,195/AMPCO Contracting, Inc.. whenever the context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act contrary to law, and wherever there is any conflict between any provision contained herein and any present or future statute, law, ordinance or regulation contrary to which the parties have no right to contract, then the latter shall prevail; and the provision of this Agreement which is hereby affected shall be curtailed and limited only to the extent necessary to bring it within the requirements of the law. 40.. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State_ of California. 41. DUPLICATE ORIGINAL The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals, each of which so executed shall, irrespective of the date of its execution and, delivery, be deemed an original,. Each duplicate original shall be deemed an original instrument as against any party who has signed .it. 42. CONSENT Where CITY's consent/approval is required under this Agreement, its consent/approval for one transaction or event shall not be deemed to be consent/approval to any subsequent occurrence of the same or any othertransaction or event. 43. SURVIVAL Terns and conditions of this Agreement,. which by their,sense and context survive the expiration or termination of this Agreement shall so survive. 44. MODIFICATION No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties. 23 16-5195/AMPCO Contracting, Inc: 45. SIGNATORIES Each undersigned represents and warrants that its signature hereinbelow has the power; authority and right to bind their respective parties to each of the terms of this Agreement, and shall ;indemnify CITY fully for any injuries or damages to CITY in the event that such. authority or power is not, in fact, held by the signatory or is withdrawn. 46. ENTIRETY The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive arm's length negotiation, and that each has had the opportunity to consult with legal counsel prior to executing this Agreement. The parties also acknowledge and :agree that no representations, inducements, promises, agreements or warranties, oral or otherwise, have been made by that party or anyone acting on that party's behalf, which are not embodied in this Agreement, and that that party has not executed. this Agreement in reliance on any representation, inducement, promise, agreement, warranty, fact or circumstance not expressly set forth in this Agreement. This Agreement, and the attached. Exhibit "A", contain the entire agreement between the parties respecting the subject matter of this Agreement, and supersede all prior understandings and agreements whether oral or in writing between the parties respecting the subject matter hereof. 24 16-5195/AMPGO Contracting, Inc. IN WITNESS WHEREOF, the parties hereto have caused this Agreementtobe executed by and through their authorized officers on Ju w )2017. -:5,. CONTRACTOR: By: dm�. (print name) ITS: Chairman Presideni Vice -President (circle o AND B. mo►�i1'1C,�; ' �.iiixl name) IT : Secretar hief Financial Officer Asst. ecretary / Treasurer (circle one) 25 CITY OF HLINn,4GTON BEACH, a rnia INITIATED AND A P OVED: Director of P is Worlts REVI D APPROVED: City Manager APPROVED AS T` City Attorney 16-5195/AMPCO Contracting, Inc. Z)�)d/ T ,4 SECTION C PROPOSAL for the construction of CC NO. 1399 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD AT HOLT DRIVE AND CC NO. 1406 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD, BLAYLOCK DRIVE TO RUBIDOUX DRIVE 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 therefore, 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 80 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 suin prices set forth in the following fBid 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 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 "Bidders Bond" 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 for10% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: C-2 SECTION C PROTECT BID SCHEDULE A BEACH BOULEVARD WATER MAINS, CC 1399 AND CC 1406 BID ITEMS 1 Mobilization 1 LS 2 Prepare Water Pollution Control Plan (WPCP) 1 LS $ $ C Q 3 Install & Maintain Construction BMPs 1 LS $ $ 4 Demobilization and clean-up 1 LS $ $ Q 5 Trench and Excavation Safety Measures: Sheeting, Shoring and Bracing, 1 LS $ $ 6 Traffic Control 1 LS $ 7 12" DR-14 PVC AWWA C900 Water Main 1370 LF $1. $ 8 12' Ductile Iron PC 350 with Restrained Joints 190 LF $� $ J 1 1 I 9 8" Ductile Iron PC 350 Water Main 40 LF $ $���1�� 10 8-inch Hot Tap on Existing 8-inch AC per Plan 619 3 EA $ ✓A0 $T__ i 11 12-inch Hot Tap on Existing 12-inch AC per Plan 619 1 EA $�J $ 12 Thermal Plastic Pavement Markings per Caltrans Specifications 1 LS $ $ 13 Detector Loops per Plan ES-5B 14 EA 14 Air and Vacuum Release Assembly per Plan 611, 2 EA $ $ 15 Pipe line Hydrostatic Testing, Chlorination and Bacteriological testing 1 LS $ $ 16 Remove and Replace Existing Median Curb per Plan A87A 30 LF $Q��}} v $ WQ 17 Asphalt Concrete Class B PG 70-10 RAP 420 TON $ QO� $ 18 ARHM, 2-inch Surface Course 120 TON $ go 19 Aggregate Base 420 TON $ $ �_() 0 20 One Sack Cement Slurry Backfill 300 Cu YD $ $ -7 ) ""`-' 21 Remove and Replace Existing Stamped Concrete per Plan 711 60 SF $ '— 0 $ -` C-2.1 7j coo a. @, 01000 Qt.', 1 000 SECTION C PROJECT BID SCHEDULE A BEACH BOULEVARD WATER MAINS, CC 1399 AND CC 1406 TOTAL BID AMOUNT (BASIS OF AWARD — SCHEDULE A $ 5-1`' '3 � 0 TOTAL BID AMOUNT IN WORDS: Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. All extensions of unit prices will be subject to verification by Owner. In case verification is required 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-2.2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR.PWC Dollar % of Iten(s) Subcontractor License Registration # ,Amount Contract Number. Gentry General Engineering 04 �!\°% 9277 Archibald Ave. 974279 A 1000024189 1 Y) Rancho Cucamonga, CA. By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on4/24/2017, at Anaheim , CA Date City State Robert Valousky , being first duly sworn, deposes and says that he or she is President of AMPCO Contracting_ Inc. the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged infortnation 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. AMPCO Contracting, Inc. Name of Bidder Signature 1540 S. Lewis Street Anaheim, CA. 92805 Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIF,ORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the CC NO. 1399 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD AT HOLT DRIVE AND CC NO. 1406 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD, BLAYLOCK DRIVE TO RUBIDOUX DRIVE, (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 S, 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. Date: April 24, 2017 Robert Valousky-President Title C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes 0 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-G 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. Date: Avril24.2017 AMPCO Contracting, Inc. Contractor By Robert Valousky-President Title C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: AMPCO Contracting, Inc. Bidder Name 1540 S. Lewis Street Business Address Anaheim, CA 92805 City, State Zip (949 ) 955-2255 mmutton@ampcocontracting.com Telephone Number Email Address 851752 A.B.C-21. ASB & HAZ State Contractor's License No, and Class December 23,2004 Original Date Issued 12/31/2018 Expiration Date The work site was inspected by Nile Sensabaugh of our office on April 20 , 20117. The following are persons, firms, and corporations having a principal interest in this proposal: Robert Valousky- President Andrew Pennor- Chairman Michael King -Chairman 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. AMPCO Contracting, Inc. Company Name of Bidder Robert Valousky Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this 24thday of April , 20117. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of Orange ) On April 24, 2017 before me, Debbie Carrillo -Notary Public Month, Day, and Year Insert Name and Title of Notary personally appeared Robert V 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), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature DEBBIE LYNN CARRILLO COMM. #2137535 i zz Notary Public • California o San Bernardino County MX Comm. Expires Dec. 19, 2019 Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of potable water pipelines, located within Caltrans right of way, constructed during night time work hours, with experience deploying and removing traffic control on a daily basis. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: I • The Citv of Norwalk- Building Demolition and Utilitv Relocation Name and Address of Public Agency Name and Telephone No. of Project Manager: Dennis Hatch 949-497-9000 $293 135.00 Utilities and Demolition 10/2016 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Remove and replace existing domestic water including hot tap in street. Work includes traffic Control implemetation. 2. The City of Irvine c/o Heritage Fields El Toro -Orange County Great Parks Upper Bee Name and Address of Public Agency Name and Telephone No. of Project Manager: Ted Woloshun 949-349-1000 $1,031,643.20 Utilities and Demolition 8/2015 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Work included capping and removal of existing wet utilities, extend and install new utility lines. 3. The City of Irvine -District #4 Great Park Name and Address of Public Agency Name and Telephone No. of Project Manager: Ted Woloshun 949-349-1000 $3,236,934.37 Utilities and Demolition 6/2015 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Work includes site clearing, utilities, capping and install new wet utilities. C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1• Nile Sensabaugh 4o0k-q Name of proposed Project Manager Telephone No. of proposed Project Manager: 949-955-2255 See Attached Resume Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed p �N3 2. Derek Woodland -" % Jo n 1" V �I / t<`��V �` `� �`� C,�J Name of proposed Superintendent Telephone No. of proposed Superintendent: 949-955-2255 See Attached•Resume Project Name &• Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Project Name & Contract Amount Type of Work Date Completed Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July I through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 hUp://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link — Call (844) 522-6734 https:Hefiling.dir.ca. gov/PWCR/ActionServiet?action=displayPWCRegistrationFonn DIR's Contractor Registration searchable database: https://eflling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be Iisted in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section I0164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Date: April 24, 2017 PWC Registration #: 1000011759 AMPCO Contracting, Inc. Contractor Robert Valousk By 17 President Title C-12 Nile R. Sensabaugh PROJECT MANAGER Summary of Experience Mr. Sensabaugh has been specializing in pipline work for over 22 years. He has served in various capacites such as owner, chief consultant and estimator. He has extensive knowledge in managing both public works and private projects. Mr. Sensabaugh provides leadership and manages the operational and financial aspects of our Utility division and is the primary liaison with the client's project management team. Representative Project Experience 84 Inch Storm Drain Prevailing Wage Project with The City of Long Beach Utilities I Long Beach, CA. I Completed 2015 1 $2,500,000.00 Rolling Hills Estates Water Improvements I Rolling Hills, CA. I Completed 2016 1 $1,900,000.00 Sheraton Hotel On/Off Site Utility Work I San Gabriel I Completed 2016 1 $730,000.00 Education, Licenses, Registrations and Training ■ Univeristy of LaVerne- B.A. Business Administration and Physical Education ■ Certified in Mechanical Pipe Estimating, Delay Claims Resolution • Competent Person (Underground Shoring) AMPCO Confidential and Proprietary Information Derek Woodland Superintendent Summary of Experience Mr. Woodland has been specializing in pipline work for over 27 years. He has exceptional leadership and management with a passion for doing quality work. Mr. Woodland has a proven track record of achievement in problem -solving, and implementing best practice initiatives that have resulted in immediate revenue gains and cost savings to the client. He plans, directs, coordinates and budgets activities concerned with the construction and maintenance of structures and pipeline systems. Mr. Woodland ensures the projects are brought in at or below the project budget while meeting the customer satisfaction requirements. Representative Project Experience Eagle Ranch Filing 1 Utilities I Coloradoll Completed 20111 $10,623,000.00 Red Sky Ranch Utility Installation I Colorado I Completed 2011 1 $10,000,000.00 Northern Colorado Water Conservancy District Southern Water Supply Project Utilities I Colorado) Completed 2000 1 $14,000,000.00 Education, Licenses, Registrations and Training ■ University of Cincinnati BA in English Literature • OSHA Training Institute AMPCO Confidential and Proprietary Information Legal Na'rhe Registration Number county City Registration pate Expiration pate AMPCO CONTRACTING, INC. 11000011759 IORANGE ANAHEIM 06116I2016 06/3012017 Legal Name Registration Number County City Registration Cate Expiration Date.- GENTRY GENERAL ENGINEERING INC 1000024189 SAN BERNARDINO RANCHO CUCAMONGA 06114/2016 06/3012017 Bid Bond C('NTRACTOR: (Name, legal status and address) AMPCO Contracting, Inc. 1540 South Lewis Street Anaheim, CA 92805 OWNER - (Name, legal status and address) City of Huntington Beach 2000 Main Street Huntington Beach, CA 92648 Bid Bond Number: CSBA-4725 SURETY: (Name, legal status and principal place of business) Fidelity and Deposit Company of Maryland 777 South Figueroa Street, Suite 3900 Los Angeles, CA 90017 This document has important legal consequences. Consultation with An attorney is encouraged with respect its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered Plural where applicable. BOND AMOUNT: Ten Percent (10%) of Amount Bid PROJECT: CC No. 1399 Water Main Extension Project, Beach Boulevard at Holt Drive and CC No. 1406 Water Main Extension Project, Beach Boulevard, Blaylock Drive to Rubidoux Drive in the City of Huntington Beach Project Number, if any: CC No. 1399 and CC No. 1406 The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractors bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted here from and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 17th dap of April 2017 AMPCO Contracting. Inc. (Principal) (Witness) (Seal) riaeury arra Leposir t.o=aany or iviarynana (Surety) (Seal) (Witness) Sbaunna Ra.elle Ostrom Arturo Ayala, Att y-in-Fact By arrangement with the American Institute of Architects, the National Association of Surety Bond Producers (NASBP) (www.nasbp.o) makes this form document available to its members, affiliates, and t associates in Microsoft Word format for use in the regular course of surety business. NASBP vouches that the original text of this document conforms exactly to the text in AIA Document A310-2010, Bid Bond. Subsequent modifications may be made to the original text of this document by users, so careful review of its wording and consultation with an attorney are encouraged before its completion, execution or acceptance. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracv. or validity of that document. State of California. County of Orange On 04/17/2017 before me, Shaunna Rozelle Ostrom personally appeared Arturo Ayala , Notary Public who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the state of California that the foregoing paragraph is true and correct. SHAUNNA ROZELLEOSTROM COMM. #2159617 N WI SS my hand an official seal. . Is- Notary Public -California ORANGE COUNTY a My Comm. Expires Jul 11, 2020 ignature of Notary Shaunna Rozelle Ostrom 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 ❑ INDIVIDUAL ❑ CORPORATE OFFICER ❑ PARTNER(S) ❑ MEMBER of LLC ® ATTORNEY -IN -FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) DESCRIPTION OF ATTACHED DOCUMENT Bid Bond Title or Type of Document One Number of Pages 04/ 17/2017 Date of Document Signer(s) other than named above Bond No. CSBA-4725 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by MICHAEL BOND, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Daniel HUCKABAY, Dwight REILLY, Arturo AYALA, Shaunna Rozelle OSTROM and Michael CASTANEDA, all of Orange, California, EACH its true and lawful agent and Attomey-in-Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 29th day of March, A.D. 2017. ATTEST: Assistant Secretary Joshua Lecker ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND H rr~4rr ryyy.� �Q DEIps� .G�y INS(1 N Y � •? Pp �. ft,: SEAL It 4 �: 19ea a �ri i Vice President Michael Bond State of Maryland County of Baltimore On this 29th day of March, A.D. 2017, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, MICHAEL BOND, Vice President, and JOSHUA LECKER, Assistant Secretary, of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly swom, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. �.X Constance A. Dunn, Notary Public My Commission Expires: July 9, 2019 POA-F 012-0079B ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of ORANGE On April 24, 2017 before me, Debbie Lynn Carrillo -Notary Public (insert name and title of the officer) personally appeared Robert Valousky-President who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. DEBBIE LYNN CARRILLO COMM. #2137535 z *,My Notary Public • California 1 z San Bernardino County Comm, Ex Tres Dec. 19, 2019 Signature (Seal) AMPCO Contracting 1540 S. Lewis St. Anaheim, CA 92805 5 "SEALED BID" for CC NO. 1399 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD AT . HOLT DRIVE AND CC NO. 1406 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD, BLAYLOCK DRIVE TO RUBIDOUX DRIVE in the CITY OF HUNTINGTON BEACH - DO NOT OPEN WITH REGULAR MAIL DELIVER TO THE OFFICE OF THE. CITY CLERK, 2000 MAIN STREET, SECOND FLOG Y.e Rom® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 7/10/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Shank & Associates 10091 Park Run Drive Suite 200 Las Vegas NV 89145 CONTACT Margaret Orlando NAME: g PHONE (800) 466-2820 FAX No: (702)870-1263 E-MAIL mar aret@swartsmannin ADDRESS: g g' com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Crum & Forster Specialty Ins. Co. 44520 INSURED AMPCO Contracting, Inc. 1540 S . Lewis Street ' Anaheim CA 92805 INSURER B:Centu -National Insurance Company 26905 INSURER CNavigators Specialty insurance 36056 INSURER D : INSURER E INSURERF: COVERAGES CERTIFICATE NUMBER:16-17 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A CLAIMS -MADE � OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 X MED EXP (Any one person) $ 5,000 Pollution Liability X Y EPK-115310 12/31/2016 12/31/2017 X Contractual Liability PERSONAL& ADV INJURY $ 2,000,000 APPROVED AST FORM N'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 G�X­ POLICY F JECTPRO- LOC OTHER: Deductible $10 000 By, I�+C�THvAEL E. G , TES PRODUCTS - COMP/OPAGG $ 2,000,000 Deductible $ 10,000 B AUTOMOBILE X LIABILITY ANY AUTO ALL OS SCHEDULED AUTOS AUTOS X Y \rill A CITY OF HUNTINGT RAP0186006 BEACH 12/31/2016 12/31/2017 COMBINED SINGLE LIMIT accident $ 1,000,000 O BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X NON -OWNED AUTOS HIRED AUTOS LXX Uninsured motorist combined $ 1,000,000 Comp Ded $1000 Coll Ded $1000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 A EXCESS LIAB CLAIMS -MADE DIED I X I RETENTION$ 10,000 E&O Sublimit $ 3,000,000 X Y EFX-106633 12/31/2016 12/31/2017 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A PER OTH- STATUTE I I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) if yes, describe under DESCRIPTION OF OPERATIONS below I I E.L. DISEASE - POLICY LIMIT $ C Excess Liability 5x5 SE16EXC830052IC 12/31/2016 12/31/2017 Limit of Liability&Aggregate $5,000,000 A Professional Liability EPK-115310 12/31/2016 12/31/2017 Liimitoflnsurance $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Project #CC-1406/CC-1399 Beach Boulevard Watermain Extension Project. The City of Huntington Beach, its agents, officers, and employees are named as Additional Insured with regards to the General Liability and Excess Liabilty coverage where required by contract, subject to policy terms and conditions per Blanket Additional Insured form EN0321 and EN0320 and auto liability per form CN613 07/11. Blanket Waiver of Subrogation on the General Liability per form EN00147-1111 and the auto per form CN613A 07/11. Primary & Non -Contributory Wording per form EN0147-111 on the General Liability. Per Project Aggregate per form EN0301. Excess policies follow form. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Huntington Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: John Griffin, Public Works ACCORDANCE WITH THE POLICY PROVISIONS. .. 2000_ Main., St.._._ _ .. . AUTHORIZED REPRESEN'TAIWE Huntington Beach, CA 92648 Tim Shank/ML ACORD 25 (2014/01) INS025 r2nl4rrll ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location(s) of Covered Operations City of Huntington Beach, Its officers, elected or Where Required By Written Contract appointed officials, employees, agents and volunteers 2000 Main St Huntington Beach, CA 92648 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section III — Who Is An Insured within the With respect to the insurance afforded to these Common Provisions is amended to include as additional insureds, the following additional an additional insured the person(s) or exclusions apply: organization(s) shown in the Schedule, but only This insurance does not apply to "bodily injury" with respect to liability for "bodily injury", or "property damage" occurring after: "property damage" or "personal and advertising 3. All work, including materials, parts or injury" cause, in whole or in part, by: equipment furnished in connection with 1. Your acts or omissions; or such work, on the project (other than 2. The acts or omissions of those acting on service, maintenance or repairs) to be your behalf; performed by or on behalf of the additional in the performance of your ongoing operations insured(s) at the location of the covered for the additional insured(s) at the location(s) operations has been completed; or designated above. 4. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. E N0321-0211 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Person(s) or Organization(s): Location And Description Of Completed Operations City of Huntington Beach, Its officers, elected or Where Required By Written Contract appointed officials, employees, agents and volunteers 2000 Main St Huntington Beach, CA 92648 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section III — Who Is An Insured within the Common Provisions is amended to include as an insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by `your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". EN0320-0211 Page 1 of 1 Policy #EPK-115310 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED WITH WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART ERRORS AND OMISSIONS LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) or Organization(s) Where reuired by written contract A. SECTION III — WHO IS AN INSURED within the Common Provisions is amended to include as an additional insured the person(s) or organization(s) indicated in the Schedule shown above, but only with respect to liability arising out of "your work" for that person or organization performed by you, or by those acting on your behalf. B. As respects additional insureds as defined above, this insurance also applies to "bodily injury" or "property damage" arising out of your negligence when the following written contract requirements are applicable: 1. Coverage available under this coverage part shall apply as primary insurance. Any other insurance available to these additional insureds shall apply as excess and not contribute as primary to the insurance afforded by this endorsement. 2. We waive any right of recovery we may have against the person(s) or organization(s) indicated in the Schedule shown above because of payments we make for injury or damage arising out of "your work" performed under a written contract with that person(s) or organization(s). 3. The term "additional insured" is used separately and not collectively, but the inclusion of more than one "additional insured" shall not increase the limits or coverage provided by this insurance. This Endorsement does not reinstate or increase the Limits of Insurance applicable to any "claim" to which the coverage afforded by this Endorsement applies. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0147-1111 Page 1 of 1 Policy #EPK-115310 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDED WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART ERRORS AND OMISSIONS LIABILITY COVERAGE PART THIRD PARTY POLLUTION LIABILITY COVERAGE PART ONSITE CLEANUP COVERAGE PART SCHEDULE Name of Persons or Organization(s) Where Required by Written Contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. SECTION VI — COMMON CONDITIONS, item 17. Transfer Of Rights of Recovery Against Others To Us within the Common Provisions is amended by the addition of the following: Solely as respects the person(s) or organization(s) indicated in the Schedule shown above, we waive any right of recovery we may have against the person(s) or organization(s) indicated in the Schedule shown above because of payments we make for "damages" arising out of your ongoing operations or "your work" performed under a written contract with that person(s) or organization(s) and included in the "products - completed operations hazard". However, this waiver shall not apply to "damages" resulting from the sole negligence of the person(s) or organization(s) indicated in the Schedule shown above. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0109-0211 Page 1 of 1 • CENTURY -NATIONAL P.O. Box 3999 • North Hollywood, CA 91609-0599 A NATIONAL GENERAL COMPANY For Service Call Your Broker. For Claims Call: 800-733-1980 California Changes - Cancellation and Nonrenewal Name of Insured: AMPCO CONTRACTING INC Endorsement Effective Date and Time: 12/31/2016 at 12:01 AM Policy Number: Policy Term Covers from: Endorsement Number: BAP0186006 12:01 AM on 12/31/2016 to 12/31/2017 at 12:OIAM 000 Name of Agency: CHAIX & ASSOC INS BROKERS INC 122800 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. The following provisions are added to the CONDITIONS section, A. ALL POLICIES IN EFFECT FOR MORE THAN 60 DAYS If this policy has been in effect for more than 60 days, or is a renewal of a policy we issued, we may cancel this policy only upon the occurrence, after the effective date of the policy, of one or more of the following: (1) Nonpayment of premium, including payment due on a prior policy we issued and due during the current policy term covering the same risks. (2) Discovery of fraud or material misrepresentation by: (a) Any insured or his or her representative in obtain- ing this insurance; or (b) You or your representative in pursuing a claim under this policy. (3) A judgment by a court or an administrative tribunal that you have violated a California or Federal law, having as one of its necessary elements an act which materially increases any of the risks insured against. (4) Discovery of willful or grossly negligent acts or omis- sions, or of any violations of state laws or regulations establishing safety standards, by you or your repre- sententative, which materially increase any of the risks insured against. (5) Failure by you or your representative to implement reasonable loss control requirements, agreed to by you as a condition of policy issuance, or which were condi- tions precedent to our use of a particular rate or rating plan, if the failure materially increases any of the risks insured against. (6) A determination by the Commissioner of Insurance that the: (a) Loss of, or changes, in our reinsurance covering all or part of the risk would threaten our financial integrity or solvency; or (b) Continuation of the policy coverage would: (i) Place us in violation of California law or the laws of the state where we are domiciled: or (ii) Threaten our solvency. (7) A change by you or your representative in the activit- ies or property of the commercial or industrial enter- prise, which results in a materially added, increased or changed risk, unless the added, increased or changed risk is included in the policy. B. CANCELLATION We will mail or deliver advance written notice of cancel- lation, stating the reason for cancellation, to the first Named Insured, and to the producer of record, at least: (1) 10 days before the effective date of cancellation if we cancel for a reason listed in section A. (1) or (2). (2) 30 days before the effective date of cancellation if we cancel for any other reason listed in paragraph A. The following is added and supersedes any provisions to the contrary: C. NONRENEWAL (1) Subject to the provisions of section (2) below, if we elect not to renew this policy, we will mail or deliver written notice stating the reason for nonrenewal to the first Named Insured shown in the Declarations and to the producer of record, at least 60 days, but not more than 120 days, before the expiration or anniversary date. We will mail or deliver our notice to the first Named Insured, and to the producer of record, at the mailing address shown in the policy. (2) We are not required to send notice of nonrenewal in the following situations: (a) If the policy has been extended for 90 days or less. (b) If you have obtained replacement coverage, or if the first Named Insured has agreed, in writing, within 60 days of the termination of the policy, to obtain that coverage. (c) If the policy is for a period of no more than 60 days and you are notified at the time of issuance that it will not be renewed. (d) If the Named Insured requests a change in the terms or conditions or risks covered by the policy within 60 days of the end of the policy period. (e) If we have made a written offer to the first Named Insured, in accordance with the time frames shown in paragraph C-1 to renew the policy under changed terms or conditions or at an increased premium rate, when the increase exceeds 25%. CN 11 (07/11) Page 1 Policy #EPK-115310 trust or other business enterprise that is not named in the Declarations, or included Section III — Who Is An Insured, or otherwise included by endorsement to this policy. 12. Workers Compensation And Similar Laws a. Based upon or arising out of any obligation of any insured under a workers' compensation, disability benefits or unemployment compensation law or any similar law, including without limitation, "bodily injury" to any person, whether or not an "employee" of any insured. Exclusions 1., 7. and 12. above, do not apply to damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in Section IV - Limits Of Insurance And Deductible within the Common Provisions and indicated in the Declarations. 13. Distribution or Disclosure of Material in Violation of Statutes Based upon or arising out of any act or omission that violates or is alleged to violate: a. The Telephone Consumer Protection Act (TCPA), including any amendment of or addition to such law; or b. The CAN-SPAM Act of 2003, including any amendment of or addition to such law; c. Any statute, ordinance or regulation, other than the TCPA or CAN-SPAM Act of 2003, that prohibits or limits the sending, transmitting, communicating or distribution of ..material or --.information; EN0020-0515 d. The Fair and Accurate Credit Transactions Act of 2003 (FACTA), including any amendment of or addition to such law; or e. Any statute, ordinance or regulation other than FACTA that prohibits, restricts or governs the disclosure of material to prevent or minimize identity theft. 14. Punitive or Multiplied Damages For punitive damages or the multiplied portion of treble or other multiplied damages, or that arise out of that portion of any "claim" or "suit" seeking or awarding punitive damages or the multiplied portion of treble or other multiplied damages. SECTION VI -COMMON CONDITIONS 1. Bankruptcy Bankruptcy or insolvency of the insured or of the insured's estate will not relieve us of our obligations under this Policy, but in no event shall such bankruptcy or insolvency obligate us to pay any part or all of any applicable Deductible or Self Insured Retention, or otherwise impose any obligation on us under this Policy before the Deductible or any Self Insured Retention is satisfied. 2. Cancellation And Nonren"ewal. The following provisions regarding cancellation and nonrenewal apply except to the extent that they, or any of them, are inconsistent with state laws or regulations applicable to surplus lines insurers, in which event, they will be deemed amended to be in conformity with such laws or regulations. This Policy may be cancelled by the First Named Insured by surrender thereof to us or by mailing to us written notice stating when thereafter the cancellation shall be effective. We may cancel or Page 13 of 30 ©2011 United States Fire Insurance Company, all rights reserved. decide not to renew this Policy by mailing a written notice to the First Named Insured at the address shown in the Declarations of this Policy. The mailing of notice of cancellation shall be sufficient notice, and the effective date of cancellation stated in such notice shall be deemed to constitute the end of the "policy period". The effective dates of such cancellation shall be not less than thirty (30) days (ten (10) days for non-payment of premium) following mailing of the notice of cancellation to the First Named Insured. Hand delivery of such written notice either by the First Named Insured or by us (or by either's designee) shall be equivalent to mailing. If this Policy is issued to comply with any law or regulation that requires notice of cancellation or nonrenewal to any governmental body, cancellation or nonrenewal shall not be effective until the required notice has been provided by you or us. This Policy is subject to a ten percent (10%) short rate penalty if you cancel the Policy or if we cancel the Policy because of your non-payment of premium. We will treat your failure to timely reimburse us for any Deductible Amount to constitute non-payment of premium. Subject to such short -rate penalty, the applicable unearned premium shall be returned to the First Named Insured as soon as practicable following the effective date of the cancellation. Premium adjustment may be made either at the time cancellation is effective or as soon as practicable after cancellation becomes effective, but payment or tender of unearned premium is not a condition of the effective date of the cancellation. If we cancel this Policy for any reason other than for non- payment of premium, we will return to you the pro rata amount of the unearned. premium. EN0020-0515 3. Changes This Policy contains all the agreements between you and us concerning the insurance afforded. The First Named Insured shown in the Declarations is the only insured authorized to request changes in the terms of this Policy. Any changes in the terms of this Policy must be made with our consent. This Policy's terms can be amended or waived only by an endorsement issued by us and made a part of this Policy. 4. Duties In The Event Of An Occurrence, Offense, Wrongful Act Or Pollution Condition You and any other involved insured must see to it that we are notified, in writing, as soon as practicable of an "occurrence", offense, "wrongful act" or "pollution condition" which may result in a "claim" or "suit" against any insured. To the extent possible, such written notice to us should include: (1) How, when and where the "occurrence", offense, "wrongful act" or "pollution condition" took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the "occurrence", offense, "wrongful act" or "pollution condition". 5. Duties In The Event Of A Claim Or Suit The duties outlined in this Condition apply only to the following Coverage Parts: Commercial General Liability Occurrence, Commercial General Liability Claims Made, Contractors Pollution Liability Occurrence, Contractors Pollution Liability Claims Page 14 of 30 © 2011 United States Fire Insurance Company, all rights reserved. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TRANSPORTATION POLLUTION LIABILITY BLANKET ENDORSEMENT This endorsement modifies insurance provided under the following: CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Transportation Pollution — Each Pollution Condition Limit: $2,000,000 Transportation Pollution Aggregate Limit: $2,000,000 Transportation Pollution Deductible Amount: $10,000 (If no entry appears above, the Limits of Insurance shown in the Declarations will apply.) A. As respects the coverage afforded by this Endorsement, the maximum amounts for which we are liable for "claims" relating to transportation pollution is indicated in the Schedule shown above. The Transportation Pollution — Each Pollution Condition Limit and the Transportation Pollution Aggregate Limit stated in the Schedule above are subject to and not in addition to the Contractors Pollution Liability Each Pollution condition Limit and the General Aggregate Limit stated in the Declarations. Payments under the Transportation Pollution — Each Pollution Condition Limit and Transportation Pollution Aggregate Limit indicated in the Schedule shown above are part of and erode the Contractors Pollution Liability Each Pollution Condition Limit and the General Aggregate Limit stated in the Declarations. If no limit is indicated in the Schedule shown above, then the limits of the liability stated in the Declarations applicable to this Coverage Part will apply. B. Solely as respects the coverage afforded by this Endorsement, the Transportation Pollution Deductible Amount indicated in the Schedule shown above applies once to each "pollution condition" and can be applied either for "defense expenses", where applicable, settlement, payment of judgment(s) or any combination thereof. C. Solely as respects the coverage afforded by this Endorsement, under the Common Provisions, SECTION V — COMMON EXCLUSIONS, item 1. Aircraft, Auto, Rolling Stock Or Watercraft is deleted in its entirety and replaced by the following: 1. Aircraft, Auto, Rolling Stock Or Watercraft Based upon or arising out of the ownership, maintenance, use or entrustment to others of any aircraft, "auto", rolling stock, rail car, locomotive or watercraft owned or operated by or rented or loaned to, or in the control of, any insured. Use includes operation and "loading or unloading". Notwithstanding the above, coverage is provided only for "autos" which have statutory auto liability coverage in place with a carrier rated "A- (VII) or higher by A.M. Best. This exclusion applies even if: a. The "claim" against any insured alleges negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of another by that insured, or if the "occurrence" which caused the "bodily injury" or "property damage" involved the ownership, maintenance, use or entrustment to others of any aircraft, "auto" or watercraft that is owned or operated by or rented or loaned to any insured; or EN0405-0515 Page 1 of 2 b. The "occurrence" or "pollution condition" takes place after "loading or unloading" is completed, regardless of whether the aircraft, "auto", rolling stock, rail car, locomotive or watercraft is or was owned or operated by or rented or loaned to, or in the control of any insured; or c. The "occurrence" or "pollution condition" is included in the "products -completed operations hazard". This exclusion does not apply to: a. A watercraft while ashore on premises you own or rent; b. A watercraft you do not own that is: (1) Less than twenty-six (26) feet long; and (2) Not being used to carry persons or property for a charge; c. Parking an "auto" on, or on the roadway near premises you own or rent, provided the "auto" is not owned by or rented or loaned to you or the insured; d. Liability assumed under any "insured contract" for the ownership, maintenance or use of aircraft or watercraft; or e. "Bodily injury" or "property damage" arising out of: (1) The operation of machinery or equipment that is attached to, or part of, a land vehicle that would qualify under the definition of "mobile equipment' if it were not subject to a compulsory or financial responsibility law or other motor vehicle insurance law in the state where it is licensed or principally garaged; or (2) The operation of any of the machinery or equipment listed In Paragraph f.(2) or f.(3) of the definition of "mobile equipment". f. "Claims" arising from "pollution conditions" caused by, arising out of or in any way related to the operation, maintenance, use or "loading or unloading" of "autos" by or on behalf of the Named Insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0405-0515 Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MOLD DEFINITION GIVEBACK This endorsement modifies insurance provided under the following: CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Mold - Each Pollution Condition Limit: $2,000,000 Mold - Aggregate Limit: $2,000,000 Mold Deductible Amount: $10,OOC (If no entry appears above, the Limits of Insurance shown in the Declarations will apply.) A. As respects the coverage afforded by this Endorsement, the maximum amounts for which we are liable for "claims" relating to "mold" are the limits of insurance indicated in the Schedule shown above. B. The Mold — Each Pollution Condition Limit and the Mold — Aggregate Limit indicated in the Schedule shown above are subject to and not in addition to the Contractors Pollution Liability Each Pollution Condition Limit and the General Aggregate Limit stated in the Declarations. Payments under the Mold — Each Pollution Condition Limit and Mold — Aggregate Limit indicated in the Schedule shown above are part of and erode the Contractors Pollution Liability Each Pollution Condition Limit and the General Aggregate Limit stated in the Declarations. C. The Mold Deductible Amount indicated in the Schedule shown above applies once to each "pollution condition" resulting in "mold" and can be applied either for "defense expenses", where applicable, settlement, payment ofjudgment(s), or any combination thereof. D. Under the Common Provisions, SECTION VII — COMMON DEFINITIONS, item 29. "Pollutants" is deleted in its entirety and replaced with the following: 29. "Pollutants" means, any solid, liquid, gaseous, thermal or biological irritant or contaminant, including, without limitation, smoke, vapor, soot, fumes, acids, alkalis, chemicals and waste and any matter that by its presence corrupts, defiles, contaminates or is harmful to the soil, air or water, living things or the environment. Waste includes materials to be recycled, reconditioned or reclaimed. It is understood that any substance or matter that is a "pollutant' does not lose its status as a "pollutant' because it has, or may have, a useful function or purpose. "Pollutants" also includes "mold". As stated under the Common Provisions, SECTION VII — COMMON DEFINITIONS, item 22."Mold" is defined as follows: "Mold" means any permanent or transient fungus, mold, mildew, or mycotoxin, or any of the spores, scents, or byproducts resulting therefrom regardless of whether they are proved to cause disease, injury or damage. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0412-0211 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NON -OWNED DISPOSAL SITES CONTRACTORS POLLUTION LIABILITY This endorsement modifies insurance provided under the following: CONTRACTORS POLLUTION LIABILITY COVERAGE PART NON -OWNED DISPOSAL SITE(S) LIMITS OF INSURANCE Non -Owned Disposal Site(s) Liability — Each Pollution Condition Limit: $2,000,000 Non -Owned Disposal Site(s) Aggregate Limit: $2,000,000 A. As respects the coverage afforded by this Endorsement, the maximum amounts for which we are liable for "claims" arising out of "non -owned disposal site(s)" are indicated in the Schedule shown above. B. The Non -Owned Disposal Site(s) Liability — Each Pollution Condition Limit and the Non -Owned Disposal Site(s) Aggregate Limit indicated in the Schedule shown above are subject to and not in addition to the Contractors Pollution Liability Each Pollution Condition Limit and the General Aggregate Limit stated in the Declarations. Payments under the Non -Owned Disposal Site(s) Liability — Each Pollution Condition Limit and the Non - Owned Disposal Site(s) Aggregate Limit indicated in the Schedule shown above are part of and erode the Contractors Pollution Liability Each Pollution Condition Limit and the General Aggregate Limit stated in the Declarations. C. The Limits of Insurance indicated in the Schedule shown above apply solely to "claims" arising out of the Named Insured's liability arising from the disposal of "waste" or "waste" materials, but only at site(s): 1. Located within the United States of America that have not at any time been owned or operated, in whole or in part, by any insured, which receives or has received waste resulting from the insured's operations; 2. That were properly licensed by federal and/or state regulators with applicable jurisdiction to accept the wastes at the time of such disposal; 3. That were not owned or operated by any person, corporation or unincorporated association that was in bankruptcy at the time the waste was received for disposal; 4. That have not, at any time prior to the inception date of this policy, been identified on the United States EPA (CERCLA) National Priorities List or CERCLIS list, or pursuant to any functional equivalent of those listings made by a state regulatory agency pursuant to state law; and 5. That were not undergoing voluntary or regulatory -required remediation activities at the time the waste was received for disposal. D. Only for purposes of this endorsement, the following Definition is added: "Non -owned disposal site" means a waste facility to which waste from your operations is delivered for storage, disposal, processing or treatment, and such site is not and never was owned by, rented or loaned to you. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0417-0113 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIMITED NOTICE OF CANCELLATION ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART ERRORS AND OMISSIONS LIABILITY COVERAGE PART ONSITE CLEANUP COVERAGE PART THIRD PARTY POLLUTION LIABILITY COVERAGE PART In consideration of the premium charged and solely with respect to the coverage parts shown above, it is hereby agreed that the Common Provisions, Section VI —Common Conditions is amended by the addition of the following: Limited Notice Of Cancellation In the event that we cancel this Policy for any reason other than non-payment of premium and; a. The effective date of cancellation is prior to the expiration date of this Policy; and b. You are under an existing written contractual obligation to notify a certificate holder when this Policy is canceled and have provided to us, either directly or through your broker of record, the email address of a contact at each such certificate holder; and c. We received this information after you received notice of cancellation of this Policy and prior to the effective date of cancellation, via an electronic spreadsheet that is acceptable to us, We will provide notice of cancellation via email to each such certificate holder within thirty (30) days of your providing such information to us. Proof of our emailing the notice of cancellation, using the information provided by you, will serve as evidence that we have satisfied our obligations under this condition. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0165 0117 Page 1 of 1 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 7/7/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGRATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Willis Towers Watson 12980 Metcalf Ave Suite 500 Overland Park KS 66213 INSURED Barrett Business Services, Inc. UC/F AMPCO CONTRACTING INC. 1540 S. LEWIS STREET ANAHEIM, CA 92805 COVERAGES CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUES OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurence) $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1:1 OCCUR MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJ- LOC ECT ApROVE DO FOR PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY (� COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO ALL OWNED AUTOS 8 SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS i;GMABL CM A -GATES E S N f3EA BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ ay CiF I'lu LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB OCCUR ,UMBRELLA AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N RWC C64390235 07/01/17 07/01/2018 �/ WC STATU- TORYLIMITS OTH- ER E.L. EACH ACCIDENT $2,000,000 ANY PROPRIETOR/PARTNER/ EXECUTIVE Y OFFICER/MEMBER EXCLUDED? N / A X Covered states: E.L. DISEASE -EA EMPLOYEE $2,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below CA E.L. DISEASE -POLICY LIMIT $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) In the event of any payment under this policy for a Loss for which the named insured has waived the right of recovery in a written contract entered into prior to the Loss, insurer hereby agrees to also waive our right of recovery but only with respect to such Loss. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Huntington Beach, Attn: John Griffin, Public Works EXPIRATION DATA THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street AUTHORIZED REPRESENTATIVE Huntington Beach CA 92648 Authorized �' Rep c) 1988-2010 AGURD GURPURA I IUN. All ngnts reservea. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD. AGENCY CUSTOMER ID: LOC: #: w.-.r%,IMPIAv%u w I nrww w Mlre% e%^1 Ir111 11 C HuuI I IvI'4r+L— r«inP%FXFX%J .Jv11`vv`L— rage z oT Z AGENCY NAMED INSURED: Barrett Business Services, Inc. L/C/F Arrowhead General Insurance Agency AMPCO CONTRACTING INC. POLICY NUMBER 1540 S. LEWIS STREET ANAHEIM, CA 92805 RWC C64390235 CARRIER NAIC CODE ACE American Insurance Company 22667 EFFECTIVE DATE: 07/01/17 ,DDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability (01/14) CERTIFICATE HOLDER: City of Huntington Beach, Attn: John Griffin, Public Works ADDRESS: 2000 Main Street Huntington Beach CA 92648 Waiver of Subrogation in favor of: City of Huntington Beach, Attn: John Griffin, Public Works. Project: #CC-1406/CC-1399, Beach Boulevard Watermain Extension Project. ACORD 101 (2008/01) c) 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD. CONTRACTOR'S SWORN.STATEMENT AND WARRANTY REGARDING CONTINUING INSURANCE OBLIGATIONS FROM; �—_ PROJECT: d' C�l (�U� l� f ok( Cin (Contractor Name) �(){t Q i� et - A 010 NL - (?)Fi q (Street Address) 1G�1 t11 CPr 1 l (City, State and Zip) TO: CITY OF HUNTINGTON BEACH DECLARATION Attached hereto is a true and correct copy of the current Certificate of Insurance -and Additional Insured Endorsement CG 2010 1185, which Certificate complies with the insurance. requirements of the Contract by and between the City of Huntington [Teach ("City") and the above named Contractor ("Contractor") for the above -described project ("Project': I declare under penalty of perjury under the laws of the State of California that the above statement Is true and correct. Signed on D�' (�" 7 20fl at `\V iii C A (Date) (City, State re or Individual Who is Making Declaration) WARRANTY Contractor hereby warrants and agrees to maintain Products and Completed Operations Insurance In compliance with the Insurance requirements of 'the Contract for the Project. Said Insurance shall be maintained through and until the expiration of all Warranties provided by Contractor, Said.insurance shall contain Additional Insured Endorsement CG 2010 1185, naming City as an additional insured. Contractor shall supply to City, on at.least an annual basis; a Certificate of Insurance and the aforementioned Endorsement evidencing continued coverage which meets the Contract requirements. Signed on I ' a'( 1 20_0 at al lb `�,_4 L�__. (Date) (City, State) CONTRACTOR: Name. r uc 8y Name: N Title 279621.2 RECEIVED BY: (Name) (Date) TO: FROM: DATE: SUBJECT: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office after signing/dating CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION City Treasurer City Cle k Bo Acceptance t; have received the bonds for CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. CC No. MSC No. Other No. g:/forms/bond transmittal to treasurer (Company Name) 73 �hS3S�'7.3 Approved 6/s-//7 (Council Approval Da e) Agenda Item No. City Clerk Vault No. _ , J U SIRE System ID No. �0�0� Bond No. 7653873 THE FINAL PREMIUM IS PREDICATED ON THE FINAL CONTRACT AMOUNT PERFORMANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS, City of Huntington Beach (hereafter referred to as "City") has, by written agreement dated July 10 , 2017, entered into a contract with } AMPCO Contracting, Inc. 1540 South Lewis Street, Anaheim CA 92805 (name and address of Contractor) (hereinafter referred to as °Principal"), for performance of the work described as follows: i Beach Boulevard Water Main Extension Projects CC1399 and CC1406 (Project Title) WHEREAS, said contract, and aft documents referenced therein (hereinafter collectively `Contract"), are incorporated herein by this reference made a part hereof as though setforth herein in full; and Said Principal. is required under the terms of the Contract to furnish a bond guaranteeing the prompt; full and faithful performance of said Contract, by a duly admitted surety insurer under the laws of the State of California (hereinafter referred to as "Surety'); and Surety is certified and listed in the U.S, Department of the Treasury Circular 570, and has provided proof of sufficient bonding limitations as shown in said circular to provide bands in the amount required by said Contract; and Surety has provided financial strength ratings from reputable companies, such as from A.M. Best, Moody's, or Standard & Pooes, to validate that Surety has positive ratings of being secure.or. Stable; and Surety is registered and listed with the California Department of Insurance, NOW, THEREFORE, we, the undersigned, as Principal, and Fidelity and Deposit Comfy of Maryland 777 South Figueroa Street, Suite 3900, Los Angeles, CA 90017 (naive and address of Surety) as Surety; are held and firmly bound unto City in the penal sum of Five Hundred Seventv-Five Thousand Two Hundred Fortv and 00/100 Dollars ($ 575,240.00 ), this amount being not less than one hundred percent of the price set forth in the Contract, In lawful money of the United States, for the payment of which sum, well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors, jointly and.severally, firmly bythese presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT if the Principal shall promptly, fully and faithfully perform each and all of the covenants, obligations and things to be done and performed by the Principal in strict, accordance with thelerms of.the Contract as said contract may be altered, amended or modified from time to time; and if the Principal shall indemnify and save harmless City and all of City's officers, agents and employees (hereinafter collectively referred to as "Obligees"} fromany and all losses, liability and damages, claims, judgments, stop notices, fees and costs of every description, whether imposed by law or in equity, which may be incurred by the Obligees by reason of the failure or default on the part of the Principal in the performance of any or all of the terms or the obligations of the Contract, including all alterations, amendments and modifications thereto, and any warranties or guarantees required thereunder, then this obligation shall be void; otherwise, it shall be and shall remain in full force and effect. Surety stipulates and agrees, for value received, that no adjustment of the time or price in the Contract or. any alteration, change, deletion, addition or other modification to the Contract, or the work to be performed thereunder, shall in any way affect, limit, restrict, impair or release the obligations of the Surety under this Bond. Surety waives notice of any adjustment of contract or contract price, and any other alteration, change,. deletion,addition or other modification to the Contract, or the work to be performed thereunder, and agrees f 5-4SS4/117174 Bond No. 7653873 to automatically adjust, the penal sum of this Bond to reflect such adjustments, alterations, changes, deletions, additions or other modifications. Surety agrees to provide written confirmation of such adjustments in the penal sum to City on not less than a quarterly basis. Surety also waives the provisions of Civil Code §§ 2845 and 2849. The obligations of this Bond shall survive the completion of the work described in the Contract as to all obligations and liabilities of the Principal which survive completion of the work. IN WITNESS WHEREOF, each party represents and warrants that this instrument has been duly executed by Principal and Surety, on the date set forth below, that the name of each corporate party being affixed hereto is such parry's proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body. Surety, by execution of this bond, waives any defense which Surety has or may have by reason of any failure of the Principal to execute or property execute this bond. Dated: July 10, 2017 ATTEST AMPCO Contracting, Inc. 1540 South Lewis Street, Anaheim, CA 92805 (Corporate Seal) (Principal Name) By: Name. Title: f UStbet-rr ATTEST Fidelity and Deposit Company of Maryland 777 South Figueroa Street, Suite 3900, Los Angeles, CA 90017 (Corporate Seal) By: N me: rturo Ayala, Attorn - - act (Signature ofAttom ' -Fact for Surety) (Attach Attorney -in -Fact Certificate) 971n-ogon (Area Code & Telephone Number for Surety) APPROVED AS TO F . 'Michael E. Gates, City Attorney f f ! Note: This bond must be executed in duplicate and dated, all signatures must be notarized, and evidence of the authority of any person signing as attomey-in-fact must be attached. PERFORMANCE BOND Page 2 of 2 I5-4584/117174 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA County of Orange On July 10, 2017 before me, Shaunna Rozelle Ostrom Date Insert Name of Notary exactly as it appears on the official seal personally appeared Arturo Ayala Name(s) of Signer(s) SHAUNNA ROZELLE OSTROM Cor COMM. #2159517 o Notary Public -California , Notary Public, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. Witness m nd and fficia ea . Signature Place Notary Seal Above igna re of No ry Pu lic unna RO el le Ostrom . 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 the form to another document. Description of Attached Document Title or Type of Document: Performance Bond Document Date: 07/10/2017 Number of Pages: Two Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Arturo Ayala ❑ Individual ❑ Corporate Officer—Title(s):_ ❑ Partner ❑ Limited ❑ General [J( Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: Top of thumb here Signer's Name: ❑ Individual ❑ Corporate Officer—Title(s): — ❑ Partner ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On 07/20/2017 before me, Kellie Leann Waldron, Notary Public (insert name and title of the officer) personally appeared Reginald Kama - President who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. KELLIE LEANN WAM0 COMM. #21771-0 z z Notary Public • California o Orange County Comm. Ex kes Dec. 31, 2020 Signat (Seal) Bond No. 7653873 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by MICHAEL BOND, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the, date hereof, do hereby nominate, constitute, and appoint Daniel HUCKABAY, Dwight REILLY, Arturo AYALA, Shaunna Rozelle OSTROM and Michael CASTANEDA, all of Orange, California, EACH its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 15th day of May, A.D. 2017. ATTEST: 9,_ Assistant Secretary Joshua Lecker ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND u�y vyfy� _ wa pw�pf�, 8EAL a eo5 Iru >'' ox; 105 ... �� �`%•: rose ��; d ''•. Vice President Michael Bond State of Maryland County of Baltimore On this 15th day of May, A.D. 2017, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, MICHAEL BOND, Vice President, and JOSHUA LECKER, Assistant Secretary, of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. Constance A. Dunn, Notary Public My Commission Expires: July 9, 2019 POA-F 012-0079B THE FINAL PREMIUM 15 Bond No. 7653873 PREDICATED ON THE FINAL CONTRACT AMOUNT PAYMENT BOND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS; City of Huntington Beach (hereafter referred to as "City") has awarded to AMPCO Contracting, Inc. 1540 South Lewis Street Anaheim CA 92805 (name and address of Contractor). (hereinafter referred to as "Principal'I a contract ("Contract") for the work described as follows: Beach Boulevard Water Main Extension Projects CC1399 and CC1406 (Project Title) WHEREAS, Principal is required under the terms of the Contract and the California Civil Code to furnish a bond to secure the payment of claims of laborers, mechanics, materialmen, and other persons as provided by law, by a duly admitted surety insurer under the laws of the State of California (hereinafter referred to as 'Surety"); and Surety Ps certified and listed in the U.S. Department of the Treasury Circular 510, and has provided proof of sufficient bonding limitation, as shown in said circular to provide bonds in the amount required by said Contract; and Surety has provided financial strength ratings from reputable companies, such.as from A.M. Best, Moody's or Standard & Poor's, to validate that Surety has positive ratings of being secure or stable; and Surety is registered and listed with the California Department of Insurance. NOW THEREFORE, we, the undersigned Principal, and Fidelity and Deposit Company of Maryland 777 South Figueroa Street Suite 3900 Los Angeles CA 90017 (name and address of Surety) as Surety, are held and firmly bound unto City in the penal.sum of Five Hundred Seventy -Five Thousand Two Hundred Forty and 0011On dollars ($ 575 240.00 ), this amount being not less than one hundred percent (100%) of the total price set forth in the Contract; in lawful money of the United States of America, for the payment of which sum, well and truly to be made, we bind ourselves, and each of our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT, if the Principal, his, her, or its heirs, executors, administrators, successors or assigns, or subcontractors shall fall to pay any of the persons named in Section 3181 of the.California Civil Code ("Claimants') for all labor, materials.or services used or reasonably required for use in performance of the work described in the Contract,.or any amounts due under the Unemployment Insurance Code with respect to work. or labor performed by any such Claimant, or prevailing wages due and penalties incurred pursuant to Sections 1774, 1775, 1813 or 1815 of the Labor Code, or any amounts required to be deducted, withheld and paid over to the Employment Development Department from the wages of employees of the Principal and Subcontractors pursuant to Section 13020 of the Unemployment Insurance Code with respect to the work or tabor performed under the Contract, Surety will pay for the same, in an amount not exceeding the penal sum specified in this bond; otherwise, this obligation shall be null and void. This bond shall inure to the benefit of any of the persons named in Section 3181 of the California Civil Code so as to give a right of action to such persons or their assigns. In case any action is brought upon this bond, Surety further agrees to pay all court costs and a reasonable attorney's fee In an amount fixed by the court Page 1 of 2 154584/117357 PAYMENT BOND Surety stipulates and agrees, for value received, that no change, extension of time, alteration, addition or modification to the terms of the Contract, or any contract document or any work to be performed thereunder, whether made.after notice or not, shall in any way affect, impair or release the obligations of Surety under this bond. Surety hereby waives notice of any such. change, extension of time, alteration, addition, or modification to the termsofthe Contract, the contract documents or the work thereunder. Surety also waives the provisions of California Civil Code §§ 2845 and 2849. IN WITNESS WHEREOF, each party represents and warrants that this instrument has been duty executed by Principal and Surety, on the date set forth below, that the name of each corporate party being affixed hereto is such party's proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body. Surety, by execution of this bond, waives any defense which. Surety has or may have by reason of any failure of the Principal to execute or properly execute this bond, Dated: July 10, 2017 ATTEST AMPCO Contracting, Inc. 1540 South Lewis Street, Anaheim. _CA (Corporate Seal) (Principal. Name) gy; Name: N Title: fees(I)ENT ATTEST Fidelity and Deposit Company of Maryland 777 South Figueroa Street Suite 3900 Los Angeles, CA 90017 (Corporate Seal) urety Na By: Na Artu (Signatare of Attorno- act for Surety) (Attach Attorney -in -Fact Certificate) (213) 970-06n0 (Area Code & Telephone Number for Surety) APPROVED AS T.G"FORM: Michael E. Gates,`City Attorney Note: This bond must be executed in duplicate and dated, all signatures must be notarized, and evidence of the authority of any person signing as attomey-in-fact must be attached. Page 2 of 2 15-45841117357 PAYMENTBOND CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA } County of Orange J On July 10, 2017 before me, Shaunna Rozelle Ostrom Date Insert Name of Notary exactly as it appears on the official seal personally appeared Arturo Ayala Name(s) of Signer(s) =. SHAUNNA ROZELLE OSTROM COMM. #2159617 M i..•':ri.:.by;;i>� Notary Public -California X ORANGE COUNTY U. ` i4y Comm. Expires Jul 11, 2020 , Notary Public, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. Witness m d and officials Signature Place Notary Seal Above 8' n t e of Nota Public SFFau6na ROzelle Ostrom 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 the form to another document. Description of Attached Document Title or Type of Document: Payment Bond Document Date: 07/10/2017 Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Arturo Ayala ❑ Individual ❑ Corporate Officer —Title(s):_ ❑ Partner ❑ Limited ❑ General 9 Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: Number of Pages: Two Signer's Name: ❑ Individual ❑ Corporate Officer—Title(s): ❑ Partner ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On 07/20/2017 before me, Kellie Leann Waldron, Notary Public (insert name and title of the officer) personally appeared Reginald Kama - President who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. KELLIE LEANN WALDRON WITNESS my hand and official seal. a COMM. #2177780 z Notary Public • California ;0 = Orange County ° Comm. Expires Dec. 31 2020 Signatur �� F. � �' (Seal) Bond No. 7653873 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by MICHAEL BOND, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are.hereby certified to be in full force and effect on the date hereof,. do hereby nominate, constitute, and appoint Daniel HUCKABAY, Dwight REILLY, Arturo AYALA, Shaunna Rozelle OSTROM and Michael CASTANEDA, all of Orange, California, EACH its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 15th day of May, A.D. 2017. ATTEST: 9, Assistant Secretary Joshua Lecker ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND vyy� wa DEtDS ``GfS1-SH.`S.G4"o SEAL .... i e—•—� loc f j, rr +� / f `h`twl lfQJ/ . Vice President Michael Bond State of Maryland County of Baltimore On this 15th day of May, A.D. 2017, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, MICHAEL BOND, Vice President, and JOSHUA LECKER, Assistant Secretary, of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly swom, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. ' �r'Idci�� '•.G mill �Iti���` Constance A. Dunn, Notary Public My Commission Expires: July 9, 2019 POA-F 012-0079B 8/1/2017 Company Profile Company Profile Company Search Company Search Results Company Information Old Company Names Agent for Service Reference Information NAIC Group List Lines of Business Workers' Compensation Complaint and Request for Action/Appeals Contact Information Financial Statements PDFs Annual Statements Quarterly Statements Company Complaint Company Performance & Comparison Data Company Enforcement Action Composite Complaints Studies Additional Info Find A Company Representative In Your Area View Financial Disclaimer COMPANY PROFILE Company Information FIDELITY AND DEPOSIT COMPANY OF MARYLAND 1299 ZURICH WAY SCHAUMBURG, IL 60196 800-382-2150 Old Company Names Agent For Service KARISSA LOWRY 2710 GATEWAY OAKS DRIVE SUITE 150N SACRAMENTO CA 95833 Reference Information Effective Date NAIC #: 39306 California Company ID #: 2479-4 Date Authorized in California: 01/01/1982 License Status: UNLIMITED -NORMAL Company Type: Property & Casualty State of Domicile: MARYLAND back to top NAIC Group List NAIC Group #: 0212 ZURICH INS GRP Lines Of Business The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. AIRCRAFT AUTOMOBILE BOILER AND MACHINERY BURGLARY CREDIT FIRE LIABILITY MARINE MISCELLANEOUS PLATE GLASS SPRINKLER SURETY https:/fi nteractive.web. i nsurance.ca.gov/com panyprofi I e/com panyprofi le?event=com panyProfii le&doF unction=getCom panyProfi le&ei d=6217 1 /2 City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk August 23, 2017 AMPCO Contracting, Inc. Attn: Robert Valousky, President 1540 S. Lewis Street Anaheim, CA 92805 Re: Beach Boulevard Water Main Extension Projects — CC-1399 and CC-1406 The City Council awarded the bid to your company for the above referenced project. Enclosed is a copy of the executed contract with the City of Huntington Beach. A Certification of Compliance with Title VII of the Civil Rights Act, Certification of Compliance with Prevailing Wage Laws and Contractor's Certificate form must be returned to this office after the project is completed but prior to the release of retention funds. In addition, the following item must also be on file, with this office before the City can release any retention funds: A warranty bond guaranteeing the final amount of work and materials for one year. If your performance bond does not include specific wording for a one-year warranty, then a rider or separate bond must be submitted. Should you have any questions or concerns regarding the enclosures or items that must be on file in this office prior to release of retention funds, please call the Public Works Department at 536-5517. Sincerely, Q Zi61 Robin Estanislau, CIVIC City Clerk RE: pe Enclosures: Copy of Contract including Proposal Copies of insurance/bonds Bid Bond (original) Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand Dept. ID PW 17-021 Page 1 of 2 Meeting Date: 6/5/2017 "W6�) a&-2-) 7 —Z) CITY OF HUNTINGTON BEACH REQUEST FOR. CITY COUNCIL ACTION MEETING DATE: 6/5/2017 SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Fred A. Wilson, City Manager PREPARED BY: Travis K. Hopkins, PE, Director of Public Works SUBJECT: Accept the lowest responsive and responsible bid and authorize execution of a construction contract with AMPCO Contracting, Inc. in the amount of $575,240 for the Beach Boulevard Water Main Extension Projects, CC-1399 and CC-1406 Statement of Issue: On April 25, 2017, bids were publicly opened for the Beach Boulevard Water Main Extension Projects, CC1399 and CC1406. City Council action is requested to award the construction contract to AMPCO Contracting, Inc., the lowest responsive and responsible bidder. Financial Impact: Funding in the amount of $525,000 is available in the Water Master Plan Account No. 50791025.82100, $105,000 is available in the Water Master Plan Account No. 50791025.69365, and $140,000 is available from the Water Master Plan Account No. 50791006.82100. Recommended Action: A) Accept the lowest responsive and responsible base bid submitted by AMPCO Contracting, Inc. in the amount of $575,240; and, B) Authorize the Mayor and City Clerk to execute a construction contract in a form approved by the City Attorney. Alternative Action(s): Reject all bids, or provide staff with alternative action. Analysis: Primary objectives of the Beach Boulevard Water Main Extension Projects are to increase water system reliability, redundancy, and further improve fire flow protection. Both segments of new pipe extensions were identified in the adopted 2016 Water Master Plan. The scopes of the proposed projects are as follows: CC-1399 consists of installing approximately 100 linear feet of 12-inch pipe, across Beach Boulevard just north of Holt Avenue. CC-1406 consists of installing approximately 1,350 linear feet of 12-inch pipe, along the east side of Beach Boulevard, from Blaylock Drive toward Rubidoux Drive. Bids were opened publicly on April 25, 2017, and are listed in ascending order: HB -29- Item 3. - 1 Dept. ID PW 17-021 Page 2 of 2 Meeting Date 6/5/2017 BIDDER'S NAME BID AMOUNT CORRECTED BID VERIFIED TOTAL (Amount Read at Bid CONTRACT AMOUNT Opening and Basis of Award) AMPCO Contracting, $575,240.00 No Correction $575,240.00 1 nc. Cedro Construction, $639,646.00 No Correction $639,646.00 1 nc. Garrett J Gentry $669,059.00 No Correction $669,059.00 General Engineering Inc. Stephen Doreck $681,505.00 No Correction $681,505.00 Equipment Rentals, Inc. The lowest responsive and responsible bidder was determined to be AMPCO Contracting, Inc. Their experience was acceptable and reference checks for AMPCO Contracting, Inc. were obtained and provided acceptable responses. In addition, the proposed critical staff for AMPCO Contracting Inc., the Project Manager, and the Superintendent have worked for other contractors on City of Huntington Beach past potable water pipeline projects, which were completed in a professional and acceptable manner. The engineer's estimate for this contract was $550,000, which is within five (5) percent of AMPCO Contracting, Inc.'s bid proposal for amount of $576,240. The total project cost is estimated to be $770,000, which includes the construction contract, contingency, supplemental expenses, construction management, and inspection. Public Works Commission Action: The Public Works Commission reviewed and approved the project on May 20, 2015, with a vote of 7-0-0 (all present). Environmental Status: The project is categorically Environmental Quality Act. exempt pursuant to Class 1(b), Section 15301 of the California Strategic Plan Goal: Enhance and maintain infrastructure Attachment(s): 1. Project Location Map, CC-1399 2. Project Location Map, CC-1406 Item 3. - 2 HB -30- eoLSA Ave PROJECT AREA t Ale AD VE. N a 4 � --HE:IL m -aa Ave A . Jj WAR SLA ER AVE 405 / P807ECT AREA TW ERT AVE ROBIDOUX DR. ELL S AVE' PACIPIC WARNER AVE. AVE II N T� AVE ; BLAYLDCK DR. AL I AVE \ 01 INDIOWPOuls AVE g \ MANTA AVE SLATER AVE 3 NAVE OCEAN �#yaqm NC \ im VICINITY N.T.S. MAP LOCATION N.T.S. MAP BEACH BLVD. WATERMAIN EXTENSION; CC-1 406 PROJECT LOCATION MAP CITY OF HUNTINGTON BEACH •J.j it to DEPARTMENT OF PUBLIC WORKS HB -�1- Item 3. - 3 ■�■��`- ■■WEN ALEIRM IN p K _ ' L �■ J ir M;A■ , MWAX*LMD OR CLENOW DR. AUVNBRA OR ;1■ .HEIL LOCATION ,._ BEACH BLVD. WATERMAIN EXTENSION; CC-1399 PROJECT LOCATION MAP CITY OF HUNTINGTON BEACH Item 3. - 4 DEPARTMENT OF PUBLIC WORKS HB -32- CC NO. 1399 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD AT HOLT DRIVE AND CC NO. 1406 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD, BLAYLOCK DRIVE TO RUBIDOUX DRIVE Contact: Andrew Ferrigno Bid due date: 4/25/2017 Phone: (714) 536-5291 Addenda: None Email: aferrigno@surfcity-hb.org Cost of Plans: $40.00 Organization/Division BID AMOUNT BID AMOUNT VERRIFIED RANK AMPCO Contracting, Inc. j s August Construction BALI Construction Inc. Cedro Construction Inc. zid Excel Paving Garrett Gentry Gen. Eng. Inc. GCI Construction, Inc. GRFCO, Inc. KANA PIPELINE, INC. Lucas Builders, INc Ramona Inc. Stephen Doreck Equipment Rentals, Inc. Sully -Miller Contracting Company T.E. Roberts, Inc. Vido Samarzich, Inc. low 4 OLs r7L- AFFIDAVIT OF PUBLICATION STATE OF CALIFORNIA, ) ) ss. County of Orange ) I am a citizen of the United States and a resident of the County aforesaid; I am over the age of eighteen years, and not a party to or interested in the above entitled matter. I am the principal clerk of the Huntington Beach Wave, a newspaper that has been adjudged to be a newspaper of general circulation by the Superior Court of the County of Orange, State of California, on July 1, 1998, Case No. A-185906 in and for the City of Huntington Beach, County of Orange, State of California; that the notice, of which the annexed is a true printed copy, has been published in each regular and entire issue of said newspaper and not in any supplement thereof on the following dates, to wit: March 30, April 6, 13, 2017 "I certify (or declare) under the penalty of perjury under the laws of the State of California that the foregoing is true and correct": Executed at Santa Ana, Orange County, California, on April 13, 2017 Signature Huntington Beach Wave 625 N. Grand Ave. Santa Ana, CA 92701 (714)796-2209 Proof of Publication SECTION A NOTICE INVITING SEALED BIDS for the construction of CC NO. 1399 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD AT HOLT DRIVE AND CC NO. 1406 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD, BLAYLOCK DRIVE TO RUBIDOUX DRIVE in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUN- TINGTON 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 10:00 AM on April 25, 2017. Bids will be pub- licly opened 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, HuntingtonBeach, CA 92648, upon payment of a $40.00 i nonrefundable fee f picked up, or payment of a $55.00 nonrefundable fee if sent by UPS ground delivery(bidder shall pay additional costs for special delivery). Plans, Specifications, and contract documents can b downloadgd,f ee on AGENCY website. hif�: www.hunti�onbeachca.go�9o_vernment/depariments/public wor i The AGENCY will deduct 5% retention from all progress payments. The Contractor may substitute an escrow holder surety of equal value to the retention in accordance with the provisions of the Public Con- tract Code, Section 10263. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in re- sponse to this notice and will not be discriminated against on the ba- sis 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 Pro- posal forms in conformance with the Instructions to Bidders as deter- mined by the AGENCY. The bid must be accompanied by a certified check, cashier's check, or bidder's bond made payable to the AGEN- CY for an 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. All extension of unit prices will be subject to verifica- tion by the AGENCY. In case of a variation between the unit Price and the extension, the unit price will govern. Project Description: CC1399 consists of the construction of new potable water pipe, located on Beach Boulevard at Holt Avenue. The pipeline is approximately 100 lineal feet of 12-inch buried PVC pipe. CC1406 consists of the construction of new water pipe, located on Beach Boulevard, from Blaylock Drive to Rubidoux Drive. This Pipe- line is approximately 1,500 lineal feet of 12-inch, 8-Inch PVC and Duc- tile Iron. Both CC 1399 and CC 1406 are within the Caltrons Right -of -Way, and (will require the Contractor obtain a Caltrans double permit, along with preparation, approval and implementation of a Water Pollution Control Plan (WPCP). Additionally, all work on Beach Boulevard will be night-time construction on Sunday night through Thursday night, in accordance with the approved Caltrans Encroachment Permit. The contract shall allow the Contractor 80 working days to complete the contract. The engineer's estimate of probable construction cost for the work included in the basis of award is $550,000. The AGENCY reserves the right to reject any or all bids, to waive any irregularity and to take all bids under advisement for a maxi- mum period of 60 days. BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON (BEACH, CALIFORNIA, the 6th day of September 2016, by Resolu- tion No. 2016-58. Attest: /s/ Robin Estanislau CITY CLERK OF THE CITY OF HU Publish: Huntington Beach Wave March 30, April 6, 13, 201710922106 CC NO. 1399 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD AT HOLT DRIVE AND CC NO. 1406 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD, BLAYLOCK DRIVE TO RUBIDOUX DRIVE Contact: Andrew Ferrigno Bid due date: 4/25/2017 Phone: (714) 536-5291 Addenda: None Email: aferrigno@surfcity-hb.org Cost of Plans: $40.00 Organization/Division BID AMOUNT BID AMOUNT VERRIFIED RANK AMPCO Contracting, Inc. j LJ �) August Construction BALI Construction Inc. Cedro Construction Inc. -� Excel Paving Garrett J Gentry Gen. Eng. Inc. (42 GCI Construction, Inc. GRFCO, Inc. KANA PIPELINE, INC. Lucas Builders, INc Ramona Inc. Stephen Doreck Equipment Rentals, Inc. Sully -Miller Contracting Company T.E. Roberts, Inc. Vido Samarzich, Inc. lc> — �61 T2�L &,,q'yL0cfC— C AFFIDAVIT OF PUBLICATION STATE OF CALIFORNIA, ) ) SS. County of Orange ) I am a citizen of the United States and a resident of the County aforesaid; I am over the age of eighteen years, and not a party to or interested in the above entitled matter. I am the principal clerk of the Huntington Beach Wave, a newspaper that has been adjudged to be a newspaper of general circulation by the Superior Court of the County of Orange, State of California, on July 1, 1998, Case No. A-185906 in and for the City of Huntington Beach, County of Orange, State of California; that the notice, of which the annexed is a true printed copy, has been published in each regular and entire issue of said newspaper and not in any supplement thereof on the following dates, to wit: March 30, April 6, 13, 2017 "I certify (or declare) under the penalty of perjury under the laws of the State of California that the foregoing is true and correct": Executed at Santa Ana, Orange County, California, on April 13, 2017 Signature Huntington Beach Wave 625 N. Grand Ave. Santa Ana, CA 92701 (714) 796-2209 Proof of Publication SECTION A NOTICE INVITING SEALED BIDS for the construction of CC NO.1399 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD AT HOLT DRIVE AND CC NO. 1406 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD, BLAYLOCK DRIVE TO RUBIDOUX DRIVE in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUN- TINGTON 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 10:00 AM on April 25, 2017. Bids will be Pub- licly opened 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 $40.00 nonrefundable fee if picked up, or payment of a $55.00 nonrefundable fee if sent by UPS ground delivery (bidder shall pay additional costs for special delivery). Plans, Specifications, and contract documents can be downloaded free on AGENCY website. http:J/www.huntingtonbeachca gov_/gover_n_ment/department ubIic worksLBcTsl- The AGENCY will deduct 5% retention from all progress payments. The Contractor may substitute on escrow holder surety of equal value to the retention in accordance with the provisions of the Public Con- tract Code, Section 10263. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in re- sponse to this notice and will not be discriminated against on the ba- sis 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 Pro- posal forms in conformance with the Instructions to Bidders as deter- mined by the AGENCY. The bid must be accompanied by a certified check, cashier's check, or bidder's bond made payable to the AGEN- CY for an 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. All extension of unit prices will be subject to verifica- tion by the AGENCY. In case of a variation between the unit price and the extension, the unit price will govern. Proiect Description: CC1399 consists of the construction of new potable water pipe, located on Beach Boulevard at Holt Avenue. The pipeline is approximately 100 lineal feet of 12-inch buried PVC pipe. CC1406 consists of the construction of new water pipe, located on Beach Boulevard, from Blaylock Drive to Rubidoux Drive. This pipe- line is approximately 1,500 lineal feet of 12-inch, 8-inch PVC and Duc- tile Iron. Both CC 1399 and CC 1406 are within the Caltrans Right -of -Way, and will require the Contractor obtain a Caltrans double permit, along with preparation, approval and implementation of a Water Pollution Control Plan (WPCP). Additionally, all work on Beach Boulevard will be night-time construction on Sunday night through Thursday night, in accordance with the approved Caltrans Encroachment Permit. The contract shall allow the Contractor 80 working days to complete the contract. The engineer's estimate of probable construction cost for the work included in the basis of award is $550,000. The AGENCY reserves the right to reiect any or all bids, to waive any irregularity and to take all bids under advisement for a maxi- mum period of 60 days. BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH, CALIFORNIA, the 6th day of September 2016, by Resolu- tion No. 2016-58. Attest: /s/ Robin Estanislau CITYCLERKOFTHE CITYOF HU Publish: Huntington Beach Wave March 30, April 6, 13, 20,710922106 UNSUCCESSFUL BIDS CC-1542 RESIDENTIAL OVERLAY OF MAINTENANCE ZONE 10 SECTION C PROPOSAL for the construction of RESIDENTIAL OVERLAY OF MAITENANCE ZONE 10 from PROJECT LIMITS CC No. 1542 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 SECTION C PROJECT BID SCHEDULE A RESIDENTIAL OVERLAY, CC 1542 Item° Description 4 Quantity s .. Umt Umt Cost , Total Cost yx' 1 Mobilization including crack sealing 1 LS 2 Cold Mill per Detail in Specifications including disposal 651,000 SF $ Q • ��1 $ LA1 140 ' 3 Furnish and Install Petromat per Specifications 1,015,000 SF $ 0,13 oko'— 4 Install 1 1/2" (0.12') Type III C3-PG-64-10-RAP Asphalt Concrete Overlay 16,000 TN $ Sr1•: $ ��Owl- 5 Provide pavement removal with 2" (0.17') Cold Mill and Installation of 2" (0.17') Class B PG 70-10-RAP AC base course at various locations 10,000 SF $ $ 6 Provide Sewer Manhole Ring and Cover to replace any damaged Ring or Cover 5 EA $ 4) 7 Replace and adjust Water Valve Cover to grade 233 EA $AL)) . $ 8 Adjust City Sewer Manhole to grade 176 EA $ `t0®. ' `{'w— $ A0,, 9 Adust Storm Drain manhole to grade 6 EA $0 ll $ 10 Adjust Monitoring Well to grade 3 EA $ A Q-- $ 11 Provide Coating for Sewer Manhole Adjustment 107 EA $ `1W, 12 Provide Survey Monumentation Cover to replace any damaged Ring or Cover 12 EA 1 $ `��• $ 8C� 13 Install Traffic Loops 10 EA $ 300• $ '3 00,-- 14 Construction Project Traffic Control 1 LS $1?le l�W $ 116 W . J 15 Replace and adjust Survey Monument Well cover and box to grade per HB Standard Plan 219 85 EA $ ,l $ `1 t M- 16 Install Traffic Striping in Kind 1 LS $ I6 $ I to C 00,- 17 Prepare Storm Water Pollution Prevention Plan (SWPPP) 1 LS $ $ 1600--- 18 Install & Maintain Construction BMPs 1 LS ?�0(JA�� 3 4170,i SUB -TOTAL BID AMOUNT — SCHEDULE A $1141 f0 bl n SUB -TOTAL BID AMOUNT IN WORDS: Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required 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. In addition, the City reserves the right including or removing Bid Schedule B in the award of contract. C-2.1 SECTION C PROJECT BID SCHEDULE B RESIDENTIAL OVERLAY, CC 1542 ADDITIVE ALTERNATIVE p Quantity Umt Umt C64'-4a Total -Cost No -E"-'"c Se FYi k N`'" .�s � , �. =Extension �km.a-I.a.+acG � �� �,� 1 Mobilization including crack sealing 1 LS $ IN' $ lQ{ NO. 2 Cold Mill per Detail in Specifications including disposal 164,000 SIF $ . `� $ LIA b0, 3 Install 1 1/2" (0.12') Type III C3-PG-64-10-RAP Asphalt 3,700 $ � $ 1A Concrete Overlay TN 4 Replace and adjust Water Valve Cover to grade 44 EA $ 40 ' $ 11 5 Adjust City Sewer Manhole to grade 27 EA $ 4L* $ l 0 eyQ 6 Provide Coating for Sewer Manhole Adjustment 18 EA $ kAa $ -1 J 7 Construction Project Traffic Control 1 LS $ VOOO, $ IMO, 8 Install Traffic Striping in Kind 1 LS $8001 $ 60() .___ 9 Install & Maintain Construction BMPs 1 LS $ $ 7-0170 - 10 $ $ 11 $ $ SUB AMOUNT SCHEDULE B ADDITIVE ALTERNATIVE $ 17A b 01 f0O` -TOTAL BID — SUB -TOTAL BID AMOUNT IN WORDS: nLn Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required 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. In addition, the City reserves the right including or removing Bid Schedule B in the award of contract. C-2.2 SECTION C PROJECT BID SCHEDULE TOTALS RESIDENTIAL OVERLAY CC 1542 Sub -Total Bid Schedule A Sub -Total Bid Schedule B - Additive Alternative TOTAL BID AMOUNT, BASIS OF AWARD (Schedules A-B) TOTAL BID AMOUNT IN WORDS: 1"I'Vio I lg20IT1-1 kA. &t Notes: All extensions of unit prices will be subject to verification by Owner. In case verification is required 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. In addition, the City reserves the right including or removing Bid Schedule B — Additive Alternative in the award of contract. C-2.3 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 'bloaws N43 in the amount rm Fjmikde®said amount is not less than 10% of the aggregate of the total bid price, as require(y e o ice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for % ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature vU 1 �—� " Pre C-2 sP.Brownlll ident LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar % of Item(s) Subcontractor License Registration # Amount Contract Number � ► � 2V� (A � lsii E �0-w+ Sr Wu W n` )oo at%1 kt� o � bob �- � a ��°� �1 �� oD oo ����� tiggo N ���P �,ss ►� 1?�ck- ►2-�► l�ti�S�a c�ti (Wo�(o1� 12'1 Z�4 � � ktAt, c U, '; CMS s N►,ae- U SV- �'1� �� �� � �(� PQwv��wwG► \ L,0 v � Ate. By submission of this proposal, the Bidder certifies: That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on , at MAY o 9 2017 Date City State tU TI4 r' Brown III , beingA key rn, deposes and says that he or she is President of the party making the foregoing bid that the bid is not made in the `r1 erect off; or ori'ffie' 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. tea Name of Bidder Curtis P. Brown III ignature of Bidder President 2230 LEMON AVENUE Address of Bidder C-4 CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles On MAY - 9 7017 before me, C. Phillips, Notary Public , Notary Public, (Here insert name and title of the officer) personally appeared Curtis. P. Brown III who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature of Notary Public F C. PHILLIPS COMM. #2170177 m ^ai — Notary Public -California X t? LOS ANGELES COUNTY a (Notary Seal) My Comm. Expires Oct 29, 2020 ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of attached document) (Title or description of attached document continued) Number of Pages Document Date (Additional information) CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer (Title) ❑ Partner(s) ❑ Attorney -in -Fact ❑ Trustee(s) ❑ Other INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in California must contain verbiage exactly as appears above in the notary section or a separate acknowledgment form must be properly completed and attached to that document. The only exception is if a document is to be recorded outside of California In such instances, any alternative acknowledgment verbiage as may be printed on such a document so long as the verbiage does not require the notary to do something that is illegal for a notary in California (i.e. certifying the authorized capacity of the signer). Please check the document carefully for proper notarial wording and attach this form if required. • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he/she/they,— is /aFe) or circling the correct forms. Failure to correctly indicate this information may lead to rejection of document recording. • 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 acknowledgment form. • Signature of the notary public must match the signature on file with the office of the county clerk. Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. Indicate title or type of attached document, number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). • Secureiy attach this documerr tc the Lignc_;- ijcumc..t C 2004-2015 ProLink Signing Service, Inc. — All Rights Reserved www.TheProLinkcom — Nationwide Notary Service 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 RESIDENTIAL OVERLAY OF MAITENANCE ZONE 10, (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. Date: MAY - i C-5 V R 11WC % Contractor Curtis P. Brown III President Title DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes 10No If the answer is yes, explain the circumstances in the space provided. 0W Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Date: MNi ` �) C-7 'i Lr1 d Contractor By Curfis P. Brown III President Title BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name PALP, INC DGA � FAVWJ C Business Address LLNG �,EAC-41 , (A gWOU City, State Zip 599-53 41 Telephone Number STATE 1 I` 698659 W Email Addrds A, State Contractor's License No. and Class Original Date Issued Expiration The work site was inspected by kViD OVAYe- of our office on 'IA , 201 11 The following are persons, firms, and corporations having a principal interest in this proposal: Curtis P. Brown III Pre Bruce E. Flatt Vice President and Chief Financial offim Marcia '.Mi er Secretary Michele E. Drakulich Assistant Secretary The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. L- Company Name ,0/--�-,7- of Bidder Curtis P. Brown III President Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this day of MAY 9 2017 201_ A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of CALIPORfIIA County of LOS ANGLES ) On MAY o 9 2017 Month, Day, and Year before me, n P i„ „, to p. ;_ Insert ame andrTitle of Notary personally appeared 'Curtis P. Brown Ill President 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), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. _ C. PHILuPs Wr'.. •. m COMM. #2170177 ro Notary Public -California � LOS ANGELES COUNTY LL My Comm. Expires Oct 29, 2020 Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of {Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, proiect work within public streets, an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."}. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: �An \OVAu.A..) k,)) 1,� -o ft An i r W Ld Name and Address of Public Agency Name and Telephone No. of Project Manager: M q Contract Amount Type of Work Provide additional pr *ect description to show similar work: 2. n!1) LA 6J" �)1 &,Jej Name and Address of Public Agency Name and Telephone No. of Project Manager: Date r ONA) ��21 �32� �jimpC\ 1 tipR. �aU�reVl Contract Amount Type of Work Date Completed Provide a ditional projec d sc 'ption to show similar work, �10 �om i iA i�60D OA" ianyu A-,t) 4%tov C� Name and Address of Public Agency Name and Telephone No. of Project Manager: t�11 K,Ik 32S -IlID Contract Amount Type of Work Date Complel`eo Provide additioTl pro.ect description to show imilar ork: � �(1� C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. Name of proposed Project Manager Telephone No. of proposed Project Manager: (592) 599-&Q 41 �)&F 1�&w N140 1, M .Oql Snr Project Name & Contract Amount �,My\ 5 /a..e. 3 Type of Work IIUi�- Date Completed el t0,,- Project Name & Contract Amount Type of Work Date Completed NIO Project Name & Contract Amount Type of Work Date Completed 2. �L Cj'QW WCV Name of proposed Superintendent I' IGC wir Tell�e1p'hone No. of proposed Superintendent: j5rnt 5. j{9-53I NYC Project Name & Contract Amount Type of W qlu/� Date Completed A alv MA-P, - J r �-r tAtkok- MAI, i) r �fl Uly Project Name & Contract Amount Type of Work Date Completed &,Yzw D 6 VAA 0 Avu bC,00 I, Project Name & Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca. gov/DLSE/PublicWorks/SB854FactSheet_6.3 0.14.pdf DIR's Contractor Registration Link — Call (844) 522-6734 https://efiling. dir.ca. gov/P WCR/ActionS ervlet? action --di splayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Contractor Y Curtis P. Brown III President Date: MAY - ' 2017 Title PWC Registration #: 1000 00331 C-12 A City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE for RESIDENTIAL OVERLAY OF MAITENANCE ZONE 10 C.C. No. 1542 April 27, 2017 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Updated inspection rates in Section 2-11 Inspection in Section E, Special Provisions, to the following: 2-11 INSPECTION. 4hrs, or less/day = $484 4hrs. to 8 hrs./day = $968 Holidays 4hrs. or less/day = from $584 4hrs. to 8 hrs/day = $1,213 2) Add the following Section 3-6 Claim Resolution below as part of Section E, Special Provisions: 3-6 Claim Resolution. [Add the following:]. This project shall incorporate Claim Resolution procedures as prescribed by the Public Contract Code Section 9204 (AB-626). 1 3) Replace Appendix I, the "Survey Monument Well Locations" in it's entirety in the Specifications with the updated Appendix I in this Addendum. This is to acknowledge receipt and review of Addendum Number One, dated April 27, 2017. p� A;God r-x,C � t 141 Company Name MAY ®92017 Date J By Curtis P. Brown President All bidders must acknowledge the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please call Joseph Fuentes at (714) 536- 5431. -2- City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachea.gov Office of the City Clerk Robin Estanislau, City Clerk August 10, 2017 Excel Paving Company 2230 Lemon Ave. Long Beach, CA 90805 RE: Residential Overlay of Maintenance Zone 10 — CC-1542 Enclosed please find your original bid bond for CC-1542. Sincerely, Robin Estanislau, CIVIC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand Bond No, BID BOND The American Institute of Architects, AIA Document No. A310 (February, 1970 Edition) KNOW ALL MEN BY THESE PRESENTS, that we PALP Inc. dba Excel Paving Company Bid Bond as Principal hereinafter called the Principal, and Federal Insurance Company a corporation duly organized under the laws ofthe state of Indiana as Surety, hereinafter called the Surety, are held and frmrly bound unto City of Huntington Beach as Obligee, hereinafter called the Obligee, in the sum of Ten percent of the total amount of the bid Dollars ($ 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 Residential Overlay of Maintenance Zone 10 (CC1542) 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 faithfid performance of such Contract and for the prompt payment of labor and material famished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bon;as, 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 latger 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 farce and effect. Signed and sealed this 27th day of April 2017 n cd C"' PALP Inc. dba Excel Paving Company Witness Principal (Seat) ,JUL1011, ASST. &ECRETARY By. Curtis P. Brown III President Namerritle Federal Insurance Company Surety (Seal) 6L�_ Witness BY: G ' — - — Douglas A. app AUorney-in-Fact ORSC 21328 (5/97) ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On April 27, 2017 before me, Debra Swanson, Notary/ Public (insert name and title of the officer) personally appeared Douglas A. Rapp who proved to me on the basis of satisfactory evidence to be the person(*) whose name(") is/em subscribed to the within instrument and acknowledged to me that hem executed the same in his * authorized capacity0so, and that by his/la no signature(*) on the instrument the personfb), or the entity upon behalf of which the person�w) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. °'�h DEBRASWANSON N°�° t COMM. # 2170759 X N es NOTARY PUBLoCAUFORN1A ORANGE COUNTY N ° MY COMM, EXP, NOV 10.2020 Signature �� �� V�1n1 (Seal) Chubb POWER Federal Insurance Company Attn: Surety Department OF Vigilant Insurance Company 15 Mountain View Road Surety ATTORNEY pacific Indemnity Company Warren, NJ 07059 �Nues Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Douglas A. Rapp and Timothy D. Rapp of Aliso Viejo, California ------------ —___--------- W------- _--------- ________ each as their true and lawful Attorney- in- Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as.surety thereon or otherwise, bonds and undertakings and other writings obligatory in the nature thereof (other than bail bonds) given or executed in the course of business, and any instruments amending or altering the same, and consents to the modification or alteration of any instrument referred to in said bonds or obligations. In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seats on this 16th day of December, 2011. Kenneth C. Wendel, Assistant Secretary . N�VPre'sd,,nt STATE OF NEW JERSEY County of Somerset ss. On this 16th day of December, 2011 before me, a Notary Public of New Jersey, personally came Kenneth C. Wendel, to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Kenneth C. Wendel, being by me duly sworn, did depose and say that he is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of the By- Laws of said Companies; and that he signed said Power of Attorney as Assistant Secretary of said Companies by like authority; and that he is acquainted with David B. Norris, Jr., and knows him to be Vice President of said Companies; and that the signature of David B. Norris, Jr., subscribed to said Power of Attorney is in the genuine handwriting of David B. Norris, Jr., and was thereto subscribed by authority of said By - Laws and in deponent's presence. Notarial Seal J ADc KATHERINE J. ADELAAR �� NOTARY PUBLIC OF NEW JEkSFI j!,") o �A Nc,. 2316685 Comn)"Orl Ex0res July 16, 2014 PUBS a� Notary Public A'EiN JEQ`'' CERTIFICATION Extract from the By- Laws of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY: "All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company, either by the Chairman or the President or a Vice President or an Assistant Vice President, jointly with the Secretary or an Assistant Secretary, under their respective designations. The signature of such officers may be engraved, printed or lithographed. The signature of each of the following officers: Chairman, President, any Vice President, any Assistant Vice President. any Secretary, any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Assistant Secretaries or Attorneys- in- Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.* 1, Kenneth C. Wendel, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the 'Companiesl do hereby certify that (i) the foregoing extract of the By- Laws of the Companies is true and correct, (ii) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are authorized by the U.S. Treasury Department; further, Federal and Vigilant are licensed in Puerto Rico and the U.S. Virgin Islands, and Federal is licensed in American Samoa, Guam, and each of the Provinces of Canada except Prince Edward Island; and (iii) the foregoing Power of Attorney is true, correct and in full force and effect Given under my hand and seals of said Companies at Warren, NJ this 27th day of April, 2017 o ilsYaw �o 5 : rANP ytlOW Kenneth C. We el, Assistant Secretary IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER. PLEASE CONTACT US AT ADDRESS LISTED ABOVE, OR BY Telephone (908) 903- 3493 Fax (908) 903- 3656 e-mail: surety@chubb.com Form 15-10- 0225B- U (Ed. 57 03) CONSENT CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles On M0 "017 before me, C. Phillips, Notary Public , Notary Public, (Here insert name and title of the officer) - personally appeared Curtis. P. Brown III and Michele E. Drakulich who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature of Notary Public C. PHILLIPS °go...;..z' COMM. #2170177 n Notary Public -California a Ir y LOS ANGELES COUNTY IL (Notary Seal) ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of attached document) (Title or description of attached document continued) Number of Pages Document Date (Additional information) CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer (Title) ❑ Partner(s) ❑ Attorney -in -Fact ❑ Trustee(s) ❑ Other INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in California must contain verbiage exactly as appears above in the notary section or a separate acknowledgment form must be properly completed and attached to that document. The only exception is if a document is to be recorded outside of California. In such instances, any alternative acknowledgment verbiage as may be printed on such a document so long as the verbiage does not require the notary to do something that is illegal for a notary in California (i.e. certifying the authorized capacity of the signer). Please.check the document carefully for proper notarial wording and attach this form if required. • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he/she/they, is /are ) or circling the correct forms. Failure to correctly indicate this information may lead to rejection of document recording. • 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 acknowledgment form. • Signature of the notary public must match the signature on file with the office of the county clerk Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. Indicate title or type of attached document, number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). • Securely attac`_* his dwumen! to the signed document C 2004-2015 ProLink Signing Service, Inc. — All Rights Reserved www.TheProLinkcom — Nationwide Notary Service SECTION C PROPOSAL for the construction of RESIDENTIAL OVERLAY OF MAITENANCE ZONE 10 from PROJECT LIMITS CC No. 1542 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach,. and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find 109 BIDDER'S BOND in the amount of -------------------------- which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for % ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature No. 1 04/27/17 a STEVE MEN ZA,SE ETARY C-Z SECTION C PROJECT BID SCHEDULE A RESIDENTIAL OVERLAY, CC 1542 1 Mobilization including crack sealing 1 LS $151pwoo $ 93,Ou0. 00 2 Cold Mill per Detail in Specifications including disposal 651,000 SF $ 0.18 $ 117,180.00 3 Furnish and Install Petromat per Specifications 1,015,000 SF $ 0.09 $ 91,350.00 Install 1 1/20 (0.12) Type III C3-PG-64-10-RAP Asphalt4 Concrete Overlay 16,000 TN $ 60.00 $ 960,000.00 5 Provide pavement removal with 2- (0.17) Cold Mill and Installation of 20 (0.17) Class B PG 70.10-RAP AC base course at various locations 10,000 SF $ $ 6 Provide Sewer Manhole Ring and Cover to replace any damaged Ring or Cover 5 EA $ 556.00 $ 2,780.00 7 Replace and adjust Water Valve Cover to grade 233 EA $ 395.00 $ 92,035.00 8 Adjust City Sewer Manhole to grade 176 EA $ 345.00 $ 60,720.00 9 Adust Storm Drain manhole to grade 6 EA $ 345.00 $ 2,070.00 10 Adjust Monitoring Well to grade 3 EA $ 320.00 $ 960.00 11 Provide Coating for Sewer Manhole Adjustment 107 EA $ 385.00 $ 41,195.00 12 Provide Survey Monumentation Cover to replace any damaged Ring or Cover 12 EA $ 22o.00 $ 2,640.00 13 Install Traffic Loops 10 EA $ 310.00 $ 31,100.00 14 Construction Project Traffic Control 1 LS $ 15,000.00 $ 15,000.00 15 Replace and adjust Survey Monument Well cover and box to grade per HB Standard Plan 219 85 EA $ 320.00 $ 27,200.00 16 Install Traffic Striping in Kind 1 LS $ I b1 uo0.00 $ 16, 000.0a 17 Prepare Storrs Water Pollution Prevention Plan (SWPPP) 1 LS $ 1,550.00 $ 1,550.00 18 Install & Maintain Construction BMPs 1 LS 10.000.00 10,000.00 I SUB -TOTAL BID AMOUNT — SCHEDULE A SUB -TOTAL BID AMOUNT IN WORDS: 3 /,5q7, bOO. old Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required 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. In addition, the City reserves the right including or removing Bid Schedule B in the award of contract. C-2.1 SECTION C PROJECT BID SCHEDULE B RESIDENTIAL OVERLAY, CC 1542 ADDITIVE ALTERNATIVE 1 I Mobiization including cradc sealing 1 LS $ 0.00 $ 274000.00 2 Cold Mill per Detail in Specifications including disposal 164,000 SF $ 0.20 $ 32,800.00 3 Install 1 Ur (0.12) Type III C3-PG4410-RAP Asphalt Concrete Overlay 3,700 TN $ 60.00 $ 222,000.00 4 Replaoa and adjust Water Valve Cover to grade 44 EA $ 395.00 $ 17,380.00 5 Adjust City Sewer Manhole to grade 27 EA $ 345.00 $ 9,315.00 6 Provide Coating for Sewer Manhole Adjustment 1 e EA $ 385.00 $ 6,930.00 7 Construction Project Traffic Control 1 $ 4,100.00 $ 4,100.00 8 Install Traffic Striping in Kind 1 LS $ boo a $ 00 00 8 Install & Maintain Construction BMPs 1 LS $ 4,125.00 $ 4,125.00 10 $ $ 11 $ $ I SUB TOTAL BID AMOUNT — SCHEDULE B ADDITIVE ALTERNATIVE SUB -TOTAL BID AMOUNT IN WORDS: s `32 `i y S0� IV&: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govem. The Owner reserves the right to reject any or all proposals and bid items. In addition, the City reserves the right including or removing Bid Schedule B in the award of contract. C-2.2 SECTION C PROJECT BID SCHEDULE TOTALS RESIDENTIAL OVERLAY CC 1542 Sub -Total Bid Schedule A 11 5H71 woo, 00 Sub -Total Bid Schedule B - Additive Alternative 32 q 1 4130. 00 TOTAL BID AMOUNT, BASIS OF AWARD (Schedules A-B) 170 . OD TOTAL BID AMOUNT IN WORDS: Notes: All extensions 04 unit prices will be subject to verification by Owner. In case verification is required 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. In addition, the City reserves the right including or removing Bid Schedule B —Additive Alternative in the award of contract. C-2.3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar % of Item(s) Subcontractor License Registration # Amount Contract Number 44-K J & S STRIPIN 5 _ 11 C� 100000 12 $19,4 _.06 1. % 1544 S. EYARD AVE., ARIO, CA 91761 (`�� ��' Do � ��' 1) 1 MD RUBBERIZED CRACKFILLING P.O. BOX 15504 986686 (fj 1000006438 $50,000.00 2.70% 2) 1 ' SANTA ANA, CA 92735 1) 11 SANCON ENGINEERING, INC. I 1311q� �V �00060M23 $46,875.000 2.53% 2) 6 5841 ENGINEER DR M fir/ HUNTINGTON BEACH, CA 92649V�j3 1) 13 SMITHSON ELECTRIC 614518 C-10 1000001610 $3,000.00 o O.16/o 1938 E. KATELLA AVE ORANGE, CA 92867 Ito, dal S�r1 Q85387 C �000001100 Io 120,001040 0. 01 � By submission of this proposal, the Bidder certifies: That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 05/09/17 , at ORANGE CA Date City State STEVE MENDOZA , being first duly sworn, deposes and says that he or she is SECRETARY of R.J. NOBLE COMPANY the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. K.J. NOBLE COMPANY Name of Bidder x Signature/ Bider STEVE MENDOZA, SECRETARY 15505 E. LINCOLN AVE., ORANGE, CA 92865 Address of Bidder C-4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL •. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of ORANGE On 05/09/17 before me, Date personally appeared STEVE MENDOZA J. DE IONGH, NOTARY PUBLIC Here Insert Name and Title of the Officer Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s} whose names} is/are- subscribed to the within instrument and acknowledged to me that he/she/they- executed the same in his/herAheiF authorized capacity(ies}, and that by hisAw/their signature(s}on the instrument the person(s); or the entity upon behalf of which the person(s) acted, executed the instrument. _ �J. DE IONGHCommission # 2128504zPa��� Notary Public - California zZ Orange County D My Comm. Expires Oct 28, 2019 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 — nfi,&-_ Si f Notary Public J. DE IONGH Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Number of Pages: Document Date: Signer(s) Other Than Named Above: Capacity(lies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attomey in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 02014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the RESIDENTIAL OVERLAY OF MAITENANCE ZONE 10, (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. Date: 05/09/2017 R.J. NOBLE COMPANY Contractor x By STEVE MENDOZA, SECRETARY Title C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes ® No If the answer is yes, explain the circumstances in the space provided. N/A Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. 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. Date: 05/09/2017 R.J. NOBLE COMPANY Contractor x By STEVE MENDOZA, SECRETARY Title C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: R.J. NOBLE COMPANY Bidder Name 15505 E. LINCOLN AVENUE Business Address ORANGE CA 92865 City, State Zip ( 714 637-1550 stevemendoza(rjnoblecompany.com jenniferdeionghgrjnoblecompany.com \Telephone Number Email Address 782908 CLASS A & C-12 State Contractor's License No. and Class 08/1999 Original Date Issued 08/31/2018 Expiration Date The work site was inspected by STEVE MENDOZ.A of our office on 05105 , 2017 The following are persons, firms, and corporations having a principal interest in this proposal: K.J. NOBLE COMPANY A CALIFORNIA CORPORATION The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. R.J. NOBLE COMPANY Company Name x Signature STEVE MENDOZA, SECRETARY Printed or Typed Signature C-8 NOTARY CERT�IF1InCATE Subscribed and sworn to before me this q+%ay of N , 2011. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of Af M k' ) County of .06p) On C before me, 1z"� Month, Day, anq;6Mwa&'z" Insert Name itle of Notary personally appeared Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person/ whose name( is/aye subscribed to the within instrument and acknowledged to me that he4ho4hay executed the same in his/he4their-authorized capacityW, and that by hiskwp4heir signature�4 on the instrument the person; or the entity upon behalf of which the person/ acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. J. DE IONGH Commission # 2128504 z -� Notary Public - California z z ' m Orange County n My Comm. Expires Oct 28, 2019' Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of {Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public rieht-of-way. Sanitary sewer lift stations of similar size, proiect work within public streets, an area containing hieh ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."). Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1 . CITY OF TUSTIN, 300 CENTENNIAL WAY, TUSTIN, CA 92780 Name and Address of Public Agency Name and Telephone No. of Project Manager: BENNY TENKEAN 714-573-3161 $22.6 MILLION ROAD RECONSTRUCTION WITH STORM DRAIN IMPTS 04/2014 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: TUSTIN RANCH ROAD RECONSTRUCTION WITH STORM DRAIN IMPTS 2, CITY OF TUSTIN, 300 CENTENNIAL WAY, TUSTIN, CA 92780 Name and Address of Public Agency Name and Telephone No. of Project Manager: BENNY TENKEAN 714-573-3161 $15.1 MILLION ROAD RECONSTRUCTION WITH STORM DRAIN IMPTS 04/2014 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: BARRANCA ROAD RECONSTRUCTION WITH STORM DRAIN IMPTS 3 CITY OF TUSTIN, 300 CENTENNIAL WAY, TUSTIN, CA 92780 Name and Address of Public Agency Name and Telephone No. of Project Manager: BENNY TENKEAN 714-573-3161 $10,552,962.00 ROAD RECONSTRUCTION WITH STORM DRAIN IMPTS AUGUST 2015 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: ARMSTRONG AVE & WARNER AVE EXTENSION PHASE 2, PREP & GRADE, UNDERGROUND PIPE WORK C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1 KORI PORTER, PROJECT MANAGER Name of proposed Project Manager Telephone No. of proposed Project Manager: 714-637-1550 EXT 359 CITY OF ORANGE ANNUAL PAVEMENT MAINTENANCE $2.8 MILLION CLASS A 02/2014 Project Name & Contract Amount Type of Work Date Completed CITY OF COSTA MESA 2012-2013 STREET REHAB CITY PROJ 13-01 $3.6 MILLION CLASS A 09/2015 Project Name & Contract Amount Type of Work Date Completed CITY OF IRVINE JAMBOREE ROAD PAVEMENT REHABILITATION $1.1 MILLION CLASS A 02/2014 Project Name & Contract Amount Type of Work Date Completed 2 CHUCK SPIERS, GENERAL SUPERINTENDENT Name of proposed Superintendent Telephone No. of proposed Superintendent: 714-637-1550 EX'F 358 CITY OF RIVERSIDE MINOR STREET MAINTENANCE PHASE 1 $2.6 MILLION CLASS A Project Name & Contract Amount Type of Work COUNTY OF ORANGE OCTOBER2015 Date Completed AC OVERLAY RESURFACING $5 MILLION CLASS A MARCH 2O14 Project Name & Contract Amount Type of Work Date Completed CITY OF TUSTIN ARMSTRONG AVE & WAGNER AVE $10 MILLION CLASS A Project Name & Contract Amount Type of Work SEPT 2015 Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link — Call (844) 522-6734 https://efiling.dir.ca.gov/PWCR/ActionServlet?action--displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Date: 05/09/2017 PWC Registration #: 1000004235 R.J. NOBLE COMPANY Contractor X By STEVE MENDOZA, SECRETARY Title C-12 gaamh Results One reglsteret contractor fount- 1 Demlls L"M Nmne _ ReglWeuon: County City Number View R.I. NOBLE COMPANY 10MM4235 ORANGE ORANGE Pucva w s ......._ __.._. _.. Q Public Works Contractor (PWC) Registration Search n.s is a emn of cunem antl acre PA'C regrstratipns wrsuam;o DiNsgn z. Pan 7. enactor 1 lcommencmgt x1N fec9m 17K of Ina CaltPrnla tabor Cone ) Enmr a: ieasf a_ aearcn crilera la 65Nay aGrve regrsmreo rx.•aw 1prts cnNrapdfs) maknm0 your aaocl— Regi-.I.n Year Cwmnt Fmcal Year 2016I17 J PWC Registmtion Number. example_ 123a567890 Contractor Legal Name:--,R.J. NOBLE COMPANY Contractor I.irense Lookup Lkanaa Number: Jexample. 123456 County: l5eia<I cou,ly J Espon FDF .� : Replstratim ENxraUPR Dam Dora i 06/16/2016 06/30/2017 r2.20160101 �� \off 0 rn a co O N 0 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE for RESIDENTIAL OVERLAY OF MAITENANCE ZONE 10 C.C. No. 1542 April 27, 2017 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Updated inspection rates in Section 2-11 Inspection in Section E, Special Provisions, to the following: 2-11 INSPECTION. 4hrs. or less/day = $484 4hrs. to 8 hrs./day = $968 Holidays 4hrs. or less/day = from $584 4hrs. to 8 hrs/day = $1,213 2) Add the following Section 3-6 Claim Resolution below as part of Section E, Special Provisions: 3-6 Claim Resolution. [Add the following:]. This project shall incorporate Claim Resolution procedures as prescribed by the Public Contract Code Section 9204 (AB-626). 1 3) Replace Appendix I, the "Survey Monument Well Locations" in it's entirety in the Specifications with the updated Appendix I in this Addendum. This is to acknowledge receipt and review of Addendum Number One, dated April 27, 2017. R.J. NOBLE COMPANY Company Name 04/27/17 Date X By STEVE MENKA, SECRETARY All bidders must acknowledge the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please call Joseph Fuentes at (714) 536- 5431. -2- City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk August 10, 2017 R.J. Noble Company 15505 E. Lincoln Avenue P.O. Box 620 Orange, CA 92856 RE: Residential Overlay of Maintenance Zone 10 — CC-1542 Enclosed please find your original bid bond for CC-1542. Sincerely, Robin Estanislau, CIVIC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand ODI Western Surety BID BOND (Percentage) Bond Number: N/A KNOW ALL PERSONS BY THESE PRESENTS, That we R. J. Noble Company — --- — -- - - -- -- — --- — of Orange, California hereinafter referred to as the Principal, and Western Surety Company as Surety, are held and firmly bound unto City__ of Huntington_ Beach — hereinafter referred to as the Obligee, in the sum of 3 r \ n 10 ° g — ( /°) percent of the greatest amount bid, for the payment of which we bind ourselves, our legal representatives, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, Principal has submitted or is about to submit a proposal to Obligee on a contract for CC-1542 Residential Overlav of Zone 10 NOW, THEREFORE, if the said contract be awarded to Principal and Principal shall, within such time as may be specified, enter into the contract in writing and give such bond or bonds as may be specified in the bidding or contract documents with surety acceptable to Obligee; or if Principal shall fail to do so, pay to Obligee the damages which Obligee may suffer by reason of such failure not exceeding the penalty of this bond, then this obligation shall be void; otherwise to remain in full force and effect. SIGNED, SEALED AND DATED this 1 __— day of 2017 R. J. Noble Company (Principal) By 3W(Seal) Steve Mendoza ecre ry Western Surma Company (Surety) By _ _--- (Seal) David Jacob n ;attorney -in -Fact Form F5876 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of ORANGE On 05/03/17 before me, J. DE IONGH, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared STEVE MENDOZA Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(* whose name* is/are- subscribed to the within instrument and acknowledged to me that he/she/they-executed the same in his/her/their authorized capacity(ies , and that by his/her/their signature(s}on the instrument the person($)-, or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. J. DE IONGH s� WITNESS my hand and of, eal. Commission # 2128504 Notary Public - California z Z ° Orange County Signature My Comm. Expires Oct 28, 2019 Signature o N ary Public J. DE IONGH Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Number of Pages: Signer(s) Document Date: Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 02014 National Notary Association - www.NationaiNotary.org - 1-800-US NOTARY (1-800-876-6827) Item #5907 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On May 1, 2017 before me, Lauren Emily Bierman, A Notary Public (insert name and title of the officer) personally appeared David Jacobson, Attorney -in -Fact who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/aRX subscribed to the within instrument and acknowledged to me that he/ghe executed the same in his/harAhak authorized capacity(ieo, and that by his/harAhak signature(%) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature i (Seal) LAUREN EMILY BIERMAN COMM. # 2097240 X r NOTARY PUBUGCAUFORNIA X ORANGE COUNTY Cn Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint James Scott Salandi, Leonard Ziminsky, David Jacobson, Individually of Irvine, CA, its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attomey, pursuant to the authority hereby given, are hereby ratified and confirmed. This Power of Attomey is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by the shareholders of the corporation. In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 20th day of April, 2017. ,�,soaEiy,w� WESTERN SURETY COMPANY sA'°,r Q,Ppgq' .3 s cam`\`T fAV:'�AT? JrPaul T. Bruflat, Vice President State of South Dakota ss County of Minnehaha On this 20th day of April, 2017, before me personally came Paul T. Bruflat, to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires J. MOHR June 23, 2021 �NOTAMPUBUC SEAL BCUTH nAKOTA 3 Y /J J. Mohr, Notary Public CERTIFICATE I, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that. the Power of Attomey hereinabove set forth is still in force, and further certify that the By -Law of the corpor�rtion prinred on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed MY name and affixed the seal of the said corporation. this _A- day of 1 + uaEry..,s WESTERN SURETY COMPANY AaQia�Ppq,9l�oi sm.., a` L. Nelson, Assistant Secretary Form F4280-7-2012 r ` ENGINEERING CONTRACTORS CA92856 15505 E. LINCOLN AVENUE (� - P.OBOX 620, ORANGE, 637-1550 TO: tESIDENTIAL OVERLAY OF MAINTENANCE ZONE 10 CC NO. 542, HUNTINGTON BEACH IID DATE: MAY 09, 2017 IID TIME: 2:00 PM SECTION C PROPOSAL for the construction of RESIDENTIAL OVERLAY OF MAITENANCE ZONE 10 from PROJECT LIMITS CC No. 1542 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures_ SECTION C PROJECT BID SCHEDULE A RESIDENTIAL OVERLAY, CC 1542 Estgagos s ,7„ s ,1.a,. :� T - '�"...,. ' - `irnxf s 'r. L y "., ?' "a^'r13, 'm�' '''a"/'s T-�y Su '�'? kz �^ r-'+'sue ✓' y ..,r'',, r'� l r,,y( Y.3 .l s�'i s i s A �'w @ if k ,«, Mobilization including crack sealing 1 LS $ bOt%V • $ 1 2 Cold Mill per Detail in Specifications including disposal 651,000 SF $ • It $ /17, 3 Furnish and Install Petromat per Specifications 1,015,000 3F $ . r 3 $ /311 9756, 4 Install 1 1/2" (0.12') Type III C3-PG-64-10-RAP Asphalt 16,000 $ 77�3q' $ It ;1134,•6y Concrete Overlay TN Provide pavement removal with 2" (0.17') Cold Mill and 5 Installation of 2" (0.17`) Class B PG 70-10-RAP AC base $ / Sa $ BSI D� course at various locations 10,000 3F • Provide Sewer Manhole Ring and Cover to replace any 6 damaged Ring or Cover 5 EA $_ $ 7 Replace and adjust Water Valve Cover to grade 233 EA $ /1- $ 8 Adjust City Sewer Manhole to grade 176 EA $ $ 71 sf 2, 9 Adust Storm Drain manhole to grade 6 EA $ f'1 s $ .2 �,/71• 10 Adjust Monitoring Well to grade 3 EA $ ` 1 $ /, T or 11 Provide Coating for Sewer Manhole Adjustment 107 EA $.__— 3 $ 52-115 f - 12 Provide Survey Monumentation Cover to replace any $ 4/1 ��tt $ damaged Ring or Cover 12 EA 13 Install Traffic Loops 10 EA $ W $ 3,APO. 14 Construction Project Traffic Control 1 LS $30td&_ $ %Or 6C>D, 15 Replace and adjust Survey Monument Well cover and box to 1f/0 �4 #.5,*• grade per HB Standard Plan 219 85 EA $ $ 16 Install Traffic Striping in Kind 1 LS $ glq 000, $ 1A OW 17 Prepare Storm Water Pollution Prevention Plan (SWPPP) 1 LS $ 1,400• ' $ 64 CO, 18 Install & Maintain Construction BMPs 1 LS { 3(aoo . " i 3,_u6 . SUB -TOTAL BID AMOUNT —SCHEDULE A $ SUB -TOTAL BID AMOUNT IN WORDS: ane of (ltvn ► ilfw &J&q ±MOA 61X JhP0 r,_4 Five- hUhdV-4 C-( -ane ��II�rS Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required 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. In addition, the City reserves the right including or removing Bid Schedule B in the award of contract. C-2.1 SECTION C PROJECT BID SCHEDULE B RESIDENTIAL OVERLAY, CC 1542 ADDITIVE ALTERNATIVE +v .p � �: ✓' a, c !- -l-C ` Y S rP r a - D Y „n <--: � C Mobilization including crack sealing 1 1 LS 2-01OW. 2 Cold Mill per Detail in Specifications including disposal 164,000 SF $ - r� $ 11 r 510. r 3 Install 1 112" (0.12') Type III C3-PG-64-10-RAP Asphalt $ tS $ 3 1614P- Concrete Overlay 3,700 TN .50 4 Replace and adjust Water Valve Cover to grade 44 EA $ (16�" $ lle,1-1k • ' 5 Adjust City Sewer Manhole to grade 27 EA $ It <1 - 6 Provide Coating for Sewer Manhole Adjustment 18 EA $ $ 8% 7 Construction Project Traffic Control 1 LS 301 cco 8 Install Traffic Striping in Kind 1 LS $ �l $ 9 Install & Maintain Construction BMPs 1 LS $2i60y. $ 1, 6CD- r 10 $ $ 11 $ $ SUB -TOTAL BID AMOUNT -- SCHEDULE B ADDITIVE ALTERNATIVE $ 71 q11 SUB -TOTAL BID AMOUNT IN WORDS: fouV fru�c(rr� 7Nleitf5/ seueit fillaksano�k� f1un�Y�� lU�h�¢n Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required 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. In addition, the City reserves the right including or removing Bid Schedule B in the award of contract. C-2.2 SECTION C PROJECT BID SCHEDULE TOTALS RESIDENTIAL OVERLAY CC 1542 Sub -Total Bid Schedule A Sub -Total Bid Schedule B - Additive Alternative TOTAL BID AMOUNT, BASIS OF AWARD (Schedules A-B) 01, lu al i & y, -35- .,ocO. TOTAL BID AMOUNT IN WORDS: W l' kro 'Arm J{utdW 14H Fur thmcotJ 446 Notes; All extensions of unit prices will be subject to verification by Owner. In case verification is required 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. In addition, the City reserves the right including or removing Bid Schedule B -- Additive Alternative in the award of contract. C-2.3 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY`S option, be considered null and void. Accompanying this proposal of bid, find Bidder's Bond in the amount of 10 0 which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for % ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received R'cdder's Signature 1 D¢ Z Dennis Gansen Vice -President LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Itena(s) Name and Address of Subcontractor State License Number Class DIR P'WC Registration # Dollar Ainoun.t % of Contract tot (d4vnt CAS- A g6_AR 84 - 6(- el�5 Cerom, 64 �7q8 106O064-*- 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. LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Item(s) Name and Address of Subcontractor State License Number Class DIR PWC Registration # -Dollar Amount % of Contract 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 ftunished by subcontractor for this project. NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 5/8/17 , at Brea CA Date City State Dennis Gansen , being first duly sworn, deposes and says that he or she is Of Con C ing Company the making Vice —President per' g the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Sully —biller Contracting Company Name of Bidde Signature of Bidder Dennis Gansen Vice —President 135 S. State College Blvd., Suite #400 Brea, CA 92821 Address of Bidder CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of Orange ) On May 08, 2017 before me, Date personally appeared Maria L. Ruiz, Notary Public Here Insert Name and Title of the Officer Dennis Gansen 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), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. MARIA L. RUIZ WITNESS my hand an official sea rl,� �_r Notary Public California Z z m� Orange County Z Commission # 2176005 Sign My Comm. Expires Jan 5, 2021 Signature o Pub Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: NonCollusion Affidavit Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Dennis Gansen IX Corporate Officer — Title(s): Vice -President ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Sully -Miller Contracting Co. Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 02014 National Notary Association • www.NationalNotary.org - 1-800-US NOTARY (1-800-876-6827) Item #5907 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the RESIDENTIAL OVERLAY OF MAITENANCE ZONE 10, (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. Sully —Miller Contracting rompanv Contractor By Dennis Gansen Vice —President Title Date: 05/08/17 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes M No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. 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. Sully —Miller Contracting Company Contractor By Dennis Gransen Vice-Presiden Title Date: 05/08/17 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Sully —Miller Contracting Company Bidder Naive 135 S. State College Blvd., Suite #400 Business Address Brea, CA 92821 City, State Zip 714 578-9600 dennis.gansen@sully—miller.com Telephone Number Email Address #747612 Class A C-31 State Contractor's License No. and Class 03/30/98 - Original Date Issued 03/31/18 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: Please see attached Certificate of Incumbency and Resolution 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. Miller Contractina C Company Name Signature of Bidder Dennis Gansen, Vice —President Printed or Typed Signature CERTIFICATE OF INCUMBENCY AND RESOLUTION I, Anthony L. Martino, 11, do hereby certify that I am the Secretary of Sully -Miller Contracting Company, a Delaware corporation, and that as such I have access to and custody of the corporate records and minute books of said corporation. And I do hereby further certify that the following persons are duly elected officers of said corporation. TITLE Chairman Of The Board President Vice President, CFO & Treasurer Vice President of Operations Vice President Vice President Secretary Assistant Secretary NAME John Harrington John Harrington Christian Ransinangue William Joseph Thomas Boyd Scott Bottomley Dennis Gansen Anthony L. Martino II Raymond Sanchez I further certify that the following is a true and correct copy of a resolution duly adopted by the Board of Directors of said Company at a meeting held on December 9, 2016, and that this resolution has not been in any way rescinded, annulled, or revoked but the same is still in full force and effect: "BID TENDERS: GENERAL RESOLVED, that any officer of the Corporation be and they hereby are authorized in the name and on behalf of the Corporation, under its corporate seal or otherwise (i) to prepare proposals and bids for the supplying of construction materials and the performance by itself or in joint venture, of work of whatsoever nature in connection with the construction or paving of highways, roads and airports and in connection with earthworks and civil engineering projects of all kinds, together with all work incidental thereto, (ii) to execute and submit any and all such proposals and bids to any governmental authority, instrumentality, or agency of the United States, its several states, territories and -possessions, including without limitation, any municipality or ........_ _ ... _._ ._. other political or corporate subdivision thereof, and to any corporation, partnership, sole proprietorship, or other business entity, (iii) in connection with any such submission, to deliver bid deposits or bonds as may be required and (iv) to execute and deliver definitive agreements binding the Corporation to perform work in accordance with any proposals and bids authorized hereby." IN WITNESS WHEREOF, I have hereunto set my hand and affixed the corporate seal this 2nd day of May 2017. (SEAL) thony L. rno, II Secretary Sully -Miller Contracting Company 135 S. State College Blvd., Ste. 400 Brea, CA 92821 im Y. CL sir (b LU: L 0 US C) LU L U 0 d. _J 0 coiQ z U) J CD aN Please see attached Notary NOTARY CERTIFICATE Subscribed and sworn to before me this day of , 201_ A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of ) County of ) On Month, Day, and Year personally appeared before me, Insert Name and Title of Notary 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), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument_ I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 ❑ See Attached Document (Notary to cross out lines 1-6 below) ❑ See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) Signature of Document Signer No. 1 Signature of Document Signer No. 2 rif any) A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange MARIA L. RUIZ Notary Public California Z Orange County z z .c D z-� Commission # 2176005 My Comm. Expires Jan 5, 2021 Subscribed and sworn to (or affirmed) before me on this 8th day of May , 2017 by Date Month Year (1) Dennis Gansen (and Name(s) of Signer(s) proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. Sign e Signature o Pub is Seal Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Bidder's Information Document Date: Number of Pages: Signer(s) Other Than Named Above: ©2014 National Notary Association • www.NationalNotary.org - 1-800-US NOTARY (1-800-876-6827) Item #5910 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of {Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and. P-reater in public riuht-of-way. Sanitary sewer lift stations of similar size. project work within public streets an area containing high ground water and pipeline construction rn high ground water regions with trench depths of 8-feet to the invert."}. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder .has performed similar work within the past five years: Please see attached Projects and References 1. z. 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed .Provide additional project description to show similar work: Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Name and Address of Public Agency Name and 'Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-10 y` 4 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE for RESIDENTIAL OVERLAY OF MAITENANCE ZONE 10 C.C. No. 1542 April 27, 2017 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Updated inspection rates in Section 2-11 Inspection in Section E, Special Provisions, to the following: 2-11 INSPECTION. 4hrs, or less/day = $484 4hrs. to 8 hrs./day = $968 Holida s 4hrs. or less/day = from $584 4hrs. to 8 hrs/day = $1,213 2) Add the following Section 3-6 Claim Resolution below as part of Section E, Special Provisions: 3-6 Claim Resolution. [Add the following:]. This project shall incorporate Claim Resolution procedures as prescribed by the Public Contract Code Section 9204 (AB-626). 1 3) Replace Appendix I, the "Survey Monument Well Locations" in it's entirety in the Specifications with the updated Appendix I in this Addendum. This is to acknowledge receipt and review of Addendum Number One, dated April 27, 2017. Sully —Miller Contracting Company Company Name By ennis Gansen Vice —President 05/08/17 Date All bidders must acknowledge the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please call Joseph Fuentes at (714) 536- 5431. -2- APPENDIX I SURVEY MONUMENT WELL LOCATIONS �o S9� O� ' REPORTING D STR C S ( I I I , 'L HAMIL 154, 155, 161, 162, 163, 164, 165, 172, 173, 174, AND 175 1- BANN LEGEND AVE. PROJECT BOUNDARY RD BOUNDARY ZONE 10 OVERLAY PROJECT LOCATION MAP CITY OF HUNTINGTON BEACH DEPARTMENT OF PUBLIC WORKS 0 0 0 0 Edinger Ave. vata Ar Bravata Or °"i Mmi(ago Doi MOn1CpD Dr. •'AMU ro r: ri E. f ;2 t ' k \ i x Tl• tS...I..ry i Fie [i a1^i a't�� r r�gjjyy I } .. ✓� �Z';v�/: d : •am 4 T r l' " `\♦' 1, t , I I � ' I O`T 7, } Wig I•` it t E ~Z �.'C :-1'.':.':�� r _ �� Tortola i • y, _ :I i e '7• ! i f r• dr , AR' ,' ". `.N 1 L'` .�{l q9 3ta1: /+'•.;• ....���".:li�:�n'!. ,' /,'j.5ats6 •, RQ�7�IR7 8 'Yiii.' 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I •;., tC3'i�3', arFIk N Ill / ',d73'Iga." \✓l G fAn .'-i:-I-� ! �\ I � y \ `•> lP,, sass II�1_`t III_ ��jl I-i �g�-,,': _ I I -I _- , ��,.��Q•�6.,2. /l� y �:( �� :b J f .- E ` :.,,iA;•;•,g 52 { Ili _.. ._- l � k:1602 I •.. 1L:1: 06 1644 --'.{ �} ,• /, dda. 4492 iHy i 1647 It mil. F - ti.`-• sr:-. „-,�AaVEr:"~ _ _ s Legend MAINTENANCE ZONE 10 �`t' °fAu9st,2W nBeach ,w„ Vicinity Map Overlay Area 0 ##) sMw (2) . OVERLAY PROJECT we (# #) = Location of a Survey Monument Well (SMW) �� N V . 15 42 with Brooks style 4-TT traffic box with (Triangular Style 6 Lid), covering a survey monument to be replaced in kind e.1 _ with traffic box and lid marked "SURVEY' per standard plan 219. Save existing Triangular lid and provide to ., Agency.., Reporting District 154 V I I 07 \`\l�i4'r i.�iyJ.. y�,; ,-�, -�! w.,"l tts'�x: ;'t I .-_ tiil - ia•Int \•:h 'i .a9s. ,z�y! q„ \`l 'S�i�.T �,a ` K.�'•,yl y\ •.`mI: ,` �� 14 2i, .^ �:\..s0 lJ �'� J� .. 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W \ v / n6. \ ,e �j `f'vt=t: `S, Wag ' 1 >�\,`,'dp/yf{F72 U ��• \!yJ1FDq� V •J.ySL,�/\\�fiw.,y 4 q�4. ti r•'.t7f\' �a� �lf''y�� ` ` \ ,5�1\0, •..?•7=- 1 N'C,J a 324 �'\•O Ax '\c\�j' Aced U / �\ \ A. -ems MAINTENANCE ZONE 10 City ofHFunti2016 Beach q9W w�;ty,,,Hp Overlay Area m #> sMw (1) . OVERLAY PROJECT E (At) = Locegon of a T e "B'SurYey Monument Well (SMW) s «' «. ,« -• traffic box with Round Style Lid, covering a survey CC N O sr 1542 monument to be replaced with a Brooks 4-T7 v,"i \ -e �' �' •. W w a ... (Triangular lid style) traffic box with lid marked "SURVEY' ' Par standard plan 211 1I Reporting District 162 +I 0 V 0 u .`(� . ,',.I✓, j 1 :' •'d IG•ihl ,\78t2 'y •, ., , ;�1� �• r �...I ": pB.! ` �z vn' r _ 1s zl f6stlaJ' �asn\ % ..�\¢aa \,' \ v� ei •s % ') ie 6a /v / r�. .GGaI.�/F :!dq�ess✓ \aan\r/ /�\.7s9a T asfn cr rtu.61\ otJ,(,q_/'� r \ ,' net• 1'. 1 5ni .... 561:\'\ :761F\. y //\ 16,05 G'�.+.>� f ilfxi;l3''v J%,0 _ ., t[Y`'vt ),. •\S� / , / \3R'•7 / •: IfL�Y' �/� .. 1N ti { . i , �ti., ,.. \� fei i' \302\' y / / ?64b i • fb.5t¢S:a F4 155..G _ :ir:2' �/p -'. \ •}r>5;t '"•,\` s f tcss2 '•,.. iGr,�, .ice is-0os_ +`may"2 \a9:z\/ �10.M1' S la" f ,. ?fi6'C ., ��-'_.�� �•..1¢Rt b1 ?� `:+379¢�`i t. JS3 V/ 11iJ2 ®�,tisZ ?n5ezi eK4\, / €rat ;�i,UJ 6ss d, :i8552'• ;"._ .;'i6s:.\ Os (I)q \ 1s�eF , • 9 .� .n, :1sst2: /'. •.. L rrz;/ .'t�� tGrt7z'7 asln \ ��r • n' o ' 1�7z, ^fie\3%71=. Z C,66a2a 2 /A`�'`t�\'` \; '�.'yY f 5z'�IGG�,}� •,\\ti 16T.1i, •'iGxlt rts,Q 6t 4' , ,._.� G'! - \ ... ,• r'c V i25m . +_ . 15Gf t-"'16it\2 tfid.51, i 16GSz,�'� 'bC 1 Gba2 ',�3552 /////,�/f,J1✓f"R3:' t� //,(�[/\� :I� '�\Gui;: �'.•aeP1' / 3562' %'—.•.'i •• ,.,',� ��..,. tni]t t' : _.. �:fiGGl ' ..ttinot `'�7` _ i.r, '/' `iEa" � ♦:fXAI 1 7 51.. \ " tmrt ea— . \�.,:, ; .'. . ' •.l FEfir91 `!�Sb:Oi/'0071 166i1 __ y 5t : • •. 1(9-;1/ " : � � ,-�.,'6� ///////� - n `t •-... {{{t�( /'\IizJf\ • IcuiZ � IiY:SbW52 -.4/� �b-'_ ,C•6I�166-- So If `foie_`...: !/1 1lC ,FF .. •�y 1M'ia: kG891; :, t' .• \ �I 1 i66el .;ir' f ,1Fi't'. `• 16Ei 1." --__.I \'•. ,:`. 3565'•j\ { i L% �-. '•li , � �, �'" A _ 1Nu` it U• t\y� 1Yill:\ , r .tdt2 y✓� ` 1 t /t IG f.. j Ini�.� o, �a dJ •!, Idia . 1cWt qk tG'01.. `. •• \ \ .._'.. /-`t 1¢]a7 `fG!33+ �16]et I f } 'tY;'' una'.•!/ `,..tsOr,.. I6riz �/jr,�y'(( .tc.s•�Ic7a+�'� \. �_... k]ij scat IWYl'.` Icw'Il'. I 1 ,,L' ''-?t'i;= /.�'•,?"O '•t I f+,.,z `,thy O /�"-' �� �([ I /rt .. .le�i?2 � ' : 3a7_ ,• 1 o y^ (� r z .167112 1C+:6R 1Eesl t d a_ `�//n /�/�/� �5TJ1+ •,16i11,. . j3'.2 �.�\. �� n :351• / i'2� Sal]S(\78]:, 1\ '\kGtS'. 1G757 56_t` /� \t1w,..tl�c w7: \lna+�. ' 16nt 16]za f Y rw72\. : •1375t...1\ 1 c ,"'� �'% '•lff 15"V. •6]al 10 bS� ,Y]tt \' t¢fii 1 I6] 2 '�r' ! t6 �I �5r\. ., I '; .542 t + 1p 1 - L �16?e2 R r• 1 lfii]z \fe/:z\ tmFl L16T� ; ' ' ' ' id ?Rt `• 1G1c1 ,16]t' 1Cn61 � � f5752 , eIIO: { \ IEl4T +'^ - iW0],+, t.Qi' _ _ t t6-rez i i ;S91 /,�.' iti53f 163m / - .%1 , i5\ �: V " • t6 ,5 + 1611fi 1 IHI 9S0 f b?S'1 \•/� ...�< is, �.11G i1B t 1691 �\ �iee11 lei'2: F s rl�'k:_.II �. f/j/f Id6it ''i +i lbe42Y` 1 ,• 1G�.31�\.• 1C�E1 7` `^^ 1 ldfio I EY..7 1C•&ii ICg f \ 1 kh131-Eki 1 n•CB 3 7Ui , 14a3 t . 1rai1 tt71n1 �„Y�''k"3 itYA2 n `" 11' ,G5.1 � .-lsne•, ... _ irlsl (� - r� _ JA 1� ltd+'L n 1 35 I-�cz � 2 7�'� 1Eaiz1[45z •I„ /i l': f f •\ 1 '31 ... .Fl \\ t - :Icbi r 1 ted I 1 Ids `ry�n wso� 711G?tzi 16R 7t \ ;rot 1fls;f ` fil 5y' t .151 ', 7Gnri lrr7 \C ✓' _ o5^,l '1G:CR �. 16941` IG^ 2 + 1673 FH+ \ ;met/' ,,• 1?3 [! 1 tt h3R ,41 ' 'k•: n ,`15Y:>�.\ / , CilaF t�az .SIC I4U71 t .!S° 12 Ot65?3 16^xt•• i ^-:6•s �.. c na ,b \� .r flsxj Ls It rtf t \1 11 A G' 169 f u ` 'zo ok; 411 / \ t r s oaf 4, r• ` .. \ ��` . - V\ tarot �1,. 3�Y:f 1,> ..! Legend MAINTENANCE ZONE 10 City ofHuntington Beach vicinity Map Overlay Area N #> SMw (6) • OVERLAY PROJECT W E (#} = Location of a Type "S" Survey Monument Well (SM W) C N O. 1 J g traffic boxwdh Round Style Lid, covering a survey f°° ° t°° Z°' m° monument to be replaced with a Brooks 4-Tr _ _ _ rien and style) traffic box with lid marked "SURVEY" per standaM plan 219. �P�.wryW Reporting District 163 0 0 0 0 14fR21all o62a[Y'ti rio-;! tom' a112 IAt 413241U1 t {14:� `"• f� 6 jr q �( cy. CJe •. 117t �Y_T1, II� tC{n2' ,-.•I, 1 Saa27 !]11 91 114131Ii1{I �t 11+1181+. ` :.1212tu � y.�L '.1 �{ J .k - D I Cla rn li :5•'!f.1a Cove i to6�t Brahforsl 1 t '�-•a '•4xe2\ .�- e �,;xy Pickwick c)r. � �� - '...t. , '•.ate2'.;% a.,7�},� '. 4112 I _ -,y - ; <Y\,c tam- U•v - L�y'b"�`rF"-f' et �IIL.�1\nnC1{I��i o1.s I6G�t eF M116z at7x - Ias� f` Sa"Xi � E_ �� a i4 n'. c7} f7CY it I ` :& u•,+x �.`d✓a,^(id', Irbri i1n�77 1, ,91 1t 5--'^: Axl2 JtnT _.-.- ` ,✓ro- 416t n _ � j i I �l A I61 , Sdt1 Rix !4OJinn. (141o1 'f 07?40a`'4 2 1 52 Irvin ol►U a ] 16'r92 a�2 IVTOi IId+ l[b{l� �'-- a51241 GG7L�._]�irrri ,4Gt t a721 y��Ytc I 3fu>el I IiJ •�} !' tb 02 16701 , 417E Alnz�417. `-.. 42n 0 s ia71 � Sto�A Y is l li 7� 1 r 1 9a0-t`ftaCI3i 1 �10712 fl711' 'pa7l77yi alnaazx M, �x i * T a1xt A13t 4-2� tg`p .-�- ` 4ld4L1Ie261 dir. -r I ii222 C1 t1 19,1k-"J !JiI_t7am% U. ' 9e1 SCN42 ; 16741 C..: lx • �•''I 97 '141:1 11 1 • '` (,3i pit f 1 V 9�. t Iti f -,-., CON. :�• 1to3 1 4PP.�+Wnivmiwd ism'' # i S+�<13 J1a2•,�".`n''ti^"1 7r2 �y. I x1 Udia .. •.1'� C ' h 1 {761 ~ -. \A26i'• j° 4Y5 6r62 I 1 iM6t �rzaN" al , II{t 1 47 tSilllltian ILa2`., • .:' t,42at W as 1 1 11 i i :5'intfrr 1'lu['kt t'n F ,4t7t . LL4T�3 L 1 vt r a7 „2 k ora] a s1 r azr? " \{2a1 ,�[# suL`'y'.,.zt-'•.' t,azls.� ice... •.,.nil`. r a_ I} + a xp j h x Y K 3 s v —i 47lt acll) f t az 16,>aC i78 i1 t4 {33Vt4241' ; .• falifl wN ,G2 ra71 Obt o t 031 4ry I( tU ._ m 4,a2 i 7 A22I p' �`='•`... 'v inoGl -1.* DI bl ctr � � .....� 't � farzz. 7G�I y jj rein �INp) y_. 9+t1 •-, �-€ Boardwalk Dr. 11I5it&13 _ k6al, IC< iC47-?2 un ti.+t lael!Ant Igq 14D7 r r " 1411 1 'I Tt�Y1+h '� IaB61 •, 1t rQ"17 i tM/i - .. a1-2nr 9az2; i75. ,7IIapG2AW11%rk {(^ri2 lrr9 z f c 1 "'4'< I ,L " f N"�yV Iv]32 i 11,gi1 , .•F ttia:l iGG f6B91 01 �''..--Y "'GII ICa4x 1� gr'cl aM^1 1adril 1 yY�' -+ z ---_' ,Rwtf 1Y �y team _'ll'rfl[lc% t f t71.1' I sue: tcest ,6as1-� al s {7a_i uan s� - - _ -... hamtfia5] 75ar2 7fS1- 16JG1 t6d?I 16071- t 1pG1 - lbll6a',••19]6T.i .��^3vq{5tS5 t53a, --� t7iaa] i 5y161 y 1ea72 1___ i 'p- I tlit�dl tra�3 - avenpo �' r ?3 Dr mat Tar_ 1 teN71 lean ics?t r{� 7 1 -_ limt F t6ae i- 7 71»=:�?1.... 7aa92 ..---T _. turn smi ' '�- 4(p,Y 1 t 18402 i tb4ut laiat t T 1[76at ib47:. 569at i •,'J�.. :,1(1P3r _ 1091 C i . >t',E• • - 11ZCN1 1a911 _ O 1 ,1 ".'.. • --' 1 t 11P5 1 f t0 I r 1.12 ifid77 ! '- IFN':I C-32 a12_:t{ f((�YTf11YVi I iffJ71 _'_ _-O; i. �� r--- � 1'--_.•__i I._tr#7tR •il ... f yl� • Iag1G _ f ta9ta ! ! _ - - 1 f 16ffsx 1 tr2)?I i Ifnz ! I +-Dr. e'i° I- �• _a•�: i�32 t' twxa 1..__ jf{ te»:a 1 1 Itivlut 7 It+'46t J Ia34+ , lasat J :p _-_I ___7 Ib 3 ] ,:' L..�•,"' yi'",�sy ' +7 tnaJ71 P-- mt4a an �l J Iss , ( 'i Rya_ 71sW� f' 7aw1 ' u u r awl !^' 1p�yy77 f f fa6eirt ✓•�_ti:: 1.....-. f t� d K alsl ws� __ _ Ina7 � f t tiL6z r1 i 18962 b'_"-_y'1 .- �5[?tl + 7 1 ! tb33a ' '169G7 f' i 1L- W. tR952 1 - -ct --L"�_� i- iW71,.'\•_-w... __ _j t j�.j[ -- : tWTGf sW, 1 r law ' 165G I 19`a_ .! tir' �• j frplL i TY 1 tnaai t 1yry6_1 t--._--.II I- 4,62 d172 atixl'a2r1[ 4212' 1d9Gi� • 1W92 I - - - _ -�� \\ U'_T•' ......"•-' l 1 / I+t` I " 1 1[667 t64f11 1@19'i _ _ y 1647! t M1 j l�pT-- i1+":Fi.l� 1 tER91 � �L._.:.i: L---._-.. -iCA22 - TIM121 i':itl ' ii i7ef2�; 1rpG<J y: i '1d2:7 16'Ti t` , i % ``•+-.�.-,. 4.._ t702s .9vow Legend MAINTENANCE ZONE 10 City of Huntington Beach ��. VteirvtyMap Overlay Area �'°"'"''°" N (#) SMW (65)0 CC No 1542 OVERLAY PROJECT we (# #) SMW (1) ■ s (#) = Locatfon of a Type "B" Survey Monument Well (SMW) traffic box with Round Style Lid, +@ xoo covering a survey monument to be replaced with a Brooks 4-TT (Triangular ad style) traffic %RI box with lid marked 'SURVEY' per standard plan 219. o \ (# #) = Location of a Survey Monument Well (SMW) with Brooks style 4-TT traffic box with ^� (Triangular Style Lid), covering a survey monument to be replaced in kind with traffic box and lid marked "SURVE ' per standard plan 219. Save existing Triangular iid and provide to Agency. Reporting District 164 I O A I 1 ...�."-� tbl i Y .�-��'� ; -._..j 1` f _ 165-its.r__— I LdTi.• isal to ! to0]2 t %18M2 16P91 I1'+z A71 +tea -jf jj { s-_..-� -! ,oerz e L law iGa`;e ? m-' _ J i �' 4tG-n71 mP2 A1021 azty I z, [ z I,dA?i}; t,dOt r' ~_rase, j — �:j __.. 1 .- _ tl'_ _-i �Fh �^ i it.. -ram \_.._�� _ .l._ 1-.il -- } `"'less-4 ;m ,. t t"I. � rnta] .. y1 I7D121, �'Y` 1 ��1GBdA ; l _ c �0t :OW. ..._ [ .. .1 \.,tt.. 17.21 .-. 1 _: .. fw� i •I 159?I•.\ �`,` ,a471 :r"'._ ....._.—I-. eP.ar-," ._... .,--� iTDI:, ' _.. —, - : •I{ 17e 1 tt`,derzi1;»sT z. , lnvr$' ._..._ 1 Dr 1� C I dJ? a ,'t7dJf.,rail l?m1h 7�091H�sr l?W I,7art'll(#�0.�i- ' - 3z 1�J �C12 1 " Irma t 9` ' `: �`.....� tmn7.>.\ '`ideas,\ ieeaT/•,--,.+__ ..._ .L._..... _ nl>�t' rr t.wt ' yvrr„ 1 i -,tom rD9:; ar : I' t, rruu 1 �`•; jenls.+. \ � ;rsrt: I 'l � f ' �.,......:. 'c, i 1:'Odt nlm C_"_V. IUA7R.'••• i1702]i4r�D.i5,70 i7D51i1Tf$:'K,7 �t%d75 []daii:Ek�i70i'l/ 1.A7fH5 i;;. /�traRl { -..y` •'• /'.,1idFD •1mr� :170Dsf'•4 ' .)_..I..,... ._ dIon `• �1'�,;On1 ITDi: _a 17Firlr ....:.b �--.. SasdS%\ :7Totz% tr t �.I -f `.-'7---...( .,Tto'i ' '\ \ 9' 1. ,,.�..........1 17wa�t: 1r rit ,.o7e iTatna",ur_•i i,..! �'Tn5 \'hy'°99.' 1ro::... i•"'7001 1_: 4 �- a]Imi �. / V ,7at 1'. \ / 5' •""_..: .. ( �, L7t 7 t:,ts:' . 'ma;.\ t7101 ,.1 'i7dD'e 1 .•'Inu� i .% •i7pp� 'f-••_.�.. a 012]\ iTtrfi ,`:., "1 Inel 41 - .{"Ufl�'01A c>�:. I; to' i Ik 171x2 " '.�t,,.__y TDt?-"•'y.Igi olo �2 'd Ib R I � '# rtrl]_�. •iT19t `�~•t]tt'- '4" 17-- '`u_ ...... /,-. W'\ '17,aorl'i7tsa-, +� 1r-et_�bt-1',z 1 '...-••_.. �r , ,,•In TI, t t71A6 Pts7 � t ,7tm L �i/?��j�, .tyl�i 1 i _. �•. _.-........5 �-.` :'.-.4.' __ _-.y 171.72....7'r � 171 eII,11''! II I' _,I_nn..5.s_1�-I-lnf i"XI 4DI3 171W QIt ... `�k�"�..�,+:.•,.y. . ,naz: ;f. �J..,l lair Qad,J: i 7 .1. --_1' $j, ., t7,5d1'7! •� r I>I t� try 11i,71 'f '. _. R.•5i1R1''i, VIC 17150 m8, I\.tn:D`.,J _aJ t3'a '4199".\K"d A02C�A 40914VA i-', �! L 4211� '1 I ' ET, "akW'KS�e �I-..�11i1 ._ - ••e •,:nil. , ?,8: °I 17, a 121Y .;�•17179. �T ._y. ...._ 39W- :a non 4025,4049 4d67-4 e' ' i ! 1 ' t l' _ e¢a E wr�ll �d17zU1 tya1Q la ,{aaWannerlJ Irz rel J i Wanner S o, �iG] 1 � I7231 I Irrl Mp .4 \ \ \\ t t `�• -tee—"-d MAINTENANCE ZONE 10 City °f HuntingtonB�ch Vicinity Map FeMu°ry, 2d15 Overlay Area; N fj #� sMw (8) • OVERLAY PROJECT w > (#) = Location of a Type "B" Survey Monument Well (SMW) 1 O • 1542 S traffic box with Round Style Lid, covering a survey CC � V monument to be replaced with a Brooks 4-TT (Triangular style) traffic flax with lid marked `SURVEY" per standard c per standard plan 219. Reporting District 174 e2FIX! St.1LLY-MILLER CONTRACTING CO. LIST OF REFERENCES John Wayne Airport Irvine, CA Larry Serafini, Project Engineer 949-252-5270 Iserafini@ocair.com City of Fontana Fontana, CA Mario Estrada, Asst. City Engineer 909-350-7696 kraascn@fontana.org C. J. Segerstrom / South Coast Plaza Costa Mesa, CA Grant Wilson, Project Manager 714-546-0110 City of Baldwin Park — Engr. Division Baldwin Park, CA Arjan Idnani, Engineering Manager 626-960-4011 Ext. 254 LA Arena Company Staples Center — Los Angeles, CA Don Berges, Construction Manager 213-742-7873 City of Fullerton Fullerton, CA George Lin, Project Engineer 714-738-6845 graff=tti@cityoffullerton.com The Irvine Company Newport Beach, CA Peggy Kloos, Sr. Director/Construction 949-720-2000 Irvine Community Development Company Newport Beach, CA Bill Martin, Vice President/Construction 949-734-800 Town of Apple Valley Apple Valley, CA Richard Pederson, Town Engineer 760-240-7000 Los Angeles County Dept. of Public Works Alhambra, CA Issa Adawiya, Resident Engineer 626-458-5100 CNC Engineering City of Industry, CA John Ballas, City Engineer 626-333-0336 gperez@cc-eng.com Fox Studios Operations Beverly Hills, CA William Murphy, V.P. of Facilities 310-369-3794 BNSF Railroad Commerce Hansen -Wilson Roy Rogers, Construction Manager 323-267-4186 Caltrans Department of Transportation Ray Stokes, Regional Engineer 909-275-0211 Cal State Long Beach Foundation Long Beach, CA Mo Tidemanis, Director 562-985-8489 City of Rancho Cucamonga Rancho Cucamonga, CA Cindy Hackett, Associate Engineer 909-477-2740 City of Hesperia — Public Works Dept. Hesperia, CA Mike Podegradz, City Manager 760-947-1000 City of Barstow Barstow, CA Mike Stewart, City Engineer 760-255-5154 Updated 2017 SULLY -MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS STORM DRAIN, SEWER AND WATER REFERENCES Project Name/Number, 2010/2011 ANNUAL WATERLINE & SLURRY SEAL JOB/ 11090C & 10128866 Start and Finish Dates, 5/2011-3/2012 Project Description, WATER LINE & STREET IMPROVEMENTS Agency Name, CITY OF LA HABRA, 201 E. LA HABRA BLVD., LA HABRA, CA 90633 Contact Person, CHUCK STEPHAN Telephone, 562/905-7200 Original ContractAmount.$1,507,833 Final Contract Amount: $1,443,408 Change in contract amount is due to items of work being deleted by the agency. NO CLAIMS Project Name/Number: BEECH AVE. WATERLINE REPLACEMENT/ 11164C & 10128918 Start and Finish Dates, 7/2012-11/2012 Project Description, CONSTRUCTION SERVICE, WATER SYSTEM, MAIN SERVICE LINE Agency Name, LOS ANGELES COUNTY DEPARTMENT OF PUBLIC WORKS, 900 SOUTH FREMONT AVENUE, ALHAMBRA, CA 91803 Contact Person, JOSEPH NGUYEN Telephone, 626-458-3166 Original ContractAmount,• $672,950 Final Contract Amount: $772,525 Change in original contract amount is due to extra work and/or contract change orders adding work. NO CLAIMS Project Name/Number.- ANNUAL WATER MAIN/ 12171C & 10128945 Start and Finish Dates. 3/2012-4/2013 Project Description; WATERLINE/WATER MAIN, SURVEY, AC GRIND &OVERLAY, SLURRY SEAL, PCC IMPRV., ADJUST MANHOLES, TREE ROOT PRUNE, STRIPING & MARKING, LOOPS, CMB Agency Name, CITY OF LA HABRA, 201 E. LA HABRA BLVD., LA HABRA; CA 90633 Contact Person, CHUCK STEPHAN Telephone, 562/905-7200 Original ContractAmount, $4,887,619 Final Contract Amount. $6,112,019 Change in original contract amount is due to extra work and/or contract change orders adding work. NO CLAIMS Updated 2014 SULLY -MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS STORM DRAIN, SEWER AND WATER REFERENCES Project Name/Number: CACTUS AVE./NASON ST./ 12177C & 10129925 Start and Finish Dates: 4/2012-5/2013 Project Description: CATCH BASIN, TRAFFIC CONTROL, LANDSCAPE & IRRIGATION, CLEARING & GRUBBING, COLD MILL, EXCAVATION, AC, CAB, PCC, ELECTRICAL, STRIPING & MARKING, FENCING, PIPE, EROSION CONTROL, RIP -RAP Agency Name: CITY OF MORENO VALLEY, 14177 FREDERICK STREET, MORENO VALLEY, CA 92552 Contact Person: VIREN SHAH Telephone: 951/413-3100 Original ContractAmount., $19,076,135 Final ContractAmount: $19,813,771 Change in original contract amount is due to extra work and/or contract change orders adding work. NO CLAIMS Project Name/Number. INDIAN HILL BLVD. STORM DRAIN/ 10133111 Start and Finish Dates. 9/2012-04/2013 Project Description. MANHOLES, RCP, STORM DRAIN STRUCTURES, LANDSCAPE & IRRIGATION, AC OVERLAY, BASE, SLURRY SEAL, PCC, ELECTRICAL, STRIPING & MARKING Agency Name. CITY OF CLAREMONT, 207 HARVARD AVENUE, CLAREMONT, CA 91711 Contact Person. CRAIG BRADSHAW Telephone. 909/399-5460 Original Contract Amount. $1,281,624 Final Contract Amount, • $1,549,977 Change in original contract amount is due to extra work and/or contract change orders adding work. NO CLAIMS Project Name/Number.' VILLAGE SOUTH STREET, PLAYA VISTA/10142150 Start and Finlsh Dates., 5/2013-7/2013 Project Description. CONCRETE, CMB, MOBILIZATION, STREET GRADING Agency Name. PLAYA VISTA CAPITAL COMPANY, LLC, 6500 SEABLUFF DRIVE, PLAYA VISTA, CA 90094 Contact Person. CLIFF RITZ Telephone. 310/822-0074 Original ContractAmount: $703,023 FinalContractAmount., $714,322 Change in original contract amount is due to extra work and/or contract change orders adding work. NO CLAIMS Updated 2014 2 SULLY -MILLER CONTRAC::TING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS STORM DRAIN, SEWER AND WATER REFERENCES Project Name/Number: ACACIA AVE. WASTEWATER CAPACITY & STREET IMPRV./10144454 Start and Finish Dates; 6/2013-9/2013 Project Description: SEWER & STREET IMPRV, ADJUST MANHOLES & WATER VALVES, ELECTRICAL, LOOP, LANDSCAPE, SURVEY, STRIPING & MARKING, AC, PCC Agency Name: CITY OF GLENDALE, 633 E. BROADWAY, GLENDALE, CA 91206 Contact Person: JASMINA ZIGIC Telephone: 818/548-3945 Original Contract Amount: $1,316,291 Final Contract Amount. • $1,426,094 Change in original contract amount is due to extra work and/or contract change orders adding work. NO CLAIMS Project Name/Number. Start and Finish Dates: Project Description: Agency Name: Contact Person; INDIAN HILL STORM DRAIN/10154129 10/2013-1/2014 CATCH BASIN, MANHOLES & SHORING, AC PAVING, PCC IMPRV., ELECTRICAL CITY OF POMONA, 505 S. GAREY AVE., POMONA, CA 91769 BRIAN HENSLEY Telephone: 909/620-2261 Original Contract Amount. • $508,200 Final Contract Amount.- $585,970 Change in original contract amount is due to extra work and/or contract change orders adding work. NO CLAIMS Updated 2014 3 SI.JLLY-MILLER CONTRACTIN-CT CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS ASPHALT RUBBERIZED HOT MIX (ARHM) PROJECTS EXCEEDING 3,000 TONS OF ARHM Project Name/Number.- PAVEMENT REJUVENATION WEST OAK PARK AREA-10128886 Start and Finish Dates: 7/ 11 TO 10/ 11 Project Description: AC/ARHM GRIND & OVERLAY, STRIPING & MARKING, LOOPS Agency Name: COUNTY OF VENTURA, 800 S. VICTORIA AVENUE, VENTURA, CA 93009 Contact Person: ARIEL BRAZA Telephone: 805/654-2039 Project Value: $2,470,417 Project Name/Number., 1-5 PRE -CONSTRUCTION MITIGATION PHASE II-10149189 Start and Finish Dates: 6/13 TO EST. FINISH 2/15 Project Description: ARHM, AC, COLD MILL, ADJUST WATER VALVES & MANHOLES, SURVEY, LOOPS, SWPPP, ELECTRICAL Agency Name: CITY OF SANTA FE SPRINGS, 11710 TELEGRAPH ROAD, SANT FE SPRINGS, CA 90670 Contact Person; TOM RIGONI Telephone: 562/868-0511 Project Value: $2,317,398.00 Project Name/Number., ANNUAL PUBLIC WORKS REPAIRS & IMPROVEMENTS- 10 128905 (11141C) Start and Finish Dates: 10/11 TO EST. FINISH 8/14 Project Description: ARHM/AC ANNUAL PROJECT Agency Name: CITY OF FONTANA, 8353 SIERRA AVENUE, FONTANA, CA 92335 Contact Person:--KEITH-KRAMER Telephone: 909.7350-.7.600 Project Value: $3,000,000 Updated 2014 1 SULLY -MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number. BNSF RAILWAY COMPANY/10176355 Start and Finish Dates: 11/18/15 - 11/21/15 Project Description: SURVEY, AC GRIND & OVERLAY, STRIPING & MARKING, K-RAIL Agency Name: BNSF RAILWAY COMPANY Contact Person: KHY LIM Telephone: 626/372-9504 Original ContractAmount.• $154,370 Final ContractAmount.• $133,820 Change in contract amount is due to items of work being deleted by the agency. Project Name/Number.- VIEWLINE DRIVE PAVEMENT REHABILITATION PROJECT/10175083 Start and Finish Dates. 10/5/15 - 10/22/15 Project Description: COLD MILL, AC, ELECTRICAL, ADJUSTMENTS, STRIPING Agency Name., CITY OF SIMI VALLEY Contact Person: MANSOUR MORADI Telephone: 805/583-6786 Original Contract Amount, $193,381 Final Contract Amount: $191,045 Change in contract amount is due to items of work being deleted by the agency. Project Name/Number.' DEEP CREEK ROAD OVERLAY/10166577 Start and Finish Dates. 2/9/15 - 3/2/16 Project Description: AC GRIND & OVERLAY, STRIPING & MARKING Agency Name: TOWN OF APPLE VALLEY Contact Person: BRETT MORGAN Telephone: 760/403-8034 Original ContractAmount.• $245,000 Final Contract Amount., $245,586 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number: FY 14-15 CITYWIDE STREET RECONSTRUCTION PROJECT/10168066 Start and Finish Dates • 4/ 17/ 15 - 6/ 15/ 15 Project Description: AC GRIND & OVERLAY, CONCRETE IMPROVEMENTS, STRIPING & MARKING Agency Name: CITY OF STANTON Contact Person: STEPHANIE CAMORLINGA Telephone: 714/379-9222 Original Contract Amount., $472,867 Final Contract Amount $495,029 Change in original contract amount is due to extra work and/or contract change orders adding work. Updated February 2016 1 St.1LLY-MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number.- HESPERIA ROAD OVERLAY110159022 Start and Finish Dates: 6/9/14 - 7/4/14 Project Descripfon: HESPERIA ROAD OVERLAY Agency Name: CITY OF VICTORVILLE Contact Person: HIRAM HOUCK Telephone: 760/243-6351 Original Contract Amount.• $492,000 Final Contract Amount- $521,494 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number.' 2014 ANNUAL STREET RESURFACING PROJECT/10163369 Start and Finish Dates: 9/5/14 - 11/20/14 Project Description: ARHM GRIND AND OVERLAY, ADJUST MANHOLES, STRIPING AND MARKING, SURVEY Agency Name. CITY OF CALABASAS Contact Person: TA71ANA HOLDEN Telephone. 818/224-1674 Original Contract Amount., $562,798 Final Contract Amount., $624,427 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number.' MONTEBELLO BOULEVARD/TOWNE CENTER DRIVE RESURFACING MEDIAN AND LANDSCAPE ENHANCEMENTS PROJECT/10168081 Start and Finish Dates 4/20/15 - 6/25/15 Project Description: CLEAR & GRUB, COLD MILL, AC, CONCRETE IMPROVEMENTS, ADJUST MANHOLES/VALVES, LANDSCAPE & IRRIGATION, SURVEY WELL MONUMENTS, STRIPING & MARKING, LOOPS, RIVER ROCK Agency Name: CITY OF ROSEMEAD Contact Person: RAFAEL FAJARDO Telephone: 626/569-2100 Original Contract Amount., $624,686 Final Contract Amount: $698,078 Change in original contract amount is due to extra work and/or contract change orders adding work. ProjectName/Number.' HOLLYWOOD WALK OF FAME 50TH, AREA #1/10168030 Start and Finish Dates, 3/3/ 15 - 6/26/ 15 Project Description: PARKWAY IMPROVEMENTS Agency Name: HOLLYWOOD HISTORIC TRUST Contact Person: DANNY KAYE Telephone: 323/468-1379 Original Contract Amount: $667,415 Final Contract Amount. • $741,935 Change in original contract amount is due to extra work and/or contract change orders adding work. Updated February 2016 2 E SULLY -MILLER CONTRACTINC_i CO. Project Name/Number.- Start and Finish Dates. Project Description: Agency Name: Contact Person: BIDDER'S EXPERIENCE AND QUALIFICATIONS IMPROVEMENT OF ARTESIA BOULEVARD BETWEEN WEST CITY LIMIT AND BUTLER AVENUE/10160883 AUGUST 2014-4/1/15 AC/ARHM GRIND AND OVERLAY, PCC IMPROVEMENTS, STRIPING & MARKING, LOOPS, ADJUST MANHOLES/UTILITIES, TREE PRUNING/ROOT SHAVING CITY OF LONG BEACH ONOFRE RAMIREZ Telephone: 562/570-6634 Original Contract Amount., $744,659 Final Contract Amount.- $850,949 Change in original contract amount is due to extra work and/or contract change orders adding Project Name/Number. Start and Finish Dates.• Project Description Agency Name: Contact Person., FEDERAL SAFE ROUTES TO SCHOOL WALNUT GROVE AVENUE ENHANCEMENT PROJECT/10164577 1/12/15 - 7/9/15 AC GRIND & OVERLAY, CLEAR & GRUB, PCC IMPROVEMENTS, STREET LIGHTS, TRAFFIC SIGNAL MODIFICATIONS, STRIPING, MARKING, SIGNING, LANDSCAPE & IRRIGATION CITY OF ROSEMEAD RAFAEL FAJARDO Telephone: 626/569-2100 Original Contract Amount., $692,308 Final ContractAmount.• $736,277 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number, PACIFIC ELECTRIC INLAND EMPIRE TRAIL/10157108 Start and Finish Dates: 8/25/14 - 4/28/15 Project Description: STORM DRAIN IMPROVEMENTS, LANDSCAPE & IRRIGATION, ELECTRICAL, STRIPING & SIGNS Agency Name: CITY OF RIALTO Contact Person: JASON BROWN Telephone: 310/502-9931 Original Contract Amount. • $3,169,295 Final ContractAmount: $3,527, 760 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number.- GRAVES AVENUE, ET AL, PHASE 2/10156967 Start and Finish Dates- 6/30/14 - 4/29/15 Project Description: AC/ARHM GRIND & OVERLAY, PCC IMPROVEMENTS, CLEAR & GRUB, CMB, C-I-P RECYCLING, EMULSIFIED RECYCLING AGENT, TREE REMOVAL/TRIMMING ROOT PRUNE/BARRIER, ELEC/LOOPS, ADJ UTILITIES, STRIPING & MARKING Agency Name: COUNTY OF LOS ANGELES, DEPARTMENT OF PUBLIC WORKS Contact Person: CHANDRA McCLOUD Telephone: 626/458-3144 Original Contract Amount., $3,989,378 Final Contract Amount- $3,773,072 Change in contract amount is due to items of work being deleted by the agency. Updated February 2016 3 MIM SULLY -MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number: IMPERIAL HIGHWAY/10152857 Start and Finish Dates: 2/3/ 14 - 4/ 10/ 15 Project Description: TRAFFIC CONTROL, ROOT PRUNE, SIGNS, PCC, COLD MILL, AC, RECONSTRUCT MANHOLE, MASONRY, STRIPING & MARKING, ELECTRICAL, LANDSCAPE & IRRIGATION Agency Name: COUNTY OF LOS ANGELES, DEPARTMENT OF PUBLIC WORKS Contact Person: TIM BAZINET Telephone: 626/485-3144 Original Contract Amount: $4,144,238 Final Contract Amount. $4,298,278 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number: WILSHIRE BOULEVARD BUS RAPID TRANSIT/10159007 Start and Finish Dates: 9/4/14 - 2/7/15 Project Description: TRAFFIC CONTROL, SWPPP, SIGNS, TREE REMOVAL, REMOVE CHAIN LINK FENCE , CLEAR & GRUB, AC, PCC, ADJUST MANHOLES, CMB, SLURRY, COLD MILL, CB'S, STRUCTURES, ELECTRICAL, LOOPS, LANDSCAPE/IRRIGATION, STRIPE & MARK Agency Name: LOS ANGELES COUNTY DEPARTMENT OF PUBLIC WORKS Contact Person: COLIN McCARTER Telephone: 626/458-3144 Original Contract Amount- $4,420,769 Final Contract Amount., $3,307,806 Change in contract amount is due to items of work being deleted by the agency. Project Name/Number: MAPLEGROVE STREET, ET AL/10156534 Start and Finish Dates: 6/23/14 - 5/13/15 Project Description: SWPPP, CLEARING & GRUBBING, ARHM, FIRE HYDRANT, TRAFFIC CONTROL, ROOT PRUNE, TREE REMOVAL, COLD MILL, SLURRY, CMB, AC, ARHM, PCC, CATCH BASIN, CHAIN LINK FENCE, LOOP DETECTORS, STRIPING & MARKING, RECONSTRUCT MANHOLE Agency Name., COUNTY OF LOS ANGELES DEPARTMENT OF -PUBLIC -WORKS Contact Person: JOEL ZARAGOZA Telephone: 626/485-3144 Original ContractAmount.- $5,247,333 Final ContractAmount.• $5,154,799 Change in contract amount is due to items of work being deleted by the agency. Project Name/Number.' Start and Finish Dates: Project Description: Agency Name: Contact Person: 2011 ROADWAY MAINTENANCE & SLURRY SEAL PROGRAM/ 10150602 8/2013-12/2014 SWPPP, AC GRIND & OVERLAY, CRACK SEAL, SLURRY SEAL, STRIPING & MARKING PORT OF LONG BEACH 925 HARBOR PLAZA DRIVE LONG BEACH, CA 90802 ALIVATANSHENAG Telephone: 562/437-0041 Original Contract Amount- $434,380 Final Contract Amount: $455,300 Change in original contract amount is due to extra work and/or contract change orders adding Updated February 2016 MEM S1.JLLY-MI1,LER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS work. Project Name/Number. KIOWA RANCH ROAD TO DEL ORO ROAD/ 10149809 Start and Finish Dates: 9/2013-11/2013 Project Description: AC GRIND & OVERLAY, PCC IMPRV, STRIPING & MARKING, SURVEY, TREE REMOVAL, CMB, ADJUST UTILITIES, SLURRY SEAL Agency Name., TOWN OF APPLE VALLEY 14975 DALE EVANS PARKWAY APPLE VALLEY, CA 92307 Contact Person: BRETT MORGAN Telephone: 760/240-7000 Original Contract Amount: $662,781 Final Contract Amount: $663,811 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number. ARTESIA BLVD. & WESTERN AVE. STREET IMPRV./10147379 Start and Finish Dates: 7/2013-10/2013 Project Description: SIGNS, SWPPP, TRAFFIC CONTROL, TREE REMOVAL, STRIPING & MARKING, COLD MILL, ELECTRICAL, PCC, AC, ARHM, SURVEY, ADJUST MANOLES & WATER VALVES, LOOPS Agency Name: CITY OF GARDENA 1700 W. 162ND STREET GARDENA, CA 90247 Contact Person: JOHN FELIX Telephone: 310/217-9500 Original Contract A mount.- $645,472 Final Contract Amount: $605,644 Change in contract amount is due to items of work being deleted by the agency. Project Name/Number, TILDEN TERRENCE/ 10146479 Start and Finish Dates., 4/2013-9/2013 Project Description: ON -SITE, OFF -SITE, ALLEY IMPRV. Agency Name: DREYFUSS CONSTRUCTION ..5855_GREEN VALLEY CIRCLE,_STE. _300 CULVER, CA 90230 Contact Person: DAVID SANCHEZ Telephone: 310/645-9565 Original Contract Amount.• $748,082 Final Contract Amount., $835,884 Change in original contract amount is due to extra work and/or contract change orders adding work. Updated February 2016 5 MUD S1.JLLY-MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number' LA LOGISTICS CENTER/ 10144825 Start and Finish Dates: 3/2013-6/2013 Project Description: B-PERMIT Agency Name: XEBEC BUILDING COMPANY, INC. 3010 OLD RANCH PARKWAY, STE. 480 SEAL BEACH, CA 90740 Contact Person: SIOBHAN SHARPLES Telephone: 562/795-0270 Original Contract Amount., $373,756 Final Contract Amount: $383,456 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number, AGOURA ROAD WIDENING PHASE 1/CANWOOD STREET IMPRV./ 10144581 Start and Finish Dates: 4/2013-10/2013 Project Description: AC/ARHM GRIND &OVERLAY, CAB, PCC IMPRV., COLD -IN -PLACE RECYCLING, ADJUST UTILITIES, SIGNING & STRIPING, TREE PROTECTION/REMOVAL, LANDSCAPE & IRRIGATION Agency Name: CITY OF AGOURA HILLS 30001 LADYFACE COURT AGOURA HILLS, CA 91301-1335 Contact Person: CHARMAINE YAMBAO Telephone: 818/597-7300 Original Contract Amount., $1,058,551 Final Contract Amount: $1,273,120 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number. CEDARS-SINAI MEDICAL CENTER -ADVANCES HEALTH SCIENCES PAVILION PROJECT/ 10143403 Start and Finish Dates. 2/2013-4/2013 Project Description: CMB, AC GRIND & OVERLAY, STRIPING, DOUBLE ADJUST MANHOLES Agency Name: HATHAWAY DINWIDDIE CONSTRUCTION COMPANY .811. WILSHIRE_BLVD.,_STE. _1500. LOS ANGELES, CA 90017-2632 Contact Person: STEPHEN DUHM Telephone: 213/236-0500 Original Contract Amount, $229,000 Final Contract Amount: $234,671 Change in original contract amount is due to extra work and/or contract change orders adding work. Updated February 2016 6 MUD SLJLLY-MILLER CONTRACTING CO. BIDDER`S EXPERIENCE AND QUALIFICATIONS Project Name/Number- BEAR VALLEY CUTOFF/ 10143018 Start and Finish Dates: 5/2013-6/2013 Project Description: ARHM/AC GRIND & OVERLAY, CRACK SEAL, SIGNS & STRIPING & MARKING Agency Name: SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC WORKS 825 EAST 3RD STREET SAN BERNARDINO, CA 92415 Contact Person: SUNDARAMOORTHY Telephone; 909/387-8104 SRIRAJAN Original Contract Amount.' $928,725 Final Contract Amount. $802,793 Change in contract amount is due to items of work being deleted by the agency. Project Name/Number.• DALE EVANS PARKWAY OVERLAY PROJECT INTERSTATE 15 TO JOHNSON ROAD & JOSHUA ROAD OVERLAY PROJECT/ 10141551 Start and Finish Dates: 1/2013-4/2013 Project Description: AC GRIND & OVERLAY, STRIPING & MARKING, GRADING, SWPPP Agency Name. TOWN OF. APPLE VALLEY 14955 DALE EVANS PARKWAY APPLE VALLEY, CA 92307 Contact Person: BRENT MORGAN Telephone: 760/240-7000 Original Contract Amount., $720,677 Final Contract Amount., $743,789 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number,• FY 2012/13 STREET MAINTENANCE PROJECT/ 10140019 Start and Finish Dates: 10/2012-12/2013 Project Description: ARHM GRIND & OVERLAY, ADJUST UTILITIES, SURVEY, CRACK SEALING Agency Name: CITY OF MALIBU 23825 STUART RANCH ROAD MALIBU, CA 90265 Contact Person; ROBERT DUBOUX Telephone; 310/456-2489 Original Contract A mount.- $652,716 Final Contract Amount: $929,630 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number.' THE ICIS APARTMENTS/ 10139570 Start and Finish Dates: 9/2012-11/2012 Project Description: B-PERMIT Agency Name: ALLIANCE RESIDENTIAL BUILDERS II G.P., INC. 450 NEWPORT CENTER DR., #550 NEWPORT, CA 92660 Contact Person: SCOTT CRIGGS Telephone: 949/706-8460 Original Contract A mount: $299,701 Final Contract Amount. $335,741 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number. 2012 VARIOUS STREETS RESURFACING II, PROP 1 B & LACMTA/ 10137709 Updated February 2016 7 SLJLLY-MILLER CONTRACTING CCU. BIDDER'S EXPERIENCE AND QUALIFICATIONS Start and Finish Dates: 10/2012-2013 Project Description: AC/ARHM. GRIND & OVERLAY, PCC IMPRV., ADJUST UTILITIES, LOOPS, STRIPING & MARKING, CONSTRUCTION AREA SIGNS Agency Name: CITY OF MONTEREY PARK 320 WEST NEWMARK AVENUE MONTEREY PARK, CA 91754 Contact Person: ROY ALFONSO Telephone: 626-307-1458 Original Contract A mount: $996,500 Final Contract Amount: $1,082,247 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number CITYWIDE ANNUAL OVERLAY PROGRAM & CONCRETE REPLACEMENT PROGRAM/ 10137355 Start and Finish Dates: 9/2012-3/2013 Project Description: AC/ARHMGRIND & OVERLAY, AC DIKE, LOOPS, ADJUST UTILITIES, CAB, STRIPING & MARKING, PCC IMPRV., SURVEY Agency Name: CITY OF CARSON 701 EAST CARSON STREET CARSON, CA 90745 Contact Person: RICK BOUTROS Telephone: 310/830-7600 Original Contract Amount., $1,295,000 Final Contract Amount $1,504,633 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number. Start and Finish Dates: Project Description: Agency Name: Contact Person: PREVENTIVE MAINTENANCE OF STREETS-2012/ 10137154 11/2012-3/2013 COLD MILL, ARHM, AC ADJUST SEWER MANHOLES, CLEAR & GRUB, STRIPING & MARKING, LOOP DETECTORS, SURVEY CITY OF PASADENA 100 N. GARFIELD AVE. PASA_DENA,_ CA 91101 MORLEY SARAIYA Telephone: 626/ 744-4000 Original Contract Amount. • $1,138,208 Final Contract Amount: $1,273,343 Change in original contract amount is due to extra work and/or contract change orders adding work. Updated February 2016 8 SL.JLLY--MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number: IMPROVEMENT OF LINCOLN AVENUE/ 10136832 Start and Finish Dates: 10/2012-3/2013 Project Description: CONCRETE, AC, CRACK SEAL, COLD MILL, ARHM, ELECTRICAL, MANHOLES, STORM DRAIN, MARKERS, LOOPS Agency Name: CITY OF PASADENA 100 N. GARFIELD AVE. PASADENA, CA 91101 Contact Person: SEAN SINGLETARY Telephone: 626-744-4000 Original Contract Amount $1,348,474 Final Contract Amount: $1,641,677 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number.• 2012 OVERLAY PROGRAM/ 10136566 Start and Finish Dates 10/2012-4/2013 Project Description: AC/ARHM GRIND & OVERLAY, ADJUST MANHOLES, ROOT PRUNE, STRIPING, SIGNING, MARKERS, LEGENDS Agency Name: CITY OF THOUSAND OAKS 2100 THOUSAND OAKS BLVD. THOUSAND OAKS, CA 91362 Contact Person: MIKE TOHIDIAN Telephone: 805/449-2400 Original Contract Amount., $3,795,547 Final Contract Amount.- $3,972,046 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number. ROUTE 247, SAN BERNARDIONO COUNTY (08-OP9304)/ 10131719 Start and Finish Dates: 7/2012-8/2012 Project Description: SWPPP, SIGNS, TRAFFIC CONTROL, COLD PLANE, CRACK TREATMENT, AC, ARHM, STRIPING & MARKING Agency Name: CALTRANS 1727 30TH STREET SACRAMENTO, CA 95816 Contact Person: EHAB MINA Telephone: 916/227-6300 Original Contract Amount: $4,865,508 Final Contract Amount: $4,988,720 Change in original contract amount is due to extra work and/or contract change orders adding work. Updated February 2016 9 EAMI SULLY -MILLER CONTRACTING CO_ BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number. MANHATTAN BEACH BOULEVARD RESURFACING/ 10130442 Start and Finish Dates: 8/2012-11/2012 Project Description: UTILITIES, TRAFFIC CONTROL, SIGNS, SURVEY, MANHOLES, PCC, AC, LANDSCAPE & IRRIGATION, COLD MILL, EXCAVATION, STRIPING & MARKING Agency Name: CITY OF REDONDO BEACH 415 DIAMOND STREET REDONDO BEACH, CA 90277 Contact Person: JEFF TOWNSEND Telephone: 310/318-0661 Original Contract Amount., $862,900 Final Contract Amount. • $945,951 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number: PUBLIC WORKS YARD (BID SET NO. 2)/ 10130370 (11148C) Start and Finish Dates: 11/2012-11/2012 Project Description: AC PAVING, PCC IMPROVEMENTS, ELECTRICAL, FENCING Agency Name: CITY OF EL MONTE 1133 VALLEY BLVD. EL MONTE, CA 91731 Contact Person: TOM EARL Telephone: 626/580-2001 Original Contract Amount.- $462,370 Final Contract Amount. • $462,370 NO CHANGE Project Name/Number. SAFE ROUTES TO SCHOOL -CYCLE 7 BULB -OUTS, SIDEWALK & TRAFFIC SIGNAL MODIFICATIONS/ 10130359 Start and Finish Dates 5/2012-11/2012 Project Description: CLEAR & GRUB, AC OVERLAY, PCC IMPRV., ADJUST UTILITIES, SURVEY, TRAFFIC SIGNAL MODIFICATIONS, SIGNS, STRIPING & MARKING Agency Name: CITY OF BURBANK 301 EAST OLIVE AVENUE, RM 320 BURBANK, CA 91502 Contact Person: MIKE SILVANI Telephone: 818/238-5457 Original Contract Amount: $342,560 Final Contract Amount: $408,978 Change in original contract amount is due to extra work and/or contract change orders adding work. Updated February 2016 10 S1.JLLY-M ILI_ER. CONTRACTINC:T CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number., ROUTE 39, LOS ANGELES COUNTY (07-3Y3204)/ 10130355 Start and Finish Dates: 7/2012-11/2012 Project Descriotion: SWPPP, SIGNS, TRAFFIC CONTROL, COLD PLANE, CRACK TREATMENT, AC, ARHM, STRIPING & MARKING Agency Name: CALTRANS 1727 30T" STREET SACRAMENTO, CA 95816 Contact Person: REDA KAROUT Telephone: 916/227-6300 Of Contract A mount: $1,197,700 Final Contract Amount: $1,265,654 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number' SLAUSON AVENUE/ 10130289 Start and Finish Dates: 10/2012-3/2013 Project Description: CLEAR & GRUB, TREE REMOVAL/PLANTING, AC GRIND & OVERLAY, PCC IMPRV., STRUCTURES, STRIPING & MARKING Agency Name: LOS ANGELES COUNTY DEPARTMENT OF PUBLIC WORKS 900 S. FREMONT AVENUE ALHAMBRA, CA 91803 Contact Person: JOSE POU Telephone: 626/458-5100 Original Contract Amount., $884,688 final Contract Amount. • $955,095 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number. 2011-2012 STREET RESURFACING -VARIOUS LOCATIONS/ 10130260 Start and Finish Dates: 5/2012-12/2012 Project Description: AC OVERLAY, COLD MILL, CRACK SEAL, CMB, ADJUST VALVE COVER & MANHOLE, LOOPS, STRIPING & MARKING Agency Name: CITY OF BEVERLY HILLS 455 N. REXFORD DR., RM 290 BEVERLY HILLS, CA 90210 Contact Person: JUAN MARTINEZ Telephone: 310/285-2489 Original Contract Amount., $1,019,450 Final Contract Amount., $896,448 Change in contract amount is due to items of work being deleted by the agency. Updated February 2016 11 SULLY -MILLER C:ONTRA('.TIN(- CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number: STREET RECONSTRUCTION-HELEN RUNYON DR. & E. MOUNTAIN VIEW ST./ 10130241 Start and Finish Dates: 3/2012-7/2012 Project Description: AC PAVING, PCC, FABRIC, LOOPS, SIGNS & STRIPING & MARKING Agency Name: CITY OF BARSTOW 220 E. MOUNTAIN VIEW STREET, STE. A BARSTOW, CA 92311 Contact Person: DOMINGO GONZALEZ Telephone: 760/255-5156 Original Contract Amount: $1,027,886 Final Contract Amount,' $1,138, 746 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number., 2012 LOCAL STREET REHABILITATION PROJECT/ 10130069 Start and Finish Dates: 5/2012-8/2012 Project Description: AC GRIND & OVELRAY, COLD CENTRAL PLANT RECYCLING, LOOPS, ADJUST UTILITIES Agency Name: CITY OF GARDEN GROVE 11222 ACACIA PARKWAY GARDEN GROVE, CA 92840 Contact Person: ROBERT MOUNGEY Telephone: 714/741-5000 Original Contract Amount., $2,917,670 Final Contract Amount- $2,846,871 Change in contract amount is due to items of work being deleted by the agency. Project Name/Number. RECONSTRUCTION OF CASTAIC POWER PLANT ACCESS ROAD/ 10129951 Start and Finish Dates: 8/2012-10/2012 Project Description: AC, COLD MILL, STRIPING & MARKING Agency Name: LOS ANGELES DEPARTMENT OF WATER & POWER 111 N. HOPE STREET LOS ANGELES, CA 90012 Contact Person: JOSH TONG Telephone: 213/36473464 Original ContractAmount $602,466 Final Contract Amount. • $556,923 Change in contract amount is due to items of work being deleted by the agency. Project Name/Number: CACTUS AVENUE, FREDERICK STREET & RESOURCE WAY/ 10129926 Start and Finish Dates: 5/2012-5/2013 Project Description: STREET, STORM DRAIN, SEWER & WATER, SIGNING & STRIPING, TRAFFIC SIGNAL, LOOPS, STREET LANDSCAPE & IRRIGATION, ELECTRICAL, COLD PLANE, PCC, AC, CATCH BASIN Agency Name: US REAL ESTATE LIMITED PARTNERSHIP, A TEXAS LIMITED PARTNERSHIP, 19300 19300 HAMILTON AVE., STE. 200 GARDENA, CA 90248 Contact Person: FLOYD YOUN KIN Telephone: 310/323-9100 Original Contract Amount $2,753,919 Final Contract Amount., $3,212,557 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number. NATIONAL TRAILS HIGHWAY/ 10128949 (12185C) Updated February 2016 12 SULLY -MILLER CQNTRAC,TINC, CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Start and Finish Dates., 5/2012 - 6/2012 Project Description: CRACK SEAL COLD PLANE, PAV, STRIPING Agency Name: SAN BERNARDINO COUNTY, DEPARTMENT OF PUBLIC WORKS 825 EAST THIRD STREET SAN BERNARDINO, CA 92415-0835 Contact Person: NIDHAM AL-REYES Telephone: 909/387-8104 Original Contract Amount., $1,040,950 Final Contract Amount: $931,795 Change in contract amount is due to items of work being deleted by the agency. Project Name/Number.' TAXILANE D-10 RECONSTRUCTION / 10128948 (12174C) Start and Finish Dates: 5/2012-12/2012 Project Description: SURVEY, AC, REMOVE PCC, FENCING, ADJUSTING WATER UTILITY, SWPPP,CAB, COLD PLANE, PCC, FABRIC, STRIPING & MARKING & SIGNS Agency Name: LOS ANGELES WORLD AIRPORTS, AIRPORT DEVELOPMENT GROUP 7301 WORLD WAY WEST, 9TH FLOOR LOS ANGELES, CA 90045 Contact Person: GORAN LAZAREVIC, P.E. Telephone: 310/957-7149 Original Contract Amount., $6,383,321 Final Contract Amount: $5,939,022 Change in contract amount is due to items of work being deleted by the agency. Project Name/Number, Start and Finish Dates: Project Description: Agency Name: Contact Person: CAMPBELL HALL COMMUNITY ARTS AND EDUCATION CENTER / 10128947 (11153C) 3/2012-4/2012 B - PERMIT: REMOVAL/REPLACEMENT OF CURB & GUTTER, SIDEWALK & SIDEWAY, SIGNAL, STREET LIGHTING, STRIPING/SIGNING MATT CONSTRUCTION CORPORATION 9814 NORWALK BLVD., SUITE 100 SANTA FE SPRINGS, CA 90670 KRISTOPHER BARR Telephone: 562/903-2277 Original Contract Amount- $473,542 Final Contract Amount., $539,471 Changein original. contract amount -is due to extra work and/or contract change orders adding work. Updated February 2016 13 S1.JLLY-.MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number., RESIDENTIAL STREET REHABILITATION FY2011-2012 & ANNUAL WATER MAIN REPLACEMENT PROGRAM FY 2011-2012 / 10128945 (12171C) Start and Finish Dates: 3/2012-4/2013 Project Description., AC GRIND & OVERLAY, SLURRY SEAL, PCC IMPROVEMENTS, ADJUST MANHOLES, TREE ROOT PRUNE, STRIPING/MARKING, LOOPS, SURVEY, CMB, WATER LINE/WATER MAIN Agency Name. CITY 0 F LA HABRA 201 E. LA HABRA BLVD. LA HABRA, CA 90631 Contact Person: CHUCK STEPHANS Telephone: 949/262-9379 Original Contract Amount: $4,887,619 Final ContractAmount.• $6,081,745 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number.• NEWPORT BLVD. DOMESTIC WATER RELOCATION PROJECT / 10128919 (11167C) Start and Finish Dates., 2/2012-4/2013 Project Description: AC PAVING, WATERLINE, PCC IMPROVEMENTS, & REMOVE METERS Agency Name., IRVINE RANCH WATER DISTRICT 15600 SAND CANYON AVE. IRVINE CA, 92619-7000 Contact Person: TOM BONKOWSKI Telephone: 949/453-5692 Original Contract Amount., $3,657,815 Final ContractAmount.• $3,936,118 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number. Start and Finish Dates., Project -Description: Agency Name., Contact Person: LONG BEACH ANNUAL 2012 - GAS & ENGINEERING 10128849/(10071C) / 10128917/(11163C) 3/2012-1/2013 EMERGENCY -REPAIRS CITY OF LONG BEACH 333 WEST OCEAN BLVD. LONG BEACH, CA 90802 CHARLES RAMEY Telephone: 562/570-5176 Original Contract Amount $2,000,000 Final Contract Amount., $2,210,831 Change in original contract amount is due to extra work and/or contract change orders adding work. Updated February 2016 14 SULLY -MILLER CONTRACTING CO. Project Name/Number: Start and Finish Dates: Project Description: Agency Name: Contact Person: BIDDER'S EXPERIENCE AND QUALIFICATIONS PASADENA AVENUE STREET IMPROVEMENT PROJECT /10128916 (11161C) 2/2012-6/2012 AC PAVING, ADJUST MANHOLE, COLD MILLING, PCC IMPRV., SIGNS, LANDSCAPING/IRRIGATION & STRIPING/MARKING CITY OF PASADENA 1414 MISSION STREET SOUTH PASADENA, CA 91030 GABRIEL B. NEVAREZ Telephone. 626/403-7248 Original Contract Amount., $499,995 Final Contract Amount, $535,714 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number: STREET RECONSTRUCTION SECTION - I, AGNES AVE., ELM AVE., FRANCES AVE., NORTH MURIEL DR., ADELE AVE., KATHLEEN. /10128914(11159C) Start and Finish Dates: 2/2012-5/2012 Project Description: AC PAVING, PCC IMPRV., FABRIC, LOOPS, SIGNS, & STRIPING & MARKING Agency Name; CITY OF BARSTOW 220 E. MOUNTAIN VIEW ST., SUITE A BARSTOW, CA 92311 Contact Person: DOMINGO GONZALEZ Telephone: 760/255-5156 Original Contract Amount- $947,275 Final Contract Amount., $977,541 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number, ROBSON AVEUNE & MARTIN STREET, STPL-5107(027) /10128913(11154U) Start and Finish Dates 2/2012-5/2012 Project Description: RECONSTRUCTION PROJECT Agency Name: CITY OF SANTA MONICA 1685 MAIN -STREET SANTA MONICA, CA 90401 Contact Person: ALLAN SHETH Telephone., 310/458-2201 Original Contract Amount., $383,000 Final Contract Amount- $380,911 Change in contract amount is due to items of work being deleted by the agency. Project Name/Number, MERVYN'S BLDG. RENOVATION CONSTRUCTION CONTRACT /10128912(11151C) Start and Finish Dates: 10/2011-11/2012 Project Description: SITE UTILITIES, PAVING, AND SITE IMPROVEMENTS Agency Name., WESTFIELD, LLC 2753 E. EASTLAND CTR DR, WEST COVINA, CA 91791 Contact Person: ROBERT ALLEN Telephone. 626/967-3399 Original Contract Amount: $980,902 Final Contract Amount: $1,284,834 Change in original contract amount is due to extra work and/or contract change orders adding work. Updated February 2016 15 MUD SULLY -MILLER CONTRAC::TINC CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number.' RUNWAY 15 RUNWAY SAFETY AREA IMPROVEMENTS /10128907(11143C) Start and Finish Dates: 1/2012-4/2012 Project Description; AC GRIND & OVERLAY, BASE, MARKINGS, FENCING, ELECTRICAL Agency Name: BU RBAN K-GLENDALE- PASADENA AIRPORT AUTHORITY 2627 HOLLYWOOD WAY BURBANK, CA 91505 Contact Person: PEDRO BARRAGON Telephone: 818/840-8840 Original Contract Amount: $1,249,277 Final Contract Amount., $1,313,842 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number.- DEEP CREEK ROAD OVERLAY /10128904(11140C) Start and Finish Dates: 3/01/2012-3/30/2012 Project Description: CRUB SEAL, COLD PLANE, AC OVERLAY, STRIPING Agency Name: COUNTY OF SAN BERNARDINO DEPARTMENT OF PUBLIC WORKS 825 EAST 3RD STREET SAN BERNARDINO, CA 92415 Contact Person: NIDHAM AL-REYES Telephone: 909-387-1831 Original Contract Amount, $778,000 Final Contract Amount., $605,995 Change in contract amount is due to items of work being deleted by the agency. Project Name/Number.- WILSHIRE / WESTERN FINAL PHASE /10128903(11139C) Start and Finish Dates: 8/2011-7/2012 Project Description: CITY OF LA, B-PERMIT Agency Name:. SOLAIR MARKETING, LLC 175 WEST JACKSON, SUITE 540 CHICAGO, IL 60604 Contact Person: JIM O'BRIEN Telephone: 805/310-8270 Original Contract Amount.- $849,532 Final Contract Amount., $863,853 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number. MOVEMENT AREAS /10128902(11136C) Start and Finish Dates: ONGOING - 12/2013 Project Description: MAINTENANCE & REPAIR WORK ON T&M IN AIRCRAFT MOVEMENT AREAS Agency Name: BURBAN K-GLEN DALE- PASADENA AIRPORT AUTHORITY 2800 CLYBOURN AVENUE BURBANK, CA 91505 Contact Person: KAREN SEPULVEDA Telephone: 818/565-1305 Original Contract Amount: $250,000 Final Contract Amount- $36,059 Change in contract amount is due to items of work being deleted by the agency. Updated February 2016 16 S1_TLLY-MILLER CONTRACTING, C.O. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project NamWNumber.• NON -MOVEMENT AREA /10128901(11135C) Start and Finish Dates., ONGOING- 12/2013 Project Description: MAINTENANCE & REPAIR WORK ON T&M IN NON -MOVEMENT AREA Agency Name. BURBAN K-GLEN DALE- PASADENA AIRPORT AUTHORITY 2800 CLYBOURN AVENUE BURBANK, CA 91505 Contact Person: KAREN SEPULVEDA Telephone: 818/565-1308 Original Contract Amount: $200,000 Final Contract Amount: $5,724 Change in contract amount is due to items of work being deleted by the agency. Project Name/Number., 2010-11 FEDERAL OVERLAY PROGRAM /10128896(11127U) Start and Finish Dates: 10/2011-1/2012 Project Description: AC GRIND AND OVERLAY Agency Name., CITY OF SANTA CLARITA 23920 VALENCIA BOULEVARD, STE 300 SANTA CLARITA, CA 91355-2196 Contact Persona 661/259-2489 Telephone: 661/259-2489 Original Contract Amount $2,069,962 Final Contract Amount: $2,047,482 Change in contract amount is due to items of work being deleted by the agency. Project Name/Number.• WHITEMAN AIRPORT AIRCRAFT RAMP /10128893(11123C) Start and Finish Dates: 2/2012-9/2013 Project Description: RECONSTRUCTION OF AIRCRAFT RAMP Agency Name: LOS ANGELES COUNTY DEPARTMENT OF PUBLIC WORKS 900 S. FREMOUNT AVENUE ALHAMBRA, CA 91803 Contact Person: JOSEPH NGUYEN Telephone: 626/458-3166 Original ContractAmount.• $944,698 Final Contract Amount., $1,038,210 Change in original contract amount is due to extra work and/or contract change orders adding work. ProjectName/Numben 2011 ANNUAL CITYWIDE STREET RESURFACING PROJECT /10128890(11119U) Start and Finish Dates: 8/2011-2/2012 Project Description: STREET RESURFACING Agency Name: CITY OF CALABASAS 100 CIVIC CENTER WAY CALABASAS, CA 91302-3172 Contact Person: TATIANA HOLDEN Telephone: 818/224-1600 Original Contract Amount: $1,146, 36 3 Final Contract Amount. $1, 276,123 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number.• EAST AVENUE MASTER PLAN STORM DRAIN LINE 8 PROJECT/10128888(11117C) Start and Finish Dates.' 11/2011-10/2012 Updated February 2016 17 SI.TLLY-MILLER CONTRAC,TING CO_ BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Description; AC GRIND & OVERLAY, PCC IMPRV., STORM DRAIN STRUCTURES, CONSTRUCT MANHOLES, RCP, FABRIC, LOOPS, STRIPING & MARKING, SWPPP Agency Name: CITY OF RANCHO CUCAMONGA 10500 CIVIL CENTER DRIVE RANCHO CUCAMONGA, CA 91729-0807 Contact Person: KENNETH FUNG Telephone: 909/477-2700 Original Contract Amount: $5,214,750 Final ContractAmount.- $6,104,138 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number., SOUTHERN PACIFIC SLIP /10128887(11116C) Start and Finish Dates: 10/2011-5/2014 Project Description: AC & PCC PAVEMENTS, PCC IMPRV., LANDSCAPE & IRRIGATION, SITE FURNISHINGS, RETAINING WALLS, GUARDRAILS/RAILINGS, SIGNS Agency Name: PORT OF LOS ANGELES 425 S. PALOS VERDES STREET SAN PEDRO, CA 90731 Contact Person: MARLYS WHITE Telephone: 310/732-7690 Original Contract Amount- $5,694,700 Final Contract Amount., $6,160,508 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number., WEST OAK PARK AREA / 11115C Start and Finish Dates., 7/2011-3/2012 Project Description: AC/ARHM GRIND & OVERLAY, CONCRETE IMPROVEMENTS, CRACK SEAL, LOOPS Agency Name: COUNTY OF VENTURA 800 SOUTH VICTORIA AVENUE VENTURA, CA 92821 Contact Person: PHIL NELSON / DOLORES Telephone: 805/654-3984 MURPHY Original Contract Amount., $2,470,417 Final Contract Amount, $2,373,097 Change in contract amount is due to items of work being deleted by the agency. Project Name/Number: ROADWAY AND WATERLINE IMPROVEMENT /10128884 (11112C) Start and Finish Dates: 7/2011-9/2012 Project Description: ROADWAY AND WATERLINE Agency Name: CITY OF LOMITA 24300 NARBONNE AVENUE LOMITA, CA 90717 Contact Person: TOM SHAHBAZI Telephone., 310/325-7110 Original Contract Amount., $1,412,907 Final Contract Amount: $1,396,657 Change in contract amount is due to items of work being deleted by the agency. Project Name/Number.• FY 2010-2011 RESIDENTAIL AREA 7 AND ARTERIAL ZONE AREA 5 /10128880(11108C) Updated February 2016 18 SULLY -MILLER. CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Start and Finish Dates., 7/2011-2/2012 Project Description: AC PATCHING, GRIND AND OVERLAY, CAPE SEAL, SLURRY SEAL, MANHOLE ADJUSTING Agency Name: CITY OF DIAMOND BAR 21825 COPLEY DR. DIAMOND BAR, CA 91765 Contact Person: DAVID SLOAN Telephone: 909/839-7000 Original Contract Amount- $1,819,990 Final Contract Amount: $1,823,184 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number.BNSF AGS PROJECT- HOBART YARD /10128878(11105C) Start and Finish Dates: 6/2011-8/2012 Project Description: CONSTRUCTION OF CIVIL AND ELECTRICAL FEATURESIN SUPPORT OF THE AGS HARDWARE, SITE DEMOLITION CIVIL, ELECTRICAL, STRUCTURAL, PAVING WORK ASSOCIATED WITH AGS Agency Name: BNSF 2500 LOU MENK DR., FORT WORTH, TEXAS, 76131 Contact Person: CHRISTOPHER HARD Telephone: 817/352-4114 Original Contract Amount., $10,036,878 Final Contract Amount., $10,466,761 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number., WALNUT GROVE AVENUE TO TUSH STREET / 11111C Start and Finish Dates. 07/2011- 9/2011 Project Description: STREET RESURFACING Agency Name: CITY OF ROSEMEAD 8838 E. VALLEY BOULEVARD ROSEMEAD, CA 91770 Contact Person: RAFAEL FAJARDO Telephone: 626/569-2100 Original Contract Amount $1,109,950 Final Contract Amount: $1,083,687 Change in contract amount is due to items of work being deleted by the agency. Project Name/Number: Start and Finish Dates Project Description STREET REHABILITATION PROJECT- REBID /10128881(11109C) 6/2011 - 1/2012 TRAFFIC CONTROL, GRINDING, AC, PCC, ADJUST MANHOLES & VALVES, SIGNING/STRIPING/MARKING, LOOPS, UNDERGROUND, FABRIC DISPOSAL, FENCE Updated February 2016 19 SULLY -MILLER CONTRACTINCT CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS RELOCATION Agency Name: CITY OF CHINO 1322 CENTRAL AVENUE CHINO, CA 91710 Contact Person: NAGHMEH IMANI Telephone: 909/464-8367 Original Contract Amount.• $1,813,849 Final Contract Amount., $1,868,794 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number: SAN BERNARDINO COUNTY NEAR NEEDLES FROM 0.4 MILE WEST OF WHALE MOUNTAIN WASH BRIDGE TO 0.1 MILE WEST OF PARK MOABI ROAD OVERCROSSING /10128874(11099U) Start and Finish Dates: 5/2011 - 3/2012 Project Description; WIDEN FREEWAY, INSTALL PERMEABLE SUB BASE, EDGE DRAIN, GRIND & OVERLAY FREEWAY - 1.9 MILES IN LENGTH Agency Name: STATE OF CALIFORNIA, DEPARTMENT OF TRANSPORTATION 1727 30T" STREET SACRAMENTO CA 95816 Contact Person: DARCY DAVIS Telephone; 951/232-6000 Original Contract Amount., $7,193,800 Final Contract Amount. • $8,262,201 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number. RESIDENTIAL STREET REHABILITATION FY2010-2011 & ANNUAL WATER MAIN REPLACEMENT PROGRAM PROJECT /10128866(11090C) Start and Finish Dates: 4/2011-12/2011 Project Description: SURVEY, SWPPP, PCC, AC, CRACK SEAL, ADJUST MANHOLES TO GRADE, TREE ROOT PRUNE, STRIPING & MARKING, SLURRY SEAL Agency Name: CITY OF LA HABRA 201 E. LA HABRA BOULEVARD LA HABRA, CA 90631 Contact Person: SAM MAKAR, P.E., SR. Telephone: 562/905-9720 CIVIL ENGINEER Original Contract Amount, $3,535,885 Final Contract Amount. • $4,029,145 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number.- Start and Finish Dates. Project Description: "G" AVENUE RAIL LEAD TRACK & CHANNEL PROJECT: PHASE II -LEAD TRACK CONSTRUCTION & DRAINAGE CHANNEL CONSTRUCTION /10128865(11088C) 03/2011 - 02/2012 TRACK IMPRV., AC, FENCING, STRUCTURES, CAB, PCC, SWPPP, TREE, CLEAR & GRUB, EROSION CONTROL Updated February 2016 20 SULLY -MILLER CONTRA(.',TING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Agency Name: CITY OF HESPERIA 9700 SEVENTH AVENUE HESPERIA, CA 92345 Contact Person: TINA SOUZA Telephone: 760/947-1474 Original Contract Amount.• $4,622,722 Final Contract Amount, $4,988,909 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number: Start and Finish Dates: Project Description: Agency Name: Contact Person; ELM ST. RESURFACING & WATERLINE REPLACEMENT /10128864(11087C) 03/2011-07/2011 CLEARING & GRUBBING, ADJUSTING MANHOLE & WATER VALVE & WATER METER, SURVEY MONUMENT, PCC, CATCH BASIN, COLD MILLING, ARHM, AC, STRIPING & MARKING & SIGNING, LOOP DETECTORS CITY OF BREA ONE CIVIC CENTER CIRCLE BREA, CA 92821 BRIAN INGALLINEREA Telephone: 714/671-4450 Original Contract A mount: $945,999 Final Contract Amount. • $1,096,259 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number., Start and Finish Dates: Project Description: Agency Name; Contact Person: FLORENCE AVENUE STREET REHABILITATION PROJECT / 10085C 06/2011-07/2011 CLEARING & GRUBBING, EXCAVATION, COLD MILL, ARHM, AC, MANHOLE ADJUSTING, VALVE/GAS ADJUSTMENT, STRIPING & MARKING, TRAFFIC LOOPS CITY OF BELL 6330 PINE AVENUE BELL, CA 90201 CARLOS ALVARADO Telephone: 626/960-1889 Original -Contract Amount.• $294�536 Final ContractAmount: $2711478 Change in contract amount is due to items of work being deleted by the agency. Project Name/Number: Start and Finish Dates: Project Description: Agency Name: LAV COLLEGE /10084C 02/2011 - 08/2011 RECONSTRUCT PARKING LOT CHEVERON ENERGY SOLUTIONS 150 E. COLORADO BLVD., STE: 360 PASADENA, CA 91105 I Updated February 2016 21 SLJLLY-MILLER CONTRACTINC3 CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Contact Person: WAYNE GRAHAM Telephone: 415/773-4748 Original Contract Amount, $878,000 Final Contract Amount., $783,082 Change in contract amount is due to items of work being deleted by the agency. Project Name/Number: 2010/11 OVERLAY PROJECT /10083C Start and Finish Dates: 02/2011 - 07/2011 Project Description: MOBILIZATION,`TRAFFIC CONTROL, CRACK SEALING, AC, ARHM, MANHOLES, LOOPS, THERMOPLASTIC STRIPING, PAVEMENT MARKERS, SIGNS, TREE WELL, CROSS GUTTER, DETECTABLE WARNING SURFACE, TREES, WATERVALVE, PULL BOX Agency Name: CITY OF CYPRESS 5275 ORANGE AVENUE CYPRESS, CA 90630 Contact Person: NICK MANGKALAKIRI Telephone: 714/229-6729 Original Contract Amount: $2,198,000 Final Contract Amount: $1,790,853 Change in contract amount is due to items of work being deleted by the agency. Project Name/Number., INNOV. VILLAGE /10079C Start and Finish Dates: 01/2011 - 05/2011 Project Description: AC PAVING, COLD MILL, CRACK FILL, ADJUST MANHOLE, LOOPS & PCC Agency Name: CAL POLY - POMONA FOUNDATION 3801 W. TEMPLE AVE POMONA CA 901768 Contact Person: BRUYN BAVANS Telephone: 909/869-6842 Original Contract Amount., $653,600 Final Contract Amount: $693,203 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number.- 26TH STREET IMPROVEMENTS /10074U Start and Finish Dates: 02/2011 - 07/2011 Project Description: EXCAVATION, CUT & DISPOSAL OF AC, GUTTER, COLD PLANE, COLD RECYCLING, CMB, MANHOLES, STRIPING & MARKING, TRAFFIC SIGNAL, LOOPS, CONSTRUCTION SIGNS Agency Name: CITY OF VERNON 4305 SANTA FE AVENUE VERNON, CA 90058 Updated February 2016 22 SLJLLY--M II.LER CON-FRAC:,TINC7 CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Contact Person: RAFAEL CONTRERAS Telephone: 323/583-8811 Original Contract Amount., $873,212 Final Contract Amount.- $899,429 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number.• EMERALD AVENUE STREET IMPROVEMENTS / 10077U Start and Finish Dates 2/2011-3/2011 Project Description: AC OVER BASE, STRIPING & MARKING, CURBS, RAMPS, EXCAVATION TRAFFIC CONTROL, COLD PLANE, CMB, MANHOLE ADJUSTING, LOOPS, SLOUGH WALLS Agency Name: CITY OF LA VERNE 3660 "D" STREET LA VERNE CA 91750 Contact Person: JASON WELDAY Telephone., 909/594-9702 Original Contract Amount- $226,000 Final Contract Amount., $487,575 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number.• ROSECRANS AVENUE & VALLEY VIEW AVENUE STREET IMPROVEMENTS /10072C Start and Finish Dates: 01/2011 - 03/2011 ProjectDescription: MOBILIZATION, EXCAVATION, CMB, COLD MILL, ARHM, AC, CURB & GUTTER, ADJUST WATER VALVE & MANHOLES, STORM DRAIN, LOOPS, TRAFFIC CONTROL, PAVEMENT MARKERS, SURVEY MONUMENTS Agency Name: CITY OF SANTA FE SPRINGS 11710 TELEGRAPH ROAD SANTA FE SPRINGS, CA 90670 Contact Person: RAFAEL CASILLAS Telephone: 562/868-0511 Original Contract Amount. • $668,149 Final Contract Amount. • $559,031 Change in contract amount is due to items of work being deleted by the agency. Project Name/Number.• LB ANNUAL 2010 /10128849(10071C) Start and Finish Dates: 01/2011 - 11/2012 Project Description: EMERGENCY REPAIRS Agency Name., CITY OF LONG BEACH 33 WEST OCEAN BLVD LONG BEACH, CA 90802 Contact Person: ROBERT SOLIS Telephone: 562/570-5176 Original Contract Amount. • $2,000,000 Final Contract Amount: $2,210,831 Change in original contract amount is due to extra work and/or contract change orders adding Updated February 2016 23 StJLLY-MILLER C.ONTRACTINC, CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS work. Project Name/Number.' RAMPS A&B REHAB /10070C Start and Finish Dates: 01/2011- 07/2011 Project Description: AC PAVING, PCC IMPRV., ELECTRICAL, FENCING,. WHEEL STOPS, STRIPING/MARKING Agency Name: BU RBAN K-GLEN DALE- PASADENA AIRPORT AUTHORITY 2800 N. CLYBOURN BURBANK, CA 95105 Contact Person: SAFA KAMAGAR Telephone: 818/565-1305 Original Contract Amount., $6,595,968 Final Contract Amount: $6,713,133 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number: VALLEY BLVD. REHABILITATION PROJECT /10069U Start and Finish Dates: 01/2011 - 07/2011 Project Description: SURVEY, AC GRIND & OVERLAY, CMB, PCC IMPRV., RCB CULVERT, ADJUST UTILITIES, SIGNS/STRIPING/MARKING, LANDSCAPE & IRRIGATION Agency Name: CITY OF ALHAMBRA 111 SOUTH FIRST STREET ALHAMBRA, CA 91801 Contact Person: MELISSA RAMOS Telephone: 626/282-5833 Original Con tractAmount.• $1,851,617 Final Contract Amount: $1,871,827 Change in original contract amount is due to extra work and/or contract change orders adding work. ProjectName/Number.• LAKE-ALAMEDA/10128845(10067U) Start and finish Dates: 01/2011-12/2011 Project Description: ACCESS PATH CONSTRUCTION Agency Name: LACD PW 900 SOUTH FREMOUNT AVE r FLOOR ALHAMBRA CA 91802 Contact Person: MARIO RODRIGUEZ Telephone: 626/458-5100 Original Contract Amount: $1,449,940 Final Contract Amount: $1,551,239 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number.LAKEWOOD BOULEVARD IMPROVEMENTS - PHASE 3A /10128841(10063U) Start and Finish Dates., Project Description. Agency Name., Contact Person: 10/2010 - 11/2011 AC PAVING, PCC IMPROVEMENT, CLEAR/GRUBBING, ELECTRICAL, IRRIGATION, MANHOLE ADJUSTING, SIGNING, STRIPING & UNDERGROUND CITY OF DOWNEY 11111 BROOKSHIRE AVE., DOWNEY,CA 90241 DESI GUTIERREZ Telephone. 562/622-3468 Original Contract Amount: $3,233,203 Final Contract Amount: $3,547,058 Change in original contract amount is due to extra work and/or contract change orders adding work. Updated February 2016 24 SL.JLLY-MII.LER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number.• MAIN STREET - 2ND STREET TO NCH" AVE/10057C Start and Finish Dates: 04/2011 - 10/2011 Project Description: COLD PLANE, AC, PCC, ADJUST UTILITY MANHOLES, REMOVE CATCH BASIN, CMB, LOOPS, TRAFFIC SIGNAL, STRIPING & MARKING, SWPPP, SURVEY Agency Name: CITY OF BARSTOW 220 E. MOUNATAIN VIEW ST. BARSTOW, CA 92311 Contact Person: MARK ROWAN Telephone: 760/241-6146 Original Contract Amount., $1,645,609 Final Contract Amount, $1,869,560 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number.• RESIDENTIAL STREETS IMPROVEMENTS PROJECT /10128832(10053C) Start and Finish Dates: 08/2010 - 04/2011 Project Description. SURVEY/MONUMENTS, PCC, CMB, TRUNCATED DOMES, CAPE SESAL, CHIP SEAL, SLURRY SEAL TYPE II, AC, CRACK ROUTING & SEALING, ADJUST MANHOLES & VALVES, ROOT PRUNE, STRIPING & MARKING & SIGNS Agency Name: CITY OF RANCHO PALOS VERDES 30940 HAWTHORNE BLD. RANCHO PALOS VERDES, CA 90275-5391 Contact Person: CHUCK STEPHAN Telephone: 310/544-5252 Original Contract Amount., $1,218,105 Final Contract Amount, $1,275,338 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number. AVENUE H, MOUNTAIN VIEW, 2ND AVE, COUNTY CLUB /10051C Start and Finish Dates: 09/2010 - 04/2011 Project Description: AC, UTILITY MANHOLES, CMB, PCC, TRAFFIC SIGNAL, LOOPS, STRIPING & MARKIMG, SIGNAGE, ADJUST WATER VALVES & GAS VALVES, REPAIR EXISTING SEWER LINE Agency Name: CITY OF BARSTOW 220 E. MOUNTIAN VIEW ST BARSTOW, CA 92311 Contact Person: MARK ROWAN Telephone: 760/241-6146 Original Contract Amount, $1,523,000 Final Contract Amount., $1,803,836 Updated February 2016 25 MUD SULLY -MILLER C'.ONTRAt,TING CEO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number: VARIOUS STREETS, VIRGINIA WAY ETC /10048C Start and Finish Dates: 02/2011 - 12/2011 Project Description: AC, PCC, CATCH BASIN, UTILITY MANHOLES, LOOPS, STRIPING & MARKING, SIGNAGE Agency Name: CITY OF BARSTOW 220 E. MOUNTAIN VIEW ST BARSTOW, CA.92311 Contact Person: MARK ROWAN Telephone: 760/241-6146 Original Contract Amount.• $1,124,134 Final Contract Amount., $1, 365,121 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number.• MEADOWPASS ROAD IMPROVEMENTS /10047C Start and Finish Dates. 09/2010 - 03/2011 Project Description: CLEARING & GRUBBING, CAB, AC, PCC, ADJUST VALVE & MANHOLE TO GRADE, STRIPING/MARKING/SIGNS, STREET LIGHTING, RETAINING WALL, MASONRY WALL, PIPE LANDSCAPE & IRRIGATION, LOOP DETECTORS, STROM DRAIN, CATCH BASIN, STRUCTURES, RCP Agency Name: CITY OF WALNUT 21201 LA PUENTE ROAD WALNUT, CA 91789 Contact Person: JASON WELDAY Telephone: 909/595-6095 Original Contract Amount- $3,445,395 Final ContractAmount.• $3,910,596 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number.' ARMORY ROAD /10046C Start and Finish Dates: 09/2010 - 01/2011 Project Description: AC EMULSION, ADJUST MANHOLE, SURVEY, STRIPING/MARKING/SIGNS, PCC, LOOPS Agency Name., CITY OF BARSTOW 220 E. MOUNTAIN VIEW ST BARSTOW, CA 92311 Contact Person: WILLIAM HENDERSON Telephone., 760/255-5157 Original Contract Amount.- $782,765 Final ContractAmount: $786,834 Change in original contract amount is due to extra work and/or contract change orders adding work. ProjectName/Number.• ABBOTf ROAD STREET IMPROVEMENTS / 10043U Start and Finish Dates. 09/2010 - 12/2010 Updated February 2016 26 SI..JLLY-MILLER. CONTRACTINCT CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Description; AC GRIND & OVERLAY, PCC IMPRV., ADJUST UTILITIES, ELECTRICAL, ROOT PRUNING/TREE TRIMMING/TREE REMOVAL, STRIPING & MARKING, STORM DRAIN STRUCTURES Agency Name: CITY OF LYNWOOD 11330 BULLIS ROAD LYNWOOD, CA 90262 Contact Person: PAUL NGUYEN Telephone: 310/603-0220 Original Contract Amount- $1,267,754 Final Contract Amount., $1,601,267 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number. DAISY AVENUE /10042C Start and Finish Dates: 09/2010 - 03/2011 Project Description: PULVERIZE, CLEAR & GRUB, BOLLARDS REMOVAL, REFURBISH BOLLARDS, TREE & STUMP REMOVAL, TREE PRUNE, ADJUST MANHOLES & VALVES, ELECTRICAL, ADJUST SURVEY MONUMENTS, CONCRETE IMPRV., GRANITE, AC, FIREHYDRANT MARKERS, STRIPING & MARKING, LANDSCAPE, UNDERGROUND Agency Name: CITY OF LONG BEACH 333 WEST OCEAN BLVD LONG BEACH, CA 90802 Contact Person: ERIC LOWE Telephone; 562/570-5176 Original Contract Amount., $1,312,217 Final Contract Amount., $1,362,408 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number.- STATE STREET /10037U Start and Finish Dates: 08/2010 - 03/2011 Project Description: REPAIR OF PCC PAVEMENT AND SW/RAMPS/DW Agency Name: CITY OF SOUTH GATE 8650 CALIFORNIA AVENUE SOUTH GATE, CA 90280 Contact Person: IDANIEL GRUEZO Telephone: 323/357-9657 Original Contract Amount- $1,299,973 Final Contract Amount: $1,546,185 Change in original contract amount is due to extra work and/or contract change orders adding work. Updated February 2016 27 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staffhas performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. Scott Conover Name of proposed Project Manager Telephone No. of proposed Project Manager: 7141578-9600 Santa Monica Pavement & Maintenance ($3.2Mill) Paving 06/2016 Project Name & Contract Amount Type of Work Date Completed John Wayne Airport Annual ($1.3Mill) Paving 07/2016 Project Name & Contract Amount Type of Work Date Completed Santa Monica Parking Lot 45 ($750K) Paving 07/2016 Project Name & Contract Amount 'Type of Work Date Completed 2. Mike Love Name of proposed Superintendent Telephone No. of proposed superintendent: 714/578 — 9600 Santa Monica Pavement & Maintenance ($3.2Mill) Paving 06/2016 Project Name & Contract Amount Type of Work Date Completed John Wayne Airport Annual ($1 3Mill) Paving 07/2016 Project Name & Contract Amount Type of Work Date Completed Santa Mnnina Parking T cat 4R (.S79OK) Pavina- 07'12 116 Project Name & Contract Amount Type of Work Date Completed C-11 a CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.l(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link Call (844) 522-6734 https://efiling.dir. ca.gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca_gov/PWCR/Search. action I am aware and will comply with the provisions of Labor Code Section 1771. l(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, tmless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid - Sully —Miller Contracting Company Contractor By Dennis Gansen Vice —President Title Date: 05/08/17 PWC Registration ff: 1000003664 I 612312016 Public Works California Department of Industrial Relations - Contact DIR Press Room I Contact DIR I CAgov Co to Search Home Labor Lava CallOSHA- Safety& Health Workers' Comp Self Insurance Apprenticeship Director's Office Boards Public Works Contractor (PWC) Registration Search, This is a listing of current and active PWC registrations pursuantto Division 2, Part 7, Chapter 1 (commencing with section 1720 ofthe California Labor Code.) Enteratleastone search criteria to displayactive registered public works contractor(s) matching your selections. Registration Year: Next Fiscal Year. 2016/17 PWC Registration Number: (example: 1234567890 Contractor Legal,Name:- example -ABC -COMPANY- - Contractor License Lookup -- exam P License Number: 47612 County: Select County -� i Search Reset Export as: Excel PDF Search Results rinn — icf—ri rnntractnrfnitnrl 1 Details I Legal Name Registration Number County City Registration Date Expiration Date View I SULLY -MILLER CONTRACTING COMPANY 1000003664 ORANGE I BREA 06/21/2016I 06/30/2017 v220160101 About DIR Work With Us Learn) More Who we are Licensing, registrations, certifications & permits Site Map DIR Divisions, Boards & Commissions Notification of activies Frequently Asked Questions Contact DIR Public Records Act Jobs at DIR Conditions of Use Privacy Policy € Disclaimer Disability accommodation Site Help Copyright © 2015 State of California City Of Huntington Beach 2000 Main Street e Huntington Beach, CA 92648 (714) 536-5227 ® www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk August 10, 2017 Sully -Miller Contracting Company 135 S. State College Blvd., Suite 400 Brea, CA 92821 RE: Residential Overlay of Maintenance Zone 10 — CC-1542 Enclosed please find your original bid bond for CC-1542. Sincerely, Robin Estanislau, CIVIC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand Liberty Mutual SURETY BID BOND Bond Number: Bid Bond 2200 Renaissance Blvd. Ste. 400 King of Prussia, PA 19406-2755 Ph. (610) 832-8240 KNOW ALL MEN BY THESE PRESENTS, that we Sully -Miller Contracting Company as principal (the "Principal'), and , as surety (the , as obligee (the "Obligee"), in the penal 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: Residential Overlay maintenance zone 10 C.C. No 1542 NOW, THEREFORE, if the Obligee shall accept the bid of the Principal within the period specified therein, or, if no period be specified, within sixty (60) days after opening, 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, or in the event of the failure of the Principal to enter into such contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference in money not to exceed the penal sum 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. In no event shall the liability hereunder exceed the penal sum thereof. PROVIDED AND SUBJECT TO THE CONDITION PRECEDENT, that any claim by Obligee under this bond must be submitted in writing by registered mail, to the attention of the Surety Law Department at the address above, within 120 days of the date of this bond. Any suit under this bond must be instituted before the expiration of one (1) year from the date of this bond. If the provisions of this paragraph are void or prohibited by law, the minimum period of limitation available to sureties as a defense in the jurisdiction of the suit shall apply. DATED as of this 5th day of May , 2017 WITNESS / ATTEST Sully -Miller Contractina Comoan (Principal) By: (Seal) Name: DENNIS GANSEN Title: VICE-PRESIDENT '114sun Liberty Mutual Insurance Company <a oFPO�, rn (Surety) ' 1912 BY: V1-cr6-rTia-Nr7Camp e A mey-in-Fact LMIC-5000 Rev. 03104 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL •. w ,a..a�.a .w ,a._a .w ,w•.ac.w��.aC_a .w .w .a¢.w .w ,a..a .w _a..a _w .w .aCs4 .w _a .a'_w .w .a._: � .w ,w�..� _w _w .a..a .w ..w�.s� _w .. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of Orange ) On May 08, 2017 before me, Maria L. Ruiz, Notary Public Date Here Insert Name and Title of the Officer personally appeared Scott Bottomley 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), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I, dil MARIA L. RUIZ aeNotary Public - California Z --aorange County Commission * 2176005 M Comm. Expires Jan 5. 2021 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. • • OFANPI /17 Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Bid Bona Number of Pages: Signer(s) Document Date: 04/19/17 Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Scott Bottomley X Corporate Officer — Title(s): Vice -President ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: � s - 4�''�/ 4:s' -&. •s•y�n ai ar a+ - m' -•� 'r' `3T.� _`�ti+s`—af v �a� -L •s�ti-"m,",-ri •ai •s'6`��`Y �...,m -ei.•a• `arga.L�•rti -d •.v -m6` CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL O. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On May 08, 2017 before me, Maria L. Ruiz, Notary Public Date Here Insert Name and Title of the Officer personally appeared Dennis Gansen 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), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. MAAIA L. AUIZ 17-z7otary Public - California z .� Orange County i Commission * 2176005 M Comm. Expires Jan 5, 2021 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. Si Signature ry P b Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Bid Bond Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Dennis Gansen [X Corporate Officer — Title(s): Vice -President ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Sully -Miller Contracting Co. Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator I-1 nthry- Signer Is Representing: ©2014 National Notary Association • www.Nationa[Notary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County.of Orange ) On A S I I � before me, Amy M. Holler, Notary Public Date Here Insert Name and Title of the Officer personally appeared Victoria M. Campbell Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/a-re subscribed to the within instrument and acknowledged to me that -tie/she/then executed the same in his/her/their authorized capacity(ies), and that by kris/her/their sionature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. i AMY M. HOLLER COMMISSION M 2119310 9 Notary Public - California 3 ORANGE COUNTY My Comm Expires Jan 12 2021 Place Notary Seal Above 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 Signature of Notary Public OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Number of Pages: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Titie(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ® Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: Liberty Mutual Insurance Company Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 4•Cl '94' _ar:VN4\� 4V4� T✓4�r1+4�4�.t/G�u v 'v YJ 'b 'cl tl '.Y 'm 'mGV�A_rG`a:�.V4��'..�-d'.'✓4' �✓4L�4�4VG�b,4' '! 6�Cl 4 National• - Association • • - • • :11 • A' 81 6 - 91 THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. 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. Certificate No. 7445948 American Fire and Casualty Company Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire & Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana. (herein collectively called the "Companies'), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Victoria M Campbell all of the city of Irvine state of CA each individually if there be more than.one named, its true and lawful attorney-in-facfto 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 pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by secretary of the Companies in their own. proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed: by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 8th day of August 2016 ENO CJ ��Y INS,, ��NSUq N WSUq American Fire and Casualty Company 'nC �F,=,avo;igT�oy�/ �JPv Gy2n The Ohio Casualty Insurance Company . 0 T. e Liberty Mutual Insurance Company a < 1906 0 0 1919 n > 1912 0 1991 z o x a West American Insurance Company SN �cd ""can;Pi� ��� .Jh, '•�rn.;ccv" �a 9��'`.su:+.USF� �_ ' <voinraa < By: G) STATE OF PENNSYLVANIA ss David M. Care ,Assistant Secretary 41 COUNTY OF MONTGOMERY _ C dtM On this 8th day of August 2016 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of American Fire and v f. e d Casualty Company, Liberty Mutual Insurance Company, The Ohio Casualty Insurance Company, and West American Insurance Company, and that he, as such, being authorized so to do, > LL 0- execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. L a) > IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting, Pennsylvania, on the day and year first above written. O C �p 9P PAST COMMONWEALTH OF PENNSYLVANIA�y� Q o�uoNWFq`F< Notarial Seal w- •y h x v Pastella, Notary Public By: O O i of FT.,esa mouth Twp., Montgomery County Teresa Pastella, Notary Public y L _ �P ommission Expires March 28, 2017 3 yL ZNsv�vP? a O p7. S,� Member, Pennsylvania Association of Notaries O 41 y qRy pie II a cp This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of American Fire and Casualty Company, The Ohio Casualty Insurance W e y ; Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: C m tM ` ARTICLE IV— OFFICERS —Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject O C Cto such limitation as the Chairman or the President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, a O acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective =p E y powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so a O Mexecuted, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney -in -fact under > c the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. d ARTICLE XIII — Execution of Contracts — SECTION 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, E a > L and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, L a O seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact Zorneys-in-fact subject to the limitations set forth in their O c respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so V C executed such instruments shall be as binding as if signed by the president and attested by the secretary. O Certificate of Designation — The President of the Company, acting pursuant. to the Bylaws of the Company, authorizes David M. Carey, Assistant. Secretary to appoint such attorneys -in- ~ c fact as may be necessary to act on behalf of:.the Company to make; execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that 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. I, Gregory W. Davenport, the undersigned, As Secretary, of American Fire and Casualty Company, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do herebycertify that the original power of•attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this day of ,L 20 . aU Cqs �jY INSU WSUq NlNSU,q Gq a 1906 0 0 1919 n F 1912 ° 4` 1991 L By: a Gregory W. Davenport, Assistant Secretary �J✓J w�•;HiMMPiaK\��D J,� "hn 1aFS''�,� 9if�sshCFU`� h\� y ?:CAp1N < 157 of 300 LMS_12873_122013 t SULI Y- MILLER CONTRACTING CO. 135 S. STATE COLLEGE BLVD. SUITE 400 BREA, CA 92821 *** SEALED BID PROPOSAL *** DO NOT OPEN WITH REGULAR MAIL - City of Huntington Beach Attn: City Clerk 2000 Main Street. Second Floor _ Huntington Beach, CA 92648 PROPOSAL for: Residential Overlay of Maintenance Zone 10 CC No. 1542 BID DUE DATE: Ma 09, 2017 @ 2.00 PM i UNSUCCESSFUL BIDS CC-13 99 Beach Blvd. and Holt Ave. Water Main Extension CC- 1406 Beach Blvd.- Blaylock Dr. to Rubidoux Dr. Water Main Extension City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachea.gov Office of the City Clerk Robin Estanislau, City Clerk October 10, 2017 Cedro Construction 120 E. Santa Maria Street ;, Santa Paula, CA 93060 RE: Beach Blvd. and Holt Ave. Water Main Extension - CC-1399 RE: Beach Blvd. - Blaylock Dr. to Rubidoux Water Main Extension - CC-1406 Enclosed please find your original bid bonds for CC-1399 and CC-1406. Sincerely, Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand CC NO. 1399 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD AT HOLT DRIVE AND CC NO. 1406 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD, BLAYLOCK DRIVE TO RUBIDOUX DRIVE Contact: Andrew Ferrigno Bid due date: 4/25/2017 Phone: (714) 536-5291 Addenda: None Email: aferrigno@surfcity-hb.org Cost of Plans: $40.00 Organization/Division BID AMOUNT BID AMOUNT VERRIFIED RANK AMPCO Contracting, Inc. ' 5-75.7 0 0 0C August Construction BALI Construction Inc. Cedro Construction Inc. Excel Paving Garrett J Gentry Gen. Eng. Inc. 66qp '^ 0p 3 GCI Construction, Inc. GRFCO, Inc. KANA PIPELINE, INC. Lucas Builders, INc Ramona Inc. Stephen Doreck Equipment Rentals, Inc. c G$ (� �o'�,00 Sully -Miller Contracting Company T.E. Roberts, Inc. Vido Samarzich, Inc. SECTION C • PROPOSAL for the construction of CC NO. 1399 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD AT HOLT DRIVE AND CC NO. 1406 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD, BLAYLOCK DRIVE TO RUBIDOUX DRIVE 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 therefore, 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 80 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 Goti in the amount of �_p1,Ci OO which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 SECTION C 17-1 is PROJECT BID SCHEDULE A BEACH BOULEVARD WATER MAINS, CC 1399 AND CC 1406 BID ITEMS 1 Mobilization 1 LS $ A6�' $ 2-LA 2 2 Prepare Water Pollution Control Plan (WPCP) 1 LS $ 2 27 R 01 �? $ 2 273 3 Install & Maintain Construction BMPs 1 LS $��' $ A G A,2 °:' 4 Demobilization and clean-up 1 LS $ 'j 5 Trench and Excavation Safety Measures: Sheeting, Shoring Bracing, 1 LS „ $ 2 a0 �_� $ 21100 and 6 Traffic Control 1 LS C $ r 7 12" DR-14 PVC AWWA C900 Water Main 1370 LF $ y $ Z O-1,06 ' 8 12" Ductile Iron PC 350 with Restrained Joints 190 LF $ ��. $ `J 23f U 1D U� 9 8" Ductile Iron PC 350 Water Main 40 LF $ �3�� $ 5. (90� 10 8-inch Hot Tap on Existing 8-inch AC per Plan 619 3 EA $ o? $ 11 11 12-inch Hot Tap on Existing 12-inch AC per Plan 619 1 EA $ Ilo�� $ 12 Thermal Plastic Pavement Markings per Caltrans Specifications 1 LS A $ `�22�j ` dy $ 2" 13 Detector Loops per Plan ES-5B 14 EA $ 4C'� $ (J(� 14 Air and Vacuum Release Assembly per Plan 611. 2 EA $ a $ 6 Pipe line Hydrostatic Testing, Chlorination and 15 Bacteriological testing �� ^ 6� 25 _ 1 LS $�9�2`) $ 16 Remove and Replace Existing Median Curb per Plan 30 LF �,� $ ' /� ov $ 46— A87A 17 Asphalt Concrete Class B PG 70-10 RAP 420 TON $ ! b .� $ !� da 0 18 ARHM, 2-inch Surface Course 120 TON $ e° $ 40 19 Aggregate Base 420 TON $ C� $ 2 3 0rJ 4, 20 One Sack Cement Slurry Backfill 300 Cu YD $ $ 21 Remove and Replace Existing Stamped Concrete $ 6 5`poc— �c{J� E� $ per Plan 711 60 SF C-2.1 c SECTION C • • • PROJECT BID SCHEDULE A BEACH BOULEVARD WATER MAINS, CC 1399 AND CC 1406 TOTAL BID AMOUNT (BASIS OF AWARD) — SCHEDULE A TOTAL BID AMOUNT IN WORDS: S / t.4-V, �JDIZ�-r7 War M AI-17-- o'f? s C 96Z6" Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. All extensions of unit prices will be subject to verification by Owner. In case verification is required 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-2.2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and • business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Item(s) Name and Address of Subcontractor State License Number Class DIR PWC Registration # Dollar Amount % of Contract y� y 3 g 50Vm5sr do By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. • 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 • NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 4/24111, at 5nh4-• P-V 'tc, , C". Date City State A,AW being first duly sworn, deposes and says that he or she is pre y ; cl,e.'k of C eckwo C.nvsA C L,r-' - 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. • CC'��O CoL�S� t vC �QY� :SAC Name of Bidder Signature of Bidder 12.0 C Sgh-k" Vla i CC' G3yG0 Address of Bidder C-4 UTILITY AGREEMENT • HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the CC NO. 1399 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD AT HOLT DRIVE AND CC NO. 1406 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD, BLAYLOCK DRIVE TO RUBIDOUX DRIVE, (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. Date: • Contractor Av^\JY'e\,,j CeSra By Title C-5 DISQUALIFICATION QUESTIONNAIRE • In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes m.No If the answer is yes, explain the circumstances in the space provided. • • Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. • Date. : L41aLI ! aG�11 • Co�S�sru-C- k-0,� -Chi Contractor By ?Ices Title C-7 BIDDER'S INFORMATION • BIDDER certifies that the following information is true and correct: • �'eCAr0 Cov.5 rciC k%0V\ 'ShC Bidder Name I20 E . -Sell,� Business Address 1 c,i1� Cc, ck3060 City, State Zip ( �fdT ) 19aIt-07 qq C.eJ,a Co�aFvoti Gl cw��c�KCo�''I Telephone Number Email Address A rl I S� Lk State Contractor's License No. and Class Original Date Issued Expiration Date The work site was inspected by Ct��6 of our office on 3 �© , 201a. The following are persons, firms, and corporations having a principal interest in this proposal: Ceato 7VVNc 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. CeAyo Company Signature of Bidder l��p�ve� C�atrB Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this day of t - , 201 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of C A,(;,orL/At Cam) County of \� Q \ U�� _' ) On kp 0 Month, Day, and Year before me, l �� e 4) � -� 1 � b G C: Insert Name and Ti le of Notary personally appeared A V)A-& I Q� Cc � L Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(, whose name( is/afire subscribed to the within instrument and acknowledged to me that he/se/tl�y executed the same in his/hekth�,j authorized capacity(i(), and that by his/he /th�ir signatureo on the instrument • the person(-'J, or the entity upon behalf of which the person("A acted, executed the instrument. • certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. MILLIE DIAZ WITNESS m hand and official seal. < Notary Public - California Y Z Ventura County z ' Commission # 2155051 My Comm. Expires May 28, 2020 Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, • specifically referencing the construction of potable water pipelines, located within Caltrans right of way, constructed during night time work hours, with experience deploying and removing traffic control on a daily basis. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. Olckw�&,\e VQ Name and Address of Public Agency Name and Telephone No. of Project Manager: WAe-V- I1,ew, \ -Cn 1-� I. 100, 006 �tis�0.1\ Wa �� 1;he q - <' 1-6 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 'Sh.s�a\+ S`boa L,� oT +a'' I�,� i� 'T�^e. +h5 , 1 �e •`>�``' +n 2. Name and Address of Public Agency • Name and Telephone No. of Project Manager: r\) \ P J g 21' WI006 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: • 3. C 1\e s uc,,, , Name and Address of Public Agency Name and Telephone No. of Project Manager: i-Nc jSre z 3 -- 4a ._ QV 1 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: ', s A C. �1 Wa Coy *\& C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and • Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 0 2. Name of proposed Project Manager Telephone No. of proposed Project Manager: '?,,lo'jq`o- I 6'nQ'G0,6 cj,� Project Name & Contract Amount Type of Work Date Completed C'n � , C Gj �J C� �� iJ' i-1, A ( CJ 1 ,e V- (D`, U ' O Project Name & Contract Amount Type of Work Date Completed 1 '©�c c� Val C1J Lida Project Name & Contract Amount Type of Work Date Completed Name of proposed Superintendent Telephone No. of proposed Superintendent: A. cPotra L 't .._WAJe-,,� 52, I &o,Q,o y-- a , Oo \-19 Project Name & Contract Amount Type of Work Date Completed 5CCL ( � e61eJ V �t%,j�-e Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE • Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www. dir. ca. gov/DL SE/Public Works/SB 8 54FactSheet-6.3 0.14.pdf DIR's Contractor Registration Link — Call (844) 522-6734 https://efiling.dir. ca. gov/P W CR/ActionServlet?action--displayP WCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently • registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Date: 14 - ay -Do ( • PWC Registration #: o,1oa 1 T" Contractor By r re5 ;det1'1 Title C-12 INTERNATIONAL FIDELITY INSURANCE COMPANY BOND NO: CEDCO-669 BID BOND KNOW ALL MEN BY THESE PRESENTS: That we, CEDRO CONSTRUCTION, INC. (hereinafter called the Principal), and INTERNATIONAL FIDELITY INSURANCE COMPANY, a corporation organized and doing business under and by virtue of the laws of the State of NEW JERSEY, 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, CC NO. 1399, CC NO. 1406, 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 21ST day of APRIL, 2017. BY: RANDYI SPOHN, / Attorne in -Fact CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of CALIFORNIA County ORANGE -o,-f� On a l , an 0-I 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 to me that he/she/they executed the same in his/her/their authorized capacity (ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ERIKA GUIDO COMM. # 2022671 N WITNESS nd and official seal. NOTARY PUBLIC CALIFORNIA a ORANGE COUNTY ^@' May 5,2017 l M eomm. expires t S' ture o tkir OW II: Q 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 ❑ PARTNER(S) ❑ LIMITED ® ATTORNEY -IN -FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) e0d City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk 1 October 10, 2017 G.J. Gentry Gen. Eng. Inc. 1297 W. 9th Street Upland, CA 91786 RE: Beach Blvd. and Holt Ave. Water Main Extension - CC-1399 RE: Beach Blvd. - Blaylock Dr. to Rubidoux Water Main Extension - CC-1406 Enclosed please find your original bid bonds for CC-1399 and CC-1406. Sincerely, Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of CC NO. 1399 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD AT HOLT DRIVE AND CC NO. 1406 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD, BLAYLOCK DRIVE TO RUBIDOUX DRIVE 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 therefore, 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 80 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 which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 SECTION C PROJECT BID SCHEDULE A BEACH BOULEVARD WATER MAINS, CC 1399 AND CC 1406 BID ITEMS g Item Descrip uC `�'is �a < ' Quantity " �a3 c $Unity � mAd�gk ,r `JUnit�1 �Cost � . g Total'Cost "Y 1q ENO k s 1 .' xvp (Extension) 1 Mobilization 1 LS $ ZL`K 2 Prepare Water Pollution Control Plan (WPCP) 1 LS $� $ 3 Install & Maintain Construction BMPs 1 LS $ JI , i15``' $ lj, 4 Demobilization and clean-up 1 LS $12 $ Lj, `° 5 Trench and Excavation Safety Measures: Sheeting, $ $ ZI, Shoring and Bracing, 1 LS Z� (_060 iOCQc 6 Traffic Control 1 LS *1 CaGO--' $ '5�f, cco 7 12" DR-14 PVC AWWA C900 Water Main 1370 LF co $ 1(.)y - $ NZ, Lr 8 12" Ductile Iron PC 350 with Restrained Joints 190 LF $ � K $ ' SCO` 9 8" Ductile Iron PC 350 Water Main 40 LF $ S� 0 $ 10 8-inch Hot Tap on Existing 8-inch AC per Plan 619 3 EA $ I7 $ 11 12-inch Hot Tap on Existing 12-inch AC per Plan 619 1 EA $ 12 Thermal Plastic Pavement Markings per Caltrans Specifications 1 LS n„ $ is" OCD — m $ 19, cap 13 Detector Loops per Plan ES-5B 14 EA $ ,� $ 14 Air and Vacuum Release Assembly per Plan 611. 2 EA $ f I $ (1, OZL . Pipe line Hydrostatic Testing, Chlorination and 15 Bacteriological testing 1 LS $ 000' $ j s, cco — 16 Remove and Replace Existing Median Curb per Plan A87A 30 LF $1� $ 17 Asphalt Concrete Class B PG 70-10 RAP 420 TON $ G[ lea $ a 18 ARHM, 2-inch Surface Course 120 TON $ Z(n3 `— $ 19 Aggregate Base 420 TON $ $ 20 One Sack Cement Slurry Backfill 300 Cu YD r.=� $ Cc��.— $ Lt-7, Li 21 Remove and Replace Existing Stamped Concrete per Plan 711 60 SF $ C-2.1 SECTION C PROJECT BID SCHEDULE A BEACH BOULEVARD WATER MAINS, CC 1399 AND CC 1406 �„:sh z :irk` j .+o��•�si �; ` .,'. ss, '3 Item � Descn tton (juanh Umt Unrt'Cost Total Cosh l�. c:: '� r ,�u ��;� jrn�;,' *� �^�f.:; z + _:::-.- x tea'•.., �0"ux3�` za 4N n� s�� RE ' �tE7CtenSlon� a 'a �' t �i±?` t.�.•_ � � �� r � ,,',,,� '� �'htk� rein �`' � aa�.�"� x"'' .�.. x�+ ¢` . ;. b, `ir ' z TOTAL BID AMOUNT (BASIS OF AWARD) — SCHEDULE A $ C..p (-09, TOTAL BID AMOUNT IN WORDS: rx �r �dY'1f i�r� S I >C ty - Jl fl2 41I)c0 :2 Did el-ly ()6j Uri iar'ls (1g✓Y:l Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. All extensions of unit prices will be subject to verification by Owner. In case verification is required 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-2.2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Item(s) Name and Address of Subcontractor State License Number Class DIR PWC Registration # Dollar Amount % of Contract N r) i By submission of this proposal, the Bidder certifies: That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California tha the foregoing is true and correct and that this declaration is executed on ►L , at a. O. , C 6, 'Date"City State /' , bein first duly sworn, deposes and says that he or she is of /` the party making the fore oing bid that the bid is not made in the interest of, or on t e bdhalf 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. 4is Name of Bidder nature of Bidder Address of Bidder U fir-. J C-A '� \--*\ 9 6 C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the CC NO. 1399 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD AT HOLT DRIVE AND CC NO. 1406 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD, BLAYLOCK DRIVE TO RUBIDOUX DRIVE, (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. Date: 9 1/ ZS 17 S � �-r_=,m�-1`�/ G�✓1. LNG � � J1C- , Contractor 9?00— Title C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes K No If the answer is yes, explain the circumstances in the space provided. N �� Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Date: ZS ZC)1 `7 Contractor 13y 6 ►a(G,-4 Title C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: �-�'�t-1���� ; � ��,�'1-�-,s'��/ �i(X'ti�Gl ��Y',�►'1N�J`id1G.. �1�: . Bidder Name I Zvi' --I w . Business Address City, State Zip Telephone Number Email'Addfdss QG I zs)Y A State Contractor's License No. and Class Original Date Issued Expiration Date The work site was inspected by6- a fc--4 of our office on -Ha— 1 , 2017. The following are persons, firms, and corporations having a principal interest in this proposal: 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. fi r; f- , \ -Icy C 'cr:4 �, ✓� , �� . Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this day of , 201_ A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of � �� t�� hh� ) o OP tot,3 County of � �� (�v 0�°� � �o c4 �p On i before me, Month, Day, and Year Insert Name and Title of Notary personally appeared who proved to me on the basis of satisfactory evidence to be the personXwhose name(�Q/are subscribed to the within instrument and acknowledged to me that e she/they executed the same in �er/their authorized capacity(iks), and that by is her/their signatur'e"K on the instrument the personts.), or the entity upon behalf of which the person acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) comm. #21.40144 eib ems* �9rta f�F,�9 -�f Frye COY ri m C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of potable water pipelines, located within Caltrans right of way, constructed during night time work hours, with experience deploying and removing traffic control on a daily basis. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 2. a Name and A dress of Public Agency Name and Telephone No. of Project Manager: -77>-Z 7-- -7 � �7\T_ Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 0. .\ \-;�. �7— Name and Address of Public Agency Name and Telephone No. of Project Manager: QI— Contract Amount Type of Work Date Completed Provide additional project description rq show similar work: Name and Address of Public Agency Name and Telephone No. of Project Manager: - -n Contract Amount Type of Work Date Completed Provide additional project desc iption to sho similar work: AN C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. Name of proposed Project Manager Telephone No. of proposed Project Manager:(LI' 61S -2 - 15CI93 ; Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Name of proposed Superintendent Telephone No. of proposed Superintendent: ��j�s_L-yvGt►—`���''� Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www. dir.ca.gov/DLSE/PublicWorks/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link — Call (844) 522-6734 https: //efiling. dir.ca.gov/PWCR/ActionServlet?action=displayPWCRegistrationFonn DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Date: ZS I PWC Registration #: f Q000 q5 13S Contractor I: Title C-12 �IIIIP A 1 ®current 10 TM 2010 CONTRACTOR: (Name, legal status and address) Garrett J. Gentry General Engineering Incorporated 1297 W 9th St. Upland CA 91786 SURETY: (Name, legal status and principal place of business) United States Fire Insurance Company 305 Madison Avenue, OWNER: Morristown, NJ 07962 (Name, legal status and address) City of Huntington Beach 200 Main Street Huntington Beach, CA 92648 BONDAMOUNT: 5% of Total Amount Bid PROJECT: (Name, location or add ess, and Project number, if any) CC No. 1399 & No. 1406, Water main extensions This document has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect_ The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Band is issued in connection with a subcontractor's bid to a Contractor, the terns Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been famished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, -he intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and seGled s 19th day of April 2017 GarrettT. Gentry General Engineering Incorporated (Princi (Seal) (Title) United States Fire Insurance Company_ durety) /J „ (Seal) ogle (Titre) Ryan Tash , Attorney -in -Fact (:AlUPjI4: You should s.lgn an original AIA Contract Eloeurnei t, ort which thls text appaars in RIED, Ali origlrral assures tinaf changes wtll not be crlcscured,. Init. AIA Document A310- — 2010. Copyright O 1963, 1970 and 2010 by The American !nstitute of Architects. All rights reserved. WARNING: This AIA' Docu^ens_ is protected by U.S. Capyrlght Law and Intematiortal'1`reatics. Unauthorized reproduction or distribution of this AIA' Document.. or arty poitlon of It, may result In severe civil and criminal penalties, and wiil be prosecuted to the mandmum extent possible under the law. t Purchasers are permitted to reproduce ten (10) copies of this document when compla•.od. To report copyright violations ofAlA Contract Dowments, e-mail The American Institute of Architects' legal counsel, copyright@eia.org. 061110 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Sacramento ) On rJ l ��� before me, Roger Ball, Notary Public (insert name and title of the officer) personally appeared Ryan Tash who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. 11 --�'�L� ,. ts_ ROGER 2180'87 ''nn NOTARY PUBLIC-CALIFORNIA U! �•+ � SACRAMENTO COUNTY MY Cow EXP. JAN. 20, 2021 '+ Signature (Seal) POWER OF ATTORNEY UNITED STATES FIRE INSURANCE COMPANY PRINCIPAL OFFICE - MORRISTOWN, NEW JERSEY 03694429818 KNOW ALL MEN BY THESE PRESENTS: That United States Fire Insurance Company, a corporation duly organized and existing under the laws of the state of Delaware, has made, constituted and appointed, and does hereby make, constitute and appoint: Ryan Tash each, its true and lawful Attorney(s)-In-Fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver: Any and all bonds and undertakings of surety and other documents that the ordinary course of surety business may require, and to bind United States Fire Insurance Company thereby as fully and to the same extent as if such bonds or undertakings had been duly executed and acknowledged by the regularly elected officers of United States Fire Insurance Company at its principal office, in amounts or penalties not exceeding: Seven Million, Five Hundred Thousand Dollars ($7,500,000). This Power of Attorney limits the act of those named therein to the bonds and undertakings specifically named therein, and they have no authority to bind United States Fire Insurance Company except in the manner and to the extent therein stated. This Power of Attorney revokes all previous Powers of Attorney issued on behalf of the Attorneys -In -Fact named above and expires on January 31, 2018. This Power of Attorney is granted pursuant to Article IV of the By -Laws of United States Fire Insurance Company as now in full force and effect, and consistent with Article III thereof, which Articles provide, in pertinent part: Article IV, Execution of Instruments - Except as the Board of Directors may authorize by resolution, the Chairman of the Board, President, any Vice -President, any Assistant Vice President, the Secretary, or any Assistant Secretary shall have power on behalf of the Corporation: (a) to execute, affix the corporate seal manually or by facsimile to, acknowledge, verify and deliver any contracts, obligations, instruments and documents whatsoever in connection with its business including, without limiting the foregoing, any bonds, guarantees, undertakings, recognizances, powers of attorney or revocations of any powers of attorney, stipulations, policies of insurance, deeds, leases, mortgages, releases, satisfactions and agency agreements; (b) to appoint, in writing, one or more persons for any or all of the purposes mentioned in the preceding paragraph (a), including affixing the seal of the Corporation. Article III, Officers, Section 3.11, Facsimile Signatures. The signature of any officer authorized by the Corporation to sign any bonds, guarantees, undertakings, recognizances, stipulations, powers of attorney or revocations of any powers of attorney and policies of insurance issued by the Corporation may be printed, facsimile, lithographed or otherwise produced. In addition, if and as authorized by the Board of Directors, dividend warrants or checks, or other numerous instruments similar to one another in form, may be signed by the facsimile signature or signatures, lithographed or otherwise produced, of such officer or officers of the Corporation as from time to time may be authorized to sign such instruments on behalf of the Corporation. The Corporation may continue to use for the purposes herein stated the facsimile signature of any person or persons who shall have been such officer or officers of the Corporation, notwithstanding the fact that he may have ceased to be such at the time when such instruments shall be issued. IN WITNESS WHEREOF, United States Fire Insurance Company has caused these presents to be signed and attested by its appropriate officer and its corporate seal hereunto affixed this 10t' day of March, 2016. UNITED STATES jFIRF TNgITRANC-E COMPANY Anthony R. Slimr,wicz, Executive Vice President State of New Jersey) Countyof Morris ) On this 10t' day of March 2016, before me, a Notary public of the State of New Jersev, came the above named officer of United States Fire Insurance Company, to me personally known to be the individual and officer described herein, and acknowledged that he executed the foregoing instrument and affixed the seal of United States Fire Insurance Company thereto by the authority of his office. SONIA SCALA NOTARY PUBLIC OF NEW JERSEY Sonia Scala (Notary Public) MY COMMISSION EXPIRES 3/25/2019 I, the undersigned officer of United States Fire Insurance Company, a Delaware corporation, do hereby certify that the original Power of Attorney of which the foregoing is a full, true and correct copy is still in force and effect and has not been revoked. IN WITNESS WHF.I2EOF, I have hereunto set my hand and affixed the corporate seal of United States Fire Insurance Company on the Ism day of April 2017 UNITED STATES FIRE INSURANCE COMPANY Al Wright, Senior Vice President G.J. Gentry Gen. Eng. Inc s 1297 W 91h Street ' Upland, CA 91786 City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www•huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk October 10, 2017 Stephen Doreck Equipment Rentals, Inc. 9075 Telegraph Road Pico Rivera, CA 90660 RE: Beach Blvd. and Holt Ave. Water Main Extension - CC-1399 RE: Beach Blvd. - Blaylock Dr. to Rubidoux Water Main Extension - CC-1406 Enclosed please find your original bid bonds for CC-1399 and CC-1406. Sincerely, Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities. Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of CC NO. 1399 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD AT HOLT DRIVE AND CC NO. 1406 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD, BLAYLOCK DRIVE TO RUBIDOUX DRIVE 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 therefore, 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 80 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 Bidders Bond in the amount of which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature OY1R- C-z SECTION C PROJECT BID SCHEDULE A BEACH BOULEVARD WATER MAINS, CC 1399 AND CC 1406 BID ITEMS 1 1 Mobilization 1 LS $q j,t1S' as $ 911 7M.OD 2 Prepare Water Pollution Control Plan (WPCP) 1 LS $�(,�, j 00 $ tpl2s-0.00 3 Install &Maintain Construction BMPs 1 LS $ 3,_ C $ 3�.00 4 Demobilization and clean-up 1 LS $ 3_05Z.00 $ 42S_ 00 5 Trench and Excavation Safety Measures: Sheeting, Shoring and Bracing, 1 LS 6 Traffic Control 1 LS $ 2Q,12S.0° 7 12" DR-14 PVC AWWA C900 Water Main 1370 LF $ 1-76.00 $ 00 8 12" Ductile Iron PC 350 with Restrained Joints 190 LF $ y0l.00 $ 76 M. Wl 9 8" Ductile Iron PC 350 Water Main 40 LF $ (0ul0 $ 0;cmoo 10 8-inch Hot Tap on Existing 8-inch AC per Plan 619 3 EA $ 0.08 $ Z��?.30•�� 11 12-inch Hot Tap on Existing 12-inch AC per Plan 619 1 EA $ l 6�pe 12 Thermal Plastic Pavement Markings per Caltrans Specifications 1 LS $1p�6ZS.D $ iobZS:Oo 13 Detector Loops per Plan ES-56 14 EA $ $,So• $ 7�700.00 14 Air and Vacuum Release Assembly per Plan 611. 2 EA $3,700.00 $ Z �(0.00 15 Pipe line Hydrostatic Testing, Chlorination and Bacteriological testing 1 Ls $ 751-0 $ ST 16 Remove and Replace Existing Median Curb per Plan A87A 30 LF $ SS. D 0 $ 1, b00 17 Asphalt Concrete Class B PG 70-10 RAP 420 TON $ 2 .DO $ QS' ' D 18 ARHM, 2-inch Surface Course 120 TON $ 66.00 $ 3 001D.00 19 Aggregate Base 420 TON $ 27.00 $ D. 20 One Sack Cement Slurry Backfill 300 CU YD $ 160• 00 $ 411 21 Remove and Replace Existing Stamped Concrete Plan 711 60 SF $ 3q.60 $ 2 per C-2.1 SECTION C PROJECT BID SCHEDULE A BEACH BOULEVARD WATER MAINS, CC 1399 AND CC 1406 TOTAL BID AMOUNT (BASIS OF AWARD) — SCHEDULE A $�12g �� S� `�• 9) 0 TOTAL BID AMOUNT I WORDS: f I v� wA e; 4h —orka. A ovs'qeid vt- h v --give- a4 45 Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. All extensions of unit prices will be subject to verification by Owner. In case verification is required 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-2.2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Item(s) Name and Address of Subcontractor State License Number Class DIR PWC Registration # Dollar Amount % of Contract � $ A00 �. 6h . Go ors G �9 ?,�7�3 ID OOn�IASI 32, %D� Li. �% I Z 8 G Trot C. S Pc4k1p 63b W.So�,• �,Rw D (A„ $��(0�6 ioe000ss43 $,moo fo By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 4/25/2017at Pico Rivera CA 0 Date City State 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, 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. Stephen Doreck Equipment Rentals, Inc. Name of Bidder Sign ure of Bidder Stephen L. , oreck / Vice President I 9075 Telegraph Road Pico Rivera, CA 90660 Address of Bidder C-4 See Attached Document (Notary to cross out lines 1-6 below) See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) Signature of Document Signer No. t State of California County of Los Angeles Signature of Dmument Signer No. 2 (if any) Subscribed and sworn to (or affirmed) before me 25th April 17 on this _ day of _____, 20_, Daze Month Year Stephen L. Doreck by ) SYLVIA SIFUENTES ._ —. Commission # 2081164 z Notary Public -California z Z Los Angeles County My Comm. Expires Oct 8, 2018 (2) Name of Srgner proved to me on the basis of satisfactory evidence to be the person w appeare before me.) Signature Place Notary Seal Above Slgn pure of 'of[ y Puol" Sylvia ifue s (Not y Public) Name o1 iigner proved to me on the basis of satisfactory evidence to be the person who appeared before me (and • s Though the Information belovv is not rerrri�,,ed by law, it maV prove vale- ro f o_ �humt) here Tor et r,�m hooe i able to pe sons relying on thr document and aruM pre3vel, �raudula.nt ramowil and reat,'auhmt fil of ;his tour; to arrotfier doaurr;ent S ! Further Description of Any Attached Document j Title or Type of Document ---_—--_----. --_----..----_--_-.- � ! I I b f I i Document Date:Number of Pages: Signer(S) Other Than Named Above © 2009 National Notary Assoc,ation • National Notary-org • 1-800-US NOTARY (1-80o-876-682i) Item k5910 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 CC NO. 1399 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD AT HOLT DRIVE AND CC NO. 1406 WATER MAIN EXTENSION PROJECT, BEACH BOULEVARD, BLAYLOCK DRIVE TO RUBIDOUX DRIVE, (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. Date: April 25, 2017 C-5 Stephen Doreck Equipment Rentals, Inc. Contractor By Stephen L. Doreck / Vice President Title State of California County of Los Angeles On April 25, 2017---- before me, Sylvia Sifuentes (Notary Public) Data Here ;,sert Na,oe wed Title, of the 01lice, personally appeared Stephen L. Doreck Nable(Sj of &_Mb & -A.& I - - - - SYLVIA SIFLIENTES t Commission # 2081164 L �iV Notary Public -California Z Z Los Angeles County I My Comm. Expires Oct 8, 2018 = Q 2009 who proved to me on the basis of satisfactory evidence to be the person() whose name(q) is/I.N subscribed to the within instrument and acknowledged to me that helMlYMY executed the same in his/kI&M/ authorized capacity(iffl), and that by his/ft/t�ff� signature(q) on the instrument the person(), or the entity upon behalf of which the person(p) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature: Place Notary Seal Above Signature offtwy Publit, OPTIONAL Though the information below rs 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: Corporate Officer — Title(s): Individual Partner—;_] Limited General Top or thumb bare Attorney in Fact Trustee Guardian or Conservator Other: Signer Is Representing: Signer's Name:Corporate Officer — Title(s): Individual ­" Partner ­' Limited General I Top of thumt, t �(,lre Attorney in Fact Trustee Guardian or Conservator _� Other: Signer Is Representing National Nolaly Association - Nat,onalfvola,, wg - 1-BOO-US NOTARY (1 Ilem A5907 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes UN If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Date: April 25, 2017 C-7 Stephen Doreck Equipment Rentals, Inc. Contractor Stephen L. Doreck / Vice President Title State of California County of Los Angeles On April 25, 2017 before me, Sylvia Sifuentes (Notary Public) _ Dale Here Insert Narne and Title of the Office personally appeared Stephen L. Doreck Name(s) of Sgoer(s) who proved to me on the basis of satisfactory evidence to be the person(j) whose name(j) is/ subscribed to the within instrument and acknowledged to me that he/9 1YM# executed the same in his1fi&1 `/QYN authorized capacity(M), and that by his/titer/tti(,ijyY signature(FI) on the instrument the peison(h), or the entity upon behalf of which the SYLVIA SIFUENTES person() acted, executed the instrument. Commission # 2081164 Notary Public -California D I certify under PENALTY OF PERJURY under the Los Angeles County > laws of the State of California that the foregoing My Comm. Expires Oct 8, 2018 paragraph is true and correct. WITNESS my hand and official s al. Signatt _ Place Notary Seal Ahove S�gnetura Mar, uhlic 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: Signer(s) Other Than Named Above: _-_ Capacity(ies) Claimed by Signer(s) Signer's Name: Corporate Officer — Title(s). Individual Partner—i_1 Limited General 1 Top or +ntm,b here Attorney in Fact Trustee 'I Guardian or Conservator Other: -- --------- ------ -- Signer Is Representing: g P 9: 1 Numher of Pages Signer's Name Corporate Officer — Title(s): [" Individual artner — Limited General I Ton of t t rth here L Attorney in Fact -i Trustee Guardian or Conservator i.:. Other: Signer Is Representing li 2009 National Notary Association • NatlonalNotary ong - i-800-US NOTARY (1-800-676�6827) Item d5907 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Stephen Doreck Equipment Rentals, Inc. Bidder Name 9075 Telegraph Road Pico Rivera CA 90660 City, State Zip (562 ) 949-4949 pablo@doreckconstruction.com Telephone Number Email Address 665471-A State Contractor's License No. and Class 3/1993 Original Date Issued 02/28/2018 Expiration Date The work site was inspected by Pablo Viramontes of our office on '4 LZ; 201-1 The following are persons, firms, and corporations having a principal interest in this proposal: Catherine R. Doreck - President Stephen L. Doreck - Vice President Pablo Viramontes - Vice President 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. Stephen L. Doreck / Vice President Printed or Typed Signature C-8 State of California County of -Los Angeles On April 25, 2017 before me, SylviaSifupersonally appeared Stephen L. Doreck Name(s) of Siqoe,(o C, Commission # 20811134 Z Los Angeles Court y My Comm. Expires Oct 8, 2018 who proved to nm on the basis of satisfactory evidence to be the pemon(�) whose name(9) isI subscribed k,the within instrument and acknowledged to me that he/M/bl executed the same in hia//&f/t/M authorized oapaoi\y(iAW), and that by hia/ft/tW& signature(s) on the instrument the pemon(k), or the entity upon behalf of which the person(p) acted, executed the instrument. | certify under PENALTY OF PERJURY under the |mwa of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official Signatur Rice Nola,ySeat Anow OPTIONAL Though the information below isnot required u/law, xmay prove valuable wpersons relying onthe document and could prevent fraudulent removal and reattachment mthis form manother document. Description ofAttached Document Title or Type of Document: Document Date: Signons) Other Than Named Above: __________� Capucity(ien)Claimed bySigner(s) Signer's Name: � Corporate Officer --- nuo(s}:_-_______�___� muiv/uoe/ O pam`m—[]Umxed General O Attorney |nFact oTmutoo O Guardian o,Conservator O Cxxoc Signer |, Representing: _______ Number mPages: ------ -_ Signer's Name: �- I _; Corporate Officer --Th|oV$:__-___-_____ OImgimuua| �pnrtno,Limited �Gonora| Top fit thurub ni,,e �Atmmov in Fact urwa'oo []Guardian n,Conservator 7� O0mo,:________________ ----------------'---- Signer |o Representing: m2Cmwm~=wm" ^�Ci=~'wu~=lNw°~p'`oo0-ouN0,^n,(1*m^16-6v27) .w,"ww' NOTARY CERTIFICATE Subscribed and sworn to before me this 25thday of April 2017 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles On April 25, 2017 Month, Day, and Year personally appeared before me, Sylvia Sifuentes (Notary Public) Insert Name and Title of Notary Stephen L. Doreck / Vice President 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), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature under the laws of the State of California that the SYLVIA SIFLIENTES Commission # 2081164 Z .� Notary Public - California z Los Angeles County n My Comm. Expires Oct 8, 2018 of Notary Public Sylvia Sifuentes (Notary Public) C-9 (PLACE NOTARY SEAL ABOVE) See Attached Document (Notary to cross out lines 1-6 below) See Statement E Signature of Document Signer No 1 State of California County of Los Angeles SYLVIA SIFUENTES Commission # 2061164 z . •m Notary Public - California z z Los Angeles County My Comm. Expires Or., P Place Notary Seat Above ry) &goalwe of Document Signer'to. 2 (if any) Subscribed and sworn to (or affirmed) before me 25th April 17 on this day of ______, 20_, Date Month Year by Stephen-L. Doreck Name of Signer proved to me on the basis of satisfactory evidence to be the person who appeared before me (and (2)�-- ---- ----- Name of Signer proved to me on the basis of satisfactory evidence to be the person whQ apptpreA before me.) Signature 7nalu:e of P of .ry Puhiic Sylvia ntes (Notary Public) OPTIONAL ru i 7hough the rnforrnation below +s not required by law, i! may F�Tovt9 valu- Tor of th,�,.r, nore i Tor> c' t gun_ Here blr rrpersons relfnc) on the docwri rr and could prev nt ffaudi.�lerr ernovai and re attachment of this form to another docurnent i III jij I I l Further Description of Any Attached Document f !i s Tltif Or Type of r.yocumE?nt � ( i i i Document Date: _._ .__ Numt)w of Pages: Signers) Other Than Named Above rJ 2009 Natlonai Notary Association - NationalNotary.org • 1-800-US NOTANY (7-800-8/6-682_Y) to 05910 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of potable water pipelines, located within Caltrans right of way, constructed during night time work hours, with experience deploying and removing traffic control on a daily basis. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1 CITY OF SOUTH GATE 8650 CALIFORNIA AVE. SOUTH GATE, CA 90280 Name and Address of Public Agency Name and Telephone No. of Project Manager: KEN TANG 805) 653-6597 $4,467,897.62 WEST SIDE WATER —SEWER REPLACEMENT MADISON — OHIO 2/2013 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2 CITY OF MANHATTAN BEACH 1400 HIGHLAND AVE. MANHATTAN BEACH, CA Name and Address of Public Agency Name and Telephone No. of Project Manager: EDWARD KAO 310) 802-5358 $2,188,070.00WATER MAIN REPLACEMENT MEADOWS AVE. — ROWELL AVE. 7/2016 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3 CITY OF LOMITA 24300 NARBONNE AVE. LOMITA, CA 90717 Name and Address of Public Agency Name and Telephone No. of Project Manager: TOM SHABAZI 310) 325-7110 $1,699,398.00WATER MAIN REPLACEMENT ESHELMAN AVE. — PCH TO LOMITA 3/2014 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. Pgbby�rgmoYt6g Name of proposed Project Manager c, Telephone No. of proposed Project Manager: LS62� u 1 Q t — '[1 1�q L\ CITY OF TORRANCE - $1,574,419.11 DUCTILE IRON PIPE WESTERN AVE. - ROLLING HILLS RD 12/2012 Project Name & Contract Amount Type of Work Date Completed CITY OF PARAMOUNT - $1,196.462.76 SMALL MAIN REPLACEMENT PROJECT PHASE 1 11/2013 Project Name & Contract Amount Type of Work Date Completed LONG BEACH WATER DEPARTMENT - $ 3,161,479.20 CAST IRON MAIN REPLACEMENT ATLANTIC AVE. 09/2014 Project Name & Contract Amount Type of Work Date Completed 2. Ri cV IernAr4e -L Name of proposed Superintendent Telephone No. of proposed Superintendent: k,-_-> 0 CITY OF EL SEGLIDNO - $495,400.21 WATER MAIN IMPROVEMENT 09/2014 Project Name & Contract Amount Type of Work Date Completed CITY OF CORONA - 879,025.00 WATERLINE REPL 8/2015 Project Name & Contract Amount Type of Work Date Completed City of Alhambra - $835,170.00 REPL OF WATER MIANS 8/2015 Project Name & Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/D LSE/Public Works/SB854FactSheet-6.30.14.pdf DIR's Contractor Registration Link — Call (844) 522-6734 https://efiI ing.dir.ca.gov/PWCR/ActionServlet?action=displayP WCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." 1 furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Stephen Doreck Equipment Rentals, Inc. Contractor y Stephen L. Doreck / Vice President Date: April 25, 2017 Title PWC Registration #: 1000011335 C-12 State of California County of Los Angeles On April 25, 2017 — before me, Sylvia Sifuentes (Notary Public) Date Here Insert Name and Title of the Officer personally appeared _ _ Stephen L. Doreck —Names) of Sipe,(s) SYLVIA SIFUENTES Commission # 2081164 Z a . -m Notary Public • California n z Los Angeles County My Comm. Expires Oct 8, 2018 who proved to me on the basis of satisfactory evidence to be the person(j) whose name(q) is/jf subscribed to the within instrument and acknowledged to me that helqffllhWy executed the same in his/fi&AHR/ authorized capacity(ioYi), and that by his/V#r/tV& signature(q) on the instrument the person(A), or the entity upon behalf of which the person(p) 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. Signatur _ _ ____T_— Place Notary Seal Aoove S(gnattun, a PUh6o OPTIONAL -- Though the information below is not required by law, it may prove valuaz,�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: — Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name _—. Corporate Officer — Title(s): Individual Partner — =.q Limited r.:31 General lop or mt,mb here Attorney in Fact i Trustee J Guardian or Conservator j Other. Signer Is Representing: i Number of Pages: Signer's Name: ___. Corporate Officer — Title(s): Individual Partner— Limited '11 General : Top of t,rt,h NIE�, 1 Attorney in Fact Trustee Guardian or Conservator Fp Other: Signer Is Representing &� 2009 Natronal Notary Assomaoon. NafionalNctary org. 1-800-US NOTARY (1$00-876.6821) Item 9590' Bid Bond CONTRACTOR: (Name, legal status and address) Stephen Doreck Equipment Rentals, Inc. 9075 Telegraph Road Pico Rivera, CA 90660 OWNER: (Name, legal status and address) City of Huntington Beach 2000 Main Street Huntington Beach, CA 92648 Bid Bond Number: CSBA-4799 SURETY: (Name, legal status and principal place of business) North American Specialty Insurance Company 6 Hutton Center Drive, Suite 850 Santa Ana, CA 92707 This document has important legal consequences. Consultation with An attorney is encouraged with respect its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered Plural where applicable. BOND AMOUNT: Ten Percent (109/6) of Amount Bid PROJECT: CC No. 1399 Water Main Extension Project, Beach Boulevard at Holt Drive and CC No. 1406 Water Main Extension Project, Beach Boulevard, Blaylock Drive to Rubidoux Drive in the City of Huntington Beach Project Number, if any: The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted here from and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 21st day of April. 2017 Stephen Doreck Equipment Rentals Inc. (Principal) (Seal) (I�itnes � i tle) SkIoA944 LVV tit - V1 de W 1 ill 4 North American Specialty Insurance Company (Surety) (Seal) (PlNess) Arturo Ayala, A -in-Fact By arrangement with the American Institute of Architects, the National Association of Surety Bond Producers (NASBP) (www.nasbp.o) makes this form document available to its members, affiliates, and associates in Microsoft Word format for use in the regular course of surety business. NASBP vouches that t the original text of this document conforms exactly to the text in AIA Document A310-2010, Bid Bond. Subsequent modifications may be made to the original text of this document by users, so careful review of its wording and consultation with an attorney are encouraged before its completion, execution or acceptance. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Los Angeles On April 25, 2017 before me, Sylvia Sifuentes (Notary Public) Dale Here Insert Name and Title of the 011icer personally appeared _ Stephen L. Doreck Names) of Signers) SYLVIA SIFUENTES Commission # 2081164 z a .-m Notary Public - California z z Los Angeles County D My Comm. Expires Oct 8, 2018 who proved to me on the basis of satisfactory evidence to be the person(j) whose name(q) is/ subscribed to the within instrument and acknowledged to me that he/,9W/1'dt y executed the same in hislild&AHV/ authorized capacity(i9d), and that by his/fti#r/tft& signature(j) on the instrument the person(), or the entity upon behalf of which the person(,) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature:_ _ _-- Place Notary Seat Above OPTIONAL Signature of of � P-u. 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: Signer(s) Other Than Named Above: __ Capacity(ies) Claimed by Signer(s) Signer's Name: Corporate Officer — Title(s): Individual Partner --I Limited Attorney in Fact Trustee _i General Top of thumb here J Guardian or Conservator Other: Signer Is Representing Number of Pages. Signer's Name: _ i : Corporate Officer — Title(s): Individual Partner — i::' Limited 1_: General Ton of mumb here Attorney in Fact i Trustee Guardian or Conservator l _:I Other. -- --- — — -- Signer Is Representing: 2009 National Notary Association • NationalNolary org • t-B00-US NOTARY (1-13MB76-6627) Item 4e907 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, or validity of that document. State of California County of Orange On 04/21/2017 before me, Susan Pugh , Notary Public personally appeared who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. SUSAN PUGH COMM. #2105405 N Notary Public -California M ORANGE COUNTY 11(amy Comm. Expires Apr 29, 2019 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 icial seal. Signature of Notary 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 ❑ INDIVIDUAL ❑ CORPORATE OFFICER ❑ PARTNER(S) ❑ MEMBER of LLC ® ATTORNEY -IN -FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR OTHER: DESCRIPTION OF ATTACHED DOCUMENT Bid Bond Title or Type of Document One Number of Pages 04/21 /2017 Date of Document SIGNER IS REPRESENTING: Signer(s) other than named above NAME OF PERSON(S) OR ENTITY(IES) Bond No. CSBA-4799 NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY WESTPORT INSURANCE CORPORATION GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organized and existing under laws of the State of New Hampshire, and having its principal office in the City of Manchester, New Hampshire and Washington International Insurance Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg, Illinois, and Westport Insurance Corporation, organized under the laws of the State of Missouri, and having its principal office in the City of Overland Park, Kansas each does hereby make, constitute and appoint: DANIEL HUCKABAY, ARTURO AYALA, ANDREW WATERBURY, DWIGHT REILLY, SHAUNNA ROZELLE OSTROM and MICHAEL CASTANEDA JOINTLY OR SEVERALLY Its true and lawful Attorney(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: ONE HUNDRED TWENTY FIVE MILLION ($125,000,000.00) 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 North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on March 24, 2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18, 2011. "RESOLVED, that any two of the President, 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." \\\�ptIIIIIf �\ . �JNut�muxmrrrypN ?e Q''pP0 S By 11+AMC 'p'F\POR,jT :Gq ' 2 s a,lt4,•GC p d` •.�.'QP ' SEAL = - Steven . n arson, enmr me President a Washington uternanona surance Company �\.�...O..q.,�� SEAL • n 0 & Senior Vice President of North American Specialty Insurance Company a4 �7CAL, Sr W•.Zp 973 i5 �y n & Senior Vice President of Westport Insurance Corporation d NI'i N�a Stf a' •'• �: �•• N ikee A. Ito, Senior Vice President hington International Insurance Company rW ntamt v & senior Vice President of North American Specialty Insurance Company & Senior Vice President of Westport Insurance Corponfiau IN WITNESS WHEREOF, North American Specialty Insurance Company, Washington International Insurance Company and Westport Insurance Corporation have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this this 5th day of December. 20 16 North American Specialty Insurance Company Washington International Insurance Company State of Illinois Westport Insurance Corporation County of Cook Ss: v On this 5th day of December 20 16 before me, a Notary Public personally appeared Steven P. Anderson , Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation and Michael A. Ito Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFICIALSEAL { ., M KENNY NOTARY PUEUC, STATE OF IWNOIS MY COMMISSION EXPIRES 12/O4(2017 M. Kenny, Notary Public I, Jeffrey Goldberg , the duly elected Vice President and Assistant Secretary of North American Specialty Insurance Company, Washington International Insurance Company and Westport Insurance Corporation 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, Washington International Insurance Company and Westport Insurance Corporation which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 21st day of April 20 17 Jeffrey Goldberg, Vice President & Assistant Secretary of Washington International Insurance Company & North American Specialty Insurance Company & Vice President & Assistant Secretary of WestportInsurance Corporation