Loading...
HomeMy WebLinkAboutGolden State Constructors - 2015-03-16J, CIOF HUNTINGT'ON BEACH B­INTEZFARTM ENTAL COMMUNICATION DATE 8/2p/2015 TO THOSE LISTED HEREON FROM. David Verone, PW Contract Administrator elm SUBJECT Retention Release Payment - PO #20494 OJ Supplier #33040 Co #863 Curb Ramp Installation Project, Project # CC 1498 Contractor's Name Golden State Constructors, Inc Address 208 E Orangethorpe Ave City, State and Zip Code Placentia, CA, 92870 Phone Number 714-625-8758 City Business License Number A267675 Notice of Completion (Date by City Clerk) 8/12/2015 The conformed copy of the Notice of Completion for the above contract has been filed The thirty-five (35) day waiting period has elapsed or will elapse before payment is made Processing of the retention payment is recommended so long as no stop notices or outstanding invoices are on file with the City I certify that no stop notices are on file Date Travis K I certify that there are no outstanding invoices on file Director of Public Works Date IJob q Zacks, Deputy City Treasurer I certify that no stop notices are on file, and that a guaranty bond has been filed with the City Clerk's Office D to Joanyyin, City Clerk r� Attachments 1 Certificate of Compliance with Pr ailing Wage Laws�� 2 Contractor's Certificate t 3 Certificate of Compliance with Title VII of the Civil Rights Act and Equal Emplo ment Opportunity Act of 1972 4 Consent for Release letter from the Surety Company 5 Maintenance Bond 6 Notice of Completion CONTRACTOR'S OR'S CERTIFICATE Cochran 1 Ronnie D . _ _�.v__.___ _ ,state and certify that (Name of Declarant) N Golden State Constructors, Inc is the general contractor to the City of Huntington Beach ("City") on Contract No. CC 1498 (the "Contract") for the construction of the public work of improvement entitled. ----FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT ------------------- __ ___ __ (the "Project") All work to be performed pursuant to the Contract has been completed in accordance with the Contract Documents (as such term is defined in the Contract) 3 Except for the claims listed below and the disputed claims listed in paragraph five (5), all persons supplying labor, services, matenals and equipment to the Project, including all claims against the contractor arising from the performance of the Contract, have been paid and satisfied (list unpaid debts and claims, if none, write "NONE") NONE 4 Attached hereto are the lien waivers required by the Contract Documents, which lien waivers have been executed by all persons who performed work on or supplied labor. services, materials, and/or equipment for use at the Project. 5 Set forth below is a list of disputed claims or claims that are the subject of a Notice to Withhold tiled pursuant to the Civil Code of the State of California (list all disputed claims, if none. write `NONE"). NONE 1 declare under penalty of perjury under the laws of the State of California that the foregoing is tote and correct. Executed at Placentia on this 4th y of ugu , 20 15 (Signature of Declarant) APPROVED AS ORM M ichaej f, Crates CityrAttorney Certification of Compliance with Prevailing Wage Lavwts To. City of Huntington Reach Department of Public Works 2000 Main Street/P 0 Boa. 190 Huntington Beach, CA 92648 Re Certification of Compliance with Prevailing Wage Laws Contract CC 1498 Project FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT The undersigned contractor on the above -referenced project ("Project") hereby certifies that all laborers, mechanics, apprentices, trainees, watchmen and guards employed by hint or by any subcontractor performing work under the contract for the Project have been paid pursuant to the minimum wage and bona fide fringe benefit requirements specified for each particular cla.ssif3cation of work, as set forth in the wage -rate determinations of the State of California, Department of Industrial Relations, and/or the United States Department of Labor I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct Executed this 4th T day of August 2015 , at 2015 California. Golden State Constructors (Contractor Afaune) --; APPROVED �`0 Fes" By �. �/ Mi ael E. Gates City Attorney 1 Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 To- City of Huntington Beach Department of Public Works 2000 Main Strect/P O Box 190 Huntington Beach, CA 92648 Re- Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportumty Act of 1972 Contract CC 1498 Prclect FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT The undersigned contractor on the above -referenced project ("Project") hereby certifies that it has complied with title VII of the Civil Rights Act, the F,qual Opportunity Act of 1972 and Executive Order 11246. and has not discriminated against any employee or applicant for employment because of race. color, religion, sex, sexual orientation, gender identity, national origin, age or disability The undersigned contractor also certifies that it has not maintained any segregated facilities it its establislunents on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age or disability (with the exception of access for the disabled) I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this 4th day of August , 20 15 at Placentia California. Golden State Constructors (Contractor Name) APPROVED pf;T{,G) FMr By Michael E Gates City Attorney 1 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 COMMUN/cATON City Treasurer City Clerk Bond Acceptance I 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) Approved (Couna/ Approval ate) Agenda Item No City Clerk Vault No — SIRE System ID No. 1-7 � 1' Bond No 2197502-M (One of Two Originals) MAINTENANCE BOND KNOW ALL PERSONS BY THESE PRESENTS That Golden State Constructoi s (contractors name) 208 E Oranget norpe Avenue, Placentia, CA 92870 (contractor's street address, city and state and zip code) as Principal (hereinafter called Contractor), and North Amencan Specialty Insurance Company �surety'sname) street address, city and state and zip code) a corporation organized and existing under the laws of the State of New Hampshire with its principal office in the City of Manchester as Surety (hereinafter called Surety), are held firmly bound unto GIIY OF HUNTINGTON BEACH as Obligee (hereinafter called Owner), in the amount of Twelve Thousand Eight Hundred* Dollars ($ 12,814 50 ), equivalent to the entire contract amount mdudmg all orders, for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators, successors, and assigns,lotntly and Severally, firmly by these presents, * Fourteen and 501100 WHEREAS, Surety is a duly admitted surety insurer under the laws of the State of California, and Surety is certified and listed in the US Department of the Treasury Circular 57D, and able to provide proof of bonding limitation shown to said circular is sufficient to provide bonds in the amount required by said Gontract; and Surety has provided financial strength ratings from reputable companies, such as from A.NI Best, Moodyrs, Standard & Poor's, to validale that Surety has positive ratings of being secure or stable; arid Surety is registered' and listed with the California Department of Insurance, and Contractor has by written agreement dated April 27th 2D 15, entered into a contract with Owner for the FY 14/15 Curb Access Ramo Installation Proiect, # CC 1498 in accordance with drawings and specifications prepared by which contract is by reference made a part hereof (hereinafter referred to as the Contract), and The Contract provides that the principal will guarantee, for a period of one year, the work performed as part of the Contract from and against all defects in materials and workmanship, and The Contract also provides that the Contractor shall secure Contractor's obligations during the one-year period with a bond executed by a surety duly admitted in the state of California, and The Contract has been completed, and the Owner, Contractor and Surety agree that the commencement date for this Guarantee and Bond shall be August 51h 2D 15, NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that if Contractor shall, for a period df one yea[ from and after the date of completion and acceptance of the Contract by Owner, repair and/or replace any and aft -defects ansing in the Work, whether resulting from deferatwe materials or defective workmanship, then this obligation shall be null and void, otherwise it will remain in full force and effect The Surety hereby waives notice of"any alteration or extension of time made by the Owner Whenever Contractor shall be, and declared by Owner to be in default under the Contract, the Surety &hall, within thirty (30) days following Owner's written notice of default, either: (a) remedy the default, or (b) shall promptly complete the Contract in accordance with its terms and conditions Surely shall save the Owner harmless from any claims, judgments, liens or losses arising from the Surety's failure to i ertherremedy the defauft or to complete the Contract in accordance with its lerths and conditions in a timely manner 15-45841i 1EUS Whenever the Principal shall be, and declared by the Owner to be in default under the Contract, which shall mcluoe without limitation, any breach or default of the Contract, then, after written notice from the Owner to the Surety, as provided for below, the Surety shall either (a) remedy the default or breach by the Principal, or (b) shall promptly and faithfully take charge of the Work and complete the Work in accordance with the requirements of the Contract with a contractor other than the Pnhcipai, at its own expense, and stake available as work progresses sufficient funds to pay the cost of completion less the unpaid balance of the Contract including other costs and damages for which the surety may be Gable hereunder, provided, however, that the procedure by which the Surety undertakes to discharge its obligations under this Bond shall be subject to the advance written approval Df the Owner Within thirty (30) days after Surety's receipt of a written notice from Owner of the failure of performance of the Contract by the Principal, tt shall be the duty of the Surety to give to the Owner a notice, rn wnbhg, of the Surety's election to (a) remedy the defaults) of the Principal promptly, or (b) arrange for performance of the Contract promptly by a contractor other than 'the Principal, time being of essence to this Bond In said Notice of Election, the Surety shall state the date of commencement of its cure or remedy of the Principal's default(s) or its performance of the Contract The Surety's obligations for cure or remedy, include but are not limited to correction of defective work and completion of the Contract, additional legal, design professional and delay costs ansing from Surety's actions or failure to act, and liquidated damages (or if no liquidated damages are specrfred In the Contract, actual damages caused by delayed performance or non-performance by the Principal), The Surety shall give prompt wrrtfeh notice to the Owner upon completion of the cure or remedy of the Principal's default(s) of its performance of4he Contract If the Surety does Issue its 'Notice of Election and does not proceed to cure or remedy the Principal's default(s) of its performance of the Work within thirty (30) days after receipt of a written notice from Owner, Surety shall be deemed to be in default on this bond, and the Owner shall be entitled to enforce any remedy available to Owner No right of action shall accrue on this bond to or for the use of any person or corporation other than the owner named herein or the successors of Owner Signed and sealed this 5th day of August 20 15 Principal Raised Corporate Seal [MUST BEAFFIXED] Principal Raised Corporate Seal [MUST BE AFFIXED] NOTES 1 Acknowledgments must be completed and returned as part -of -the bond 2 Raised Corporate Seals are mandatory 3 Please attach Power of Attor6ey 15-45SM 18138 2 Golden State Constructors i (Contractor Name) Byz .9Ks G0CAAly % (Seal) t r � /A (Title) North American Specialty Insurance Company rety Name) By Matthew R Dobyns, Attorney-m-Fact APPROVI=D AS R[dl { .Vichael E. Ga e- y City Attorney NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEI KN(M 11 I KiLN 13'l 1 I II-Y- PIZI SLN I 1� I I i/\ I NO[ III 1nIUIC In Spru.lItl llltilllalilL (onll),uly a colpoiaL]Oil CIUIN olg,ullvLd ,Ind Lvltiting undi.l iaNNs of the State ofNeNN Hampshne and hay ing Its principal office In the City of ManChetilel Nevv 1-lampshue and Washington international insurance Compam a corporation organized and existing under the laws of the State of New Hampshne and haNmg Its principal office in the City of Schaumburg Illinois each does hereby male constitute and appoint RANDY SPOHN and MATTHEW R DOBYNS JOINTLY OR SEVERALLY Its true and lawful Attorney(s)-m-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 othervose provided that no bond or undertaking or conti act or surety ship executed under this authority shall exceed the amount of FIFTY MILLION ($50.000.000 00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington international insurance Company at meetings duly called and held on the 9t1i of May 2012 `RESOLVED that any two of the Presidents any Managing Director any Senior Vice President any Vice President any Assistant Vice President the Secretary or any Assistant Secretary be and each or any of them hereby is authorized to execute a Power of Attorney qualify mg 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 .\�`��NAU iris � r��erj- �`yQ &Pohj;l : GT10 By OI�\f-i • SEA O c SILK cn P Anderson, senior Vice Pnsidcnt ol"Washmeton Inarnational Insurance Compam �L�Z 1973 atr m- &Semor VIee President of North American Spectarth Insurance Compam s m 8 e o r a4l//IIIIna1NI�� By Da\Id M Lotinan, Vice President ofwashmgion International Insurance Company & Vice President of North Amencon Specmlty Insurance Company IN WITNESS WHEREOF North American Specialty insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this26th day of June 2012 North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook ss On tills 26th day of June 2012 before me a Notary Public personally appeared Steven P Anderson Seniol Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and David M Layman, Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company personally known to me who being by me duly sworn. 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 "OFFIC[ALSEAL" DONNAD. SKLENS Notuy Public, Soft of Mulois Donna D Sklens Notary Public Mycommissimn piresloft11015 I leffiev Goldberg the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company, which is still in full force and effect 1N WITNESS WHEREOF I have set my hand and affixed the seals of the Companies this 5th day of August .20 15 Jeffrey Goldberg Vice President & Assistant Secretary of Washington hnemational Insurance Company & North American Specialty Insurance Compam 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 August 5th, 2015 before me, ERIKA GUIDO, NOTARY PUBLIC, personally appeared MATTHEW R. DOBYNS ® 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/hey/t-he+r authorized capacity (ies), and that by his/her/then signatures) 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. ` ERIKAGUIDO It WITNESS m nd and official seal. i COMM # 2022671 Y N V � NOT PUBLIC CALIFORNIA p s ORANGE COUNTY A M oomm expires May 5, 2017 re oT`Nptary 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) ❑ LIMITED ® ATTORNEY -IN -FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) DESCRIPTION OF ATTACHED DOCUMENT 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 8/12/2015 before me, Claudia Cochran, (Votary Public , ere insert name and tide of e officer) personally appeared -------Ronnie Cochran -------- , who proved to me on the basis of satisfactory evidence to be the person(*whose name(s_) isA-*Fe subscribed to the within Instrument and acknowledged to me that he/sbeAhey-executed the same in his/heF4hetF authorized capacity4 ), and that by his/heltltew signatures} on the instrument the person(}, or the entity upon behalf of which the person(g) acted, executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS d official seal. Notary Public Signature CLAUDIA c_OCNRAN — 1 Z COMM # 2095862 ORANGE COUNTY VFW NOTARY PUBLIC-CALIFORNIA Z COMMISSION EXPIRES — JAN. 30, 2019 (Notary Public Seal) ADDITIONAL OPTIONAL IFi1=f3Pctvi.�►T aOFB INSTRUCTIONS FOR COMPLETING THIS FORM This forni complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT Ifneeded, should be completed and attached to the document Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does riot require the California notary to violate California notmy Maintenance Bond, City of Huntington Beach law (Title or description of attached document) • State and County infortnatuin must be the State and County where the document stgner(s) personally appeared before the notary public for acknowledgment • Date of notarization must be the date that the signer(s) personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment is completed 8/5/2015 o The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title (notary public) • Print the name(s) of document signer(s) who personally appear at the time of notarization CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms (i e ❑ Individual (s) lie/she/they;-is /are ) or cnclmg the correct forms Failure to correctly indicate this information may lead to rejection of document recording El Corporate Officer • The notary seal impression must be clear and photograpnicaity reproducible Impression must not cover text or lines if seal impression smudges, re -seal if a (Title)sufficient area permits, otherwise complete a different acknowledgment form ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk ❑ Attorney -in -Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document Other •° Indicate title or type of attached document, number of pages and date ❑ •` Indicate the capacity claimed by the signer If the claimed capacity is a EO CFO S t corporate officer, indicate the utle (i e C , , ecre a.y) • Securely attach tlus document to the signed document with a staple 7'�'"W4PT ., A74.`F+,iC1' � K_. h.se.y�wC' " <'.i r .r� *F-' w q"� "e •t} . .n,wn,y' •.ayR r r%A �1F �+r,f• i }; t RECEIIVE[y6Y." CITY CLERK RECEIPT COPY Return DUPLICATE" to f City Clerk's Office (Name) t t after signing/dating (Date) i CITY OF HUNTINGTON REACH INTERDEPARTMENTAL COMMUNICATION TO City Treasurer FROM City Clerk DATE SUBJECT Bond Acceptance have received the bonds for (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. 4 Payment Bond (Labor and Materials) Bond No. Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No Approved CC No Q MSC No Other No g /forms/bond transmittal to treasurer Agenda Item No. I City Clerk Vault No 600,3 U SIRE System ID No This Document was electronically recorded by City of Huntington Beach PLEASE COMPLETE THIS INFORMATION RECORDING REQUESTED BY WHEN RECORDED MAIL TO CITY OF HUNTINGTON BEACH PUBLIC WORKS DEPARTMENT Attn David Verone P O Box 190 — 2000 Main Street Huntington Beach, CA 92648 Recorded in Official Records, Orange County Hugh Nguyen, Clerk -Recorder 11111111111111111111111111111111111 IN 1111111111 IIIINO FEE 2015000421779 02:05pm 08/12/15 63 404 N12 1 000000000000000000000000 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 Golden State Constructors, Inc, who was the company thereon for doing the following work to - wit Curb Ramp Installation Project, Project # CC 1498 That said work was completed 08/05/2015 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 08/05/2015, per City Council Resolution No 2003-70 adopted October 6, 2003 That upon said contract North American Specialty Insurance Company, was surety for the bond given by the said company as This document is solely for the official business of the City of Huntington Beach, as contemplated under Government Code Section 6103 and should be recorded free of charge Director of Public Works or C y Engineer Date City of Huntington Beach, California �p 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 the City of Director of Public Work or City Engineer ate Huntington Beach, as contemplated under Government City of Huntington Beach, California code section 6103 and should be recorded free of charge THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) 4 RECEIVED BY: r f .(Date) f 6 ,J. 0 TO: City Treasurer FROM: City Clerk DATE: SUBJECT: Bond Acceptance have received the bonds for (-31U o;v 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. A Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. CC No. MSC No. Other No. g:/forms/bond transmittal to treasurer CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office after signing/dating iWK01i Uhl 1101*illf, O, _ A . Ti (Company Name) Approved PP (Council Ap pr oval Date) Agenda Item No. City Clerk Vault No. /- O r J7J SIRE System ID No. �- �� CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND GOLDEN STATE CONSTRUCTORS FOR FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT 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 Golden State Constructors, 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 FY 14/15 Curb Access Ramp Installation Project in the City of Huntington Beach; and CONTRACTOR has been selected to perform said services, NOW, THEREFORE, in consideration of the promises and agreements hereinafter made and exchanged the parties covenant and agree as follows: 1. STATEMENT OF WORK; ACCEPTANCE OF RISK CONTRACTOR shall complete and construct the PROJECT pursuant to this Agreement and the Contract Documents (as hereinafter defined) and furnish, at its own cost and expense, all labor, plans, tools, equipment, supplies, transportation, utilities and all other items, services and facilities necessary to complete and construct the PROJECT in a good and workmanlike manner. CONTRACTOR agrees to fully assume the risk of all loss or damage arising out of the nature of the PROJECT, during its progress or prior to acceptance by CITY, from the action of the elements, from any unforeseen difficulties which may arise or be encountered in the prosecution of work, and for all other risks of any description in connection with the work, including, but not limited to, all expenses incurred by or in 1 consequence of the suspension or discontinuance of work, except such as are herein expressly stipulated to be borne by CITY, and for well and faithfully completing the work within the stipulated time and in the manner shown and described in this Agreement, and in accordance with the requirements of CITY 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 D. The current edition of Standard Specifications for Public Works Construction, published by Builders' News, Inc., 10801 National Boulevard, Los Angeles, CA 90064, and all amendments thereto, written and promulgated by the Southern California chapter of the American Public Works Association and the Southern California District Associated General Contractors of the California Joint Cooperative Committee, 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 3 shall be considered as an acceptance of the terms of the bid or proposal which is in conflict herewith. 3. COMPENSATION CITY agrees to pay and CONTRACTOR agrees to accept as full compensation for the faithful performance of this Agreement, subject to any additions or deductions made under the provisions of this Agreement or the Contract Documents, a sum not to exceed One Hundred Twenty Eiqht Thousand One Hundred Forty Five ,Dollars ($128,145.00), 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 Thirty (30) 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 4 of the PROJECT and in accordance with the terms and provisions of this Agreement. CITY shall have complete control of the premises on which the work is to be performed and shall have the right to decide the time and order in which the various portions of the work shall be performed and the priority of the work of other contractors, subcontractors and CITY forces and, in general, all matters concerning the timely and orderly conduct of the work of CONTRACTOR on the premises. 6. CHANGES CONTRACTOR shall adhere strictly to the plans and specifications set forth in the Contract Documents unless a change there from 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 5 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. MEMEFOOGIMM Only bonds issued by California admitted sureties will be accepted. CONTRACTOR shall, prior to its performance of this Agreement, furnish the following two (2) bonds approved by the City Attorney: One in the amount of one hundred percent (100%) of the contract price to guarantee the CONTRACTOR's faithful performance of the work, and one in the amount of one hundred percent of the contract price to guarantee payment of all claims for labor and materials furnished. In addition, CONTRACTOR shall submit to CITY a bond in the amount of one hundred percent (100%) of the final contract price, including all change orders, to warrant such performance for a period of one (1) year after CITY's acceptance thereof within ten (10) days of filing of the Notice of Completion. 9. WARRANTIES CONTRACTOR unconditionally guarantees all work done under this Agreement including, but not limited to, any workmanship, installation, fabrication, material or structural facilities constructed. CONTRACTOR, within ten (10) days after notice by CITY of any defect in the work, shall have the option to make appropriate repairs or replace the defective item or items. Upon expiration of such ten (10) day period, CITY may then make appropriate repair or replacement at CONTRACTOR's risk and own cost and expense. 2 10. INDEPENDENT CONTRACTOR It is understood and agreed that CONTRACTOR is, and shall be, acting at all times hereunder as an independent contractor and not an employee of CITY. CONTRACTOR shall secure at its own cost and expense, and be responsible for any and all payment of all taxes, social security, state disability insurance compensation, unemployment compensation and other payroll deductions for CONTRACTOR and its officers, agents and employees and all business licenses, if any, in connection with the PROJECT and/or the services performed hereunder. 11. LIQUIDATED DAMAGES/DELAYS It is agreed by the parties hereto that in case the total work called for hereunder is not in all parts and requirements finished or completed within the number of calendar days as set forth herein, damage will be sustained by CITY; and that it is, and would be, impractical and extremely difficult to ascertain and determine the actual damage which CITY would sustain in the event of and by reason of such delay. It is, therefore, agreed that CONTRACTOR will pay to CITY, as liquidated damages and not as a penalty, the sum of Five Hundred 500.00) per day for each and every working days 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 7 unforeseeable causes beyond the control and without the fault or negligence of CONTRACTOR, including, but not limited to, acts of God or of the public enemy, fire, floods, epidemics, quarantine restrictions, strikes, unsuitable weather, or delays of subcontractors due to such causes. CONTRACTOR shall, within fifteen (15) days from the beginning of any such delay (unless DPW shall grant a further period of time), notify DPW in writing of the cause of the delay and CITY shall extend the time for completing the work if, in its judgment, the findings of fact thereon justify the delay; and the decision of DPW shall be conclusive on the parties hereto. Should CONTRACTOR be delayed in the prosecution or completion of the work by the act, neglect or default of CITY, or should CONTRACTOR be delayed by waiting for materials required by this Agreement to be furnished by CITY, or by damage caused by fire or other casualty at the job site for which CONTRACTOR is not responsible, or by the combined action of the workers, in no way caused by or resulting from default or collusion on the part of CONTRACTOR, or in the event of a lockout by CITY, then the time herein fixed for the completion of the work shall be extended by the number of days CONTRACTOR has thus been delayed, but no allowance or extension shall be made unless a claim therefore is presented in writing to CITY within fifteen (15) days of the commencement of such delay. E:3 No claims for additional compensation or damages for delays, irrespective of the cause thereof, and including without limitation the furnishing of materials by CITY or delays by other contractors or subcontractors will be allowed and an extension of time for completion shall be the sole remedy of CONTRACTOR. 12. CHANGES IN WORK A. Definitions. (1) "Change Order" means a document signed by the CONTRACTOR and CITY which authorizes an addition, deletion or revision in the work, or an adjustment in the Compensation under Section 3, or the Completion Time specified at Section 4. (2) "Demand" means a written demand for a Change Order by the CONTRACTOR or CITY for changes in the work as stipulated in the contract documents. B. No Change Order may be granted except where the CONTRACTOR has submitted a Demand to the DPW (or his or her written designee). All Demands shall be submitted promptly, but in no event later than fifteen (15) days after the occurrence of the event giving rise to the Demand. The Demand shall be in writing and include all documents necessary to substantiate the Demand. The DPW shall act on the Demand within fifteen (15) days after receipt, including by requesting additional information from the CONTRACTOR to determine whether to approve the Change Order the Demand seeks. The DPW shall act on the Demand within fifteen (15) days after receipt of the additional information or within a period of time no greater than the time the CONTRACTOR took to produce the additional information requested, whichever is greater. 0 C. Notwithstanding the fifteen (15) days to submit a Demand under Subparagraph C, in the case of changed conditions or unknown site conditions, immediately upon encountering the conditions, CONTRACTOR shall notify the DPW in writing of the conditions immediately, so that the CITY may promptly investigate the conditions. D. If the CONTRACTOR disputes the DPW's written response on the Demand, or the CITY fails to respond within the time prescribed, the CONTRACTOR may so notify the DPW, in writing, either within fifteen (15) days of receipt of the DPW's response or within fifteen (15) days of the DPW's failure to respond within the time prescribed, respectively, and request an informal conference to meet and confer for settlement of the Demand. Upon the CONTRACTOR's request, the DPW shall schedule a meet and confer conference within thirty (30) days to seek to resolve. E. CITY and CONTRACTOR shall execute appropriate Change Orders covering changes to the time or price by executing the Change Order by mutual agreement. If the CITY and CONTRACTOR are unable to reach a mutual agreement, then the DPW shall issue a written decision on the claim within a reasonable time. F. Following the meet and confer conference, if the Demand remains in dispute, the CONTRACTOR may file a claim with the City as provided in Chapter 1 (commencing with Section 900) and Chapter 2 (commencing with Section 910) of Part 3 of Division 3.6 of Title 1 of the Government Code. For purposes of those provisions, the running of the period of time within which a claim must be filed shall be tolled from the time the CONTRACTOR submits his or her Demand until the Demand is denied as a result of the meet and confer process, including any period of time utilized by the meet and confer process. 10 13. VARIATIONS IN ESTIMATED QUANTITIES The quantities listed in the bid schedule will not govern final payment. Payment to CONTRACTOR will be made only for the actual quantities of contract items used in construction of the PROJECT, in accordance with the plans and specifications. Upon completion of the PROJECT, if the actual quantities used are either more than or less than the quantities listed in the bid schedule, the bid price shall prevail subject to the provisions of this Section. DPW may, at its sole discretion, when warranted by the facts and circumstances, order an equitable adjustment, upwards or downwards, in payment to CONTRACTOR where the actual quantities used in construction of the PROJECT are in variation to the quantities listed in the bid schedule. No claim by CONTRACTOR for an equitable adjustment in price or time for completion shall be allowed if asserted after final payment under this Agreement. If the quantity variation is such as to cause an increase in the time necessary for completion, DPW shall ascertain the facts and circumstances and make such adjustment for extending the completion date as in its sole judgment the findings warrant. 14. PROGRESS PAYMENTS Each month DPW will make an estimate in writing of the work performed by CONTRACTOR and the value thereof. From each progress estimate, five percent (5%) will be 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. 11 When CONTRACTOR has, in the judgment of DPW, faithfully executed fifty percent (50%) or more of the value of the work as determined from the bid schedule, and if DPW finds that satisfactory progress has been and is being made, CONTRACTOR may be paid such sum as will bring the payments of each month up to one hundred percent (100%) of the value of the work completed since the commencement of the PROJECT, as determined in its sole discretion by DPW, less all previous payments and less all previous retained amounts. CITY's final payment to CONTRACTOR, if unencumbered, or any part thereof unencumbered, shall be made thirty-five (35) days after the acceptance of the work and the filing of a Notice of Completion by CITY. Provided, however, that in the event of a dispute between CITY and CONTRACTOR, CITY may withhold from the final payment an amount not to exceed 150 percent of the value of any disputed amount of work. Payments shall be made on demands drawn in the manner required by law, each payment to be accompanied by a certificate signed by DPW, affirming that the work for which payment is demanded has been performed in accordance with the terms of the Agreement and that the amount stated in the certificate is due under the terms of the Agreement. Partial payments on the contract price shall not be considered as an acceptance of any part of the work. 15. WITHHELD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES At the request and at the sole cost and expense of CONTRACTOR, who shall retain beneficial ownership and receive interest, if any thereon, CITY shall permit the substitution and deposit therewith of securities equivalent to the amount of any monies withheld by CITY to ensure performance under the terms of this Agreement. 12 16. AFFIDAVITS OF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall file with DPW its affidavit stating that all workers and persons employed, all firms supplying materials and all subcontractors working upon the PROJECT have been paid in full and that there are no claims outstanding against the PROJECT for either labor or material, except certain items, if any, to be set forth in CONTRACTOR's affidavit covering disputed claims, or items in connection with Notices to Withhold, which have been filed under the provisions of the statutes of the State of California. 17. WAIVER OF CLAIMS The acceptance by CONTRACTOR of the payment of the final certificate shall constitute a waiver of all claims against CITY under or arising out of this Agreement. 18. INDEMNIFICATION, DEFENSE, HOLD HARMLESS CONTRACTOR hereby agrees to protect, defend, indemnify and hold harmless CITY, its officers, elected or appointed officials, employees, agents, and volunteers from and against any and all, claims, damages, losses, expenses, judgments, demands defense costs, and consequential damage or liability of any kind or nature, however caused, including those resulting from death or injury to CONTRACTOR's employees and damage to CONTRACTOR's property, arising directly or indirectly out of the obligations or operations herein undertaken by CONTRACTOR, caused in whole or in part by any negligent act or omission of the CONTRACTOR, any subcontractors, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, including but not limited to concurrent active or 13 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 CONTRACTOR's counsel. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by CONTRACTOR. 19. WORKERS' COM PENSATI ON AND EMPLOYER'S LIABILITY INSURANCE Pursuant to California Labor Code Section 1861, CONTRACTOR acknowledges awareness of Section 3700 et seq. of this Code, which requires every employer to be insured against liability for workers' compensation; CONTRACTOR covenants that it will comply with such provisions prior to commencing performance of the work hereunder. CONTRACTOR shall 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 furnish to CITY a certificate of waiver of subrogation under the terms of the workers' compensation and employer's liability insurance and CONTRACTOR shall similarly require all subcontractors to waive subrogation. 20. INSURANCE In addition to the workers' compensation and employer's liability insurance and CONTRACTOR's covenant to defend, hold harmless and indemnify CITY, CONTRACTOR shall obtain and furnish to CITY, a policy of general public liability 14 insurance, including motor vehicle coverage covering the PROJECT. This policy shall indemnify CONTRACTOR, its officers, employees and agents while acting within the scope of their duties, against any and all claims arising out or in connection with the PROJECT, and shall provide coverage in not less than the following amount- combined single limit bodily injury and property damage, including products/completed operations liability and blanket contractual liability, of One Million Dollars ($1,000,000) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit, the aggregate limit must be no less than One Million Dollars , ($1,000,000) for this PROJECT. This policy shall name CITY, its officers, elected or appointed officials, employees, agents, and volunteers (the "Additionally Insured Parties") as Additional Insured, and shall specifically provide that any other insurance coverage which may be applicable to the PROJECT shall be deemed excess coverage and that CONTRACTOR's insurance shall be primary and non-contributory with any other valid and collectible insurance or self-insurance available to the Additionally Insured Parties. Any available insurance proceeds in excess of the minimum coverage amount specified herein shall be available to the Additionally Insured Parties. All coverage available to CONTRACTOR shall also be available to the Additionally Insured Parties. Under no circumstances shall said above -mentioned insurance contain a self - insured retention without the express written consent of CITY; however an insurance policy "deductible" of $5,000.00 is permitted. CONTRACTOR shall be responsible for causing all Subcontractors to maintain the same types and limits of insurance coverage as that required of CONTRACTOR by this Agreement. 15 21. CERTIFICATES OF INSURANCE: ADDITIONAL INSURED ENDORSEMENTS Prior to commencing performance of the work hereunder, CONTRACTOR shall furnish to CITY certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverages as required by this Agreement; the certificates shall: 1 . Provide the name and policy number of each carrier and policy; 2. State that the policy is currently in force, and 3. Promise to provide that such policies will not be canceled or modified without thirty (30) days' prior written notice of CITY. CONTRACTOR shall maintain the foregoing insurance coverages in force until the work under this Agreement is fully completed and accepted by CITY. The requirement for carrying the foregoing insurance coverages shall not derogate from the CONTRACTOR's defense, hold harmless and indemnification obligations as set forth under this Agreement. CITY or its representative, shall at all times have the right to demand the original or a copy of all the policies of insurance. CONTRACTOR shall pay, in a prompt and timely manner, the premiums on all insurance 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 Insured's, to the City Attorney for approval prior to any payment hereunder. 22. NOTICE OF THIRD PARTY CLAIM Pursuant to Public Contracts Code §9202, CITY shall provide notice to CONTRACTOR of receipt of any claim filed with CITY or a court of competent 16 jurisdiction which arises out of performance of this agreement within ten (10) days of receipt of such claim or claims. 23. DEFAULT AND TERMINATION If CONTRACTOR fails or refuses to prosecute the work hereunder with diligence, or fails to complete the work within the time specified, or is adjudged bankrupt or makes an assignment for the benefit of creditors or becomes insolvent, or violates any provision of this Agreement or the Contract Documents, CITY may give CONTRACTOR notice in writing of its intention to terminate this Agreement. Unless the violation is cured within ten (10) days after such Notice of Intention has been served on CONTRACTOR, CITY may, without prejudice to any other remedy it may have, terminate this Agreement upon the expiration of that time. Upon such default by CONTRACTOR, CITY may elect not to terminate this Agreement, in such event CITY may make good the deficiency in which the default consists and deduct the resulting costs from the progress payments then or to become due to CONTRACTOR. If it is subsequently determined by a court of competent jurisdiction that CITY's termination of this Agreement under this Section was wrongful, such termination shall be converted to a termination for convenience under Section 24 and any damages shall be assessed as set forth in Section 24. 24. TERMINATION FOR CONVENIENCE CITY may terminate this Agreement for convenience at any time with or without cause, and whether or not PROJECT is fully complete upon seven (7) calendar days written notice to CONTRACTOR. In the event of termination, under this Section CITY shall pay CONTRACTOR for value of work in place on the PROJECT through the termination period less all such payments already made. In case of such termination for 17 convenience, the CONTRACTOR shall be entitled to receive payment for work executed, and costs incurred by reason of such termination. In no event shall CONTRACTOR be entitled to recover overhead, profit or CONTRACTOR's fee on work not performed. Such payment by CITY shall be CONTRACTOR's sole and exclusive remedy for termination by CITY for its convenience and CITY shall have no further obligation to CONTRACTOR. 25. DISPOSITION OF PLANS, ESTIMATES AND OTHER DOCUMENTS CONTRACTOR agrees that upon completion of the work to be performed hereunder, or upon expiration or earlier termination of this Agreement, all original plans, specifications, drawings, reports, calculations, maps and other documents pertaining to this Agreement shall be delivered to CITY and become its sole property at no further cost. 26. NONASSIGNABILITY CONTRACTOR shall not sell, assign, transfer, convey or encumber this Agreement, or any part hereof, or any right or duty created herein, without the prior written consent of CITY and the surety. 27. CITY EMPLOYEES AND OFFICIALS CONTRACTOR shall employ no CITY official nor any regular CITY employee in the work performed pursuant to this Agreement. No officer or employee of CITY shall have any financial interest in this Agreement in violation of the California Government Code. 28. STOP NOTICES, RECOVERY OF ADMINISTRATIVE COSTS CITY shall be entitled to all reasonable administrative costs and necessary disbursements arising out of the processing of Stop Notices, Notices to Withhold, or any 18 similar legal document. This obligation shall be provided for in the labor and materials payment bond required of CONTRACTOR. CITY may charge an administrative fee of One Hundred Dollars ($100) for every Stop Notice filed in excess of two (2), regardless of whether or not CITY is named in an action to enforce such stop notices. CITY may set off any unreimbursed cost or expense so incurred against any sum or sums owed by CITY to CONTRACTOR under this Agreement. 29. NOTICES Any notices, certificates, or other communications hereunder shall be given either by personal delivery to CONTRACTOR's agent (as designated in Section 1 hereinabove) or to CITY as the situation shall warrant, or by enclosing the same in a sealed envelope, postage prepaid, and depositing the same in the United States Postal Service, to the addresses specified below; provided that CITY and CONTRACTOR may designate different addresses to which subsequent notices, certificates or other communications will be sent by notifying the other party via personal delivery, reputable overnight carrier or U. S. certified mail -return receipt requested: TO CITY: TO CONTRACTOR: City of Huntington Beach Golden State Constructors ATTN: David Verone, Public Works ATTN: A 0 A)).*) / (!0Q44W 2000 Main Street -201 45.' 0AAW.40ZW0AAA- AM- C.ww Huntington Beach, CA 92648 04- P91:70 30. SECTION HEADINGS The titles, captions, section, paragraph and subject headings, and descriptive phrases at the beginning of the various sections in this Agreement are merely descriptive and are included solely for convenience of reference only and are not representative of maters included or excluded from such provisions, and do not 19 interpret, define, limit or describe, or construe the intent of the parties or affect the construction or interpretation of any provision of this Agreement. 31. IMMIGRATION CONTRACTOR shall be responsible for full compliance with the immigration and naturalization laws of the United States and shall, in particular, comply with the provisions of United States Code Section 1324a regarding employment verification. 32. LEGAL SERVICES SUBCONTRACTING PROHIBITED CONTRACTOR and CITY agree that CITY is not liable for payment of any subcontractor work involving legal services, and that such legal services are expressly outside the scope of services contemplated hereunder. CONTRACTOR understands that pursuant to Huntington Beach City Charter Section 309, the City Attorney is the exclusive legal counsel for CITY, and CITY shall not be liable for payment of any legal services expenses incurred by CONTRACTOR. 33. ATTORNEY'S FEES In the event suit is brought by either party to construe, interpret and/or enforce the terms and/or provisions of this Agreement or to secure the performance hereof, each party shall bear its own attorney's fees, such that the prevailing party shall not be entitled to recover its attorney's fees from the non -prevailing party. 34. INTERPRETATION OF THIS AGREEMENT The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of the parties. If any provision of this Agreement is held by an arbitrator or court of competent jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate 20 or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act contrary to law, and wherever there is any conflict between any provision contained herein and any present or future statute, law, ordinance or regulation contrary to which the parties have no right to contract, then the latter shall prevail, and the provision of this Agreement which is hereby affected shall be curtailed and limited only to the extent necessary to bring it within the requirements of the law. 35. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of California. 36. DUPLICATE ORIGINAL The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals, each of which so executed shall, irrespective of the date of its execution and delivery, be deemed an original. lEach duplicate original shall be deemed an original instrument as against any party who has signed it. 37. CONSENT Where CITY's consent/approval is required under this Agreement, its consent/approval for one transaction or event shall not be deemed to be consent/approval to any subsequent occurrence of the same or any other transaction or event. 21 38. SURVIVAL Terms and conditions of this Agreement, which by their sense and context survive the expiration or termination of this Agreement shall so survive. 39. MODIFICATION No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties. 40. SIGNATORIES Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify CITY fully for any injuries or damages to CITY in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. 41. ENTIRETY The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive arm's length negotiation, and that each has had the opportunity to consult with legal counsel prior to executing this Agreement. The parties also 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 22 Agreement, and supersede all prior understandings and agreements whether oral or in writing between the parties respecting the subject matter hereof. 42. CALIFORNIA PREVAILING WAGE LAW A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per them 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. 43. PAYROLL RECORDS CONTRACTOR agrees to keep accurate payroll record showing the name, address, social security number, work classification, straight time and overtime hours worked each day and week, and the actual per them 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 23 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. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers on ZVMP 4- a 2015. CONTRACTOR: By: 0,30q�� c 0 C+qL&'L-) ITS: Chairm r!E��>ce-President CITY OF HUNTINGTON BEACH, a municipal corporation of the State of INITIATED AND AP VED: N By: X::Z�licW:orks C<-> C44,141� (print name) ITS: Secretary / I Officer Asst. Secretary A=f5a (circle one) REVJIMAND APPROVED: City Manager 01 W W 1001TA 2 1 F-INAN-1-41-00 I VAR M City Attorney City Funded Contract 24 J6�'X # / A3 f 7' �q ' SECTION C for the construction of FY 14A5 CURB ACCESS RAMP INSTALLATION PROjECT from VARIOUS LOCATIONS CC No. 1498 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 I al to perform 'I the work therein described, and to finnish all labor, materiaL equipment and incident insurance necessai�y 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 supe,'Vi sion 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 30 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 andfor hu-np suin pilces set fordul Hil the follow-11119 Bid Sched-tAe. 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 quantifies 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 satisfactorlily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the 11111it and/or himp 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 1- A '4- shall In I Me U-111s Di'Ll, 111111 L and Will reau'vel'use the project. I the case or di-iscrepancles in ' an-io--" pr I govern over extended amounts, and words shall govern over figures. C-1 SECTION C PROJECT BID SCHEDULE FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT, CC 1498 IT (VARIOI Is LOCATIONS) BID ITEMS t escnp ion nwtt 'I ni 16W C 6si- 0 Construct Curb Access Ramp per Caltrans Std. Plan A88A from SCR to ECR as shown on Curb Ramp Detail 1 in I Appendix K of Specifications litem includes all appurtenances, curb & gutter, depressed curb, sidewalk, 3600 43,200 domes, retaining curb, slot pave, etc.) 12 A - Construct Curb Access Ramp per Caltrans Std. Plan A88A from BCR to ECR usinq horizontal curb cutting machine as 2 shown on Curb Ramp betail 2 in Appendix K of Specifications (item includes all appurtenances, curb & gutter, depressed 2200 77,000 curb, sidewalk, domes, retaining curb, slot pave, etc.) 35 EA -- -- Construct Curb Access Ramp per Caltrans Sid. Plan A88A BCR to ECR including adjacent cross gutter spandrel per 1-113 3 City Sid. Plan 205 as shown on Curb Ramp Detail 3 in Appendix K of Specifications. (item includes all appurtenances, cross gutter, curb & gutter, depressed curb. 7945 794S sidewalk, domes, retaining curb, slot pave, etc.) EA TOTAL BID AMOUNT (BASIS OF AWARD) — SCHEDULE $ 128,14S TOTAL BID AMOUNT IN WORDS: One Hundred Twenty Eight Thousand One I Hundred Forty Five 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 iterns. C-2.1 If awarded the Contract, the undersigned agrees that in the- event of the BIDDER'S default in in execuu_ng the required contract and fiding the necessary bonds anG i surance certificates wit1iin 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the securiii- 1 j accompanying tl-ds bid shall become the property of the AGENCY 'd and the acceptance hereof may, at the AGENCY'S option, be considered null and and this bi void. Accompanying this proposal of bid, find Bid Bcmd - - - --in the amount of P6 wh -i ount 1.14 n ot I ess than 10% of the agg g te f t e total bid n - � ich said;-irr re q o h 1 rice as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for—% ", &q the case may be) Any standard Suret, Bid Bond form is acceptable. Bidder shall sigriify receipt of all Addenda here, if any: rA ddenda Al'o. Date Received �r'sS!gnafure 2/12/15 C-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 s id contract in an amount in excess of one-half of one percent of the total bid or $10,000, al 1 1 whichever is greater, and the portion of the work to be done by such subcontractor. Bid Item(s) A'ame and Address of Subcontractor State License Number Class D ollar Amount % of Contract 2 Professional Curb Cut P.10'. Box 161 Mra LoTna, Ca 91752 840095 D06 9700 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 ffirmished copies of -all subcontracts entered into and bonds fin-nished by subcontractor for this project. C-3 NONCOLLUSION AFFIDANIT 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 anG correct and that U'll"S (leclarau"on is exec ate(I on at P I a C ent i a CIA Date Ci4' State Ronnie Cochran being first duly sworn, deposes and says that he oip ol-w is President of golden State constructors thepaitymaking 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 llas 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 retrain from bidding-, that the bidder has not in any manner, directly or indirectly, sought by agreement, Communication, Of conference. with anyone to fix the. bid price or that of any other bidder, or to secure any advantage against the public body ativarding the contract of anyone interested in the proposed contract that all statements contained in the bid are true; and, ffirther, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown Hiereof or th e contents u-tereof, or divatigea irdorm aftion or dala r e-lative thereto, or p aid, and will not pay fee to aity corporation, partnersl-tip, company association, organization, bid depository, or to any member or k-gent thereof to eff'ectuate a collusive or sham bid. Golden State Constructo-rs M-ame ok—qdder Signature of Bidder 208 E. Orangethorpe Ave. Placentia, CA 92870 Add.ress of Bidder M UTILITY AGREEMENT HONORABLE MAYORAND CITY COUNCIL CITY OFHIUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises mid agrees that' the performance of the work specified in the 1 in contract, known as the ITY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT, (1)( e)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in 0V aaxy 1 1 it n 'IQ ed Person" is proximity to any eleculicalsecon' or transmission tacilitiess. T1 e term nalin defined in Title 8, California Achninistrative Code, Section 2700, as follows: "Qualified Person: A penvon who, hy reason qfexperience or instnwtion, isfiamiliar with the operation to he perfiortned and'the hazards involvea' The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Put -he 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. D ate: 2/18/2015 C-5 Golden State Constructors Contractor Ronnie Cochran By Pre,qi'dent Title DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of peilury, the following questiomiaire. 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 othei-Arise prevented fi-oin bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation LJ Yes Ud No If the answer is ves, explain the circumstances 'in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signatare portion of the Proposal shall constibLAMe signature of -this questionnaire. C-6 COMPENSATION INSURANCE CERTIHCATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certTicate. I arri aware of the proVisioms 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 hpfnrp, i-..-)mmPno.inor tbp- nerfbimance of the work of this contract,. Date: 2/18/2015 C-7 Gc-'Lden State Cci-istructcrs Contractor Ronnie Cochran By President Title 111,11 11,17,1110 11 11 BIDDER certifies that the following information is true and correct: Golden State Constructors Bidder Name 208 F. Oranget'horpe Ave. Business Addrf-.Q-,z Placentia CA 92870 Cityn _� 714) 625-8758 Telephone Number 867060 - A, 2, C-8 State Contractor's License No. and Class 11/2005 Origial Date Issued 3/31/2017 Expiration Date State Zip The work site was inspected by Ronni e Cochran of our office on 2 / 13 201 S. The followig are persons, firms, and corporations haVing a pnincipall 'interest in this proposal: Ronnie Cochran, Golden State constructors C-8 N The under'signed is prepared to satisf�v the Council of the City of Huntington Beach of its ablht�', financially or otherwise, to perform the contract for the proposed work- and improvements in accordance with the plans and specifications set forth. Golden S-L ,, �e Cons uctors Com1p,, N e A Sig-I�Iature of Bidder Ronn-le Cochran Printed or Typed Signature Subscribed and sworn to before me this day of n 201_ NOTARY PUBLIC NOTARY SEAL Bidder's Project History For the purposes of this pr-'ect, the bidder shall provide project history of similar work, specifically referencing the construction of curb ramps with. Bidders are encouraged to submit supplemental relev. ant project history in addition to the projects listed herein. Listed below are the names, address and telephone ni-unbers for three public agencies for -VvIliell the bidder has performed similar work within the past five years: City of Tustin 300 Centennial Way Tustin, CA 92780 N am e and Address ot- Public Agency ( "� -11--/ )rer. Eric LTohnsson (714" 573-3000 NanieandTelq)honeNo.ofPrQ]ectManag $500, 000 construction of new bikaj2ath and sidewalk 6/14 Contract Am omit Type of Work Date Completed Provide additional project description to show similar worl,-: 2. City of Anaheim, 200 S. Anaheim Blvd. Ste 620 Anaheim, CA 92805 Name and Address of Public Agency Name andTelephoneNo. of Pr 'ectManager: Mike Wood - (714) 765-5176 0J -- C-9 $750,000 Remove and replace sid�vralk curb and gutter 1/16 Contract Amotmt Type of Work Date Completed Provide additional project des cription to show similar work: 3. City of Rancho CucaTnonga 10500 Civic Center Drive, Ranchc - Nameand Address of PLft)lic Agency CucaTnonga, CA 91730 Name and Telephone No. of Project Manager: Rc-mtec David 909-477-2740 $150, 000 Construction of new sidwa.lk 6/14 Contract Amount T3Te of W ork Date Completed Provide additional project description to show similar work: C-10 A notary public or other officer completing this certificate verifies only the identity of the irl.dividul,al wtho signed the document to which this certificate is attached, '4 and not the truthfulness, accuracy, or validity of that document. State of California County of C', 1, '�? vl� et before me-, i '�t' On i- !'!,I,'. (H.r� Ns�rt lla")� Vid tin. �T 0). bttic�r) personally appeared --------------------- who proved to me an the basis of satisfactory evidence to be the person(*whose n-am=-(&);&Lc" subscribed to the wit lip. ins rument and -acknowledged to rne tha-t he���executed the same in his/h*44ie* authorized capacity4&), and that by his+�'� signature(&) on the instrument the person(4, or the entity upon behalf of which the person(is) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. I a-- 1� . - CLAUDIA COCHR�AN COMM # 2095862 z ORANGE COUNTY WITNESS--my-I.FaNd and official seal. NOTARY PUBLIC-CALIFORMA Z My COMMISSION EXPIRES 4- Notary Public Signature (N�ntary Public SEal) INSTRUCTIf "Ic FORN' , -)NS FIDR COMPI.FTING T A DITIONAL OPTIONAL INFORMATION 1� D 0 VIT,� fia-pli with ;:#j)-"-.'jT r"W1 )r"Ji.ey m)tuteq 7.,gendlo, wi�vfhqg inid" zind ishw-hedlo ihe ik,,-ivnew. DESCRIPTION OF THE ATTACHED DOCUMENT 11iJ47UNJIMIq � ff ay ne! !he fll.�" n-'Vay zjw- 'Td-- or descri-pt6n r)fattar-hr�d dnument) - Slal�- "and Cou'lity iiflomvai'�Il 111LJ*L 114' flic. -Stal;'411�1 sigljj;�Is) pci:sonally appcan:d bc'ton: dit; iloitary publit, fui�aLLwwlzdgluzdt� * nil% of llotari7atioll Ill -List bc 111C LLIT'r thal tbt sipii:t�s) prrsonally apptal-cd WhiJI "T'do or de-scription Df attarhad donmelit calithuad) 11111A Jm)bt; Lli,: saniz. dato 1311; 'nic il� � 11mi't plilit hii, or nallit; �is it al-41mr, ��itllirl hiE or hur ntaij publv- lNui-nbar of Pages Dorui-,,an1Date__ by �j !:�Jnlfllfi Ir(LI 11FICri YOUl' tirlt; jm-irai-5 public), hiriE the tlamzfs) of t1o.:tirticot sigriti(s) vho P�_fsijrnll- PP a At the Wy1c i3f niAW i'IaLiMl. CAPACITY CLAIMED BY THE SIGNER hidicati; Lk; :aTru-'t sinimlar or plural fonns by cro�siihg 11IT IlluflITCCIL fnrmN 6-c- 40;J104he-� to t1l, drAllig. [hi: i;urnxt foym:;' Failutc Fo toffix.t1v wdivaL- '.its Individual (s) infamiation rna) lead Lo r,-jecLiork of'dw �CL11710tlt I Cornorate- officer Th - ni-L�-y ymd mip-- im mu"t. lfi� -c-10a'. �.Id P111-AboipLptui-Ay Imprrssio" mlls( "ot Lflvrr tcxL or It sral impl-csfion silllldgvs-� Ic-stal if a saff1i:;j:int.xzapi:Trniis, oThrrwisi: corripitti: I S'ignxnlr� fif th-- rintify pulflic rtinsr march oir sigramrt fin Tilr N6rh ih� i)tyice- (if F-I Rartner(s) rh�! i-,outty clvrk-- Attorney-in-Faict Additional intiji-friation is r;jt rcquirt:d bui i;VIIILI hCIP TU VFISIV�: this Lit i L uNlKAI11i&1l;SVJ in aILLarI1UdLoaA1ITMCTki dU1-,LlT1101t- Trustee(s) , ti;� 0 Other �C- llidiultr th� Lapin':'4Y iI�Iilnrd by thr S;glicf� If On LJaimcd i�aplit:.4y is �1 fjr`Fi,,�i�j indica!Lc Lhc tilk� f'Efl, (,M, N,�=La'Vj. S��cuf,-J� alLaJI Lhis jIij�Ljrr,-r1L If) Lh-- Si�.rielf ;I4ICLIM,-r11V'-4h a sLarda. 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 thi's project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. Ronnie Cochran Name of proposed Project Manager Telephone No. of proposed Prc9ect Manager: 714-932-59-74 Annual Maintanance.- - remove rej2lace sidwalks 1/15 Project Name& Contract Amount TypeofWork- Date Completed Rivers End Staging - 1.6rnil - new sidewalk, par]-�.inq lot 9/12 Project Name& Contract Arnount TypeofWork Date Completed Newport Ave. - reconstruct new bikepath 6/14 Pro,iec.tlm--�P.--&Cor.tractA.mo,arA T,—eofW-z)rL- Date Completed .7 Y 1). Ronnie Cochran Name of proposed Supenintendent Telephone No. of proposed Superintendent Project Name &Contract Amount TypeofWork Project Name & Contract Amount TypeofWork Project Name &- Contract Amount TypeofWork C-11 Date Completed Date Completed Date Completed [111 11111] IN 11% M-2 01 HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992, SECTION 3 TITLE 24, C-ode of Federal Regulations, Part 135* Economic Opportunlities for Low and Very Low -Income Persons The bidder, under penaltyof pellury, certifies that except as noted below. any person associated there-rith in the c ap acity, o f owner, p al ta er, dil rector, o flfi c er, or in ariag er (inj L0 1 the -pplicaht Le selectiot&): Will ensure that 10% of all new hires as a result ofthis project shall meet all requiremnents o f Section 3 of CFR Part 135 of the HUD Act of 1968; or X will hire no new employees in conjunction with tht's project. Will award 10% of its sub -contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub -contracts related to this project - Contractor: _Gc1den State Constructcrs Contact Person, Rcmnic Cochran 7 14 -,e;?S - �/)5 8Z�' Contact Phone: Signed: — Dnt�' CaLl— 2 / 1,15 / 20 *Note: The above certification is reqw'red by the Depaitnent of Housing and Urban Development ('24 CFR 135 and Subtitle A et al) and must be submitted by the bidders and proposed sub -contractors only 'in connection with contracts and subcontracts wl-deh are suklect to Section 3 of the 1968 Housing and Urban Development Act, as amended in 1992 (HUD). Previous non-compliance with Section 3 could result in disgualification. C-12 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 for C.C. No. 1498 February 11, 2015 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1. In Appendix I of the Project Specifications, the prevailing wage rates have been superseded with the attached modified rates with publication date 0 1 /2312015. This is to acknowledge receipt and review of Addendum Number One, dated February 11, 2015. e. &Zloiali e'sfi-' C-A"i Company Name By 2 - 12 Date All bidders must acknowledge the receipt of this Addendum and modified rates with your bid proposal. Should you have any questions regarding this Addendum, please call Joseph Fuentes at (714) 536- 5431. I CONTRACTORS STATE LICENSEBOARD IISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on iis information, you should be aware of the following limitations. CSLB complaint disclosure is restricted by law (B&P 7124,6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. Per B&P 7071.17 , only construction related civil judgments reported to the CSILB are disclosed. Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. Data current as of 2/19/2015 3:14:50 Pr Business Information GOLDEN STATE CONSTRUCTORS 208 E ORANGETHORPE AVENUE PLACENTIA, CA 92870 Business Phone Number:(714) 625-8758 is license is current and active. 11 information below should be reviewed. Entity Corporation Issue Date 11/05/2005 Reissue Date 03/28/2007 Expire Date 03/31/2017 License Status Additional Status The license may be suspended on 03/11/2015 if the workers' compensation insurance policy is notfiled with the CSLB. A - GENERAL ENGINEERING CONTRACTOR B - GENERAL BUILDING CONTRACTOR C-8 - CONCRETE Classifications Bonding Information Contractor's Bond is license filed a Contractor's Bond with AMERICAN CONTRACTORS INDEMNFFY COMPANY. ind Number: 10145962 �nd Amount: $12,500 fective Date: 03/28/2009 intractor's Bond History Bond of Qualifying Individual NORTH AMERICAN SPECIALTY INSURANCE COMPANY BOND NO.: GOLST-305 BID BOND KNOW ALL MEN BY THESE PRESENTS: That we, GOLDEN STATE CONSTRUCTORS, (hereinafter called the Principal), and NORTH AMERICAN SPECIALTY INSURANCE COMPANY, a corporation organized and doing business under and by virtue of the laws of the State of NEW HAMPSHIRE, 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 FY 14/15 CURB ACCESS RAMP, JOB/BIQ NO. CC 1498, 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 12TH day of FEBRUARY, 2015. MIN NORTH AMEFJCAN SPECIALTYANSURANCE COMPANY �nwjgqlbymmejugw NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation 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, each does hereby make, constitute and appoint: RANDY SPOHN and MATTHEW R. DOBYNS JOINTLY OR SEVERALLY Its true and lawful Attomey(s)-in-Fact, to make, execute, sea] 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- FIFTY MILLION ($50,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9th of May, 2012: "RESOLVED. that any two of the Presidents, any Managing Director, any Senior Vice President, any Vice President, any Assistant Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney quali�,ing 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 die 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." .o� .......... 4(p V/, Q, By --.7a Vice President of Washington International Insurance Company SEAL .0= Steven P. Anderson, Senioi SS4L MI.I.- 1973 t & Senior Vice President of North American Specialty Insurance Company :rn IVA mps., N . ......... By �& David M. Layman, Vice President ofWashington International Insurance Company & Vice President ofNorth American Specialty Insurance Company IN WITNESS WHEREOF, North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this26th day of_ .. June 2012 . North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook SS: On this 26th day of June 1 20 12 , 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 DavidM.Layman, Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company, personally known to me, who being by me duly sworn, 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. "OR11CIALSEAV �0 A"",o DONNA D. SKLENS Notuy Public, Stme of Efinois Donna D. Sklens, Notary Public !Ly coinmissim !� lownis I 2jo I, Jeffrey Goldberg . the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company, which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 12th day of February 20 15 Jeffrey Goldberg, Vice President & Assistarit Secretary of Washinut on international Insurance Company & North American Specialty Insurance Company 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 before me, ERIKA GUIDO, NOTARY PUBLIC personally appeared RANDYSPOHN r;l who proved to me on the basis of satisfactory evidence to be the person(s) whose namefs) is/afe subscribed to the within instrument and acknowledged to me that he/she/t" executed the same in his/hef/thei-r authorized capacity Oes), and that by his/hef/theif signature(O on the instrument the person(s), or the entity upon behalf of which the personfs� acted, executed the instrument. I certify under PENALTY OF PERMY under the laws of the State of California that the foregoing paragraph is true and correct. ERIKAGUIDO WITNESS nd and official seal. (;Omm. # 2022671 NOTARY PUBLIC CALIFORNIA 'r, 3: ORANGE COUNTY t '�si�ature)Qt*tiiry 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 F-I INDIVIDUAL F-I CORPORATE OFFICER F-I PARTNER(S) F-1 LIMITED ATTORNEY -IN- FACT TRUSTEE(S) GUARDIAN/ CONSERVATOR F1 OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) DESCRIPTION OF ATTACHED DOCUMENT � A notary public or other officer completing this certificate verifies only the identity I of the individual who signed the docurnent to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of L�T On before me., (H.� ims�rt oam� and tid&ol th� otficrj personally appeared --------------- --------------------- who proved to me an the basis of satisfactory evidence to be the person(*whose name(&), is,'_- subscribed to the within instrument and ackl. owvledged to me that he/-�-�executed the same in his/4a4g;�i*, authorized capacity4as-), and that by his/4etA4&t signature(r,) on the instrument the person(C4, or the entity upon behalf of which the person(4) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WIT N E 'S��.y-har4d-and official seal. :P_ Notary �5�ic Signature (Nt)tary Public Scal) CLAUDIA COCHRAN COMM # 2095862 7 ORANGE COUNTY NOTARY PUBLIC-CALIFORNIA Z MY COMMISSION EXPIR JAN.30,2019 TNSTRUCTIONS FOR COMPI.ETTNO THIS FORNf AnnOTIOMAL e1olrflnWAI INFnPRAATInN ivi"-diag f2lid, ­11. — �. _. 0�­_ a � _­ 11-_� H cimph'l'r DESCRIPTION OF THE ATTACHED DOCUMENT t! ieeded, should li�E, _,onj lhe �1�-kwnvj'efJ�qmu­jn; fifnyo laherst-a.1,3V M_Jyho T.n i,, hmg fly AIL. !101 requve !he Calyij!'Tia lzojf?'I� u" VVL'j'Cl!'- CW&I'w 'lvlary Llw. J& or dcsviplJiori of al:Lach��d d.)curnpnt) _)U11tV VVIIVI" I I k - Swt,: alld County b1loliliati0b MUAL N, ill, StaL, U11A 0 . � I I - -Ilicaminil. si-_,ruxk1s) p�:rsqxially appcati:il bi;fofc thu notary publit, ftir aLk-1iowICdgmwt. . Diac of notari74itioo must bc The Jatc that flic sigllcr�s) prrsolially appCarril Which 'Tilp 111UA UISO bi; 01C Nall1t, dutL 010 tcd- - The notary public linis-1 Ptirit hi,.� or li-i- iianic ai� it vVithill hit4 i)r flu N umb5r of Paps — Docu iiiant Date comr-nission ll�jllowcd by ;i i:�jrrininird ihzrt yotv -Lirlt i riotni­5 publ ic). . Prira the narrcfsj of do,�urnrnt sigriv-ls) who p-crsorially apprar at Ibc timc of riiiLar yaLior). CAPACITY CLAIMED BY THE SIGNER - Indicatc Lhc c-orro.-A tonirular or plural loiinN by cnissfilig ol'I'mcni-rcet forim 6-c- 4*0.;Zh�-/44t�' is ef;a) or -_acliag Chi- ixtrixt fornis. Failure ro ixjl:rcud'� indicatc this El Individual (s) mrirniaLion ma� lead Lo1_-jCCLmr1 01'd-oCUTTIML10tMIdin,� [I Corporate Officer - Th-- mstxy %iA impcssiim -mut !�.- t:.11-all wiLl ph-.A-,)irnqhu;atIV ­,pril'tu"�iNc. I'llprMssiull 11111sc flot �;ovrr tcyc 01' lillC-S. It SC,11 ill1pl'CSsfull Sl"'IldgCSo IC-Stal if .11 (Title) . Sigriaturz �3f*tI1-_(l(1t_1Tyj)1Jh1L: mrstmarch the signacort �itj filc W;rh Thc -Ifficc (if 7 Partner(s) rin�, imlinty ckrk El Attorney-iii-Fact Addit�onal iritf_irmg�on is tiat rrquirc�l. buc �;vulil h0p to rristirr this E] Trustee(s) at�kmtwL-di�mi:iii. i,, iint umwiuJ in attachcd Lf) a di ITincid docuviimt. E] Other ludicatc rific or tv-p,� of atraehod dticumcnt. immbi-r of pagus and datc. L i1c.iry. jilimrj[ by tht sigict. If thr L;1aimrtf i�apai;ity is a Illdivatr thr ap cf)ipwaLe (MUCT, MulCaL2 UIC L111C O.C. �. �11 -1 GSCI Cofden Stai - - - 208 E. OrangetfiOrPe Ave- Pfacentia, CA 92870 OP ID: MH "'%4CCPMix 111%.� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDONYYY) 1 0410612015 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(les) must be endorsed. If SUBROGA71ON 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 Huntington Pacific Ins. Agency 7901 Professional Circle Huntington Beach, CA 92648 Mark Heberden CONTACT NAME: Mark Heberden E FAX -842-2538 PHOI . -6283 (AJC No): 714 t: 714-841 WC N El E-MAIL ADDRESS: mark@_huntpacificinsurance.com FKULJtJ(;ER CUSTOMER to III: GOLDIENS INSURER(S) AFFORDING COVERAGE WC # INSURED Golden State Constructors, Inc 208 E, Cirangethorpe Ave Placentia, CA 92870 INSURERA:James River Ins. Company 12203 INSURER B: Liberty Mutual Insurance Co. 23043 INSURER C: Granite State Insurance 23809 INSURER D: Financial Pacific Ins. Company INSURER E: Rockhill Insurance Company INSURER F : I COVERAGES CERTIFICATE NUMBER: 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPEOFINSURANCE ADDL ISUBRI POLICY NUMBER fi�FWY�Yn ICY EXP I (�M-6DIMY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE r_V_1 I A I OCCUR X $2500 Deductible 51764-3 01/31/2015 01/31/2016 EACH OCCURRENCE 1,000,000 DAMAGE TO REN PREMISES iEa o $ 50,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PEP: X , POLICY PRO - JECT LOC PRODUCTS - COMPIOP AG G 2,000,000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BAA56352859 02/06/2015 02/06/2016 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 1 7X BODILY INJURY (Per per5on) $ BODILY INJURY (Per acrident) $ PROPERTY DAM ' A ' GE (PER ACCIDENT) $ Deductible $ 0 D UMBRELLA LIAB LIAS OCCUR CLAIMS -MADE 27304084 03/11/2015 01/31/2016 EACH OCCUPRENC 2,000,000 $ 2,000,000 �XEXCESS DEDUCTIBLE RETENTION [AGGREGATE $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABIL17 YIN ANY PROPRIETORIPARTNER/EXICUTIVI OFFICER/MEMBER EXCLUDED? (Mandatory In NH) Iles, describe under D SCRIPTION OF OPERATIONS bel NIA X �61257036 02/0612015 02!0612016 X I WCSTATU IOTH- TORY LIMIT� I ER E L. EACH ACCI DENT $ 1,000,000 DISEASE - EA EMPLOYEE $ 1,000,000 -E.L. E L. DISEASE - POLICY LIMIT $ 1,000,000 E 01 U tion Llab I ENVP013001-00 04/01/20,15 04/01/2016 Ea Occ 2,000,000 1 jAggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS IVEHCLES (Aftach ACORD 101, Additional Remarks Schedule, If more space is required) The City of Huntington Beach, its officers, elected or appointed officials, employees, agents dnd volunteers are additional insured as requi�ped by written -contract per the attached blanket endorsement. Coverage is primary and non contributory. Waiver of subrogation in favor of the certifiacte [holder is included on the workers compensation insurance. 30 days notice of 1=1 CITY012 City of Huntington Beach 2000 Main Street Huntington Beach,, CA 92648 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA71ON DATE THEREOF, NOMCE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE MOA_ 06 1998-2009 ACORD CORPORATION. All riahts reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD A Michael Gates, City Attormy POLICY �NUMBER:,�00051:764-3 'COMMERCIAL GENERAL LIABILITY �CG20,10,07,04 THIS END0,118EMEINT CHANOES THE POLICY,� PLIEAS.E'READ ITICARIEFULLY. If This, endbirsement,modifies insurance, provided under the'following: COMMERCIAL GENERAL,LIABILITY COVERAGE PART SCHEDULE Name -Of Additionalinsured Person(s) I Or., 6roanization(s): I Location(s) Of:Covered" Operations The City�of Huntington Beach, its officers, elected or,appointed officials, employees, agents and volunteers. Where Required B Written Cdntr pt 0' A ' fn nt ..r, greeme All Pf6ii��ct$-Of7he.1\16med Insured,$ I Information required tq:complete'this Schedule, -if not shown above� will 3be shown in the Declarations. A. Section 11 - Who Is An Insured is amended, to include asan additional insured the p6rson(s)or, organization,(§) :shown "in the ��dhedble� b0t,dnly With re'spect'tb: liability for "bodily injy "property ry damage" or "personal and ad.vertising -inju J ry caused, in whole,or, in, part; 'by., 16 Your acts or omis.sions; or 2. Theacts or bmis�ions,-ofjlhose,acting ph y qur behalf; in, tlhe� performance, of your ongoing operations, for t'he;addftlon ' al , insured(s) at the location(s) desig- nated albove, B. With respect to the insurance afforded to these I i iona ,additional insureds, the following add't' ' "I :si6nszppIy: This, 1nsurancb.does,,n6t'a0pIy to injury" or, "prbpOity:dam,8�ge" bdcurring�,affer-� 1. All work, including -materials, loarts, or equip - tent furnished in d0nn6btion'with 's.dch w6rK off the project f bthbr'thain sery 0. maintenance or repairs),to be performed b or on behalf of the additional insured(s),at the location of the coveted olb&ationsJ�as bben,,doimpleted- or 2. That po ion of "your vork" out of which the injLjfy'6r- damage..'arises has been Put to its in- tdndbd use. by, any,person orbrgaffiz�tionl oth- br than another',,co-ntfactpr "or' subc' 't ctor ongag'e'd,in 1perfdrming:bperatibnsJ i i or p,princlk pal as a part of the same project. C0.20 1607V4w 01SaProperti.els, lnc,.-,,,2004 Pagel of I POLICY'NUMBER: 00051764-3 COMMERCIAL GENERALLIABILITY CQ 201,47 OTQ4 THIS, ENDORSEMENT CHANGES THE POLICY. 'PLEASE READ IT CAREFULLY. -2111 "ex, This endorsement modifies insuran,ce,proVid.ed under the folJowin,g: COMM ERICiAL GENERAL LIABILITY COVERAGEPART SCHEDULE NameOf Additional Insured P6rsdn(s) The'City of Huntington Beach, its officers, elected or appointed officials, employees, agents and, vollunteers. Where Required By. Written Contrac I t-,Or Agreement Location And Description Of Completed Opera-, All Pro ects,Of The Named _Ihslureds I Information required' to. complete, this Scheclule� if,not shown above, will be shown in the Declarations. i Section 11 — Who Is,An InsuredJ5 zamended to include 4s an additional insured the, 'pers6,n(s) or organiza- tion(s) shown,, i n the','Sched-ule, but.only With resPect to liability fQr "bold ily i nj ury" or "property, damage" caused, in whole or in part, by"yourwork',,'af the location rdeSig'7 riated and described in the schedule of thi's , endorse- ment performed for that additional insured and, incl,Uded in the, "prod ucts-completed,operatio ns ha.zard"., tG 20 37 07 04 0 ISO Properties, Inc.,:"2004 Page.11 of 1 -13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Name Of Additional Insured Person(s) I Or Oraanization(sl: I If no entry appears above, this endorsement applies to all Additional Insureds covered under this policy. . . I Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US 04-10 Page I of 1 BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching ciause" need be completed only when this endorsement is issued subsequent to preparation of the policy). This endorsement, effective 12:01 AM 02/06/2015 forms a part of Policy No, WC 065-25-7036 Issued to GOLDEN STATE CONSTRUCTORS I NC By GRANITE STATE INSURANCE COMPANY We have a right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against any person or organization with whom you have a written contract that requires you to obtain this agreement from us, as regards any work you perform for such person or organization. The additional premium for this endorsement shall be 2. 00 % of the total estimated workers compensation premium for this policy. WC 04 03 61 Countersigned by - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - (Ed. 11/90) Authorized Representative CONTRACTOR'S SWORN STATEMENT AND WARRANTY REGARDING CONTINUING INSURANCE OBLIGATIONS FROM: (�OLVC-1� Sf-&-k-C PROJECT: CUiZ6 - I P -A L L/` 110 -3 , (7AH 10,�l (Contractor Name) ep-j * C)s At,�6_ TH 0 (Z Vc- AVE, (Street Address) ELAC_e"TIA CA QL ,� (City, State and Zip) TO: CM 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 Beach ('City) and the above -named Contractor ("Contractor) for the above -described project (Project). I declare under penalty of pedury under the laws of the State of California that the above statement is true and correct, Signed on z, - /0 206'. at P L IfA C-tq�-07_ I/:) (Date) (City, Statey i's 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 unlit 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 4t -1 20L5 at (2 T- 14, (Date) (City� State) CONTRACTOR: Name. LAV r-3,,J S t _n-(­� C-A70 P- B y Name, L C-4D 6440_1� T i t I e: 2 7 - T i T - 2776212 RECEIVED BY: (Name) (Date) Fe F� TO: FROM: DATE: SUBJECT CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Off ice after signing/dating F fjj7&jfZf, All 01k, City Treasurer City Clerk 7�Lo x, Bond Acceptance I 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. (Company Name) Approved -3/A, 1,-20 /j (Coacil Approlval Date) Agenda Item No. City Clerk Vault No. Other No. SIRE System ID No. g1forms/bond transmittal to treasurer Bond No. 2197502 ** In Duplicate ** (LABOR AND MATERIALS) KNOWALL PERSONS BY THESE PRESENTS that WHEREAS, the City of Hunfington Beach (hereinafter referred to as "City') has awarded to Golden State Constructors 208 E. Orangethorpe Avenue, Placentia, CA 92870 (name and addresS of Contractor) (hereinafter referred to as 'Principal"), a contract ('Contracr) for the work described as follows: FY 14/15 Curb Acess Ramp Installation Proiect, Proiect # CC 1498 (project We) WHEREAS, Principal is required under the terms of � the Contract and the California Civil Code to secure the payment of claims of laborers, mechanics, rnaterialmen, and other persons as provided by law. NOW THEREFORE, we, the undersigned Principal, and North American Specialty Insurance Company 6 Hutton Centre Drive, Suite 850, Santa Ana, CA 92707 (name and address of Surety) (a duty admitted surety insurer under the laws of the State of California and hereinafter referred to as OSurety"), as Surety, are held and firmly bound unto City In the penal sum of One Hundred Twenty -Eight Thousand One Hundred Forty -Five and 00/ 100 dollars, ($128,145.00 _ ), this amount being not less than one hundred percent (100%) of the total pdce sit forth in the ContracL 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 OBLIGAMON IS SUCH THAT, If the Principal, his, her, or Its heirs, executors, administrators, suocessors or assigns, or subcontractors shall fail to pay any of the persons named In Section 318.1 of the: California Civil Code CCIalmants") -fbr 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 lhicurred pursuant 'to Sections 1774, 1775, 1813 or 1815 of the Labor Code, or any amounts required to be deducted, withhold and paid over to the Employment Development Departrivrit,fronn the wages of employees of the Principal and Subcontractors' pursuant to, Section 1ID20 of the Unemployment Insurance Code wfth respect to the work or labor performed under the Contract, Surety will pay for the same, In an amount: not exceedin 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 per -sons 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 b - y the courL 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 perforrned thereunder, whether made after notice or noL shall In, any way arbot, impair or release the obligations of Surety under this bond. Surety hereby waives notice of any such change, 277509.1 PAYMENTBOND Page 1 of 2 Bond No. 2197502 extension of time, alteration, addition, or modification to the terms of the Contract, the contract documents or the work thereunder. Surety also waives the provisions of California Civil Code 2845 and 2849. IN WITNESS WHEROF, each party represents and warrants that this instrument has been duly executed by Principal and Surety, on the date set forth below, that the name of each corporate party being affixed hereto is such party's proper legal name and that the individuals signing this instrument have been duty authorized pursuant to the authority of its goveming 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: April 6th, 2015. ATTEST (Cwporate Seat) ATTEST Golden State Constructors North American Specialty Insurance Company (Corporate Seal) Mirptv NAMPI (Attach Attorney4n-Fact Cerff=te) N (Area Code & Telephone Number of Surety) APPROVED AS TO FORM: CITY OF HUNTINGTON BEACH 4� M kw-� ay( hennifer McGrath U ath r i itv if rM ty Attorrnevy ftfe.- This bond must be executed In dupikate and dated, all signatures must be rx0dred, and evidence of the suftrity afanype=n afgnhV as aftwwy4n4ect must be attached 277529.1 PAYMENTBOND Page 2 of 2 NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company.. a corporation 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, each does hereby make, constitute and appoint: RANDY SPOHN and MATTHEW R. DOBYNS 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-. FIFTY MILLION ($50,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9h of May, 2012: "RESOLVED, that any two of the Presidents, any Managing Director, any Senior Vice President, any Vice President, any Assistant Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached." �o ........ 0 .0%p 0;4 ex �P,_ 7— By 9—i SEAL = C .. Steven P. Anderson, Senior vice President of Washington International Insurance Company SEAL a Ul 1973 C) -F & Senior Vice President of North American Specialty Insurance Company M �4 .... ...... BY— Daiid M. Layman, Vice Preside7mt ofWashington International Insurance Company & Vice President ofNorth American Specialty Insurance Company IN WITNESS WHEREOF, North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this26th day of une � 20 12 North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook SS: On this 26th day of ------- June-------, 20 12 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 DavidM.Layman, Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company, personally known to me, who being by me duly sworn, 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. "OFRCIALSEAV DONNA D. SKLENS Notuy Public, StW of Mincis !Ly CMMiW=!!et IGM6013 1 1 Donna D. Sklens, Notary Public 1, Jeffrey Goldberg , e duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company, which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 6th day of April 120 15 Jeffrey Goldberg, Vice President & Assistant Secretary of Washington International Insurance Company & North American Specialty Insurance Company 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 Countv of ORANGE AX On before me, ERIKA GUIDO, NOTARY PUBLIC personally appeared RANDYSPOHN who proved to me on the basis of satisfactory evidence to be the personfa) whose name(s) is/a-re subscribed to the within instrument and acknowledged to me that he/sheffliey executed the same in hisffief/thei-r authorized capacity Oes), and that by his/hefftheif signaturefs) on the instrument the person(s), or the entity upon behalf of which the personN 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 WITNESS my d and official seal. COMM, # 2022671 N :2 NOTARY PUBLIC CALIFORNIA ORANGE COUNTY S)�ure of kdiary 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 F� INDIVIDUAL n CORPORATE OFFICER Fj PARTNER(S) F1 LIMITED Z ATTORNEY -IN -FACT n TRUSTEE(S) F1 GUARDIAN/CONSERVATOR R OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) DESCRIPTION OF ATTACHED DOCUMENT 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 I - On before me, Claudia Cochran, Notary Public (Here insert name and fide of the Wer) personally appeared Ronnie Cochran who proved to me on the basis of satisfactory evidence to be the person(*whose name(&) iskife subscribed to the within instrument and acknowledged to me that heAaheAhe�executed the same in his/llerlthei authorized capacity#@.&), and that by his#l� signature(4s� on the instrument the person(4, 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. CLAUDIA COCHRAN COMM # 2095862 WITNESS my h w3d,9ffidal seal. 2 ORANGE COUNTY NOTARY PUBLIC-CALIFORNIA Z MY COMMISSION EXPIRES JAN.30.2019 Notary Public Signature (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of attached document) (Tide or description of attached document continued) Number of Pages — Document Date CAPACITY CLAIMED BY THE SIGNER 0 Individual (s) • Corporate Officer (Title) • Partner(s) • Attorney -in -Fact Trustee(s) Other INSTRUCTIONS FOR COMPLETING THIS FORM Thisform complies with current California statutes regarding notary wording and if needed, should be completed and attached to the document. Ac�mowledgments from other states may be completedfor documents being sent to that state so long as the wording does not require the California notary to violate California notary law. • 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 atso be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her ornmission followed by a comma and then your title (notary public). • rint 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/giey,— is /a,-e ) 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. 4- 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 attach this document to the signed document with a staple. -rHE F:INAL PREMIUM IS PREDICOED oN THE FIWAL r.ONTRACT PRICII KNOW ALL PERSONS BY THESE PRESENTS: Bond No. 2197502 ** In Duplicate ** WHEREAS, City of Huntington Beach (hereinafter referred to as'Cy) has, by written agreement dated 2015 , entered into a contract with Golden State Constructors 208 E. Orangethorpe Avenue, Placentia, CA 92870 (narne and address of contractor) (hereinafter referred to as "Principal"), for performance of the work described as follows: FY 14/15 Curb Acess Ramp Installation Project, Project # CC 1498 (Project Title) WHEREAS. said contract. and all documents referenced therein (hereinafter collectively "Contract"), are incorporated herein by this reference made a part hereof as though set forth herein In full. WH , EREAS, said Principal Is required under the terms of the Contract to furnish a bond guaranteeing the prompt, full and faithful performance of said ContracL NOW THEREFORE, we, the undersigned, as Principal, and North American Specialty Insurance Company 1 6 Hutton Centre Drive, Suite 850, Santa Ana, CA 92707 Inarne and addrwoe of SureV) (a duly admitted surety insurer under the laws of the State of California and hereinafter referred 10 as wSurey), as Surety, are held and firmly bound unto City in the penal sum of One Hundred Twe=-Eight Thousand One Hundred Forty -Five and 00/100 Dollars ($1 8,145.00 this arr-lount being not less than one hundred percent of the pride set forth in the Contract, In lawful money of the United States. for the payment o,fwhIch sum, well and truly to be made, we bind ourselves, our heirs, executors, administrators and successOrS. jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT 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 the terms of the Contract as said contract may beaftered, amended or modified from time to Ome; and It the Principal shall Indemnifyand save-harmlbts City and all of City's officers, agents.and employees (hereinafter collectively referred to as "Oblig"so) from any and all losses,,11ability and daimages, claims, judgmentsi stop notim. fees and costs Vf every description, whether imposed by law or In equity. Which My be Incurred by the ObIlgees by reason of the failure or default on the part of the Principal In the performance ofany or all of1he terms or the obligations of the Contra4 including all alterations, amendments and modifications thereto, and any warrantlei; or guarantees required thereunder, then this obligation shall be vold; 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 ContracL or the work to be performed,thereunder, shall In any way affect, limit, restrict, impair or release if* obligations of thei SUr6tyrunderthls Bond. Surety waives notice of any adjustment of contract Ome or contract price, and 277"Ll PERFORMANCE BOND Page I of 2 Bond No. 2197502 any other alteration, change, deletion, addition or other modification to the Contract, or the work to be performed thereunder, and agrees 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 Surely, on the date set forth below, that the name of each corporate party being affixed heretolis such party's proper legal name and that the indWiduals signing this instrument have been duty 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: April 6th, 2015. ATTEST Golden State Constructors (Corporate Seal) Pril p Name) P" p v By: Name'. r-,n CA.,_f� Title: 0� "I — ATTEST (Corporate Seat) (Aftach Aftomey4n-Fact Cerfificate) North American Specialty Insurance Company (Area Code & Telephone Number of Surety) APPROVED AS TO FORM: C11Y 0 UNTI NGTON BEACH 7_1� b rma��L enn er Mc�*a_th S' B 13 . aY� 6nn if er Mc ity Atiorrn#y Able: This bond must be executed In dupNcata and dated, all sipaturas must be notaftod, and ovklience of the aulhad4, of any p9rWn sk7ning as attomy6ih4act must be a ttached. PERFORMANCE BOND Page 2 of 2 NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation 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, each does hereby make, constitute and appoint: RANDY SPORN and MATTHEW R. DOBYNS JOINTLY OR SEVERALLY Its true and lawful Attomey(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of Suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: FIFTY MILLION ($50,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington international Insurance Company at meetings duly called and held on the 9"' of May, 2012: "RESOLVED, that any two of the Presidents, any Managing Director, any Senior Vice President, any Vice President� any Assistant Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company-, and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached." A ,,\� Z'* ,RX le 4 By E S Steven P. Anderson, Senior Alice President ofWashington International Insurance Company SEAL LU 1973 & SeniorVice President of North American Specialty Insurance Company iE A ve ......... BY — David M. Layrnan, Vice Preside�nt ofWashington International Insurance Company & Vice President ofNorth American Specialty Insurance Company IN WITNESS WHEREOF, North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this26th dayof_June 12012 . North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook ss: On this 26th day of June 2012 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 DavidM.Layman, Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company, personally known to me, who being by me duly sworn, 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. "OFRCIALSEW DONNA D. RKLENS fNotay Publr- Staw of Emis Uy Co = d W M 10 10 612 0 15 Donna D. Sklens, Notary Public 1, Jeffrey Goldberg , the duty elected Assistant SecretM of North American Specialty Insurance Company and Washington International Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company, which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 6th day of April 20 15 Jeffrey Goldberg, Vice President & Assistant Secretary of Washington International Insurance Company & North American Specialty Insurance Company 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 f ORANGE on LA 16(7__::) before me, ERIKA GUIDO, NOTARY PUBLIC personally appeared RANDYSPOHN 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/hef/theif authorized capacity (imes), and that by his/hef/theif signature(s) on the instrument the person(s), or the ent4 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 GUID 1� WITNESS hand and official seal. COMM. # 2022671 NOTARY PUBLIC CALIFORNIA 30: ORANGE COUNTY May 5.2�01 Mt. expires \,S:ighature 6Y Notary 13 00% Nllw� -4= MEM! 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 F-1 CORPORATE OFFICER F� PARTNER(S) F-1 LIMITED Z ATTORNEY -IN -FACT F-1 TRUSTEE(S) Fj GUARDIAN/CONSERVATOR Fj OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) 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 Ora On before me, Claudia Cochran, Notary Public (Here insert name and title of the officer) personally appeared Ronnie Cochran who proved to me on the basis of satisfactory evidence to be the person(*whose name(&) is/a% subscribed to the within instrument and acknowledged to me that he/.sheAhey executed the same in his/heFAheiF authorized capacity0e-&), and that by hisfi-�� signature(4i;� on the instrument the person(c4, 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. CLAUDIA COCHRAN COMM # 2095862 WIT S my hand a seal. Z ORANGE COUNTY NOTARY PUBLIC-CALIFORNIA Z MY COMMISSION EXPI S JAN.30,2019 Notary Public Signature (Notary Public Seal) I DESCRIPTION OF THE ATTACHED DOCUMENT (Tile or description of attached document) (Title or description of attached document continued) Number of Pages — Document Date CAPACITY CLAIMED BY THE SIGNER • IndiVidual (s) • Corporate Officer (Title) Partner(s) Attorney -in -Fact Trustee(s) Other INSTRUCTIONS FOR COMPLETING THIS FORM Thisform complies with cut -rent California statutes regarding notary wording and, if needed, should be completed and attached to the document. Acknowledgments from other states may be completedfor documents being sent to that state so long as the wording does not require the California notary to violate California notary law. • 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 tide (notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. • Indicate the correct singular or plural fonns by crossing off incorrect fbirms (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. 4- Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. 4- Indicate title or type of attached document, number of pages and date. A.- Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). • Securely attach this document to the signed document with a staple. Certffication of Compliance with Title VM of the Civil Rights Act and Equal Employmeut Opportunity Act of 1972 To: City of Huntington Beach Department of Public Works 2000 -Main Street/P.D. Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Title VH of the Civil Rights Act and Equal Employment Opportunity Act of 1972 Contract: Project: The undersigned contractor on the above -referenced project C'Project") hereby certifies that it has complied with Title VH of the Civil Rights Act the Equal Opportunity Act of 1972 and Executive Order 11246, and has not discriminated against any employee or applicant for employment because of race, creed, color, sex, national origin, age or disability. The undersigned contractor also certifies that it has not maintained any segregated facilities at its establishmeats on the basis of race, creed, color, sex, national origin, age or disability (with the exception of access for the disabled). I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this day of 20_, at Califorma- (Type Contractor Name) By: KV Name: [Type Name] Title: [Type Title] [I'F ®R �,)KNEY JL� �5 - -a6 - up 245911.1 CONTRACTOR9S CERTMCATE L state and certify that: (Name of Declarant) 1. is the general contractor to the City- of Huntington Beach ("City'� on Contract No. (the "Contract") for the construction of the public work of improvement entitled -- (the "Project"). 2. All work to be performed pursuant to the Contract has been completed in accordance with the Contract Documents (as such term is defined in the Contract). 3. Except for the claims listed.below and the disputed claims listed in paragraph five (5), all persons supplying labor, services, materials and equipment to the Project, including all claims against the Contractor arising from the performance of the Contract, have beea paiddrid satisfied (list unpaid debts and claims; if none, write "NONE'): 4. Attached hereto are the lien waivers required by the Contract Documents, which lien waivers have been executed by all persons who performed work on or supplied labor, services, materials, and/or equipment for use at the Project. 5. Set forth below is a list of disputed claims or claims that are the subject of a Notice to Withhold filed pursuant to the Civil Code of the State of Califorruia (list all disputed claims; if none, write'WONF): I declare under penalty of pegury under the laws of the State of California that the foregoiag is true and correct. Executed at APPROVED AS TO FORM By: I -) A, Name: [Type Name] Title: [Type Title] on this day of - 120 . - (Signature of Declarant) 245914 1 Certification of Compliance with Prevailing Wage Laws To: City of Huntington Beach Department of Public Works 2000 Main Str=. t/P. 0. Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Prevailing Wage Laws Contract: Project: The undersigned contractor on the above -referenced project ("Project") hereby certifies that all laborers, mechanics, apprentices, trainees, watchmen afid guards employed by him or by any subcontractor performing work under the contract for the Project have been paid pursuant to the minimum wage and bona fide fringe benefit -requirements specified for each particular classification of work, as set forth in *the wage -rate determinations of the State of Califomia, Department of Industrial Relations, and/or the United States Department of Labor. I declare under penalty of pedury under the laws of the State of California that the foregoing is true and correct. Executed this day of 20 , at (Type Contractor Name) By: Name: [Type Name] Title: [Type Title] ....... ..... Californiia. 71's 0_;�. -0-6 . 0_�, 2475CLI City of Huntington Beach 2000 Main Street * Huntington Beach, CA 92648 (714) 536-5227 * www.huntingtonbeachca.gov Office of the City Clerk Joan L. Flynn, City Clerk April 27, 2015 Golden State Constructors Attn: Ronnie Cochran 208 E. Orangethorpe Ave. Placentia, CA 92870 Re: FY 14/15 Curb Access Ramp Installation Project — CC-1498 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 V111 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 promect is cb"mpleted 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. JF:pe Enclosures: Copy of Contract including Proposal Copies of insurance/bonds Contractor's Certificate Certificate of Compliances Bid Bond (original) Sister Cities: Anjo, Japan * Waitakere, New Zealand Ar SECTION A NOTICE INVITING SEALED BIDS for the construction of FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT CC No. 1498 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HER-EBY GIVEN that the CITY OF HUNTINGTON BEACH, as AGENCY, invites sealed bids for the above stated projects and will receive such bids in the office of the City Clerk, Second Floor, 2000 Main Street, Huntington Beach, California 92648, up to the hour of 2:00 PM on February 19, 2015. Bids will be publicly 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 $10.00 nonrefundable fee if picked up, or payment of a $30.00 nonrefundable fee if sent by UPS ground delivery (bidder shall pay additional costs for special delivery). Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California, the minimum prevailing rate of per them wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial Relations of the State of California, which are on file at the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. This is a Community Development Block Grant (CDBG) project and the Federal Regulations will be enforced. Any contract entered into pursuant to this notice will incorporate the provisions of the Federal Labor Standards, which are on file at the office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. The AGENCY will deduct 5% retention from all progress payments. The Contractor may substitute an escrow holder surety of equal value to the retention in accordance with the provisions of the Public Contract Code, Section 10263. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race, color, national origin, ancestry, sex, or religion in any consideration leading to the award of contract. No bid shall be considered unless it is prepared on the approved Proposal forms in conformance with the Instructions to Bidders as determined by the AGENCY. The bid must be accompanied by a certified check, cashier's check, or bidder's bond made payable to the AGENCY for an amount no less than 10% of the amount bid. The successful bidder shall be licensed in accordance with provisions of the Business and Professions Code and shall possess a State Contractor's License Class A at the time of the bid opening. The successful Contractor and his subcontractors will be required to possess business licenses from the AGENCY. All extension of unit prices will be subject to verification by the AGENCY. In case of a variation between the unit price and the extension, the unit price will govern. Project Description: . This CDBG project will provide the construction of 48 curb access ramps throughout the city. These locations are prioritized from a list compiled by Public Works staff, based on staff and public requests. The proposed locations are listed in the Appendix along with Contractor guidelines and provisions to meet all Federal requirements. 0 The contract shall allow the Contractor 30 working days to complete the contract. The engineer's estimate of probable construction cost for the work included in the basis of award is $120,000. The AGENCY reserves the right to reject any or all bids, to waive any irregularity and to take all bids under advisement for a maximum period of 60 days. BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH, CALIFORNIA, the 2nd day of September 2014, by Resolution No. 2014-69. Attest: Joan L. Flynn CITY CLERK OF THE CITY OF HUNTINGTON BEACH Esparza, Paq From: David Ward [DWard@ocregister.com] Sent: Friday, January 16, 2015 11:33 AM To: Esparza, Patty Subject: Legal Notice - CC-1498 Proof Hello Patty. Below is the proof. Have a wonderful weekend!!! Ad#10009904 Run Dates 1/22, 1/29, 2/5 & 2/12 Cost $712.80 StEcIt" A ROME IMM"a SEAUM alIVE, for 0jo VY "n5 CURA Access %MMISIT—A&VION PROJECT his as& CIV'V OF "UtImMaTe" BEACH PUGLIC: UVInCE a WERE" 11111" that she C111 I 1 00 InionwaTon RIFACK as AGENCY, irrvitess sealedbids for the Above siaed prarms and will reCaNe aoch tess in the offloa Of lh& alIK $eoonrt Floor 2M Maim Stivet. Rurainglen Beach, Calftrnoia 92w, up so t=hcr ai' zoo PH cc Vabnoffy t% 20115. sift will be p4iclicN opened; in ti.he Caa�cd chambers urksas otherwise posted, Copas of ft Fiona, SpeciEcotiont, and oontrae- occuinants, are omilolipir thom the 00,:G of Ine Caectw of FUN!- fthia, 2(�i hftn fteat, HLireNtan Beach, CA "M 181 Loon pay� r*rTt of a *119,01) nionrefUridatille fas ,&iqlk-edi ulp, or pa"rit of a 93CWQ hitirlififfh.1rid5ble free t sarri by UPS ground dWwary ( or 0all j)ay addelonal cc= Iar:80fttWdefiyW;. My corirsa entered into poiesuant to thlo mzficia will triourpitraft ft rwo;ioriz of the k5`lahs � --'X itat V Code. Pwauwt to P* ;r-,vL-4vA* 41 ft- LabO Cccfs Of the 0 Of Caffbint, minimum wwva6ng tate at per diern wa%les joir cac-h Craft, dassificalk3n or type of wode.nUn needed to execute Ilia Contract shall: be those dem"nitned b flie. at tre & ghes Dardw of Industrial Pa- litlions of the State ol Caliki*a, wfth ary on ct the Dravlor of Poetic works. 2= Main Stireet Kiihilhoon Beach, CA 9264a. This is a Ccatmunity Devoloarna" P--ck Gmnt 0=380p project and ft Federal Roguta, trom Y6,tttr enforcer- Any acirtram e3larod, into pursuant to, lhio ncifoa will triciorsie ft ,r orc4slans at the Fedthall Labor Standmoo.whlichl arean 016 9! On Office of" intacnot The AGFNCY vAll deduct 5% retention ftom all progress paWOMS The 004ne'Mot substhusil an =t-*w holdet sute=st" volue To Me relenbon in acectclance "W rhI plovisions; of the Pubfic contract , -RaCtran 10263, 'Itre Comraclor shall be beneficial ownw of this surely, wid shell recelwe:InY wdisresttk-oCr-� I he A42ENCY hereby a%mafiveV,onzvW 23al nonvilly busiftmas enterprise will be aftrd� Id W, i;ippra-untV to sa�bmft bids m iespC4*e to' fts notice aild %-Ali hot be 0sitfifftimled a ins., an, -he bam of race, cciior� national crigm. zrxmatry� wA or rellition, in any cwzid- CMC- read*.�Ag to me award at contract r�io bvd star be wrisidrad unless 4 ts pre0ared On thrt aCaroved Fitopicsai forms in can- �h the Irstmictleve to Bidders as delennined by tho AGENCY� The, rn 1 he tad us accompanied try a aurfft-d chipok,, cashiat's otw4k,: eff lslader'shand macle patable to the AGE,iiidY far an alr=rl no less than lCrA of If* AMOL" bid Me auwAmifiJt iddet be Iloarlac - in aciacraaece, withpmwsiom� of the RuOltiess and Proft5sions Code and sPali License Uses A at the trne ctna bid ciponkV. Thaucotot- Id GontraL-44t and hi!S =nthiciloes will be reqL.4red to possess trusotess- Ucanses- kom the AGEWY. AM extenalon d unit pricao,wif to subj0611to verilliciXt4n by " AGENCY. lh caseof a vanshon cietween ft. Lng price and the e4ansion, ft unit pr" Wig sicnion, Plittlect Doscrtiodow TPwm CZGG prziod Wi4 Wovida ov constructicit of 4$ curb w,- 005D VAIMps �hrcioDhw tMe city. Theme tocattins am prian liarn a ast commilied lic, Wariiis stialf.based on 5la-11F and outilic recluests, i$;� �Gosed locations are IT the Appanclk alontl with Corviactor guidelines and oraWsions to MO all Federal reQuire- The zontrad shalallow the Comr=oir 30 wot" days W cornoWe the Conbac:t the anatneer's astirrade, *1 probable conEtxu=n cv.' , iortho wofk rxgucloct in the basis of award is S' 12ZOM T?w AGENCY resenies the rig-K 10 rPteCt My Of all bldS, I'D WEINS anY ih`e%Ut3P4tV and to take .41 bids updw adviswrio-t W a olaxinani owricill of W ftV-- BY OATER of the CITY COUNCIL of the CfTY OF HUNTMTCN SEACK CALIFOANIA. the Me= Jew L R-nn OM�,'LiAkOCTAF-C-.-rYOF.HUNTi�4TCNEEAOi oublist-ea: The HurCT-gM -%ach Wavie,Janavy 2Z 29,, Febmairy 5� 12, 2015 tOD06204 mm-wnl— r'— JAMUKWARE From: Esparza, Patty [ma i Ito: PEspa rza(�b su rfcity-h b.orci] Sent: Thursday, January 15, 2015 9:46 AM To: David Ward Subject: HB Wave - legal ad - CC-1498 Importance: High Hi Dave — attached is a legal ad that needs to be published four weeks in a row, beginning next Thursday, Jan. 22, 2015. The dates for publication are: 1. January 22, 2015 2. January 29, 2015 3. February 5, 2015 4. February 12, 2015 Please confirm receipt & publication as soon as possible. Any questions, feel free to contact me. Thanks! Patty Esyarza, C-VC Senior Deputy City Clerk City of Huntington Beach 2000 Main Street Huntington Beach, CA 92648 (714) 536-5260 2 UNSUCCESSFUL BIDS FY 14/15 Curb Access Ramp Installation Pro ect j City of Huntington Beach 2000 Main Street * Huntington Beach, CA 92648 (714) 536-5227 * www.huntingtonbeachca.gov Office of the City Clerk Joan L. Flynn, City Clerk May 1, 2015 All American Asphalt P. 0. Box 2229 Corona, CA 92878-2229 RE: FY 14/15 Curb Access Ramp Installation Project—CC-1498 Enclosed please find your original bid bond for CC-1498. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe enclosure Sister Cities: Anjo, Japan * Waitakere, New Zealand Py �Kl V- Act) ��l Wy R E C E I V ED 2015 FEB 19 Pli", 1: 51 C 1 T Y G L E. R;� (71 I'l If el F H U N' T 1 INGTO t i BE A C 1-1 ALL AMERICAN ASPHALT P.O. BOX 2229 CORONA, CA 92878-2229 R l'i'l I inc\ .-V—1 TO: U� (j �\�kic3vor-\ 20M mcon!�-SW'Qzv k-VW)n(�Vbl(N bl�", (A O�2-UL+? RETURN REQUESTE SECTION C PROPOSAL for the construction of FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT from VARIOUS LOCATIONS CC No. 1498 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 famish 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 30 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, Instr I yetions to Bidders and all other contract documents. If this proposal is accepted for awarcf, 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 govem over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in insurance certificates within executing the required contract and filing the necessary bonds and t_ 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 AGENC)' Z, and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and Vold. Accompanying this proposal of bid, find VA& UA S EE&L —in the amount of A�. e3kA 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 Bijider's Signature D I C-2 SECTION C PROJECT BID SCHEDULE FY14/15 CURB ACCESS RANIP INSTALLATION PROJECT, CC 1498 07ARIOIUS LOCATIONS) BID ITENIS 6- 6 E w" P.? Construct Curb Access Ramp per Caltrans Std. Plan A88A from BCR to ECR as shown on Curb Ramp Detail I in 1 Appendix K of Specifications (Item includes all appurtenances, curb & gutter, depressed curb, sidewalk, 12 SA31-5--$ 51900- domes, retaining curb, slot pave, etc.) EA Construct Curb Access Ramp per Caltrans Std. Plan A88A from BCR to ECR using horizontal curb cutting machine as 2 shown on Curb Ramp Detail 2 in Appendix K of Specifications (Iterr. includes all appurtenances, curb & gutter, depressed 35 3-1 C curb, sidewalk, domes, retaining curb, slot pave, etc.) EA Construct Curb -Access Ramp per Caltrans Std. Plan A88A BCR to ECR including adjacent cross gutter spandrel per HB City Std. Plan 205 as shown on Curb Ramp Detail 3 in 3 Appendix K of Specifications. (Item includes all appurtenances, cross gutter, curb & gutter, depressed curb, 1 0 Q0 sidewalk, domes, retaining curb, slot pave, etc.) EA TOTAL BID AMOUNT (BASIS OF AWARD) - SCHEDULE 1_1 - 00 TOTAL BID AMOUNT IN WORDS: M7PMW- Man W-,Nz&Taca-1ki -k THM'SIMIRM It7mm- 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. C-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and. business address of each subcon'tractor 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 ofSubcontractor Item (s) By submission of this proposal, the Bidder certifies: "0' 0�cl 70 Contr�al State Class Dollar License Amount Number 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 ,A7111 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 NVITH BID I declare under penalty of peTjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on Adur, at Qnlry—�' -- --a Date Citi, State '�TK\j VL\S being first duly sworn, deposes and says that he or she is of r%yU.yi (C',v--,_0S0X&the party making the foregoing bid that Jhe bid is not made in th�e 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 pr-ice, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract*, that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Name of Bidder Signature of F�idder Vb?j.,Y JVLI� 1 CVrw(k, CA CU-N Address of Bidder C-4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § I 189 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 truthfiilness. accuracv. or validitv of that document. State of California County of Riverside on 2/12/2015 before me, Donna Thome, Notary Public Date Here Insert name and Title of the officer personally appeared Michael Farkas 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/sheAhey executed the same in his/hegth& authorized capacity(ies), and that by his/he4th& DONNA THORNE signature(s) on the instrument the person(s), or the entity upon behalf Commission # 2067768 of which the person(s) acted, executed the instrument. Notary Public - California Z > I certify under PENALTY OF PERJURY under the laws of the State of Z Riverside County - ragraph is true and correct. My Comm. Expires Jun 7, 2018 California that the forgoing pa WITNESS my hand and official seal. Signature A_e�" Place Notary Seal Above Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Non -collusion Affidavit Document Date: 02/12/2015 Number of Pages: One (1) Signer(&) Other Than Named Above: None Capacity(ies) Claimed by Signer(s) Signer's Name: Michael Farkas Signer's Name: o Individual o Individual X Corporate Officer — Title(s): Secreta!y o Corporate Officer — Title(s): • Partner Do Limited o General R1d_HT:TH0MB0RlNT­_ o Partner Do Limited o General 1�1 GHTTHUMB .- , - RINT bF-SIGNER • Attorney in Fact OF SldKER o Attorney in Fact o Trustee Top of thumb here o Trustee Top of thumb here • Other: o Other: Signer is Representing: I I Signer is Representing: I UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITV 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 FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT, (1)(we)(1t) will employ and utilize only qualified persons, as hereinafter defined, to work in I ied Person" is proximity to any electrical secondary or transmission facilities. The term "Qualif defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A PO-S017 who, by reason of expe7-ience 01- inStMCti0n, iSf07nilia7- With the Ope7-0tion to be peljbMwd 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. In 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: _;4WI-5 C-5 Ali &�Uyf(w wa—k Contractor By OkcW4 RA)ic� Title DISQUALIFICATION QUESTIONNAIRE In accordance -with Government Code Section 10 162, the Bidder shall complete, under penalry of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, an), 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 govemment project because of a violation of law or a safety regulation? L1 Yes ')(No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code., each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Date: A Ial C-7 o Awmccn wa&±k Contractor By mv,wxk Title BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name Pb 'E� Z-n-ct Business Address n A kl� qQ City, State Zip A P- Telephone Number 2-0 un,-:�-) RIC-Q� State Contractor's License No. and Class Hc�---i \ Original Date Issued � —3\— 1�p Expiration Date The work site was inspected by Ri Gk 0 11 VtV- of our office on The following are persons, firms, and corporations having a principal interest in this proposal: 'Pr-e-,5CUV)+- V f (-Q, P-esj AcY4— S(t,- re-0 C-8 The undersianed is prepared to satisfy the Council of the City of Huntington Beach of its abilit,\I, financially or otherwise, to perforni the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Company Name Signature of Bidder Printed or Typed Signature Subscribed and sworn to before me this,,." day of 201 NOTARY PUJ�LIC (raa JU I -a-+— NOTARY SEAL Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of curb ramps with. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the narnes, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: I . los 0-&Lk 04)� Name and Address of Public Agency 2. Name and Telephone No. of Project Manager: Contract Amount Type of Work Provide additional project description to show similar work: Name and Address of Public Agency Narne and Telephone No. of Project Manager: C-9 Date Completed CALIFORNIA JURAT GOV CODE § 8202 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Riverside DONN THORNE Commission # 2067768 z Notary Public - California z z > z Riverside County — 1 9 My Comm. Expires Jun 7,20A18 Place Notary Seal Above Subscribed and sworn to (or affirmed) before me on this 12 th day of February, 2015, Date Month By (1) Michael Farkas Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me (.) (,) kand Signature Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Further Description of Any Attached Document Title or Type of Document —Bidder's Information Document Date: no date Number of Pages: 2 Signer(s) Other Than Named Above: None Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Name and Address of Public Agency Name and Telephone No. of Project Manageri Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-10 66201455 PAST WORK REFERENCES City of Fullerton 303 W. Commonwealth Ave Fullerton, CA 92832 Contract: Kevin Kwak, (714) 738-6865 Port of Long Beach 4801 Airport Plaza Drive Long Beach, CA 90815 Contact: Lincoln Lo, (562) 283-7000 City of Beverly Hills 455 N. Rexford Drive Beverly Hills, CA 90210 Contact: Mark Cueno, (310) 285-2557 City of Jurupa Valley 12363 Limonite Ave Riverside, CA 92507 Contact: Michael Myers, (951) 332-6464 City of Santa Ana 20 Civic Center Santa Ana, CA 92701 Contact: Kurt Weimann, (714) 647-5639 Yorba Linda Blvd Reconstruction Contract Amount: $1,346,000.00 Start: 7/2014 Completed: 11/2014 2013 Roadway Maintenance and Slurry Contract Amount: $992,000.00 Start: 6/2014 Completed: 10/2014 2012-2013 Street Resurfacing Contract Amount: $2,970,000 Start: 7/2013 Completed: 5/2014 2012-13 Pavement Rehabilitation Contract Amount: $970,000 Start: 5/2013 Completed: 12/2013 Bristol Street Rehabilitation Contract Amount: $6,951,475 Start: 3/2013 Completed: 12/2014 City:�ofsahta:cladtd 13��wen�c­ ia:'B'Ivd,: Contatt.-all Whitiatch.,(.0�,1,.,),.,..?59-2489 LAC"DPW 9Oq-,,`$' FreffioriiAve k;l Mffib rd, � b, � X, I Con.tacil Hector Wrnajldez� Npartmen't of Tr an�porta�fion 2023�Chidagb Avp*, B-'6 Riverside,, CA-92507 Mida�[Chcn. (95443,0�60'17-- n "act: `N7 65 !:CWWWtXe� eth Rbs, ie 1, 4,11� � - I , , , . , 1, �1, ld,��.(949), , ��2-1# 'Courq,4 ivetside. ransportation �S, 2 514�k'Sfl �gj'vbi�sid�e " CA,925011 (954) 9�1 -Azusa, 13 T66thill,"BI'M ] E' Azusa.�.,CA�94 701 Cllri��in'a,-',Quiridl, (02, "8f)--`525 -1 1-1-1 1 -, I— , �), - I - , 1. � 4' rl &. I' i My ay'. ,� urry�-, eai;.Progm -Coi t A'' $ 99-5` n ract- , pount: tart: 8/20,12, 'C 6m" 10 ed: 542 0 1 3,'�' nir O.Affiourit!:$2,077,660 /20",12, 'c' med, 12/2013: RotjteJ4,-l'C`d'ntfa& �7-QNSP4 �Coiitra V- .,ctAmQ-vnu 11,45,Qj622 $tdrt` '6'/.,9 0 12', ll,.�, "!''T, : tbwlete& V22-6113 Q6iltra'o-t A' t� 7-7,8 �16.9, Sta t -X? 12, ,Compleled:,,�,,,9 00, Q i lifidif,`S - �` �` " R " prjfigis qqd ie improvem 0aven n0famwmianU".1, efit's� ��,opq;�ci,Anio - unt:S9 ' 8 ' O-QO'Oi,'.', St4t:--45/-l4l7 OASt"WO REFEREN , E­ , � " -W-1- I I I I C & BeVc,rI,y,',:Hil,4;' C�k qo2'j 0 Conta J,;�' luan,,Ma� 'iJqYlO'(6stA!m&- 77'Fair"Drive -, - C M' A, 262"" o-s' t' �;..s ' a 8 Thomas 1,70, Wilkerson, kknu-e- �,S te., D Pdfts, CA. 9157-0 Contact,,, .Chn!"s Sunde,, (�5 f'),,943-' 4" -CitY�afsDAna- Pbia , �-2.-.'�,Ooideniiahtdrn Da ' P 92629 pa oJnt,,EA 'Jc on tact,� Mtitt.Sjnd�6 ' - fil ,, '4 - 5-74 0 cczan Blvd., 1:0. .1,00 , Lon''g.43" -h Q;� '9,080,7� pe. tontacf-*:';�� hU&R 5 �7 C "63-,4.,- 'C i ty', 0 t8411 UVA, n a ."7'0�.','Ci-vl'c,Ccnter PI a 117 'SdntkA'4 CA,, 9,17011, !06'niact- 'E'd''ward s (7-14),�1647-`,�,Of city'OfFo6q,tit v 11 Ain. ya, py .01�010',"S'l atie'rAventid �92-70.8' Follhta-iWvdV,&y,,c, , 'Con "a t ct: Ald� "1 2 t ;mt,"'Res'urifac- � 'A' - - 919��;QJJ $'r ing- rpjeq $1 0 01000;00 ,,SJ'qrt: 6/ 1 /'Zol"I'l, ,2 J� L�CityvviddlStfdd't Rehah'ifftation C6ntr4,t;,,A'r6 $27�� ,,,78),0,00.001, C p,, i4q, /29/20-12- ' M'' I & I .1 "' - ing. 0'arik" ,C, htr,,(ci Arnourif- f9'0'000;:W Start: 1`2 C6mpt ted-2/2�i�� Ol,,; 2 ,2 PadMc�,(' beAR-ghway &-Ni, i $hor�!.s,', Co--O-ttad Affibunt: �676,676%M 's f art IVII)26 j 1, C6i*ef-qd-*' -',5�404'012 I'V51 ow, S treet", f gtbv�ffi�&iltg�' m C 7on Start:, I j/ 1/2G I'l -30/20,12 'Brisfol St-r-eet -­­ ` bg�;,� Widdrii 'Cbhtr'det Nm'O""" Ppt; '$tart- 1/20,N' Ed.ingqr,A-,vfnLie,,';l *"-'--"""' -1-1 mprovemen s� Coht�u�f,Amb6nt-"' 422-0 ��start. -5/1",'20-L2 C116111pletm. 21 '�20 1, P' ,P WORK-i]WERENT' "City'O'Compton �"*60 Mtnue,,Reconsiruction .21105 Sbtidi �CbntractAfiio'"tl* Comptbn,',:. CIA- 2-20 Siartl ["Oilf 8'/'2­0'4`0" "k '514/20 Con c el (3110 114 ell P, 0 pjwaJvfii h 7 37 )'76 6rh t"d' S. �'6uniy,of, awBernardin'o's S401.3ern-­'di -CA 92415' 4r inp, Oon iaa- (90,q),,J8 7492 0 �County-ot versfide'� :2950 Waihihgton Stree , i�� �56 'Cohtao: David?HyI'kemk,-,(95,'. ),:850-6075; dityoTStantort, 7�8' 00 -A Stanton, CA :90680'-34 62' C16040. 7 1 14)"� , 804�14 �Ciiy of Long -beach -'ceah-,Blv'_& 100-f1por --33,3 Iong:Beacii, CA 90802': 'C (0, 2) �'Wiftict: Chuck Ramey 6 5_7646j,`4 Oty:_df-Paramoua Parmount,�'CA:907,23_150:12 C L'ei !G, "ki (5.6.2)�MO III P�,`ty pfHuntijigt" A ' on, ea& 2000 NlainSUttt 1:1_1.�" 4,- 11 ­­ "",­­ ! —I., �­ � 1� Huntiftgton Beath,,.ICA,912648 �C&T' D.ave--'Y��rqnc..',7-1:4),375�.,84-.71, Npart-merit'd trallspomitio"n, 46". will­�,' " ir ' ce - t :S Bernardiho,,CA 92410-114-OG Cobtact-' Linad Abiikh6i-�idh,,j(9�5,t,,),1:277-8579; Cajon,Blvd. C6h6-act:"Am'- 65;�5000,;' punt- 1,5 tart: YU /2011 :Co a' Tpleted -, 44/2011, De Luz koadikkelidbil . itati I on t',6n0act`Avh""" � �$,',740,00 CO'hi6kied: �5925/201 I YO OITCity ol�construa` ion C o h t 'M­' t � �U b4 � nit' 3 2 7;32, 2 �9 u . t V1,120.4 t. 3 ,,Ann tb t,,s Ain ontrad- 33,431_� ,S.fart: 1/,I'/.,2G 0, - - oinst (OmOlOWli: st,ill: Olh�,G Nelob- h &S&.e�tlestitflacipg,, or 00 4iip ' -9 Contract -Am 1 010. /2, 1 eontract-Ambu='� jL9Z6P4l';`.`00 2010 Start: "9/V p 1�' 213 0/20 1� I" ptl6d R'6ute,,9,1 Projed Zjn'trJ&fAmbunt:',' S5.732.,B1,11,00" 'COmplOeld,: "3/30i20,11 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. I 2. S&OL "\\ W Name of proposed Project Manager --I -�) q ---� U N --) Telephone No. of proposed Project Manager: %.&-/ W�Yvx\ �mvh--ie, P�6�,eo, %31ci-77, Project Name & Contract Amount Type'of Work it 3 1 As-6 I Ow Project Name & Contract Amount Type'df Work Roeh(i Project Name & Contract Amount Type of Work .JJV) (AncC,, �V(m— Date Completed J� f2c�nj, t 2-120lq Date Completed (2,12—ON Date Completed Name of proposed Superintendent Telephone No. of proposed Superintendent: L4 Uq 9W MdQn',15� 7, 35, c4oq f�xl Project Name & Contrdct Amount Type of Work Date Completed &T (CAlf-vns) 19 U , U90 � 2-9:3 F�eeLALctw kck,�q 0-7 J,16 Ij Project Name & Contract Amount Type of Work '-"' Date Completed ?J5,IdJrIHCII Project Name & Contract Amount Type of Work C-1 I � 2, 1-2o�� Date Completed BIDDER'S CERTIFICATION* HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992. SECTION 3 TITLE 24, Code of Federal Regulations, Part 135* Economic Opportunities for Low and Very Low -Income Persons The bidder, under penalty of peiJury, certifies that except as noted below, any person associated therewith in the capacity of owner, partner, director, officer, or manager (initial the applicable selections): Will ensure that 10% of all new hires as a result of this project shall meet all requiremnents of Section 3 of CFR Part 135 of the HUD Act of 1968; or Will hire no new employees in conjunction with this project. Will award 10% of its sub -contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub -contracts related to this project. Contractor: A .&POcan Contact Person: . R�cu_ Contact Phone: 0 Signed: Date: ;a 11-2-1 *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 135 and Subtitle A et al) and must be submitted by the bidders and proposed sub -contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act, as amended in 1992 (HUD). Previous non-compliance ikith Section 3 could result in disqualification. C-12 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 for FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT C.C. No. 1498 February 11, 2015 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1. In Appendix I of the Project Specifications, the prevailing wage rates have been superseded with the attached modified rates with publication date 01/23/2015. This is to acknowledge receipt and review of Addendum Number One, dated February 11, 2015. Company Name - ':� b 0 ljs,-- Date By V11dio-QA F-civyns, Secrefc, All bidders must acknowledge the receipt of this Addendum and modified rates with your bid proposal. Should you have any questions regarding this Addendum, please call Joseph Fuentes at (714) 536- 5431. 1 ALL AMERICAN ASPHALT ALL AMERICAN AGGREGATES P.O. BOX 2229, CORONA, CA 92878-2229 STATE CONTRACTORS LICENSE #267073-A February 10, 2015 Operating Engineers Local 12 100 Corson St Pasadena CA 91103 Subject: City of Huntington Beach FY 14/15 Curb Access Ramp Installation Project from Various Locations Bids: February 19, 2015 @2pm Dear Sir/Madam: All American Asphalt is bidding as a prime contractor on the above noted project. This project falls under the United States Department of Housing and Urban Development (HUD) Section 3 regulations for the City of Huntington Beach. The Section 3 regulation compliance requires that contractors to the greatest extent feasible hire low-income residents of Huntington Beach, Orange County, Riverside and Los Angeles Counties for the project. We are asking for your cooperation in using your best efforts to dispatch workers from your union that reside in Huntington Beach, Orange County, Riverside and Los Angeles Counties. Please keep this letter on file. When we request that workers are dispatched to a job, we would be appreciate your assistance in helping our company and the City of Huntington Beach meet the Section 3 local hiring requirements. Sincerely, L--Ik �__ J�� Mimi Stone Public Works Administrator TELEPHONE: 951-736-7600 - FAX: 951-739-4671 ORIGIN ID:ONTA (§51) 736-7600 MIMI STONE SHIP DATE: 10FEB15 ACTWGT: 1.0 LB sir"llart ALL AMERICAN ASPHALT 400 EAST SIXTH STREET CAD: 94898491INET3610 FedEx carbon -neutral CORONA, CA 92879 UNITED STATES US 'To BILL SENDER OPERATING ENGINEERS LOCAL 12 envelope shipping 100 CORSON STREET PASADENA CA 91103 V (000) 000-0000 REP: IN�: P0 DEPT, V J IN 111111111111111111111111111111 FedEx Express WED 11 FEB 10: 30A TRK" 7728 7545 9869 F0-20-1] PRIORITY OVERNIGHT 74 91103 .,.Z WHPA CA -US BUTI 111111111111111111 Ili's 11111111111111111111 HIM 1111111111111111111111111111111111111111111 ALL AMERICAN ASPHAUr P& ALL AMERICAN AGGREGATES P.O. BOX 2229, CORONA, CA 92878-2229 STATE CONTRACTORS LICENSE #267073-A February 10, 2015 Laborers' International Union of North America 4399 Santa Anita Avenue, Suite 204 El Monte, CA 91731 Subject: City of Huntington Beach FY 14/15 Curb Access Ramp Installation Project from Various Locations Bids: February 19, 2015 @2pm Dear Sir/Madam: All American Asphalt is bidding as a prime contractor on the above noted project. This project falls under the United States Department of Housing and Urban Development (HUD) Section 3 regulations for the City of Huntington Beach. The Section 3 regulation compliance requires that contractors to the greatest extent feasible hire low-income residents of Huntington Beach, Orange County, Riverside and Los Angeles Counties for the project. We are asking for your cooperation in using your best efforts to dispatch workers from your union that reside in Huntington Beach, Orange County, Riverside and Los Angeles Counties. Please keep this letter on file. When we request that workers are dispatched to ajob, we would be appreciate your assistance in helping our company and the City of Huntington Beach meet the Section 3 local hiring requirements. Sincerely, .11� b,4� _J4rVc1 Mimi Stone Public Works Administrator TELEPHONE: 951-736-7600 - FAX: 951-739-4671 smart FedEx carbon -neutral envelope shipping ORIGIN ID:ONTA (951) 735-7500 SHIP DATE: IOFEB15 MIMI STONE ACTWGT: 1.0 LB ALL AMERICAN ASPHALT CAD; 9489849/INET3610 400 EAST SIXTH STREET CORONA, CA 92879 BILL SENDER UNITED STATES US 10 LABORERS INT. UNION OF NORTH AMER. mv 4399 SANTA ANITA AVENUE; SUITE 204 EL MONTE CA 91731 (000) 000-0000 REP: INV: P0 DEPT- FedEx Express WED - 11 FEB 10:30A TRK'* 7728 7548 3999 PRIORITY OVERNIGHT Fo-2071 91731 WZ RBFA cri-us LAX ALL AMERICAN ASPHALT ALL AMERICAN AGGREGATES P.O. BOX 2229, CORONA, CA 92878-2229 STATE CONTRACTORS LICENSE #267073-A February 10, 2015 Southern California Cement Masons Negotiation Committee 1605 North Susan Street Santa Ana, CA 92706-6497 Subject: City of Huntington Beach FY 14/15 Curb Access Ramp Installation Project from Various Locations Bids: February 19, 2015 @2pm Dear Sir/Madam: All American Asphalt is bidding as a prime contractor on the above noted project. This project falls under the United States Department of Housing and Urban Development (HUD) Section 3 regulations for the City of Huntington Beach. The Section 3 regulation compliance requires that contractors to the greatest extent feasible hire low-income residents of Huntington Beach, Orange County, Riverside and Los Angeles Counties for the project. We are asking for your cooperation in using your best efforts to dispatch workers from your union that reside in Huntington Beach, Orange County, Riverside and Los Angeles Counties. Please keep this letter on file. When we request that workers are dispatched to a job, we would be appreciate your assistance in helping our company and the City of Huntington Beach meet the Section 3 local hiring requirements. Sincerely, Mimi Stone Public Works Administrator TELEPHONE: 951-736-7600 - FAX: 951-739-4671 smart FedEx carbon-neutrd envelope shipping ORIGIN ID:ONTA (951) 736-7600 SHIP DATE: 10FEB15 MIMI STONE ACTWGT: 1.0 LB ALL AMERICAN ASPHALT CAD: 9489849/INET3610 400 EAST SIXTH STREET CORONA, CA 92879 BILL SENDER UNITED STATES US 10 OPERATING ENGINEERS LOCAL 12 100 CORSON STREET PASADENA CA 91103 (000) 000-0000 REF- INV: P0, DEPT - 1111111111111 oil 111011 IN 11111111111111111111111111111 oil FedEx Express wonKmmo ............. WED - 11 FEB 10:30A TRK1* F0-20-1] 7728 7545 9869 PRIORITY OVERNIGHT 91103 wz WHP Alk CA—USBUR 11011 111nolosiffisil lion] uncoil a I ilia Noommilooll lilwo of lie I iiiiii A win SEEKING SECTION 3 SUBS - Classified Ad Page I of 4 Hello, Alyssa Sohl not you? Your stuff Help Post an ad (free) Log out Search for... SEARCH CommunityAnnouncements[������ F-v] Community: Announcements Your ad has been posted, in Riverside - San Bernardino Riverside - San Bernardino Post another ad Edit this ad. Help Page Your stuff Take Our survey Share your ad for more visibility! SEEI-N7 ' -XING SECTION 3 SUBS Share & Like Share this Created: February 10, 2015 Updated: February 10, 2015 Expires: February 24, 2015 Viewed: 0 times Avoid scams Cont6fitbi-ocked by your organization Reason: This Websense category is filtered: Social Web - Facebook. Signs of fraud: wire transfer, money orders, cashier checks, shipping, escrow, "transaction protection", "guarantee". Be safe by dealing locally. Q P Q'I Mnl-�- Overview Respond to this Ad I Fla)z this ad http://www.classifiedads.com/announcements-adl56713570.htm 2/10/2015 SEEKING SECTION 3 SUBS - Classified Ad Page 2 of 4 Ad number:#1 56713570 Contact:Mimi Stone Zip: Posted in: Riverside - San Bei-nardino Announcements Description Respond to this Ad Sub Bids Requested From Section 3 Subcontractors for the Following Project: City of Huntington Beach FY 14/15 Curb Access Ramp Installation Project Bid Date: 2/19/15 @2pm Quotes are requested for (but not limited to) the following services: Survey Section 3 QUOTES ENCOURAGED! ALL AMERICAN ASPHALT (Equal Opportunity Employer) P.O. Box 2229 Corona, CA 92878-2229 (951)736-7600 Fax; (951) 739-4671 Information and/or assistance regarding or obtaining plans and Specifications are available upon request. Respond to this Ad Your name I Your email http://www.classifiedads.com/announcements-adl 56713570.htm 2/10/2015 SEEKING SECTION 3 SUBS - Classified Ad Page 3 of 4 Send Message Type of problem: 0 Harassment 0 Spam 0 Scam or fraud 0 Wrong category 0 Violation of terms 0 Other (please comment) Your email (optional) I publicworks@ailamericanasp—halt7c, I would like a response URL (optional) F- Comment I Send report V--- Sending ... t.4 Sending ... -3 �,g Ads related to announcentents Unique Baby Announcements Choose from 100's of Fun Styles! Pick the Perfect Birth Announcement tinyprints.com/baby announcements Photo Save the Dates View our New 2015 Collection! Make Your Wedding t.Jnique Buy Chic. weddin�-ypaperdivas.com/savethedate http://www.classifiedads.com/announcements-adl 56713570.htm 2/10/2015 SEEKING SECTION 3 SUBS - Classified Ad Page 4 of 4 Log ou About Locations More information Terms of Use Privacy Help Contact Careers Blou Logged in: 1)ublicworks(�-L)allamerica.iiasphalt.com (D 2015 ClassifiedAds.com, Inc. All rights reserved. http://www.classifiedads.com/announcements-adl 56713570.htm 2/10/2015 All American Asphalt Sub -contracting & Vendor Opportunities Phone (951) 736-7600 Public Works Fax (951) 736-7646 Project: FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT owner: CITY OF HUNTINGTON BEACH Estimator: Rick Oliver Bid Date & Time: Feb. 19, 2015 @ 2pm (Bid should be fax'd to the albo�e number at least I hr. prior to Bid Time) Subcontracting Opportunities in the following areas Underground Miscellaneous Water Improvements Landscaping & Irrigation- Street Trees Sewer Improvements Fencing and/or Railing Storm Drain Improvements Mass Grading / Earthwork Underground Linings and/or Coatings Pulverizing and/or Cement Treat, Lime Treat Adjust Utilities to Grade / Install Monuments Crack Filling / Joint Sealing Cast -In -Place Structures & V-Ditches Heater Re -Mix and/or Cold Recycling Electilcal Tree Removals and/or Root Pruning Traffic Detector Loops Base Material Traffic Signal Improvements Street and/or Parking Lot Lighting Engineering / Testing Dry Utilities Testing and/or Inspection Misc. Electrical/ Video Detection Survey Concrete Traffic Control Devices and/or Plans Masonry Wall (Grouted River Rock) Specialty Wall Finishes Stamped Concrete Striping & Markings & Removals Specialty Concrete / Monument Wall Monument Signs Steel Placement Slurry Seal Grinding / Grooving Painting and/or Finishes Interlocking Pavers Chip Seal All American Asphalt is an Equal Opportunity Employer and encourages the participation of Certified DBE/MBEANBE/DVBE Subcontractors and/or Vendors. Subcontractors may be required to submit Payment & Performance Bond equal to 100 % of their bid at a maximum additional cost of 1 1/2% of total bid amount. Subcontractor will be required to fully execute All American Asphalt standard subcontract. PLANS & SPECS ARE AVAILABLE FOR REVIEW AT THE OFFICE OF ALL AMERICAN ASPHALT AT 400 E. SIXTH ST., CORONA, CA. 92879 TELE: 951-736-7600 Carol Stone From: RightFax E-mail Gateway <Administrator@allamericanasphalt.com> Posted At: Tuesday, February 10, 2015 9:07 AM Conversation: Your fax has been successfully sent to David Evans & Associates (Business Fax) at 1 (213) 337-3679. RE: City of Huntington Beach Sub Request Posted To: Inbox Subject: Your fax has been successfully sent to David Evans & Associates (Business Fax) at 1 (213) 337-3679. RE: City of Huntington Beach Sub Request Your fax has been successfully sent to David Evans & Associates (Business Fax) at 1 (213) 337-3679. RE: City of Huntington Beach Sub Request From: cstone@allamericanasphalt.com Time: 2/10/2015 9:06:00 AM Sent to 1 (213) 337-3679 with remote ID .... Result: (0/339;0/0) Successful Send Page record: I - I Elapsed time: 00:28 on channel I Carol Stone From: RightFax E-mail Gateway <Administrator@allamericanasphalt.com> Posted At: Tuesday, February 10, 2015 9:06 AM Conversation: Your fax has been successfully sent to CL Surveying and mapping (Business Fax) at 1 (909) 484-4229. RE: City of Huntington Beach Sub Request Posted To: Inbox Subject: Your fax has been successfully sent to CL Surveying and mapping (Business Fax) at 1, (909) 484-4229. RE: City of Huntington Beach Sub Request Your fax has been successfully sent to CL Surveying and mapping (Business Fax) at 1 (909) 484-4229. RE: City of Huntington Beach Sub Request From: cstone@allamericanasphalt.com Time: 2/10/2015 9:04:50 AM Sent to 1 (909) 484-4229 with remote ID Result: (0/339;0/0) Successful Send Page record: I - I Elapsed time: 00:44 on channel 2 CarolStone From: RightFax E-mail Gateway <Administrator@allamericanasphalt.com> Posted At: Tuesday, February 10, 2015 9:06 AM Conversation: Your fax has been successfully sent to HMK Engineering (Business Fax) at 1 (310) 449-1116. RE: City of Huntington Beach Sub Request Posted To: Inbox Subject: Your fax has been successfully sent to HMK Engineering (Business Fax) at 1 (310) 449-1116. RE: City of Huntington Beach Sub Request Your fax has been successfully sent to HMK Engineering (Business Fax) at 1 (310) 449-1116. RE: City of Huntington Beach Sub Request From: cstone@allamericanasphalt.com Time: 2/10/2015 9:04:48 AM Sent to 1 (310) 449-1116 with remote ID "XX Fax Machine" Result: (0/339;0/0) Successful Send Page record: 1 - 1 Elapsed time: 00:47 on channel 3 Carol Stone From: RightFax E-mail Gateway <Administrator@aiiamericanasphalt.com> Posted At: Tuesday, February 10, 2015 9:06 AM Conversation: Your fax has been successfully sent to Stantec Consulting Fax (Business Fax) at 1 (949) 923-6121. RE: City of Huntington Beach Sub Request Posted To: Inbox Subject: Your fax has been successfully sent to Stantec Consulting Fax (Business Fax) at 1 (949) 923-6121. RE: City of Huntington Beach Sub Request Your fax has been successfully sent to Stantec Consulting Fax (Business Fax) at 1 (949) 923-6121. RE: City of Huntington Beach Sub Request From: cstone@allamericanasphalt.com Time: 2/10/2015 9:04:46 AM Sent to 1 (949) 923-6121 with remote ID "5555 Result: (0/339;0/0) Successful Send Page record: I - I Elapsed time: 00:39 on channel 0 Carol Stone From: RightFax E-mail Gateway <Administrator@allamericanasphalt.com> Posted At: Tuesday, February 10, 2015 9:06 AM Conversation: Your fax has been successfully sent to Case Land Surveying Inc. at 1 (714) 628-8905. RE: City of Huntington Beach Sub Request Posted To: Inbox Subject: Your fax has been successfully sent to Case Land Surveying Inc. at 1 (714) 628-8905. RE: City of Huntington Beach Sub Request Your fax has been successfully sent to Case Land Surveying Inc. at 1 (714) 628-8905. RE: City of Huntington Beach Sub Request From: cstone@allamericanasphalt.com Time: 2/10/2015 9:04:49 AM Sent to 1 (714) 628-8905 with remote ID "17146288905" Result: (0/339;0/0) Successful Send Page record: 1 - 1 Elapsed time: 00:27 on channel 1 r2rZo% L D ig,U) Fidelity and Deposit Company of Maryland gmip Home Office: P.O. Box 1227. Baltimore. MD 21203-1227 BID BOND KNOW ALL MEN BY THESE PRESENTS: That we, ALL AMERICAN ASPHALT BOND NO. 085 97 423 as Principal, (hereinafter called the "Principal"), and FIDELITY AND DEPOSIT COMPANY OF MARYLAND P.O. Box 1227, Baltimore, Maryland 21203, a corporation duly organized under the laws of the State of Maryland, as Surety, (hereinafter called the "Surety"), are held and firmly bound unto City of Huntington Beach as Obligee, (hereinafter called the "Obligee"), in the sum of TEN PERCENT OF THE TOTAL BID PRICE IN -------- Dollars($ 10% OF TOTAL BID PRICE )Jor 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 FY 14/15 Curb Access Ramp Installation Project Bid Date: February 19, 2015 NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a contract with the Obligee in accordance with the terms of such bid and give such bond or bonds as may be specified in the bidding or contract documents with good and sufficient surety for the faithful performance of such contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter into such contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this I Oth hft,xk 4YWA& f P01VAU 170)e#C- Witness day of February — A.D., 2015 ALL AMERICAN ASPHALT (SEAL) Principal — --7, =�) L_ � ��\OARC� f--rA 1, YC^��_ Title S,,CCy-f_f C101 FIDELITY AND DEPOSIT COMPANY OF MARYLAND Surety By (SEAL) Rebecca Haas -Bates Attorney -in -Fact Printed in cooperation with the American Institute of Architects (AIA) by Fidelity and Deposit Company of Maryland. Fidelity and Deposit Company of Maryland vouches that the language in the document conforms exactly to the language used in AIA Document A-3 10, February 1970 Edition. BI D7000OZZ0701 f CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached- and not the truthfulness- accuracv. or validitv of that document. State of California County of Riverside on 2/12/2015 —before me, Donna Thome, NotM Public -_ - -1 Date Here Insert name and Title of the Officer personally appeared Michael Farkas Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/afe subscribed to the within instrument and acknowledged to me that he/she" executed the same in his/hen4h& authorized capacity(ies), and that by his/he4the# — — — — — — — - -- & '& &.0 — s a - s r signature(&) on the instrument the person(s), or the entity upon behalf DONNA THORNE of which the person(s) acted, executed the instrument. Commission # 2067768 Z Notary Public - California I certify under PENALTY OF PERJURY under the laws of the State of Z Riverside County California that the forgoing paragraph is true and correct. My Comm. Expires Jun 7, 2018 - - - - - - - - - - - - WITNESS my hand and official seal. Signature Piece Notary Seal Above Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Bid Bond Document Date: 02/10/2015 Number of Pages: One (1) Signer(s) Other Than Named Above: Fidelity and Deposit Company of Maryland Capacity(Ies) Claimed by Signer(s) Signer's Name: Michael Farkas Signer's Name: c Individual o Individual X Corporate Officer — Title(s): Secretary o Corporate Officer — Title(s): • Partner 0 o Limited o General - RIGHT o Partner 0 o Limited o General RIGHT THlJMBPR,_INT, THUMBPRINT' • Attorney in Fact bFSIGNER" o Attorney in Fact - OF SIGNER • Trustee Top of thumb here o Trustee Top of thumb here • Other: o Other: Signer is Representing: Signer is Representing: All American Asphalt .... ..... ....... ........ CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE 1114 . . . . . . . . . . . . . . . . . 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 02/10/2015 before me, R. Pararno, Notary Public I Date Here Insert Name and Title of the Officer personally appeared Rebecca Haas -Bates NameKof Signerr* who proved to me on the basis of satisfactory evidence to be the person* whose name(4 is/*.e subscribed to the within instrument and acknowledged to me that wsheithii� executed the same in hWher/their authorized capacity(iL%Q, and that by hia/,her/their signature�4on the instrument the person(* or the entity upon behalf of which the personK acted, executed the instrument. R.:,PARAMO Commission # 2035890 Notary. Rublic - California Z Orange County OMM. Egires Aug 5,,201 j& I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true TNESS i my hand a d o, id al. Signa ct M A Signature of Notary Public Place Notary Sea/ 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: 02110/2015 Number of Pages: One (1) Signer(s) Other Than Named Above: All American Asphalt Capacity(ies) Claimed by Signer(s) Signer's Name: Rebecca Haas -Bates 0 Corporate Officer — Title(s): 0 Partner — 0 Limited [I General El Individual PAttomey in Fact 0 Trustee 0 Guardian or Conservator 0 Other: Signer Is Representing: Fidelity and Deposit Company of Maryland Signer's Name: 0 Corporate Officer — Title(s): 0 Partner — 13 Limited 0 General • Individual 0 Attorney in Fact • Trustee 0 Guardian or Conservator 0 Other: Signer Is Representing: EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attornevs-in-Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney -in -fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE 1, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary arid the Seal of the CompaDy may be affixed by facsimile on any Power of Attomey...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, thi sl 61q- day of �7pkN I I n ILLt RAL Geoffrey Delisio, Vice President City of Huntington Beach 2000 Main Street * Huntington Beach, CA 92648 (714) 536-5227 + www.huntingtonbeachca.gov Office of the City Clerk Joan L. Flynn, City Clerk May 1, 2015 El Camino Construction & Eng. Corp. P. 0. Box 259 Long Beach, CA 90801 RE: FY 14/15 Curb Access Ramp Installation Project—CC-1498 Enclosed please find your original bid bond for CC-1498- Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure Sister Cities: Anj o, Japan * Waitakere, New Zealand A, El Camino Const. & Eng. Corp P.O. Box 259 Long Beach, CA 90801 -.k -k Y4' q.;r v, tft;-z 6 90 "SEALED BID" -4- r for FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT " ln� Vq, :Zr in the. GTON BEACH - DO NOT OPEN WITH REGULAR MAIL CITY OF HUNTIN 4`21�R DELIVER T 0 THE OFFICE OF T�E CITY CLERK, 2000 MAIN STREET, SECOND FLOO VT V- �j 5�� Zlu, 6 SECTION C for the construction of FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT from VARIOUS LOCATIONS CC No. 1498 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 perfonn 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 perforn-i 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 30 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 arnounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. zn C-1 SECTION C PROJECT BID SCHEDULE FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT, CC 1498 (VARIOIUS LOCATIONS) BID ITEMS W-F 0% it U I MOM, NE Construct Curb Access Ramp per Caltrans Std. Plan A88A from BCR to ECR as shown on Curb Ramp Detail 1 in 1 Appendix K of Specifications (Item includes all appurtenances, curb & gutter, depressed curb, sidewalk, domes, retaining curb, slot pave, etc.) 12 EA Construct Curb Access Ramp per Caltrans Std. Plan A88A from BCR to ECR using horizontal curb cutting machine as 2 shown on Curb Ramp Detail 2 in Appendix K of Specifications (Item includes all appurtenances, curb & gutter, depressed i curb, sidewalk, domes, retaining curb, slo t pave, etc.) 35 EA F— Construct Curb Access Ramp per Caltrans Std. Plan A88A BCR to ECR including adjacent cross gutter spandrel per 1-113 3 City Std. Plan 205 as shown on Curb Ramp Detail 3 in Appendix K of Specifications. (Item includes all appurtenances, cross gutter, curb & gutter, depressed curb, Y000 Y1> sidewalk, domes, retaining curb, slot pave, etc.) 1 EA TOTAL R BID AMOUNT (BASIS OF AWARD) — SCHEDULE $ 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. C-2.1 If awarded the Contract, the undersigned agrees that in the everit of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may. at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid.. find 9� i� &,e in the amount of /D ;�_ . 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 z:1 "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: I C-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. Z'Z"'e 1 —7 2 A/ ' �,,je Wz A, k,-,,e By submission of this proposal, the Bidder certifies: 1. That lie 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 fun-iished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 J I declare wider penalty of perjury under the laws of the State of California that th foregoing is true and correct and that this declaration is executed on�2-lfjj- at Date C, city State , being first duly sworn, deposes and says that he or she is 4;4 Ir of J§Qgdo CM*uctiog & Engin e party making the foregoing bid that the bid is not made in the intere'st of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding, that the bidder has not in any manner, directly or indirectly, sought by aareement. 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 a ent thereof to effectuate a collusive or sham bid. 1 9 El Camino Con*uction & Fp ' * - Name of Bidder Sign ure f i er FO. 3�- ' , Z4� &Z Address of Bidder Cr 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 FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined. to work in proximity to any electrical secondary or trmsnaissiori facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person ivho, by reason o ' f experience or instruction, isfiamiliar w4th the operation to be Pe7,-f6r7ned and the hazards involved. The undersigned also promised and agrees that all such work shall be perforined 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: Q - I ?- ;�o (5- El CmWw CW*WhM & En&eering I Contractor By Title C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the. Bidder shall complete, wider penalty of peJury, the following questiomiaire. 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 conipleting a Federal, State or local government project because of a violation of law or a safety regulation? El Yes ANO 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 1961 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 '1700 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: 9 - (r� - Y 1�-- E1C=ikoCw*uWon& Engineering Contractor prmlzk� Title C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name H-J�VMVI Business Address Ps Box 259 LONG BEACH. CA 9"01 City. State Zip (S� 2 ) 2,f-3 - �fll Telephone Number — q"2) I q 7 /4 lif State Contractor's License No. and Class j"V () F- Original Date Issued 9- �0 - "X) i b Expiration Date The work site was inspected by Ra of our office on 201'�-. The following are persons, firms, and corporations having a principal interest in this proposal: b�gueel Guajardo C-8 The undersigned is prepared to satisfy the Coui-icil of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvernents in accordance with the plans and specifications set forth. El Cammo Conftction & Engmeermg Company Name - . t Signature/ ByleF'-1 Guajardo Printed or Typed Signature Subscribed and sworn to before me this 19 day of il;l- � 201 �-. CRISTINA LICON COMMiSSiOn # 2065196 z Notary Public - California z Los Angelts County NOTARY PUBLIC MY COMM. ExireS Apr 20. 2018 NOTARY SE L Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of curb ramps with. 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: e, �, 2. Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of' ,-- �f 7 J��d P /0 - 2--d i or Provide additional proje%description to show similar o C�, /( 1=L" -,- Y, "a Name and Address of Public Agency Date Completed -))27 Al Name and Telephone No. of Project Manager: 51A ff A 4 C a, ;7/�- qft - q51-1D C-9 Contract Amount C, J- �-X,4 Type'of Work Date Completed Provide additional project description to show similar work: 0 k-.Iq — "7,— Name and Address of Public'�Ngency Name and Telephone No. of Project Manager: Ild Contract Amount V Type of Work Date Completed Provide additional project description to show similar work: C-10 Bidder's Critical Staff Listed below are the narnes 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. 2. Name V sed Prqikct Manager Telephone No. of proposed Project Manager: L1, e 1: � i ;0 4 ?1--3 AlAl t Project Name& Contract Amount TypeofWork / 7 f� %i T-" /NRa Project Name& Contract Amount TypeofWork ect Name W- Contract Amount Type of Work?,,, Name of proposed SupOintendent Telephone No. of proposed Superinten dent: 4ve �, Iz (-/ 17 T, cvo llk,,-, Project t Name & Contract Amount Type of Work I d /-III-)1Y Date Completed Date Completed 14,4, � - 2b(,T ll,c)4 to Date Completed /0,/�/-Y Date Completed /2,11 At R Project Name & Contract AmOUrIt Type of Work Date Completed ,kll 6 , - 7,-) F 5 �- , ,e & Contract Amount Type of Work 144�10 )10 .1 t -,;z - 2& 3 Date Completed C-I I HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992, SECTION 3 TITLE 24, Code of Federal Regulations, Part 135* Economic Opportunities for Low and Very Low -Income Persons The bidder, under penalty of pe�jury, certifies that except as noted below, any person associated therewith in the capacity of owner, partner, director, officer, or manager (initial the aj)plicable seleclions): Will ensure that 10% of all new hires as a result of this project shall meet all requiremnents of Section 3 of CFR Part 135 of the HUD Act of 1968, or Will hire no new employees in conjunction with this project. Will award 10% of its sub -contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub -contracts related to this project. Contractor: Contact Person: 11-414aol- Contact Phone: 5?913 Signed: —Y Date: *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 135 and Subtitle A et al) and must be submitted by the bidders and proposed sub -contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act, as amended in 1992 (HUD). Previous non-compliance with Section 3 could result in disgualification. C-12 CITY OF LONG BEACH Q Department of Financial Management 33�3 vlje6z ow�it, Rlvo'' ­�, Hov LCVI,� 1XaCil, CA W�8-02 (562) 6i`16afl)l TEDD, �562) 570-5832 August 1, 2012 MIqUel Guajardo EI Carnino Construction & Engineering Corp, P,O. Box 259 Long Beach, CA 90801 SUBJECT, HUD Section 3 Business Recertification Dear Mr. GUajardo VVe are pleased lo advise you that you have successfully completed the HUD Section 3 Business recertification process, You have met the requirements by having 51% or more of your business ownership as low-incorne and lives in LA County and 30% or more of your permanent workforce (_,,ornprised of rn ode rate- income residents that live in LA County. As a recertified HUD Section 3 business your business will remain on our list and continued to be submitted to developers arid prime contractors when the City is about to initiate a construction project, By agreeing to hire low-income residents from Long Beach and neighboring Signal Hill you will help enhance the economic vitality of Long Beach and surrounding communities, Your corlification is good for three years as long as your contractor�s license is valid and in good standing, We want you to know that you may riot see a lot of activity at any one time, although you will see regular activity over a period of lime, Projects that will be comin,out of the ground in the near future already have their contractors in place, but we will share your names with them in case they have any unforeseen needs. 'To ensure that your company receives HUD Section 3 Business opportunities it is important that we are kept abreast of changes in your company business profile. It will be the responsibility of your company to provide updates'. any changes should be submitted to us in writing, Do riot hesitate to contact us if additional information is needed, Your initial contact person for HUD Section 3 matters is Daisy Devlin, email'. Daisy,Deviiri@longbeach.gov, (562) 570-6839� Correspondence should also be submitted to Daisy Devlin. Again, congratulations on becoming a certified HUD Section 3 Business. Sincerely.,,, - Erik Sund Business Relations Manager City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 for C.C. No. 1498 February 11, 2015 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1. In Appendix I of the Project Specifications, the prevailing wage rates have been superseded with the attached modified rates with publication date 01/23/2015. This is to acknowledge receipt and review of Addendum Number One, dated February 11, 2015. 8 Cmino Cw*uction & Engineering Company Name 0?- ) ?- )�o ) �- Date All bidders must acknowledge the receipt of this Addendum and modified rates with your bid proposal. Should you have any questions regarding this Addendum, please call Joseph Fuentes at (714) 536- 5431. 1 2/11/2015 www.wdol.gov/wdol/scafiles/davisbacon/CA35.dvb?v=2 General Decision Number: CA150035 01/23/2015 CA35 Superseded General Decision Number: CA20140035 State: California Construction Types: Building, Heavy (Heavy and Dredging) and Highway County: Orange County in California. BUILDING CONSTRUCTION PROJECTS; DREDGING PROJECTS (does not include hopper dredge work); HEAVY CONSTRUCTION PROJECTS (does not include water well drilling); HIGHWAY CONSTRUCTION PROJECTS Note: Executive Order (EO) 13658 establishes an hourly minimum wage of $10.10 for 2015 that applies to all contracts subject to the Davis -Bacon Act for which the solicitation is issued on or after January 1, 2015. If this contract is covered by the EO, the contractor must pay all workers in any classification listed on this wage determination at least $10.10 (or the applicable wage rate listed on this wage determination, if it is higher) for all hours spent performing on the contract. The EO minimum wage rate will be adjusted annually. Additional information on contractor requirements and worker protections under the EO is available at www.dol.gov/whd/govcontracts. Modification Number Publication Date 0 01/02/2015 1 01/16/2015 2 01/23/2015 ASBE0005-002 06/30/2014 Rates Fringes Asbestos Workers/Insulator (Includes the application of all insulating materials, protective coverings, coatings, and finishes to all types of mechanical systems) ..... $ 35.44 19.36 Fire Stop Technician (Application of Firestopping Materials for wall openings and penetrations in walls, floors, ceilings and curtain walls) ........................... $ 24.34 16.09 ASBE0005-004 06/24/2013 Rates Fringes Asbestos Removal worker/hazardous material handler (Includes preparation, wetting, stripping, removal, hftp:/AAtww.wdol.gov/wdol /scafi les/davi sbacon/CA35.dvb?v= 2 1/25 Bond No. N/A BID OR PROPOSAL BOND KNOW ALL MEN BY THESE PRESENTS, that we El Camino Construction& Engineering Corp as Principal, (hereinafter called the Principal), and American Contractors Indemnity Company , a corporation duly organized under the laws of California and authorized to transact a general surety business in the State of California as Surety, (hereinafter called the Surety), are held firmly bound unto: City of Huntington Beach as OBLIGEE, (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 of the Bid in Dollars for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION IS SUCH, That, whereas, the Principal has submitted or is about to submit to the Obligee a Proposal or bid, dated on or about the date mentioned below, for: (1) the performance of the designated work, or (2) the furnishing of the specified goods, supplies or products, to -wit: Remove & Replace Curb Ramps NOW, THEREFORE, if the Principal shall not legally withdraw said bid within or at the times permitted therefor, but shall duly make and enter into a written contract with the Obligee, in accordance with the terrns of said proposal or bid, or any amendment thereof acceptable to the Principal, within the time permitted therefore after such contract forms are presented to the Principal for execution, should the Obligee award the Principal the said work or contract or any part thereof and if the Principal shall give bond or bonds for the faithful performance thereof, and/or for payment for labor and materials going thereinto, as in the specifications or contracts provided: or if the Principal shall in case of failure so to do, pay the Obligee the damages which the Obligee shall have actually suffered by reason of such failure, not exceeding the penal sum of this bond, then this obligation shall be null and void, otherwise to be and remain in full force and virtue. PROVIDED, HOWEVER, that no action shall lie, or claim be enforced hereunder, unless the award on the basis of said bid shall have been made within thirty (30) days after the formal opening of said bid, or within the time specified within the bid provisions, whichever time shall be greater, and unless the Obligee hereunder shall give notice to Surety of said award at the time of notification to the Principal; and unless legal action to enforce any claim hereunder shall have been commenced within six (6) months from the date of the formal opening of said bid. PROVIDED, always, that this Bond shall not be valid and binding upon Surety unless accompanied by a Certified Copy of a Power of Attorney authorizing the undersigned Attorney -in -Fact to execute such a bond, the Serial Number upon which Copy of Power of Attorney shall correspond with the Bond Number set out above. Signed, sealed and dated this 17th day of February 12015 El Camino Construction & Enginepring Corp Principal Name By: 'ff - ?Pri"- Zipa"-r7/ American Contractors Indemnity Company Name of Sure nmnanv By: Salazar State of California County of P -`v-,,A llit0k before me, A,� Date/ -Fiere Ime, Name and Title of the Offic6r �a personally appeared 4� _ ,UC V_ CRISTINIA LICON COMMissibn # 2065196 Z Notary Public - California Los Angeles county [am y C o M M. ��s 20.2018 CIVIL CODE § 1189 who proved to me on the basis of satisfactory evidence to be the person* whose name(Ws/ara- subscribed to the within instrument and acknowledged to me that he/shi�,y executed the same in his/hertfTeir authorized capacity(jes), and that by his/heglh6r signature* on the instrument the person(s,)-, 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 4hand d official seal. 'C Signature'. of ot y P Place Notary Seal Above Signature f Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: — Capacity(les) Claimed by Signer(s) Signer's Name: Officer — Title(s): El Individual El Partner — El Limited El General El Attorney in Fact 11 Trustee 11 Guardian or Conservator El Other: Signer Is Representing: Number of Pages: Signer's Name: El Corporate Officer — Title(s): [I Individual El Partner — El Limited El General El Attorney in Fact El Trustee El Guardian or Conservator El Other: Signer Is Representing: @ 2012 National Notary Association o NationalNotary.org a 1-800-US NOTARY (1-800-876-6827) Item #5907 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Los Angeles 04�s.)n/v 012ZI beforeme, Trinal_eeVeg;�, �eMv Public Daib I ame and Title of The Officer personally appeared Elisabete Salazar Name(s) of Signer(s) TRI 1A L EH"i V EE C A # 2056669 Notary Pubhc - Cahiornia > Z z Los Ang,-�Ies COuntY Felb 1, 20 18 Vp/ Comm. E,(Pires-� who proved to me on the basis of satisfactory evidence to be the person($) whose namel�) is/%tg subscribed to the within instrument and acknowledged to me that fi�/she/111#j executed -the same in M141her4Wk authorized capacibj(#�), and that by ft/her/to#t signature($) on the instrument the person($), or the entity upon behalf of which the person(�) acted, executed the instrument. I cerIL4 under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my h nd off icial Val. / Signat­ - 'nl_ .".ry P,�"", Place NoiarY Seal Above S ignaturc of Notary Public Though the information Delow is not required by law. ;t may prove valuable to persons relying on the document and could prevent frauduien' removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Narned Above: Capacity(lies) Claimed by Signer(s) Signer's Name: [:1 Individual Corporate Officer —Title (s): _ Partner — E Limited General Attorney in Fact Trustee Guardian or Conservator L` Oflier: Signer Is 'Representing: 0 -SIG ;1' F NER- rop ot thumb here Number of Pages: Signer's Nam —_1 Individual Corporate Officer — Title(s): — Partner —L Limited 0 General 7 Attorney in Fact Trustee Guardian or Conservator L, Other: Signer Is Representing: ­z�'QFSIGNER; Top of thumb here 02007Nraffor,al. AssociaVon- 9350 De Soto Ave.. PO. Box 2402 -Chatsvionh. CA 91313-24fj2-wiwi.NaLonaiNotar,�.org ltem45907 F�eorCer:Ca!iTol!-Freel-Sco-876-6827 POWER OF ATTORNEY AMERICAN CONTRACTORS INDEMNITY COMPANY UNITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY m—eri—can Contractors Indemnity. AKNOWALL W"Y THESE PRESTINTS--IM v_.JI,1�!a balifornia corporaticW ]RSdfdtyMCQmpapy�a Maryland WAWI- _bn dl�::-_ ecia,lty lnsuranc6!'�6111!` h I'll; �1�14 corporatiodawlaivW fih�—=­7 a y,�lI!Ia,IjITjexas Wet W ['I r ies"),-& by these presents appoint: Pietro Micciche, Elisabete Salazar or Patricia Zenizo of Los Angeles, California its true and-Jawf A ct, each in their, separate capacity if more than aL ttorney(s)-in-fa -one is marn—odgabove, with full power and _authority��- A74: ffEritid iWits name, place andlIte d, t§ I ei I cute, acknowledge aq&-dqW76"-_—i A-111460rds, recogniz - e kiffigll Wir adc sZiutq e a f ntracts,I19,1l'sultetysh �-"thWifistfflh*fifs or co i-, tdAriclude riders, an�lltsganda-� of surety, tW6" t'II - - &; P , � 1 --- - - - - --- - u—es- n—ot exceed Three Million" Dollars ($ **I�0,00ll M"e d This Power of Attorney shall expire without further action on December 08, 2016. This Power of Attorney is granted under and by authority of the following resolutions adopted by the Boards of Directors of the Companies: Be it Resolved, that the President, any Vice -President, any Assistant Vice -President, any Secretary or any Assistant Secretary shall be and is hereby vested with fulL-- 11,11111 llllllr�,� �powevand a point any one or more §q4ablxEpgrsd� y(s)-in-Fact to represent; andilactlIfor #nd I bl�4 16 OwErIgR7 If of the Company-sull ll� XIII In', zprovis I Ahbrn 49n-_F,4cr: be given full power d��Mi flieffil of at d on behalf:of the Clompany; toj,F�ec t knowledge and dd�� ll --recognizances, contracts, agreements or indie�l �dother conditional or obligatory unci� ing��1:1,"­hMuding any and all consents for ffWxFeleis�e�af retained percentages and/or final estimates on engineering and construction contracts, and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attomey-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be it Resolve A thatAhe signature of any authorized officer and,seal:of the Company heretofore or hereafter affixed p"RU-ower of attorney or any -certificate relatirl 1, 11, 1 118111, , - - - _ M�_ ny power of attorney & �ertiflidate beann&fdcsimiIe signature or facsirnTb7_zs_6_a_rsFall M _"arx0inding upon the ComI*4y*h6vspect_tcr-_- nd* dRiltifaffi which it is attach,�a AM !j. 4�1 I'l 7=��iEIN WITNESS WHEREOF, The Comp'a;'n'ies:havle caused this instrument to b&*reWaNGd thil corporate seals to be hd&o ii�d, this 10th day of December, 2012. AMERICAN CONTRACTORS INDEMNITY COMPANY ]UNITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY. T11 qC66orate Seals ll!!Jllj�r�ll + s Daniel P. Aguilar, Vice President State of California fflwitw�kklbes SS: S !WOA�daybf Mecember, 2012, be r�:l m lie' lv'"e saWright, a notary publiczgrersdiialry appeared Daniel P. Aguilar�Xke President of American Contractors Indemnity Company, United States Surety Company and U.S. Specialty Insurance Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person(s), or the entity upon behalf of NO I which -the pierson acted. executed the�instrpmenf�M 111, '1'], oI A C tfi�,,l Ggi -e-ertify-uriderTENALTY OF PERU_zUR-'V%ndFr- thdil f the orma, a el oing paragraph 10tr "—fi&�p6rfM_ avil State of alo�: "I I' � I T I ll� �11 -WITNESS my hand and official seal. — fe-dl V Mull 1 COM0*000 0 1IM19 Signature (Seal) It - COWIN N6LW..y,=4.l Cluny mn. E d 126�ant Secretary , of Ameiicah' ICAtra6tois Indemnity CdffipaMnmd�Wety Company an _-II Pe y __S. S cialt f b !.�n_l C&Wy, do hereby cerdfy�11hai! I�'Above 'and foregoing is a tr_uqmda_qpDm_CV_e-o a Power of Attorney, executet y ��said Companies, which is still in fali ii8rice a;nd effect; furthermore, the resohuMfons of the Boards of Directors, set out in the Power of Attorney are in full force and effect. In Witness Where I have hereunto set my hand and affiked the seals of said Companies atILos,IAngeles, California th�s ay-22- �-7 -1 Ilb: Corporate Seals ..................... c - T Q\+ Bond No. 446 Je.iel" L.-fantSe-etary 2i� VYT I Sit s City of Huntington Beach 2000 Main Street * Huntington Beach, CA 92648 (714) 536-5227 * www.huntingtonbeachca.gov Office of the City Clerk Joan L. Flynn, City Clerk May 1, 2015 Millennium Constructions Corp. P. 0. Box 288 Glendale, CA 91209 RE: FY 14/15 Curb Access Ramp Installation Project—CC-1498 Enclosed please find your original bid bond for CC-1498. Sincerely, 'F* !W11 Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure Sister Cities: Anjo, Japan + Waitakere, New Zealand If /- 4. Delivery Of Proposal Proposals shall be enclosed in a scaled envelope plainly marked on the outside: "SEALED BID" for FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT in the CITY OF HUNTINGTON BEACH - DO NOT OPEN WITH REGULAR MAIL DELIVER TO THE OFFICE OF THE CITY CLERK, 2000 MAIN STREET, SECOND FLOOR Z— C) 2 kim rn - 7t Mo 3.1 r; 1�1 SECTION C PROPOSAL for the construction of FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT from VARIOUS LOCATIONS CC No. 1498 in the CITY OF HUNTINGTON REACH 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 30 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 Sche ' dule 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 FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT, CC 1498 (VARIOIUS LOCATIONS) BID ITEMS , � 1 44 iric) MA Construct Curb Access Ramp per Caltrans Std. Plan A88A from BCR to ECR as shown on Curb Ramp Detail 1 in I Appendix K of Specifications (item includes all appurtenances, curb & gutter, depressed curb, sidewalk, $ $ domes, retaining curb, slot pave, etc.) 12 EA Construct Curb Access Ramp per Caltrans Std. Plan A88A from BCR to ECR using horizontal curb cutting machine as 2 shown on Curb Ramp Detail 2 in Appendix K of Specifications (item includes all appurtenances, curb & gutter, depressed $ curb, sidewalk, domes, retaining curb, slot pave, etc.) 35 EA $ Construct Curb Access Ramp per Caltrans Std. Plan A88A BCR to ECR including adjacent cross gutter spandrel per 1113 3 City Std. Plan 205 as shown on Curb Ramp Detail 3 in Appendix K of Specifications. (item includes all appurtenances, cross gutter, curb & gutter, depressed curb, r $ $ C) sidewalk, domes, retaining curb, slot pave, etc.) EA TOTAL BID AMOUNT (BASIS OF AWARD) — SCHEDULE s 41 CCc� 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. C-2.1 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE for FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT C.C. No. 1498 February 11, 2015 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1. In Appendix I of the Project Specifications, the prevailing wage rates have been superseded with the attached modified rates with publication date 01/23/2015. This is to acknowledge receipt and review of Addendum Number One, dated February 11, 2015. Company Name By Date All bidders must acknowledge the receipt of this Addendum and modified rates with your bid proposal. Should you have any questions regarding this Addendum, please call Joseph Fuentes at.(714) 536- 5431. 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 1 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: "Bidd A ddinda -No. - Da'te'RiOceive- C-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', Na -me and 0%, Addiess�ofSubcohtractow� Stdte 0 Of, --A unt 4tem(s)- Licen'se_�_ *0_ _-C N mbie u By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 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 I at U6 Date city State AV-ttv being first duly sworn, deposes and says that he or she is o , I (.� the party making the f t 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. Name of Bidder Signature��id�ek -1-1 P V 14 iftd ItL5e 8 e- Address of Bidder CA 41-5-55�' 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 FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT, (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, isfamiliar 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: _�Z— 0 — t � C-5 Contractor he- I By 10 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? L3 Yes 4� 0 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: e7 -- '14 - I t? C-7 �Avi Contractor By Title BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name Business Address L, --?� CA 9�( 3 -3 5- City, State Zip ( f4S) C411 -- Telephone Number qql,)— k)ej 61<11'e1114 14 State Contractor's License No. and Class -31 1 VIM Original Date Issued 5 5 Expiration Date The work site was inspected by 6)ow, of our office on 201 252. The following are persons, firms, and corporations having a principal interest in this proposal: C-8 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. _4..�YvtNzy\� cc, Company Name �7-9 /f llft� i t A-4- k Printed or Typed S I------------ Subscribed and sworn to before me this i day of 32015. IKSHILO.LEELn Itknalpeccom* V20m".10mocto NOTARY PUBLIC NOTARYSEAL Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of curb ramps with. 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: Name and Address of Public Agency 36 Name and Telephone No. of Project Manager: 7 Contract Amount Type of Work L _W�L6,c, IPV 4,A Date Com�pleted) Provide additional project description to show similar work: C u-C-6 ec, Vir-1 I--- � tv �, �4- Pr,v�kq (PAo-�) 2. BV6�01 Name and Address of Public Agency (PIP- 'R6611-C-33-1 Name and Telephone No. of Project Manager: C-9 3. CC; Ai - Contract Amount Type of Work Date Completed Provide additional p-roject description to show similar work: Name and Address of Public Agency Name and Telephone No. of Project Manager: HeL)/, Contract Amount Type of Work Date Completed Provide additional project description to show similar work: L-,v 1, 5 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. .I - Name of proposed Project Manager Telephone No. of proposed Project Manager: �P, ti "t-H 13 i�, �,Z-O � q - 1 -,5 ProjectName & Contract Amount Type of Work ---) Date Completed 0 /-C- Project Name & Contract Amount Type of Work Date Completed IJ- -PAO e��. &1 1 P Project Name & Contract Amount Type of Work Date Completed 2. Na66 of proposed Superintendent Telephone No. of proposed Superintendent: 15zz- 'Will 01C -7 1 15 Project Name &'(fontract Amount TypeofWork Date Completed Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed C-11 BIDDER'S CERTIFICATION* HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992, SECTION 3 TITLE 24, Code of Federal Regulations, Part 135* Economic Opportunities for Low and Very Low -Income Persons The bidder, under penalty of perjury, certifies that except as noted below, any person associated therewith in the capacity of owner, partner, director, officer, or manager (initial the applicable selections): Will ensure that 10% of all new hires as a result of this project shall meet all requiremnents of Section 3 of CFR Part 135 of the HUD Act of 1968; or Will hire no new employees in conjunction with this project. W i I I award 10% of its sub -contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub -contracts related to this project. Contractor: C Co Contact Person: /4o,[,:2�ttt, I f-1 Contact Phone: Signed: Date: *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 135 and Subtitle A et al) and must be submitted by the bidders and proposed sub -contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act, as amended in 1992 (HUD). Previous non-compliance with Section 3 could result in disgualification. C-12 )<� Hana Enginering construction P. 0 Box 288 Glendale, CA 91209, Lic#367611 Max: 818-331-8678, Max. Sadeghian@yahoo.com Antoine: 818-641-7287 Antoine. Cappelleri@yahoo.com Qualifications OVER TWENTY FIVE YEARS OF CONSTRUCTION EXPIRIENCE IN VARIOUS FIELDS SUCH AS PUBLIC WORKS , SCHOOLBUILDINGS COMERCIAL JRACK HOMES,HIGH AND LOW END CUSTOM HOMES IN SOUTHERN AND NORTHEN CALIFORNIA. WORK EXPERIENCE This company has numerous projects locally ( LA County area ) and also Northern CA. the followings are some of the completed projects within last 25 years. Description Project name 38 Units Villa Valencia 18 Units Quality empire homes 12 Units Naomi Garden On going project Sub station Hollywood way sub station Town homes Menlo park Menlo park town homes Santa Monica pier renovation Creosol building New school building New Liethch Elementry building 20 Units West Verdugo Location Contact 414 E.Vlancia, Burbank Mr.Armik Boghassian Empire homes 818-209-6739 600 E.Magnolia, Mr.Armik Boghassian Burbank 818-209-6739 2410 Naomi st, Burbank Mr.Chin-Yu-Lint Burbank, CA (---6ty'—o'--f'B-'u-rban' k',-pub"lIc wor Menlo park,CA Rob Rahmzadeh Santa Monica, CA ��City �f Sa�ta Monica district Fremont, CA Fremot school 303 W. Verdugo, Ahmad Burbank 714-747-2272 Renovation to city hall City hall Improvement City of Sanfernando ' / City of Sanfernando, Public �--works------- --- It Walk way over pass High school imp. Long beach, CA Long beach school Dis.----,-,, Handicap ramp City Improvement Santa Monica, CA - City of Santa Monica Three units 726 E Santa Anita Burbank, CA -----RRger Rmiteh 818-748-7792 PLEASE CONTACT THIS OFFICE SHOULD YOU HAVE ANY QUESTIONS SINCERELY MAX SADEGHIAN PAGE: 1 1A) oo/'� Fuentes, Joe From: Antoine Cappelleri [antoine.cappelleri@yahoo.com] Sent: Friday, February 20, 2015 2:17 PM To: Fuentes, Joe Subject: Millennium Construction/Hana Engineering Construction Attachments: Hana Engineering Resume.pdf; Resume with picture.pdf Hi Mr. Fuentes, Here is a list of projects and references. Aside from the references in the PDF there is: 1. Mr. Blake which has seen and been a Deputy inspector for most of out projects. His number is 310-420-8879 2. John Baher is the owner of a multiunit building that we worked on. Specifically, we did the Grading, Foundation and Structural Steel. I His number is 818-634-0814 Antoine Cappelleri Millennium Constructions Co. Antoine.Cqppellerigyahoo.com 7 USA Mobile: 818-641-7287 oee."' V, re 195P CONTRACTORS STATE UCENSE BOARD Contractor's License Detail for License # 367611 4SCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on As information, you should be aware of the following limitations. CSLB complaint disclosure is restricted by law (B&P 7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. Per B&P 7071.17 , only construction related civil judgments reported to the CSLB are disclosed. Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. Due'to workload, there may be relevant information that has not yet been entered onto the Board's license database. Data current as of 2/20/2015 2:30:11 P1 Business Information HANA ENGINEERING CONSTRUCTION COMPANY P 0 BOX 288 GLENDALE, CA 91209 Business Phone Number:(818) 331-8678 Entity Sole Ownership Issue Date 12/20/1978 Expire Date 12/31/2016 License Status is license is current and active. information below should be reviewed. B - GENERAL BUILDING CONTRACTOR C-8 - CONCRETE A - GENERAL ENGINEERING CONTRACTOR Classifications Bonding Information Contractor's Bond This license filed a Contractors Bond with OLD REPUBLIC SURETY COMPANY. Bond Number: W150192730 Bond Amount: $12,500 Effective Date: 06/08/2014 Contractor's Bond History Workers' Compensation This license has workers compensation insurance with the WESCO INSURANCE COMPANY Policy Number:WWC3105292 Effective Date: 08/11/2014 Expire Date: 08/11/2015 Workers' Compensation History Other Personnel listed on this license (current or disassociated) are listed on other licenses. leck A License - License Detail - Contractors State License Board Page I oi Contractor's License Detail for License # 991289 IISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this iformation, you should be aware of the following limitations. CSLB complaint disclosure is restricted by law (B&P 7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on thl link or button to obtain complaint and/or legal action information. Per B&P 7071.17 , only construction related civil judgments reported to the CSLB are disclosed. Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. Business Information MILLENNIUM CONSTRUCTIONS CORPORATION P 0 BOX 288 GLENDALE, CA 91209 Business Phone Number:(818) 331-867( Entity Corporation rlg§-ue Date 03/19/2U14 7 pire Date 03 31/iOl'6 License Status 60,k4 license is current and active. information below should be reviewed. A - GENERAL ENGINEERING CONTRACTOR B - GENERAL BUILDING CONTRACTOR Classifications Bonding Information Contractor's Bond his license filed a Contractor's Bond with BUSINESS ALLIANCE INSURANCE COMPANY. Bond Number: G201412104596 Bond Amount: $12,500 Effective Date: 12/10/2014 Contractor's Bond History Bond of Qualifying lndivldua�� M TkeRe§sDq'nsi.b1e_.gQa ng ficer (EIMO) SADEGH [AN MAX certified that he/she owns 10 percent or more of the voting gL _gf Vlockiequity of the corporation. A bond of qualifying individual is not required. lEffective Date: 03/19/2014 Workers' Compensation This license is exempt from having workers compensation insurance; they certified that they have no employees at this time. Effective Date: 12/08/2013 EXDire Date: None Other I-P`erso-nnel —1isted on this license (current or disassociated) are listed on other licenses. .ps://www2.cslb.ca.gov/onlineservices/checklicensell/LicenseDetail.aspx?LicNum=991289 2/19/20 ieck A License - License Detail - Contractors State License Board Page 2 ol .ps://www2.cslb.ca.gov/onlineservices/checklicensell/LicenseDetail.aspx?LicNum-991289 2/19/20 Bid Opening Tabulation Sheet Department: Public Works Bid Material: Curb -Gutter & Sidewalk Recon FY 2014-15 RANK 1 2 3 4 5 6 7 8 9 Date: February 17, 2015 Time: 10:00 a.m. VENDOR GRAND TOTAL ADD ALTERNATES AND/OR NOTES DVBE ASP, Inc. 28840 Bay Ave. $ 203,523.00 Moreno Valley, CA 92555 Golden State Construction, Inc. (GSCI) $ 213,597.00 208 E. Orangethorpe Ave. Placentia, CA 92870 El Camino Construction & Engineering Corp. $ 244,900.75 P 0 Box 259 Long Beach, CA 90801 Unique Performance Construction 1321 N. Jefferson St. $ 249,946.90 Anaheim, CA 92807 EBS General Engineering, Inc. 1320 E. Sixth, Suite 100 $ 272,944.00 Corona, CA 92879-1700 Vido Samarzich, Inc. 4972 Crestview Pl. $ 276,048.50 Alta Loma, CA 91701 All American Asphalt P 0 Box 2229 $ 321,721.00 Corona, CA 92878-2229 ND Construction Co. 2201 E. Winston Rd, Ste. M $ 323,281.00 Anaheim, CA 92806 Martinez Concrete, Inc. 920 W. Foothill BI. $ 343,046.15 Azusa, CA 91702 A BID OPENING TABULATION SHEET INFORMAL Department: Public Works Department — Engineering Division Bid Material: 53002 — Valve Vault Repairs 2013-14 Dorothy Lane to Acacia Ave RANK 7 5 1 4 3 6 2 Date: April 10, 2014 Time: 2:00pm ADD ALTERNATES VENDOR GRAND TOTAL AND/OR NOTES Atlas -Allied. Inc 1210 N. Las Brisas $44,580.00 Anaheim, CA 92806 Bensfield General Engineering Inc 77465 Indian Valley Road $38,950.00 San Miguel, CA 93451 Hana Engineering Construction Company PO Box 288 $24,950.75 Glendale, CA 91209 Vido Samarzich, Inc 4972 Crestview Place $37,780.00 Alta Loma, CA 91701 Fleming Environmental Inc 1372 E. Valencia Dr. $31,180.00 Fullerton, CA 92831 MMC Inc 5901 Fresca Dr. $44,111.00 La Palma, CA 90623 Palp, Inc DBA Excel Paving 2230 Lemon Ave $29,656.00 Long Beach, CA 90806 1 S \E,g,,­ing\C1P'53002 W—Distriba— 1,,p­­­\B,d D,es\Do,othyV­1t\53002 � Bid R—Its Sheet.doc 4/10/14 2120/2015 HANA ENGINEERING CONSTRUCTION -BURBANK, CA -Company Informabon PRODUCTS RESOURCES f,", Y A C (" 0 U N T BURBANK,CA SINGLE-FAMILY ... SINGLE-FAMILY ... HANA ENGINEERING CONS... Search by business, phone, or DUNS Dun & Bradstreet CREOTBILFrY CORP "'q BUSINESS How Can I Help? 0W Live Chat with a Dun & Bradstreet "44 Credibility Corp Credit Advisor. VIFOV ADDITI05�',�k "W" R DATA C" Incorporate 4;� Credibilitvm, Goog Facel Yello Bing. Yello gjA Annual Reve:�*'�."_ ,'j Employee CC Industries Si ,M Contacts S, MerchantC Contact Business Tele Atlas . MESSAGE Twitter.co L 4, Ca,ft"' ada ntri gei os,, ngeles, TALK TO A CREDIT ADVISOR 1-800-280-0780 7 0 BROKEN 8 CLOUDS Photos , T T Business Credit Report Receive a one-time comprehensive credit report on this company. AOL hftps:/twww.dandb.com/businessdirectory/hanaengineeringconstruction-burbank-ca-20379827.html 1/4 2/20/2015 HANAEN GIN EERING CONSTRUCTION -BURBANK, CA -Company Information D&B GET FULL CREDIT PEPORT MapQuest Yahoo Loc Apple/Siri SEND MESSAGE Groupon Company Summary Hotfrog.cc Hana Engineering Construction is I Comcast.n incorporated in California. Hana Engineering Construction has estimated annual revenues ReachLoci of $180,000.00 and also employs an estimated 2 employees. Admedia Dealsplus Shoptopia Alteryx Dogtime VERIFIED Status: x UNVERIFIED KSL.com Address: x Sirtune UNVERIFIED LAST VERIFIED: x Americanl Phone: x UNVERIFIED Payment Method: x UNVERIFIED VIEW FULL REPORT . .......... https:/twww.dandb.com/busi nessdi rectory/hanaengi neeri ngconstruefion-burbank-ea-20379827.htm 1 2/4 2120/2015 HANA ENGINEERING CONSTRUCTION - BURBANK, CA - Company Information Similar Businesses Nearby ---- - ----- S B ME SSC CONST ... STONECO C... BRANDON-... CARTIER CO ... 1260 CORONA ... 1105 GENTRY LN 3492 E CHURC ... 21446 Harvill A ... CORONA, CA 9 ... Susanville, CA ... FRESNO, CA 9 ... Perris, CA 92570 Competitive Landscape H Same as 0 / 70 Average LESS NUMBER OF YEARS IN REVENUE EMPLOYEES BUSINESS Same as Average NUMBER OF LOCATIONS Payments Accepted Hours Sunday Monday Tuesday NO DATA Wednesday Thursday Friday Saturday Norton EC U R E D'�'- powerec. by Symantec hftps://www.dandb.com/businessdirectory/hanaengineeringconstrucbon-burbank-ca-20379827.htm1 314 2/20/2015 HANA ENGINEERING CONSTRUCTION - BURBANK, CA - Company Information (1--all 1.800.280.0780 to speak with a Credit AdviSor lroda,,'l Customer Resources Our Company Our Network Site Links Products About Us Partners Business Education Center Company History Affiliates Directory Glossary Business Credit History Blog Site Map Contact Us Careers Access to Capital Privacy Customer Support Press Releases Entrepreneurial Initiative Policy Communication Preferences News D&B International Terms of Service Success Stories Credibility LIVE '-r�e6�.N'"v Corp. 2015 B, -'i �- I �HL_ 0100-0 https://www.dandb.comlbusinessdirectory[hanaengineeringconstruction-burbank-ca-20379827.htmi 4/4 Fuentes, Joe From: Antoine Cappelleri [Antoine.cappelleri@yahoo.com] Sent: Monday, February 23, 2015 8:51 AM To: Fuentes, Joe Subject: Millennium Constructions Hi Mr. Fuentes, As requested, Millennium Constructions would like to withdraw its bid for the ADA Ramp project for the City of Hunington Beach. Thanks. Regards, Antoine Cappelleri Sent from my XperiaT' S 1 BOND#: 1001034567 J.-RAIA Document A31 OTM -2010 CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status andprincipal place MILLENNIUM CONSTRUCTIONS of business) CORPORATION AMERICAN CONTRACTORS INDEMNITY COMPANY P.O. BOX 288 601 S. FIGUEROA ST., SUITE 1600 This document has important legal GLENDALE, CA 91209 LOS ANGELES, CA 90017 consequences. Consultation with OWNER: an attorney is encouraged with (Nwne, legal status and address) respect to its completion or CITY OF HUNTINGTON BEACH modification. 2000 MAIN STREET Any singular reference to HUNTINGTON BEACH, CA 92648 Contractor, Surety, Owner or BOND AMOUNT: TEN PERCENT OF GREATEST AMOUNT BID (10% G.A. B.) other party shall be considered NOT TO EXCEED ELEVEN THOUSAND FIVE HUNDRED AND NO/1 OOTHS (N.T. E. $11,500.00) plural where applicable. PROJECT: (Name, location or address, and Project number, if any) FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT IN VARIOUS LOCATIONS CC NO. 1498 CITY OF HUNTINGTON BEACH 2000 MAIN ST., HUNTINGTON BEACH, CA 92648 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 thejurisdiction 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 fin-nished 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 famished, 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 day of (Witness) (Witness) FEBRUARY, 2015 MILLENNIUM CONSTRUCTIONS CORPORATION (Principal) (Seal) (Title) AMERICAM,C�ONTRACTS I EMNITY COMPANY (Surely) (Seal) (T[t1e),,WkO LEE LOSINO, ATTORNEY -IN -FACT CAUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An original assures that changes will not be obscured. AIA Document A310� — 2010. CopyrightO 1963,1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: This Ale Init Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA& Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copyright@aia.org. 061110 POWER OF ATTORNEY AMERICAN CONTRACTORS INDEMNITY COMPANY UNITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY pan C, ifomia corp'lM ZKNOWAU MEN7-BY THESE PRESEN U=��_Mrw_riimdn Contractors lnclt�liili 0 W _V ii y 1141, �11, __S ,o fifet"Cffv_ ---.a Maryland dUffiff n M . I in r IC ffld�M ecialty Insu an ;"'a' as corporatio e— an ?c y CT _"Coffipani _'),�db by these presents =-e,7�ituf"�nd__appoint: Shilo Lee Losino or Stephanie Hope Shear of Woodland Hills, California its true an&Aam_&6L 0 eac in e�r s1p Att mey(s)-in-fact, h ' th * th gate capacity if more than one is Aiame.&Iabove, with full power and au ori. iffiit� iffils name, placelan Mead, �ds, recognizance SAN WIEFTWO J cute, acknowledge andildeliffi"WilaMPAU0 _�—M01hW-iVstrftf&Ats or contracillilofill'i n i,R`� e 31. 11 11 fitelude riders, aniali�_slwtlm(�s of surety, tl�dftlw ill�hree Million""M — Dollars 0160000 efiffia-W da—es no-t- exceed I 111111-lIl"iIII!1I - — This Power of Attorney shall expire without further action on December 08, 2016. This Power of Attorney is granted under and by authority ofthe following resolutions adopted by the Boards of'Directors ofthe Companies: Be it Resolved, that the President, any Vice-Presidem, any Assistant Vice -President, any Secretary or any Assistant Secretary shall be and is hereby vested with full - -and ad-th . or - ity�t- oint any one or more mfitablinpersci�p (s)-in Fact to represent Md .Power d t f Malf of the Company subje-m llaffn _prIDM t p i��—me of an e CqmpTy; �,jg FM� dWbQ Ago -Fdcrinaybe given full power i 11M d 1,101 11111 �Ill;` ' , qq, V15cknowledge and de_L_roanKqn M is ��=rec6gftizances, -contracts, agreements or in&�=it0a�ffther conditional or obligatory uncle4in'R Mudil any and all consents for percentages and/or final estimates on engineering and construction contracts, and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorvey-in-Fact shall be binding upon the Company as if signed by the President and scaled and ef.rerted by the Corporate Secretary. Be it Resolved that=th signature of any authorized officer and, s allipf the Company heretofore or hereafter affixed tol ower of attorney or any certificate relating.,,,,,. rsfinffll -r of attorney drJ6 edi'tIZ"'ate �inding upon the -Comp- y spgqtoI y powe aringl. acsimile silanature or far-sirilmll HExa AN m­Wondw i� 01-1-6 which it is attac 5NO. ��251N WTTNESS WHEREOF, The Companieg "have caused this instrument to beff-gniN7 �ffi_nd the-ir corporate seals to be R&&o i d, Chis I Oth day of December, 2012. AMERICAN CONTRACTORS INDEMNITY COMPA 7- -Seals - ��Cbfpofdte ,,' ........... 0 State of California UN-ITED STATES SURETY COMPANY SPECIALTY INSURANCE COMPANY Ila ij��j Daniel P. Aguilar; Vice President ffl6ffhtft&U§5kn&- es SS: =OffWday_0f`December, 2012, before; me',11N.'a"fiessa" Wright, a notary publid_,T-ers&h� affipeal Daniel P. Agtil e-?r7 er—It-of�_ American Contractors Indemnity Company, United States Surety Company and U.S. Specialty Insurance Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person(s), or the entity upon behalf of n= !�Ij1l;iIII'I'j1j 1:1 -which the�p�)_Acted, executed the7-Anstwme 7�� -dertif-W-iiii-clef-T EN-ALTY OF PEFMWWm MI—f the State of Cali6fti� aWWO ,,jhdt the, cling paragraph� M0S0dN%nrW& WITNESS my hand and official sear' Signature (Seal) COMMNI # Los ill �,:� 81 . f 1�1� ill - W- 0 Complan ant Secretaryl, I d nwm 0 rs, n emnity U�W swco" wmlrt�s do hereby cehi ',e , a d` foregoin a Power of Att= :%gWi5edW mr.ande @b 2 is a tFumn�dUp I., Jill' said Companies, which is still in fftuill"'Mrce and effect; furthermore, the resoMutions of the Boards of Directors, set offrin the Power of Attorney are in full force and effect. In Witness. -Whereof, I have hereunto set my ftandandaffix d the seals of said Com a ies 11jil 1 geles, California this -day=-. FF "!1I IJJ j,JLo Corporate Seals No. A-0 C-AD, 2 llk�,c - T PRI 4-1' Jeannie Bond �m 'Its W, �dh IT'[ CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of LOS ANGELES On FUR 17 2015 before me, Date personally appeared JAN MICHELLE RIVERA, NOTARY PUBLIC Here Insert Name and Title of the Officer SHILO LEE LOSINO Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name( ) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the ssame 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. A toohd"d6 - - - - JAN MICHELLE RIVERA Commission # 1939902 Z California z Z Notary Public Z Los Angeles County M Comm. Expires Jul 3, 2015 t X F V V — V V W %—, 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 �6-hcl a_N official seal. 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: 11 Corporate Officer — Title(s): 11 Partner — 11 Limited 11 General 11 Individual 11 Attorney in Fact 11 Trustee Ej Guardian or Conservator 11 Other: Signer Is Representing: Signer's Name: 0 Corporate Officer — Title(s): 11 Partner — El Limited El General 11 Individual El Attorney in Fact 11 Trustee El Guardian or Conservator Ej Other: Signer Is Representing: 02014 National Notary Association - www.NationalNotary.org - 1-800-US NOTARY (1-800-876-6827) Item#5907 0 City of Huntington Beach 2000 Main Street * Huntington Beach, CA 92648 (714) 536-5227 * www.huntingtonbeachca.gov Office of the City Clerk Joan L. Flynn, City Clerk May 1, 2015 ND Construction Company 2201 E. Winston Rd., Suite M Anaheim, CA 92806 RE: FY 14/15 Curb Access Ramp Installation Project—CC-1498 Enclosed please find your original bid bond for CC-1498. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure Sister Cities: Anjo, Japan * Waitakere, New Zealand CONST RUcrION C 0 M V A N Y 2,201 L IT il"i ANA H L IN4, CA 13,06 (949) 49K- 1790 CRY of Huntington Beach Attn: CITY CLERK 200 Main St, Second Floor g Huntington Beach, CA T-- ---------- 7�-� ­7 7, 7-�7 7 6, "4�;� �171 TiV 1�1..'�. A 'b V, SECTION C PROPOSAL for the construction of FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT from VARIOUS LOCATIONS CC No. 1498 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 Engieer 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 30 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 companing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THIE 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 pnices shall govern over extended amounts, and words shall govern over figures. C-1 SECTION C PROJECT BID SCHEDULE FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT, CC 1498 (VARIOTUS LOCATIONS) BID ITEMS A -a it g v Construct Curb Access Ramp per Caltrans Std. Plan A88A from BCR to ECR as shown on Curb Ramp Detail 1 in I Appendix K of Specifications (Item includes all appurtenances, curb & gutter, depressed curb, sidewalk, domes, retaining curb, slot pave, etc.) 12 EA $3,945.UU $47,34U.00 Construct Curb Access Ramp per Caltrans Std. Plan A88A from IBCR to ECR using horizontal curb cutting machine as 2 shown on Curb Ramp Detail 2 in Appendix K of Specifications (Item includes all appurtenances, curb & gutter, depressed curb, sidewalk, domes, retaining curb, slot pave, etc.) 35 EA $2, 9 8 9. 00) $ 1 U4, 615 . U U Construct Curb Access Ramp per Caltrans Std. Plan A88A BCR to ECR including adjacent cross gutter spandrel per HIB City Std. Plan 205 as shown on Curb Ramp Detail 3 in 3 Appendix K of Specifications. (Item includes all appurtenances, cross gutter, curb & gutter, depressed curb, sidewalk, domes, retaining curb, slot pave, etc.) 1 EA $5,380-UU1 $5,38U.00 TOTAL BID AMOUNT (BASIS OF AWARD) — SCHEDULE $ 157, 335 .0 0 TOTAL BID AMOUNT IN WORDS: one hundred fiftv seven thousand three hundred thirtV five dollars and 00/100 cents 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. C-2.1 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 �,i,36ei's hond in the amount Of 10-- of bid 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 -VutuZ,_- 1, ,�, BiA* -Is Si, 2/11/15 C-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 arnount 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) N�me and Address qf,�uOcontralctor' State, License Number -Amount - 00 Contract 1,2,3 Demolition and excavation only Ramirez Company P 0 BOX 59 AZUSA, CA 91702 954595 C21 C8 Al s: "7 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 famished copies of all subcontracts entered into and bonds famished 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 2 /18 /15, at Anaheim CA Date ON State Michael Martin being first duly sworn, deposes and says that he or she is President Of ND Construction Company, Incthe 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. ND Construction Company, Inc. Name of Bidder Signature of Bidder 2201 E Winston Rd, Suite M Anaheim, CA 92806 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 FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT, (T)(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, isfamiliar with the operation to be performed and the hazards involved. " The undersigned also promised and agrees that all such work shall be performea 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 ZD 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: 2/18/15 ND Construction Company, Inc. Contractor By 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? LJ Yes ZI 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: 2/18/15 ND Construction Company, Inc. Contractor A By President Title C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: ND Construction Company, Inc. Bidder Name 2201 E Winston Rd, Suite M Business Address Anaheirn CA 92806 city, State Zip 949 ) 498-1799 Telephone Number 779970 - A, B, Clo, C46 State Contractor's License No. and Class 6/7/2000 Original Date Issued 6/30/2016 Expiration Date The work site was inspected by Mike Martin of our office on February 17 � 2015. The following are persons, firms, and corporations having a principal interest in this proposal: Michael Martin Linda Martin C-8 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. ND Construction Company, Inc. Company N Signature of Bidder Michael Martin Printed or Typed Signature Subscribed and sworn to before me this 18tqay of February � 2015 . CoffW,.tq1i-.-o # 1978731 Notar� 1�c - California qc- County WMV Con.1111 EXPI(es NOTARY PUBLIC k��A '-1 1 May 27. - 2( NOTARYSEAL Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of curb Tamps with. Bidders are encouraged to submit supplemental relevant project history mi 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: City of Rancho Santa Margarita - 22112 El Paseo, Rancho Santa Margarita,.CA 92688 Name and Address of Public Agency Name and Telephone No. of Project Manager: Carlos Castellanos - 949-635-1813 $248,770 installation of concrete improvements Contract Amount Type of Work Provide additional project description to show similar work: Installation of curb ramDs throuahout city. February 2015 Date Completed 2. City of Redlands - 35 Cajon St, Suite 15A, Redlands, CA 92373 Name and Address of Public Agency Name and Telephone No. of Project Manager: Risa iones - 909-798-7584 C-9 $45,209 installation of concrete improvements November 2014 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Installation of various concrete improvements includinq curb ramps. 3. Sunline Transit Agency - 32-505 Harry Oliver Trail, Thousand Palms, CA 92276 Name and Address of Public Agency Name and Telephone No. of Project Manager: Anita Petke - (760) 343-3456 $173,070 installation of concrete improvements November 2013 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Installation of concrete improvements throuqhout the Coachella Valle C-1 0 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. Nick Martin Name of proposed Project Manager Telephone No. of proposed Project Manager: 949-498-1799 ADA Curb Ramp Project, $248,770 - Concrete improvements - February 2015 Project Name & Contract Amount Type of Work Date Completed Transit Improvements Project, $45,209 - Concrete improvements - November 2014 Project Name & Contract Amount Type of Work Date Completed Transit Improvements Project, $173,070 - Concrete improvements - November 2013 Project Name & Contract Amount Type of Work Date Completed 2. Mike Martin Name of proposed Superintendent Telephone No. of proposed Superintendent: 9 4 9 - 4 9 8 -17 9 9 ADA Curb Ramp Project, $248,770 - Concrete improvements - February 2015 Project Name & Contract Amount Type of Work Date Completed Transit Improvements Project, $45,209 - Concrete improvements - November 2014 Project Name & Contract Amount Type of Work Date Completed Transit Improvements Project, $173,070 - Concrete improvements - November 2013 Project Name & Contract Amount Type of Work Date Completed C-I I BIDDER'S CERTIFICATION* HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992, SECTION 3 TITLE 24, Code of Federal Regulations, Part 135* Economic Opportunities for Low and Very Low -Income Persons The bidder, under penalty of peiJury, certifies that except as noted below, any person associated therewith in the capacity of owner, partner, director, officer, or manager (initial the applicable selections): Will ensure that 10% of all new hires as a result of this project shall meet all requiremnents of Section 3 of CFR Part 135 of the HUD Act of 1968; or X Will hire no new employees in conjunction with this project. Will award 10% of its sub -contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub -contracts related to this project. Contractor: ND Construction Company, Inc. Contact Person: Michael Martin Contact Phone: 949-498-1'799 Signed: t Date: 2/18/15 *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 1035 and Subtitle A et al) and must be submitted by the bidders and proposed sub -contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act, as amended in 1992 (HUD). Previous non-compliance with Section 3 could result in disqualification. C-12 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE for FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT C.C. No. 1498 February 11, 2015 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1. In Appendix I of the Project Specifications, the prevailing wage rates have been superseded with the attached modified rates with publication date. 01 /23/2015. This is to acknowledge receipt and review of Addendum Number One, dated February 11, 2015. ND Construction Company, Tnc. Company Name By 2/18/15 Date All bidders must acknowledge the receipt of this Addendum and modified rates with your bid proposal. Should you have any questions regarding this Addendum, please call Joseph Fuentes at (714) 536- 5431. I THE AMERICAN INSTITUTE OF ARCHITECTS AJA Document A310 Bid Bond KNOW ALL MEN BY THESE PRESENTS, THAT WE ND Construction Company, Inc. 2201 E. Winston Road, Suite M, Anaheim, CA 92806 as Principal, hereinafter called the Principal, and Merchants Bonding Company (Mutual) 2100 Fleur Drive, Des Moines, IA 50321-1158 a corporation duly organized under the laws of the State of IA as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntinqt2n Beach 2000 Main St, Huntington Beach, CA 92648 as Obligee, hereinafter called the Obligee, in the sum of -Ten Percent of Amount Bid Dollars ($ 10% for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for FY 14/15 Curb Access Ramp Installation Project, CC No.1498 NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and materials fumished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this (Winess) Charlotte AUuino (Mritness) 6th day of February 2015 ND Construction Company, Inc. (Prindpal) (Seao B y �ce Critle) Merchants Bqpding Company (Mutual) (Surety) (seat) By: AttomeY41?-Fact Lawrence F. McMahon (Tide) AIA DOCUMENT A310 0 BID BOND 0 AIA 0 FEBRUARY 1970 ED, 0 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 N.Y. AVE., N.W., WASHINGTON, D.C. 20006 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CivilCode§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 San Diego On FEB 0 6 2015 before me, John Richard Flores JR. Date Insert Narre of Notary exactly as it appears on the official seat personally appeared Lawrence F. McMahon COMM. #2036097 Notary Public - California Z San Diego Coun 0 I@ ty My Comm. Expires !4.8,_2D17 , Notary Public, who proved to me on the basis of satisfactory evidence to be the person(#h whose name(W is/#f# subscribed to the within instrument and acknowledged to me that helftifty executed the same in hisftflffifflt authorized capacityq##h, and that by his/##f/#A#signature(#h on the instrument the personN, or the entity upon behalf of which the personN 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. Sig a bl ard Flo Place Notary Seal Above Sig ture of Not:�lk,,�rd FI,Dres JR. 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 anJ reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(iies) Claimed by Signer(s) Signer's Name: F� Individual F� Corporate Officer —Title(s):_ El Partner El Limited El General 9 Attorney in Fact F-1 Trustee F-1 Guardian or Conservator F-1 Other: Signer is Representing: Surety Company Number of Pages: Signer's Name: F� Individual El Corporate Officer —Title(s): El Partner El Limited El General El Attorney in Fact F-1 Trustee F-1 Guardian or Conservator F-1 Other: Signer is Representing: MERCHANTS r � BONDING COMPANYT. POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations duly organized under the laws of the State of Iowa (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint, individually, James Baldassare Jr; Lawrence F McMahon of San Diego and State of Califomia. their true and lawful Attorney -in -Fact, with full power and authority hereby conferred in their name, place and stead, to sign, execute, acknowledge and deliver in their behalf as surety any and all bonds, undertakings, recognizances or other written obligations in the nature thereof, subject to the limitation that any such instrument shall not exceed the amount of: TWO MILLION ($2,000,000.00) DOLLARS and to bind the Companies thereby as fully and to the same extent as if such bond or undertaking was signed by the duly authorized officers of the Companies, and all the acts of said Attorney -in -Fact, pursuant to the authority herein given, are hereby ratified and confirmed. This Power -of -Attorney is made and executed pursuant to and by authority of the following By -Laws adopted by the Board of Directors of the Merchants Bonding Company (Mutual) on April 23, 2011 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 24, 2011. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof. The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 13th day of August , 2014. STATE OF IOWA COUNTY OF POLK ss. N*," - - 0 4' J ­11e 0 ....... 0 0 0 ^\llkG. C ... pd-...A CoD. —0- 2to 1933 MERCHANTS BONDING COMPANY (MUTUAL) MERCHANTS NATIONAL BONDING, INC. Di 774- President Onthisl3thday0f August , 2014, before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of the MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument is the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. In Testimony Whereof, I have hereunto set my hand and affixed my Official Seal at the City of Des Moines, Iowa, the day and year first above written. 1?�tA4 61 WENDY WOODY Commission Number 784654 My Commission Expires June 20, 2017 Notary Public, Polk County, Iowa STATE OF IOWA COUNTY OF POLK ss. 1, William Warner, Jr., Secretary of the MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witnesa Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 6th day of February 2015 0 C %113 C*. 1.—: -0- 0- o Secretary 1933 0 POA 0014 (7/14) N A C a ity of Huntington Beach 2000 Main Street * Huntington Beach, CA 92648 (714) 536-5227 * www.huntingtonbeachca.gov Office of the City Clerk Joan L. Flynn, City Clerk May 1, 2015 Nobest, Inc. P. 0. Box 874 Westminster, CA 92684-0874 RE: FY 14/15 Curb Access Ramp Installation Project—CC-1498 Enclosed please find your original bid bond for CC-1 498. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure Sister Cities: Anjo, Japan * Waitakere, New Zealand % NOS A-1 el, -R V, Agn ei, :� - -, " 'i — ., —1 . `�, �, , ", , , ', -` �',— �, 4 ;�r — �Y or 41 4� ".46 4, IP, ;" I R -1 "'e , �tY7, IA, I Wr A ,t� �iw is SECTION C PROPOSAL for the construction of FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT from VARIOUS LOCATIONS CC No. 1498 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 30 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 FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT, CC 1498 (VARIOIUS LOCATIONS) BID ITEMS m V, -a -a 1% -Au n RES Construct Curb Access Ramp per Caltrans Std. Plan A88A from BCR to ECR as shown on Curb Ramp Detail 1 in 1 Appendix K of Specifications (Item includes all 00 OC2 appurtenances, curb & gutter, depressed curb, sidewalk, domes, retaining curb, slot pave, etc.) 12 EA $ 557LY/00 $ Construct Curb Access Ramp per Caltrans Std. Plan A88A from BCR to ECR using horizontal curb cutting machine as 2 shown on Curb Ramp Detail 2 in Appendix K of Specifications 00 co (Item includes all appurtenances, curb & gutter, depressed curb, sidewalk, domes, retaining curb, slot pave, etc.) 35 EA — $ Z-90L $ Construct Curb Access Ramp per Caltrans Std. Plan A88A BCR to ECR including adjacent cross gutter spandrel per 1-113 3 City Std. Plan 205 as shown on Curb Ramp Detail 3 in Appendix K of Specifications. (Item includes all appurtenances, cross gutter, curb & gutter, depressed curb, EA $ 77iX) $ 7700 sidewalk, domes, retaining curb, slot pave, etc.) TOTAL BID AMOUNT (BASIS OF AWARD) - SCHEDULE $ )*7q,X0C'-0 TOTAL BID AMOUNT IN WORDS: Wnrol 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. C-2.1 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. in the amount Accompanying this proposal of bid, find of le��O 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: C-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. t:Nameiin Add d ��State,� �Pass_ Je eh k, �AMQUftf� C6 n .... ... -:Number ------ -- By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-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 t"'A- true and correct and that this declaration is executed on 24Q-1�'atj�,ado Qs - Date City State I, being first duly sworn, deposes and says that he or she is h, e.�'; We of the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in ' a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. /t/0 M--t Name of Bidder '- ' 111� u' —' - " Signature o idder 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 FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT, (l)(VX)0tj"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, hy reason of experience or instruction, is familiar with the operation to he 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: S 14( k G­ C-5 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? J 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-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: %-- 141 — 1(-5— C-7 A-10 ��' / - n e�- Contractor Title BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: he--Y� Y Bidder Name :2,10e A-art'a Ale - Business Address City, I State Zip Telephone Number �17 State Contractor's License No. and Class �- Z�? Original Date Issued �:Z- �/ -14� Expiration Date The work site was inspected by ft-e le&4 of our office on 20 S. The following are persons, fims, and corporations having a principal interest in this proposal: g0l.2erl-t C-8 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. 11 Ll- IV rz, Printed or -Typed Signature Subscribed and sworn to before me this Lq— NOTARY PUBLIC Bidder's Project History 20tq ly day of 2eA KAY E. ANDERSON COMMission # 2031255 Notary Public - California X Orange County 9 My C piresiun27,2017t NOTARYSEAL For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of curb ramps with. 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. 5,e:�,e Name and Address of Public Agency 2. Name and Telephone No. of Project Manager: Contract Amount Type of Work Provide additional project description to show similar work: Name and Address of Public Agency Name and Telephone No. of Project Manager: C-9 Date Completed Ilk REYERENCEN LIST Page I No. I Project Name/Number: Annual Concrete Maintenance Progr Project Description: R&R Concrete Sidewalk, Drive Approaches, Curb Raraps, Curb & Gutter Approximate Construction Dates.- From 2/1/13 To: Present Agency Name: Ct of Huntingion. Beach Contact Person: Dereck Livermore Telephone: (714) 960-8861 Original Contract Amount: $500,000 Final Contract Amount: In Progress No. 2 Project Name/Number: Central Balboa & Newport Heights Alley St. Re -placement Project Description: Remove and Rolm, Concrete Alleys. Streets, Quib &Gutters, Sidewalk. Cut RgMPS Approximate Construction Dates: From: 1/2013 To: Present Agency Name: Cily of Nem�port Beach Contact Person: Mike Sinacori Telpphone: (949) 644-3342 Original Contract Amount: $1,320,00 Final Contract Amount: $ 1,101,68 8. NOBEST R E FEREINCE LRST Page 2 No. 3 Project Name/Number: Maintenance Service Ageem Project Description: Remove and Replace Concrete at Various Locations Approximate Construction Dates: From: 7/1/12 To: Present Agency Name: City of Westminster Contact Person: Todd Miller Telephone: (714) 681-3020 Original Contract Amount: $345,000 Final Contract Amount: In Progrpss No. 4 Project Name/Number: Reconstruction of Aulije y Lan Project Description: Remove & Rg2jace Concreto Sidewalk, Drive Approaches, Curb Ramps, Curb & Gutter Approximate Construction Dates: From: 10/2012To: 1/2013 Agency Name: QLty of Huntington Beach Contact Person: Joseph Dal Telgphonq:-(7l4) 536-5915 Original Contract Amount: $478,569 Final ContractAmount: �$478,569 Page 3 No. 5 Project Name/Number: La Quarta Street Reconstruction Project Description: Concrete Construction, Asphalt Over1gy, Water Line Replacement Approximate Construction Dates: From: 6/2011 To: 9/2011 Agency Name: Cfty of )VMttier Contact Person: Kyle Caso Telephone: (562) 567-9511 Original Contract Amount: $1,022,001 Final Contract Amount: $ 1,022,001 No. 6 Project Name/Number: Old Town Resurfacing Progam Project Description: R&R Concrete SidewaRcs, AllUs, Curb & Gutter Approximate Construction Dates: From: 4/201OTo: 11/2010 Agency Name: City of Seal Beach ContactPerson: David Spitz Telephone: (5U2 431-2527 Original Contract Amount: $1,500,000 Final Contract Amount: $1,730,000 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-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. 2. Name of proposed Project Manager Telephone No. of proposed Project Manager: Project Name & Contract Amount Type of Work Project Name& Contract Amount TypeofWork Project Name& Contract Amount TypeofWork Name of proposed Superintendent Telephone No. of proposed Superintendent: Project Name& Contract Amount TypeofWork Project Name& Contract Amount TypeofWork Project Name& Contract Amount TypeofWork C-11 Date Completed Date Completed Date Completed Date Completed Date Completed Date Completed BIDDER'S CERTIFICATION* HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992, SECTION 3 TITLE 24, Code of Federal Regulations, Part 135* Economic Opportunities for Low and Very Low -Income Persons The bidder, under penalty of perjury, certifies that except as noted below, any person associated therewith in the capacity of owner, partner, director, officer, or manager (initial the applicable selections): L_� Will ensure that 10% of all new hires as a result of this project shall meet all requiremnents of Section 3 of CFR Part 135 of the HUD Act of 1968; or Will hire no new employees in conjunction with this project. Will award 10% of its sub -contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub -contracts related to this project. Contractor: Contact Person: Contact Phone: Signed: Date: Alake,5 'T11c. *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 135 and Subtitle A et al) and must be submitted by the bidders and proposed sub -contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act, as amended in 1992 (HUD). Previous non-compliance with Section 3 could result in disqualification. C-12 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 KNINilk' for C.C. No. 1498 February 11, 2015 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1. In Appendix I of the Project Specifications, the prevailing wage rates have been superseded with the attached modified rates with publication date 01/23/2015. This is to acknowledge receipt and review of Addendum Number One, dated February 11, ,3m zz Company Name ;N7­15 Date All bidders must acknowledge the receipt of this Addendum and modified rates with your bid proposal. Should you have any questions regarding this Addendum, please call Joseph Fuentes at (714) 536- 5431. 1 THE AMERICAN INSTITUTE OF ARCHITECTS Bond Number: NOBIN-194 I AIA Document A310 KNOW ALL MEN BY THESE PRESENTS. that we Nobest Incorporated 7600 Acacia Ave. Garden Grove CA 92841 as Principal, hereinafter called the Principal, and Merchants Bonding Company (Mutual) 2100 Fleur Drive Des Moines , IA 50321 a corporation duly organized under the laws of the State of Iowa as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach 2000 Main St., Huntington Beach, CA 92648 as Obligee, hereinafter called the Obligee, In the sum of Ten Percent of Amount Bid Dollars ($ 10% of Bid), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for: FY 14/15 Curb Access Ramp Installation Project, CC No. 1498 NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perfbrm the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect - Signed and sealed this 16th day of February, 2015 (Witness) Merchants Bonding Company (Mutual) (Witness) Arturo Aya1_4-4',nM) Attorney -in- Fact AIA DOCUMENT A310 - BID BOND - ALA 0 - FEBRUARY 1970 ED - THE AMERICAN INSTITUTE Of ARCHITECTS, 1735 N.Y. AVE., N.W., WASHINGTON, D.C. 20006 1 State of California County of Orange On before me, Kay E. Anderson/Notary Public (Here inseat-name and title of the officcr) personally appeared Larry Nodland who proved t * o me on the.basis of satisfactory evidence to be the personle) whose name�Wis/X�d`subscribed to the within instrument and acknowledged to me that helAAe, , y- executed the same in hisAwr*eif authorized capacitX�, and that by his/b� Per signatureXon the instrument the personX, or the entity upon behalf of which the pers(inSs)"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. -- � . 1, , . & - 0%r KAYE ANDERSON t and and official seal. Commission # 2031255 9 9 Notary Public - California Orange County My Comm. Expires Ju (Notary Seal) (a gign-ati Notary Public - - - - - - - ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCt]N;ENT ,,(Title or description of attached document) (Title or description of attached document continued) Number of Pages _ Document Date (Additional information) CAPACITY CLAMIED BY THE SIGNER 0 Individual (s) E@ Corporate Officer President (Tide) 0 Partner(s) 0 Attorney -in -Fact 0 Trustee(s) 0 Other INSTRUCTIONS FOR CONTLETING TFUS 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. 7he 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 illegalfor a nota7y in California (I e certodng the authorized capacity of the signer) Please check.the document carefullyfor proper notarial wordink and attach thisform 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 mustbe 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 offincorrect forms (i.e. hWishc4m5�,- is JaFa ) 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 publicinust match the signature on file'vvith the office of the county clerk 4- 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. 1% Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). Securely attach this document to the signed document 2008 Version CAPA v12.10.07 800-873-9865 www.NotaryClasses.com 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 2/16/15 before me, Susan Pugh Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Arturo Ayala Name(s) of Signer(s) 7, uGlri, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/me subscribed to the within instrument and acknowledged to me that he/Aekbey executed the same in his/hex/Ahek authorized capacity(jes), and that by his/hisMheir 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. (�& , 0 Signature Place Notary Seal Above Signature of Notary Public S�jsn Pugh 0 0 S 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: Bid Bond Document Date: 2/16/15 Number of Pages: One Signer(s) Other Than Named Above: N Capacity(ies) Claimed by Signer(s) Signer's Name.- Arturo Ayala El Individual 7 Corporate Officer — Title(s): El Partner El Limited [I General R1 Attorney in Fact Trustee Guardian or Conservator [] Other Signer is Representing: Signer's Name: F� Individual Corporate Officer — Title(s): Partner [I Limited E General Attorney in Fact F� Trustee [] Guardian or Ccnservator [] Other: Signer is Representing: Top of thumb here MERCHANTS�� Bond No. NOBIN-194 BONDING COMPANY. POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations duly organized under the laws of the State of Iowa (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint, individually, Andrew Waterbury; Arturo Ayala; Daniel Huckabay; Dwight Reilly of Orange and State of California their true and lawful Attomey-i n- Fact, with full power and authority hereby conferred in their name, place and stead, to sign, execute, acknowledge and deliver in their behalf as surety any and all bonds, undertakings, recognizances or other written obligations in the nature thereof, subject to the limitation that any such instrument shall not exceed the amount of: TEN MILLION ($10,000,000.00) DOLLARS and to bind the Companies thereby as fully and to the same extent as if such bond or undertaking was signed by the duly authorized officers of the Companies, and all the acts of said Attorn ey-in- Fact, pursuant to the authority herein given, are hereby ratified and confirmed. This Power -of -Attorney is made and executed pursuant to and by authority of the following By -Laws adopted by the Board of Directors of the Merchants Bonding Company (Mutual) on April 23, 2011 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 24, 2011. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attomeys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof. The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 13th day of August , 2014 . &45 J STATE OF IOWA COUNTY OF POLK ss. _o_ 1933 MERCHANTS BONDING COMPANY (MUTUAL) MERCHANTS NATIONAL BONDING, INC. By /- t"7 77 g!! � President On this 13th day Of August , 2014, before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of the MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument is the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. In Testimony Whereof, I have hereunto set my hand and affixed my Official Seal at the City of Des Moines, Iowa, the day and year first above written. IA4 19 WENDY WOODY 40 , -P Commission Number 784654 7 My Commission Expires June 20, 2017 Notary Public, Polk County, Iowa STATE OF IOWA COUNTY OF POLK ss. 1, William Warner, Jr., Secretary of the MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and afflixed the seal of the Companies on this 16th day of February 2015 otAG cq* -44 % P, L) 02 -0- Z Secretary POA 0014 (7/14) C 0 ity of Huntington Beach 2000 Main Street * Huntington Beach, CA 92648 (714) 536-5227 * www.huntingtonbeachca.gov Office of the City Clerk Joan L. Flynn, City Clerk May 1, 2015 Ruiz Concrete & Paving, Inc. 1344 Temple Ave. Long Beach, CA 90804-2433 RE: FY 14/15 Curb Access Ramp Installation Project—CC-1498 Enclosed please find your original bid bond for CC-1498. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure Sister Cities: Anjo, Japan + Waitakere, New Zealand Ruiz Concrete & PaAng Inc. 1344 Tem* Ave. Long Beach, CA 90804-2433 pe T -ML-e Fy lq/" "ar 4cc,--,5 L,:!)cG-4(b'0j� C-C— EC E I IV C r) 2015 FEB 19 4 6 CITY cl-E.T� 1411"s CITY (jr , x UNTINGTC)Iq pjFt Cli CA p H-�V&� v-� 7t>-ec-A ,A-7T- CAb (3 (:) C) :S4- T3,.-,k/ (fA SECTION C for the construction of FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT from VARIOUS LOCATIONS CC No. 1498 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 perfon-n 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 30 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 surn 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 r(�Ject 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 0 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 for C.C. No. 1498 February 11, 2015 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1. In Appendix I of the Project Specifications, the prevailing wage rates have been superseded with the attached modified rates with publication date 01/23/2015. This is to acknowledge receipt and review of Addendum Number One, dated February 11, 2015. Company Name Dafe All bidders must acknowledge the receipt of this Addendum and modified rates with your bid proposal. Should you have any questions regarding this Addendum, please call Joseph Fuentes at (714) 536- 5431. 1 2/1112015 www.wdol.gov/wdol/scafiles/davisbacon/CA35.dvb?v=2 General Decision Number: CA150035 01/23/2015 CA35 Superseded General Decision Number: CA20140035 State: California Construction Types: Building, Heavy (Heavy and Dredging) and Highway County: Orange County in California. BUILDING CONSTRUCTION PROIECTS; DREDGING PROIECTS (does not include hopper dredge work); HEAVY CONSTRUCTION PROIECTS (does not include water well drilling); HIGHWAY CONSTRUCTION PROIECTS Note: Executive Order (EO) 13658 establishes an hourly minimum wage of $10.10 for 2015 that applies to all contracts subject to the Davis -Bacon Act for which the solicitation is issued on or after lanuary 1, 2015. If this contract is covered by the EO, the contractor must pay all workers in any classification listed on this wage determination at least $10.10 (or the applicable wage rate listed on this wage determination, if it is higher) for all hours spent performing on the contract. The EO minimum wage rate will be adjusted annually. Additional information on contractor requirements and worker protections under the EO is available at www.dol.gov/whd/govcontracts. Modification Number Publication Date 0 01/02/2015 1 01/16/2015 2 01/23/2015 ASBE0005-002 06/30/2014 Rates Fringes Asbestos Workers/Insulator (Includes the application of all insulating materials, protective coverings, coatings, and finishes to all types of mechanical systems) ..... $ 35.44 19.36 Fire Stop Technician (Application of Firestopping Materials for wall openings and penetrations in walls floors, ceilings and curtain walls) ........................... $ 24.34 16.09 ASBE0005-004 06/24/2013 Rates Fringes Asbestos Removal worker/hazardous material handler (Includes preparation, wetting, stripping, removal, hftp://www.wdol.govA,vdol/scafiles/davisbacorVCA35.dvb?v=2 1125 SECTION C PROJECT BID SCHEDULE FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT, CC 1498 (VARIOTUS LOCATIONS) BID ITEMS M Quan (ty, U-,*4't ost -4T 4% ost, 10, W, 4 A% Construct Curb Access Ramp per Caltrans Std. Plan A88A from BCR to ECR as shown on Curb Ramp Detail 1 in I Appendix K of Specifications (Item includes all appurtenances, curb & gutter, depressed curb, sidewalk, 12 $ $38 3( domes, retaining curb, slot pave, etc.) EA Construct Curb Access Ramp per Caltrans Std. Plan A88A from BCR to ECR using horizontal curb cutting machine as 2 shown on Curb Ramp Detail 2 in Appendix K of Specifications (Item includes all appurtenances, curb & gutter, depressed 35 EA $ $ curb, sidewalk, domes, retaining curb, slot pave, etc.) .......... F- Construct Curb Access Ramp per Caltrans Std. Plan A88A BCR to ECR including adjacent cross gutter spandrel per 1-113 3 City Std. Plan 205 as shown on Curb Ramp Detail 3 in Appendix K of Specifications. (Item includes all appurtenances, cross gutter, curb & gutter, depressed curb, 1 EA $-7090 $ -7 sidewalk, domes, retaining curb, slot pave, etc.) I TOTAL BID AMOUNT (BASIS OF AWARD) - SCHEDULE $ I _-D -1J / -Z) TOTAL BID AMOUNT IN WORDS: eun� I- N I 51F 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. C-2.1 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. % A Accompanying this proposal of bid. find F-1 V Z�t5 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. DateReceived" Bidder's $ignitture C-2 =111911M. IN WIV-41MAMMIR In accordance with Government Code Section 4104, the Bidder shall set forth the narne 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), NaineandAddresso Subcontractor if State License Number, Class ... Dollar Aniount of Contract By submission of this proposal, the Bidder certifies: 1. That he is able to and will perforrn 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 perialty of perjury under the laws of the State of California that the foregoing is true and Correct and that this declaration is executed on.J/ LVA . at f-i5o&J, Aa�fe lci�y �Iale e--, being first duly svvTorn. deposes and says that he or she is of 9t-;r_ the party making the foregoing bid that the bid is not made in the interest of, or on tf;e'-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 ManDer., 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 break -down thereof, or the contents thereof, or divulged infomiation 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. 1'1J1J_14%< /-*t I Name of Bidder of Bidder I Address of Bidger <:::A '? 0 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 FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT, (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 ivho. by reason ol'experience Or instruction, isfiatniliar ii4th the operation to be pe�lbrnwd and the hazards ini,,olved " 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 undersi,-ned, 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: 2— /7— 11�0(_-s PtA(Z- CMe_Cit �P-:,,V14Q Contractor Q By Title C-5 In accordance with Government Code Section 10 162. the Bidder shall complete, under penalty, of pe&ry, 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 governirient project because of a violation of law or a safety regulation? 11 Yes W<O"" If the answer is yes., explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal. and a signature portion of the Proposal shall constitute signature of this questionnaire. 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 '1700 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 perfon-nance of the work of this contract. Date: 2- — ) q - 2- 0 t I�Z Contractor j4 By Title C-7 [10111131M '114.1 BIDDER certifies that the following information is true and correct: -1 V-k I Z�- C(-" \A C-C- e-r ra V 1, vt�k Bidder Name 13LILi Au -,,-- Business Address City� iS(,?-) L439 - 7ks-TC) Telephone Number "40'hS A State Contractor's License No. and Class Original Date Issued Expiration Date State Zip The work site was inspected by jZse A - PxZi zT,� of our office on C-T---6 - i w ., 2 0 L-5. The followino are persons, firms, and corporations having a principal interest in this proposal: :D C-8 (13S. 'P11 UGAI&A CC>/V,'n& 13� Contract Amount Type of Work Date Completed Provide additional projec description to show similar work: I I *, go. r- A in .1 t In tr , ..,h Loom I L it-L 1p-AA."nT � Aloitout-cwA C- 0j. pkl( a3m t Mt- � ;BLL/b. Naine and Address of PublicR7gency Name and Telephone No. of PrcjJect Manager: 1' 50 F(t caa�`PL O-W 13 Contract Amount Type of Work Date Completed Provide additional prqject description toshow similar work: cJ4 E� 4 (JaAt� wkedck,�t . & %-H - j -kL- - Dj 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. /a/4n B - g k-k,(Z- ez-�- Name of proposed Project Manager Telephone No. of proposed Project Manager: B62�) 2LILI —.5C33 I gc-&J n~Q.* A.� V (4, 1 V (04--aOU Project Na it Type of Work Date Completed C-V,AC-re+-t VV&" Project -Name & I Project Name & Amount Type of Work Amount Type of Work 0- —, C, e- 2. A C�� PILLf, '?—' , I r— Name of proposed Superintendent Telephone No. of proposed Superintendent: Project Name k C�ntract Amount Type I of Work C7r,%S,T y�,t4pft".h k Uja=)�e,LkA Sw�,NQ—xt- (!LVL)� I LI,3 Project Name & Contract Amuount Type of Worl�- C�C>nqc-zll, vzqpo" Date Completed Date Completed I J!ts� 0 9-O—fZ-- Date Completed Date Completed Wa�,c ) - a013 Date Completed C-1 I HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992, SECTION 3 TITLE 24, Code of Federal Regulations, Part 135* Economic Opportunities for Low and Very Low -Income Persons The bidder, under penalty of pe�jury, certifies that except as noted below, any person associated therewith in the capacity of owner, partner, director, officer, or manager (initial the applicable selections): Mf Will ensure that 10% of all new hires as a result of this project shall meet all requirenuients of Section 3 of CFR Part 135 of the HUD Act of 1968, or Will hire no new employees in conjunction with this project. Will award 10% of its sub -contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub -contracts related to this project. Contractor., 9%A(r- ce"Icr Contact Person: Contact Phone: 9 -az-71n Signed: Date: -7 — ler�� *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 1315 and Subtitle A et al) and must be submitted by the bidders and proposed sub -contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act, as amended in 1992 (HUD). Previous non-compliance with Section 3 could result in disgualification. C-12 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. ITS Sii2ngtureV Bidder ,- �t r e-- - J,0SC-- A. 91�� I r- Printed or Typed Signature I.J Subscribed and swom to before me this NOTARY PUBLIC Bidder's Project History day of .201 NOTARY SEAL For the purposes of this project., the bidder shall provide prqJJect history of similar work, specifically referencing the construction of curb ramps with. 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 wl-iich the bidder has performed similar work within the past five years: C'H, esC— La-wKJJ—m IT71-T B Name and Address of Public Agency M Narne and Telephone No. of Project Manager: PH(. Of / re - ii 14 t ya ?-- C3 fi�!) "? 73 - J2 C5 Contract Amount Provide additional project description to show similar work: &— N 2. :�L Vizi Name and Address of Public Agency Date Completed Name and Telephone No. of Project Manager: -CL-P�'C- P40-k(heni O-S -'T7.7- 0 C-9 "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 ss. Subscribed and sworn to (or affirmed) before me on this 19th day of February 2015, by Jose Alejandro Ruiz, proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. Signature C. 0. PALLARES Commissio # 1971748 Notary Public - California Z JZ Los Angeles County My Comm. Expires Apr 7, 2016 Fidehty and Deposit Company of Maxyland BID BOND 10�0WALL3MNl1YTMWMP1U9Mnthatwc: RUIZ CXDNCRETE & pAVING,INC. DBA: RUIZ ENGINEERING CO. as Principal, hereinafter called the Principal, and Fidelity and Deposit Comp2ny of TN4aryland, a corporation duly organi:zed imider tbLe laws of the State of Nfaryland, as Sureiy, hereinaf= caUed Surety, we held and firmiy bound unt, CITy OF HUNTINGTON BEACH as Obligee, hexeftudker called Obugec, in the sum of -*TEN PERCENT OF AMOUNT BID* Dollars ( -I I =1 or ( 10 *%) percent of the amoxmt bid, whichevcris less, fbr the payment of which sum well and tculy to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, adcamistraturs, successors and assigns� jointly and severally, famly by these presents. VVEMREAS, the Principal has subinitted a bid for "FY 14/15 CURB ACCES5 RAMP INSTALLATION PROJECT, BID NO. CC-1498" NOW, TIMREFORF- if the Obligee shall ac=pt the bid of the Principal and the P=cipal shall. into a Contract with the Obk= mi accardonce with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Coniract I)oc:mn ii&h good and sufficient surety for the fidthf�l pcjfcrm=cc of such Coutz-act and for the prompt payment oflabor wd runwrial fixoxishad in the prosecution thereof, or in the event of the hilure ofthe Principal to enter such Conft2ct and give swh bond or bonds, ifft PrhmkW shall pay to the Obligee the difference'not to ex=d the penalty hereofbetweea the amount sp=ified in said bid and such lager amant fiwvhich the Obfig= may ingcod fidth conirma with anotber pmty to P=fc= the Wwk covered by said bid, -then this obligation shall be =0 wd void, othCrWisc to remain in fidl force and effect Signed and sealed thisl 8th dayof FRBUARY,205 RUIZ CONCRETE & PAVING,PC. DEA: RUIZ ENGIWERING (70. (Wlh=) : Br W" ON CA ALL-PURPOSE ACKNOWLEDGEMENT "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 February 19, 2015, before me, C.O. Pallares/Notary Public, personally appeared, Jose Alejandro Ruiz, 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. WITNE S S my hand and official seal. Signature C. (). PALL RES COMMission # 971748 Notary Public - Calitornia Z Z Los Angeles County LI Comm, Expires Apr 7. 2016 t 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 JAMES M. CARROLL, 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 Michael A. QUIGLEY, of Laguna Hills, California, 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 18th day of June, A.D. 2012. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND C. .......... 145 " ...4; W 0 SEAL loom Z, By. Assistant Secretary Eric D. Bames Vice President James M. Carroll State of Maryland City of Baltimore On this 18th day of June, A.D. 2012, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, JAMES M. CARROLL, Vice President, and ERIC D. BARNES, 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. 01 . Constance A. Dunn, Notary Public My Commission Expires: July 14, 2015 PCA-F 012-0626C CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of OP,4NGE On =UARY 18,2015 before me, MW QUIGLEY, NOTAR� PUMIC Date Here Insert Name and Title of the Officer personally appeared MI CHAEL A. QUIGLEY Name(s) of Signer(s) MEG QUIGLEY Commission # 1963669 z 1. Z Notary Public - California z z M Orange County Co n in Oril, Place Notary Seal Above I who proved to me on the basis of satisfactory evidence to be the person(so whose name(z) ishm subscribed to the within instrument and acknowledged to me that helzbehbW executed the same in his/bBdOmtr authorized capacity(im), and that by his/hwbwixsIgnature(§� on the instrument the person(,,�, or the entity upon behalf of which the persono) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my Signature I OPTIONAL - Though the information below is not required by law, it may prove valuable to pel . and could prevent fraudulent removal and reattachment of this forrn to Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capecity(ies) Claimed by Signer(s) Signers Name: 0 Individual El Corporate Officer — Title(s): C3 Partner — 0 Limited 0 General C3 Attorney in Fact C3 Trustee C3 Guardian or Conservator 0 Other: Signer Is Representing: RIGHTTHUMBPRINT CFSIGNER relying Number of Pages: Signer's Name: • Individual • Corporate Officer — Title(s): • Partner — 0 Limited 0 General • Attorney in Fact Top of thumb here C1 Trustee "7 C3 Guardian or Conservator C1 Other: Signer Is Representing: -;�_ioo- oog". _Iii W7 7R. 4777( , ".M'77.77 7- 0 It— — I -A Ii A , - ".(o iro - - . 000 4 Oil ff�V: , _1 M� , ;(.AZ',17jr1�1Jqf4LL C 0 ity of Huntington Beach 2000 Main Street + Huntington Beach, CA 92648 (714) 536-5227 + www.huntingtonbeachea.gov Office of the City Clerk Joan L. Flynn, City Clerk May 1, 2015 Smart Tech Group, Inc. 3972 Barranca Parkway, Suite J 283 Irvine, CA 92606 RE: FY 14/15 Curb Access Ramp Installation Project—CC-1498 Enclosed please find your original bid bond for CC-1498. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure Sister Cities: Anjo, Japan * Waitakere, New Zealand I 2015 FEB 19 PM 1: 18 CITY CI.ERK CITY OF [JUNTNGTON BEACtj Smart Tech Group, Inc. 3972 Barranca Parkway, Suit J 283 Irvine Ca 92606 CITY OFHUNT IN GT ONBEACH 2000 MAIN STREET HUNTINGTON BEACH, CALIFORNIA 92648 BID FOR for the construction of FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT frorn VARIOUS LOCATIONS CC No. 1498 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 30 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 iurnp 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 FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT, CC 1498 (VARIOTUS LOCATIONS) BID ITEMS 'A Construct Curb Access Ramp per Caltrans Std. Plan A88A from BCR to ECR as shown on Curb Ramp Detail 1 in 1 Appendix K of Specifications (Item includes all & depressed appurtenances, curb gutter, curb, sidewalk, domes, 12 retaining curb, slot pave, etc.) EA Construct Curb Access Ramp per Caltrans Std. Plan A88A from BCR to ECR using horizontal curb cutting machine as 2 shown on Curb Ramp Detail 2 in Appendix K of Specifications (Item includes all appurtenances, curb & gutter, depressed curb, sidewalk, domes, retaining curb, slot pave, etc.) 35 EA Construct Curb Access Ramp per Caltrans Std. Plan A88A BCR to ECR including adjacent cross gutter spandrel per HB 3 City Std. Plan 205 as shown on Curb Ramp Detail 3 in Appendix K of Specifications. (Item includes all appurtenances, cross gutter, curb & gutter, depressed curb, sidewalk, domes, retaining curb, slot pave, etc.) 1 EA TOTAL BID AMOUNT (BASIS OF AWARD) — SCHEDULE $ h TOTAL BID AMOUNT IN WORDS: 106 . 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. C-2.1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find 10% in the arnount ofj(qZ. too, —which said amount is not less than 10% of the aggregate of the total bid price, as . I I 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 Signalure 2/11/2015 C-2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104 ., the Bidder shall set forth tile 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 pet -cent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid I Name and Address of Subcontractor State Class I Pollar, I " % Of : Item(s) License Amoun Contract: Number CV C" By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 'r , "NEM I'll, IN 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 2/18/1 at Irvine CA Date City State Khaled Darwiche being first duly sworn, deposes and says that he or she is President of Smart Tech Group 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. Smart Tech Group Inc. Name of Bidder Signature of Bid er 9372 Barranca Parkway Ste J-283 Irvine, Ca 92606 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 FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT, (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, isfamiliar 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: 2/18/2015 C-5 Smart Tech Group Inc. Contractor Khaled Darwiche By Title President 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 many employee of the Bidder who has u 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 LJ Yes 01 No [[ the answer is yea, explain the circumstances in the space provided. Note: This questionnaire constitutes u part of the Proposal, and u signature portion of the 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: 2/18/2015 C-7 Smart Tech Group Inc. Contractor Khaled Darwiche By President Title BIDDER certifies that the following information is true and correct: Smart Tech Groulp Inc BidderName 9372 Barranca Parkwa Ste 1-283 Business Address Irvine City, ( 949 ) 800-6040 Telephone Number 989399 A State Contractor's License No. and Class 12/27/13 Original Date Issued z:1 12/31/2015 Expiration Date The work site was inspected by Israel Prado CA 92606 State Zip of our office on Feb 18 12015. The following are persons, firms, and corporations having a principal interest in this proposal: C-8 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. <: 1:7 ;34—yl ka,(A-1 k C— C-L- Company Name Q-1 Si gnature of Bidder Printed or Typed Signature Subscribed and sworn to before me this day of Fc-6r-f*-' 2015;. -------------------- DON s. PARK Commission # 2021655 Notary Public - California Orange County My Comm. Egires May 21, 2017 NOTARY PUBLIC - - - - - - - - - - - - NOTARYSEAL Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of curb ramps with. 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 perfon-ned similar work within the past five years: See Attachment 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: See Attachment Name and Address of Public Agency Name and Telephone No. of Project Manager: C-9 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: see The attachments 3. See Attachment Name and Address of Public Agency Nanne and Telephone No. of Project Manager: 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. 2. Derek Bedwin Name of proposed Project Manager Telephone No. of proposed Project Manager: (499) 800-6040 Caltrans project 08-OM3104 for PCC Riverside at Various Locations 2�Z 2 01A Project Name & Contract Amount Type of Work Date Completed Manhattan Beach Section I PCC Concrete Repair -Z / ZO( Project Name & Contract Amount Type of Work Date Completed Torrance Caltrans 07A3286 - Calterns Construct Concrete PCC Sidewalk x— Project Name & Contract Amount Type of Work Date Completed — Jesse Rameriz Name of proposed Superintendent Telephone No. of proposed Superintendent: (949) 800-6040 Caltrans Project at Irvine & La PCC Habra Caltrans 12-OM4504 2— / I O� 'i Project Name & Contract Amount Type of Work Date Completed # 23 Riverside City 7090 - 2011-2012 Ward PCC 7- Sidewalk Imp on Nebraska Ave, Easy St & Sunnyslope Ave in Riverside City 77— Project Name & Contract Amount Type of Work Date Completed City of Manhattan Beach Section I Concrete Repair PCC Project Name & Contract Amount Type of Work Date Completed Torrance Caltrans 07A3286 - PCC Calterns Construct Concrete Sidewalk C-11 ( ( , ( 7- , (-S-- BIDDER'S CERTIFICATION* HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992, SECTION 3 TITLE 24, Code of Federal Regulations, Part 135* Economic Opportunities for Low and Very Low -Income Persons The bidder, under penalty of perjury, certifies that except as noted below, any person associated therewith in the capacity of owner, partner, director, officer, or manager (initial the applicable selections): Wi I I ensure that 10% of al I new hires as a result of this project shall rneet all requirernnents of Section 3 of CFR Part 135 of the HUD Act of 1968; or Will hire no new employees in conjunction with this project. Wil I award 10% of its sub -contracts to Section 3 businesses. This certification shal I apply to the prime contractor's sub -contracts related to this project. Contractor'. Smart Tech Group Inc. Date'. 2/19/2015 *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 135 and Subtitle A et al) and must be submitted by the bidders and proposed sub -contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act, as amended in 1992 (HUD). Previous non-comt)fiance with Section 3 could result in disgualification. C-12 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 for C.C. No. 1498 February 11, 2015 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1. In Appendix I of the Project Specifications, the prevailing wage rates have been superseded with the attached modified rates with publication date 01/23/2015. This is to acknowledge receipt and review of Addendum Number One, dated February 11, 2016. �Ccx 'Ma IL iqc-r 441 Company NarTTe' v By 410 Date All bidders must acknowledge the receipt of this Addendum and modified rates with your bid proposal. Should you have any questions regarding this Addendum, please call Joseph Fuentes at (714) 536- 5431. 1 List of construction Reference I- Project Title: Right turn and Traffic signal and street lighting Contract Amount: 300,000 Type of Work: Modify traffic signal intersection, concrete walk and curb and gutter and adding right turn lane at Haster Ave., Client: Rakan Dated Completed: 6/2/13 Phone: 949-698-9872 Contact: Frank Ferri 2- Project Title: Sidewalk Rehabilitation and parking lot overlay Contract Amount: 350,000 Type of Work: construct new sidewalk and curb and gutter and remove and replace asphalt Client: OC ride Dated Completed: 7/1/14 Phone: 800-760-4989 ext 218 Contact: Dina Arafat 3- Project Title: Widen traffic lane Contract Amount: 450,000 Type of Work: Modify existing intersection for traffic, widen traffic lane, grind and overlay asphalt, construct new sidewalk and curb and gutter, construct wheel chair ramp Client- Western State Dated Completed: 5/1/14 Phone: 949-208-0255 Contact: Joseph karaki 4- Project Title: Traffic signal Contract Amount: $200,000 Type of Work: install new traffic signal at Theda St and HWY 74 in Perris Client: Caltrans Dated Completed: 1/18/15 Phone: 951-232-6293 Contact: Moises Ramos 5- Project Title: Flashing Beacon / High friction concrete Contract Amount: $424,000 Type of Work: Install Flashing Beacon and HFC concrete at Crenshaw Blvd and 105 freeway, construct wheel chair ramp and sidewalk Client: Clatrans Dated Completed: Progress Phone: 310-609-0264 ext 224 Contact: Andy Sohelli Bond No. 10022749 BID OR PROPOSAL BOND KNOW ALL MEN BY THESE PRESENTS, that we qmart Tech Grou-P, Inc. as Principal, (hereinafter called the Principal), and Pmj,-nn Tn-,;urajjCe CoInDanY, , a corporation duty organized under the laws Of Delaware, and authorized to transact a general surety business in the State of - ciq 1 J f or-ni a, as Surety, (hereinafter called the Surety), are held firmly bound unto: City of Huntington Beach Huntington Beach, GA. as OBLIGEE, (hereinafter called the Obligee), in the sum equal to in % of the accompanying bid of the Principal, not, however, in excess of :Cen PerceLj; of thp, Total A=uiit of the BiL in Dollars, for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION IS SUCH, That whereas, the Principal has submitted or is about to submit to the Obligee a Proposal or bid, dated an or about the date mentioned below, for: (1) the performance of the designated work, or (2) the furnishing of the specified goods, supplies or products, to -wit: 2015 Wheelchair ADA Response project at various -locations. Bid Date: 2/19/2015 NOW, THEREFORE, if the Principal shall not legally withdraw said bid within or at the times permitted therefor, but shall duly make and enter into a written contract with the Obligee, in accordance with the terms of said proposal or bid, or any amendment thereof acceptable to the Principal, within the time permitted therefore after such contract forms are presented to the Principal for execution, should the Obligee award the Principal the said work or contract or any part thereof and if the Principal shall give bond or bonds for the faithful performance thereof, and/or for payment for Labor and materials going thereinto, as in the specifications or contracts provided: or if the Principal shall in case of failure so to do, pay the Obligee the damages which the Obligee shall have actually suffered by reason of such failure, not exceeding the penal sum of this bond, then this obligation shall be null and void, otherwise to be and remain in full force and virtueL PROVIDED, HOWEVER, that no action shall lie, or claim be enforced hereunder, unless the award on the basis of said bid shall have been made within thirty (30) days after the formal opening of said bid, or within the time specified within the bid provisions, whichever time shall be greater, and unless the Obligee hereunder shall give notice to Surety of said award at the time of notification to the Principal; and unless legal action to enforce any claim hereunder shall have been commenced within six (6) months from the date of the formal opening of said bid. PROVIDED, always, that this Bond shall not be valid and binding upon Surety unless accompanied by a Certified Copy of a Power of Attorney authorizing the undersigned Attorney -in -Fact to execute such a bond, the Serial Number upon which Copy of Power of Attorney shall correspond with the Bond Number set out above. Signed, sealed and dated this 18 th day of February, 2015 SMART TECH GROUP, INC. Principal Name - By: Principal CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Los Angeles On February 18, 2015_ before me, Trina Lee Vega- MEY oil�., Oate lla'amt TIN fficer personally appeared Patricia Zenizo Name(s) of Signer(s) - V-A", 01 T21NA LEE VEGA Commission # 20;76669 Z < Noiary Public - California z Z Z Los Angeles County Nl� Comm. Expires Feb 1, 2018 t who proved to me on the basis of satisfactory evidence to be the person($) whose name(�) is/g)7 subscribed to the within instrument and acknowledged to me that HO/she/W#j executed the same in 01herl##� authorized capacity(ft), and that by M�lherlVj#f signature($) on the instrument the person($), 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 officiall ' al. Signatur Place Notary Seal Above sign-an—re-67Nctary Public Though the information below is not required by law. it may prove valuable to persons relying or the document and could prevent fraudulent removal and reattachment of this form to another document. Description ol Attached Document Title or Type of Docurnent: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: �] Individual El Corporate Officer —Title (s): [I Partner — E� Limited General VL_l Attorney in Fact 0 Trustee 11 Guardian or Conservator Other: Signer Is Repr senting: .e Number of Pages: Signers Name: ,7 Individual F-, Corporate Officer — Title(s): L­; Partner — E!' Limited El General F-1, Attorney in tFact Fop of thumb here Top of thumb here F] Trustee 7 Guardian or Conservator 0 t h e r: Signer Is Representing: C2007 National Notary Associaton-9350 De Soto Ave. PG. Box 2402-Chais%,jorih.CA, 9,313-2402-w�.Natior.aiNotar,/.org Rem #59W Reorder: Cali Toll-Freel-800-876-6627 Bond Number: 10022749 Hu F)S(--)N POWER OF ATTORNEY KNOW ALL M17N BY THESE IIPLSEN'IS: That I IUDSON INSURANCE COMPANY, a corporation of the State of Delaware, with offices at 100 William Street. New York, New York, 10038. has made, constituted and appointed, and by these presents. does make, constitute and appoint Patricia Zenizo oftheStateof CA its true and lawful Attorricy(s)-in-Fact, at New York-, New York, each ofthem alone to have Full power to act without the other or others, to make, execute and deliver on its behalf, as Surety, bonds and undertakings given for any and 911 purposes, also to execute and deliver on its behalfas aforesaid renewals- extensions, agreements, Nvaivcrs, consents or stipulations relating to such bonds or undertakings provided, however, that no single bond or undertaking shall obligatc said Company for my portion of the penal sum thereof in excess of the surn of Twelve Thousand Dollars ($12,000.00) Such bonds and undertakings when duly executed by said Attom cy (s)-i n- Fact, shall be binding upon said Company as fully and to the same extent as il'signed by the ]'resident of'said Coinp,�ny under its corporate seal attested by its Secretary. In Witness Whereof. HUDSON INSURANCE. COMPANY has caused these presents to he Of its EXeCUtiVC Vice President thercunto duly authorized, on this st dav of' October 2013 at New York, New York. a] HUDSON INSURANCE COMPANY SEAL "N ItJj ... ... . ... . . ....... Dina aska a Christopher T. Suarez Corporate Secretary Executive Vice President STATE OF NEWYORK COUNTY OF NEW YORK. SS On the — 3 Ist day of October 20 13 — before me personally came Christopher T Suarez to me known, who being by me duly sworn did depose and say that he is an Executive Vice President or 116DSON INSURANCE 'COINIPANY, the c o at'o d n bed herein and which executed the above r 'on r brate .I, that it was so affixed by order of the Board of instrument, that lie knows the seal ofsaid Corporation, that the seal afflixed to said instrument is Such CO�701 Directors ofsaidCorporaLion. and that lie siffiii,�Iis name thereto by like order xo\\ (Notarial Seal) WX k 4 - )Der 10 �,O;% S Notary Public 5k<'eof _�vv York -M No 01I U66e�­ Qualified in Nassau County J6067&�3 :1 Commission Expires December 10, 2017 CERTIFICATION STATE OF NEW YORK /* COUNTY OF NEW YORK The undersigned Dina Daskalakis hereby certifies That the ongmal resolution, of%vhich the following is a true and correct copy, was duly adopted by unanimous %kritten conscrit ofthe Board ofDirectors of Hudson Insurance Company datedJuly 27"� 2007, and has not since been revoked, amended Or modified: "RESOI,VF*J), that the President, the Executive Vice Presidents, the Senior Vice Presidents and the Vice Presidents shall have the authority and discretion, to appoint such agent or agents, or aitornev or attorneys- i n- flact, for the purpose of carrying on this Company's surety business, and to empower Such agent or agmts, or attorney or attorneys -in -fact, to execute and deliver, under this Company's seal or otherwise, bonds Obligations, and recognizances, 111hether made by this Company as surety thercon Or Otherwise, indcnimtv contracts, contracts and certificates, and any and all other contracts and undenakings made in the course Of this Company's surety business, and renewals, extensions, agreements, waivers, consents or stipulations regarding undertakingsso made� and FURTHER RESOVLED, that the signauire of any such Officer ofthe Company and the Company's seal may be affixed by facsimile to any power ofatiorney or certification given for the CXeCOLIOn of"any bond, undertaking _, tion in the nature recognizance, contract of indemnity or other written obliga thereof or related thereto, such signature and seal when so used whether heretofore or hereafter, being hereby adopted by the Company as the original signature of such olficer and the original seal ofthe ComPany, to be valid and binding upon the Company with the same force and effect as though manually affixec." THAF the above and foregoing is a full, true and correct copy of Power ofAttorney issued by said Company. and of the whole of the original and that the said Power oi Attorney is still in full force and el'i'ect and has not been revoked, and furthcrinorc that the Resolution ofthe Board of' Directors, set forth in the said Power o C Atto.mey is now in force 1 8th . February 2015 Witness the hand OHIC undersigned and the seal ofsaid Corporation this day of_ IAL ".1JA Dina Das -.i a C orpora c Secretiir� C 0 ity of Huntington Beach 2000 Main Street * Huntington Beach, CA 92648 (714) 536-5227 * www.huntingtonbeachca.gov Office of the City Clerk Joan L. Flynn, City Clerk May 1, 2015 S. Parker Engineering, Inc. 2783 Tern Circle Costa Mesa, CA 92626 RE: FY 14/15 Curb Access Ramp Installation Project—CC-1498 Enclosed please find your original bid bond for CC-1498. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure Sister Cities: Anjo, Japan * Waitakere, New Zealand S. Parker Engineering, Inc. 2783 Tern Circle Costa Mesa, CA. 92626 11 SEALED BID " DO NOT OPEN WITH REGULAR MAIL City of Huntington Beach 2000 Main Street Huntington Beach, CA. 92648 Attn: City Clerk's office 2nd floor 14/15 Curb Access Ramp Project Name: FY d Installation OWM � M�ql - for the construction of FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT from VARIOUS LOCATIONS CC No. 1498 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In conipliance 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 tile 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 30 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 lunip 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 cornpensation 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 tirne 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 arnounts, and words shall govern over figures. C-1 CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of 6 r 96 ,�,An)C On before me, (Here insert m1me and title of g)6 officer) personally appeared S -re Ve- '7_P,-7,Z K,-, --- — who proved to me on the basis of satisfactory evidence to be the person(-§�whose nameN is/&�e subscribed to the within instrument and acknowledged to me that he/shrfttrcy- executed the same in hig/hefAhe�k authorized capacity(ie4 and that by his/hef*wir signature(�kon the instrument the person(s� or the entity upon behalf of which the person(N�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. ----------------- ---*" MICHELLE MCNEi�L Commission No, 204W27 WITNESS my hand and official seal. NOTARY PUBLIC-CALWORNIA ORA14GE COUNTY W Cmw Expm OCTOBER 25.2my (Notary Seal) Sig�atu_re of Notary Pu@ic 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 0 Individual (s) [I Corporate Officer (Title) 0 Partner(s) 0 Attomey-in-Fact 0 Trustee(s) 0 Other INSTRUCTIONS FOR COMPLETING THIS FORM Any acknmviedgment completed in California must contain verbiage exactly as appears above in the notary section or a separate acktunviedgmentform 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 illegalfor a notary in California (i.e. certifying lite authorized capacity of the signer). Please check the document carefullyforproper notarial wvording andattach thisforni ifrequired • 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. Wshe/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-scal 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 qW 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 attach this document to the signed docurnent 2008 Version CAPAvl2.10.07 800-873-9865 ww%v.NotaryClasses.com SECTION C PROJECT BID SCHEDULE FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT, CC 1498 (VARIOIUS LOCATIONS) BID ITEMS Item . & Quantity ......... 't" Total 61 siolt Construct Curb Access Ramp per Caltrans Std, Plan A88A from BCR to ECR as shown on Curb Ramp Detail 1 in 1 Appendix K of Specifications (Item includes all appurtenances, curb & gutter, depressed curb, sidewalk, $ $ domes, retaining curb, slot pave, etc.) 12 EA Construct Curb Access Ramp per Caltrans Std. Plan A88A from BCR to ECR using horizontal curb cutting machine as 2 shown on Curb Ramp Detail 2 in Appendix K of Specifications (Item includes all appurtenances, curb & gutter, depressed domes, 35 EA curb, sidewalk, retaining curb, slot pave, etc.) F- Construct Curb Access Ramp per Caltrans Std. Plan A88A BCR to ECR including adjacent cross gutter spandrel per HB 1 3 City Std. Plan 205 as shown on Curb Ramp Detail 3 in Appendix K of Specifications. (Item includes all appurtenances, cross gutter, curb & gutter, depressed curb, domes, EA $ sidewalk, retaining curb, slot pave, etc.) I TOTAL BID AMOUNT (BASIS OF AWARD) — SCHEDULE $ 16) Z5. 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. C-2.1 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 o� the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid. find 10% Bidder's Bond in the arnount of �902 -'50 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 zn "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: Aeldentla No.", Date Reee��i Bidder�y Signature C-2 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. con, Bid Item(s) Name and Address of Subcontractor,,,, State License Number Class, bollar A, mount NO � of4,.,,,,, Contract rete cutting -3 Gregg's Concrete Cutting, Inc. 1192 Zircon St. Corona, CA. 92882 637757 D06 �04esstivmo-\ N gof- t6l C\4 It IT5 Z- t>. 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 I declare under penalty of pe�juiy under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on2-2-2015at Costa Mesa, CA. , Date City State Stgve T. Parker being first duly sworn, deposes and says that he or she is President of S. Parker Engineering,Inc. the party making the foregoinc, 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 advajitage 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. Steve T.Parker Name of Bidder Steve T. Parker Signature of Bidder 2783 Tern Circle Costa Mesa, CA. 92626 Address of Bidder C-4 CERTIFICATE OF ACKNOWLEDGMENT State of California County ofnf- I A) On ryl- k 2. before me, q i i".'JL AY, i I � A 11) '7 (ITere insert nami and ti /0 personally appeared UeZ4 who proved to me on the basis of satisfactory evidence to be the person(�) whose name(4� is/a;:e subscribed to the within instrument and acknowledged to me that he/she4hey executed the same in his/hef4heir authorized capacity(i-.�, and that by his/hen4hek-signature(S�on the instrument the person(`S� or the entity upon behalf of which the person(N) 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. ------ ------ MICHELLE MCNEILL Commission No. 2046827 WITNESS my hand and official seal. 0 Z NOTARY PUBLIC-CALIFORNIA Z ORANGE COUNTY My Comm. Expires OCTOBER 25 , 2017 (NotAl Co ------- ---- --- Signature of Notary Public X 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 11 Individual (s) El Corporate Officer (Title) El Partner(s) El Attomey-in-Fact 11 Trustee(s) L1 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 ofCalifornia. 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 illegalfor a notary in California (i.e. certifying the authorized capachy ofthe signer). Please check the document carefullyfor proper notarial wording and attach thisform ifrequired. • 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 narne as it appears within his or her commission followed by a comma and then your title (notary public). • Pfint 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/the�L,- is AgFe ) or circling the correct forms. Failure to correctly indicate this information may lead to rejection of document recording. • The notary seat 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 ofattached document, number ofpages 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 attach this document to the signed document 2008 Version CAPA v12.10.07 800-873-9865 www.NotaryClasses.com 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, knoxk,'n as the FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT, (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 ivho, by reason ofexperience or insiruction. isfamiliar irith the ol3eration to be pe�tbrined and the hazards ini7olved. 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 rnay be retained or en-iployed 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: Feb. 2, 2015 M S. ParAW Engineering, Inc. Contractor T By Steve T. Pai�kbr President Title C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of petjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietaiy interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government prQject because of a violation of law or a safety regulation? El Yes XM0 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 performancelof the work of this contract. Date: Feb. 2, 2015 S. Paj�t Engineering, Inc. Contractor By Steve T. Parker President Title C-7 BIDDER certifies that the following information is true and correct: S. Parekr Engineering, Inc. Bidder Name 2783 Tern Circle Costa Mesa, CA. 92626 Business Address Costa Mes4 CA. 92626 City, State Zip ( 714 ) 241-0560 Telephone Number 739476 Class: A, B State Contractor's License No. and Class 8-19-1997 Original Date Issued 8-31-2OT57 Expiration Date The work site was inspected by Steve T. Parker of our office on Feb. 2 201 5. The following are persons, fim-is, and corporations having a principal interest in this proposal: Steve T. Parkiar President 2783 Tern Circle Costa Mesa, CA. 92626 714-241-0560 Ltd&= M. Parker Secretar'lTreasurer 2783 Tern Circle Costa Mesa, CA. 92626 714-241-0560 Y S. Parker Engineering, Inc. — Corporation 2783 Tern Circle Costa Mesa, CA. 92626 714-241-0560 C-8 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. S. Parker Engineering, Inc. Company Name SKnature of Bidder Steve T. Parker Printed or Typed Signature Subscribed and sworn to before me this 2 day of Feb. NOTARY PUBLIC Michelle McNeill Bidder's Project History ,201 5 MICHELLE Commission No- 204t627 NOTARY PUBLIC-CALIFORNIA ORANGE COUNTY MY comm. EPlres OCTOBER 25� 2017 NOTARY SEAL For the purposes of this project. the bidder shall provide project history of similar work, specifically referencing the construction of curb ramps with. Bidders are encouraged to submit ?n 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: Newport -Mesa Unified School District 2985 E. Bear St. eostn mpgn, CA 92626 Nan -le and Address of Public Agency Name and Telephone No. of Project Manager: Mr.Norm Chapman 714-424-5081 1,000,000.00 cocnrete R&R current' Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Concrete R&R, grading, excavation, demolition, landscape, irrigation sewer drain lines 2. City of Mission Vi6jo 27204 E. La Paz Road Mission Viejo, CA. 92692 Name and Address of Public Agency Name and Telephone No. of Project Manager: Mr. Herb Smith (949) 470-3095 C-9 State of California Countyof V On Fel-I �q _2oj_� before me, M', c, �No_j Ile MCA�, Ill A)O,; 9(9—v (Here in'sert�fiame and title oftlk offict�'r) personal ly appeared V.(Z , T, �ilg*�'rvl who proved to me on the basis of satisfactory evidence to be the person(�*,whose namei(q is/are, subscribed to the within instrument and acknowledged to me that he/qh4hey executed the same in his/her4their authorized capacity�ks), and that by bis/heF4h�eir slgnature�k) on the instrument the person(N4, or the entity upon behalf of which the person(s ,) acted, executed the instrument. I certify under PENALTY OF PERJURY is true and correct. WITNESS my hand and official seal. 11 under the laws of the State of California that the foregoing paragraph MICHELLE MCNEILL Co mmission No. 2046827 Z -CALIFORNIA NOTARY PUBLIC ORANGE COUNTY MY Comm. ExPim OCTOBER 25,2017 (Notary Seal) ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of attached docurnent) (Title or description of attached docurnent continued) Number of Pages Document Date (Additional infrin-nation) CAPACITY CLAIMED BY THE SIGNER F-1 Individual (s) E-1 Corporate Officer (Title) 1:1 Partner(s) D Attorney -in- Fact D Trustee(s) El Other INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in California must contain verbiage exactly as appears above in the notaty section or a separate acknowledgmentform must be properly completed and attached to that document. The only exccption is �f a document is to be recorded outside q1'Cahjbrmo. In such instances, an ' v alternative acknoii,ledgment verbiage as may be printed on such a document so long as the verbiage does not require the nota�v to do something that is illegalf6i, a notary in California (i.e- certifying the authorized capacity of the signer). Pleasc check the document carefullyjbrproper notariol wording and attach thisjbnn �freqwred • State and Count), information must be the State and COUntV Where the dOCUrneril signer(s) personally appeared before the 1101ury 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 narne as it appears within his or her commission followed by a cornma and then your title (notary public). • Print the name(s) of docurnent signer(s) who personally appear at the time of notarization. • Indicate the correct singular or plural forins by crossing off incorrect forms (i.e is /afe ) or circling the correct forms. Failure to correctly indicate this information may lead to re - lection of document recording • The notary seal impression must be clear and photographically reproducible Impression must not cover text or lines If seat impression smudges, re -seal if a sufficient area permits, otherwise complete a different acknowledgment lorm. • 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 docurrient. e� Indicate title or type of attached document, number of pages and date Indicate the capacity clairried by the signer. If the clairried capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). • Securely attach this document to the signed document 2008 Version CAPA 02.10 07 800-873-9865 www.Notary Classes coin 55,000.00 concrete R&R current Contract Amount Type of Work Date Completed Provide additional project description to show similar work: concrete R&R, landscape, irrigation, demolition, grading, excavation City of Mission Viejo 27204 E. La Paz Road Mission Viejo, CA. 92692 Narne and Address of Public Agency Name and Telephone No. of Project Manager: Mr. Herb smith (949) 470-3095 $338,500.00 coAtrete R&R current Contract Amount Type of Work Date Completed Provide additional project description to show similar work: concrete R&R, landscape, irrigation, demoliton, grading, excavation, landscape, sewer drain lines, C-10 Bidder's Critical Staff Listed below are the narnes of the bidders proposed Construction Project Manager, and Z!, 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 prcject history in addition to the projects listed herein. Steve T.Parker - President Has been employed for 19years for S. Parker Englneering, Inc. Name of proposed Project Manager Telephone No. of proposed Project Manager: concrete R&R district wide cocnrete R&R 714-231-1405 Project Name& Contract Amount TypeofWork Annual Maintenance for Cncrete R&R, Sidewalks, C&G, PrqJJect Name & Contract Amount Type of Work, Annual Park and Facility Hardscape concrete R&R Project Name & Contract Amount Type of Work 2. Joaquin "Jack" Juarez Has been an employee for 19 years Name of proposed Superintendent Telephone No. of proposed Superintendent: 714-412-5837 Concrete R&R District Wide concrete R&R Project Name & Contract Amount Type of Work Annual Maintenance for Concrete R&R, Sidewalk, C&G Project Name& Contract Amount TypeofWork Annual Park and Facility Hardscape concrete R&R Project Name & Contract Amount Type of Work current Date Completed current Date Completed current Date Completed current Date Completed current Date Completed current Date Completed C-11 HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992, SECTION ' ) TITLE 24, Code of Federal Regulations, Part 13 5 * Economic Opportunities for Low and Very Low -Income Persons The bidder, under penalty of perjury, certifies that except as noted below, any person associated therewith in the capacity of owner, partner.. director, officer, or manager (initial the applicable selections): XX Will ensure that 10% of all new hires as a result of this project shall meet all requiremnents of Section ' ) of CFR Part 13 5 of the HUD Act of 1968; or Will hire no new employees in conjunction with this project. Will award 10% of its sub -contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub -contracts related to this project. Contractor: S.Parki�r Engineering, Inc. Contact Person: Steve T.Parker President Contact Phone: 714-241-0560 Signed: Date: 2-1-2015 *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 135 and Subtitle A et al) and inust be submitted by the bidders and proposed sub -contractors only in connection with contracts and subcontracts which are subject to Section ' ) of the 1968 Housing and Urban Development Act, as amended in 1992 (HUD). Previous non-compliance with Section 3 could result in disgualification. C- 12 2783 Tern Circle Costa Mesa, CA 92626 Phone'. (714) 241-0560 Fax- (714) 241-0665 Lic# 739476 Class A & B REFERENCES Owner/Proiect Name Newport —Mesa Unified School District 2985 E. Bear Street Costa Mesa, CA 92626 Contact / Phone # Norm Chapman — Inspector (714) 424-5081 Project Name: Concrete Repair/Replacement District Wide Bid #104-11 Annual Contract Amount: $1,000,000.00 Owner/Proiect Name City of Mission Viejo 27204 E. La Paz Road Mission Viejo, CA 92692 Contact / Phone # Herb Smith Project Manager (949) 470-3095 Project Name: Annual Park and Facility Hardscape Improvements July 1, 2014 — June 2015 Contract Total: $55,000.00 City of Mission Viejo 27204 E. La Paz Road Mission Viejo, CA. 92692 Herb Smith Project Manager (949) 470-3095 Project Name: Annual Maintenance for Removal and Replacement of PCC, Sidewalks, Curb & Gutter, Driveway Approaches and Cross -Gutters July 1, 2014 — June 2015 Contract Total - $360,000.00 S. PARKER ENGINEERING, INC. 2783 Tern Circle Costa Mesa, CA 92626 Phone: (714) 241-0560 - Fax: (714) 241-0665 Lic# 739476 - Class A & B RECENT PROJECTS AND REFERENCES Owner/Project Name City of Riverside 3900 Main Street Riverside, CA 92522 Contact / Phone # Ibrahim Massoud Senior Engineer (951) 826-5805 Project Name: 2007-08 ADA Footpath Improvements CDBG Wheelchair Ramp Construction — Bid No. 6584 March 31, 2008 — June 13, 2008 Contract Total: $257,900.00 Owner/Project Name Contact / Phone # Fullerton Joint Union High School District Dave Hall - EHCC 1051 W. Bastanchury Road Project Manager Fullerton, CA 92833 (714) 738-4995 Project Name: Remove and Replace Sidewalk on Chapman Ave Between Lemon Street and Pomona Ave at Fullerton Union High School Bid No #0708-52 (EC 2007/08 #142) January 31, 2008 — March 31, 2008 Contract Total: $57,220 Owner/Pr2ject Name City of Costa Mesa 77 Fair Drive Costa Mesa, CA 92626 Contact / Phone # Tom Banks Project Manager (714) 754-5343 Project Name: Construction of Parkway Concrete Repair and New Sidewalk Project No. 07-27 December 12, 2007 — July 25, 2008 Contract Total: $409,513.11 2783 Tern Circle Costa Mesa, CA 92626 Phone: (714) 241-0560 Fax: (714) 241-0665 Lic# 739476 Class A & B Owner/Project Name Contact / Phone # County of San Bernardino Larry Herkelrath 385 North Arrowhead Ave, 3 d Fl Project Manager San Bernardino, CA 92415 (909) 387-3165 Project Name: Moabi Park Restroom Site Preparation Project No. 7ROO October 31, 2007 — February 8, 2008 Contract Total: $64,000.00 Owner/Project Name City of Pasadena 100 North Garfield Ave Pasadena, CA 91109 Project Name: Memorial Park Playground Contract No. 19, 409 August 28, 2007 — February 8, 2008 Contract Total: $328,878.10 Owner/Project Name City of Torrance 3031 Torrance Blvd. Torrance, CA 90509 Contact / Phone # Todd Holmes Project Engineer (626) 744-7329 Contact / Phone # Henry Completo Associate Engineer (310) 781-6900 Project Name: FY 2006-07 Curb, Gutter and Sidewalk Replacement Program Bid No. B2006-37; Contract No. C2006-222 January 16, 2006 — August 10, 2007 Contract Total: $1,264,999.82 S. PARKER ENGINEERING, INC. 2783 Tern Circle Costa Mesa, CA 92626 Phone: (714) 241-0560 Fax: (714) 241-0665 Lic# 739476 Class A & B Owner/Project Name City of Huntington Beach 2000 Main Street Huntington Beach, CA 92628 Contact / Phone # Jason Churchill Supervisor of Street and Facilities Maintenance Project Name: Construction of Curb Ramps @ Various Locations Project No. MSC-435 October 2, 2006 — April 10, 2007 Contract Total: $135,016.00 Owner/Project Name Newport —Mesa Unified School District 2985 E. Bear Street Costa Mesa, CA 92626 Project Name: Pomona Elementary PO #778MO757 January 19, 2007 — June 8, 2007 Contract Total: $64,998.00 Owner/Project Name City of San Juan Capistrano 32400 Paseo Adelanto San Juan Capistrano, CA 92675 Contact / Phone # Norm Chapman — Inspector (714) 424-5081 Contact / Phone # Joe Mankawich Associate Engineer (949) 493-1171 Project Name: San Juan Creek Waterline Crossing at Via Estenage Project No. CIP #752 June 20, 2006 — April 2, 2007 Contract Total: $358,082.56 ,A, MUNINCI a 1110,11 k0lilm 2783 Tern Circle Costa Mesa, CA 92626 Phone: (714) 241-0560 Fax: (714) 241-0665 Lic# 739476 Class A & B Owner/Project Name City of Covina 125 East College Street Covina, CA 91723 Contact / Phone # Shawn McKnight Construction Inspector (626) 858-7251 Project Name: Covina Curb Ramp Access @ Various Locations Project No. P0606; CDBG #600799-05 June 19, 2006 — October 25, 2006 Contract Total: $70,600.00 Owner/Project Name Contact / Phone # City of San Bernardino Danny Cwiak 300 North "D" Street Inspector San Bernardino, CA 92418 (909) 384-5111 Project Name: Construction of Pocket Park @ SE Corner of Norma Lane and Stephanie Drive Project No. PR 04-23 September 3, 2005 — October 18, 2006 Contract Total: $166,833.63 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 for Z C.C. No. 1498 February 11, 2015 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1. In Appendix I of the Project Specifications, the prevailing wage rates have been superseded with the attached modified rates with publication date 01/23/2015. This is to acknowledge receipt and review of Addendum Number One, dated February 11, 2015. S. Parker Engineering,Inc. Company Name Feb. 15,2015 Date By Steve T. Parker All bidders must acknowledge the receipt of this Addendum and modified rates with your bid proposal. Should you have any questions regarding this Addendum, please call Joseph Fuentes at (714) 536- 5431. 1 Bond No. SPARK-1 14 BID BOND KNOW ALL BY THESE PRESENTS, That we, S. Parker Engineering, Inc. Of 2783 Tern Circle, Costa Mesa, CA 92626 (hereinafter called the Principal), as Principal, and The Ohio Casualty Insurance Company (hereinafter called the Surety), as Surety are held and firmly bound unto the City of Huntington Beach (hereinafter called the Obligee) in the penal sum Of Ten Percent of Amount Bid Dollars ( 10% for the payment of which the Principal and the Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, That WHEREAS, the Principal has submitted or is about to submit a proposal to the Obligee on a contract for FY 14/15 Curb Access Ramp Installation Project - CC No. 1498 NOW THEREFORE, If the said Contract be timely awarded to the Principal and the Principal shall, within such time as may be specified, enter into the Contract in writing, and give bond, if bond is required, with surety acceptable to the Obligee for the faithful performance of the said Contract, then this obligation shall be void; otherwise to remain in fall force and effect. Signed and sealed this 1 3th day of Februa Witness Ka'rO Ri'o'-'T Witness 1 2015 S Parker Engineering, Inc. (Seal) Principal Title The Ohio Casualty Insurance Company By Dwight Reilly Attorney -in -Fact VI-f INS& 1C. OVLPO LMS-10053 10199 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, andthey have noauthorityto bindthe Companyexceprt inthe manner and to the extent herein stated. Certificate NO. 6834767 M L) 0 M > M 01- 16. 0 0 M L- 6�1 ow M 4) 0.S E 6 I- � ,2 M .0 M r- > 0 0 Z American Fire and Casualty Company The Ohio Casualty Insurance Company Liberty Mutual Insurance Company West American Insurance Company Bond No. SPARK-114 POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire & Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized underthe 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 WestAmerican 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, Andrew Waterbury: Arturo Ayala; Daniel HuckabaV; Dwight Reilly all of the city of orange state of CA each individually if there be more than one named, its true and lawful attomey-in-fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in 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 the 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 theretothis 12th day of January 2015 American Fire and Casualty Company _7 % The Ohio Casualty Insurance Company U) Liberty Mutual Insurance Company U) 4) West American Insurance Company E U) By: -Assistant > David M. Carey' Secretary STATE OF PENNSYLVANIA ss COUNTY OF MONTGOMERY 0 On this 12th day of January 2015 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of American Fire and 01-- 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, >,U) execute the foregoing instrument fbr the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. W E IN WITNESS WHEREOF, I have hereunto subscrib"name and affixed my notarial seal at Plymouth Meeting, Pennsylvania, on the day and yearfirst abovewritten. 0 a By: 0 4 Teresa Pastella , Notary Public 0 E IL This Power ofAtlomey is made and executed�p#i��t,,i��4,y,'idth'�dty of the following By-laws and Authorizations ofAmerican Fireand Casualty Company, The Ohio Casualty Insurance q) Q Company, Liberty Mutual Insurance Company, '64W6it A6riiz� insurance Company which resolutions are now in full force and effect reading as fbIlows: Q ARTICLE IV — OFFICERS — Section 12. PowerofAtlomey. Any officer or other official ofthe Corporation authorized for that purpose in writing by the Chairman orthe President, and subject 0 r— to such firnitation as the Chairman or the President may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attomeys-in-fact, subject to the limitations set forth in their respective 3: 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 -6 executed, 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 attomey-in-fact under > the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer uofficers granting -such power or authority. 4) Q -e ARTICLE All — Execution ofContracts — SECTION 5. Surety Bonds and Undertakings. Any officerofthe Company authorized forthat purpose in witting by the chairman or the presiden CM C? E and subjectto such limitations as the chairman orthe president may prescribe, shall appointsuch attomeys-in-fact, as may be necessaryto act in behalfofthe Companyto make, execute, CM .- V) %E seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations; Such attomeys-in-fact subject to the limitations set forth in their a 10 respective powers ofattomey, shall have full powerto bind the Company by their signature and execution ofany such instruments and to attach thereto the seal ofthe Company. When so 010 L) executed such instruments shall be as binding as if signed by the president and aftested by the secretary. 0 Certificate of Designation — The President ofthe Company, acting pursuant to the Bylaws ofthe Company, authorizes David M. Carey, Assistant Secretary to appoint such attomeys-m- 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 ofthe 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. 1, Gregory W. Davenport, the undersigned, Assistant Secretary, of American Fire and Casualty Company, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American I nsurance Company do hereby certify 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 13 th day of Feb rtlary 20 15 77-7- By: Gregory W. Davenport, Assistant Secretary 122013 of 300 City of Huntington Beach 2000 Main Street * Huntington Beach, CA 92648 (714) 536-5227 * www.huntingtonbeachca.gov Office of the City Clerk Joan L. Flynn, City Clerk May 1, 2015 Tryco General Engineering P. 0. Box 391 Rimforest, CA 92378 RE: FY 14/15 Curb Access Ramp Installation Project—CC-1498 Enclosed please find your original bid bond for CC-1498. Sincerely, Kim; - , W---m Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure Sister Cities: Anjo, Japan * Waitakere, New Zealand IZ11MANAUGM PROPOSAL for the construction of FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT from VARIOUS LOCATIONS CC No. 1498 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 30 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 FY 14/15 CURB ACCESS RAMP INSTALLATION PROJECT, CC 1498 (VARIOTUS LOCATIONS) BID ITEMS -.7.7 'Q ty 7U Construct Curb Access Ramp per Caltrans Std. Plan A88A from BCR to ECR as shown on Curb Ramp Detail 1 in 1 Appendix K of Specifications (Item includes all appurtenances, curb & gutter, depressed curb, sidewalk, $ 00 0 0 71240 domes, retaining curb, slot pave, etc.) 12 EA -S Construct Curb Access Ramp per Caltrans Std. Plan A88A from BCR to ECR using horizontal curb cutting machine as 2 shown on Curb Ramp Detail 2 in Appendix K of Specifications (Item includes all appurtenances, curb & gutter, depressed 35 00 $ 9t 00 $ IPA 500. curb, sidewalk, domes, retaining curb, slot pave, etc.) EA - Construct Curb Access Ramp per Caltrans Std. Plan A88A BCR to ECR including adjacent cross gutter spandrel per H13 3 City Std. Plan 205 as shown on Curb Ramp Detail 3 in Appendix K of Specifications. (Item includes all appurtenances, cross gutter, curb & gutter, depressed curb, $ q1t) .. o 1 $ q/60. sidewalk, domes, retaining curb, slot pave, etc.) EA TOTAL BID AMOUNT (BASIS OF AWARD) — SCHEDULE 60 $ TOTAL BID AMOUNT IN WORDS: W; 01, 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. C-2.1 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 8� W Re�l --o-, - in the amount of / V 'I, 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 U C-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 ftem(s) Name andAddress of Subcontractor State License Number Class 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 fumished 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 onl- / 1 qlljr , at ( ab- An4head —(-)q- D�te city State (PU I -It L I , being first duly sworn, deposes and says thathe' or she is Pf"ew Au�� 11 — of-r"n) / rw"� jAf the party making the fo�egoing bid ihat the bid is not made lin'the interest of, or 6n the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Name of Bidder 12 SignaWre of Bidder 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 S.S. County of Onl�Lnas.'V 2p/— before me, personally appeared /"j-1ey a, i e f 'S; g n P-! "4 "1 �'f C Q I I �'2) who proved to me on the basis of satisfactory evidence to be the personw -whose name(&)' islawsubscribed to the within instrument and acknowledged to me that he/she/" executed the same in hi5lher/theirauthorized capacity(4esj, and that bypk/her/their signature(.$),on the instrument the person(,s-)' or the entity upon behalf of which the perso45) 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. CARLYNE MCCO Commission No. 2042322 WITNESS my hand and official seal. NOTARY PURLIC-CALIFORKIA SAN BERNARDINO COUNTY My Comm Expm SEPTEMBER 21, 2017 OPTIONAL INFORMATION f "at� ri "n tliis �F'ectior' �s n"o� tecjuilr��Cj 1 ��jvv' fl, froudulen't r�'4�nov"'l af h"r, of iO i a kic Una"'V,,Griz�ali docunlen" anJ !t7d"'- "'o Description of Attached Document The preceding Certificate of Acknowledgment is attached to a Method of Signer Identification document titled/for the purpose of Proved to me on the basis of satisfactory evidence- form(s) of identification [I credible vAtness(es) containing pages, and dated Notarial event is detailed in notary journal on: Page # Entry # The signer(s) capacity or authority is/are as: El Individual(s) Notary contact: ED Attomey-in-fact E3 Corporate Oflicer(s) Additional Signer E] Signer(s) Thumbprints(s) 0 Guardian/Conservator EJ Partner - Limited/General D Trustee(s) El Other: representing: . ........ I- A Ak Rig�11, R',esi�7ved of fioxf,,� hc�n oi i, vveb 0,� 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 FY 14/15 CURB ACCESS RAMEP INSTALLATION PROJECT, (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: "Qualifled Person: A person who, by reason ofexperience or instruction, isfamiliar 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: C-5 Contra&or By 44- ti4= Title U 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? Ll Yes Ll 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. Date: I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. C-7 'Ig a 6 0 a 6 �A �J' -1 Z�H- C/ Contractor By Title BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: EV ITn &P-j,7"a / ew ",nayi Bidder N; 0 Y 917 Business j6 A -� -7L- IqA- -Z -� -7d"-- City, State Zip (qv?) 3,�-7- !�:5(p Telephone Number qi� 0 *Z- OS7 A State Contractor's License No. and Class Z- -Z / -zv // Original Date Issued so //5�- Expiration Date The work site was inspected by J�y i�;rk & ice on of our off 2015. The following are persons, firms, and corporations having a principal interest in this proposal: -[�U 64 �-AW. P-Jr-,elldel P14 W n Jecre-4anA C-8 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. ame Bidder (/ q IVA A Printed or T�ped Signature Subscribed and sworn to before me thisLqj-day of &��Agqf- 2aLe-----*6 CARLYN M=OLL QUON Commission No. 2042322 z NOTARY PUBLIC-CAUFORNIA SAN BERNARDINO COUNTY MV Comm Expres SEPTEMBER 21,2017 NOTARY PUBLIC NOTARYSEAL Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of curb ramps with. 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: (-",4z4- p 4' d *4,0- XV�r d Name and AUdress of Public Agency Name and Telephone No. of Project Manager: A_J,-,W�o 4m 3-4 7-4111 /zoo. Contract Amount Type of Work Date Completed Provide additional project description to show similar work: e 1.4,,,U _r 48 *dz,—UJ" A -tn4 / 'n �/� 'I 1,�r .... . 2. (�*Jt4 o-� (owa f Nam/e and Address of Public Agency n- q Name and Telephone No. of Project Manager: kle4 -1.4 r k411-4 11A qV10 WE ,",q'71 Contra�t Amount Type of Work Date Completed Provide additional project description to show similar work: Q2,Pa a*xxm+ d A -, "kk A# S . '/7 /a 1-4 47 ,r 3. Name Ad Adaress of Public Agency Name and Telephone No. of Project Manager: CAeozgy Q6d,lj�'APA I1fjq)7-7f-VV16 4 (J -7,, 0 0 0. 06 e�ld J-e- --- 0 6ni;act 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. Namelof proposed Pr6ject Manager Telephone No. of proposed Project Manager: �-J,91 ) 44-15 Y- d'-O'd4- I A ao f.P1 766 Project Name & Contract Amount Type of Work Project Name & Contract Amount Type of Work O'h -7 � .,, 0 ' ect Name & Contract Amount Type of Work 2. -1-i-d d We Name of proposed Superintendent Telephone No. of proposed Superintendent: �"?.,3 Zzo Project Name & Contract Amount Type of Work 1-7Aft,,JeJk "" V, /-Z � ect Name & Contract Amount Type of Work , & "y" 4 /7e4l /, 67t 646 Name & Contract Amount Type of Work C-11 �'Vl -2- Date Completed 11 lyltellz 'M edeln Date Completed Date F( 7- // / /V /--, date Completed Date C "BIDDER'S CERTIFICATION* HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992, SECTION 3 TITLE 24, Code of Federal Regulations, Part 135* Economic Opportunities for Low and Very Low -Income Persons The bidder, under penalty of perjury, certifies that except as noted below, any person associated therewith in the capacity of owner, partner, director, officer, or manager (initial the applicable selections): J e. Will ensure that 10% of all new hires as a result of this project shall meet all requiremnents of Section 3 of CFR Part 135 of the HUD Act of 1968; or Will hire no new employees in conjunction with this project. Will award 10% of its sub -contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub -contracts related to this project. Contractor: T;,Y C-0 az,"A A_� 9W 1:1 Contact Person: Contact Phone: Signed: Date: *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 135 and Subtitle A et al) and must be submitted by the bidders and proposed sub -contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act, as amended in 1992 (HUD). Previous non-compliance with Section 3 could result in disqualification. AI ff VJ City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 for C.C. No. 1498 February 11, 2015 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1. In Appendix I of the Project Specifications, the prevailing wage rates have been superseded with the attached modified rates with publication date 01/23/2015. This is to acknowledge receipt and review of Addendum Number One, dated February 11, 2015. —rk4r,o 43t4JAQ4J— 0. Comoany N-aime Date By All bidders must acknowledge the receipt of this Addendum and modified rates with your bid proposal. Should you have any questions regarding this Addendum, please call Joseph Fuentes at (714) 536- 5431. 1 'Worm A Nlt,,inber of thc T(Aio Marine Group KNOW ALL MEN BY THESE PRESENTS: That We, Tryco General Engineering, as Principal, and Philadelphia Indemnity Insurance Company, a corporation organized and existing under the laws of the State of Pennsylvania, and authorized to do business in the State of California as Surety, are held and firmly bound unto the City of Huntington Beach, as Obligee, in the sum of 10% of the Total Bid Amount DOLLARS (10%) lawful money of the United States of America, to the payment of which sum well and truly to be made, the said Principal and Surety bind themselves, their and each of their heirs, executors, administrators, successors and assigns, jointly and severally by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that, if the Obligee shall make any award to the Principal for: FY 14/15 Curb Access Ramp Inst Ilation according to the terms of the proposal or bid made by the Principal therefa�,'and the Principal shall duly make and enter into a contract with the Obligee in accordance with the terms of said proposal or bid and award and shall give bond for the faithful performance thereof, with the Philadelphia Indemnity Insurance Company as Surety or with other Surety or Sureties approved by the Obligee, or if the Principal shall, in case of failure so to do, pay to the Obligee the damages which the Obligee may suffer by reason of such failure not exceeding the penalty of this bond, then this obligation shall be null and void; otherwise it shall be and remain in full force and effect. Signed, sealed and dated this 19th day of February, 2015. Tryco General Engineering (Principal) (Seal) By: PhiladelDhia Indemnitv Insurance Compan (Surety) (Seal) By: (�f Jon D4aney, 7o�-Fact 152 PHILADELPHIA INDEMNITY INSURANCE COMPANY 231 St. Asaph's Rd., Suite 100 Bala Cynwyd, PA 19004-0950 Power of Afforney KNOW ALL PERSONS BY THESE PRESENTS: that PHILADELPHIA INDEMNITY INSURANCE COMPANY (the Company), a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, does hereby constitute and appoint: WILLIAM DELANEY AND JON DELANEY OF DELANEY INSURANCE AGENCY, INC. Its true and lawful Attomey(s) in fact with full authority to execute on its behalfbonds, undertakings, recognizances and other contracts ofindemnity and writings obligatory in the nature thereof, issued in the course ofits business and to bind the Company thereby, in an amount not to exceed $25,000,000.0 This Power ofAttomey is granted and is signed and sealed by facsimile under and by the authority ofthe following Resolution adopted by the Board ofDirectors of PHILADELPHIA INDEMNITY INSURANCE COMPANY at a meeting duly called the I" day of July, 2011. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company to: (1) Appoint Attomey(s) in Fact and authorize the Attomey(s) in Fact to execute on behalf of the Company bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto; and (2) to remove, at any time, any such Attorney -in -Fact and revoke the authority given. And, be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile, and any such Power of Attorney so executed and certified by facsinfile signatures and facsimile seal shall be valid and biding upon the Company in the future with the respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 7 TH DAY OF FEBRUARY 2013. (Seal) e,"�(L(D Robert D. O'Leary Jr., President & CEO Philadelphia Indemnity Insurance Company On this 7�'day of February 2013, before me came the individual who executed the preceding instrument, to me personally known, and being by me duly swom said that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY; that the seal affixed to said instrument is the Corporate seal of said Company; that the said Corporate Seal and his signature were duly affixed. WPENNSYLVANIA NOTARIELSFAL DARELLE PORATK Notary Pubic Low Merlm To. MW*EMer:y 7=61* My C0=6sw wrw March 2Z RI-6i Notary Public: residing at: (Notary Seal) My commission expires: Bala Cynwyd, PA March 22, 2016 1, Craig P, Keller, Executive Vice President, ChiefFinancial Officer and Secretary ofPHILADELPHIA INDEMNITY INSURANCE COMPANY, do herby certify that the foregoing resolution ofthe Board ofDirectors and this Power ofAttomey issued pursuant thereto are true and correct and are still in full force and effect. I do further certify that Robert D. O'Leary Jr., who executed the Power ofAttomey as President, was on the date ofexecution ofthe attached Power ofAttomey the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY, In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this Iq day of ke 6 rV4 r-11 12015 Craig P. Keller, Executive Vice President, Chief Financial Officer & Secretary PHILADELPHIA INDEMNITY INSURANCE COMPANY 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 San Bernardino On before me, T.L. Chez, Notary Public (insert name and title of the officer) personally appeared Jon Delaney 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. T. L. CHEZ Commission # 2046504 WITNESS r=icial seal. Notary Public - California Zz Z Z San Bernardino County t�'Z My Comm. Expires Nov 19, 2017 Signature (Seal)