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HomeMy WebLinkAboutJFL Electric, Inc. - 2013-08-19City of Huntington Beach "[OLD INTER -DEPARTMENT CO11lIIV MUNICATION HUNTINGTON BEACH TO: THOSE LISTED HEREON FROM: John Griffin, Contract Administrator DATE: 03/04/2014 SUBJECT: Retention Release Payment Company Name: JFL Electric, Inc. Address: 8257 Compton Avenue City, State and Zip Code: Los Angeles, CA 90001 Phone Number: (323) 581-4400 Business License Number: A287673 Local Address: Notice of Completion Date:01/27/2014 Contract Purpose: Retention Release CC 1425 The conformed copy of the Notice of Completion for the above contract has been filed. The thirty-five (35) day waiting period has elapsed or will elapse before payment is made. Processing of the retention payment is recommended so long as no stop notices or outstanding invoices are on file with the City. certify that no stop notices are on file on the subject at the tjne. -cz- -,761� Date Travis K. Hopkins, Public Works Director certify that there are no outstanding invoices on file. o. (JP,�U_rn(` ate Joyce Zac s, Deputy ity Treasurer certify that no stop notices are on file on the subject contract, and that a guaranty bond has been filed with this office. J Dat Joa Flynn, Clerk retention 3 signature memo 1442.doc 3/4/2014 4:36:00 PM Certification of Compliance. with Prevailing Wage Laws To: City of Huntington Beach Department of Public Works 2000 Main StreoVP.O. Box 190 Huntington Beach, CA 92648 Re. Certification of Compliance with Prevailing Wage Laws Contract, CC -1425 Proj ect: WC1,4 Ljqj� Wd.111—cAhoywl 41, 7 th �fneal -6io6n PC JD pal. n-Avaim The undersigned contractor on the above -referenced project CProject") hereby certifies that all laborers, mechanics, apprentices, trainees, watchmen and guards employed by him or by any subcontractor performing work under the contract for the Project have been paid pursuant to the minimum wage and bona fide, hinge benefit -requirements specified for each particular classifloation 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 pOurY under the laws of the State of California that the foregoing is true and correct. Executed this day of :FeApnAQL 20 at California. iq L*s Aglu c (Type Contr_ao le z:-:� —am e) By- N� aln�] rT" A Ti e�: [Type Title] T PVe N "d=M RA; f4 CMAMRNEY 24'754Z I 11 M Key (a�O �[V state and certify that: (Name of Declarant) L- L LeC&I,C - is the Huntington Beach ("City") on, Contract No. CC— 191 for the construction of the public work of improvement entitled* q.&$- contractor to the City of - (the "Contract") All work to be performed pursuant to the Contract has been completed in accordance with the Contract Documents (as such term is defined in the Contract). 3. Except for the claims listed.below and the disputed claims listed in paragraph five (5), all persons supplying labor, services, materials and equipment to the Project, including all claims against the Contractor arising from the performance of the Contract, have been paid and satisfied (list unpaid debts and claims; if none, write "NONE"): 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 l4bor, services, materials, and/or equipment for use at the Project. 5. Set forth below is a list of disputed claims or claims that are the subject of a Notice to Withhold filed pursuant to the Civil Code of the State of California (list an disputed claims; if none, write "NONE"): I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at on this I qb day Ti 1-71�br Name: [Type Name] Title., [TWe Title] MI 20914-1 Certification of Compliance with Title VU of the Civil Rights Act and `Equal Employment Opportunity Act of 1972 To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Title V1I of the Civil Rights Act and Equal Employment Opportunity Act of 1972 The undersigned contractor on the above zeferenced project C Project") hereby certifies that it l Rights Act, the Equal Opportunity Act of 1972 and has complied with Title Vxi of the Civi 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 establishments 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` Y(�t , 20 )I � at S California. Executed this day of -(A �` JF-L &Ikcin'C, Ihc. (Type Contmotor Name /7 [Type Titlel G 2459tI,I RECEIVED BY: (Name) CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office after signing/dating (Date) A ; CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Cl e k / DATE: - L-f SUBJECT: Bond Acceptance I have received the bonds for (L-7_' %��-/ (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. CC No. MSC No. Other No. g:/forms/bond transmittal to treasurer Approved Agenda Item No. City Clerk Vault No. SIRE System ID No. (Council Approval Date) Cg PREMIUM INCLUDED IN PERFORMANCE BOND Bond No. GSK26149 MAINTENANCE BOND EXECUTED IN DUPLICATE KNOW AILL MEN BY THESE PRESENTS: That: JFL Electric; Inc. tcontractors name] 8257 Compton Ave., Los Angeles, Ca. 90001 [contractor's street address, city and state and zip code] as Principal (hereinafter called Contractor), and: The Gray Insurance Company lsurety's name] One E. Camelback Rd., Suite 550, Phoenix, AZ 85012 [surety's street address, city and state and zip code] a corporation organized and existing under the laws of the State of Louisiana with its principal office in the City of Metairie as Surety (hereinafter called Surety), are held firmly bound unto CITY OF HUNTINGTON BEACH as Obligee (hereinafter called Owner), in the amount of SEE ITEM 11 BELOW* Dollars ($152,613.13******* for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents, WHEREAS, Contractor has by written agreement dated August 19, 2013 entered into a contract with Ownerforthe Street Lighting Modifications, 7th St. from Pacific Coast HighvM to Palm Ave.; CC-1425 in accordance with drawings and specifications prepared by which contract is by reference made a part hereof (hereinafter referred to as the Contract); and WHEREAS, 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 WHEREAS, 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 WHEREAS, the Contract has been completed, and the Owner, Contractor and Surety agree that the commencement date for this Guarantee and Bond shall be February 4 2014 NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that if Contractor shall, for a period of one year from and after the date of completion and acceptance of the Contract by Owner, repair and/or replace any and all defects arising in the Work, whether resulting from defective materials or defective workmanship, then this obligation shall be null and void; otherwise it will remain in full force and effect. The Surety hereby waives notice of any alteration or extension of time made by the Owner. Whenever Contractor shall be, and declared by Owner to be in default under the Contract, the Surety shall, within thirty (30) following Owner's written notice of default, either: (a) remedy the default, or (b) shall promptly complete the Contract in accordance with its terms and conditions. Surety shall save the Owner harmless from any claims, judgments, liens or losses arising from the Surety's failure to either remedy the default or to complete the Contract in accordance with its terms and conditions in a timely manner. Whenever the Principal shall be, and declared by the Owner to be in default under the Contract, which shall include without limltation, any breach or default of the Contract , then, after written notice from the Owner to the Surety, as provided for below, the Surety shall either: (a) remedy the default or breach by the Principal; or (b) shall promptly and faithfully take charge of the Work and complete the Work in accordance with the requirements of the Contract with a contractor other than the Principal, at its own expense, and make available 10.2567150583 *ITEM #1— ONE HUNDRED FIFTY TWO THOUSAND SIX HUNDRED THIRTEEN AND 13/100 as work progresses sufficient funds to pay the cost of completion less the unpaid balance of the Contract including other costs and damages for which the surety may be liable hereunder; provided, however, that the procedure by which the Surety undertakes to discharge its obligations under this Bond shall be subject to the advance written approval of the Owner. Within thirty (30) days after Surety's receipt of a written notice from Owner of the failure of performance of the Contract by the Principal, it shall be the duty of the Surety to give to the Owner a notice, in writing, of the Surety's election to (a) remedy the default(s) of the Principal promptly, or (b) arrange for performance of the Contract promptly by a contractor other than the Principal, time being of essence to this Bond. In said Notice of Election, the Surety shall state the date of commencement of its cure or remedy of the Principal's default(s) or its performance of the Contract. The Surety's obligations for cure or remedy, include but are not limited to: correction of defective work and completion of the Contract, additional legal, design professional and delay costs arising from Surety's actions or failure to act; and liquidated damages (or if no liquidated damages are specified in the Contract, actual damages caused by delayed performance or non- performance by the Principal). The Surety shall give prompt written notice to the Owner upon completion of the cure or remedy of the Principal's default(s) of its performance of the Contract. If the Surety does issue its Notice of Election and does not proceed to cure or remedy the Principal's defaults) 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 4th day of February 2014 Principal Raised Corporate Seal [MUST BE AFFIXED] 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 Attorney. 10-2567/50593 JFL Electric, By: iano Loera; President yes iakA+ (Title) The Gray Insurance Company (Surety Name) By: Seal) Ryan . Mantle, Attorney —in —Fact 2 VED A5 TO FORM JE R cGRATH, City AtWmpy CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Orange On Z - q -ZO/ L before me, Mary Martignoni - Notary Public Date Here Insert Name and Tife of the Officer personally appeared Ryan S . Mantle Name(s) of Signer(s) ,, �� MARY MARTIGNONI COMM. # 1947853 Z NOTARY PUBLIC - CALIFORNIA K ORANGE COUNTY '' LMy Comm. Expires Sept. 9, 2015 who proved to me on the basis of satisfactory evidence to be the personX whose name is/�Wsubscribed to the within instrument and acknowledged to me that he/N,wl�e executed the same in his authorized capacity ice, and that by his/peeoseit signatureA on the instrument the person or the entity upon behalf of which the personKac ed, 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. Place Notary Seal Above Signatu Signa' re of otary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Ryan S. Mantle ❑ Individual Ll Corporate Officer — Title(s): ❑ Partner — ❑ Limited C General X Attorney in Fact ON ❑ Trustee Top of Ihumh here El Guardian or Conservator El Other: Signer Is Representing: The Gray Insurance Company Number of Pages: Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s): ❑ Partner — 71 Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator C Other: Signer Is Representing: RIGHTTHUMBPRINT° OFrSIGNER '.'. Top of 02007 National Notary Association • 9350 De Soto Ave.. PO. Box 2402 •ChalswurtF. CA. 91313-2402 • "IW.NationalNotaryorg Item *5907 Reorder. Call Toll -Free 1-800-876-6827 THE GRAY INSURANCE COMPANY THE GRAY CASUALTY & SURETY COMPANY 181754 GENERAL POWER OF ATTORNEY KNOW ALL BY THESE PRESENTS, THAT The Gray Insurance Company and The Gray Casualty & Surety Company, corporations duly organized and existing under the laws of Louisiana, and having their principal offices in Metairie, Louisiana, do hereby make, constitute, and appoint Les M. Mantle and Ryan S. Mantle of Fullerton, California jointly or severally on behalf of each of the Companies named above its true and lawful Attomey(s)-in-Fact, to`make, execute, seal�and deliver, for and on its behalf and as its deed, bonds, or other writings obligatory in the nature of a bond, as surety, contract's of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed the amount of $ 10,000,000.' 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 The Gray,' Insurance Company and The Gray Casualty & Surety Company at meetings duly called and held on the 261h day of June, '2003. "RESOLVED, that the President, Executive Vice President, any Vice President, or the 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 i"s hereby authorized to attest to the execution of such Power of Attorney, and to attach 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 signature or facsimile seal shall be binding upon the Company now and in the future when so affixed with regard to any bond, undertaking or contract of surety to which it is attached. —IN WITNESS WHEREOF, The Gray Insurance Company and The Gray Casualty & Surety Company have caused their official seals to be hereinto affixed, and these presents to be signed by their authorized officers this 12,h day of September, 2011. SO RA... By: SEALS Michael T. Gray t % _._ z President, The Gray Insurance Company `�•••ti r• 1• . ....... and and ` Vice President, The Gray Casualty & Surety Company Attest: Tv»a»s"R�� Mark S. Manguno �t SEAL s Secretary, may, The Gray Insurance Company, ' ••.*...... � The Gray Casualty & Surety Company i State of Louisiana - ss: Parish of Jefferson On this 121h day of September, 2011, before me, a Notary Public, personally appeared Michael T. Gray, President of The Gray Insurance Company and Vice President of The Gray Casualty & Surety Company, and -Mark S. Manguno, Secretary of The Gray Insurance Company and The Gray Casualty & Surety Company, personally known to me, being duly sworn, acknowledged that they signed the -above Power of Attorney and affixed the seals of the companies as officers of, and acknowledged said instrument to be the voluntary act and deed, of their companies. **` Lisa S: Millar, Notary Public, Parish of Orleans =,i°r • a���c r�� State of Louisiana `4,,+r •••»•••''9`p' My Commission is for Life 1F OF LOV r.`' I, Mark S. Manguno, Secretary of The Gray Insurance Company and The Gray Casualty & Surety Company, do hereby certify, that the above and forgoing is a true and correct copy of a Power of Attorney given by the companies, which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 4th day of Februpry, 2014 � �U R q h, f UEA S E A L Mark S. Manguno, Secretary The Gray Insurance Company y�'"••........• The Gray Casualty &Surety Company i CONSENT OF SURETY TO FINAL PAYMENT AIA DOCUMENT G707 Bond Number GSM26149 TO (OWNER) . (Name and address) City of Huntington Beach 2000 Main St. Huntington Beach, Ca. 92648 PROJECT: (Name and address) OWNER ARCHITECT CONTRACTOR _ SURETY X OTHER EXECUTED IN DUPLICATE CONTRACT FOR: $152, 613.13 CONTRACT DATE: August 19, 2013 CC-1425; Street Lighting Modifications 7th Street Project In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surety ) The Grayy Insurance Company One E. Camelback Rd., Suite 550 Phoenix, AZ 85012 SURETY, on bond of (here insert name and address of Contractor) JFL Electric, Inc. 8257 Compton Ave. Los Angeles, Ca. 90001 , CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to (here insert name and address of Owner) City of Huntington Beach 2000 Main St. OWNER. Huntington Beach, Ca. 92648 as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 6th day of February, 2014 (Insert in writing the month following by the numeric date and year) The Gray Insurance Company Sure mpany Attest: Seal Ry S. Mantle, Attorney —in —Fact AIA DOCUMENT G707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT 1994 EDITION AIA® One Page 0 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., NW CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Orange On before me, Mary Martignoni — Notary Public Dale Here Insert Name and Title of the Officer personally appeared Ryan S. Mantle Namels) of Signeris) MARY MARTIGNONI COMM. # 1947853 z ` NOTARY PUBLIC - CAUFORNIA 9 ORANGE COUNTY My Comm. Expires Sept. 9, 2015 who proved to me on the basis of satisfactory evidence to be the personX whose name's is/�W subscribed to the within instrument and acknowledged to me that he/Slttjey executed the same in hisyteit authorized capacityW, and that by hisJosVos& signature on the instrument the person or the entity upon behalf of which the personKac ed, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Place Notary Seal Above SignAture of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Ryan S. Mantle ❑ Individual 0 Corporate Officer — Title(s): ❑ Partner — n Limited C General X Attorney in Fact ° Trustee Tap of thumb here ❑ ❑ Guardian or Conservator ❑ Other: Signer Is Representing: The Gray Insurance Company Number of Pages: Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s): ❑ Partner — =i Limited O General Cl Attorney in Fact • Trustee ❑ Guardian or Conservator L' Other: Signer Is Representing: RIGHTTHUMBPRINT .OF,SIGNER, 02007 National Notary Association • 9350 De Soto Ave.. P.O. Box 2402 •Chanwurth CA 97313-2402 • www.NationalNotaryorg Item #5907 Reorder: Call Toll -Free 1-800-676.6827 THE GRAY INSURANCE COMPANY THE GRAY CASUALTY & SURETY COMPANY GENERAL POWER OF ATTORNEY 1 17 5 KNOW ALL BY THESE PRESENTS, THAT The Gray Insurance Company and The Gray Casualty & Surety Company, corporations duly organized and existing under the laws of Louisiana, and having their principal offices in Metairie, Louisiana, do hereby make, constitute, and appoint Les M. Mantle and Ryan S. Mantle of Fullerton, California jointly or severally on behalf of each of the Companies,named above its true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its deed, bonds, or other writings obligatory in the nature of a bond, as surety, contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contramof suretyship executed under this authority shall exceed the amount of $10,000,000. This Power of Attorney is granted and is signed byfacsimile under and by the authority of the'following Resolutions adopted by the Boards of Directors of both The Gray Insurance Company and The Gray Casualty & Surety Company at meetings duly called and held on the 26" day of June, 2003. "RESOLVED, that the President, Executive Vice President, any Vice President, or the 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 is hereby authorized to attest to the execution of such Power of Attorney, and to attach the sea] of the Company; and it is FURTHER RESOLVED, that the signature of such officers and the sea] 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 signature or facsimile seal shall be binding upon the Company now and in the future when so affixed with regard to any bond, undertaking or contract of surety to which it is attached. \ 1 i IN WITNESS WHEREOF, The Gray Insurance Company and The Gray Casualty & Surety Company have caused their official seals to be hereinto affixed, and these presents to be signed by their authorized officers this 1211 day of September, 2011. gU R At, By: / '7 Attest: �'�LM�' ��rJp�TY^6 SU �d,.. ..CF / /���//�s y�� sir.• •..;P�.\ UEA• 6/�s—) moo' co Mark S: Man unoS E Michael T. Gray g President,,The Gray insurance CompanySecretary, and The Gray Insurance Company, Vice President, The Gray Casualty & Surety Company The Gray Casualty & Surety Company State of Louisiana ss: / Parish of Jefferson On this 121h day of September, 2011, before me, a Notary Public, personally appeared Michael T. Gray, President of The Gray Insurance Company and Vice President of The Gray Casualty& Surety Company, and Mark S. Manguno, Secretary of The Gray Insurance Company and The'Gray Casualty & Surety Company, personally known to me, being duly sworn; acknowledged that they signed the above Power of Attorney and affixed the seals of the companies as officers of, and acknowledged said instrument to be the voluntary act and deed, of their companies. i*_ Lisa S. Millar, Notary Public, Parish of Orleans State of Louisiana �'rF »••• ~�s`� My Commission is for Life 'unwnnm ,. 1, Mark S. Manguno, Secretary of The Gray Insurance Company and The Gray Casualty & Surety Company, do hereby certify that the above and forgoing is a true and correct copy of a Power of Attorney given by the companies, 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 Febru.,ary, 2014 g U_ R A N P� YY 6 3� ,r�••`.o.•,•C�c� URyi ,.�®•..;Pik i Q, 0. S E A L �s SEAL Mark S. Manguno, Secretary �_, �* The Gray Insurance Company y� •. .•f y�`� •• The Gray Casualty & Surety Company I , RECEIVED BY: (Name) (Date) TO: City Treasurer FROM: City Clerk DATE:C��/ . r SUBJECT: Bond Acceptance CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office after signing/dating •` _ , BEACH COMMUNICATION MENTAL I have received the bonds for (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. CC No. r MSC No. Other No. g1forms/bond transmittal to treasurer Approved pp FI/ i�1� (Council Approval Date) Agenda Item No. City Clerk Vault No. /0 SIRE System ID No. 4�i 7 PLEASE COMPLETE THIS INFORMATION This Document was electronically recorded by City of Huntington Beach RECORDING REQUESTED BY: WHEN RECORDED MAIL TO: CITY OF HUNTINGTON BEACH Attn: John Griffin P.O. Box 190 — 2000 Main Street Huntington Beach, CA 92648 TITLE OF DOCUMENT Recorded in Official Records, Orange County Hugh Nguyen, Clerk -Recorder IIII IIII 1111111111111111111111111111111111111111111111111 1111NO FEE 2014000032420 11:24am 01/27/14 276 402 N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 THIS SPACE FOR RECORDER'S USE ONLY NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN by the City of Huntington Beach, owner in fee, 2000 Main Street, Huntington Beach, CA 92648, that the contract heretofore awarded to JFL Electric, Inc. who was the company thereon for doing the following work to -wit: STREET LIGHTING MODIFICATIONS, 7T" STREET FROM PACIFIC COAST HIGHWAY TO PALM AVENUE CC1425 That said work was completed January 22, 2014 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 January 22, 2014 per City Council Resolution No. 2003-70 adopted October 6, 2003. That upon said contract The Gray Insurance Company was surety for the bond given by the said company as required by law. This document is solely for the official business of the City of Huntington Beach, as contemplated under Government Code Section 6103 and should be recorded free of charge. Dated at Huntington Beach, California, this January 24, 2014 //_�7 Dir ctor o o s or City Engineer City of Huntington Beach, California STATE OF CALIFORNIA) County of Orange ) ss: City of Huntington Beach ) I, the undersigned, say: I am an Agent of the City of Huntington Beach, owner in fee, in the foregoing NOTICE OF COMPLETION.: I have read said NOTICE OF COMPLETION and know the contents thereof; the same is true of my knowledge. I declare under penalty of perjury that the foregoing is true and correct, and that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the County Recorder of Orange County. Dated at Huntington Beach, California, this January 24, 2014 This document is solely 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 City Engineer City of Huntington Beach, California THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) RECEIVED BY- CITY CLERK RECEIPT COPY /' fire Return DUPLICATE to City Clerk's Office -'(Name) after signing/dating (Date) .— CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerke DATE: 9 i,5- SUBJECT: Bond Acceptance I have received the bonds ford.i (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. CC No. MSC No. Other No. g:/forms/bond transmittal to treasurer 61 In _ s Approved / (Council Approval Date) Agenda Item No. .+'f City Clerk Vault No. �_ 1' SIRE System ID No. 7 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34 35. 36. 37. 38. 39. 40. 41. CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND JFL ELECTRIC, INC FOR STREET LIGHTING MODIFICATIONS, 7TH STREET FROM PACIFIC COAST HIGHWAY TO PALM AVENUE TABLE OF CONTENTS PageNo. STATE OF WORK; ACCEPTANCE OF RISK 1 ACCEPTANCE OF CONDITIONS OF WORK; PLANS 2 COMPENSATION 4 COMMENCEMENT OF PROJECT 4 TIME OF THE ESSENCE 4 CHANGES 5 NOTICE TO PROCEED 6 BONDS 6 WARRANTIES 7 INDEPENDENT CONTRACTOR 7 LIQUIDATED DAMAGES/DELAYS 7 DIFFERING SITE CONDITIONS 9 VARIATIONS IN ESTIMATED QUANTITIES 10 PROGRESS PAYMENTS 11 WITHHELD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES 11 AFFIDAVITS OF SATISFACTION OF CLAIMS 12 WAIVER OF CLAIMS 12 INDEMNIFICATION, DEFENSE, HOLD HARMLESS 12 WORKERS' COMPENSATION INSURANCE 13 INSURANCE 14 CERTIFICATES OF INSURANCE; ADDITIONAL INSURED 14 NOTICE OF THIRD PARTY CLAIM 15 DEFAULT & TERMINATION 16. TERMINATION FOR CONVENIENCE 16 DISPOSITION OF PLANS, ESTIMATES AND OTHER 17 NON -ASSIGNABILITY 17 CITY EMPLOYEES AND OFFICIALS 17 STOP NOTICES 17 NOTICES 18 SECTION HEADINGS 18 IMMIGRATION 19 LEGAL SERVICES SUBCONTRACTING PROHIBITED 19 ATTORNEY'S FEES 19 INTERPRETATION OF THIS AGREEMENT 19 GOVERNING LAW 20 DUPLICATE ORIGINAL 21 CONSENT 21 SURVIVAL 21 MODIFICATION 21 SIGNATORIES 21 ENTIRETY 21 CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND JFL ELECTRIC, INC FOR STREET LIGHTING MODIFICATIONS, 7T11 STREET FROM PACIFIC COAST HIGHWAY TO PALM AVENUE THIS AGREEMENT ("Agreement") 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 JFL Electric, Inc, a California corporation, hereinafter referred to as "CONTRACTOR." WHEREAS, CITY has solicited bids for a public works project, hereinafter referred to as "PROJECT," more fully described as Street Lighting Modifications, 7th Street from Pacific Coast Highway to Palm Avenue in the City of Huntington Beach; and CONTRACTOR has been selected to perform said services, NOW, THEREFORE, in consideration of the promises and agreements hereinafter made and exchanged, the parties covenant and agree as follows: I. STATEMENT OF WORK: ACCEPTANCE OF RISK CONTRACTOR shall complete and construct the PROJECT pursuant to this Agreement and the Contract Documents (as hereinafter defined) and furnish, at its own cost and expense, all labor, plans, tools, equipment, supplies, transportation, utilities and all other items, services and facilities necessary to complete and construct the PROJECT in a good and workmanlike manner. CONTRACTOR agrees to fully assume the risk of all loss or damage arising out of the nature of the PROJECT, during its progress or prior to acceptance by CITY, from the action of the elements, from any unforeseen difficulties which may arise or g/agree/surfnet/cityconst I of 22 12/11 be encountered in the prosecution of work, and for all other risks of any description in connection with the work, including, but not limited to, all expenses incurred by or in consequence of the suspension or discontinuance of work, except such as are herein expressly stipulated to be borne by CITY, and for well and faithfully completing the work within the stipulated time and in the manner shown and described in this Agreement, and in accordance with the requirements of CITY for the compensation set forth in the accepted bid proposal. 2. ACCEPTANCE OF CONDITIONS OF WORK; PLANS AND SPECIFICATIONS CONTRACTOR acknowledges that it is fully familiar with all the terms, conditions and obligations of this Agreement and the Contract Documents (as defined below in this Section), the location of the job site, and the conditions under which the work is to be performed, and that it enters into this Agreement based upon its thorough investigation of all such matters and is relying in no way upon any opinions or representations of CITY. It is agreed that the Contract. Documents are incorporated into this Agreement by this reference, with the same force and effect as if the same were set forth at length herein, and that CONTRACTOR and its subcontractors, if any, shall be bound by the Contract Documents insofar as they relate in part or in any way, directly or indirectly, to the work covered by this Agreement. "Contract Documents" as defined herein mean and include: A. This Agreement; B. Bonds covering the work herein agreed upon; g/agree/surfn We i tycon st 2 of 22 12/11 C. The CITY's standard Plans and Specifications and special contractual provisions, including those on file in the office of the Director of Public Works of CITY and adopted by the City Council, and any revisions, amendments or addenda thereto; D. The current edition of Standard Specifications for Public Works Construction, published by Builders' News, Inc., 10801 National Boulevard, Los Angeles, CA 90064, and all amendments thereto, written and promulgated by the Southern California chapter of the American Public Works Association and the Southern California District Associated General Contractors of the California Joint Cooperative Committee; E. Bid documents including the Notice Inviting Bids, the Special Instructions to Bidders and the CONTRACTOR's proposal, (which is attached hereto as Exhibit "A" and incorporated herein by this reference); F. The particular Plans, Specifications, Special Provisions and Addenda applicable to the PROJECT. Anything mentioned in the Specifications and not indicated in the Plans or indicated in the Plans and not mentioned in the Specifications, shall be of like effect as if indicated and mentioned in both. In case of a discrepancy between any Plans, Specifications, Special provisions, or Addenda, the matter shall be immediately submitted by CONTRACTOR to the Department of Public Works of CITY (hereinafter referred to as g/agree/surfnet/cityconst 3 of 22 12/11 "DPW"), and CONTRACTOR shall not attempt to resolve or adjust the discrepancy without the decision of DPW, save only at its own risk and expense. Should there be any conflict between the terms of this Agreement and the bid or proposal of CONTRACTOR, then this Agreement shall control and nothing herein shall be considered as an acceptance of the terms of the bid or proposal which is in conflict herewith. 3. COMPENSATION CITY agrees to pay and CONTRACTOR agrees to accept as full compensation for the faithful performance of this Agreement, subject to any additions or deductions made under the provisions of this Agreement or the Contract Documents, a sum not to exceed One Hundred Fifty Three Five Hundred Ten Dollars ($153,510.00), 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 forty (40) 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 g/agree/surfnet/cityconst 4 of 22 12/11 necessary and incidental to the prosecution of its work in conformance with the progress schedule set forth in the Contract Documents. CONTRACTOR shall coordinate its work with the work of all other contractors, subcontractors, and CITY forces working on the PROJECT in a manner that will facilitate the efficient completion of the PROJECT and in accordance with the terms and provisions of this Agreement. CITY shall have complete control of the premises on which the work is to be performed and shall have the right to decide the time and order in which the various portions of the work shall be performed and the priority of the work of other contractors, subcontractors and CITY forces and, in general, all matters concerning the timely and orderly conduct of the work of CONTRACTOR on the premises. 6. CHANGES CONTRACTOR shall adhere strictly to the plans and specifications set forth in the Contract Documents unless a change therefrom is authorized in writing by DPW. CONTRACTOR agrees to make any and all changes, furnish materials and perform all work necessary within the scope 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 g/agree/surfnet/cityconst 5 of 22 12/11 promptly issue an adjusted change order to CONTRACTOR and the contract price will be adjusted upward or downward accordingly. 7. NOTICE TO PROCEED No work, services, material, or equipment shall be performed or furnished under this Agreement unless and until a Notice to Proceed has been given to CONTRACTOR by CITY. CITY does not warrant that the work will be available on the date the Notice to Proceed is issued. In the event of a delay in commencement of the work due to unavailability of the job site, for any reason, relief to CONTRACTOR shall be limited to a time extension equal to the delay due to such unavailability. 8. BONDS Only bonds issued by California admitted sureties will be accepted. CONTRACTOR shall, prior to its performance of this Agreement, furnish the following two (2) bonds approved by the City Attorney: One in the amount of one hundred percent (100%) of the contract price to guarantee the CONTRACTOR's faithful performance of the work, and one in the amount of one hundred percent of the contract price to guarantee payment of all claims for labor and materials furnished. In addition, CONTRACTOR, shall submit to CITY a bond in the amount of one hundred percent (100%) of the final contract price, including all change orders, to warrant such performance for a period of one (1) year after CITY's acceptance thereof within ten (10) days of filing of the Notice of Completion. 9. WARRANTIES CONTRACTOR unconditionally guarantees all work done under this Agreement including, but not limited to, any workmanship, installation, fabrication, g/agree/surfnet/cityconst 6 of 22 12/11 material or structural facilities constructed. CONTRACTOR, within ten (10) days after notice by CITY of any defect in the work, shall have the option to make appropriate repairs or replace the defective item or items. Upon expiration of such ten (10) day period, CITY may then make appropriate repair or replacement at CONTRACTOR's risk and own cost and expense. 10. INDEPENDENT CONTRACTOR It is understood and agreed that CONTRACTOR is, and shall be, acting at all times hereunder as an independent contractor and not an employee of CITY. CONTRACTOR shall secure at its own cost and expense, and be responsible for any and all payment of all taxes, social security, state disability insurance compensation, unemployment compensation and other payroll deductions for CONTRACTOR and its officers, agents and employees and all business licenses, if any, in connection with the PROJECT and/or the services performed hereunder. 11. LIQUIDATED DAMAGES/DELAYS It is agreed by the parties hereto that in case the total work called for hereunder is not in all parts and requirements finished or completed within the number of calendar days as set forth herein, damage will be sustained by CITY; and that it is, and would be, impractical and extremely difficult to ascertain and determine the actual damage which CITY would sustain in the event of and by reason of such delay. It is, therefore, agreed that CONTRACTOR will pay to CITY, as liquidated damages and not as a penalty, the sum of Five Hundred Dollars ($500.00) per day for each and every working day's delay in completing the work in excess of the number of working/calendar days set forth herein, which represents a reasonable endeavor by the parties hereto to estimate a fair g/agree/surfnet/cityconst % of 22 12/11 compensation for the foreseeable damages CITY would sustain in the event of and by reason of such delay; and CONTRACTOR agrees to pay these damages herein provided, and further agrees that CITY may deduct the amount thereof from any monies due or that may become due to CONTRACTOR hereunder. CONTRACTOR will be granted an extension of time and will not be assessed damages for any portion of the delay in the completion of the work due to unforeseeable causes beyond the control and without the fault or negligence of CONTRACTOR, including, but not limited to, acts of God or of the public enemy, fire, floods, epidemics, quarantine restrictions, strikes, unsuitable weather, or delays of subcontractors due to such causes. CONTRACTOR shall, within fifteen (15) days from the beginning of any such delay (unless DPW shall grant a further period of time), notify DPW in writing of the cause of the delay and CITY shall extend the time for completing the work if, in its judgment, the findings of fact thereon justify the delay; and the decision of DPW shall be conclusive on the parties hereto. Should CONTRACTOR be delayed in the prosecution or completion of the work by the act, neglect or default of CITY, or should CONTRACTOR be delayed by waiting for materials required by this Agreement to be furnished by CITY, or by damage caused by fire or other casualty at the job site for which CONTRACTOR is not responsible, or by the combined action of the workers, in no way caused by or resulting from default or collusion on the part of CONTRACTOR, or in the event of a lockout by CITY, then the time herein fixed for the completion of the work shall be extended by the number of days CONTRACTOR has thus been delayed, but no allowance or extension g/agree/surfnet/cityconst 8 of 22 12/11 shall be made unless a claim therefor is presented in writing to CITY within fifteen (15) days of the commencement of such delay. No claims for additional compensation or damages for delays, irrespective of the cause thereof, and including without limitation the furnishing of materials by CITY or delays by other contractors or subcontractors, will be allowed and an extension of time for completion shall be the sole remedy of CONTRACTOR. 12. DIFFERING SITE CONDITIONS A. Notice: CONTRACTOR shall promptly, and before such conditions are disturbed, notify DPW in writing of: (1) Subsurface or latent physical conditions at the job site differing materially from those indicated in this Agreement or the Contract Documents; or (2) Unknown physical conditions at the job site, of an unusual nature, differing materially from those ordinarily encountered and generally recognized as inherent to work of the character to be performed under this Agreement. DPW shall promptly investigate the conditions and if it finds that such conditions do materially so differ and cause an increase or decrease in the time required for performance of any part of the work under this Agreement, whether or not changed as a result of such conditions, an equitable adjustment shall be made and the agreement modified in writing accordingly. g/agree/surfnet/cityconst 9 of 22 12/11 B. Time Extension: No claim of CONTRACTOR under this Section shall be allowed unless CONTRACTOR has given the notice required hereunder provided, however, the time prescribed therefor may be extended by CITY. 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 g/agree/surfnet/cityconst 10 of 22 12/11 amount of all previous payments since commencement of the work, will be paid to CONTRACTOR. When CONTRACTOR has, in the judgment of DPW, faithfully executed fifty percent (50%) or more of the value of the work as determined from the bid schedule, and if DPW finds that satisfactory progress has been and is being made, CONTRACTOR may be paid such sum as will bring the payments of each month up to one hundred percent (100%) of the value of the work completed since the commencement of the PROJECT, as determined in its sole discretion by DPW, less all previous payments and less all previous retained amounts. CITY's final payment to CONTRACTOR, if unencumbered, or any part thereof unencumbered, shall be made thirty-five (35) days after the acceptance of the work and the filing of a Notice of Completion by CITY. Provided, however, that in the event of a dispute between CITY and CONTRACTOR, CITY may withhold from the final payment an amount not to exceed 150 percent of the value of any disputed amount of work. Payments shall be made on demands drawn in the manner required by law, each payment to be accompanied by a certificate signed by DPW, affirming that the work for which payment is demanded has been performed in accordance with the terms of the Agreement and that the amount stated in the certificate is due under the terms of the Agreement. Partial payments on the contract price shall not be considered as a acceptance of any part of the work. 15. WITHHELD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES At the request and at the sole cost and expense of CONTRACTOR, who shall retain beneficial ownership and receive interest, if any thereon, CITY shall permit the g/agree/surfnet/cityconst I I of 22 12/11 substitution and deposit therewith of securities equivalent to the amount of any monies withheld by CITY to ensure performance under the terms of this Agreement. 16. AFFIDAVITS OF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall file with DPW its affidavit stating that all workers and persons employed, all firms supplying materials and all subcontractors working upon the PROJECT have been paid in full and that there are no claims outstanding against the PROJECT for either labor or material, except certain items, if any, to be set forth in CONTRACTOR's affidavit covering disputed claims, or items in connection with Notices to Withhold, which have been filed under the provisions of the statutes of the State of California. 17. WAIVER OF CLAIMS The acceptance by CONTRACTOR of the payment of the final certificate shall constitute a waiver of all claims against CITY under or arising out of this Agreement. 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 g/agree/s urfnet/c i tycon st 12 of 22 12/11 directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, including but not limited to concurrent active or passive negligence, except where caused by the active negligence, sole negligence, or willful misconduct of the CITY, its officers, elected or appointed officials, employees, agents, and volunteers. CONTRACTOR will conduct all defense at its sole cost and expense and CITY shall approve selection of CONTRACTOR's counsel. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by CONTRACTOR. 19. WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE Pursuant to California Labor Code Section 1861, CONTRACTOR acknowledges awareness of Section 3700 et seq. of this Code, which requires every employer to be insured against liability for workers' compensation; CONTRACTOR covenants that it will comply with such provisions prior to commencing performance of the work hereunder. CONTRACTOR shall obtain and furnish to City workers' compensation and employer's liability insurance in an amount of not less than the State statutory limits. CONTRACTOR shall require all subcontractors to provide such workers' compensation and employer's liability insurance for all of the subcontractors' employees. CONTRACTOR shall 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. g/agree/surfnet/cityconst 13 of 22 12/11 20. INSURANCE In addition to the workers' compensation and employer's liability insurance and CONTRACTOR's covenant to defend, hold harmless and indemnify CITY, CONTRACTOR shall obtain and furnish to CITY, a policy of general public liability insurance, including motor vehicle coverage covering the PROJECT. This policy shall indemnify CONTRACTOR, its officers, employees and agents while acting within the scope of their duties, against any and all claims arising out or in connection with the PROJECT, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including products/completed operations liability and blanket contractual liability, of One Million Dollars ($1,000,000) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit, the aggregate limit must be no less than One Million Dollars ($1,000,000) for this PROJECT. This policy shall name CITY, its officers, elected or appointed officials, employees, agents, and volunteers as Additional Insureds, and shall specifically provide that any other insurance coverage which may be applicable to the PROJECT shall be deemed excess coverage and that CONTRACTOR's insurance shall be primary. Under no circumstances shall said above -mentioned insurance contain a self - insured retention without the express written consent of CITY; however an insurance policy "deductible" of $5,000.00 is permitted. 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 g/agree/surfnet/cityconA 14 of 22 12/11 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 Insureds, to the City Attorney for approval prior to any payment hereunder. 22. NOTICE OF THIRD PARTY CLAIM Pursuant to Public Contracts Code §9202, CITY shall provide notice to CONTRACTOR of receipt of any claim filed with CITY or a court of competent jurisdiction which arises out of performance of this agreement within ten (10) days of receipt of such claim or claims. g/agree/surfnet/cityconst 15 of 22 12/11 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 convenience, the CONTRACTOR shall be entitled to receive payment for work executed, g/agree/surfneticityconst 16 of 22 12/11 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 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 g/agree/surfnet/cityeonst 17 of 22 12/11 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 I hereinabove) or to CITY as the situation shall warrant, or by enclosing the same in a sealed envelope, postage prepaid, and depositing the same in the United States Postal Service, to the addresses specified below; provided that CITY and CONTRACTOR may designate different addresses to which subsequent notices, certificates or other communications will be sent by notifying the other party via personal delivery, reputable overnight carrier or U. S. certified mail -return receipt requested: TO CITY: City of Huntington Beach ATTN: David Verone 2000 Main Street Huntington Beach, CA 92648 30. SECTION HEADINGS TO CONTRACTOR: JFL ELECTRIC, INC 8257 Compton Avenue Los Angeles,CA 90001 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 f6r convenience of reference only and are not representative of maters included or excluded from such provisions, and do not interpret, define, limit or g/agree/surfnet/cityconst 18 of 22 12/11 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 parry. 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 g/agree/surfnet/cityconst 19 of 22 12/11 to be unenforceable, void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act contrary to law, and wherever there is any conflict between any provision contained herein and any present or future statute, law, ordinance or regulation contrary to which the parties have no right to contract, then the latter shall prevail, and the provision of this Agreement which is hereby affected shall be curtailed and limited only to the extent necessary to bring it within the requirements of the law. 35. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of California. 36. DUPLICATE ORIGINAL The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals, each of which so executed shall, irrespective of the date of its execution and delivery, be deemed an original. Each duplicate original shall be deemed an original instrument as against any party who has signed it. g/agree/surfnet/cityconst 20 of 22 12/11 37. CONSENT Where CITY's consent/approval is required under this Agreement, its consent/approval for one transaction or event shall not be deemed to be consent/approval to any subsequent occurrence of the same or any other transaction or event. 38. SURVIVAL Terms and conditions of this Agreement, which by their sense and context survive the expiration or termination of this Agreement shall so survive. 39. MODIFICATION No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties. 40. SIGNATORIES Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify CITY fully for any injuries or damages to CITY in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. 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 parry's behalf, which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement, g/agree/surfnet/cityconst 21 of 22 12/11 promise, agreement, warranty, fact or circumstance not expressly set forth in this Agreement. This Agreement, and the attached Exhibit "A", contain the entire agreement between the parties respecting the subject matter of this Agreement, and supersede all prior understandings and agreements whether oral or in writing between the parties respecting the subject matter hereof. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers on /9 20 1J. CONTRACTOR JFL ELECTRIC, INC 8257 Compton Avenue Los Angeles,CA 90001 By: print name ITS: (circle one) Chairma resident/ ice President By: print name ITS: (circle onecretary� hief Financial Officer/Asst. Secretary - Treasurer CITY OF HUNTINGTON BEACH, a muni 1 corporation e Stat of California Mayor Clerkj3 INITIATED AND APPROVED: of Publ(J'Works APPROVED: APP D AS TO FORM: ity Attorney g/agree/surfnet/cityconst 22 of 22 12/11 i T SECTION C PROPOSAL for the construction of Street Lighting Modifications 7th Street from Pacific Coast Highway to Palm Avenue CC No. 1425 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. The undersigned acknowledges that the issuance of the Notice to Proceed will occur approximately two months after the award of the contract to allow procurement time for city furnished equipment. 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 C-1 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. 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. 1 t6i V4UJ1+ Accompanying this proposal of bid, find W6AS in the amount of 0iiSR said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda`No. Date Received Bidder's Signature - C-2 Project Bid Schedule Street Lighting Modification-71h Street CC-1425 Item NO Estimated QUantlty_ Item Wrth Unit Pnce Written` ui V�ords Unit Price Extended Amount 1 1 L.S. Mobilization—$S �@ AOI ANS Per L.S. — $ S Ory J 2 1 L.S. Fur�sh P� ct raffic Contro / Per L.S. $ n/,� �� (J $ vU 3 18 EA. Install New mt i ht Pole, oundatio'n and Luminnaaire. Per EA. 4 5 23 EA. 1 L.S. Remove and Salvage Existing Street Light Pole, Luminaire and Area Foundation (Includes Restoration of Surrounding @ ( ftv+ t� � (� — Per EA. Install New Type III Service Cabinet (Includes Service Cab et Foun atio) � {-� � e� Per L.S. $ $ �/ (� `� $ 7qD 6 7 1 L.S. 1 L.S. Furnish and Install Pull Boxes, Conduit and New Conductors in New Conduit (Includes Pavement Rest ration). a DOI blvs Per L.S. 17 Relocate Road wa �nd Street N e Signs. il tt-�1' ,e Per L.S. $ T $ _ 8 200 L.F. Remove Existing Curb and Gutter and Install New Curb and Gutter per City Standard Plan 202 (Locations to be Determined b the En in er). 1 0 Per L.F. $ • �® L�J�%j $' 01 :✓6 Total Amount Bid in Figures: 1 LJ J , 6D r Tot Amou t Bid in Words: I 'Q 64 Note: The City will provide poles, luminaries and the electrical service cabinet as indicated on the plans at no cost to the contractor. The contractor is to pick up the materials at the City Yard, 17371 Gothard Street, Huntington Beach. Contact George Ruff two working days in advance for pick up at (714) 536-5530. 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 subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Bid Name and Address of Subcontractor - State Class Dollar % of ; Item(s) License Amount." Contract 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 true and correct and that this declaration is executed on 23 , at Lbs Ay)q a6' , C , Date Ci State being first duly sworn, deposes and says that he or-� is V f i cceA--r of () F L i Q CtY i C, (►-i c. the parry making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Jya6afi-i(1 � h ( - Mir if 10 in A, C-4 JURAT ■■eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee� State of California County of Los Angeles) ss. Subscribed and sworn to (or affirmed) before me on this 23rd day of Jam, 2013, by Feliciano Loera, proved to me on the basis of satisfactory evidence to be the persons} who appeared before me. ��mmLon Coisalon +t 2028598 Notary Public - California Los Anpeles County ("e,FA) ■■eeseeeeeseeeeeeeeeeeeeeesaeeseseeeeeeeeeeeeeeeeeeeeseeeeeeeeeeeeeeseee� Date of Document Type or Title of Document Number of Pages in Document Document in a Foreign Language OPTIONAL INFORMATION :7 ja 3� 13 W,A,C,3UU JI No Type of Satisfactory Evidence: Personally Known with Paper Identification X Paper Identification Credible Witness(es) Thumbprint of Signer ❑ Check here if Capacity of Signer: no thumbprint Trustee or fingerprint Power of Attorney is available. CEO/CFO/COO . _X President / ViGe President 1 SeGreta Fy / Trcac1 irer Other: Other Information: JFL Electric Inc. -_ Allstal , t ,. ; P r. sr.W'n, Inc - (810. 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 Street Lighting Modifications - 71h Street CC-1425, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved. " The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal -OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Date: iL 11 Contractor By Title C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes UdINo If the answer is yes, explain the circumstances in the space provided. Iv 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: -I �:I-� Title C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: JV L glec+ic I nc . Bidder Name 2 C k II I Business Address City, (?) ) S11 q Ll D b Telephone Number State Contractor's License No. and Class Original Date Issued 31113 Expiration Date CA State Zip The work site was inspected by 1 oyas of our office on 1 2- , 2013. The following are persons, firms, and corporations having a principal interest in this proposal: Y Q �GQAAA -sty► �A�ho, C-S 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. JAL CU Oyi Company Name Signature of Bidx'� Printed or Typed Signature Subscribed and swornto before me this 1� day of 12013. NOTARY PUBLIC aV\ NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1. 2. 3. Name Address of Public Agency Name and Telephone No. of Project Manager: I`�d Contract Amount i I Type of I 0� 4- � i' � I I'1(a n I ► T� --, -0 Name and"Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Name and Address of Public Agency Type of Work -(�Hg)-�ZN--562 Date Completed t rat q I�' r?533 WName and Telephone No. of Project Manager: 0,10 Contract Amount Type of Work Date Completed CM JURAT aemaammammmmmmmaamaammmmmmmmammmmmmaaamammmmammmammmmmmmmmmmammmmmmaaaame State of California County of Los Angeles} ss. Subscribed and sworn to (or affirmed) before me on this 23rd day of Jam, 2013, by Feliciano Loera, proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. Ki8 Co molssion * 2020598 Notary Pubk • California Los Angeles County ern a ices Jun t t 2117 amamaaommaaaamaammmaammmmamaaammmmmmmammmmmmaemamammmmmm■■mmmmmmammmammae OPTIONAL INFORMATION Date of Document ^1 1 a (� Thumbprint of Signer Type or Title of Document`�� Number of Pages in Document Document in a Foreign Language No Type of Satisfactory Evidence: Personally Known with Paper Identification X Paper Identification Credible Witness(es) Check here if Capacity of Signer: no thumbprint Trustee or fingerprint Power of Attorney is available. CEO/CFO/COO X President / Vino Drocvlon+ C`onrot—., 'Treasure Other: Other'lnformation: JFL Electric Inc. .. _ ..'�ni.w ,� ..lsJ � :., s , _ . ._ - - _ k.�i"' .. , �.�Y'. •, L'ti��.e+h���*.z�f,iE�.��e:y�. w.i�i�'a"1 Engineering Division Management Meeting Tuesday, August 13, 2013 — 9:00 AM Scheduled Staff Time Off: Monday Tuesday Wednesday Thursday Friday 12 Debbie 13 14 15 Tom 16 Flex(B)— Bob, Eric, Duncan, Tom, Terri 19 Tom, Debbie 20 Tom, Debbie 21 Tom, Debbie 22 23 9 Flex(A) - Travis, Debbie, Bill, Todd, Tom 26 Tom 27 Tom 28 Tom 29 30 Flex(B)— Bob, Eric, Duncan, Tom, Terri 2 3 4 5 6 Flex(A) - Travis, Debbie, Bill, Todd 0, Citv Council Items/RCA's Public Works Commission Items a Aug • LMA Bella Terra Aug • Cast Iron Main Replacement 19 • Bicycle Master Plan 21 • Water Quality Public Meeting - Potable • Award 71h Street Lighting (PCH_ (o Palm) Contract • Bike Master Plan Report • Award Annual Sewer Ur in • Award as err ccess Road 0 Award Edinger Ped Path • WAGS R Sep • Brookhurst Street UG District NOI Sep • Trinidad Lift Station 0� 3 18 • 15f Street Diversion SCADA I Oct • Beach Blvd Sewer 16 • Sunset Beach PH2 Waterline Replacement Project Agenda Items TBD • OCTA Tier 1 Grants • OCTA Measure M Ordinance • SR2S Stacey Clegg Topics For Discussion: ✓ Items from PW Mgrs Meeting ✓ Project Presentations — ✓ Quality Control -Duncan ✓ Roundtable — Hot Projects/Construction Update Quote of the week; "Never tell people how to do things. Tell them what to do and they will surprise you with their ingenuity." George S. Patton • License Agreement with JT Development Company for Vending Cards at Plaza Almeria — on hold at request of developer • Brightwater Landscape Agreement, 2 months • Golf Cart Ordinance 1 — Print 8 copies Personnel List - Contractor State License Board Page 1 of 1 DEPARTMENT OF CONSUMER AFFAIRS Contractors State License Board Contractor's License Detail (Personnel List) Contractor License #: 578969 Contractor Name: J F L ELECTRIC INC Click on the person's name to see a more detailed page of information on that person NAME TITLE ASSOCIATION DISASSOCIATION CLASS MORE DATE DATE CLASS TERESA LOERA OFFICER 10/04/1989 05/24/2000 FELICIANO FLECNA LOERA RMO/CEO/PRES 10/04/1989 C10 More ..........................._....___......................................................................... Conditions _®fi_Use I P.rva...cy._Policy Copyright© 2010 State of California https: //www2.cslb. ca. gov/OnlineServicesICheckLicenseIIIPersonnelList. aspx?LicNum=5 7... 7/3 0/2013 Check a License - License Detail - Contractors State License Board Page 1 of 1 DEPARTMENT OF: CONSUMERAFFAIRS, Contractors-State:Board Contractor's License Detail - License # 578969 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. CSLB complaint disclosure is restricted by law (B&P..71-24 :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. j> 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. License Number 578969 Extract Date 7/30/2013 J F L ELECTRIC INC Business Information Business Phone Number: (323) 581-4400 8257 COMPTON AVENUE LOS ANGELES, CA 90001 Entity orporation Issue Date 10104/1989 ExDate Expire _._... ........_ 10/31/2013 .._. _.. ACTIVE License Status This license is current and active. All information below should be reviewed. CLASS DESCRIPTION C10 ELECTRICAL Classifications ....— --.. B GENERAL BUILDING CONTRACTOR C36 PLUMBING CONTRACTOR'S BOND This license filed a Contractor's Bond with SURETECJNSURACE COM�'ANY. Bond Number: 104593 Bond Amount: $12,500 Effective Date: 09/03/2011 Bonding Contractor's Bond History BOND OF QUALIFYING INDIVIDUAL The Responsible Managing Officer (RMO) LOERA FELICIANO FLECHA certified that he/she owns 10 percent or more of the voting stock/equity of the corporation. A bond of qualifying individual is not required. Effective Date: 10/04/1989 .............. -- _.......................... WORKERS' COMPENSATION This license has workers compensation insurance with CO..MPANIONPROPERTY _AND.-.C...AS IALTY-iN-S....U....RANC-E-COM.P...AN...Y. Workers' Compensation Policy Number: CPCA17330 Effective Date: 06/01/2013 Expire Date: 06/01/2014 W.o..rke..r..s'._Compensation._N istory Personnel listed on this license (current or disassociated) are listed on other licenses. Conditions of__Use I Privacy -Policy Copyright© 2010 State of California https://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail. aspx?LicNum=57... 7/30/2013 12 tips for better e-mail etiquette - Outlook - Office.com Si_;i In . Unite _i Stc,tc= HOME MY OFFICE PRODUCTS SUPPORT IMAGES TEMPLATES STORE 12 tips for better e-mail etiquette Important notice for users of Office 2003 To continue receiving security updates for Office, make sure you're Applies to: running Office 2003 Service Pack 3 (SP3). The support for Office 2003 ends April 8, 2014. If you're running Office OuLlo,)k 2003 2003 after support ends, to receive all important security updates for Office, you need to upgrade to a later version such as Office 365 or Office 2013. For more information, see Support is ending for Office 2003. By Laura Stack, MBA, CSP, The Productivity Prof I remember opening my first e-mail account and thinking how much fun it was to send a message to a friend. However, most people now no longer find e-mail simple or fun. E-mail messaging now exceeds telephone traffic and is the dominant form of business communication. Some workers tell me that handling e-mail consumes half of their day. A recent Wall Street Journal report indicates that soon employees will spend three to four hours a day on e- mail. Don't you wish that every person who received a new e-mail account had to agree to follow certain rules to use it? There are certain professional standards expected for e-mail use. Here are some things to keep in mind regarding professional e-mail conduct: 1. Be informal, not sloppy. 'our colleagues may use commonly accepted abbreviations in e-mail, but when, communicate rnal customers, everyone should follow standard writing protocol. Your e-mail message reflects you and your company, so traditional spelling, grammar, and punctuation rules apply. 2. Keep messages brief and to the point. lust because your writing is grammatically correct does not mean that it has to be long. Nothing is more frustrating than wading through an e-mail message that is twice as long as necessary. Concentrate on one subject per message whenever possible. 3. Use sentence case. USING ALL CAPITAL LETTERS LOOKS AS IF YOU RE SHOUTING. Using all lowercase letters looks lay. For emphasis, use asterisks or bole formatting to emphasize important words. Do not, however, use a lot of colors or graphics embedded in your message, because not everyone uses an e-mail program that can display them. 4. Use the blind copy and courtesy copy appropriately. Don't use BCC to keep others from seeing who you copied; it shows confidence when you directly CC anyone receiving a copy. Do use BCC, however, when sending to a large distribution list, so recipients won't have to see a huge list of names. Be cautious with your use of CC; overuse simply clutters inboxes..Copy.only. people who are direct!%%involved. 5. Don't use e-mail as an excuse to avoid personal contact Don't forget the value of face-to-face or even voice -to -voice communication. E-mail communication isn t appropriate when sending confusing or emotional messages. Think of the times you've heard someone in the office indignantly say, "Well, I sent you e-mail." If you have a problem with someone, speak with that person directly. Don't use e-mail to avoid an uncomfortable situation or to cover up a mistake. 6. Remember that e-mail isn't private. I've seen people fired for using e-mail inappropriately. E-mail is considered company property and can be retrieved, examined, and used in a court of law. Unless you are using an encryption device (hardware or software): you should assume that e-mail over the Internet is not secure. Never put in an e-mail message anything that you wouldn't put on a postcard. Remember that e-mail can be forwarded, so unintended audiences may see what you've written. You might also inadvertently send something to the wrong party, so always keep the content professional to avod embarrassment. Be sparing with group e-mail. Send group e-mail only when it's useful to every recipient. Use the "reply all" button only when compiling results requiring collective input and only if you have something to add. Recipients get quite annoyed to open an e-mail that says only 'Me too!" 8. Use the subject field to indicate content and purpose. Don'tjust say, 'Hi!" or "From Laura." Agree on acronyms to use that quickly identify actions. For example, your team could use <AR> to mean "Action Required" or <MSR> for the Monthly Status Report. It's also a good practice to include the word "Long" in the subject field, if necessary, so that the recipient knows that the message will take time to read. 9. Don't send chain letters, virus warnings, or junk mail. Always check a reputable antivirus Web site or your IT department before sending out an alarm. If a constant stream of jokes from a friend annoys you, be honest and http://of6ce.microsoft.comlen-us/outlook-belp112-tips-for-better-e-mail-etiquette-HAO01205410.aspx[811212013 9:15:37 AN41 12 tips for better e-mail etiquette - Outlook - Office.com ask to be removed from the list. Direct personal e - mail to your home e-mail _account. 10. Remember that your tone can't be heard in e-mail. Have you ever attempted sarcasm in an e-mail, and the recipient took it the wrong way? E-mail communication can't convey the nuances of verbal communicaton. In an attempt to, infer tone of voice, some people use emoticons, but use them sparingly so that you don't appear -unprofessional. Also, don't assume that using a smfey will diffuse a difficult message. 11. Use a signature that includes contact information. To ensure :hat people know ,.vho you are, include a signature that has your contact information, including your mailing address, "Veb site, and phone numbers. 12. Summarize long discussions. Scrolling through pages of replies to understand a discussion is annoying. Instead of continuing to forward a message string, take a minute to summarize it for your reader. You could even highlight or quote the relevant passage, then include your response. Some words of caution: ® If you are forwarding or reporting a message you're received, do not change the wording. If you want to repost to a group a message that you received individually, ask the author for permission first. Give proper attribution. Use these suggestions as a staring point o create e-rn ail etiquette rules that will help your team stay efficient and professional. About the author Laura Stack is the president of The Productivity Pro®, Inc, an international consulting firm in Denver, Colorado, that specializes in productivity improvement in high -stress organizations. Laura holds an MBA in Organizational Management (,University, of Colorado: 1.991) and is an expert on integrating advances in business productivity with the retention of key employees. Laura is the author of the best-selling book Leave the Office Earlier (Broad+/ay Books, 200=). Did this article help you? Yes No Not vrhat 1 was looking for N icrosof 'uL- i.i. F_c -t,r,: L Q Ti P.t"a:.' and bttp://office.microsoft.comlen-us/outlook-belp112-rips-for-better-e-mail-etiquette-HA001205410.aspx[8/12/2013 9:15:37 AM] Email Etiquette: Courtesy # 1 — Get to Know the Basics! - Net M@mnners You are here: Hon-te / Eni--=il Etiazatt_ 101 / Email Etiquette: Courtesy #1 — Get to Know the Basics! r EM-ail Etiquette: Courtesy # 1 Get t® Know the Basics By JUDI i "There are four ways, and only four ways, in which we have contact with the world. We are evaluated and classified by these four contacts: what we do, how we look, what we say, and how we say it. Dale Carnegie (1888-1955) American Educator Below are the online basics you need to become familiar with in order to be taken seriously in your online communications. ® Do not type in all caps. Typing in all caps is considered yelling, screaming or at the very least adding emphasis to the word you type. Various studies on the topic reflect that it is more difficult and takes longer to read text that is typed in all caps. And for those who question "What studies?" here is one example for your reading pleasure: Searching for words is aster with uppercase characters, but reading of continuous text is slozoer (Vartabedian., 1971), perhaps because interline masking is greater with uppercase (Iles, 1986). In addition, lowercase enhances reading efficiency http://www.netmanners.com/426/courtesy-l/[8/12/2013 9:17:14 AM] Email. Etiquette: Courtesy 41 —Get to Know, the Basics! -Net M@nners because word shvpe is helpful in ZUord recogn.7 "ion (Rit.d 7'b f & Kolers, 1984). ■ Do not leave the Subject: field blank. Always fill in the Subject: field with a brief and concise description of the content of your email. This is very important in helping those you cornznunicate with organize and manage their email. ■ Refrain from formatting your email with colored text and background colors or images in your day to day communications. Your color and formatting choices can make your emails difficult to read. Many times when folks hit Reply they have to work with your formatting carrying over to their reply - which makes communicating with you unnecessarily difficult. ■ On those rare occasions where it is necessary to send a group of people the very same email, as a courtesy to those you are sending to, please list all of the recipient's email addresses in the BCc: field. When an email address is designated in the BCc field, the recipient will get a copy of the email while their email address remains invisible and protected from the view of the other recipients of the same email - some of whom they may or may not know. ■ Never expose your contact's addresses to strangers! If you are not sure how to BCc in your email program, 1 PIS ,rr tr? r��c, E ', �� illat �r,: v I,:_ r �? ,_ _ _,e f,�i 11e C_f 7 c,,-1- =(Irt ■ Never give out phone numbers or personal information without confirming you are communicating with a reputable party. Never give out personal contact information of others without their specific permission to do so. ■ Make a reasonable effort to search a Web site for the information you are looking for - "Frequently Asked Questions" or "About Us" sections may give you the answers you seek before you take the site owner's time by emailing for information that is readily available on their site. ■ Do not use Return Receipt Request (RR) for each and every email you send because you like "knowing" when someone opens your email. The recipient should have the privacy to determine when/if they want to open, read and reply. RRs should be reserved for those instances where it is critical to each side knowing the email was opened. Such instances would include legal and important business issues. Keep in mind opened doesn't mean read and that the recipient can decline an RR request so you will not be notified of their actions. ■ Understand that you will be on a continual learning curve. All of us are. The online world is changing constantly. The only consistency is change! If you do not have the desire to leai-n you most certainly will not have the best experience possible. You also may get some terse emails from other onliners pointing such issues out to you - some may not be as nice as others. When this happens, do not fire back at them! Use situations like this as an opportunity to learn what you are doing wrong so you do not anger others and can have a more enjoyable time. http://,A,�",.netaianners,com/426/courtesy-l/[8/12/2013 9:17:14 AM] BOND NO. 360 KNOW ALL MEN BY THESE PRESENTS, That we, JFL Electric, Inc. as Principal, and The Gray Insurance Company a corporation authorized to transact a general surety business in the State of California as Surety, are held and firmly bound unto the City of Huntington Beach (hereinafter called the Obligee) in the full and just sum of TEN PERCENT OF THE AMOUNT OF THE Dollars, ($ "'10%"' ) for the payment whereof in lawful money of the United States, we bind ourselves, our heirs, administrators, executors, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the said PRINCIPAL has submitted the accompanying bid for Street Lighting Modifications, 7th Street CC No. 1425 NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, or in the event of the failure of the Principal to enter such Contract, If the Principal shall pay to the Obligee the difference not to exceed the.penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and Sealed this 19th /•> day of JFL Electric, Inc. r: Feliciano Loera, President Principal By: July 2013 YEAR The Gray Insurance Company Su Rya . Mantle, Attorney -in -Fact CALIFORNIA ALL-PURPOSE ACK NOWLEDGMENT ,. � _-'-- Z.«CoaS. State of California County of _ Orange On — Z01 3 before me, Mary Martignoni — Notary Public Date Here Insert Name and Tltle of the Officer personally appeared Ryan S. Mantle Namels) of Signerls) 0.MARY MARTIGNONI = COMM. ## 1947853 E NOTARY PUBLIC - CALIFORNIA K ORANGE COUNTY My Comm. Expires Sept. 9, 2015 who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) istare subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their 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. Signatur Place Notary Seal Above Sig re of uohary Pudic OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Ryan S . Mantle ❑ Individual ❑ Corporate Officer—Titie(s): _ Partner — ❑ Limited C General Attorney in Fact Trustee ❑ Guardian or Conservator O Other Signer Is Representing: The Gray Insurance Company RIGHTTHUM13PRIN_T OPSIGNER Number of Pages: Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact C Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: RIGHTTHUMBPRINT +OF'SIGNER Top of thumb here 02007 Nalional Notary Association- 9350 De Soto Ave.. PO Box 2402 •Chatswurth CA 91313-2402- www.NabonalNafary.org Item 85907 Reorder. Call Toll -Free 1-B00-B76-6827 THE GRAY INSURANCE COMPANY THE GRAY CASUALTY & SURETY COMPANY 1 7 7 3 6 Q GENERAL POWER OF ATTORNEY KNOW ALL BY THESE PRESENTS, THAT The Gray Insurance Company and The Gray Casualty & Surety Company, corporations duly organized and existing under the laws of Louisiana, and having their principal offices in Metairie, Louisiana, do hereby make, constitute, and appoint Les M. Mantle and Ryan S. Mantle of Fullerton, California jointly or severally on behalf of each of the Companies named above its true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its deed, bonds, or other writings obligatory in the nature of a bond, as surety, 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 of suretyship executed under this authority shall exceed the amount of $10,000,000. 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 The Gray Insurance Company and The Gray Casualty & Surety Company at meetings duly called and held on the 26t' day of June, 2003. "RESOLVED, that the President, Executive Vice President, any Vice President, or the 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 is hereby authorized to attest to the execution of such Power of Attorney, and to attach 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 signature or facsimile seal shall be binding upon the Company now and in the future when so affixed with regard to any bond, undertaking or contract of surety to which it is attached. IN WITNESS WHEREOF, The Gray Insurance Company and The Gray Casualty & Surety Company have caused their official seals to be hereinto affixed, and these presents to be signed by their authorized officers this 121h day of September, 2011. sUR.. By: Attest: y7�� STY•a•still C qq� S E A L I9 Michael Mark S. Manguno t chael T. Gray y,• President, The Gray Insurance Company Secretary, �y. �•_ a •.,•,* ,,.•� r and The Gray Insurance Company,'. • * • "'� Vice President, The Gray Casualty & Surety Company The Gray Casualty & Surety Company State of Louisiana ss: Parish of Jefferson On this 121h day of September, 2011, before me, a Notary Public, personally appeared Michael T. Gray, President of The Gray Insurance Company and Vice President of The Gray Casualty & Surety Company, and Mark S. Manguno, Secretary of The Gray Insurance Company and The Gray Casualty & Surety Company, personally known to me, being duly sworn, acknowledged that they signed the above Power of Attorney and affixed the seals of the companies as officers of, and acknowledged said instrument to be the voluntary act and deed, of their companies. Lisa S. Millar, Notary Public, Parish of Orleans t5c tee; State of Louisiana My Commission is for Life I, Mark S. Manguno, Secretary of The Gray Insurance Company and The Gray Casualty & Surety Company, do hereby certify that the above and forgoing is a true and correct copy of a Power of Attorney given by the companies, which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 19th day of July,, 2013 U R A•N�F �JP�TV,•a,SUR !Q�/A/////{Ap�/�g�./� a l ov.o In _ OQ'f �.� • 1�1 - ��!v! L�(1' S E A L FM $ E A L Mark S. Manguno, Secretary •a y, ',, v' The Gray Insurance Company f • •••'"�� y�` �� The Gray Casualty & Surety Company ACKNOWLEDGMENT eases■eeeeeeeeeeeeaeawneeweeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeo State of California County of Los Angeles) ss. On July 23, 2013 before me, Ivonne Loera-Khatib, Notary Public, personally appeared Feliciano Loera, who proved to me on the basis of satisfactory evidence to be the persons} whose nameW is/are subscribed to the within instrument and acknowledged to me that he/she" executed the same in his/ber-Ah& authorized capacity(ies}, and that by his/her/theif signaturesW on the instrument the person{s}, or the entity upon behalf of which the persons} acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature IVONNE LOERA-KHATIB Commission #+ 2028598 Notary Public - California Z Z Los Angeles County s MY Comm. Expires Jun 11, 2017 ;seal'} ■■eeeeeeeeeeeeeeeeeeee■eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee� Date of Document Type or Title of Document Number of Pages in Document Document in a Foreign Language OPTIONAL INFORMATION �ICt�2�� Type of Satisfactory Evidence: Personally Known with Paper Identification X Paper Identification Credible Witness(es) Capacity of Signer: Trustee Power of Attorney CEO/CFO/COO X President SeGFetary 1 TrcaCl firer Other: Other Information: JFL Electric, Inc. Thumbprint of Signer ❑ Check here if no thumbprint or fingerprint is available. V12008 .4I1state rotary PrepAration, Inc. - (800) 689-8456 - L.r v .all i�atenctary.Con jFL ELECTFiiC INC 8257 COMPTON AVE "TA4 wulp-F�- S,,y � f C 9 t 9 JFLELE-001 LODE CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 9/13/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER (888) 825-4322 Bowermaster & Associates P.O. Box 6026 10805 Holder Street - Suite 350 Cypress, CA 90630 NAMEAC Denise Lopez PHONE FAX A/C No Ext : 714-733-6200 219 A/C No): 714-252-8253 ADDRESS: dlopez@bowermaster.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Wesco Insurance Co. INSURED JFL Electric, Inc. 8251 -8257 Compton Ave Los Angeles, CA 90001-3915 INSURER B:Com anion Property and Casualty Group INSURER C : INSURER D : INSURER E : INSURER F : 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE AD LSUBR WVD POLICY NUMBER MM/DD/YYYY EFF MM/DDT LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY 71 CLAIMS -MADE 1XI OCCUR X Deductible: $1,000 X WPP111530900 9/16/2013 9/16/2014 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence) $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,000 X Property Damage GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X JPEC LOC PRODUCTS - COMP/OP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS WPP111530900 9/16/2013 9/16/2014 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE WUM111531100 9/16/2013 9/16/2014 EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 5,000,00 DED X RETENTION $ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A CP 1 S TO 2013 6/1/2014 X WC STATU- OTH- TDRY LIMITSI ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYE $ 1,000,00O E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) JFL Job Number: 1872 Project Name: CC-1425 Street Lighting Modifications 7th Street Project City of Huntington Beach, its officers, elected and appointed officials, employees, agents and volunteers are Additional Insured with respects to General Liability per form CG20370704 and CG20100704. Primary wording included. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Huntington Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street Huntington Beach, CA 92648- AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: WPP1115309 00 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): I Location And Description Of Completed Operations City of Huntington Beach, its officers, elected and ap- pointed officials, employees, agents and volunteers City of Huntington Beach, its officers, elected and ap- pointed officials, employees, agents and volunteers 2000 Main Street Huntington Beach, CA 92648 JFL Job Number: 1872 / Project Name: CC-1425 Street Lighting Modifications 7th Street Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 Formina a turf of Policy Number: CBP8716741 Coverage Is Provided In GOLDEN EAGLE INSURANCE CORPORATION Named Insured: Agent: JFL ELECTRIC INC I BOWERMASTER & ASSOC INS AGENCY Agent Code: 4295149 Agent Phone: (714)-733-6200 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided Under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Section li -- Who Is An Insured Is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, In whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard`. [Name Of Additional Insured Person(s) Or Organization(s); ANY PERSON OR ORG. WHEN YOU AND SUCH PERSON OR ORG. HAVE AGREED IN WRITING IN A CONTRACT, AGREEMENT OR PERMIT THAT SUCH PERSON OR ORG. BE ADDED AS AN .ADDITIONAL INSURED ON YOUR POLICY TO PROVIDE INSURANCE SUCH AS IS AFFORDED UNDER THIS COVERAGE PART. Location And [description Of Completed Operations: ANY LOCATION AT WHICH YOU PERFORM WORK DESCRIBED IN WRITING IN THE CONTRACT, AGREEMENT OR PERMIT FOR A PERSON OR ORGANIZATION THAT HAS BEEN QUALIFIED AS AN ADDITIONAL INSURED IN THIS ENDORSI=MT. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 0ISO Pmperlles, Inc., 2004 CG 20 31 (07104) NAMED INSURED: JFL Electric, Inc. POLICY NUMBER: CBP8716741 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to provision a. Printery Insurance of paragraph 4. Other Insurance under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: However, when an additional insured has been added to this Coverage Part by attachment of an endorsement, we will not seek contribution from the "additional insured's own insurance" provided that: (1) You and the additional insured have agreed in a written contract that this insurance is primary and non- contributory; and (2) The "bodily injury" or "property damage" occurs, or the "personal and advertising injury" is committed, subsequent to the execution of such contract. B. For the purposes of this endorsement the following is added to SECTION V — DEFINITIONS: "Additional insured's own insurance" means other insurance for which the additional insured is designated as a Named Insured. Includes copyrighted material of Insurance Services Office, Inc., vrith its permission. 22-111 (01/07) Page 1 of 1 1i1*61AM1-7H (Name) (Date) TO: FROM: DATE: SUBJECT CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office after signing/dating CITY OF HUNTINGTON REACH INTERDEPARTMENTAL COMMUNICATION City Treasurer City Clerk 9 � -13 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 Approved (Counci Approval Date) Agenda Item No. AD City Clerk Vault No. �Co , J SIRE System ID No. �a ��/ chi-c-��� $3,303.00 PREKIUH IS FOR CONTRACT TERM AND IS SUBJECT TO ADJUSTMENT BASED ON FINAL CONTRACT PRICE Bond No. GSK26149 E%ECUT® IN DUPLICATE ,0 z, 11, _� i � ':l: ,i' KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS, City of Huntington Beach (hereinafter referred to as "City") has, by written agreement dated August 19 , 20 13, entered into a contract with JFL Electric, Inc. 8257 Compton Ave. Los Aneeles. Ca. 90001 (name and address of Contractor) (hereinafter referred to as "Principal"), for performance of the work described as follows: Street Lighting Modifications, 7th Street from Pacific Coast Highway to Palm Avenue; CC-1425 (Project Title) WHEREAS, said contract, and all documents referenced therein (hereinafter collectively "Contract"), are incorporated herein by this reference made a part hereof as though set forth herein in full. WHEREAS, said Principal is required under the terms of the Contract to furnish a bond guaranteeing the prompt, full and faithful performance of said Contract. NOW THEREFORE, we, the undersigned, as Principal, and The Gray Insurance Company One E. Camelback Rd., Suite 550, Phoenix, AZ 85012 (name and address of Surety) (a duly admitted surety insurer under the laws of the State of California and hereinafter referred to as "Surety"), as Surety, are held and firmly bound unto City in the penal sum of ONE HUNDRED FIFTY THREE THOUSAND FIVE HUNDRED TEN AND 00/100********* Dollars ($ 153.510.00****this amount being not less than one hundred percent of the price set forth in the Contract, in lawful money of the United States, for the payment of which sum, well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly 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 be altered, amended or modified from time to time; and if the Principal shall indemnify and save harmless City and all of City's officers, agents and employees (hereinafter collectively referred to as "Obligees") from any and all losses, liability and damages, claims, judgments, stop notices, fees and costs of every description, whether imposed by law or in equity, which may be incurred by the Obligees by reason of the failure or default on the part of the Principal in the performance of any or all of the terms or the obligations of the Contract, including all alterations, amendments and modifications thereto, and any warranties or guarantees required thereunder; then this obligation shall be void; otherwise, it shall be and shall remain in full force and effect. Surety stipulates and agrees, for value received, that no adjustment of the time or price in the Contract or any alteration, change, deletion, addition or other modification to the Contract, or the work to be performed thereunder, shall in any way affect, limit, restrict, impair or release the obligations of the Surety under this Bond. Surety waives notice of any adjustment of contract time or contract price, and 177591.1 PERFORMANCE BOND Page 1 of 2 Bond No. GSM26149 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 Surety, on the date set forth below, that the name of each corporate party being affixed hereto is such party's proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body. Surety, by execution of this bond, waives any defense which Surety has or may have by reason of any failure of the Principal to execute or properly execute this bond. Dated: August 20, 2013 ATTEST JFL Electric, Inc. (Corporate Seal) VPr,,npal N e J By: N7X' Feliciano era Title: President ATTEST The Gray Insurance Company (Corporate Seal) (Surety N e)'- By: Name:R an S. Mantle (Signature of Attorney -in -Fact for Surety) (Attach Afibrney-in-Fact Certificate) t602) 354-3117 (Area Code & Telephone Number of Surety) APPROVED AS TO FORM: CITY 0 UNTINGTON BEACH aYpAnnifte±r Mc athity Aorney (Vote: This bond must be executed in duplicate and dated, all signatures must be notarized, and evidence of the authority of any person signing as attorney -in -fact must be attached. 277591.1 PERFORMANCE BOND Page 2 of 2 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Orange On '" 0 _ 20(3 before me, Mary Martignoni — Notary Public Date Here Insert Name and Title of the Officer ' personally appeared Ryan S. Mantle Name(s) of Signer(s) .- _• MARY MARTIGNONI COMM. # 1947853 NOTARY PUBLIC - CALIFORNIA � ORANGE COUNTY My Comm: Expires Sept. 9, 2015 who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signatu -- a)_�, �O Place Notary seal Above Signa re 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(ies) Claimed by Signer(s) Signer's Name: Ryan S. Mantle ❑ Individual ❑ Corporate Officer —Title(s): ❑ Partner — ❑ Limited C' General _ _ X Attorney in Fact • ❑ Trustee Top of thumb here ❑ Guardian or Conservator Other: Signer Is Representing: The Gray Insurance Company Number of Pages: Signer's Name: ❑ Individual ❑ Corporate Officer—Title(s): _ ❑ Partner — 7:1 Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator Other: Signer Is Representing: RIGHTTHUMBPRtNTI _ `OF;SIGNER _ 02007 Nalfonal Notary Associalion • 9350 De Soto Ave„ PO. Box 2402 • Chatsworll. CA 91313-2402 • w .NationalNotaryorg Item 85907 Reorder. Call Tot! -Free 9-800.876-6827 THE GRAY INSURANCE COMPANY THE GRAY CASUALTY & SURETY COMPANY 178944 ,- GENERAL POWER OF ATTORNEY KNOW ALL BY THESE PRESENTS, THAT The Gray Insurance Company and The Gray Casualty &Surety Company, corporations duly organized and existing under the laws of Louisiana, and having their principal offices in Metairie, Louisiana, do hereby make, constitute, and appoint Les M. Mantle and Ryan S. Mantle of Fullerton, California jointly or severally on behalf of each of the Companies named above its true and lawful-Attorney(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its deed, bonds, or other writings obligatory in the nature of a bond, as surety, 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 of suretyship executed under this authority shall exceed the amount of $10,000,000>__ 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 The Gray Insurance Company and The Gray Casualty & Surety Company at meetings duly called and held on the 26`h day of June 2003. "RESOLVED, that the President, Executive Vice President, any Vice President, or the 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 is hereby authorized to attest to the execution of such Power of Attorney, and to attach 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 signature or facsimile seal shall be binding upon the Company now and in the future when so affixed with regard to any, bond, undertaking or contract of surety to which it is attached. IN WITNESS WHEREOF, The Gray Insurance Company and The Gray Casualty & Surety Company have caused their official seals to be hereinto affixed, and these presents to be signed by their authorized officers this 12`h day of September, 2011. URA By: � Attest: Y, 6 g&Ar fas,.. ...N,cF \ / :{ SEAL . J Michael T. Gray MarkSecretary, S E �: 0. President, The Gray Insurance Company y�•..• ,•�� ' �• • ' �� and The Gray Insurance Company, * The Gray Casualty & Surety Company Vice President, , The Gray Casualty& Surety Company State of Louisiana Parish of Jefferson �On this 12`h day of September, 2011, before me, allotary-Public, personally appeared Michael T. Gray, PresidentofThe Gray Insurance -Company /and Vice President of The Gray Casualty & Surety Company, and Mark S. Manguno, Secretary of The Gray Insurance Company and The Gray Casualty'& Surety Company, personally known to me, being duly sworn, acknowledged that they signed the above Power of Attorney and affixed the- seals of the companies as officers of, and acknowledged said instrument to be the voluntary act and deed, of their companies. . g.Mt�% Lisa S. Millar, Notary Public, Parish of Orleans State of Louisiana • a•. Pusu , ?e '"9rFOFCo��P i My Commission is for Life I, Mark S. Manguno, Secretary of The Gray Insurance Company and The Gray Casualty & Surety Company, do hereby certify that the above and forgoing is a true and correct copy of a Power of Attorney given by the companies, which is still in full -force and effect. 1 IN WITNESS WHEREOF, I have set my hand and affixed the seals of the `Companies this �/J20th daayy//,//pouf,./�August, 2013 gURAp� i �TY d BpR�%i���" �f7"—� ;= SEAL; a SE A L Mark S. Manguno, Secretary yt a The Gray Insurance Company .%............. ,� yr •. The Gray Casualty & Surety Company J California All -Purpose Acknowledgment State of California � County of Los Angeles S.S. y Onbefore me, Teresa Loera Notary Public Name of Notary Public. Title personally appeared Feliciano Loera Name of Signer (1) N/A Name of Signer (2) who proved to me on the basis of satisfactory evidence to be the personal whose name( is/afesubscribed to the within instrument and acknowledged to me that he/sheMiey executed the same in " his'e�'h,�r,their-authorized capacity(ie&), and that by his/hefAlieif signatures on the instrument the person(&), or the entity upon behalf of which the person(}acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. SignatureV Notary Public •- TERESA LOERA U �E COMM. # 1969495 a Q4 a NOTARY PUBLIC - CALIFORNIAD LOS ANGELES COUNTY n COMM. EXPIRES FEB. 24, 2016 ' OPTIONAL INFORMATION Seal Although the information in this section is not required by law. it could prevent fraudulent removal and reattachment of this acknowledgment to an unauthorized document and may prove useful to persons relying on the attached document. Description of Attached Document The preceding Certificate of Acknowledgment is attached to a document titled/for the purpose of containing pages, and dated The signer(s) capacity or authority is/are as: ❑ Individual(e}- ❑ Attomey-in-fact xl CorporateOfficei* President Title(s) ❑ Guardian/Conservator ❑ Partner - Limited/General ❑ Trustee(s) ❑ Other: representing: JFL Electric, Inc. Name(s) of Person(s) Entity(ies) Signer is Representing © 2010 Notary Learning Center - All Rights Reserved Mo 0 0 Method of Signer Identification Proved to me on the basis of satisfactory evidence: [X form(*of identification ❑ credible witness(es) Notarial event is detailed in notary journal on: Page # Entry # Notary contact: Other ❑ Additional Signer ❑ Signer(s) Thumbprints(s) PREMIUM INCLUDED IN PERFORMANCE BOND Bond No. GSK26149 PAYMENT BOND EXECUTED IN DUPLICATE (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS that: WHEREAS, the City of Huntington Beach (hereinafter referred to as "City") has awarded to JFL Electric, Inc. 8257 Compton Ave., Los Angeles, Ca 90001 (name and address of Contractor) (hereinafter referred to as "Principal"), a contract ("Contract") for the work described as follows: Street Lif_hting Modifications, 7th Street from Pacific Coast Highway to Palm Avenue: CC-1425 (project title) WHEREAS, Principal is required under the terms of the Contract and the California Civil Code to secure the payment of claims of laborers, mechanics, materialmen, and other persons as provided by law. NOW THEREFORE, we, the undersigned Principal, and The Gray Insurance Company One E. Camelback Rd., Suite 550 Phoenix, AZ 85012 (name and address of Surety) (a duly admitted surety insurer under the laws of the State of California and hereinafter referred to as "Surety"), as Surety, are held and firmly bound unto City in the penal sum of ONE HUNDRED FIFTY THREE THOUSAND FIVE HUNDRED TEN AND 00/100******************** dollars, ($ 153,510.00************** ), this amount being not less than one hundred percent (100%) of the total price set forth in the Contract, in lawful money of the United States of America, for the payment of which sum, well and truly to be made, we bind ourselves, and each of our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT, if the Principal, his, her, or its heirs, executors, administrators, successors or assigns, or subcontractors shall fail to pay any of the persons named in Section 3181 of the California Civil Code ("Claimants") for all labor, materials or services used or reasonably required for use in performance of the work described in the Contract, or any amounts due under the Unemployment Insurance Code with respect to work or labor performed by any such Claimant, or prevailing wages due and penalties incurred pursuant to Sections 1774, 1775, 1813 or 1815 of the Labor Code, or any amounts required to be deducted, withheld and paid over to the Employment Development Department from the wages of employees of the Principal and Subcontractors pursuant to Section 13020 of the Unemployment Insurance Code with respect to the work or labor performed under the Contract, Surety will pay for the same, in an amount not exceeding the penal sum specified in this bond; otherwise, this obligation shall be null and void. This bond shall inure to the benefit of any of the persons named in Section 3181 of the California Civil Code so as to give a right of action to such persons or their assigns. In case any action is brought upon this bond, Surety further agrees to pay all court costs and a reasonable attorney's fee in an amount fixed by the court. Surety stipulates and agrees, for value received, that no change, extension of time, alteration, addition or modification to the terms of the Contract, or any contract document or any work to be performed thereunder, whether made after notice or not, shall in any way affect, impair or release the obligations of Surety under this bond. Surety hereby waives notice of any such change, 277589.1 PAYMENT BOND Page 1 of 2 Bond No. GSK26149 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 parry represents and warrants that 'this instrument has been duly executed by Principal and Surety, on the date set forth below, that the name of each corporate party being affixed hereto is such party's proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body. Surety, by execution of this bond, waives any defense which Surety has or may have by reason of any failure of the Principal to execute or properly execute this bond. Dated: August 20, 2013 ATTEST JFL Electric, Inc. (Corporate Seal) Pr icipal Nam By: e: eFel c bra President ATTEST The Gray Insurance Company (Corporate Seal) (Surety Name) ABy: _ - Name:Ry n S. Mantle (Signature of Attorney -in -Fact for Surety) (602) 354-3117 (Attach Attome y-in-Fact Certificate) (Area Code & Telephone Number of Surety) APPROVED AS TO FORM: CITY OF HUNTINGTON BEACH Jennifer Mc rath ',—City Attorney S�f 5�66 Note: This bond must be executed in duplicate and dated, all signatures must be notarized, and evidence of the authority of any person signing as attomey-in-fact must be attached. 277589.1 PAYMENT BOND Page 2 of 2 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Orange On � `Zo -20 13 before me, Mary Martignoni — Notary Public Date Here Insert Name and Title of the Officer ' personally appeared Ryan S. Mantle Names) of Signers) MARY MARTIGNON I ��' COMM. # 1947853 Z r '' NOTARY PUBLIC ..CALIFORNIAt ORANGE COUNTY - My Comm, Expires Sept. 9, p p 2015 who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official sse^al.1r_i Place NotarySeal Above Slgnatu `B Signatur of Notary Public �0 OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Ryan S Mantle D Individual ❑ Corporate Officer—Title(s): Partner — D Limited D General Attorney in Fact Trustee ❑ Guardian or Conservator D Other: Signer Is Representing: The Gray Insurance Company RIGHTTHUMBPRINT' 'OF'SIGNER'_ •• . Number of Pages: Signer's Name: D Individual . ❑ Corporate Officer —Title(s): ❑ Partner — ❑ Limited D General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator D Other: Signer Is Representing: RIGHTTHUMBPRINT OF SIGNER_ 7 here- 02007 National Notary Association • 9350 De Soto Ave., P.O. Box 2402 -Chatsworth CA 91313-2402 * w .NationalNotaryorg Item 85907 Reorder. Call Toll -Free 1-800-876-6827 THE GRAY INSURANCE COMPANY ( THE GRAY CASUALTY & SURETY COMPANY 178943 GENERAL POWER OF ATTORNEY _ KNOW ALL BY THESE PRESENTS, THAT The Gray Insurance Company and The Gray Casualty & Surety Company, corporations duly organized and existing under the laws of Louisiana, and having their principal offices in Metairie, Louisiana, do hereby make, constitute, and appoint Les M. Mantle and Ryan S. Mantle of Fullerton, California jointly or severally on -behalf of each of the Companies named above its true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver; for and on its behalf and as its deed, bonds, or other writings obligatory in the nature of a bond, as surety, 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 of suretyship executed under this authority shall exceed the amount of $10,000,000. / 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 The Gray Insurance Company and The Gray Casualty & Surety Company at meetings duly called and held on the 261h day of June, 2003. i' "RESOLVED, that the President, Executive Vice -President, any IVice President, or the 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 is hereby authorized to attest to the execution of such Power of Attorney, and to attach 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 signature or facsimile seal shall be binding upon the Company now and in the future when so affixed with regard to any bond, undertaking or contract of surety to which it is attached. IN WITNESS WHEREOF, The Gray Insurance Company and The Gray Casualty & Surety Company have caused their official seals to be hereinto affixed, and these presents to be signed by their authorized officers this 12`h day of September, 2011. l Attest: S Vi R A A, By: hJP�TY„6 SURD \C) UEA Michael T. Gray President, The Gray Insurance Company and Vice President, The Gray Casualty & Surety Company State of Louisiana / VTr . Mark S. Manguno S E A L 3 Secretary, The Gray Insurance Company, �•• The Gray Casualty & Surety Company L ss: Parish of Jefferson On this 12t' day of September, 2011, before me, a Notary Public, personally appeared Michael T. Gray, President of The Gray Insurance Company and Vice President of The Gray Casualty & Surety Company, and Mark S. Manguno, Secretary of The Gray Insurance Company and The Gray Casualty & Surety Company, personally known to me, being duly sworn, acknowledged that they signed the above Power of Attorney and affixed the seals of the companies as officers of, and acknowledged said instrument to be the voluntary act and deed, of their companies. l � *` t* Lisa S. Millar, Notary Public,vParish of Orleans State of Louisiana . ... ..... `p� My Commission is for Life I, Mark S. Manguno, Secretary of The Gray Insurance Company and The Gray Casualty & Surety Company, do hereby certify that the above and forgoing is a true and correct copy of a Power of Attorney given by the companies, which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 2Oth day ofAugust, 2013 �\C, SEAL SEAL � Mark S. Manguno, Secretary] �;; a The Gray Insurance Company The Gray Casualty & Surety Company ,�: - -,� t� - it �,i w �'y State of California S.S. County of Los Angeles On AM6)l4st G0t 2013 before me, Teresa Loera Notary Public , ,/ Name of Notary ruNic, Title personally appeared Feliciano Loera Name of Signer (1.) N/A Name of Signer (2) who proved to me on the basis of satisfactory evidence to be the person(4} whose names} isle subscribed to the within instrument and acknowledged to me that he/t rey executed the same in his/h►eHthef authorized capacity(if,*, and that by his/weir signature(s) on the instrument the personal, 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. TERESA LOERA � V EaEu WITNESS m hand and official seal. COMM. # 1969495 s NOTARY PUBLIC -CALIFORNIA LOS ANGELES COUNTY s� COMM. EXPIRES FEB. 24, 2416'i 1 Signature oVlotaryPublic Seal OPTIONAL INFORMATION Although the information in this section is not required by late, it could prevent fraudulent removal and reattachment of this acknowledginei)t to an unauthorized document and may prove useful to persons relying on the attached document. Description of Attached Document The preceding Certificate of Acknowledgment is attached to a document titled/for the purpose of containing pages, and dated The signer(s) capacity or authority is/are as: ❑ Individual(s) ❑ Attomey-in-tact XI Corporate Officer(* President Title(s) ❑ Guardian/Conservator ❑ Partner - Limited/General ❑ Trustee(s) ❑ Other: representing: JFL Electric, Inc. Name(s) of Person(s) Entity(ies) Signer is Representing 2010 Notary Learning Center - All Rights Reserved 8 Y 9�_I.rR�.Sl °.ijJp Method of Signer Identification Proved to me on the basis of satisfactory evidence: [X forrn(oof identification ❑ credible v itness(es) Notarial event is detailed in notary journal on: Page # Entry # Notary contact: Other ❑ Additional Signer ❑ Signer(s) Thumbprints(s) Company Profile Page 1 of 1 Company Profile Company Search Company Search Results Company Information Old Company Names Agent for Service Reference Information NAIC Group List Lines of Business Workers' Compensation Complaint and Request for Action/Appeals Contact Information Financial Statements PDF's Annual Statements Quarterly Statements Company Complaint Company Performance & Comparison Data Company Enforcement Action Composite Complaints Studies Additional Info Find A Company Representative In Your Area View Financial Disclaimer COMPANY PROFILE Company Information GRAY INSURANCE COMPANY (THE) P.O. BOX 6202 METAIRIE, LA 70009-6202 Old Company Names Agent For Service KARA BAYSINGER 685 MARKET STREET, 6TH FLOOR SAN FRANCISCO CA 94105 Reference Information Effective Date NAIC #: 36307 California Company ID #: 4664-9 Date Authorized in California: 02/20/2001 License Status: UNLIMITED -NORMAL Company Type: Property & Casualty State of Domicile: LOUISIANA back to top NAIC Group List NAIC Group #: 1208 GRAY INS GRP Lines Of Business The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. AUTOMOBILE BOILER AND MACHINERY BURGLARY FIRE LIABILITY MARINE MISCELLANEOUS PLATE GLASS SPRINKLER SURETY WORKERS' COMPENSATION back to top © 2008 California Department of Insurance https://interactive.web.insurance.ca. gov/companyprofile/companyprofile?event=companyPr... 9/9/2013 Certification of Compliance with Title NM of the Civil Rights Act and Equal Employment Opportunity Act of 1972 To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 Contract: 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 Equal Opportunity Act of 1972 and Executive Order 1.1246, 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 establishments 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 , California. (Type Contractor Name) By: Name: [Type Name] Title: [Type Title] E IF R n o_ A �RNEY _11') 3-_C�6"Cp 245911.1 CONTRACTOR9S CERTMC.XTE L , state and certify that: (Name of Declarant) l . 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 been paid and 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 California (list all disputed claims; if none, write "NONE"): I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at APPROVED AS TO FORM on this - day of , 20 By: ra)L q l -)-U 3 - Zo - 0Cf Name: [Type Name] Title: [Type Title] 1 (Signature of Declarant) 245914 1 Certification of Compliance with Prevailing Wage Laws To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Prevailing Wage Laws Contract: Project: The undersigned contractor on the above -referenced project ("Project") hereby certifies that all laborers, mechanics, apprentices, trainees, watchmen and guards employed by him or by any subcontractor performing work under the contract for the Project have been paid pursuant to the minimum wage and bona fide fringe benefit requirements specified for each particular classification .of work, as set forth in the wage -rate determinations of the State of California, Department of Eadustrial 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 day of 20 , at (Type Contractor Name) By: Name: [Type Name] Title: [Type Title] California. r 4 gmj FR p i _ LS o3- ab • 0_110 247542i 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 September 24, 2013 JFL Electric, Inc. 8257 Compton Avenue Los Angeles, CA 90001 Re: Street Lighting Modifications — CC-1425 The City Council awarded the bid to your company for the above referenced project. Enclosed is a copy of the executed contract with the City of Huntington Beach. A Certification of Compliance with Title VII of the Civil Rights Act, Certification of Compliance with Prevailing Wage Laws and Contractor's Certificate form must be returned to this office after the project is completed but prior to the release of retention funds. In addition, the following item must also be on file, with this office before the City can release any retention funds: A warranty bond guaranteeing the final amount of work and materials for one year. If your performance bond does not include specific wording for a one-year warranty, then a rider or separate bond must be submitted. Should you have any questions or concerns regarding the enclosures or items that must be on file in this office prior to release of retention funds, please call the Public Works Department at 536-5517. Sincerely, 01 -7pe Jn L. Flynn, CIVIC City Clerk 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 Dept. ID PW 13-057 Page 1 of 2 Meeting Date: 8/19/2013 ,w4ovcb V -D CITY OF HUNTINGTON BEACH REQUEST FOR CITY COUNCIL ACTION MEETING DATE: 8/19/2013 SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Fred A. Wilson, City Manager PREPARED BY: Travis K. Hopkins, PE, Director of Public Works SUBJECT: Award and authorize execution of a contract in the amount of $153,510 to JFL Electric, Inc. for the Street Light Modification Project on Seventh Street from Pacific Coast Highway to Palm Avenue, CC-1425; and, declare Pro Tech Engineering Corporation and Asplundh Construction as non -responsive Statement of Issue: On July 23, 2013, bids were opened for the construction of Street Lighting Modifications on Seventh Street from Pacific Coast Highway to Palm Avenue. The apparent low bidder and second apparent low bidder were deemed non -responsive and were disqualified. City Council action is requested to award the contract to JFL Electric, Inc., the lowest responsive and responsible bidder. Financial Impact: Funds in the amount of $374,725 are available in the Gas Tax Account No. 20790022.82000. Recommended Action: A) Declare the apparent low bid from Pro Tech Engineering Corporation, as non -responsive; and, B) Declare the second apparent low bid from Asplundh Construction Corporation, as non- responsive; and, C) Accept the lowest responsive and responsible bid submitted by JFL Electric, Inc., in the amount of $153,510; and, D) Authorize the Mayor and City Clerk to execute a construction contract in a form approved by the City Attorney; and, E) Authorize the Director of Public Works to execute change orders not to exceed a total of 15 percent of the contract construction costs or $23,026. Alternative Action(s): Reject all bids and provide staff with alternative direction. Analysis: This segment of the existing street lighting system is approximately 70 years old and the poles and conduits are severely rusted or corroded in many places. The system operates at 6,000 volts, whereas the current design practice is 120 or 240 volts. The combination of high voltage and the degradation of the system increase the risk in performing maintenance and construction projects in the area. The street lighting circuit is also compromised as a result of age and degradation. HB -11 s - Item 10. - 1 Dept. ID PW 13-057 Page 2 of 2 Meeting Date: 8/19/2013 The project limits will be along Seventh Street from Pacific Coast Highway to Palm Avenue. The project will include all new poles, luminaires, conduits, conductors and electrical service equipment. Bids were opened publically on July 23, 2012, and are listed in ascending order: Bidder Submitted Bid Corrected Bid 1 Pro Tech Engineering Corporation. $129,500.00 $129,550.00 2 As lundh Construction Corporation $142,585.00 3 JFL Electric, Inc. $153,510.00 4 Macadee Electrical Construction $156,369.00 5 Sully -Miller Contracting Co. $163,135.00 6 International Line Builders, Inc. $166,109.00 7 VT Electric Inc. $168,790.00 8 Siemens $177,345.00 9 Flatiron Electric Group, Inc. $178,760.00 $178,756.00 10 PTM General Engineering Services, Inc. $199,991.00 11 Steiny & Company, Inc. $226,065.00 12 California Professional Engineering, Inc. $267,400.00 13 D nalectric $282,657.00 The bid from Pro Tech Engineering Corporation was non -responsive due to apparently inaccurate responses to critical elements contained in the bid package. The bid from Asplundh was non- responsive due to insufficient references provided with the bid submittal. These issues were deemed significant enough to warrant disqualification of the bids and the bidders were promptly notified of the decision. The engineer's estimate for the bid items was $200,000. The total estimated cost for this project is $290,000 which includes the City's direct purchase of all major equipment. This practice ensures consistency of equipment among the traffic signals and street lighting maintained by the City. Direct purchase also provides the added benefit of reduced costs to the City due to elimination of contractor mark-ups, typically in excess of 20 percent on this type of equipment. Staff is requesting that the Director of Public Works be given authorization to approve change orders on this project up to 15 percent of the construction cost rather than the standard 10 percent. The request equates to a 10 percent contingency based on the total of the construction contract and the materials purchased by the City. This authorization will provide the added flexibility needed to complete a typical construction project yet still be consistent with the intent of the 10 percent limit. Public Works Commission Action: The Public Works Commission recommended this project on May 16, 2012, by a vote of 5-0-1-1. (Cook absent and McGovern abstained) Environmental Status: This project is categorically exempt pursuant to the California Environmental Quality Act, Section 15303 (c). Strategic Plan Goal: Improve the City's infrastructure Attachment(s): 1. Project Location Map Item 10. - 2 HB -116- ATTACHMENT #1 HB -117- Item 10. - 3 q '9c/q 9L PALM AVE. ACACIA AVE. �gCti(i/L� 6TH ST. ECAN AVE. 1� PROJECT LOCATION �O CIO 6/11 PACIFIC OCEAN N N.T.S. LOCATION MAP ATTACHMENT STREET LIGHTING REPLACEMENT —SEVENTH STREET CITY OF HUNTINGTON BEACH DEPARTMENT OF PUBLIC WORKS 00 Item 10. - 4 HB -118- CITY OF HUNTINGTON BEACH 2000 Main Street P.O. Box 190 Huntington Beach, CA 92648 LETTER OF TRANSMITTAL Fax (714) 374-1573 Attention: Joan L. Flynn Date: June 27, 2013 To: City Clerk's Office 2000 Main Street Huntington Beach, CA 92648 Project/C.C. No.: C.C. No. 1425 Regarding: Street Lighting Modifications - 7m Street ❑ We are sending you: ❑ By Mail ❑ By Fax Mail(Number of pages including this sheet:) ® We are hand delivering: ❑ Attached ❑ Under a separate cover via the following items: ElShop drawings ElPrints ElPlans ElSamples ElSpecifications ❑ Copy of letter ❑ Change Order ® Other: Notice Inviting Sealed Bids 4item V --- Copies .., , ,Pages , s A: _ _ ,Description 1 1 1 Notice Inviting Sealed Bids for CC-1425, Street Lighting Modifications - 7th Street between Pacific Coast Highway Route1 and Palm Avenue. 2 3 These are transmitted as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ® For your use ❑ Approved as noted ❑ Submit copies for distribution ® For your action ❑ Returned for corrections ❑ Return corrected prints ❑ For reviewlcomment ❑ Other: Remarks: Per Resolution 2012-65 (adopted on September 17, 2012), the City Council authorized the advertisement of the above Street Lighting Modifications - 7th Street between Pacific Coast Highway and Palm Avenue Project. Please find attached the Notice Inviting Sealed Bids for advertisement on 7/4/13, 7/11/13 & 7/18/13. The bid opening is scheduled for 7/23/13. Please contact me at 374-1628 with any questions you may have. cc: file By: William F. JanusaPfincipal Civil EralKeer GACoxsrxucnoN CONTRAM (CCs)\CC1425 7Ta STREET LIGHTING\NOTICE TO CLERK\NLSB TRANsmrrAL To CLERK-CC-1425(A).Doc SECTION A NOTICE INVITING SEALED BIDS for the construction of Street Lighting Modifications 7th Street CC No. 1425 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as AGENCY, invites sealed bids for the above stated projects and will receive such bids in the office of the City Clerk, Second Floor, 2000 Main Street, Huntington Beach, California 92648, up to the hour of 2:00 P.M. on July 23rd, 2013. Bids will be publicly open in the Council Chambers unless otherwise posted. Copies of the Plans, Specifications, and contract documents are available from the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648, upon payment of a $30.00 nonrefundable fee if picked up, or payment of a $45.00 nonrefundable fee if sent by UPS ground delivery (bidder shall pay additional costs for special delivery). Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California, the minimum prevailing rate of per diem wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial Relations of the State of California, which are on file at the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. The AGENCY will deduct a 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 California Government Code, Section 4590. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race, color, national origin, ancestry, sex, or religion in any consideration leading to the award of contract. No bid shall be considered unless it is prepared on the approved Proposal forms in conformance with the Instructions to Bidders as determined by the AGENCY. The bid must be accompanied by a certified check, cashier's check, or bidder's bond made payable to the AGENCY for an 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 and C-10 at the time of the bid opening. The successful Contractor and his subcontractors will be required to possess business licenses from the AGENCY. Project Description: The project consists primarily of installing new streetlights with concrete foundations, a new electrical service cabinet and new conduit with new conductors. ® The contract shall allow the Contractor 40 working days to complete the contract. ® The engineer's estimate of probable construction cost for the work included in the basis of award is $320,000. 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 17th day of September 2012, by Resolution No. 2012-65. Attest: Joan L. Flynn CITY CLERK OF THE CITY OF HUNTINGTON BEACH Ad Copy: SECTION A NOTICE INVITING SEALED BIDS for the construction of Street Bighting Modifications 7th Street CC No. 1425 in the CITY OF HUNiINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as AGENCY, invites sealed bids for the above stated projects and will receive such bids in the office of the City Clerk, Second Floor, 2000 Main Street, Huntington Beach, California 92648, up to the hour of 2:00 P.M. on July 23rd, 2013. Bids will be publicly open in the Council Chambers unless otherwise posted. Copies of the Plans, Specifications, and contract documents are available from the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648, upon payment of a $30.00 nonrefundable fee if picked up, or payment of a $45.00 nonrefundable fee if sent by UPS ground delivery (bidder shall pay additional costs for special delivery). Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California. the minimum prevailing rate of per diem wages for each craft, classification or type of workman needed to execute the contract shalt be those determined by the Director of Industrial Relations of the State of California, which are on file at the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. The AGENCY will deduct a 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 California Government Code, Section 4590. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon, The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race, color, national origin, ancestry, sex, or religion in any consideration leading to the award of contract. No bid shall be considered unless it is prepared on the approved Proposal forms in conformance with the Instructions to Bidders as determined by the AGENCY. The bid must be accompanied by a certified check, cashier's check, or bidder's bond made payable to the AGENCY for an amount no less than 101/. 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 and C-10 at the time of the bid opening. --- ad proof pg. 1 --- Me successful Contractor and his subcontractors will be required to possess business licenses from the AGENCY. Project Description:The project consists primarily of installing new streetlights with concrete foundations, a new electrical service cabinet and new conduit with new conductors. . The contract shall allow the Contractor 40 working days to complete the contract. . The engineer's estimate of probable construction cost for the work included in the basis of award is $320,000, 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 17th day of September 2012, by Resolution No. 2012-65, Attest: Joan L. Flynn CITY CLERK OF THE CITY OF HUNTINGTON BEACH PUblished H.B. Independent 7/4, 11, 18/13 - ad proof pg. 2 --- C" y„4 M1 ,� 9 Engineer's Estimate: $ BID LIST BLDDER--'S-NAAM -RANK- TOTAL BLD "OlIA'r ri rL �. � �� � C� � � � � 1� err c� � ��' �-,� f � $ l �(�; � � .--- ckk 1 bk 1A q) 6-00 k u of rv. $ 10. VY)l X.� /n 3 �5�- C�kirw $ (it 0-b 12. � � r I C r ra (A4. a $ � � 13. T --' E � f 6 14. 11 c COUNTYSTATE OF CALIFORNIA). ORANGE I am a citizen of the United States and a resident of the County of Los Angeles; I am over the age of eighteen years, and not a party to or interested in the notice published. I am a principal clerk of the HUNTINGTON BEACH INDEPENDENT, which was adjudged a newspaper of general circulation on September 29, 1961, case A6214, and June 11, 1963, case A24831, for the City of Huntington Beach, County of Orange, and the State of California. Attached to this Affidavit is a true and complete copy as was printed and published on the following date(s): Thursday, July 4, 2013 Thursday, July 11, 2013 Thursday, July 18, 2013 certify (or declare) under penalty of perjury that the foregoing is true and correct. Executed on July 25, 2013 at Los Angeles, California Signature SECTION A' NOTICE INVITING SEALED BIDS for the construction of Street Lighting Modifications 7th Street CC No. 1425 in the (ITY OF HUNTINGTON BEA(H PUBLIC NOTICE IS HEREBY GIVEN. that the CITI OF HUNTINGTON BEACH, as AGENCY,, invite, sealed bids for the above stated projects and wil receive such bids in the office of the City Clerk Second Floor, 2000 Main Street, Huntington Beach California 92648, up to .the hour of 2:00 P.M. or July 23rd, 2013. Bids will be publicly open in thf 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 s $30.00 nonrefundable fee if picked up, or payment of a. $45.00 nonrefundable fee if, , sent by UPS ground delivery (bidder shalt pay additional costs for special delivery). Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of .California, the minimum prevailing rate of per diem wage's for each craft, classification or type of .workman needed to execute the contract shall be those determined by the Director of Industrial Relations of the State of .California, which are on file at the Office of the Director of Public Works, 2000 Main Street, Huntington Beach; CA 92648. The AGENCY will deduct a 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 California' Government Code, Section 4590. The Contractor shall be beneficial owner of the 'surety and shall receive any interest thereon. . The' AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will .not. be discriminated against on', the basis of race, color, national origin, ancestry, sex, or religion in any consideration leading to the award of contract. . . No bid shall be considered unless it is prepared on the approved Proposal forms 'in conformance with the Instructions to Bidders 'as determined by the AGENCY. The bid must be accompanied by a certified check', cashier's check %or bidder's bond made payable to they 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 and C-10.at the time of the bid opening: The successful Contractor and his subcontractors will'be required to possess business licenses from the AGENCY. Project Descriptions The. project consists primarily of installing new streetlights with concrete founda;. tions, a new electrical service cabinet and new conduit with'new conductors. • The contract shall allow 'the Contractor 40 working days to complete the contract. • The engineer's estimate of probable construction cost for the work included in the basis. of award is $320,000. 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 DF HUNTINGTON BEACH, CALIFORNIA, -the 17th day of September 2012, by Resolution No. 2012-65. Attest: Joan L. Flynn CITY CLERK OF THE CITY OF HUNTINGTON BEACH PUblished H.B. Independent 7/4, 11, 18/13 1J.- UNSUCCESSFUL BIDS CC-1425 Street Light Modifications City of Huntington Beach 2000 Main Street 0 Huntington Beach, CA 92648 (714) 536-5227 ® www.huntingtonbeachca.gov Office of the City Clerk Joan L. Flynn, City Clerk September 25, 2013 Asplundh Construction Corp. 11075 Knott Ave., Ste. A Cypress, CA 90630 RE: Street Light Modifications — CC-1425 Enclosed please find your original bid bond for CC-1425. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe enclosure Sister Cities: Anjo, Japan 0 Waitakere, New Zealand ASPLUNDH AsPLUNDH CONSTRUCTION CORP. 11075 KNOTT AVE., SUITE A CYPRESS, CA 90630 OFFICE: (714) 893-2405 DANNY SMITH CELL: (714) 231-7338 Supervisor of Lighting and Traffic FAX: (714) 894-3344 EMAIL: dsmith26@asplundh.com J� , liq 14 4 w .qv "K I ';g A 'g rid , 4-J, NTP-, 4, N 10 `v . OR- ,' ,Z; z �j g,j, YOrLr"i jd A 14i 4 3wv , �E:. " 4 � A 'Th.� V jrd jf1i, , a. 'A" W 'jdb�'j� —Ij K - T r 01� 01 P Ir, E 4 n h �U p 7 A'11`14p,�e, d, 4'. & A�7 SECTION A NOTICE INVITING SEALED BIDS for the construction of Street Lighting Modifications 7th Street CC No.1425 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as AGENCY, invites sealed bids for the above stated projects and will receive such bids in the. office of the City Clerk, Second Floor, 2000 Main Street, Huntington Beach, California 92648, up to the hour of 2:00 P.M. on July 23rd, 2012. Bids will be publicly open in the Council Chambers unless otherwise posted. Copies of the Plans, Specifications, and contract documents are available from the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648, upon payment of a $30.00 nonrefundable fee if picked up, or payment of a $45.00 nonrefundable fee if sent by UPS ground delivery (bidder shall pay additional costs for special delivery). Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California, the minimum prevailing rate of per diem wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial Relations of the State of California, which are on file at the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. The AGENCY will deduct a 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 California Government Code, Section 4590. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race, color, national origin, ancestry, sex, or religion in any consideration leading to the award of contract. No bid shall be considered unless it is prepared on the approved Proposal forms in conformance with the Instructions to Bidders as determined -by the AGENCY. The bid must be accompanied by a certified check, cashier's check, or bidder's bond made payable to the AGENCY for an A-1 amount no less than 10% of the amount bid. The successful bidder shall be licensed in accordance with provisions of the Business and Professions Code and shall possess a State Contractor's License Class A and C-10 at the time of the bid opening. The successful Contractor and his subcontractors will be required to possess business licenses from the AGENCY. Project Description: The project consists primarily of installing new streetlights with concrete foundations, a new electrical service cabinet and new conduit with new conductors. The contract shall allow the Contractor 40 working days.to complete the contract. ® The engineer's estimate of probable construction cost for the work included in the basis of award is $320,000. 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 1 7th day of September 2012, by Resolution No. 2012-65. Attest: Joan L. Flynn CITY CLERK OF THE CITY OF HUNTINGTON BEACH A-2 1. Proposal Forms Bids shall be submitted in writing on the Proposal forms provided by the AGENCY. All information requested therein must be clearly and legibly set forth in the manner and form indicated. The AGENCY may reject any proposal not meeting these requirements. The bid shall be filed with the City Clerk, Second Floor City Hall, 2000 Main Street, Huntington Beach, California, which shall be endorsed with the Project Title and CC Number as it appears on the Notice Inviting Sealed Bids. The sealed envelopes will be publicly opened and read at the time and place stated in the Notice Inviting Bids. Bidders or their authorized agents are invited to be present at the opening. Unauthorized conditions, limitations, or provisions attached to a proposal will render it informal and may cause its rejection. The complete proposal forms shall be without interlineations, alterations or erasures. Alternative proposals will not be considered unless requested. No oral, telegraphic, or telephonic proposals or modifications will be considered. The proposal may be withdrawn upon request by the bidder without prejudice to himself prior to, but not after the time fined for opening of bids, provided that the request is in writing, that it has been executed by the bidder or his duly authorized representative, and that it is filed with the AGENCY. 2. Proposal Guarantee Proposals must be accompanied by a proposal guarantee consisting of a certified or cashier's check or bid bond payable to the AGENCY in the amount not less than 10% of the total amount named in the proposal. Any proposal not accompanied by such a guarantee will not be considered. Said check or bond shall be made payable to the AGENCY, and shall be given as a guarantee that the bidder, if awarded the Work, will enter into a contract within 10 working days after the award and will furnish the necessary bonds as hereinafter provided. In the case of refusal or failure to enter into said contract, the check or bond, as the case may be, shall be forfeited to the AGENCY. 3. Proposal Signature If the proposal is made by an individual, it shall be signed and his full name with his address shall be given; if it is made by a firm, it shall be signed with the copartnership name by a member of the firm who shall sign his own name and the name and address of each member shall be given; and if it is made by a corporation, the name of the corporation shall be signed by its duly authorized officer or officers attested by the corporate seal, and the names and titles of all officers of the corporation shall be given. B-1 4. Delivery of Proposal Proposals shall be enclosed in a sealed envelope plainly marked on the outside: "SEALED BID" for Street Lighting Modifications 7th Street CC-1425 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 Proposals may be mailed or delivered by messenger. However, it is the bidder's responsibility alone to ensure delivery of the proposal to the Office of the City Clerk prior to the bid -opening hour stipulated in the Notice Inviting Sealed Bids. Late proposals will not be considered. 5. Return Of Proposal Guarantees The proposal guarantees of the second and third lowest bidders will be held until the awarded bidder has properly executed all contract documents. Within 10 working days after the award of contract, the remaining proposal guarantees accompanying all other proposals will become null and void and returned to the unsuccessful bidders. 6. Taxes No mention shall be made in the proposal of Sales Tax, Use Tax or any other tax, as all amounts bid will be deemed and held to include any such taxes which may be applicable. 7. Disqualification Of Bidders In the event that any bidder acting as a prime contractor has an interest in more than one proposal, all such proposals will be rejected and the bidder will be disqualified. This restriction does not apply to subcontractors or suppliers who may submit quotations to more than one bidder, and while doing so, may also submit a formal proposal as a prime contractor. 8. Contractor's License Requirement This project requires the Contractor to possess a valid State of California contractor's license of the proper classification in accordance with the provisions of Public Contract Code Section 10164. Any bidder who does not demonstrate the ability to provide all the required licenses, including a C-10 for all electrical work (no substitutions) will be deemed no -responsive and will be disqualified from the bid. The City has carefully reviewed the requirements for this project and has determined that the specified requirements will best ensure the quality completion of this proj ect. B-2 9. References All reference information called for in the bid proposal must be submitted with the bid proposal. 10. Listing of Subcontractors Bidders shall list in the bid proposal the name and place of business of each subcontractor who will perform work or labor or render services for the Contractor in an amount in excess of one- half of one percent of the Contractor's total bid. 11. Discrepancies and Misunderstandings Bidders must satisfy themselves by personal examination of the work site, plans, specifications and other contract documents, and by any other means as they may believe necessary, as to the actual physical conditions, requirements and difficulties under which the Work must be performed. No bidder shall at any time after submission of a proposal make any claim or assertion that there was any misunderstanding or lack of information regarding the nature or amount of work necessary for the satisfactory completion of the job. Should a bidder find any errors, omissions, or discrepancies in the plans, specifications, and other contract documents or should he be in doubt as to their meaning, he shall notify the AGENCY. Should it be found necessary, a written addendum will be sent to all bidders. Any addenda issued during the bidding period shall form a part of the contract and shall be included with the proposal. 12. Equivalent Materials Requests for the use of equivalents to those specified, must be submitted to the AGENCY 10 working days prior to the need of such materials. Within that time, the AGENCY will issue a written response indicating approval or disapproval of such request. It is the sole responsibility of the successful bidder to prove to the AGENCY that such a material is truly an equivalent. 13. Legal Responsibilities All proposals must be submitted, filed, made and executed in accordance with State and Federal laws relating to bids for contracts of this nature whether the same or expressly referred to herein or not. Any bidder submitting a proposal shall by such action thereby agree to each and all of the terms, conditions, provisions and requirements set forth, contemplated and referred to in the Plans, Specifications and other contract documents, and to full compliance therewith. Additionally, any bidder submitting a proposal shall, by such action thereby, agree to pay at least the minimum prevailing per diem wages as provided in Section 1773, et. seq. of the labor code for each craft, classification or type of workman required as set forth by the Director of Industrial Relations of the State of California. 14. Award Of Contract The award of contract, if made, will be to the lowest responsible bidder as determined solely by the AGENCY. The AGENCY reserves the right to reject any or all proposals, to waive any irregularity, and to take the bids under advisement for a maximum period of 60 days. In no event will an award be made until all necessary investigations are made to the responsibility and qualifications of the bidder to whom the award is contemplated. B-3 15. Material Guarantee The successful bidder may be required to furnish a written guarantee covering certain items of work for varying periods of time from the date of acceptance of the work by the AGENCY. The work to be guaranteed, the form, and the time limit of the guarantee will be specified in the special provisions. Said guarantee shall be signed and delivered to the AGENCY before acceptance of the contract by the AGENCY. Upon completion of the contract, the amounts of the two contract bonds required in Section 2-4, "CONTRACT BONDS," of the Standard Specifications for Public Works Construction, may be reduced to conform to the total amount of the contract bid prices for the items of work to guaranteed, and this amount shall continue in full force and effect for the duration of the guarantee period. However, the Labor and Material Bond can not be reduced until the expiration of 35 days after the date of recordation of the Notice of Completion. 16. Execution of Contract The successful bidder shall execute a written contract with the AGENCY on the form of agreement provided, and shall secure all insurance and bonds required by the Specifications within 10 working days from the date of the award. Failure to enter into a contract shall be just cause for the annulment of the award and the forfeiture of the proposal guarantee. If the successful bidder fails to execute the contract, the AGENCY may award the contract to the second lowest responsible bidder. If the second lowest responsible bidder fails to execute the contract, the AGENCY may award the contract to the third lowest bidder. On the failure of such second or third lowest responsible bidder to execute the contract, such bidder's guarantees shall be likewise forfeited to the AGENCY. The work may then be re -advertised. 17. Submission of Bonds And Insurance The successful bidder will be required to furnish the necessary bonds and insurance to the AGENCY within 10 working days from the award of contract. See Appendix F for the City approved Payment and Performance Bond Forms. The Contractor may use any standard form for the Bid Bond. The successful bidder shall provide a certificate stating that the bonding company is admitted to do business in the State of California. This certification may be obtained from the Executive Officer and Clerk of the Superior Court at the following address & phone: Orange County Superior Court Probate Court Operations 341 The City Drive P.O. Box 14171 Orange, CA 92613-1571 (714) 935-6061, Contact Linda C. Wallace Prior to the issuance of the Notice to Proceed, the AGENCY must be furnished with a Policy Endorsement, from the successful bidder's insurance company, naming the AGENCY as an additional insured. B-4 18. Addenda The effect of all addenda to the contract documents shall be considered in the bid package and said addenda shall be made part of the contract documents and shall be returned with the bid package. Failure to submit any such addenda with the bid package may render the bid irregular and may result in its rejection by the AGENCY. 19. Bid Protest To be considered timely, a bid protest must be filed within the following time limits: (a) Protests based upon alleged defects or improprieties in the bid documents shall be filed prior to the date of bid opening. (b) All other protests must be filed within five calendar days after the protester knew or should have known the basis of the protest, but no later than five calendar days after the date of when the Bids were due to the AGENCY. 20. Questions to the Engineer Questions regarding the bid documents (i.e. plans, specifications, contract documents, bid forms, etc.) will be received by the Engineer up to five working days prior to the bid opening as specified in SECTION A. Questions asked of the Engineer after this time will not be addressed. B-5 SECTION C PROPOSAL for the construction of Street Lighting Modifications 7th Street from Pacific Coast Highway to Palm Avenue CC No. 1425 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. The undersigned acknowledges that the issuance of the Notice to Proceed will occur approximately two months after the award of the contract to allow procurement time for city furnished equipment. 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 C-1 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. 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 A��'`4 in the amount %J $ which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda moo: Dat�:l2eceived .� Bidder's Sa nature Nfl N 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 and the portion of the work to be done by such subcontractor. y r Number dt+ S cmae-novusL da��� v n t�10. o o a 4o 00 Aasz-7A 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 Project Bid Schedule Street Lighting Modification-7thStreet CC-1425 ............. 1 L.S. V;Ord 0 Mobilization. @- k $ ZOOO 1 'dam $ 2,000 2 1 L.S. Per L.S-. Fumish Project Traffic Control. 3 18 EA. Per L. S. Install New Street Light Pole, Foundation and Luminaire. @ $ 1960- $ 3 4 23 EA. Per EA. Remove and Salvage Existing Street Light Pole, Luminaire and Foundation (Includes Restoration of Surrounding Area). $ Q (3 5 1 L.S. Per EA. Install New Type III Service Cabinet (Includes Service Cabinet Foundation). @ $ $ 6 1 L.S. Per L.S. Fumish and Install Pull Boxes, Conduit and New Conductors in New Conduit (Includes Pavement Restoration). $ 00 $ '74(000 Per L.S. 7 1 L.S. Relocate Roadway and Street Name Signs. $ 1-200 Per L.S. 8 200 L.F. Remove Existing Curb and Gutter and Install New Curb and Gutter per City Standard Plan 202 (Locations to be Determined by the Engineer). M'0000— Per L.F- oa Total Amount Bid in Figures: Total Amount Bid in Words: Note: The City will provide poles, luminaries and the electrical service cabinet as indicated on the plans at no cost to the contractor. The contractor is to pick up the materials at the City Yard, 17371 Gothard Street, Huntington Beach. Contact George Ruff two working days in advance for pick up at (714) 536-5530. C-2.1 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on , at , Date City State being first duly sworn, deposes and says that he or she is 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. AI3?LWYDJ awriel. ILP. I �LID 7�1 IC ►JULUJ a) -lc Address of Bidder C-4 . Za. . Q0U D 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 Street Lighting Modifications - 7th Street CC-1425, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved. " The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal -OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Date: r7 1-z 3113 C-5 AsaQODA ews-te,. CCVLP MAN Title DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes L kNo 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: 7 Je2,51 1 3 C-7 Title BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: 4,a-vu� 6 � Bidder Name Business Address �DQ.UJALl(f 6& goto�-o City, State Zip Telephone Number $8") L L= 0 C c o/ 4 State Contractor's License No. and Class \k 130 fob Original Date Issued `\ /-3o 11 � Expiration Date The work site was inspected byz6gtA41c1�j of our office on 60 ll ($ , 2013. 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. - Aseww� &�S'Tlcz' - Company eA .4 Printed or Typed Signature Subscribed and sworn to before me this L/Lday of 201N . NOTARY PUBLIC NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1. E k CC4c�7 2. a Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work. Date Completed Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed C-9 2075042 2075043 2075044 Closed Closed Cl City of Anaheim City of Anaheim 38,34 38,77 MA#24 MA#20 Eisenhower & Bryson Firmenich Plant Broadway Y $ 393,218.00 $ 204, 288.00 2075045 Closed SCE - 38 4500500411 _'rook-�tcirst-&-YVmTmr--Fuamzff-qllley Blue Moon 12 kv - Main St, 4th, Ramon - Corona , $ 112,830.00 2075046 Closed SCE 38 4500501 154 Golden Bear 12kv - 7 1 /2 & Grangeville - Hanford $ 148,069.00 2075047 Closed City of Riverside 38 1 119438-02 Jane & Indiana $ 107,984.22 2075048 Closed SCE 38 4500503859 Marbuck 12 kv - Holt & East End - Pomona $ 106,745.00 2075049 Closed City of Anaheim 38,34,77 MA#22 ACC Grand Plaza $ 351,974.00 2075050 Canceled City of Riverside 38 1 119440-02 I Oth & Lime $ _ 2075051 Closed SCE 38 Diablo Yard $ 133,335.00 2075052 Closed City of Anaheim 34 MA#29 Smart Grid $ 131,036.00 2075053 Closed WE O'Neil 38,77 712505 Street Lights @ Harbor & Katella $ 1.64,000.00 2075054 Closed City of Riverside 38 1217689 3801 Mission Inn $ 13,426.00 2075055 Closed City of Riverside 38,34 1217690 Fiesta & Imperial $ 218,480.70 2075056 Closed City of Riverside 77 7044 Signal Interconnect Various Locations $ 165,490.00 Z075057 Closed SCE 38 4500511107 Beach Blvd. s/o Chapman - Garden Grove $ 100,480,50 Z075058 Closed SCE 38 450051 1098 Puente & Woodcrest - Brea $ 1444,333.60 t075059 Closed City of Riverside 38 1218422-01 3560 Arlington / Indiana $ 17,861.00 >075060 Closed SCE 38 4500513079 Harvard & Berkeley / Campus & Cornell - Irvine $ 38,213,00 1075061 Closed SCE 38 4500512668 Aliso Viejo Pkwy, Aliso Creek Rd, Alicia - Laguna Niguel $ 240, ! 74.30 t077009 Closed City of Anaheim 77 MA# 17 35 Street Lights $ 66,671.59 !077037 Closed City of Anaheim 77 MA#19 105 Street Lights $ 497,080.25 !075062 Closed City of Anaheim 34 MA#30 Pole Inspections & Replacements - Various Locations $ 482,564.00 !075063 Closed City of Riverside 38,34 1202317 1540 Overlook Pkwy from Golden Star to Via Montecito $ 90,860.00 D75064 Closed SCE 38 Rio Hondo Substation $ 69,500.00 V5065 Open Clark 38,34 Artic $ 2,164,404.10 .075066 Closed SCE 38 Villa Park Substation $ 11,685.32 ,07S067 Open City of Anaheim 38,34 MA#9 DB#9 $ 2,229,715.20 075068 Closed SCE 38,34 4500524947 Addis 16kv - Redondo Beach $ 376,660.00 075069 Closed SCE 38 4500528082 Rhine 12kv - Rivergrade & Commerce - Irwindale $ 72,125.00 075070 Closed City of Riverside 38,34, 1121193 Chicago - Vault Restoration $ 361,529.50 075071 Closed City of Riverside 1306553 La Cadena $ 56,090.00 075072 Closed City of Riverside 38 1305599 Via Zapata $ 9,500.00 075073 Closed PGE 38 Arroyo Grande $ 461,207.71 075074 Closed City of Riverside 38,77 1306553 Prince Albert $ 10,792.00 )75075, Closed City of Riverside 38,34 1202444 Bubbling Well & Lazy Circle $ 144,077.25 )75076 Closed GMC Engineering 77,38 Newport Beach Potholing T&E $ )75077 Closed City of Anaheim 38,77 MA#7 Bell & Cliffpark $ 496,340.80 )71494 Closed SCE 38,34,77 TD558678 Raton 4kv - Paramount - Lakewood $ 83,893.00 )75078 Closed City of Riverside 38,34,77 1305987 1530 Cap Bank @ Kramena & Meadow $ 38.831.75 _ STEVE HOWARD CHIEF CONSTRUCTION INSPECTOR PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION ==+, 951.826.5708 office f 951.712.3904 cell . 951.826.2460 fox showard@riversideco.gov City JAl_ d�lnmm�tion 3900 Main Street • Riverside, CA 92522 IsJulian Cardenas Utilities Supervising Engineering Technician (Electrical) Riverside Public Utilities 951-826.5937 direct 951.351.6324 fax icardenas@riversideco.gov 1 lms treet •Riverside, CA 92504 _— — Joann Wu, P.E. Octavious 0. Orona Construction Contracts Specialist Electric Systems Designer iwu@anaheim.net j oorona@anaheim.net DEPARTMENT OF PUBLIC WORKS PUBLIC UTILITIES DEPARTMENT Construction Services Division Electric Systems Division 200 S. Anaheim Blvd., Suite 276 909 E. Vermont Avenue �a Anaheim, California 92805 Anaheim, California 92805 P.O. Box 3222, #16 : A TEL (714) 765-5157 ! Anaheim, California 92803 FAX (714) 765-4409 i TEL (714) 765-6804 GEL (714)240-3304 enni.anaheim.net 1 FAX (714) 765-6851 viww-anaheim.net Roderick Yong, P.E. Senior Electrical Systems Designer ! Mary Li, P.E. yong9,auheirn.net Associate Power Engineer mliaanaheim.nel PUBLIC UTILITIES DEPARTMENT Electrical Engineering Division I PUBLIC UTILITIES DEPARTMENT j 201 I S. Anaheim Blvd., 5701 I Anaheim, CA 92805 Electrical Engineering Division 201 S. Anaheim Blvd., Ste. 701 d 1 _ Anaheim, CA 92805 TEL (714) 765-4523 c gg r-L-' FAX (714) 765-5221 P.O. Box 3222, #701 ® Anaheim, CA 92805 virm.anaheim.net I TEL (714) 765-4216 FAX (714) 765-5221 ,..,uo =hnim nnl ( CELL(714) 412-5679 CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of Pennsylvania County of Philadelphia On 7/18/2013 before me, Maureen McNeill, Notary Public (Here insert name and title of the officer) personally appeared Elizabeth Marrero 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 PA that the foregoing paragraph is true and correct. COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL WITNESS, my hand and official seal. MAUREEN McNEILL, Notary Publk city of Philadelphia, Phila. county 4, A 13 Q My Commission Expires (Notary Seal) Signature of Notary Public ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT Asplundh Construction Corp. - Bid Bond (Title or description of attached document) for City of Huntington Beach (Title or description of attached document continued) Number of Pages 6 Document Date 7/18/2013 (Additional information) CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer (Title) ❑ Partner(s) A Attorney -in -Fact ❑ Trustee(s) ❑ Other INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in California must contain verbiage exactly as appears above in the notary section or a separate acknowledgment form must be properly completed and attached to that document. The only exception is if a document is to be recorded outside of California. In such instances, any alternative acknowledgment verbiage as may be printed on such a document so long as the verbiage does not require the notary to do something that is illegal for a notary in California (i.e. certifying the authorized capacity of the signer). Please check the document carefully for proper notarial wording and attach this form if required. • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he/sheJthey; is /ere ) or circling the correct forms. Failure to correctly indicate this information may lead to rejection of document recording. • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re -seal if a sufficient area permits, otherwise complete a different acknowledgment form. • Signature of the notary public must match the signature on file with the office of the county clerk. Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. Indicate title or type of attached document, number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). • Securely attach this document to the signed document 2008 Version CAPAv12.10.07 800-873-9865 www,NotaryClasses.com NO 6516 STATE OF CALIFORNIA DEPARTMENT OF INSURANCE SAN FRANCISCO Amended Certificate of Authority THIS Is To CERm7y, That, pursuant to the Insurance Code of the State of California, Travelers Casualty and Surety Company of America Of Hartford, Connecticut , organized under the laws of Connecticut , subject to its Articles of Incorporation or other fundamental organizational documents, is hereby authorized to transact within this State, subject to all provisions of this Certificate, the following classes of insurance: Fire, Marine, Surety, Disability, Plate Glass, Liability, Workers' Compensation, Common Carrier Liability, Boiler and Machinery, Burglary, Credit, Sprinkler, Team and Vehicle, Automobile, Aircraft, and Miscellaneous as such classes are now or may hereafter be defined in the Insurance Laws of the State of California. Tms CERTIFICATE is expressly conditioned upon the holder hereof now and hereafter being in full compliance with all, and not in violation of any, of the applicable laws and lawful requirements made under authority of the laws of the State of California as long as such laws or requirements are in effect and applicable, and as such laws and'requirements now are, or may hereafter be changed or amended Ix WrrNms WHEREOF, effective as of the_____.L t-__—____day n'l aei Bond No.: KNOW ALL MEN BY THESE PRESENTS, TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA Hartford, Connecticut 06183 That we, ASPLUNDH CONSTRUCTION CORP. as Principal, hereinafter called the Principal, and TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, of Hartford, Connecticut, a corporation duly organized under the laws of the State of Connecticut, as Surety, hereinafter called the Surety, are held and firmly bound unto CITY OF HUNTINGTON BEACH as Obligee, hereinafter called the Obligee, in the sum of Ten percent of amount bid. Dollars ($ 10% of Amount Bid ), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for Construction of Street Lighting Modifications 7th St. -CC No. 1425 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, 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 18th day of July 2013 ASPLUNDH CONSTRUCTION CORP. Brad Ellis fitness) AA � (Principal) (seal) (Name & Titie) I&nnis A. Stapola Ass.t.Secretary(Ins./Bonds) C6 1 I G;I I� ( L� / IJ TRAVELERS CASUALTY AND S Y COMPANY OF AMERICA Bianca M. Phillips, Witness V4. _ - �n Elizabeth Marrero `r Attorney -in -Fact WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED POWER OF ATTORNEY TRAVELERSJ Farmington Casualty Company St. Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company of America St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St. Paul Guardian Insurance Company Attorney -In Fact No. 222636 Certificate No. 0 0 `� 4 1 7 ©5 3 KNOW ALL MEN BY THESE PRESENTS: That St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company and St. Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Minnesota, .that Farmington Casualty Company, Travelers Casualty and Surety Company, and Travelers Casualty and Surety Company of America are corporations duly organized under the laws of the State of Connecticut, that United States Fidelity and Guaranty. Company is a corporation duly organized under the laws of the State of Maryland, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws.of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc., is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint Darella White, Richard G. Dicciani, Richard A. Jacobus, Mary C. O'Leary, Douglas R. Wheeler, Maureen McNeill, Wayne G. McVaugh, Rosemarie Caponi, Elizabeth Marrero, and Sandra E. Bronson of the City of Philadelphia State of Penna�ilvania their true and lawful Attorneys) -in -Fact, each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. Any and all consents required by the Department of Transportation, or the Orlando -Orange County Expressway Authority, State of Florida, incident to the release of retained percentages and/or final estimates. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 18th day of July 2011 Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. St. Paul Fire and Marine Insurance Company St. Paul Guardian Insurance. Company St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company GAS U,��A V TM J.e'flR`M61y JO�I.N. �NSL9 '.P1•INS�g4•..�' gJ�tY ANO SG �fNs16^3Ni�„ �\��jTYA�C 02 Oc+Paq,r I. c :F 6 o < �i f<LO RPOR�>F�m, W i�,0ORATFrymt K I RKpdIIW1ED '- 6 ci a CaIPoltATO) r r RTFOROtl4RTFdA0.1 r5 ONN. 0 1896 -I obi �`SEAL;�o 'you�:_SEAL•,%a � r° 1•y ., �a� i *� 4,�� ryr+� �«�T \ =S .yANd3 r 1S .. ...*�d�r `b1 �,��D �!1°�ryu�. '��� A!N State of Connecticut City of Hartford ss. By: Georg Thompson, enior ice President 18th July 2011 On this the day of before me personally appeared George W. Thompson, who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being; authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. Sow) In Witness Whereof, I hereunto set my hand and official seal.My Commission expires the 30th day of June, 2016. �n& c Marie C. Tetreault, Notary Public 58440-6-11 Printed in U.S.A. WARNING: THIS POWER OF ATTORNEY WITHOUT THE RED BORDER TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA HARTFORD, CONNECTICUT D61133 FINANCIAL STATEMENTAS OF JUNE 30, 2012 CAPITAL STOCK; 6,480,000 CASH AND INVESTED CASH $ . 65,614,963 UNEARNEDPREMIUMS. $ 785,711,895 BONDS 3,754,152,718 LOSSES 944,558,984 INVESTMENT INCOME DUE AND ACCRUED 50,520,355 REINSURANCE PAYABLE ON PAID LOSSES &LOSS ADJ. EKPENSES 2,315,710 OTHER INVESTED ASSETS 243,572,491 LOSS ADJUSTMENT EXPENSES 559,884,307 PREMIUM BALANCES 198,368,364 COMMISSIONS 21,976766 NET DEFERRED TAXASSET 67.279,574 TAXES, LICENSES AND FEES 61,327651 REINSURANCE RECOVERABLE 13,808,924 OTHE2EXPENSES 22,983,597 SECURITIES LENDING REINVESTED COLLATERAL ASSETS 5,705,078 FUNDS HELD UNDER REINSURANCE TREATIES 95,672,940 RECEIVABLESFORSECURTRES 4,077,723 CURRENT FEDERAL AND FOREIGN INCOME TAXES 13,013,431 UNDISTRIBUTED PAYMENTS 4,331,281 REMITTANCES AND ITEMS NOT ALLOCATED 8.699.760 O•FHERASSETS 476.991 AMOUNTS WITHHELD/ RETAINED BYCOMPANYFOROTHERS 27.914.735 RETROACTIVE REINSURANCE RESERVE ASSUMED 3,129,799 POLICYHOLDER DIVIDENDS 6,701,388 PROVISION FOR REINSURANCE 5,397,371 PAYABLE TO PARENT, SUBSIDIARIES AND AFFILIATES 45,855,798 PAYABLE FOR SECURITIES 5,225,141 PAYABLE FOR SECURITIES LENDING 5,705,078 CEDED REINSURANCE NET PREMIUMS PAYABLE (40,844.460) ESCHEAT LIABILITY 521,944 OTHERACCRUED EXPENSESAND LIABILITIES 725,085 TOTALLIABILITIES $ 4575,874,900 CAPITALSTOCK $ 6,480,000 PAID IN SURPLUS 433.803,760 DTHERSURPLUS 1,39D,749,801 TOTAL SURPLUS TO POLICYHOLDERS S 1-831,033,581 TOTAL ASSETS $ 4,407,908.462 TOTAL LIABILITIES&SURPLUS 3 4.407,908, 662 STATE OF CONNECTICUT 3 GOUMY OF i-LARTFORD )SS. WY C OF HARTFORD MICHAEL J. DOODY, BEING DULY SWORN, SAYS THAT HE IS SECOND VICE PRESIDENT, OF TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, AND Ti TAT TOTHE BEST OF HIS K14OWLEDUE AND BELIEF, THE FOREGOING IS ATRUEAND CORRECT STATEMENT OF THE FINANCIAL CONDITION OF SAID COMPANYAS OF THE 30TH DAY OF JUNE, 20I2. SUBSCRIBED AND SWORt t T O BEFORE ME Tr11S 20TH DAY OF AUGUST, 2012 L`- Frf` jrFlf fSf` `\\t� SECOND VICE PRESIDENT NDTARY PUBLIC SUSANU MISSLEDER Aratnr}, Fublia bI,CarmrPssim urn:res Alovesuber 30, 2617 STATE OF PENNSYLVANIA COUNTY OF MONTGOMERY On this 18th day of July, 2013, before me came Dennis A. Stapola to me known, who, being by me duly sworn, did depose and say that he resides in Audubon, PA that he is Asst. Secretary(Ins./Bonds) of Asplundh Construction Corp. the corporation described in and which executed the forgoing instrument as principal; that he knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation and the he signed his name thereto by like order Subscribed and sworn to me. before this 18th day of July, 2013 A.D. My OF KNNsnvA" NO. MNMWAW CTv EWpi a Apt 20, 20t? Notary blic: Regina Orsino My commission expires: 04/30/17 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 September 25, 2013 California Professional Engineering, Inc. 929 Otterbein Ave., Unit E La Puente, CA 91748 RE: Street Light Modifications — CC-1425 Enclosed please find your original bid bond for CC-1425. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand From: California Professional Engineering, Inc. 929 Otterbein Ave, Unit E La Puente, CA 91748 "SEALED BID" for Street Lighting Modifications tr 7 Street CC-1425 in the CITY OF HUNTINGTON BEACH — DO NOT OPEN WITH REGULAR MAIL DELIVER TO OFFICE OF THE CITY CLERK, 2000 MAIN STREET, SECOND FLOOR SECTION C PROPOSAL, for the construction of Street Lighting Modifications 7tn Street from Pacific Coast Highway to Palm Avenue CC No. 1425 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. The undersigned acknowledges that the issuance of the Notice to Proceed will occur approximately two months after the award of the contract to allow procurement time for city furnished equipment. 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 C-1 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. 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 the amount of,,$-' 10 c� - which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of. all Addenda here, if any: C-2 Project Bid Schedule Street Lighting Modification-7hStreet CC-1425 I NJ , "a, Mobilization. rC� $ 1 pm $ Per L.S. 2 1 L.S. Furnish Project Traffic Controll. $ Per L.S. 3 18 EA. Install New Street Ligh Pole, Foundation and Luminaire. nnE-. N $ Per EA. 4 23 EA. Remove and Salvage Existing Street Light Pole, Luminaire and Foundation (Includes Restoration of Surrounding Area . $4SD $ lo 3SO 5 L 1 L.S. Per EX. Install New Type III Service Cabinet (Includes Service Cabinet Foundation) @ Per L.S. $ $ 6 1 L.S. Fumish and Install Pull Boxes, Conduit and New Conductors in New Conduit (Includes Pavement Restoration). $ $ q4!O�-"G%k Per L.S. JL- ee 7 1 L.S. Relo te Roadway andt N e Signs. $ $ Per L.S. 8 200 L.F. Remove Existing Curb and Gutter and Install New Curb and Gutter per City Standard Plan 202 (Locations to be Determined by the Engineer). $ $ Per L.F. -J1 Total Amount Bid in Figures: $_11(0-1 1 1iW Total Amount Bid in Words: Note: The City will provide poles, luminaries and the electrical service cabinet as indicated on the plans at no cost to the contractor. The contractor is to pick up the materials at the City Yard, 17371 Gothard Street, Huntington Beach, Contact George Ruff two working days in advance for pick up at (714) 536-5530, 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 subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. In Roo'c,a I {� �ks' I ti ('0 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 N®NC®LLUSI®N AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the St4o of California that the foregoing is true and correct and that this declaration is executed on1 ri. , , at W N;eo& , Da e City State Van Nguyen , being first duly sworn, deposes and says that he or she is President of ; party making the foregoingbid that the bid is not made in e iNe'res o , or on 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. California Professional Engineering Name f Bidder Signature of Bidder Carmia professional Engineering, Inc. 929 otterbein Ave. Unit E Address of i der 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 Street Lighting Modifications - 7tn Street CC-1425, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved. " The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal -OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Date: -71a3l&U 13 C-5 _ California Professional Engineering Contractor Van Nguyen By Pr�stden# Title DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes Q-j�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. MR, 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: C-7 California Professional Pnainerin� Contractor K Van Nguyen By Title President :;err � �t�� •��� BIDDER certifies that the following information is true and correct: Bidder Name California Professional Engineering, Inc, Business Address 929 er ein Ave. unit yi Puente, CA 91748 City, ((03-(O ) glC) _ 13?9 Telephone Number 01 I PRc—�cD State Contracitor's License No. and Class cD,4 �t kV CA Original Date Issued (DH'3C�- I -a'b%5 Expiration Date The work site was inspected by Van Nguyen State Zip of our office on s) � .-)� , 2013. The following are persons, firms, and corporations having a principal interest in this proposal: California Professional Engineering 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. California Professional Eni Company Signature of BiddS'' , Van Nguyen Printed or Typed Signature Subscribed and sworn to before me this day of , 201E . NOTARY PUBLIC SHIRLEY VONG �n COMMJ 1885818 NOTARYPUBLIC -CALIFORNIA N Los ANGELES COUNTY MY COMM. EXP. APR. 15, 2014 i NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 2. 3 Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Name and Address of Public Agency Type of Work Name and Telephone No. of Project Manager: Contract Amount Name and Address of Public Agency Type of Work Name and Telephone No. of Project Manager: Contract Amount Type of Work C-9 Date Completed Date Completed Date Completed Street Light Installation — Guinida Lane Amount: $202,345.50 Owner: City of Anaheim Project Manager: Mark Brownrigg Contact Phone #: (714) 765-4300 Ext. 4596 Status: Completed Traffic Signal Svstem Upgrade Phase V-VllI Amount: $292,175.99 Owner: City of Santa Ana Project Manager: William Albright Contact Phone #: (714) 647-5029 Status: Completed h L_� Last Updated 01 /01 /2013 July 16, 2013 Page 2 Traffic Signal Modification at Brookhurst Amount: $237,213.67 Owner: City of Huntington Beach Project Manager: John Griffin Contact Phone #: (714)375-5011 Status: Completed THE AMERICAN INSTITUTE OF ARCHITECTS AIA Document A310 Bid Bond BOND # 20130717 KNOW ALL MIEN BY THESE PRESENTS, that we CALIFORNIA PROFESSIONAL ENGINEERING, INC. DBA CALIFORNIA PROFESSIONAL ELECTRICAL ENGINEERING 929 Otterbein Avenue, Suite E Rowland Heights, CA 91748 (Here insert full name ,and address or legal title of Contractor) as Principal, hereinafter called the Principal, and THE HANOVER INSURANCE COMPANY 333 City Boulevard West, 17th FI. Orange, CA 92868 (Here insert full name ,and address or legal title of Surety) a corporation duly organized under the laws of the State of NH as Surety, hereinafter called the Surety, are held and .firmly bound unto CITY OF HUNTINGTON BEACH 2000 Main Street Huntington Beach, CA 92648 (Here insert full name ,and address or legal title of Owner) as Obligee, hereinafter called the Obligee, in the sum of Ten Percent of Amount Bid------------------------------------------ Dollars ($ 10.00% ), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for STREET LIGHTING MODIFICATIONS - 7TH STREET (Here insert full name, address and description of project) NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 17th day of July, 2013 (Witness) (Witness). CALIFORNI PR F -S , L ENGINEERING, INC. DBA CALIFORNIA OFESSIO L LECTRICAL ENGINEERING (Princip ) (Seal) ` (Title) Van.Nguyenila THE HANOVERIlSN URANCE COMPAN � Yung T. MulliqV, Attorney -in -Fact AIA DOCUMENT A310 BID BOND AIA O FEBRUARY 1970 ED THE AMERIC INSTITUTE OF ARCHITECTS, 1735 N.Y. AVE., N.W. WASHINGTON, D.C. 20006 ACKNOWLEDGMENT State of California County of Los Angeles ) On �1 2 �3 before me, Shirley Vong, Notary Public (insert name and title of the officer) personally appeared Van Nguyen who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS Signature eal) SHIRLEY VONG Comm # 1885818 t�pp N NOTARY PUBLIC -CALIFORNIA Uri LOS ANGELES COUNTY A *—my comm. UP. APR. 15, 2U14 F ACKNOWLEDGMENT State of California County of Orange ) On July 17, 2013 before me, Jennifer C. Anaya, Notary Public (insert name and title of the officer) personally appeared Yunja T. Mullick , who proved to me on the basis of satisfactory evidence to be the person() whose name(l) islaya subscribed to the within instrument and acknowledged to me that he/zheftey executed the same in hiskPecJ&jek authorized capacity(*, and that by his/binkhaiz signature(s) on the instrument the person(*), or the entity upon behalf of which the person(ja) 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 Signature / SOX/ V (Seal) C14 pggPc OF rNFsv JENNIFER C. ANAYA COMM. # 1974158 X NOTARY PUBLIC-CALIFORNIA r � ORANGE COUNTY U) MY COMM. EXP. MAY 2, 2016 THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWERS OF ATTORNEY CERTIFIED COPY KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY, both being corporations organized and existing under the laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a corporation organized and existing under the laws of the State of Michigan, do hereby constitute and appoint James W. Moilanen, Yung T. Mullick, and/or Jennifer C. Anaya of Mission Viejo, CA and each is a true and lawful Attorney(s)-in-fact to sign, execute, seal, acknowledge and deliverfor, and on its behalf, and as its act and deed any place within the United States, or, if the following line be filled in, only within the area therein designated any and all bonds, recognizances, undertakings, contracts of indemnity or other writings obligatory in the nature thereof, as follows: Any such obligations in the United States, not to exceed Ten Million and No/100 ($10,000,000) in any single instance and said companies hereby ratify and confirm all and whatsoever said Attorney(s)-in-fact may lawfully do in the premises by virtue of these presents. These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Companies which resolutions are still in effect: "RESOLVED, That the President or any Vice President, in conjunction with any Vice President, be and they are hereby authorized and empowered to appoint Attorneys -in -fact ofthe Company, in its name and as its acts, to execute and acknowledge for and on its behalf as Surety any and all bonds, recognizances, contracts of indemnity, waivers of citation and all other writings obligatory in the nature thereof, with power to attach thereto the seal of the Company. Any such writings so executed by such Attorneys -in -fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers ofthe Company in their own proper persons." (Adopted October 7, 1981 - The Hanover Insurance Company; Adopted April 14, 1982 - Massachusetts Bay Insurance Company; Adopted September 7, 2001 - Citizens Insurance Company of America) IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals, duly attested by two Vice Presidents, this 3cd day of January 2012, THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANICE COMPANY i ,;f CITIZENS, SURANCE POMPANY OF AMERICA i REAL J f �7 f J 1974 Robed Thomas. Vice Przsident THE COMMONWEALTH OF MASSACHUSETTS ) COUNTY OF WORCESTER ) ss. Joy i miristrntn tCe Pra:si.dent On this 3rd day of January 2012 before me came the above named Vice Presidents of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, to me personally known to be the individuals and officers described herein, and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of said Corporations. "+r BARBARAA,GARLiCx Netary aacifPublic �. ti Sa[�?t.2r,.t8 Barbara A. Garlick, Notary Public My Commission Expires September 21, 2018 I, the undersigned Vice President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, hereby certify that the above and foregoing is a full, true and correct copy of the Original Power of Attorney Issued by said Companies, and do hereby further certify that the said Powers of Attorney are still in force and effect. This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America. "RESOLVED, That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respectthereto, granted and executed by the President or any Vice President in conjunction with any Vice President of the Company, shall be binding on the Company to the same extent as if all signatures therein were manually affixed, even though one or more of any such signatures thereon may be facsimile." (Adopted October 7, 1981 - The Hanover Insurance Company, Adopted April 14, 1982- Massachusetts Bay Insurance Company; Adopted September7, 2001 -Citizens Insurance Company of America) GIVEN under my hand and the seals of said Companies, at Worcester, Massachusetts, this 17 day of July 20 13 THE HANOVER INSURANCE COMPANY MASSACHUSETTS SAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA Al l8hn Margosian, Vice President City Of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachea.gov Office of the City Clerk Joan L. Flynn, City Clerk September 25, 2013 Dynalectric 4462 Corporate Center Dr. Los Alamitos, CA 90720 RE: Street Light Modifications — CC-1425 Enclosed please find your original bid bond for CC-1425. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand cr® An EMCOR Company 4462 Corporate Center Drive Los Alamitos, CA 90720-2539 Dywlearic An EMCOR Company 44,62 Corporate Center Drive Los Alamitos, CA 90720 mpy x U)� Gib Ifi,rfi" Wrff, CA N, 14 Zt;; ' 01(P �14GLO5ED SECTION C PROPOSAL for the construction of Street Lighting Modifications 7"' Street from Pacific Coast Highway to Palm Avenue CC No. 1425 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. The undersigned acknowledges that the issuance of the Notice to Proceed will occur approximately two months after the award of the contract to allow procurement time for city furnished equipment. 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 C-1 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. 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 properly 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 '?IAMs in the amount of $ iaf cF F-c..rl which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. - Date Received Bidder's Siznature C-2 Project Bid Schedule Street Lighting Modification-7th Street CC-1425 Item Estimated Item W,rtli Unit PnceWntten m Words F tt. Umt Pace Extended Amount 1 1 L.S. Mobi ization. Per L. S. 2 1 L.S. Furors . Project Traffic Control. IA"-aei / tea S 3C%'07 S —3y07 J Per'L. S. 3 18 EA. Install New Street Light Pole, Foundation and Luminaire. a Per EA. 4 23 EA. Remove and Salvage Existing Street Light Pole, Luminaire and Foundation (Includes Restoration of Surrounding Area). @ _ S /415� S 353-7-3 / , 9/'/qw Per EA. 5 1 L.S. Install New Type III Service Cabinet (Includes Service Cabinet Fo.,dation). L91a:ZfG:� UVJ/l�,nj liifi!-f:� �•�� � Per L.S. 6 1 L.S. Furnish and Install Pull Boxes, Conduit and New Conductors in New Conduit (Includes Pavement Restoration). S /44?, l� _ S A�O �pCS(p Per L. S. 7 1 L.S. Relocate, oadww Street Name Signs. @- �� 53� S 3� Per L.S. 8 200 L.F. Remove Existing Curb and Gutter and Install New Curb and Gutter per City Standard Plan 202 (Locations to be Determined by the Engineer). S ��� S 1570C�" Per L.F. Total Amount Bid in Figures: 2 ``3 626�7 _.— Total Amount Bid in Words:---- Woea&,9 -7a JX/ ,1140 �6` 2 •�' Note: The City will provide poles, luminaries and the electrical service cabinet as indicated on the plans at no cost to the contractor. The contractor is to pick up the materials at the City Yard, 17371 Gothard Street, Huntington Beach. Contact George Ruff two working days in advance for pick up at (714) 536-5530. 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 subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Bid Item(s) Name and Address of Subcontractor State License Number Class Dollar Amount ' % of Contract c:r 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 perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 7/16/13, at Los Alamitos , CA Date City State William B. Davenport , being first duly sworn, deposes and says that he or she is CFO, Exec. V.P., Treas. of KDC, Inc. dba Dynalectric _ _ 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. William B. Davenport 4462 Corporate Ctr. Dr. Los Alamitos, CA 90720 Address of Bidder C-4 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 Street Lighting Modifications - 7tn Street CC-1425, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved. " The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and. State of California Cal -OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding. upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Date: T iU' C-5 KDC, Inc. dba Contractor By CFO, Exec. V.P., Treas. Title DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 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:-I-ib-1/j C-7 KDC, Inc. dba Contractor CFO, Exec. V.P., Treas. Title BIDDER certifies that the following information is true and correct: _ KDC, Inc. dba Dynalectric Bidder Name _4462 Corporate Center Drive Business Address Los Alamitos City, ( 714 ) 828 - 7000 Telephone Number 550173 - A, C 10 State Contractor's License No. and Class 12/6/88 Original Date Issued 12/31/14 Expiration Date CA 90720 State Zip The work site was inspected by Richard Shackleton of our office on July 1 32013 . The following are persons, firms, and corporations having a principal interest in this proposal: Michael Parry, President William B. Davenport CFO, Exec. V.P., Treas. Dusty Lord, Secretary — 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. Company N R William B. Davenport Printed or Typed Signature Subscribed and sworn to before me this day of , 201 . . * pri'�?_-r J��t "Ait" NOTARY PUBLIC NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: l . City of Los Angeles 1149 S. Broadway Ste. 200, Los Angeles, CA 90015 Name and Address of Public Agency Name and Telephone No. of Project Manager: 213.847.1811 Robert Tom $362,205.00 Security Lighting Unit 16 July 2011 Contract Amount _ Type of Work Date Completed 2. City of Santa Monica 2500 Michigan Ave., Santa Monica, CA 90404 Name and Address of Public Agency Name and Telephone No. of Project Manager: 310.458.8520 Mike Morgan T&M Street lighting, Traffic Signal 2010-2013 Contract Amount Type of Work Date Completed 3, City of Burbank 275 East Olive Ave., Burbank, CA Name and Address of Public Agency Name and Telephone No. of Project Manager: 818.238.3570 Bobola Famuyibo $500,000 Street Light July 2013 Contract Amount Type of Work Date Completed C-9 CALIFORNIA JURAT WITH AFFIANT STATEMENT *See Attached Document (Notary to cross out lines 1-6 below) ❑ See Statement Below (Lines 1-5 to be completed only by document signer[s], not Notary) Signature of Document Signer No. 1 State of California County of nume ANN Y. OUAN Commission # 1916114 Notary Public - California z z Orange County My Comm. Expires Dec 9, 2014 Place Notary Seal and/or Stamp Above Signature of Document Signer No. 2(if any) Subscribed and sworn to (or affirmed) before me on this I(71� day of juiq , 20 [� . by Date j Morlth Year Name of Signer proved to me on the basis of satisfactory evidence to be the person who appeared before me Name of Signer proved to me on the basis of satisfactory evidence to be the person who appeared before me.) Signature — 4* i ture of Notary Public OPTIONAL Though the information below is not required by law, it may prove valu- Top of thumb here Top of thumb here able to persons 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: Document Date: 7 W Number of Pages: v Signer(s) Other Than Named Above: N00 c 0 2009 National Notary Association - NationalNotary.org - NNA Members -Only Hotline 1-888-876-0827 Item #5910 Document A310 TM ® 2010 Conforms with The American institute of Architects AIA Document 310 Bid Bond CONTRACTOR: ('Vmne, legal males and addraw) Dynalectric 4462 Corporate Center Drive Los Alamitos, CA 90720 OWNER: ('v'ante, legal slatus and adds ess) City of Huntington Beach 2000 Main Street Huntington Beach, CA 92648 SURETY: (;Vane, legal staler mid prirrcipol place rfhresirmys) Travelers Casualty and Surety Company of America One Tower Square Hartford, CT 06183-6014 Mailing Address for Notices One Tower Square Hartford, CT 06183-6014 BOND.AMOUNT: $ 10% Ten Percent of Amount Bid PROJECT: ('Name, location oraddmm andl'%jectnumber, ijaittj 7th Street from Pacific Coast Highway to Palm Ave CC No. 1425 This document has Important legal consequences. Consultation with an attorney is encouraged with respect to Its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. The Contractor and Surety arc 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 assisns, jointly and severally, as provided herein. The conditions of thus Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such tine period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the 0%vner in accordance with the tens of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Ow•iter, for the faithful perfortua€ice of such Contract and for the prompt pavtuent of labor and material famished in the prosecution thereof, or (2) pays to the Owner the difference, not to exceed the amount of this Bond, behveen the amount specified in said bid and such larger ainount for which the Owner may in good faith contract with another party to perlbrut 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 ofatt agreement between the Owner and Contractor to extend the lime in which the Owner may accept the bid. Waiver of notice by [lie Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the lime tier acceptance ol'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 subcontractoes bid to a Contractor, the tcn Contractor in this Bond shall be deemed to be Subcontractor and the term Owncr shall be deemed to be Contractor. When this Bond has been rurnished to comply ivilh a statutory or other legal requirement in the location of' the project; any provision is this Bond conflicting with said statutor;• or legal requirement shall be deemed deleted herefrom and provisions conlinming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond sha l .be construed as a statutory bond and not as a common law bond. Signed and scaled this 15th day of July, 2013 (tt'irt Travelers Casualty and Surety Company of America / (.Surety) (Ifitrtes By: (Nile) Rita gistan Attorney -in -Fact :J S-00541AS 8/10 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of OK On before me, F4V1 1 9ll o , 1� 4otN _L)W fe Date Here Insert Name and Title of th6 Officer personally appeared -(- VAy VLmt Name(�t}'" bf SignerA who proved to me on the basis of satisfactory evidence to be the person04 whose name(Q) is/ subscribed to the within instrument and acknowledged to me that he/oh py executed the same in ANN Y. QUAN his/b authorized capacity(, and that by Commission # 1916114 hislhl!5 - signature(b� on the instrument the -� Notary Public - California z person(, or the entity upon behalf of which the z �' Orange County >person() acted, executed the instrument. My Comm. Expires Dec 9, 2014 f certffy under RENAL' OF PERJURY under ire laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature: Place Notary Seal and/or Stamp Above Sdnature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: WTI j Document Date: 7" Io. I Number of Pages: I Signer(s) Other Than Named Above: 11+7T Capacity(ies) Claimed by Signer(s) Signer's Name: Wihf l t F��p1b�11t�LY� Corporate Officer — Title(s): 6XeGUfI V`fy ❑ Individual 0 Partner — ❑ Limited El General Top of thumb here ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: er's Name: ❑ Corpor Officer - Title(s): ❑ Individual ❑ Partner — ❑ Limite General ❑ Attorney in Fact ❑ Trustee u Guardian or Conservator ❑ Other: Signer Is Representing: 02008 National Notary Association - 9350 De Soto Ave., P.O. Box 2402 - Chatsworth, CA 91313-2402- www.NationalNotary"org Item #5907 Reorder: Call Toll -Free 1-800-876-6827 THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER POWER OF ATTORNEY TRAVELERSFarmington Casualty Company St. Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company of America St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St. Paul Guardian Insurance Company Attorney -In Fact No. 226322 Certificate No. 005403063 KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc., is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint Thomas Bean, Rita Sagistano, Gerard S. Macholz, Susan Lupski, Robert T. Pearson, Camille Maitland, George O: Brewster, Colette R. Chisholm, Virginia M. Lovett, Vincent A. Walsh, Lee Ferrucci, and Kristy Caporale of the City of TTnionrinle. , State of New York , their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or. proceedings allowed by law. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this day of March 2013 Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. St. Paul Fire and Marine Insurance Company St. Paul Guardian Insurance Company 12th St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company STY ANO 2y�O�Cy` qr J� ,y'W� f Y.-.... .SG� 3'. P•! H4 .,.. SJP f NWSUAfjY �pF� �0 O5 �� (i ftlCai�iATED ,.; Pz JtILOM aogA>F m} i W�:pVRPORAl!' __ a NRartror�, < rusapc, Lass z 4� . S t �a �C .+'•. Eram!' i ' 0 7 CWNN. .R r�Ot �..SAG o, o>:ySEA.Lis= „ CNN. y y ti ! � �nmF �Wce rS . AN,��- `ir•..�...rad '<bj 'a+ar . '�+� r'�11i AtN State of Connecticut City of Hartford ss. By: Robert L. Raney, enior Vice President On this the 12th day of March 2013 before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. Qgpw��)) In Witness Whereof, I hereunto set my hand and official seal.My Commission expires the 30th day of June, 2016. Marie C. Tetreault, Notary Public 58440-8-12 Printed in U.S.A. WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA HARTFORD, CT. 06183 A7TORNEV-1,N-FACT dt:STIFICATTON PRINCIPAL'S ACKNOWLEDGMENT— IF A CORPORATION State of Ncw York, Countv of On this day of .10 , before me personally appeared to me known. who. being by me duly swom, deposes and says: That he/she resides in the Cite of that heishc is the corporation described in and which executed the within instrument; that hcishe knows Ilte seal of said of the seal; that it was so affixed by order of the board of Mrectors of said corporation, and that he/she signed h prname that the thano by al aff ed to said instrument is such corporate Statc ofNew York. County at' PRINCIPAL'S ACKNOWLEDGMENT— IF LNDWIDUAI, OR FIRM ) Ss. On this day of .20 beforc me Personally known to be (the individual) tone of the fine of P y appeared to me instrument. and the/shc thereupon duty acknowledged to me that he/she executed the same (as the act and deed of said firm). ) described in and who executed the within St �RET'V COMPANY'S ACKNOWT,EDCMEIT State of New York. County of Nassau ss. On this 1 Sth day of July .20 13 . before me petsonal)v appeared Rita Sagistano me known, who, being by me duly sworn, did do to post and say: drat he,4c resides inKW* Nassau County, NY that he/she is Atufiney-in-fact of TRAVELERS CASUALV AND SURE- ' COMPANY OF AMERICA. the corporation described in and which executed the within instrument; that he/she knows the corporate seal of said Company; that the seal affixed to said instrument is such corporate seal: and that he/she sighed said instrument az Attorney -in fact by authority of the I3�rd of I�rectors of said Company; and afiiant did further depose and say that the Superintendent 6lnsurance of the State of New Yarl; has. pursuant to Chapter 992 of the Laws of the Suite of New York for the vcar 1939. constituting chapter 28 of the Consolidating Laws of the State of York as the Insu -- Law as amended. issued to T RAI'ELERS CASUAL7'11' AND S't"RET, CONiP:1N>:' OF ANIERICA hisha ccritcatc that said Company is qualified to become and be accepted as surety or guarantor on all bonds, undertakings, recogni7ances, g certificate has not been revoked. uaranties. and other obligations required or permitted by law: and that such Notary Public TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA Hartford. Connecticut 06183 CAMILLE MAITLAND NOTARY PUBLIC STATE OF NEW YORK FINANCIAL STATEMENT AS OF DECEMBER 31, 20t2 KINGS COUNTY AS FILED WITH THE INSURANCE DEPT. OF THE STATE OF NEW YORK IIC. #011060a6D44 CAPITAL STOCK $ 6,480,000 COMM. EXP. APRIL 20, 2014 ASSETS LIABILITIES CASH AND INVESTED CASHBONDS S f5.936.791 UNEARNEDPREMtUMS INVEST INVESTAAENT fNCOME DUE AND ACCRUED 3,713,171.015 LOSSES S 783,409,692 907,ir58.7t0 OTHER INVESTED ASSETS 50.798,732 REINSURANCE PAYABLE ON PAID LOSSES & LOSS ADJ. EXPENSES 1,448.021 PREMIUM BALANCES 280,730,697 LOSS ADJUSTVENTEXPENSES 531,446.021 660 NET DEFERRED TAX ASSET 184,942.508 COMMISSIONS 29.28t.779 REINSURANCE RECOVERABLE 63.274,378 TAXES. LICENSES AND FEES 66.782.ti94 SECURMES LENDING REINVESTED COLLATERAL ASSETS 12,410,524 OTHER EXPENSES 35,688,967 35.588.987 RECEIVABLES FROM PARENT. SUBSIDIARIES AND AFFILIATES 7,7W,155 FUNDS HELD UNDER REINSURANCE TREATIES UNDISTRIBUTED PAYMENTS 11,080.470 CURRENT FED@iAL ANOFOREIGN INCOME FAXES 60.676.57 ti0.675.573 OTHER ASSETS - (1,439.585) REMITTANCES AND nEMS NOT ALLOCATED 884.0a3 AMOUNTS WITHHELD I RETAINED BY COMPANY FOR OTHERS 7Q,084,806 RETROACTIVE REINSURANCE RESERVE ASSUMED 3, HM.184 POLICYHOLDER DIVIDENDS 6,730.121 PROVISION FOR REINSURANCE 5.314,325 ADVANCE PREMIUM 7213.8a PAYABLE FOR SECURITIES LENDING 7,7e9,155 CEDED REINSURANCE NET PREMIUMS PAYABLE (70,803,744y ESCHEATLIASIUTY 34B OTHER ACCRUED EXFEPI5ES AND LIABILITIES 28L062 TOTAL LIABILITIES S 2.559.1E.1157 CAPITAL STOCK S 6,480.WD PAID IN SURPLUS 433.803 760 OTHER SURPLUS 1,340,168.061 TOTAL SURPLUS TO POLICYHOLDERS S 1.780.451.821 TOTAL ASSETS S 4,338,SW 778 TOTAL LIABILITIES d SURPLUS $ a,339, 6 Securities carried at $7,740.125 in the above statement are deposited with public authorities, as required by law City ®f Huntington Beach 20oo Main Street ® Huntington Beach, CA 92648 (714) 536-5227 ® www.huntingtonbeachca.gov Office of the City Clerk Joan L. Flynn, City Clerk September 25, 2013 Flatiron Electric Group, Inc. 7911-A Pine Ave. Chino, CA 91708 RE: Street Light Modifications — CC-1425 Enclosed please find your original bid bond for CC-1425. Sincerely, k,y A (ss of i Joan L. Flynn, CIVIC City Clerk JF: pe Enclosure Sister Cities: Anjo, Japan ® Waitakere, New Zealand FLATIRON ELECTRIC GROUP, INC. 7911-A PINE AVE. CHINO, CA 91708 SECTION C Flatiron Electric Group, Inc. PROPOSA.,t, for the construction of Street Lighting Modifications 7tn Street from Pacific Coast Highway to Palma Avenue CC No. 1425 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. The undersigned acknowledges that the issuance of the Notice to Proceed will occur approximately two months after the award of the contract to allow procurement time for city furnished equipment. 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 C-1 Flatiron Electric Group, Inc. and will readveitise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S, default in executing the required contract and filing the necessary bonds and insurance certificates within, 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find PbOUA DoNnin the amount of $ c 0 which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, ,payable to the AGENCY. (Please insert the words "Cash",,"Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: N thic C-2 Project Bid Schedule Flatiron Electric Group, Inc. Street bighting Modification-7th Street CC-1425 Item 1 Fstiuiatd �ia�ti 1 L.S. �' a Itemrth Unit Prlce Wrifitei�`m Words Mobilization. @ Tfn TkouSand —' Per L.S. ; Unjtr�ce $ 101000 - Extended amount $ 101000 2 1 L.S. Furnish Project Traffic Control. @ F'i tie AOUScind — Per L_S. $ 5, U00 - $ S 000 - 3 4 5 6 18 EA.. 23 EA. 1 L.S. 1 L.S- Install New Street Light Pole, Foundatiqn and Luminaire. Le� Per EA.— - Remove and Salvage Existing Street Light Pole, Luminaire and Foundation (Includes Restoration of Surrounding Area). _ @ IVr'a� Per EA. Install New Type III Service Cabinet (Includes Service Cabinet Foundation). @ One Thousand Sewn Rodrd Sedenfu — Per Furnish and Install Pull Boxes, Conduit and New Conductors in New Conduit (Includes Pavement Restoration). @ F'r'rdkfv Si i Avusand Two Flvn vP Per L.S. Relocate Roadway and Street Name igns. @ rive Thou5aoO Six FL hed Twe"14 Five - Per L.S. $_ 060 -- $ �� 0— $ IJ70- G/ l,, $ O U, 005 - $ S 6�s - $ 31, 6.80 - $ 1,770- / 1 $ �3 05 $ 5, 6Is ` 8 200 L.F. Remove Existing Curb and Gutter and Install New Curb and Gutter per City Standard Plan 202 (Locations to be Determined by the En ' ). @ E• {►f T Q � (eera and , ee reafs Per L.F. G $ ! $ 16, U o — Gp / Total Amount Bid in Figures: ,� �'O, �'O U r Total Amount Bid in Words: V/1 e bUnIl red Se Ven-f V E Q+ f LuSanj IeVeh Note: The City will provide poles, luminaries and the electrical service cabinet as indicated on the plans at no cost to the contractor. The contractor is to pick up the materials at the City Yard, 17371 Gothard Street, Huntington Beach. Contact George Ruff two working days in advance for pick up at (714) 536-5530. C-2.1 f -- Flatiron Electric Group, Ilxw,. LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. State Class Dollar License Amount on 1Vumber w 13�v Eus+ 6 St 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 fiirnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLI_,USION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on'1-53-i3 , at `l, i iN 0 ,tAA Date City State Richard Tesoriero , being first duly sworn, deposes and says that he or she is Vice President of Flatiron Electric Group; Inc the part' 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 mariner, 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. :cAdion Electric Group, I -- Name of Bidder Signature of BiddRIchard jesoriero Vice President 7911-A Pine Avenue Chino, CA 91708 Address of Bidder C-4 UTILITY AGREEMENT HONORABLE INE1 YOR ANDCITY 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 Street Lighting Modifications - 7th Street CC-1425, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person 1vho, by reason of experience or instruction, isfamiliar with the operation to be performed and the j1a=a3-'ds 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: J�1 �� , (3 C-5 Flatiron Electric Group, Inc. Contractor Richard Tesoriero Vice President Title Flatiron Electric Group, Inc. DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAl" Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes N No If the answer is ycs, explaff) 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: )LAL-� C-7 Flatiron Electric Group, Inc. Contractor By Richard Tesoriero Vice President Title BH)DER' S INFORMATION BIDDER certifies that the following information is true and correct: Flatiron Electric Group, Inc. Bidder Name 7911-A Pine Avenue Business Address Chino, CA 91708 City, State Zip Telephone Number 862724 A&C10 State Contractor's License No. and Class Original Date Issued $-31-13 Expiration Date The work site was inspected by NtL£ &Wt H EU, of our office on �uL _ 2013 . The following are persons, firms, and corporations having a principal interest in this proposal: (%i MrtoWWW ) C-8 Build the Best. Be the Best. Corporate Officers: John Diciurcio President / CEO Richard Tesoriero V. President William Jensen V. President Paul Roberts Treasurer / CFO Paul Driscoll Secretary Melody Pickett Assist. Secretary Mark Dillard Assist. Secretary Flatiron Electric Group, Inc. 7911-A Pine Avenue Chino, CA 91708 714-22B-9631 MAIN 909-597-9151 FAX www.flatironcorp.com An Equal Opportunity Employer A HOCHTIEF Company 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. Flatiron Electric Group, Inc. Company Naze /�;',.- Signature of Bidder Richard Tesoriero Vice President Printed or Typed Signature Subscribed and sworn to before me this 23 day of 3ttil. , 201 4SHAWN R. BRADFIELD WCommission # 1932416 Notary Public - California z Riverside County My Comm. Ex ires Ma 9, 2015 NOTARY PUBLIC NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1• �'S C 16 ATVAVA!K0D Name and Address of Public Agency 2. 3. Name and Telephone No. of Project Manager: Contract Amount Name and Address of Public Agency Type of Work Name and Telephone No. of Project Manager: Contract Amount I Type of Work Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work C-9 Date Completed Date Completed Date Completed Flatiron Electric Group Project Name: Citywide Traffic Signal Upgrade Project Contract Amount: $5,646,116.00 Date Completed: In Progress Owner's Name: City of Compton Contract Person: John Strickland / City of Compton Telephone Number: 310-605-5505 Job Description: Upgrade traffic signal hardware and install new communication systems at various locations. The proposed improvements for each intersection range from refurbishment of signal heads to major upgrades. of the existing traffic signal equipment and performing other items required. Project Name: Atlantic Blvd. Improvement Project #R-6861 Contract Amount: $2,475,971.00 Date Completed: In progress Owner's Name: City of Long Beach Contract Person: Chuck Ramey / City of Long Beach Telephone Number: 562/570-6101 Job Description: Furnish and install communication systems, CCTV Camera Systems, Signal Modifications and ATCS Integration at Atlantic Avenue Improvement Project in the City of Long Beach. Project Name: Caltrans 12-ORA-91(12-OG3304) Contract Amount: $7,279,618 Date Completed: In Progress, Owner's Name: Caltrans Contract Person: Todd Kutin / Sema Construction Telephone Number: 949-254-4543 Job Description: Highway lighting, traffic signal installation, temp lighting and communication, ramp metering, fiber optic duct bank and systems, toll facilities, service and power connections. Project Name: Shaw Avenue — ITS System (SR41 to SR168) (Project ID: PW00509) Contract Amount: $2,479,789.00 Date Completed: In Progress Owner's Name: City of Fresno Contract Person: Terry Buller Telephone Number: 559-621-5616 Job Description: Furnish and install communication systems, CCTV Camera Systems, Signal Modifications, TMC Equipment and software with Training. Project Name: Caltrans 11-SD-905 (11-091834) Contract Amount: $1,364,593 Date Completed: 10/12 Owner's Name: Caltrans Contract Person: Mario Martinez / Flatiron Construction Telephone Number: 760-535-3066 Job Description: Highway lighting, ramp metering, freeway fiber . optic ductbank system. 1 Project Name: North San.Diego Bay Interconnect Project Contract Amount: $1,381,016 . Date Completed: In Progress Owner's Name: Port of San Diego Contract Person: Armando Mora / Port of San Diego Telephone Number: 619-725-6097 Job Description: Fiber optic system and conduit for interconnect system. Project Name: Antonio Parkway Contract Amount: $1,321,016 Date Completed: 4/13 Owner's Name: OCTA Contract Person: Dave Beador / Beador Construction Telephone Number: 951-674-7352 Job Description: Traffic signal, lighting, SCE duct bank, and interconnect. Project Name: Perris Blvd Improvements Contract Amount: $649,885.00 Date Completed: 6/13 Owner's Name: City of Moreno Valley . Contract Person: Darcy Searle / Hillcrest Contracting Telephone Number: 951-273-9604 Job Description: Traffic Signals, Interconnect and Street Lighting. Project Name: Adams Street Bridge Contract Amount: $386,288 Date Completed: 2/13 Owner's Name: City of La Quinta Contract Person: Joe Richardson / Granite Construction Telephone Number: 760-391-6247 Job Description: Electrical duct bank and bridge lighting. Project Name: Monroe Street Widening Contract Amount: $392,287.00 Date Completed: 5/13 Owner's Name: City of Indio Contract Person: Jake Reade / Matich Corporation Telephone Number: 909-228-1658 Job Description: Traffic Signals and Street Lighting. Project Name: 08-RIV-74-27.4/27.7 (08-OM8704) Contract Amount: $332,747.00 Date Completed: 5/13 Owner's Name: Caltrans Contract Person: Rodney Dunn / Caltrans Telephone Number: 951-232-3917 Job Description: Traffic Signals and Street Lighting, paving, curbs, striping, signs, guardrail, traffic control and construction area signs. 2 Bid Bond No.: FO11205 AA J • CONTRACTOR: (, 'rune, legal slates and a&l my) Flatiron Electric Group, Inc. 7911-A Pine Ave. Chino, CA 91708 OWNER: (Name, legal starts and address) City of Huntington Beach 2000 Main Street Huntington Beach, CA 92648 BOND AMOUNT: $ 10% Document A310 TM - 201.0 Conforms with The American Institute of Architects AIA Document 310 SURETY: (Marne, legal stales crud principal place r jhusinexs) Liberty Mutual Insurance Company 175 Berkeley Street Boston, MA 02116 Mailing Address for Notices 450 Plymouth Road, Suite 400 Plymouth Meeting, PA 9462-1644 Ten Percent of the Total Amount Bid PROJECT: (Navic, location or address and)mojecinturhen Iranmj. Street Lighting Modifications, 7th Street CC-1425 This document has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or %within such time period as may be agreed to by the onner and Contractor, and the Contractor either (1) enters into a contract %with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and othemise 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 di$erence, 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 perliomm the work covered by said bid, then this obligation shall be null and void, otherwise to remain in lull lbrce and ellect. The Surety hereby waives any notice ol'an agreement between Are Owner and Contractor to extend the time in which time 0%mier may accept the bid. Waiver ol'nolice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time lior acceptance ol'bids speciled in the bid documents, and the Owner and Contractor shall obtain the Surety's consent I'm 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 litmislred to comply %with a statutory or other legal requirement in the location orthe PnmjecL any provision in this Bond conflicting %%ith said statutory or legal requirement slrall be deemed deleted hereliom and provisions.confomming to such statutory or other legal requirement shall be deemed incorporated herein. When so ttimished, the intent is that this Bond shall be construed as a statutory bond and not as a comnmon law bond. Signed and sealed this 19th day of July, 2013. (!!'inress) u ��z I'imexsy Alice e augh' Flatiron Electric Group, Inc. (Principal) (Seal) Y (title) Richard Tesoriero, Vice President Liberty Mutual Insurance Com. (Sureoj (Title) Mary L. /V 1NSUy\ JAZG°aPoggr y� >- 1912 a � o �'�2057 S-0054/AS 8/10 CAT.IFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of San Bernardino On July 23, 2013 before me, Shawn R. Bradfield, Notary Public Date Here Insert Name and Title of the Officer (e.g., "Jane Doe, Notary Public") personally appeared Richard Tesoriero Name(s) of Signer(s) SHAWN R. BRADFIELD Commission # 1932416 a =ae Notary Public - California z z ' Riverside County n My Comm. Expires May 9, 2015 who proved to me on the basis of satisfactory evidence to be the person') whose name is/4r€ subscribed to the within instrument and acknowledged to me that he/she4hey executed the same in his/I�ir authorized capacity, and that by his/kerAkeir signature on the instrument the personN, or the entity upon behalf of which the person acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature 411 1� , 4 L b i. Signature of Notary Public OPTIONAL Though the information below is not required by lmv, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Bid Bond Document Date: July 19 2013 Number of Pages: Signer(s) Other Than Named Above: Maria L. Spadaccini Travelers Casualty and Surety Company Capacity(ies) Claimed by Signer(s) Signer's Name: Richard Tesoriero ❑ Individual ❑ Corporate Officer — Title(s): Vice President ❑ Partner — ❑ Limited ❑ General ❑ Attorney -in -Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Flatiron Electric Group Inc. Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Attorney -in -Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: CORPORATE ACKNOWLEDGMENT Form 152 STATE OF NEW JERSEY COUNTY OF BERGEN On this 19TH day of JULY , 2 013 , before me personally came me MARIA L. SPADACCINI and say that she/he resides in to me known, who, being by me duly sworn, did depose HAWTHORNE, NEW JERSEY that.she/he is the ATTORNEY IN FACT of the LIBERTY MUTUAL INSURANCE COMPANY the corporation described in and which executed the above instrument that she/he knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation, and that she/he signed her/his name thereto by like order. (SEAL) Esther Caban Notary Publio of New Jersey My Comrnlssion Expires February 18, 2014 THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. Certificate NO: 5185030 American Fire and.Casualty Company Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire & Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance. Company is a corporation duly organized under the laws of the State of Massachusetts, and 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, Alice Mcl aughlin7 Maria L. Spadaccin" Mary R. McKee- Sandra K. wolf• Sherryanne M IDePirro all of the city of Woodcliff Lake , state of NJ 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 thereto this 1st day of July 2013 >, - - American Fire and Casualty Company The Ohio Casualty Insurance Company N Liberty Mutual Insurance Company . a� West American Insurance Company _ B .Q G STATE OF WASHINGTONN ss Gregory W. Davenport, Assistant Secretary _ R s COUNTY OF KING C m On this 1st day of July 2013 , before me personally appeared Gregory W. Davenport, who acknowledged himself to be the Assistant Secretary of American O v F- v. d Fire and Casualty Company, Liberty Mutual Insurance Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, aW O R execute the foregoing instrumenTfor the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. C a > IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Seattle, Washington, on the day and year first above written. O _ 'a ° F /LAC 1� — By; X'� '0 . o p KID Riley, Not Public _ . ` L 3 !0 y" O O E a _ This Power ofAttomey is made and executed pursuant to and by authority of the following By -laves and Authorizations of American Fire and Casualty Company, The Ohio Casualty Insurance rn c y Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: c c ro� L ARTICLE IV- OFFICERS - Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject of p C d to such limitation 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, o C acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations setforth in their respective :a 3 E 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 - q) o 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 > = "- L the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting.such power or authority. _ a _ . ARTICLE XIII - Execution of Contracts - SECTION 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, N E oo > L and subject to such limitations as the chairman or the president may prescribe, shall appoint such attomeys-in-fact, as may be necessaryto act in behalf of the Company to make, execute, M p seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their = co Z ci respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so 0 o executed such instruments shall be as binding as if signed by the president and attested by the secretary. O m Certificate of Designation - The President of the Company, acting pursuant to the Bylaws of the Company, authorizes Gregory W. Davenport, Assistant Secretary to appoint such attomeys-in-fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization - By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed. I, David M. Carey, the undersigned, Assistant Secretary, of American Fire and Casualty Company, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power ofAttomey executed by said Companies, is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this day of jUL 19 2 IF ` d By: Rr •��C.ru1 1 x David M. Carey`Assistant Secretary . LMS 12873 092012 12 of 500 pity ®f Huntington Beach 2000 Main Street ® Huntington Beach, CA 92648 (714) 536-5227 0 www.huntingtonbeachca.gov Office of the City Clerk Joan L. Flynn, City Clerk September 25, 2013 International Line Builders, Inc. 2520 Rubidoux Blvd. Riverside, CA 91750 RE: Street Light Modifications — CC-1425 Enclosed please find your original bid bond for CC-1425. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure Sister Cities: Anjo, Japan ® Waitakere, New Zealand (I INTERNanoNAL UNE BUILDERS IN( 2520 Rubidoux Blvd Riverside, CA 92509 "SEALED BID" for STREET LIGHTING MODIFICATIONS 7T" STREET CC-1425 in the CITY OF HUNTINGTON BEACH DO NOT OPEN WITH REGULAR MAIL SECTION C PROPOSAL for the construction of Street Lighting Modifications 7tn Street from Pacific Coast Highway to Palm Avenue CC No. 1425 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. The undersigned acknowledges that the issuance of the Notice to Proceed will occur approximately two months after the award of the contract to allow procurement time for city furnished equipment. 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 C-1 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. If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find in the amount of $ which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 Project Bid Schedule Street Lighting Modification-7th Street CC-1425 INom Estimated Item W_rth Unit Pnce_ Written m Words ,Unit Puce Extended Amount 1 1 L.S. Mobilization. tom S1X Per L.S. 2 1 L.S. Fumish Project Traffic Control. @ 04tt. WOOSJ\'� SX sc $ S $� %LI S tE�1'Ja4V-O Per L. S. 3 18 EA. Install New Street Light Pole, Foundation and Luminaire. @ft- -t1AoAAw0 T„)o $ 2393- ®� $ 030..2-714 ..�. d�PJo .IrA J4^q Per EA. 4 23 EA. Remove and Salvage Existing Street Light Pole, Luminaire and Foundation (Includes Restoration of Surrounding Area). $ -7w $ (o, $190 llh-AA A,.)'n� 'F plc Per EA. 5 1 L.S. Install New Type III Service Cabinet (Includes Service Cabinet Foundation). ����; Nv,JocY.� c� F��r�9 $ SE ®° $ 8-SJ 2^ Per L.S. 6 1 L.S. Furnish and Install Pull Boxes, Conduit and New Conductors in New Conduit (Includes Pavement —7-1, asp -I-! Restoration). $ 91 $ 910 Per L.S. 7 1 L.S. Relocate Roadway and Street Name Signs. @ ooC � ws^,ji"7 J Q . ' 1 $ I SO O� Cv $ , �� Na a bay f `"`� Per L.S. 8 200 L.F. Remove Existing Curb and Gutter and Install New Curb and Gutter per City Standard Plan 202 (Locations to be �" Determined by the Engineer). $ LF $ \ J cx37 Per L.F. Total Amount Bid in Figures: $ k(e(o , \O! ` Total Amount Bid in Words: oq3f, kJ0j<Q S\wt-A Sxv ,�(� Q,.3� VuoOko tJ%Pr7 , Note: The City will provide poles, luminaries and the electrical service cabinet as indicated on the plans at no cost to the contractor. The contractor is to pick up the materials at the City Yard, 17371 Gothard Street, Huntington Beach. Contact George Ruff two working days in advance for pick up at (714) 536-5530. 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 subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Bid Item(s) Name and Address 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 furnished by subcontractor for this project. C-3 N®NC®LLUSI®N 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 -7 I.V 113, at Q.WE(LS ®t' `= , ate City State CIA , being first duly sworn, deposes and says that he or she is ®\,1151 Q,J Nib ^'LIN, of %Aoe, � kj oV� he 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. Name of Bidder A Signature of Bidder 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 Street Lighting Modifications - 7th Street CC-1425, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved. " The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal -OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Date: % d ,4 Contractor By Title G5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? �� ❑ Yes LYNo 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: 17 A' op4vContractor use o� ruse � By Title C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name 16XQ d-> Business Address C-A 01-7 SSO 9 City, State Zip (OwI ) G$a - -ilia Telephone Number '112 515 C--10 . A State Contractor's License No. and Class Original Date Issued LO% Expiration The work site was inspected by U-1 %� tJw1,S of our office on 2013. 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. rJ Company Name Signature of Bidder Printed or Typed Signature Subscribed and sworn to before me this Z3 day of J_y_ , 2013 . NOTARY PUBLIC Cla„ 0 �1]A,RY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: G�T`i of A��t�EerN1 Lol �• mA���aE�� �Ly� Name and Address of Public Agency Name and Telephone No. of Project Manager: �hJN C�ILt) Contract Amount Type of Work Date Completed 2. G mi oq 0 E'vJ P 0 e;T &n JAI Name and Address of Public Agency Name and Telephone No. of Proj ect Manager: j}64-C�;) V,3^ l.6C eA AJ � q qq) -if I.3I ® (0 PA\P'�-- C-.)Jtc� 5iatt*c' %,%h�4T 4—Ntm C mUU&� Contract Amount Type of Work Date Completed 3. G I -A QF A.,,4- kA t-A Q01 c Name and Address of Public Agency Name and Telephone No. of Project Manager: pC,nJ kwS Cgo�A ��ti b �O °-°- 3r�STl�1!✓ � ) �-Jy WT Q&SS Contract Amount Type of Work Date Completed C-9 CALIFORNIA JURAT WITH AFFIANT STATEMENT XSee Attached Document (Notary to cross out lines 1-6 below) ❑ See Statement Below (Lines 1-5 to be completed only by document signer[s], not Notary) N Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) State of California Riverside County of ------------------ COLETTE RICNARD ConuMssion # 1978446 Notary Public - California Riverside County M Comm. Ex ires May V. 2016 Subscribed and sworn to (or affirmed) before me on this 23rd day of July 20 13 by Date Month Year (1) Kevin Nelsen Name of Signer proved to me on the basis of satisfactory evidence to be the person who appeared before me (.) (and (2) Name of Signer proved to me on the basis of satisfactory evidence to be the per on who appeared before me.) Signature (IsAttLA Signature of Notary Public Place Notary Seal Above 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. Further Description of Any Attached Document City of Huntington Beach/Proposal Title or Type of Docume 5 07123113 Document Date: Number of Pages: Signer(s) Other Than Named Above: RIGHTTHUMBPRINT RIGHTTHUMBPRINT OF SIGNER #1 OF SIGNER #2 Top of . here •• • ©2007 National Notary Association- 9350 De Soto Ave., P.O. Box 2402 -Chatsworth, CA 91313-2402• www.NationaiNotary.org Item #5910 Reorder: Call Toll -Free 1-800-876-6827 AIA Document A310 Bid Bond KNOW ALL MEN BY THESE PRESENTS, THAT WE International Line Builders, Inc. 2520 Rubidoux Blvd., Riverside CA 91750 as Principal, hereinafter called the Principal, and Liberty Mutual Insurance Company 450 Plymouth Road Suite 400 Plymouth Meeting PA 19462 a corporation duly organized under the laws of the State of MA as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach 2000 Main Street 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 7th Street Lighting Modifications CC-1425 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 23rd day of July , 2013 (witness) International Line Builders, Inc. (Principal) By: �O 1NSUgq Liberty Mutual Insurance Company 1912 (Sure Atto ey-in-Fat ole Langer AIA DOCUMENT A310 ® BID BOND ® AIA ® FEBRUARY 1970 ED. ® THE AMERICAN INSTITUTE OF ARCHITECTS,1735 N.Y. AVE., N.W., WASHINGTON, D.C. 20006 (Seal) (Tide) Witte) CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT oa000000000000000000000.♦000000000000000�00000�00000000000000�000000. State of Minnesota County of Hennepin On July 23, 2013 before me, Jill N. Swanson, Notary Public Date Name and Tice of Notary personally appeared Nicole Langer, Attorney -in -Fact Name and or Names of Signer(s) Who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. Witness my hand and official seal. Signature r Notary Public Signature OPTIONAL +kd�syx"-d.AY'�� 3�*�.'?!ji ��5�'c�3.:�b'H`'�°1°'T''J�,,.Yif�'„✓'�y� rTi mac, T,y-�•��.• t9ile lr phi, �":�'r'i^'��Ow'�3 Viz: ; , ,'✓ My connlium rviras Jan. 31, 2015 r'P �1na�•y-F»•'asad2,rt93:,'�s�$FJ� , d� y' Place Notary Public Seal Above Though the information below is not required by law, it may prove valuable to the persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Document Date Number of Pages: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner - ❑ Limited ❑ General _ ❑ Partner - ❑ Limited ❑ General ❑ Guardian or Conservator ❑ Guardian or Conservator Top of /numb X Top of thumb ❑ Attorney -in -Fact ❑ Attorney-in-Fact Trustee ❑ Trustee ❑ Other: ❑ Other: Signer is representing Signer is representing 00�000000000000000000000000000000000000000000000000000000000*00000♦ THIS POWER OF:ATTORNEY IS NOT UAID UNLESS IT: IS PRINTED: ON: RED BACKGROUND. _ . _. ThISPoWe ofAttorney limits theacts ofthose named herein, and -the y have no authority to bind 4he Coinpanyexcept in the mannerand to the extent herein stated. Certificate No ei isosi ' • American Fire and Casualty Company - Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company. j. POWER OF ATTORNEY - KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire &Casualty Companyand The Ohio Casualty Insurance Company are corporations duly organized under:the. laws of ..: the State of New Hampshife, that Liberty Mutual.lnsurance Company is a corporation dulyorganized .under, the laws of the:State of Massachusetts, and WestAmerican Insurance Company _ P is a corporation duly organized under the laws of"the' State of.lndiana (herein collectively calletl the "Companies"), pursuant to and by authority herein set forth; does hereby name, constitute_ and appoint, Brian D Caroenter'Craig Olmstead Dennis Loots Jill Swanson Laurie "Pflug' Nicole angQ1 Nina F' Wersteim Teresa Hammers all of the city of Minneapolis state of MN" = each individually if there be more than one named;,its true: and lawful attorney -An 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:recognizance-s and other surety obligations; in pursuance of these presents and shall be as: binding upon the Companies as if they have been dulysigned by the president and attested by the secretary of the Companies.in their own proper persons IN WITNESS WHEREOF this Power of.Attomey fins been subscribed by an authorized officer or official of the Companies and the corporate seals of the.Companies have been affixed : thereto this 8th: day of May 2013- - American Fire and Casualty Company 70 r„ The Ohio Casualty Insurance Company Liberty Mutual Insurance Company # t # WesYAmerican Insurance Company y rn` O - gy ++ Gregory, W. Davenport, Assistant Secretary STATEiOF WASHINGTON -.. ss: iq. -� to COUNTY OF KING :" : = . r — O N= On this 8th ' day of May 2013 before hnb personally appeared Gregory W. Davenport, who acknowledged himself to be the.Assistant Secretary of American -v , cr:,v Fire and Casualty Company,:Libery, Mu ttual Insurance Company The Ohio Casuafty Company, and WestAmencan Insurance Company: and that he as such; being authorized so to do, :>,W O execute the foregoing instrument for the purposes: therein contained bysigning on'behalf of the corporations by himself as a:duly authorize 'officer. , i y ? IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial"seal at Seattle Washington on the day and year first above written. O , ,� � CD B a -a. y. !a - KID Riley, Not Public. O i :. N - O "E o «, This Power ofAttomey is made and executed pursuant to and by authority of thefollowing By-laws andAuthonzations ofAmencan Fire and Casualty Company; The Ohio Casualty Insurance N o. Company Liberty Mutual Insurance Company and_ West American Insurance Company which resolutions are novvin full force and effect reading as follows: y C:{ i0 uU) ARTICLE IV —OFFICERS =Section 12 Power ofAttorne An officer or other official of the Cor oration authorized for that ur ose in wntin b the Chairman or the President, and subject y. Y p I? P 9 Y j 0.�. )Zl to such. limitation as the Chairman or the President may prescnbe,:stiall appointsuch _attomeys-in-fact; as may_ be necessary to actin behalf -of the Corporation -to make, execute seal, respective O r— acknowledge and.deliver assuretyany-and all undertakings; bonds, recognizances and otnersurety obligations. Such attorneys -in -fact, subject to the limitations set forth in their =a Z powers'of attorney shall have full power to bind -the Corporation by.their signature and"execution of any such instruments` and to attach the the seal of the Corporation.. When so` '� executed, such instruments shall be as tiindmg as if signedby the:P.resdent-and attested.to by the Secretary. Any power or authontygranted to --any representative or -attorney -in -fact under; > c the provisions of this article.may be revoked at any byahe Board ahe Chairman, the President or by the officer or,ofticers granting such power or authority. - - N:! CA = v .:: ..-. -- , ARTICLE XIII — Execution .of Contracts:— SECTION 5 Surety Bonds a.nd Undertakings. Any officer of;the Company authorized for thatpurpose in writing by he chairman or the;president, ' to c >; .� _.. and subject to such limitations as the chairman or the president may prescribe, shall appoint attomeys-in-fact; as maybe necessary to act in behalf of the Company to make; execute,.: --M O seal;_ acknowledge and deliver as surety any-and.:ail undertakings: bonds, recogmzances.and other surety obligations..Such attorneys -in -fact subject to the limitations setfoth in their =.ao o v respective powers of attorney, shall have full power to bind the Company by theirsignature and execution of any such instruments and -to attach thereto the seal of the Company. When.so O executed such instruments shall be' as(bindrng as if signed by the president and attested by the secretary - . p �- : _. Certificate. of Designation::- The President of'the Company acting pursuant to the Bylaws of the,:Company: authonzes..Gregory WDavenport, Assistant Secretary -to appoint such- F attomeys-in-fact as may be:necessary,to act orrfiehalf 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 Companys Board of Directors, the;Company consents that facsimile or mechanically reproduced §ignature.of any assistant secretaryof the - , ...,.._ ,. Company, wherever appearing upon a: certified copy of any power of attorney issued by the Companyin connection with.surety bontls, shall be valid and binding upon the Company with : the same force and effect as:tho- mahually affixed I, David M Carey, the undersigned Assistant Secretary of:American Fire and Casualty Company, The Ohio Casualty Insurance Company Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attoniey:of whictiahe foregoing is a full, true and correcicopy of the Poviep ofAttomeyexecuted bysaid Companies, is in full force and:effect and has not been revoked - ��d IN TESTIMONY WHEREOF,-1 have hereunto set:my hand and affixed the seals ofsaid Companies thi day of 20 . y David-M. Carey Assistant Secretary. 1 x ` f 553 of 1500 -:LMS 12873 092612 OREGON JURAT WITH AFFIANT STATEMENT State of Oregon } Washington )SS. County of } See Attached Document (Notary to cross out lines 1-8 below) ® See Statement Below (Lines 1-7 to be completed only by document signer[s], not Notary - - Signature of Document Signer No. t Signature of Document Signer No. 2 Subscribed and sworn to (or affirmed) before me this 17th day of July 2013 by (1) Brad R Hulquist, Controller OFFICIAL SEAL GELENE A HUTCHENS NOTARY PUBLIC - OREGON (2) COMMISSION No. 443132 MY COMMISSION EXPIRES OCTOBER 22, 2013 proved to me on the basis of satisfactory evidence to be the person(s) who appear before me. Place Notary Seal above Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal e and reattachment of this form to another document. TQp of ihvmtJ here Tup of ttrumm here Further Description of Any Attached Document Title or Type of Document:. Document Date: Number of Pages: Signer[s] Other than above: City ®f 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 September 25, 2013 Macadee Electrical Construction 4821 Lanier Road Chino, CA 91710 RE: Street Light Modifications — CC-1425 Enclosed please find your original bid bond for CC-1425. Sincerely, fr t k T rE Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand macadee Electrical Construction 4821 Lanier Road Chino CA 91710 "SEALED BID" for Street Lighting Modifications 7tn Street CC-1425 in the CITY OF HUNTINGTON BEACH - DO NOT OPEN WITH REGULAR MAIL DELIVER TO THE OFFICE OF THE CITY CLERK, 2000 AGAIN STREET, SECOND FLOOR V me consprikon or 7"' Street Now 1'3cH`it" Not lbghevq, to Palm Avenue M "tit}. 1425 in dw (ITV OF fRiNTINGIVIN BEAC11 to "1`up: 110M)RABLE N'1VIOPt AND v`11<_:11.131r:it' OF TFIF, COUNCIL OF ITUNNINGION BEACH: 5 c.;t?i111?11.1S3we "All tlie' Wli is IEly i;t ' ">C'iL€ . I.11c!{;, fhe iiliderslgrlet1 17t Si' ?1 I?rol-v' -zos ;inn j,- ,es to Int-inni all t1w wo? tFwrrein doswilcd, acid to Burnish till Iahor„ F���t����s?= ��t�fl�rt����t :rat ttli'i l.1't hl a ," lift . EiC' -e; 1T ' `flit t'€;;fN, in ;it.c+Ji`i1'; nck..., with the pIw"w1 iX,nd Oil silk the co' ice ol, the t „hy Engineer or the t,�'cty of I-Ittrl#in ton Bcach. the undersigned agrees to, p rleirr i tltc'' lvorl^; therein to the >;itfsha; tl,`m t'o-t aWll U11(ki" tilt" ;tt1 ervision Cal the 0,ly 1:17gntee of ii1C { -i€', .=i, ryryI-ILHAitr�:�'tt�>n BU�a�1:, vald to enter�ytt nto a c.uo3�{�t act at the SIfollowiyng 1:n—i . l i't and . sigricd apices s w c.���i ply ,tc.. thc; �\(. kirk within .40 working i g L �' s" sLa till, front "4"he, �, atc tit .4;.>tN to i%St"+w..yt IN t' E7Eltl�; ioig cd <1 , 1i) It lt'.C'-§ thal tile. risuFSrlt,'t' of tlic, *Nofict„ t,� P!,o °e ed will ; tlr 21 }I r 1Si"i Et zY t "o 2TIC�rah:l ate the award o thel Cl2'1!'ect to aflo%v �rC curc`ritcri't tinte t'or CRY lilrlll`xhed ee.1€Eip nwlt. 131L)I)1 1;„I c:Mirc, that. Ns piqNnal in l,wwc tE1 on c„arthd c?,tctlEilm6on of Ow "ork No Illwv,, ~4pc ilwcciofrs, IdytE`uctidons at and u! j ;`7t1€t.r contract If thii,, pripos'.il l{'t'ejmed ror a"i ,lyd, RIDDI_IA arices to enter No a wntraCt with At11 C'l w,a nie unit ril,d ter hlrul) NLUn priLOS �cC! Mth iri tile fol o',„ rlt� l;3ii1 Clac�titlle. MI)DER' urrt erS,t1114Is 11131 I iilut'c t.e �sl wr El o is �;ontow in :he It1.lililc,r am! thus pusa€(ed ill rc,,, rlt in totfeiwl e% to A{.i1 N(,`l ol. 12 gunway X1wMPwq,w °I"`. , 11M`IMMd 13IDDIAZ .,t.i.ot,` stxlr7ds that a hid i�, t`f.Wl„iveci for m;i: Cf]l.?En `*"qw. tat we t.`StEfli'mcd ':.11tMttlGe, ';it;,'.i, ior.li in the Bid ~`'Aro ule an solo° 1, for tile IMIrIxlsy: of cor11rr1rirq� and Ill'o finial t't)4i31wI'a ain>rE tudur the Kantawt w-ill 1,c lla,Sed (II)kI;il 111C tLCAUal qu,-xTitides of work .,ifdstic Wby ,Hitt ltt{tl, THL .1111: ITTHI I €t) D I,I:: 1 I.° .` NY I I ENI 1.1'GUNI ME, t_)N 1€ A(~ I . N is, ,axed ti m be unit rlE'Id, Itlrllll l-rtE Prit„c,-, hid inc:lude? all Etrpurtesltlrlt 1."xI)ctlsil s, taxes„ roya.ltles, I.L'ti,', , wo, and WH be U 1,13r3:3.i": CCLI Wr a I?L'l`AKI of sixty days I.t't}Eli the bid iTenh +, cl +tc' It A such tE"u; the coractc't is not \k ill rcject 4dl bid, out 01H readwasc Ac jU,--,,vcL In Me caw A Qcroyu-,cic, it,,, th,' 11-110LIJ-ItS bid, Unit JAiCC, 4ialj OVer cxlend& anwonm and words Ad! Eoveni over ligurew, If waded K (In raw. 11w tindcrsigned that in the exTnt & die MWI- R' ti411A 5, die recit,hred conn"t and Phy dw wnsary, hotids and inNuranco certificates Wthin g 10 "Win! dws aher the date of die ACjI,-,N(,,A'S notice of a"ard ofcontrac! io the th,': prok:d') of, the �Ccnrily ack-orip.-inying Tis bid shA becon,,,v the ofthe AGI and, Oil Nd a€'s ! heacif rnqat 16, Aij--NCY`optics. Inc' cc,l,sidcrcd radl an�d v,,-,A ACCOUP&P 111"t! thk prty()-�,al ofbd, fiirt(10% Biddw% Bqoni We anjowV of Qkh ;aid ounmint is not dian I he aggwgwc of We total bid prior ,, aii"Ct1.i3 t° tice Ins -i6q; Scalm 10pa,"bic to the k(jFpj(:j' (Please Ancri We mards AM". "Cenvicti (MV va "I UNA Bown as wc one rimy bc)- Killer shall Q, A fy rockpi of all McIcUt hCTC, NUM TU, Received 1, M Proj ect Street Lighting Bid Schedule Modification-7'hStreet CC-1425 Stern Estimated"tM W E AUMI , W O Int Iry' L.S. Mobilization. -Jk1j5 r--'-JMA,,SAA-0 $ 00 $ -"LA4)VCP Per L.S. 2 1 L.S. Furnish Project Traffic Control. $ OM $ 00 6 Per L.S. 3 18 EA. Install New Street Light Pole, Foundation and Luminaire. C4(fd-r— CA 0i '$- It 693.2 $ 3!V-TL/' 4 23 EA. Di-179kW- 4- Per EA. ( I E Remove and Salvage Existing Street Light Pole, Luminaire and Foundation (Includes Restoration of Surrounding Area). os- M'A'x&�-V ffizl $ O�- $ Ll 5 1 L.S. �Ou AW Per EA I Install New Type Ill Service Cabinet (Includes Service Cabinet Foundation). $ 3 M. $ 3r &Zfu r Per L.S. 6 1 L.S. Furnish and Install Pull Boxes, Conduit and New 7 1 L.S. Conductors in New Conduit (Includes Pavement Restoration). -Six Per L.S. Relocate Roadway and Street Name Signs. OD $ 0oc-'e- $,, 6?1 $ 62. 9 8 200 L.F. Per L.S. Remove Existing Curb and Gutter and Install New Curb and Gutter per City Standard Plan 202 (Locations to be Determined by the Engineer). qy t Cif $- $ Per L.F. -J1 Total Amount Bid in Figures: $ Total Amount Bid in Words: 4-e( "*7.60 Note: The City will provide poles, luminaries and the electrical service cabinet as indicafed on the plans at no cost to the contractor. The contractor is to pick up the materials at the City Yard, 17371 Gothard Street, Huntington Beach. Contact George Ruff two working days in advance for pick up at (714) 536-5530. C-2.1 II ASTOF SUBCON]'RIACTORS !11 G()VCTT1TM'!11 CA Ide 4 104, ibc, khlcjc,r I icl the 1!1-ljtic Ind iw-�lllcss address of clicil suhcolltr�lctor wilo w,111 pert-brin work or render it) the bidder on Said conlr�tcl, Ill "M 41112oUl'it ill 1,*Nccss of ollcdllit of ('mc JICI CCIF (,)Pile llouil bid !md ih(portiori 01- hC ch Bid ki,c(.mt1,a clor-_ A fate wv,� Lkel Sil Aumbe e7 '07 -7-7 13, Cv 684� A G_ ILA; 04 1 i 04uz C4_ BV SUI) H) [1 0 C LI I i S I )T_0I)W,-I, d I C I 'I id d or C%--rl I I- I CS: 1 , Thlit he is Z,ible to and evil! perforni ill,-- balmioc of till work which is 110L covcl,�d ill tl-w, ahovc subcontriclors lisling- 1-1,,at the AGFNC'Y will bc furnished Copies ot, "i'll subcontracts elilloved jilto and bom,k "urnl's I hed 1)1' SUbconirlicior for this IN-0jeCt- C-3 N0NC:()IAAJSI0. - N" A FFJDAVIT `ro ta'. 7rn) BNAIDDER AAND St-11MVI-TI-A) XVIT It BID dMac UM Pando of pcdtary umkT the laws of Ow Swe of (VANWa So Te Greqn, is MIV OHIO UDITM WY QW1 MiS JvCjWj60U is vxccutcd on 23rd , al Chino CH Sun, Kevin McCarthy Wing first My swum, dand says that he, or sho CoMPHOB SPOPM.. Macadee Electrical Construction, Inc.. It j -i, � I Ic e jarty niaklfn� L. krug0u; bid Tal the hN is nukAde oi­,€,-"- thc h(Alalf od, any pci-so!i, paitn�:rship, conqviny, asswisM oij,,ttniztnon, or corpmWon: &W tk bid 'is gentinic and not Music or di nu dmi the Ividdur has not diren1v or inkirc,��rlv hlduccd '11, =,ohcited a,'11v ;q1h,r bidder u) [na in a Ads, tn shmn IJAL W has r-1 diwcdy or ikWaQ, OAK= compivd. "umW in agned o it w, 1107 or anyme ;se to iii I hani bid, or that shall rc!'rt611 i'rc:an hidi"hng,, tat III,' bidder has not W a", rnwnwi, dirucil,\ {si -So by ayoMn&M cmunILMhatit"N to omkrmce %01 omyorw to fix Ow, hid prive, or that of any who- hich!,,r, or io �ecwc tuo advmmigp: agahi�4,t t1w 1whic lady a%varding the onivaut of anyone nivircovi in the prtqwNt;d cat aia�c-. 1;n orainict: that s,�rnna,,-,onnCd in Olt' bid arV tt'Li: and, fiu:ther, Lot On ISM has me. dir"Oy or hAdva1g, suNninaf his or her bid ImW or any kwakdo"11 IRrvoQ or Oic conILMS thacK CC ChVLI1,1,,cd irtf`6i-jrra,6(-,,n to daw intakithcrew, of paid. anti %,111 i"i pay Oc io w*- corlu"ohn" parwisht, cornlxwy 100GAWs. hid d�poshor,� or to niq ructribero, agent dRACOf h) C11011011C a COHMAC (wWram bid, Macadee Electrical Construction, Inc. None o C I Wider 4821 Lanier Road, Chino, CA 91710 t%ddnss oi Bidda- W 1011 LITYAMEM E M HONOWUME MAYORAND CITY MUNCI L (TrY OF HUNTLiNGFON BVA(-'1-L (ALIFOR-NIA Walcnwn,� IV OmOrdywd Woby Imomisesmid agwas dial in dw of Ill" work spvedicki'll [hV cort":Ict' at. tile strect ll-'it-Alting, Mwlifivatiow7'=-' Strt,et (-'('-1425'.611 emP41 and AM only qwThed Ims, as her nahm dethicT tQ vork in pro-%mlii}v to an%' OWN scomdumv or iranskWon wwdhkReAwn "Qhadinal lkiswC IN doinal it I W 81 COM NNW 270T as Wows: QuallAd Mrson: I I InTson hAn by rimin qAqwhow tit- i'4 1Gimih al' Ivi'h 1(,;" q)t"T'mim; no be jwthmmY ami 6w hwatyk bw/m/ " 140 LUArAgned Aw 1wominni and :t.-,!recs that �.!H such %kork :,',hudl t,,: ill acconddIlw'e %vith at appii%:".hde ciccnriC-,d wility PAR I KIM (OrnmNsion Wei, mKI Que of QdArnm (WORIVY OLPliremunts- rhe wavrojim anor a,tirccs dm, 1w lonnAkno hemin WmH by aQ an Wkq, sitilcotimm or that ill,, be intink wn mWQ& by Ow wndcriqjwd. -ffld flr:'ii Ow tindersomol shall We sups as arc to as,,'uI-V' conlphaf"by any said mAvnuacun or subowltmew %vhh the rcqdramwas conkned Arcin Macadee Electrical Construction, Inc. Corporate Secretary Me Jul 23, 2013 ]'I : L L , t ) I a � i j ; � s- t - -, , , : t 11 t 'tcil',:171:1i:'fllI " ; Scc I ion I I'ail I ]I', !,!C[. �!r.Jjj ot pcl: rein FSI I ONJNA IR V, I I I v 1 .11 Jldv I j 1a I1S.":1,0 . _. 1 ' t 1 Ic 'I i -1Ltl, C, i 1 _tt51 Cd H i I S', PIV CD n I I I I?.,' I _j 1 i-, X.J 1` I o . ........... .. - ----- C-0 (AMPENSTFION INSI,!R.,k,N(-:F'. (AJOIFICA"I'L Pursm v Suction 1861 of lhv Sm labor Coda. each mmy'lut, to who:n a puhlia: v.orkr vinaw has Kai maded WaH tix !i}Eowing mm awau CC the PvwKhq1,, ,!' ,wctioll '-AY) "I Q, Labor f'odc w1lik-Al evvry to be sel, houNd agonm liabAy Or "orkcr's coaip��Tlsa:iori m ,o undcrfak V;ilh Th': Puw"AM5 A Wit (("'dc, all(',' I "Vi[I conlpl%',ith pi-ovisI{) S th,,, of'-Oie v-)rk cdihir; coniracll 10acadee Electrical Construction, Inc. Corporate Secretary Mc a July 23, 2013 Macadee Electrical Construction, Inc. 4821 Lanier Road Chino 909 627-1336 583125 C-10 December 28, 1989 December 31, 2013 CA 91710 . ., to"�t,ks_�,w ;;, Kevin McCarthy 1'f=�.t` "')ClicV Uit_July 10 13 c e�; T I ,,]I ldc!-Z" CI it-, CI .5 pI ella I e d [o :.:i t isfy tilt! Council of the ( 'i-tv ')i :1V luntill­,-,on of its �A) c I a I or o I I, er%vl c', k) pc I I or I I I the coil ti-lact Cur if)(, I) r0poscd work I- I I) d I I-1 p ro % e, I I el I IS 1.1 Hce %y, IJI tile pl,"Ins -Ind Ipccl f Ical t, oils set rorlh, Macadee Electrical Construction, Inc. Si JtL!I'e (A III .evin McCarthy -_-------- I-Inted of. -Typed Sign' Turc J;j A.M � "),ubsci-Ibed andswo--Il to bclbi-e ille thIs23rd day of J�41Y San ownardft ­C" MY cainm. ftlw" �09 m2W2 201 NOTA R Y I't N0 I`AJY Ijsl�-d Ise o%% drc the "'Ind Idej)�",olw lmfllbcr� i'Or Ilia-vc I)IIHIC (he bidder has pci lbrined slinflar %vork %66,41'li the Ixt-st Mo scars: City of Newport Beach - 3300 Newport Beach Blvd, Newport Beach, CA iMillicand Addrcss of Pubile Agency Nanic �,und Tcl-C,pholw_ No. ot- Pr 'oct N1.11- Iris Lee (949) 644-3311 $177,213.50 Energy Efficient Street Light Improvement May 2011 ('Xnitizi4l. Amount Ty PC .,) F \V 1, k e Coniplete City of Baldwin Park - 14403 East Pacific Avenue, Baldwin Park, CA 91706 . . ...... . . ,\ddrcss ol'llnl)!N_ AL,,efwY Victor Chavez (626) 960-4011 $142,189.00 Badillo & Willow T.S. Install March 2012 City of Cypress - 5275 Orange Avenue, Cypress, CA 90630 . .. ........ Munc Lind Address ter llublic 'Ac"C110' Keith Carter (714) 229-6700 unc and Tcicphonc No. ol'Projcct iMawlger: $99,960.00 Installation of Traffic Signal September 2012 Contra-1-t Arriouni Tvpe of' \Vork, Date Compicted C_t) GPtEmAmERICAN INSURANCE GROUP KNOW ALL MEN BY THESE PRESENTS, that we, Bond No. NIA Macadee Electrical Construction as principal, and the GREAT AMERICAN INSURANCE COMPANY, a corporation existing under the laws of the State of Ohio, having its Administrative Office at 301 E. Fourth Street, Cincinnati, Ohio 45202, as surety, are held and firmly bound unto City of Huntington Beach as obligee, in the penal sum of Ten percent of amount bid Dollars (S 10% ) , lawful money of the United States of America, for the payment of which, well and truly to be made, we bind ourselves, our heirs, executors, administrator, successors and assigns, Jointly and severally, firmly by these presents. SIGNED, sealed and dated this WHEREAS, the said principal 9th day of - July Macadee Electrical Construction 2013 herewith submitting a proposal for Street Lighting Modifications 7th Street CC-1425 NOW, THEREFORE, the condition of this obligation is such that, if the said principal shall be awarded the said contract, and shall within ( 60 ) days after receiving notice of such award enter into a contract and give bond for the faithful performance of the contract, then this obligation shall be null and void otherwise the principal and surety will pay unto the obligee the difference in money between the amount of the principal's bid and the amount for which the obligee may legally contract with another party to perform the work, if the latter amount be in excess of the former; but in no event shall the liability hereunder exceed the penal stun hereof. GREAT AMERICAN INSURANCE COMPANY B U Laurie B. Druck, ttomey-in-Fact F.9116 (3/11) 'CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT State of California SS. County of San Bernardino On July 9, 2013 before me, Cynthia J. Young, Notary Public Name and Title of Officer (e.g., "Jane Doe, Notary Public") Personally appeared Laurie B. Druck Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that she o CYNTHIA J. YOUNG executed the same in her authorized capacity, Commission # 1982442 and that b her signature on the instrument the y g Notary Public - California z `�'�' ' person, or the entity upon behalf of which the person z San Bernardino County My Comm. Expires Jul 15, 2016 ; 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 ESS my hand and official seal. nature f Notary Publi OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ® Individual ® Corporate Officer Title ® Partner -- ® Limited ® General ® Attorney -in -Fact ® Trustee ® Guardian or Conservator Other: Signer is Representing: Number of Pages: GREAT AMERICAN INSURANCE COMPANY® Administrative Office: 301 E 4TH STREET • CINCINNATI, OHIO 45202 • 513-369-5000 ® FAX 513-723-2740 The number of persons authorized by this power of attorney is not more than FOUR No. 0 14652 POWER OFATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the GREAT AMERICAN INSURANCE COMPANY, a corporation organized and existing under and by virtue of the laws of the State of Ohio, does hereby nominate, constitute and appoint the person or persons named below, each individually if more than one is named, its true and lawful attomey-in-fact, for it and in its name, place and stead to execute on behalf of the said Company, as surety, any and all bonds, undertakings and contracts of suretyship, or other written obligations in the nature thereof, provided that the liability of the said Company on any such bond, undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below. Name Address Limit of Power ALL OF ALL JAY P. FREEMAN CYNTHIA J. YOUNG SAN BERNARDINO, $75,000,000,00 PAMELA McCARTHY LAURIE B. DRUCK CALIFORNIA This Power of Attorney revokes all previous powers issued on behalf of the attomey(s)-in-fact named above. IN WITNESS WHEREOF the GREATAMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this 31 ST day of JANUARY 1 2012 Attest GREAT AMERICAN INSURANCE COMPANY msu Y e Assistant Secretary Divisional Senior Pice President STATE OF OHIO, COUNTY OF HAMILTON - ss: DAVID C. KITCHIN (677-377-2405) On this 31 ST day of JANUARY 2012 , before me personally appeared DAVID C. KITCHIN, to me known, being duly sworn, deposes and says that he resides in Cincinnati, Ohio, that he is a Divisional Senior Vice President of the Bond Division of Great American Insurance Company, the Company described inand which executed the above instrument; that he knows the seal of the said Company; that the seal affixed to the said instrument is such corporate seal; that it was so affixed by authority of his office under the By -Laws of said Company, and that he signed his name thereto by like authority. KAREN L. GROSHEIM a NOTARY PUBLIC, STATE OF OHIO MY COMMI$BION EMPIRES 02-20.16 This Power ofAttomey is granted by authority of the following resolutions adopted by the Board of Directors of GreatAmerican Insurance Company by unanimous written consent dated June 9, 2008. RESOLVED: That the Divisional President, the several Divisional Senior Vice Presidents, Divisional Vice Presidents and Divisonal Assistant Vice Presidents, or any one of them, be and hereby is authorized from time to time, to appoint one or more Attorneys -in -Fact to execute on beha6rof the Company, as surety, any and all bonds, undertakings and contracts ofsuretyship, or other written obligations in the nature thereof- to prescribe their respective duties and the respective limits of their authority; and to revoke any such appointment at any time. RESOLVED FURTHER: That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the Company may be affixed by facsimile to any power of attorney or certificate of either given for the execution of any bond undertaking, contract of suretyship, or other written obligation in the nature thereof, such signature and seal when so used being hereby adopted by the Company as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually affixed CERTIFICATION I, STEPHEN C. BERAHA, Assistant Secretary of Great American Insurance Company, do hereby certify that the foregoing Power of Attorney and the Resolutions of the Board of Directors of June 9, 2008 have not been revoked and are now in full force and effect. Signed and sealed this �insuq� 9 4\ day of M ' ao I3 Assistant Secretary S1029AC (4/11) City Of Huntingt®n Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Joan L. Flynn, City Clerk September 25, 2013 Pro Tech Engineering, Corp. 1173 N. Patt Street Anaheim, CA 92801-2568 RE: Street Light Modifications — CC-1425 Enclosed please find your original bid bond for CC-1425. Sincerely, u� n Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand Fr® ® PR® TECH ENGINEERING, CORP. 1173 N. Patt Street, Anaheim, CA 92801-2568 Phone (714) 515-7677 ; Fax (714) 888-3375 'pOSA_L� Huntington Beach, Cry 92648 7th Street Lighting Modifications Bid Opening: July 23, 2013 at 2:00 PM 'i 1, , - ,, ;> ! SECTION C PROPOSAL, for the construction of Street Lighting Modifications 7th Street from Pacific Coast Highway to Palm Avenue CC No. 1425 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. The undersigned acknowledges that the issuance of the Notice to Proceed will occur approximately two months after the award of the contract to allow procurement time for city furnished equipment. 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 C-1 U 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. 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. b Accompanying this proposal of bid, find i'1.i in the amount of $ 10 which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda -No. Date Received Bidder's :Signature C-2 Project Bid Schedule Street Lighting Modification-7th Street CC-1425 Item + No Estimated Quantity Item Wirth Unit Pnce°Written MOO. s Umt Pace Extended Amount E 1 1 L.S. Mobilizatio d �o a Oa $ OD $ l Per L.S. 2 1 L.S. Furnish Project Traffic Contrg1. /Bp V&'oBal 'zk yob v'0 $�/� BO $ ,ODD 3 4 18 EA. 23 EA. Per L.S. Install New Str t Li ht Pol Foundatio and Lu Imaire. Per A. ! d a Remove and Salvage Existing Street Light Pole, Luminaire and Foundation (Includes Restoration of Surrounding Area). v-- $ (� _ $'2�� Per EA. 5 1 L.S. Install New Type III Service Cabinet (Includes Service Cabinet Foun L. //� Per L. !� a 0.6 6 1 L.S. Furnish and Install Pull Boxes, Conduit and New Conductors in New Conduit (Includes Pavement d0 Per L.S. 7 8 1 L.S. 200 L.F. Relocate Roadwa and Str et N=5.-S gns. @ �u,o�� ,�- ����w no Per L.S. G d d Remove Existing Curb and Gutter and Install New Curb and Gutter per City Standard Plan 202 (Locations to be Determined b the ng' ).000, @ rs a $� ®� $ a, soo $ Doe Per L.F. oa Total Amount Bid in Figures: Total Amount Bid in Words: Note: The City will provide poles, luminaries and the electrical service cabinet as indicated on the plans at no cost to the contractor. The contractor is to pick up the materials at the City Yard, 17371 Gothard Street, Huntington Beach. Contact George Ruff two working days in advance for pick up at (714) 536-5530. 41� 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 subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Bid Name and Address of Subcontractor State. Class Dollar. % of Item(s) License Amount Co, ntract: Number ® A) By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds Punished 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 S ate pf California that the foregoing is true and correct and that this declaration is executed on at ZAAI OE j% �/A Da e City State 1 C /� � , being first duly sworn, deposes and says that he or she is Iz ees, ( DST of �nT�' F_1:��1 �� 1 -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. �Ro 'I EN ER_61I)JC-ER114e �. Name of Bidder Signa e of Bidder 407 9a� 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 Street Lighting Modifications - 7th Street CC-1425, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved. " The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal -OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Date: Contractor By Title C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-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-a- Contractor By �4�z,De-x)7- Title C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: D G Bidder Name A) ��rT g!!57�7- Business Address City, State Zip 7/5/) 5/6--747-) Telephone Number State Contractor's License No. and Class Original Date Issued a/o%.i Expiration The work site was inspected by of our office on /1, 201 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. i-4 Company Name AL Printed or Typed Signature Subscribed and sworn to before me this day of 1 , 2 U WWF-- COMMA "0 "Mys Nobly Nft - C NOTARY PUBLIC NOTARYSEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1. N of public Agency Name and Telephone No. of Project Manager: —Fp M �J �- C�s��-a-9 09- 3(,r) Contract Amount Type of Work Date Compl( 2. (11.1-� o &: C) V\.C' 3 Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Name �bd A'ddress of Public Agency Date Completed Name and Telephone No. of Project Manager:a&R-(.d e, ALAIAeAab 2 . 6 O Contract Amount Type of Work Date Completed C-9 AMERICAN SAFETY CASUALTY. INSURANCE COMPANY BOND NO.: PROTE-427 KNOW ALL MEN BY THESE PRESENTS: That we, PRO TECH ENGINEERING CORPORATION DBA PRO TECH ELECTRIC, (hereinafter called the Principal), and AMERICAN SAFETY CASUALTY INSURANCE COMPANY, a corporation organized and doing business under and by virtue of the laws of the State of OKLAHOMA, 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 STREET LIGHTING MODIFICATION 7TH STREET FROM PCH TO PALM AVENUE, PROJECT NO. 1425, 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 19TH day of JULY, 2013. BY: Attest: e _C4 Ambu) Jain �— Joseph D. ^{i1 Jr. �J/Jj�Jq�l �I{N11�Nx 1, the: undersigned, Secretary of American Safety Casualty Insurance CompUnV, an Oklahoma corporation, DO HEREBY CERTIFY, that the foregoing and attached Power of Attorney remains in full force and has not been revoked; and furthermore that the Resolution of the Board of Difactors, set forth in the said Power of Attomev, is now in force; Signed and seated in the City of Atlanta in the State of Georgia CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of CALIFORNIA County of ORANGE j �r , On 4C' � before me, ERIKA GUIDO, NOTARY PUBLIC, personally appeared RANDY SPOHN , ® who proved to me on the basis of satisfactory evidence to be the person(-s-) whose names) is/afe subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/fef/thei-r authorized capacity (test, and that by his/hef/the# signature(5) 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. EZIKA GUIDO COMM. # 2022671 p , NOTARY PUBLIC CALIFORNIA N 3 .. ORANGE COUNTY MY comet, t% lrop � MAY �_�017 Though the data below is. not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL ❑ CORPORATE OFFICER ❑ PARTNER(S) ❑ LIMITED ® ATTORNEY -IN -FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) City . of Huntington Beach 2000 Main Street ® Huntington Beach, CA 92648 (714) 536-5227 o ATww.huntingtonbeachea.gov Office of the City Clerk Joan L. Flynn, City Clerk September 25, 2013 PTM General Engineering Services, Inc. 5942 Acorn St. Riverside, CA 92504 RE: Street Light Modifications — CC-1425 Enclosed please find your original bid bond for CC-1425. Sincerely, h l j .loan L. Flynn, CIVIC City Clerk JF:pe Enclosure Sister Cities: Anjo, Japan ® Waitakere, New Zealand E)idder: PTM Genera E_ngineering5ervices, Inc. 5942 Acorn St. Riverside, CA 92504 951.710.1000 Recipient: City of Huntington beach Attn: City Clerk 2000 Main 5t., 2"d Floor Huntington beach, CA 92648 951.415.5150 bid Date: Tuesday 07/25/201 5 E)ij Time: 2pm CC No. 1425 Project Desc: Street Lighting Modifications 7th 5t. from racific Coast Highway to Pam Ave. Do Not Open With Regular Mail. Fjid rnclosed. SECTION C PROPOSAL for the construction of Street Lighting Modifications 7tn Street from Pacific Coast Highway to Palm Avenue CC No. 1425 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 40 working days, starting from the date of the Notice to Proceed. The undersigned acknowledges that the issuance of the Notice to Proceed will occur approximately two months after the award of the contract to allow procurement time for city furnished equipment. 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 C-1 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. If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find Bid Bond in the amount of $ 10116 total Bid AmourWch said amount is not Iess than 10% of the aggregate of the total bid price, as required by the Notice Inviting Seated Bids, payable to the AGENCY. (PIease insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature No addenda issued per Cindy in Public Works 07/22/2013 445pm C-2 Project Bid Schedule Street sighting Modification-7th Street CC-1425 Item_ 1 Estunated Quanlity.t 1 L.S. Item _ Wrth Ilmt Pnce Wntten in Words , x V utt Mobilization -rei Umt 1'nce Extended Amount . $_3000 $ WC Per L.S. 2 1 L.S. Furnish Project Traffic Control. Ir �ku t" Per L.S. 3 4 18 EA. 23 EA. Install New Street Light Pole, Foundation and Lummaire. a �-akb Lp Per EA. Remove and Salvage Existing Street Light Pole, Luminaire $ 2-2p0 and Foundation (Includes Restoration of Surrounding Area). @1a�-� v 11 $ Too $ 1 V4W Per EA. 5 6 1 L.S. 1 L.S. Install New Type III Service Cabinet (Includes Service Cabinet Foundation). ` knc� lr Z1—qiA-A 11CIMO Per L.S. Fumish and Install Pull Boxes, Conduit and New I qO 6 $ 1900 Conductors in New Conduit (Includes Pavement Restoration). @d1lQ �L wlq-2A V►id �cZc. (� Per L. S. 7 1 L.S. Relocate Roadway and Stree Name Signs. 0--4U.' Lw $ $ 15Q0 Per L.S. 'I 8 200 L.F. Remove Existing Curb and Gutter and Install New Curb and Gutter per City Standard Plan 202 (Locations to be Determined by the Engineer). @ `j i j4e-'�—►1 $ _ $ ZX Per L.F. Total Amount Bid in Figures: $ iCfta / 1, 0() Total Amount Bid in Words: Ne klo ddgA w.J.4- v1,44e 4009:� kVj, Sv� i�1 i vt _ Cytae Ke e-t Note: The City will provide poles, luminaries and the electrical service cabinet as indicated on the plans at no cost to the contractor. The contractor is to pick up the materials at the City Yard, 17371 Gothard Street, Huntington Beach. Contact George Ruff two working days in advance for pick up at (714) 536-5530. G2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Bid Item(s) Name and Address of Subcontractor State License Number Class Dollar, Amount % of Contract By submission of this proposal, the Bidder certifies: That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor,for this project. C-3 . NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID 1 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 7/22/13 , at Riverside , Ca Date City State Elizabeth H. Mendoza de McRae , being first duly sworn, deposes and says that he or she is President/CFO of PTM General Engineering Services, 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. PTM General Engineering Services Inc. Name o Bidder f r lizabeth H. Mendoza de McRae TM General Engineering Services Inc. t Signature of Bidder 5942 Acorn St. Riverside, CA 92504 Address of Bidder C-4 FUTILITY 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 Street Lighting Modifications - 7th Street CC-1425, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved. " The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal -OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Date: 07/22/2013 C-5 PTM General Engineering Services, Inc. C n or lizabeth H. Mendoza de McRae B3 — Title President/CFO DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes 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 INSIURANCE 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: 07/22/2013 C-7 PTM General Engineering Services, Inc. ctor Elizab h H. Mendoza de McRae By Title President/CFO BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: PTM General Engineering Services, Inc. Bidder Name 5942 Acorn St. Business Address Riverside, CA 92504 City, State Zip 951 710.1000 Telephone Number 891265 Class A; C10 State Contractor's License No. and Class 0212007 Original Date Issued 0212015 Expiration Date The work site was inspected by Brian Mendoza of our office on 07/19 , 2013 . The following are persons, firms, and corporations having a principal interest in this proposal: Elizabeth H. Mendoza de McRae, President/CFO Brian Mendoza Vice President/Secretary 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. ComnaxV-Vame >ignature of tsiaaer Elizabeth H. Mendoza de McRae President/CFO Printed or Typed Signature Subscribed and sworn to before me this day of , 201_ See Attached NOTARY PUBLIC NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: see Attached 1. 2. 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Name and Address of Public Agency Name and Telephone No. of Project Manager: Date Completed Date Completed Contract Amount Type of Work Date Completed C-9 All Purpose Acknowledgement State of o(A` County of�{ S't� On I `3 before me Lui Wei (date) (notary) personally appeared, Elizabeth H. Mendoza de McRae (signers) ❑ personally known to me — OR -- LUI WEI Commission # 2021286 Z4my Notary Public - CaliforniaOrange CountyComm. Ex Tres Apr 21, 2017 (seal) proved to me on the basis of satisfactory evidence to be the persons) whose name(s) is/subscribed to the within instrument and acknowledged to me that he/she/##executed the same in his/her/their authorized capacity(i , and that by her/t KiWsignature* on the instrument the person(# or the entity upon behalf of which the person(§,acted, executed the instrument WITNESS my hand and -offs ' I seal , � (notary signature) OPTIONAL INFORMATION The information below is not required by law. However, it could prevent fraudulent attachment of this acknowledgement to an unauthorized document. CAPACITY CLAIMED BY SIGNER (PRINCIPAL) ❑ Individual ❑ Corporation Officer title(s) ❑ Partner(s) ❑ Attorney -In -Fact ❑ Trustee(s) ❑ Guardian/Conservator ❑ Other: SIGNER IS REPRESENTING: Name of Person(s) OR Entity(ies) DESCRIPTION OF ATTACHED DOCUMENT Title or Type of Document Number of Pages Date of Document Other Right Thumbprint of Signer (if required) CERTIFICATE OF CORPORATE RESOLUTION j Brian Mendoza , Secretary of PTM General Engineering Services Inc. (Corporation) do hereby certify that at a duly constituted meeting of the Stockholders and Directors of the Corporation held at the office of the Corporation on December 30 , 2007(year), it was upon motion duly made and seconded; that it be VOTED: Elizabeth H. Mendoza de McRae, President/CFO ..... OR.... Brian Mendoza, Vice President/Secretary Authorized to sign & execute contracts and submit bids with either one of the corporate officer's signatures. It was upon further motion made and seconded that it be further VOTED: That Elizabeth H. Mendoza de McRae, President/CPO ..... OR....Brian Mendoza, vice President/Secretary in the capacity as of the Corporation is empowered, authorized and directed to execute, deliver and accept any and all documents and undertake all acts reasonably required or incidental to accomplish the foregoing vote, all on such terms and conditions as he in his discretion deems to be in the best interests of the Corporation. I further certify that the foregoing votes are in full force this date without rescission, modification or amendment. Signed this -�c> � day of/ , ?.� I �' (yea,), l A TRUE RECORD ATTEST W Brian Mendoza Secretary/Clerk Vice President/Secretary (Corporate Seal) 53 PTM GENERAL. ENGINEERING SERVICES INC. PROJECT REFERENCES 1. Project Owner:: City of Rancho Cucamonga, 10500 Civic Center Drive, Rancho Cucamonga, CA91730 Project Description: Traffic Signal at 3 locations Date of Start: 1/2012 Date of Completion: 9/2012 Contract Amount: $809,503 Contact Person: Mr. Craig Cruz, Tel: 909-477-2740, email: Craig.Cruz@cityofrc.us 2. Project Owner: City of La Habra, 201 E. La Habra Blvd, La Habra, CA 90633-0337 Project Description: Install LED Internally Illuminate, Street Name Signs Date of Start: 3/2011 Date of Completion: 11 /2011 Contract Amount: $280,771 Contact Person: Ms Angie Miralaie, Tel: 562-905-9720 ext. 212, email: angiem@lahabracity.com 3. Project Owner: County of Riverside, 3525 14th Street, Riverside, CA 92501 Project Description: Traffic signal and lighting at Clay St. & De Anza Plaza Dr. Date of Start: 12/2010 Date of Completion: 6/2011 Contract Amount: $211,939 Contact Person: Mr. Ivan Mendoza, Tel: 951-955-6885, email: IvanMMendoza@aol.com 4. Project Owner: City of Bakersfield,1501 Truxton Ave., Annex Bldg., 2/F,Bakersfield, CA93301 Project Description: Traffic Signal ,Lighting System Median Modification -California Ave. Date of Start: 2/2012 Date of Completion: 7/2012 Contract Amount: $252,733.84 Contact Person: Mr. Robert Tablit, Tel: 661-326-3996, email: rtablit@ci.bakersfieldca.us 5. Project Owner: City of Tustin, 300 Centennial Way, Tustin, CA 92780 Project Description: Mitchell Ave/UI"T Dr. Pedestrian Enhancement Date of Completion: 11/2011 Contract Amount: $72,070 Contact Person: Mr. Eric Johnson Tel: 714-573-3320 6. Project Owner: County of Riverside 3525 14th Street, Riverside, CA 92501 Project Description: Traffic Signal at Ramon Express & Lakeview Ave. Date of Completion: 12/2011 Contract Amount: $209,902 Contact Person: Mr. Ivan Mendoza, Tel: 951-955-6885 7. Project Owner: Cal Trans, 08-OQ2904 , 1727 3& St Sacramento, CA 95816 Project Description: Route 18 in San Bernardino County Date of Completion: 11/2011 Contract Amount: $151,137 Contact Person: Mr. Peter Mullay Tel: 661-333-9357 8. Project Owner: City of Redlands, 35 Cajon Street, Suite 4, Redlands, CA 92373 Project Description: Safe Routes to School Cycle 6 Date of Completion: 3/2013 Contract Amount: $325,068.78 Contact Person: Mr. Jason Montgomery, Tel: 909-798-7584 ext 5 9. Project Owner: City of Newport Beach, 100 Civic Center Drive, Newport Beach, CA 92658 Project Description: 2011-2012 Traffic signal upgrades project — C-4841 Date of Completion: 2/2013 Contract Amount: $597,619.65 Contact Person: Mr. Brad Sommers, Tel: 949-644-3326 10. Project Owner: Mamco Inc. Project Description: Railroad Canyon Road widening Project Date of Completion: 1/2013 Contract Amount: $1,083,894.89 Contact Person: Mr. Rumzi Alabbasi, Tel, 951-776-9300 11. Project Owner: City of Railto, 150 S. Palm Ave., Rialto, CA 92376 Project Description: Railroad Canyon Road widening Project Date of Completion: 9/2012 Contract Amount: $112,011 Contact Person: Mr. Shirjeel Muhammad, Tel: 909-820-2531 12. Project Owner: City of Bakwin Park, 14403 East Pacific Ave., Badwin Park, CA 91706 ]Project Description: Traffic signal installation at Stewart Ave. & Frazier St at Foster Ave. Date of Completion: 12/2012 Contract Amount: $267,350.00 Contact Person: Mr. Edward Torres, Tel: 626-960-4011 13. Project Owner: City of Whittier, 13230 Penn St., Whittier CA 90602 Project Description: Traffic signal improvement Hadley Street at Whittier Ave. Date of Completion: 4/2013 Contract Amount: $270,718.77 Contact Person: Mr. James Keena, Tel: 562-567-9514 14. Project Owner: City of Palm Desert, 73-510 Fred Waring Drive, Palm Desert, CA 92260 Project Description: Accessible Pedestrian Signal Project. Date of Completion: 2/2013 Contract Amount: $144,944 Contact Person: Cora G., Tel: 760-346-0611 15. Project Owner: City of Huntington Beach, 2000 Main Street, Huntington Beach, CA 92648 Project Description: Safe Routes to School Golden View Project Date of Completion: 3/2013 Contract Amount: $146,703.27 Contact Person: Mr. Dave M. Tel: 714-334-4845 Brian Mendoza P.0.13 ox 7745 Riverside CA, 92513-7745 Email:brian@ptm-eng.com Cell 951.722.5755 Chief Estimator and Supervisor of Outside Operations Supervisor of Outside operations with over 18 years of experience electrician with. over 20 years of experience An effective communicator and team leader, experienced in coordinating and executing large and fast paced projects. CAREER EXPERIENCE Freeway Electric/ PTM Engineering Services, Inc. Riverside CA 06/2006 to Date Chief Estimator/Supervisor of Outside Operations In charge of managing the estimating department and finalizing bid packages: coordinating the beginning phase of an awarded project between the company and agency. Project submittals, contract review Coordinated and manage crews California region: handled various sized projects ranging in size from $1,000 to $4.5 million dealing with dry utilities, wet utilities, traffic signals, and road improvements, maintained coordination Freeway Electric / PTM General Engineering and subcontractor, and project owners. In charge of handling project's administrative work: monthly gross estimates, project progress schedule, materials requisitions, contract change order negotiations and equipment purchase and rental. High Light Electric Inc. / Pete & Sons Construction Inc. Riverside, CA 10/1995 to 06/2006 Chief Estimator In charge of managing the estimating department and finalizing bid packages Coordinating the beginning phase of an awarded project between the company and agency or prime contractor that include project submittals, contract review. Successfully bid on projects totaling $12 million with an average spread 6%. Area Supervisor Coordinated and manage 10 crews consisting of 6 members per team in the southern California region: handled various sized projects ranging in size from $1,000 to $4.5 million dealing with dry utilities, wet utilities, traffic signal, and road improvements. Maintained coordination between High Light Electric Inc. and subcontractor, general contractor and project owners In charge of handling project's administrative work; monthly gross estimates, project progress schedule, materials requisitions, contract change order negotiations and equipment purchase and rentals. Page 1 of 4 Brian Mendoza CAREER EXPERIENCE CONTINUED MBE Electric, Inc. in Riverside, CA 10/1989 TO 10/1995 Vice President and Head of Outside Operations Manage outside operations for all projects ranging in size from & 1,000 to 2.5 million. Headed an around the clock electric crew and coordinated with CC Meyers to repair the I-10 Santa Monica Freeway after it collapsed during the 1994 Northridge Earthquake to complete the fast paced project in 66 days. Maintain coordination between MBB Electric and subcontractors, general contractor and project owners: implemented and enforced safety guidelines. Handled administrative work: monthly progress estimates, material requisitions, contract change order negotiations, Vasco Corporation in San Fernando, CA 10/1987 to 06/1989 Foreman (part Time) Managed day to day operations of work crews and various project ranging in size from $1,000 to $5,000 in Eastern Los Angeles County; traffic signals, street lighting, signal interconnect. Raymore Electric in Rosemead, CA 06/1986 to 10/1987 Crew Lender (Part Time) In charge of working crews on projects that ranging from $25,000 to 250,000 throughout Los Angeles County. WORKING SKILLS • Capable of operating heavy equipment such as skip loaders, cranes, and backh • Hands-on experience with hand tools and power tools oes • Capable of overseeing fast -paced and high profile project • An effective communicator and leader EDUCATION • International Brotherhood of Electrical Workers • Completed training course (1988-1989) in street lighting and traffic signal installations, code enforcement and blue print reading. • South Gate High School • Received High School Diploma in 1988 Page 2 of 4 • English (Native) • Spanish (Fluent) BRIAN MENDOZA CONTINUED LANGUAGES AWARD RECEIVED • Recipient of the U.S. Small Business "Young Entrepreneur of the year" Award in 1996, nationally. • Recipient of the Certificate of Recognition by the City to Los Angeles for "Small Business" in 1997. • Recipient of the Certificate of Recognition by the State Assembly, Assemblyman Mr. Rod Pacheco, for the "Top 500 Inland Empire Small Business" in 1997. • Ranked among the "Top 500 Inland Empire Hispanic Owned Companies" Since 1997. • Certification of Appreciation for our participation and maximization in the " Century Freeway Affirmative Action" by CFAAC PROFESSIONAL AND PERSONAL REFERNCES Caltrans project#071224U4 (Electrical contract amount $4.5 million) Description of project: Installation of traffic signals, ramp metering, sing illumination, Highway Lighting, Fiber option communication and electrical irrigation along the I-10 Freeway in Los Angeles County. • Doug Dawson —Project Manager for prime contractor, Balfour Beatty Cell (949) 232-3276 and Office (909) 397-8040. • Patty Galvan— Resident Engineer, Office (909) 594-4270 • Veronica Ross —Electrical Inspector, Cell (714) 606-6311 Page 3 of 4 BRIAN MENDOZA REFERNCES CONTINUED City of Redlands Contract #208300-72304/41008 (Electrical contract amount is $218,800) project Completed in 2003 Description of project: Installation of traffic signals, modification of ramp metering, lighting and sign illumination. • Bill Hensley— Senior Civil Engineer— Office (909) 798-7586 ext.2 • Juan Olvera — Project Manager for general contractor, H&H Construction —Cell (951) 453-7712 and Office (909) 473-7331. Caltrans project #08-4567V4) Electrical contract amount is $ 938,238) project completed in 2005 Description of project: Installation of lighting system along the I-15 Freeway in San Bernardino County. • Gary Vogel Project Manager for prime contractor, Granite Construction Cell: (661) 549-3953 and Office (661) 726-4447. Sandbag Projects, Segment 1, 2, 3 early segment 9, and alder Ave. (Total electrical contract amount was $3.2 million) Project completed in 2004. Description of Projects: Installation of traffic signals, ramp metering, sign illumination, highway lighting, fiber optic communication, and electrical irrigation along the I-10 Freeway in San Bernardino County. Harold Lands — Sandbag Contract Manager — Cell: (760) 802-7730 and Office (909) 875-8029 ext.213. Tim Hanable — Caltrans Inspector — Cell: (951) 712-0021 Al Ortega — Project Manager for prime contractor, Yeager Skanska — Cell: (714) 240-5333. City of Indio Project#ST0137 (Electrical contract amount was $1.4 million) project completed in 2005. Description of project: Installation of street lighting system, traffic signals, electrical irrigation, and dry Utilities. • Gary Bexter — Area Manager for prime contractor, Yeager Skanska Construction Cell: (909) 721-9749 and Office (760) 343-5472. • Tommy Young — Project Manager for prime contractor — Cell: (951) 232-6618 and Office (760) 343-5472. • Mehran Sepehri — City Engineer — Cell: (760) 250-2201 Additional Professional References: • Zale Harris — Caltrans Inspector — Cell: (951) 289-0047 • Ray Robles — Caltrans area supervisor — Cell: (909) 799-0646 Page 4 of 4 ism KNOW ALL BY THESE PRESENTS, That we, PTM GENERAL ENGINEERING SERVICES, INC. of as Principal, and INTERNATIONAL FIDELITY INSURANCE COMPANY (hereinafter called the Principal), (hereinafter called the Surety), as Surety are held and fumly bound unto CITY OF HUNTINGTON BEACH (hereinafter called Ole Obligee) in the penal sum of TEN PERCENT OF AMOUNT BID Dollars (S 10% ) for the payment of which the Principal and the Surety bind themselves, their lieirs, executors, administrators, successors and assigns, }oigtly and, severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION 1S SUCH, That WHEREAS, the Principal has submitted or is about to submit a proposal to the Obligee on a contract for STREET LIGHTING MODIFICATIONS, 7TH STREET. 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 perfomiance of the said Contract, then this obligation shall be void; otherwise to remain in full force and effect. Signed and sealed this 19TH day of JULY Witness Witness 2013 NERAL ENGINEERING SERVICES, INC(Seal) HlixabA H. Mendoza de N?Air;i pa l PRESIDENT/CFO Title INTERNATIONAL FIDELITY INSURANCE COMPANY By KEVIN E. V G , Attorney -in -Fact INTERNATIONAL FIDELITY INSURANCE COMFANIII/ ALLEGHENY CASUALTY COMPANY ONE. NEWARK CENTER, ?OT'=, FLOOR NEWIaRK, NEW JFRSEI' 0710:2-5207 KNOW ALL b1EN BY THESE PRESENTS: That INTERNATIONAL FIDELITY;' INSURANCE CCMPANY , a :rpa anon organized and t'xistirg uc,'er the laws of the State c,f Nov, Jersey, and ALLEGHENY CASUALTY COMPANY a corporation organized and exi; ting under the i,r. s of the Stnte Fennnysylvania, having their orinciga: office in the City of Ne,,ark, Ne-,, „ersey, de hereby constitute and appoint hEVIN E. VEGA, BRITTON CHFISTIANSEN, MYRNA SMITH, PHILIP E. VEGA ICovina, CA. their true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writinggs obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract or otherwise, and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGH�NY CASUALTY COMPANY, as fully and amply, to all intents and purposes, as if the saute had been duly executed and acknowledged by their regularly elected officers at ,heir principal offices. This Power of Attorney is executed, and may be revoked, pursuant to and by authority of the By -Laws of INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY and is granted under and by authority of the following resolution adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting du held on the 20th day of Ju.y, 2010 and by the Board of Directors of ALLEGHENY CASUALTY COMPANY at a meeting duly held on the 15th day of August, �000: "RESOLVED, that (1) the President, Vice President,. or Secretary of the Corporation shatl have the power to appoint, and to revoke the appointments of, Attorneys -in -Fact or agents with power and authority as defined or limited in their respective powers of attorney, and to execute oh behalf of [lie Corporation and affix the Corporation's seal thereto, bonds, undertakings, recognizances, contracts of indemnity and other written obligations in the nature thereof or related thereto; and (2) any such Officers of the Corporation niay appoint and revoke the appointments of joint -control custodians, agents for acceptance of process, and Attorneys -in -fact with authority to execute waivers and consents on behalf of the Corporation; and (3) the signature of any such Officer of the Corporation and the Corporation's seal may be affixed by facsimile to any power of attorney or certlficaUon given for the execution of any bond, undertaking, recognizance contract of indemnity or other written obligation in the nature thereof or related thereto, such signature and seals when so used whether heretofore or hereafter, being hereby adopted by the Corporation as the original signature of such officer and the original seal of the Ccrporalicn, to be valid and binding upon the Corporation with the same force and effect as though manually affixed." IN WITNESS WHEREOF, INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUAI-TY COMPANY have each executed and attested these presents do this 12th day of March, 2012. tT7f !1iflzJ'y \� STATE. OF NEW JERSEY County of Essex Ltj 1936 ROBERTW.MINSTEpR (internaationl Fidelity InPresident/Chief �n�O ceCempar eraling Officer y) and President (Allegheny Casualty Company) On this 12th day of March 2012, before me erne the individual who executed the preceding instrument, to me personally known, and, being by me duly sworn, said he is the therein described and authorized officer of INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY ; that the seals affixed to said instrument are the Corporate Seals of said Companies; that the said Corporate Seals and his signature were duly affixed by order of the Boards of Directors of said Companies. IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seal, at the City of Newark, New Jersey the: day and year first above wrillsil. '• �'(yBJ�\ ,`ram A NOTARY PUBLIC OI" NEW JERSEY q My Commisslan Expires Mar. 27, 2014 N CERTIFICATION !, the undersigned officer of INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY do hereby certify that I hJvr; rompared the foregoing ompy of the Power of Attorney and affidavit, and the copy of the Sections of the By -Laws of said Companies as set forth in said Gower of Attorney, with the originals on file in the home office of said companies, and that the same are correct transcripls thereof, and of the whole of the said originals, and that the said Power of Attorney has not been revoked and is now In full force and effect. IN'TESTIMONY WHEREOF, I have hereunto set my hand this 19TH day of JULY, 2013 MARIA BRANCO, Assistant Secretary All Purpose Acknowledgement State of (-06 i f wni County of t�i�Iaislkr On Atd 1 2� � 2Z 13 , before me, Lui Wei � (date) (notary) personally appeared, Elizabeth H. Mendoza de McRae (signers) ❑ personally known to me — OR -- . dt & LUI WEI Commission # 2021286 z ; ^ Notary Public - California Z Orange County Mj Comm. Ex ires Apr 21, 2017 (seal) proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/alesubscribed to the within instrument and acknowledged to me that he/she/t4e�xexecuted the same in his/her/their authorized capacity(bes�, and that by Sher/isignature(o on the instrument the person(# or the entity upon behalf of which the person(§}acted, executed the instrument WITNESS my hand Icipl-seal OPTIONAL INFORMATION (notary signature) The information below is not required by law. However, it could prevent fraudulent attachment of this acknowledgement to an unauthorized document. CAPACITY CLAIMED BY SIGNER (PRINCIPAL) ❑ Individual ❑ Corporation Officer title(s) ❑ Partner(s) ❑ Attorney -In -Fact ❑ Trustee(s) ❑ Guardian/Conservator ❑ Other: SIGNER IS REPRESENTING: Name of Person(s) OR Entity(ies) DESCRIPTION OF ATTACHED DOCUMENT Title or Type of Document Number of Pages Date of Document Other Right Thumbprint of Signer (if required) CALRIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Los Angeles Cn 07/19/2013 before me, Philip Vega, Notarypublic Cate Here Insart Name en Till❑ of I o 0 oar personally appeared KEVIN E. VEGA Nsm❑(s) of S gnar(�) PMILIP VEGA COMM. 4 1977088 ,NARY PUBLIC • CALIFORNIA w Tpg AtiGEt Es COUNTr MLA Expires MAY 3t,2016 Plago Notary Seal Above r who proved to me on the basis of satisfactory evidence to be the person(4) whose nam*) is/gre subscribed to the within instrument and acknowled to me that heA di6%tf�fy executod the same in hid/9V A4e r authorized capactty(�ds), and that by hi�AF/et/Meir slgnatA(s) on the instrument the person(li), 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. WITNESS my nd official seal. Signature / 619neture of Notary Public OPTIONAL Though the information below is not required by law, It may prove valuable to persons relying on the document and could prevent fraudulent removal and reattaenment of this form to another document, Description of Attached Document Title or Type of Document; Document bate: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Individual ❑ Corporate Officer — Titie(s): P Signer's Name: ❑ Individual ❑ Corporate Offlcer — Title(s): ❑ artner --- L] Llmlted ❑ General _ _ ❑Partner ❑Limited ❑ General _ ❑ Attorney in Fact • ❑ Attorney in Fact n Trustee Top of thumb nere M Trustee Top of thumb here ❑ Guardian or Conservator n Guardian or Conservator ❑ Other: ❑ tither: Signer Is Representing: Signer Is Representing: ®2007 National Notary AmodaUbrr • 9350 0- S.I. Avq„ PC, Box 2402 •Chatswohll, CA 91313.2402+www,NatlonslNotaryorg Ilem 45907 Roordor. Call7oll-Fraa 1-800•a78-8927 City ®f Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ WTWW.huntingtonbeachca.gov Office of the City Clerk Joan L. Flynn, City Clerk September 25, 2013 Siemens Industry, Inc. 1266 N. La Loma Cr. Anaheim, CA 92806 RE: Street Light Modifications — CC-1425 Enclosed please find your original bid bond for CC-1425. Sincerely, f Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand 1266 N. La Loma Circle Anaheim, California 92806 i J ! i! 1 ,J J SEALED BID for STREET LIGHTING MODIFICATIONS 71h Street CC No. 1425 in the CITY OF HUUNTINGTON BEACH -DO NOT OPEN WITH REGULAR MAID. DELIVER VE TO THE OFFICE OF THE CITY CLE 9 20001Y.BAIN STREET SECOND FLOOR Due: Tuesday, July 23r; 2013 @ 2p. m. SECTION C PROPOSAL for the construction of Street Lighting Modifications 7th Street from Pacific Coast Highway to Palm Avenue CC No. 1425 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work, within 40 working days, starting from the date of the Notice to Proceed. The undersigned acknowledges that the issuance of the Notice to Proceed will occur approximately two months after the award of the contract to allow procurement time for city furnished equipment. 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 C-1 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. 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 $_K�, which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: C-2 Project Bid Schedule Street bighting Modification-7th Street CC-1425 1 1 L.S. MobllizatiOn_ @ CI-+Y ate_ $npb ip q50 am Per L.S. 2 1 L.S. Furnish Project Traffic Control. ,may ao o* Per S 3 18 EA. Install Ne Street Li t Pale, Foundation d Luminaire. er►o �n Y tJaW-- 9 $�- Per EA. 4 23 EA. Remove and Salvage Existing Street Light Pole, Luminaire and Foundation (Includes Restoration of Surrounding Area). o° 00 @ram-rr�Qrci-r��, MAb UM Per EA. 5 1 L.S. Install New Type III Service Cabinet (Includes Service Cabinet Foundation). Per L.S. 6 1 L_S_ Furnish and Install Pull Boxes, Conduit and New Conductors in New Conduit (Includes Pavement Re$wration), 11�� �� Per L.S. 7 1 L.S. Re l Cate Roadway and Street Na a Signs. o w $3,u15 cY� $3?-05— Per(LJS. 8 200 L.P. Remove Existing Curb and Gutter and Install New Curb and Gutter per City Standard Plan 202 (Locations to be c= m Deterpnined by the En ineer). $_� $'��`-' @ - YNib OYTA Per eD_ Total Amount Bid in Figures: $� Total Amount Bid in Words: YO Note: The City will provide poles, luminarie a d the electrical service cabinet as indicated on the plans at no cost to the contractor. The contractor is to pick up the materials at the City Yard, 17371 Gothard Street, Huntington Beach. Contact George Ruff two working days in advance for pick up at (714) 536-5530. 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 subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. 11 j Is _0WC Alc()a\ 'DWI,YlE, J "i°1Ny (p ?yl� OcFI� r FODd 5-12LIP V'Wcp cY9 5c1_Yaw'3KbaktT g,c3l , --7 � � rn ��re . -�-t�S� Cz;2 01 q'2&6 2�Dly �2's oral 6h \VMe irlc� 13n W'M Sfi - )KCVZ) ,: 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 onMAV-_\'�, at ft(,, , W Date City State �S , being first duly sworn, deposes and says thatgr she is Ka ( of party making the foregoing bid tl4t the bid is not made in the interest of, or on th ehalf 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 ignature of YIS yfD Y%iQ►%1�'4�-e✓ 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 Street Lighting Modifications - 7th Street CC-1425, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved. " The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal -OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Date: C-5 "S\M&M�y I I Contractor By DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes *No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 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: C-7 3was U G• Contractor By YI S nimaoe Title BIDDER certifies that the following information is true and correct: Business Address -ba6m CIR OPWD City, State Zip Telephone Number StateContractor's . r'act�or's (License No. and Class ,Fcb y • �'" l ' , Original Date Issued 1�fb• 6?1D1�D- Expiration Date The work site was inspected by n f our office on , 2013 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. Signature of Bidder Printed or Typed Signature Subscribed and sworn to before me this day of 20 1'5. NOTARY PUBLIC NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1. (o DIV, Mko - L az� -1b' 'Ia waAo , G9 gn1Q'-(' Name and Address of Public Agency 9 Name and Telephone No. of Project Manageran Q�Yd�I- ���\ J �J' %15L4 Contract Amount Typelo Work Date Completed N Name and Telephone No. of Project Manager: MM W�k I 21- Contract Amount Tyke f Work Date Completed 3. l \'111 (I "F\ (Rk(N)' Name and AddreA of Public Agency Name and Telephone No. of Project Manager:yw( L � Q ' U11 AW4 1 ' Ko -� e4w %�— �906 Ml Contract Amount Typk of Work Date Completed C-9 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California CIVIL CODE § 1189 who proved to me on the basis of satisfactory evidence to be the personk<whose name(Wis/are-- subscribed to the within instrument and acknowledged to me that hehey executed the same in hisl`14e0their authorized capaci%jssj, and that by his/hi it signature(.sron the instrument the CANDACE GALLAHER person*, or the entity upon behalf of which the Commission #t 1945384 Z person(Wacted, executed the instrument. a .Ns Notary Public - California D Z Orange County certif y f under PENALTY OF PERJURY under the M Comm. Expires Jul 24. 2015 + Y laws of the State of California that the foregoing paragraph is true and correct. WITNESS Nhand and offici al. Signature: &�, Place Notary Seal Above Signatur of Not fry 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(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Individual ❑ Partner — [:]Limited [:]General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing RIGHT THUMBPRINT OF SIGNER Number of Pages: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Individual ❑ Partner — ❑ Limited ❑ General Top of thumb here ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing © 2010 National Notary Association • NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 DELEGATION OF APPROVAL AUTHORITY FROM PRESIDENT TERRY HEATH AND VICE PRESIDENT FINANCE & BUSINESS ADMINISTRATION MARTIN SCHULTZ SIEMENS INDUSTRY, INC. — MOBILITY AND LOGISTICS DIVISION A. We, the undersigned, Terry Heath, President and Martin Schultz, Vice President, Finance and Business Administration of the Mobility and Logistics Division of Siemens Industry, Inc. (the "Corporation"), a corporation duly organized and existing under the laws of the State of Delaware, by virtue of the authority vested in us as President and Vice President Finance & Business Administration to sign or countersign and otherwise execute in the name, or on behalf of the Corporation, any bids, projects, contracts, agreements and any certificates, affidavits or ancillary documents in connection therewith for and on behalf of the Corporation, do hereby delegate to and acknowledge that the following person(s) may exercise such authority for and on our behalf up to $3 million. AUTHORIZED SIGNATORIES Business Operations Name/Position Finance/Central Support Function Name/Position Dana Rasmussen Service Segment Head Dirk Glaser FBA Neway Redia Service Segment FBA B. We further acknowledge that the following individuals are hereby authorized to sign or countersign and otherwise execute in the name, or on behalf of the Corporation, the same documents as referenced in paragraph A. up to and including a transactional limit of $1 million. Any such delegation extends to but is limited to the same scope, documents and subject matter as referenced and granted in Paragraph A, limited to the monetary amount stated in this Paragraph. AUTHORIZED SIGNATORIES Business Operations Finance/Central Support Function Name/Position Name/Posi6 n Chris Reyes Tara Inboriboon Area Manager FBA Steven Gitkin Claus Maucher Area manager FBA Gregory Winn Operations manager Andrew Rist Operations manager Christopher Romeo Operations manager Steven Teal Operations manager C. We further acknowledge that each of the signatures of the persons referred to in paragraphs A and B are binding upon the Corporation. D. We further acknowledge that any document shall require the signature of two (2) of the above Authorized Signatories, one each from Business Operations and from Finance/Central Support Functions, whom shall have the requisite signature authority to be legally binding upon the Corporation. E. We further acknowledge that each of the persons referred to herein is authorized to delegate such person's authority hereunder to additional members of his or her management team up to the limit of such person's delegation of authority, provided that such delegation is in written form signed by the delegator and filed with the Legal Department. F. We further acknowledge that the Secretary or an Assistant Secretary of the Corporation is authorized to issue certifications attesting to the incumbency, authority and status of any of the persons referred to in this resolution. IN WITNESS WHEREOF, we have hereunto subscribed our names and affixed the corporate seal of the said Corporation, as of the 1st day of April 2013. Digitally signed by Heath Terry aWuZOOE75Y,Heat1IerrJ givenName=Terry,sn=+Ieath, o=Siemens, cn,Heath Terry Date: 2013.04.11 09:14.43 -07'00' Terry Heath President Siemens Industry, Inc. Mobility and Logistics Division Martin Schultz Vice President, Finance and Business Administration Siemens Industry, Inc. Mobility and Logistics Division 2 DELEGATION OF APPROVAL AUTHORITY FROM PRESIDENT TERRY HEATH AND VICE PRESIDENT FINANCE & BUSINESS ADMINISTRATION MARTIN SCHULTZ SIEMENS INDUSTRY, INC. — MOBILITY AND LOGISTICS DIVISION A. We, the undersigned, Terry Heath, President and Martin Schultz, Vice President, Finance and Business Administration of the Mobility and Logistics Division of Siemens Industry, Inc. (the "Corporation"), a corporation duly organized and existing under the laws of the State of Delaware, by virtue of the authority vested in us as President and Vice President Finance & Business Administration to sign or countersign and otherwise execute in the name, or on behalf of the Corporation, any bids, projects, contracts, agreements and any certificates, affidavits or ancillary documents In connection therewith for and on behalf of the Corporation, do hereby delegate to and acknowledge that the following person(s) may exercise such authority for and on our behalf up to $3 million. AUTHORIZED SIGNATORIES Business Operations Name/Position Finance/Central Support Function Name/Position Dana Rasmussen Service Segment Head Dirk Glaser FBA Neway Redia Service Segment FBA B. We further acknowledge that the following individuals are hereby authorized to sign or countersign and otherwise execute in the name, or on behalf of the Corporation, the same documents as referenced in paragraph A. up to and including a transactional limit of $1 million. Any such delegation extends to but is limited to the same scope, documents and subject matter as referenced and granted in Paragraph A, limited to the monetary amount stated in this Paragraph. AUTHORIZED SIGNATORIES Business Operations Finance/Central Support Function Name/Position Name/Position Chris Reyes Tara Inboriboon Area Manager FBA Steven Gitkin Claus Maucher Area manager FBA Gregory Winn Operations manager Andrew Rist Operations manager Christopher Romeo Operations manager Steven Teal Operations manager C. We further acknowledge that each of the signatures of the persons referred to in paragraphs A and B are binding upon the Corporation. D. We further acknowledge that any document shall require the signature of two (2) of the above Authorized Signatories, one each from Business Operations and from Finance/Central Support Functions, whom shall have the requisite signature authority to be legally binding upon the Corporation. E. We further acknowledge that each of the persons referred to herein is authorized to delegate such person's authority hereunder to additional members of his or her management team up to the limit of such person's delegation of authority, provided that such delegation is in written form signed by the delegator and filed with the Legal Department. F. We further acknowledge that the Secretary or an Assistant Secretary of the Corporation is authorized to issue certifications attesting to the incumbency, authority and status of any of the persons referred to in this resolution. IN WITNESS WHEREOF, we have hereunto subscribed our names and affixed the corporate seal of the said Corporation, as of the 1st day of April 2013. Terry Heath President Siemens Industry, Inc. Mobility and Logistics Division by 56ultz Schultz DN: serialNumdber 0 OMX, Manrn givenName=Martin,sn=Schultz, hMItzMartin r#'pDate: 20 3.04.1109,06 -0 00' Martin Schultz Vice President, Finance and Business Administration Siemens Industry, Inc. Mobility and Logistics Division 2 Hall _111 OWED AIA Document A310 Bid Bond KNOW ALL MEN BY THESE PRESENTS, THAT WE Siemens Industry Inc. 1266 North La Loma Circle Anaheim CA 92806 as Principal, hereinafter called the Principal, and Federal Insurance Company 15 Mountain View Road Warren NJ 07059 a corporation duly organized under the laws of the State of J2 as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach 2000 Main Street 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 Street Lighting Modifications; 7th Street from Pacific Coast Highway to Palm Avenue NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety o t "e faithful performance of such Contract and for the prompt payment of labor and materials furnished in the or`S !of„ or in the event of the failure of the. Principal to enter such Contract and give such bond or bonds, `"` ;fay to the Obligee the difference not to exceed the penalty hereof between the amount specifiers ;Pr amount for which the Obligee may in good faith contract with another party to perform the this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 23rd Alexis F Ju 2013 ustry, Inc: (Principal) (Seal) ►'.i ivera (rtie) AIA DOCUMENT A310 ® BID BOND ® AIA ® FEBRUARY 1970 ED. 0 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 N.Y. AVE., N.W., WASHINGTON, D.C. 20006 ACKNOWLEDGEMENT OF SURETY STATE OF Connecticut COUNTY OF Hartford On this 23rd day of July, 2013, before me personally came Stacy Rivera, to me known, who, by me duly sworn, did depose and say that she is the attorney -in -fact of the Federal Insurance Company, that she knows the seal of the corporation; that the seal affixed to the said instrument is such company seal; that it was so affixed by order of the Board of Directors of said company and that she signed her name there by like order. Totary Public,, Aiza 0': My Commission Ex/2013 Chubb POWER Federal Insurance Company Attn: Surety Department OF Vigilant Insurance Company 15 Mountain Views Road Surety ATTORNEY Pacific Indemnity Company Warren, NJ 07059 Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Francis M. McGarry, Rosalie A. Moresco, Patricia O'Connell and Ann Marie Tinerino of New York, New York; Aiza Lopez, Jeannette Porrini, Stacy Rivera and Elana V. Sanchez of Hartford, Connecticut each as their true and lawful Attorney- in- Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise. bonds and undertakings and other writings obligatory in the nature thereof (other than bail bonds) given or executed in the course of business, and any Instruments amending or altering the same, and consents to the modification or alteration of any instrument referred to in said bonds or obligations. In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seals on this 13th day of May, 2013. balhm M. Chloros, Assistant Secretary B. Moms, Jr., Vice P ' nt STATE OF NEW JERSEY ss- County of Somerset On this 13th day of May, 2013 before me, a Notary Public of New Jersey, personally came Dawn M. Chloros, to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Dawn M. Chioros, being by me duly swum, did depose and say that he is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of the By- Laws of said Companies; and that he signed said Power of Attomey as Assistant Secretary of said Companies by like authority, and that he is acquainted with David B. Norris, Jr., and knows him to be Vice President of said Companies; and that the signature of David B- Norris, Jr., subscribed to said Power of Attorney is in the genuine handwriting of David B. Norris, Jr., and was thereto subscribed by authority of said By- Laws and in deponenfs presence. Notarial Seat NOTARY 1'Ui3tiC OF NEW JERSEY &//,>��j,� No 2316685 Commission 6pren July 16, 2014 Notary Public CERTIFICATION Extract from the By- Laws of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY: `All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company, either by the Chairman or the President or a Vice President or an Assistant Vice President, jointly with the Secretary or an Assistant Secretary, under their respective designations. The signature of such officers may be engraved, printed or lithographed. The signature of each of the following officers: Chairman, President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Assistant Secretaries or Attorneys- in- Fad for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such power of attomey or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.* I, Dawn M. Chloros, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the 'Companies) do hereby certify that () the foregoing extract of the By- Laws of the Companies is true and correct (ii) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are authorized by the U.S. Treasury Department further, Federal and Vigilant are licensed in Puerto Rico and the U.S- Virgin Islands, and Federal is licensed in American Samoa, Guam, and each of the Provinces of Canada except Prince Edward Island; and (iii) the foregoing Power of Attorney is true, correct and in full force and effect. Given under my hand and seats of said Companies at Warren, NJ this wr v, 04, %U40' 23rd day of July, 2013 JUULD Dawn M. Chloros, Assistant Secretary IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER, PLEASE CONTACT US AT ADDRESS LISTED ABOVE, OR BY Telephone (908) 903- 3493 Fax (908) 903- 3656 mail: surety@chubb.com Form 15-10- 02256- U (Ed. 5- 03) CONSENT FEDERAL INSURANCE COMPANY STATEMENT OF ASSETS, LIABILITIES AND SURPLUS TO POLICYHOLDERS Statutory Basis DECEMBER 31, 2012 (in thousands of dollars) ASSETS Cash and Short Term Investments ................ $ 402,323 United States Government, State and Municipal Bonds ......................................... 9,901,519 Other Bonds .................................................. 4,595,536 Stocks........................................................... 811,166 Other Invested Assets ................................... 1,681,828 TOTAL INVESTMENTS ............................... 17,392,372 LIABILITIES AND SURPLUS TO POLICYHOLDERS Outstanding Losses and Loss Expenses..... $ 12,627,388 Unearned Premiums ..................................... 3,416,163 Ceded Reinsurance Premiums Payable....... 364,197 Provision for Reinsurance ............................ 62,250 Other Liabilities ............................................. 935,654 TOTAL LIABILITIES .................................... 17,405,652 Investments in Affiliates: Chubb Investment Holdings, Inc ................ 3,352,969 Capital Stock ................................................ 20,980 Pacific Indemnity Company ........................ 2,496,198 Paid -In Surplus ............................................. 3,106,809 Chubb Insurance Investment Holdings Ltd.... 1,228,075 Unassigned Funds ....................................... 10,713,227 Executive Risk Indemnity Inc ...................... 1,100,637 CC Canada Holdings Ltd ............................ 758,892 Chubb Insurance Company of Australia Limited 517,597 SURPLUS TO POLICYHOLDERS .............. 13,841,016 Great Northern Insurance Company .......... 438,592 Chubb European Investment Holdings SLP .. 265,490 Vigilant Insurance Company ....................... 246,766 Other Affiliates ............................................ 429,458 Premiums Receivable ................................... 1,494,693 Other Assets ................................................. 1,524,929 TOTAL LIABILITIES AND SURPLUS TOTAL ADMITTED ASSETS ...................... $ 31,246,668 TO POLICYHOLDERS ............................ $ 31,246,668 Investments are valued in accordance with requirements of the National Association of Insurance Commissioners. Investments with a carrying value of $430,688,714 are deposited with government authorities as required by law. State, County & City of New York, — ss: Yvonne Baker, Assistant Secretary of the Federal Insurance Company being duly sworn, deposes and says that the foregoing Statement of Assets, Liabilities and Surplus to Policyholders of said Federal Insurance Company on December 31, 2012 is true and correct and is a true abstract of the Annual Statement of said Company as filed with the Secretary of the Treasury of the United States for the 12 months ending December 31, 2012. Subscribed and sworn to before me j this March 31, 2013. DOROTHY M. BAKER Assistant Secretary Notary Public, State of New York Notary Public No. 31-4904994 Qualified in New York County Commission Expires Sept. 14, 2013 Form 15-10-0313A (Rev. 3/13) 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 September 25, 2013 Steiny & Company, Inc. P. O. Box 8100 12907 E. Garvey Ave. Baldwin Park, CA 91706 RE: Street Light Modifications — CC-1425 Enclosed please find your original bid bond for CC-1425. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand Steny and Company, Inc. P.C}.Box 81O0 12AO7E.Garvey Avenue ii VVA%�� YN.g- g, __ , , , �,, SECTION C PROPOSAL for the construction of Street Lighting Modifications 7th Street from Pacific Coast Highway to Palm Avenue CC No. 1425 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. The undersigned acknowledges that the issuance of the Notice to Proceed will occur approximately two months after the award of the contract to allow procurement time for city furnished equipment. 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 C-1 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. 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 brA 6pyJ in the amount of $ lo% which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature NbN� C-z Project Bid Schedule Street Lighting Modification-7th Street CC-1425 Ifem No. Estimated Quantity Item Wath Unit Pnce Wriiten m Words ¥= Unzt Pnce Extended -Amount 1 1 L.S. Mobilization. Per L.S. 2 3 4 5 1 L.S. 18 EA. 23 EA. 1 L.S. Fumish ic ontro . Per L.S. @ tall N �tyeet L' t Pole�ounCl�tio L e ttJJ Adiff Per EA. Remove and Salvage Existing Street Light Pole, Luminaire and Foundation s(Includes �-,Restoration of Surrounding Area). � '�`� @ G �L Per EA. Install New Type III Service Cabinet (Includes Service Cabinet Foundation). @ �l Cam( -T *i Wp Per L.S. fl $ t $ $ $ c C,J�4J $ 6 1 L.S. Fumish and Install Pull Boxes, Conduit and New Conductors in New Conduit ( Includes Pavement Restoration). @ � a -- � � Per L.S. "�\1 / 2 $ r �V f ke $ • � 7 8 1 L.S. 200 L.F. Relocate d` and 'gns. Sys Per L.S. Remove Existing Curb and Gutter and Install New Curb and Gutter per City Standardined by Plan 202 (Locations to be @ to � r Per L.F. $ �� $ / $ r $ G t Total Amount Bid in Figures: t Total Amount Bid in Words: Muto S Note: The City will provide poles, luminaries and the electrical service cabinet as indicated on the plans at no cost to the contractor. The contractor is to pick up the materials at the City Yard, 17371 Gothard Street, Huntington Beach. Contact George Ruff two working days in advance for pick up at (714) 536-5530. i C-2.1 :fir � :fir �.- :fir • 42.1 In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Bid Items) Name and Address of Subcontractor State License Number Class Dollar, Amount % of Contract 04- °t °1'eTot 62 02 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 I declare under penalty of perjury under the laws of the S at of California that the foregoing is true and correct and that this declaration is executed on ) atBaldwin Park CA Date City State Vincent P . Mauch , being first duly sworn, deposes and says that he or she is CFO of Steiny and Company, Inthe 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. Steiny and Company, Inc. Name of Bidder Signature of BidderVincent P . Mauch, CFO 12907 E. Garvey Avenue Baldwin Park, CA 91706 Address of Bidder C-4 ITTILI'TY 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 Street Lighting Modifications - 7tn Street CC-1425, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved. " The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal -OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Date: 13 Steiny and Company, Inc. Contractor By Vincent P. Mauch CFO Title C-5 In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes UNo 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 M 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. Steiny and Company, Inc. Contractor By Vincent P . Mauch CFO Title C-7 BIDDER certifies that the following information is true and correct: Steiny and Company, Inc. Bidder Name 12907 E. Garvey Avenue Business Address Baldwin Park, CA 91706 City, (626 ) 338-9923 Telephone Number 161273 A,B,C-7,C-10 State Contractor's License No. and Class 7/l/56 Original Date Issued 5/31/15 Expiration Date State Zip The work site was inspected by Mike He fernan of our office on 7 / 15 / 13 � 201_ The following are persons, firms, and corporations having a principal interest in this proposal: *See Attached Corporate Resolution C-8 STEINY AND COMPANY, INC. Certification by Secretary of Corporate Resolution At the meeting of the Directors of Steiny and Company, Inc., a corporation organized and existing under the laws of the State of California, duly called and held in accordance with the articles of incorporation and bylaws of the corporation at its office on May 17, 2013 at which a quorum of the directors were present the following resolution was adopted to wit: Resolved, that: Chairman of the Board, President & Treasurer Susan Steiny Chief Financial Officer Vincent P. Mauch Vice President Willie B. Hadley Vice President Walter E. Johansen III Vice President Viktor Pusic Secretary Gayle C. Kappelman are hereby authorized to sign contracts/agreements in the name of and on behalf of Steiny and Company, Inc. I Gayle C. Kappelman, Secretary of Steiny and Company, Inc., do hereby certify that I am the Secretary of Said corporation and that the above is a full, true, and correct copy of a resolution of the Board of Directors of said corporation, duly adopted at the meeting held on May 17, 2013 and that said resolution has not been revoked or rescinded. In witness whereof, I have hereunto subscribed my name and affixed the seal of said corporation. G ay-e C. KappeIn ar), Secretary The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise; to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Steiny and Company, Inc. COMDanv Name Signature of Bidder Vincent P. Mauch, CFO Printed or Typed Signature Subscribed and sworn to before me this day of , 20115 r NOTARY PUBLIC See 44*6104 NOTARYSEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1. See Attached Name and Address of Public Agency 2. 3. Name and Telephone No. of Project Manager: Contract Amount Name and Address of Public Agency Type of Work Name and Telephone No. of Project Manager: Contract Amount Name and Address of Public Agency Type of Work Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Date Completed Date Completed C-9 CALIFORNIA CERTIFICATE OF ACKNOWLEDGMENT State of California County of Los Angeles ss. On July 18, 2013 before me, Luke Garcia, Notary Public Date Name and Title of Officer (e.g. "Jane Doe, Notary Public") personally appeared Vincent Mauch Namc(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%key executed the same in his/hef4hemif authorized capacity(ie-s), and that by histlhef4 e4 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. s LUKE GARCIACommission # 1892580 iNotary Public - California zZLos Angeles County My Comm. Expires Jun 13, 2014A14:7-7� Signature (Seal) OPTIONAL "Though the information below is not required by law, it may prove valuable to persons relying on the document and eould prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document: Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: OF SIGNER R Individual Top of thumb here ❑ Corporate Officer - Title(s): ❑ Partner(s) - ❑ Limited ❑ General ❑ Attorney -in -Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: MALGARCI A\Notary\2008 Notary Forms blank for email 7/18/2013 RE: C-9 Contract Amount 401,577.83 1,938,740.56 Type of Date Name, Address & Telephone Project Completed of Owner Traffic Church Street ATMS Phase 2 2,885,438.16 Traffic Signals 6/30/2012 City of Rancho Cucamonga 10500 Civic Center Drive Rancho Cucamonga, CA 91729 Shelley Hayes 909-477-2740 8/31/2012 City of Corona 400 S. Vicentia Avenue Corona, CA 92882 Clint Herrera 951-736-2400 8/31/2012 County of Los Angeles 900 S. Fremont Avenue,8th FI Alhambra, CA 91803 Robert Eisenhamer 626-458-3155 Document A310 TM o 2010 Conforms with The American Institute of Architects AIA Document 310 Bic! Bond CONTRACTOR: (,'b'anre, legal slams and adds css) Steiny and Company, Inc. 12907 E. Garvey Avenue Baldwin Park, CA 91706 OWNER: (Vane, legal status and address) City of Huntington Beach. 2000 Main Street Huntington Beach, CA 92648 SURETY: (Mane, legal slates mrd principul place c f bminesa) Liberty Mutual Insurance Company 330 N. Brand Blvd., Ste 500 Glendale, CA 91203 Mailing Address for Notices 330 N. Brand Blvd., Ste 500, Glendale, CA 91203 BOND AMOUNT: $ 10% Ten Percent of Amount Bid PROJECT: (Name, location oraddresi andilrojectmunber., ifanij This document has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. Street Lighting Modifications 7th Street CC No. 1425 in the City of Huntington Beach 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 licirs, executors, administrators, successors and assiens, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the O%vucr, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the proseeutiou thereof.. or (2) pays to the Owner the dif3erence, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for,,vhich the Owner may in good faith contract with another party to perlbrm the work covered by said bid, then this obligation shall be null and void, otherwise to remain in I'M lime and ellect. The Surely hereby waives any notice ol'an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver ol'notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time liar acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent loran extension beyond sixty (60) days. If this Bond is issued in connection with a subcontraetor's bid to a Contractor, the term Contractor in this Bond shall be dccmcd to be Subcontraetor and the terns Owner shall be dccmcd to be Contractor. When this Bond has been li.miished to comply with a statutory, or other legal requirement in the location ol'the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herelrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so 14mished, the intent is that this Bond shall be construed as u stalulory bond and not as a common law bond. Sioncd and scaled this 17th day of July, 2013 !11 �iUtess) 1 !lrthxmv) Kim Luu Steiny and Company, Inc. (Principal) (Seal) B (D1119Vincent P. Mauch, CFO Liberty Mutual Insurance Company �ot`'Rpo Rgti 1912 B y,.2 i,) j i )Cylv�q g a CH e)Jerl Attor ey-in-Fact 8-0054/AS 8110 CALIFORNIA CERTIFICATE OF ACKNOWLEDGMENT State of California County of Los Angeles SS. On July 19, 2013 before me, Luke Garcia, Notary Public Date Name and Title of Officer (e.g. 'Jane Doe, Notan• Public") - personally appeared Vincent Mauch Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/lfe subscribed to the within instrument and acknowledged to me that he/ske4hey executed the same in his/hen4h& authorized capacity(ie-s), and that by his/hen4hc4 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. �. LUKE GARCIA Commission # 1892580 z Notary Public - California z Los Angeles County My Comm. Expires Jun 13, 2014 Signature (Seal) OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fi-audulent removal and reattachment of this farm to another document. Description of Attached Document: Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: ,RIGHT ftfUNTBPRINT ❑X Individual Top of thumb here ❑ Corporate Officer - Title(s): ❑ Partner(s) - ❑ Limited ❑ General ❑ Attorney -in -Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: M:\LGARCI A\Notary\2008 Notary Forms blank for email 7/19/2013 CALIFORNIAWLEDGMENT ALL-PURPOSE ACKNO caS�3 Cr�aS,. •��' _ a. ��4G- _ :aL��. �a v. C�a,_ -...Wj� _A State of California County of Orange On JUL 17 2013 Date before me, Rhonda C. Abel, Notary Public , Here Insert Name and Title of the Officer personally appeared Jeri Apodaca _ Name(s) of signer(s) who proved to me on the basis of satisfactory evidence to be the person(f;) whose name($) is/, Vo subscribed to the within instrument and acknowledged to me that Wshe/tYit ljr executed the same in Ns/her/ it authorized capacity(ldi), and that by }Yg/her/t' & signature(t) on the instrument the person(S), or the entity upon behalf of which the person($) acted, executed the instrument. O..NOTAPI RHONDA C. ABEL Z COMM. # 18E8284 Lry PUBLIC CALIFORNIA I certify under PENALTY OF PERJURY under the laws ORANGE COUNTY 0 of the State of California that the foregoing paragraph is OMM. EXPIRES OCT. 16 2013 true and correct. WITNESS my hand and official seal. `� �— Place Notary Seal Above Signature Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: _ Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s): _ ❑ Partner — ❑ Limited ❑ General Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: RIGHTTHUMBPRINT - - OF:SIGNERns_`. _, Top of thumb here Number of Pages: Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s): _ ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: C 11 ll �-J -�v v'1 �/ - •/ RIGHTTHUMSPta1NT ' OF SIGNER :;1.__. THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. Certificate No. 6191732 American Fire and Casualty Company Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire & Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Heather Saltarelli7 James A Schaller• Jeri Apodaca- Kim Luu7 Michael D ParizinO• Rachelle Rheault• Rhonda Q. Abel all of the city of Newport Beach , 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 thereto this 8th day of July 2013 American. Fire and Casualty Company The Ohio Casualty Insurance Company t Y Liberty Mutual Insurance Company .a h West American Insurance Company e By: STATE OF WASHINGTON ss Gregory vv. Davenport, Assistant Secretary COUNTY OF KING On this 8th day of July , 2013 , before me personally appeared Gregory W. Davenport, who acknowledged himself to be the Assistant Secretary of American Fire and Casualty Company, Liberty Mutual Insurance Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Seattle, Washington, on the day and year first above written. _ y: KID Riley., Not Public F1 This Power ofAttomey is made and executed pursuant to and by authority of the following By-laws and Authorizations ofAmerican Fire and.Casualty Company, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and. WestAmerican Insurance Company which resolutions are now in full force and effect reading as follows: ARTICLE IV— OFFICERS — Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation 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 attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the. Corporation. When so 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 or officers granting such power or authority. ARTICLE All — Execution of Contracts - SECTION 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and.to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation — The President.of the Company, acting pursuant to the Bylaws of the Company, authorizes Gregory W Davenport, Assistant Secretary to appoint such attomeys-in-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 Companys Board of Directors, the Company. consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed: I, David M. Carey, the undersigned, Assistant Secretary, of American Fire and Casualty Company, The Ohio Casualty Insurance. Company, Liberty Mutual Insurance Company, and West American Insurance Companydo hereby certify that the original power of attomey of which the foregoing is a full, true and ^correct copy ofthe Power ofAttomey executed by said Companies, is in full force and effect and has not been revoked. JULIN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this day of U17 20P k If 1 By: David M. Carey, Assistant Secretary - LMS_12873_092012 14 of 500 City Of Huntington Beach 2000 Main Street ® Huntington Beach, CA 92648 (714) 536-5227 ® www.huntingtonbeachea.gov Office of the City Clerk Joan L. Flynn, City Clerk September 25, 2013 VT Electric, Inc. 869 W. 9tn St. Upland, CA 91786 RE: Street Light Modifications — CC-1425 Enclosed please find your original bid bond for CC-1425. Sincerely, i Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure Sister Cities: Anjo, Japan ® Waitakere, New Zealand VT Electric, Inc. 869 W. 9th St. Upland, CA 91786 0 /2 A-tv-1 pyojecd- o-t t _6GV SECTION C PROPOSAL for the construction of Street Lighting Modifications 71h Street from Pacific Coast Highway to Palm Avenue CC No. 1425 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. The undersigned acknowledges that the issuance of the Notice to Proceed will occur approximately two months after the award of the contract to allow procurement time for city furnished equipment. 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 Jump sum TrirPe set forth in the fo-llowin -B.id Schedule BIDDER linierstands that --=failure t9 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 C-1 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. 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 '51 Afbnd in the amount of $ which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 Project Bid Schedule Street Lighting Modification-7th Street CC-1425 F Item No Estimated Quarifity � Item With Unit Pnce Written to Words , � �^ Unit -Price � Extended Amount 1 1 L.S. Mobilization ' U�y&-o . e irn $� $ `? `Zia 4 tu�f Jb Per L.S. 2 1 L.S. Furnish Project Traffic Control. @ elm KUVNCVV12d e ✓� h-1- e��► 11� _ $ I / %•C $ Ivi 3 18 EA. Per L.S. Install New Street Light Pole, Foundation and Luminaire_ Per EA. 4 23 EA. Remove and Salvage Existing Street Light Pole, Luminaire and Foundation (Includes Restoration of Surrounding Area). @ a y -e Av`UvSY�✓-J � Ald O 1Au VV-� V1fd Per EA. $ZUj 5 1 L.S. Install New Type III Service Cabinet (Includes Service Cabinet Foundation)_ $�. Per L.S. 6 1 L.S. Furnish and Install Pull Boxes, Conduit and New Conductors in New Conduit (Includes Pavement Restoration). @Seuev�%y 5 �v� ✓.-S�,�al , -r,-® —S Per L.S. $ � — fS 7 1 L.S. Relocate Roadway and Street Name Signs. $ r Per L S.0 8 200 L.F. Remove Existing Curb and Gutter and Install New Curb and Gutter per City Standard Plan 202 (Locations to be Deteffu-ned by the Engineer). @FAS-ky Per L.F. Total Amount Bid in Figures: $ '6i F 7 ,oz i Total Amount Bid in Words: Note: The City will provide poles, luminaries and the electrical service cabinet as indicated on the plans at no cost to the contractor. The contractor is to pick up the materials at the City Yard, 17371 Gothard Street, Huntington Beach. Contact George Ruff two working days in advance for pick up at (714) 536-5530. 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 subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. 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 O BEEXECUTED ! 1 1 B BIDDER ,, ', jIt iR • .Ir SUBMITTED f ' ;1,. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on -1 22 L3 at 001 A VVA CA ate City State k0-NI(-� -TyehV-) , being first duly sworn, deposes and says that he or--4is V-VcSNAe4- iZ1 of `✓T [, �c='c 1ti'_l 1 -'%-C the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. V —� e PLC. ti E--J U' Name of Bidder Signature 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 Street Lighting Modifications - 7tf` Street CC-1425, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The terns "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved. " The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal -OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Date: —I� (-�!) ,\,/T Ef�1ecVrG lvkc Contractor `-:> �T0_'a V By Title C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑Yes YNo 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: —1 1 : rf -J \/T G Le-6A-V Le-i V v L Contractor ..........� By Title C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: N,/T � V\,--C Bidder Name Business Address - ) VVA- Ck n�� City, State Zip (I�A) 0,'FS5- �� S Telephone Number 1 U -�) Z,o C-— l D State Contractor's License No. and Class CAS 1 l I fte--� Original Date Issued C)5 [ --,2 L j (9-0 IA Expiration Date The work site was inspected by �c�1 of our office on_, 201_J The following are persons, firms, and corporations having a principal interest in this proposal: C-s i:.,F*yiT1WA qTMH Wk- State of California County of On l`>S' 1 13 before me,L-- Date Here Insert Name and Tit e of the Officer personally appeared Name(s) of Signer(s) JENNIE LEANG LAI Commission # 1991018 Z Notary Public - California San Bernardino County My Comm. Ex ires Sep 14, 2016 CIVIL CODE § 1189 who proved to me on the basis of satisfactory evidence to be the perso!�<whose names/ate subscribed to the within instrument and acknowledged to me that he/she4ey executed the same in his/her-ftht authorized capacity(ies} and that by his/h eif- signature-(s-) on the instrument the person)W, or the entity upon behalf of which the perso"cted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature: Place Notary Seal Above Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Individual ❑ Partner — ❑ Limited ❑ General Top of thumb here ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Number of Pages: Signer's Name: El Corporate Officer — Title(s): ❑ Individual ❑ Partner — ❑ Limited ❑ General Top of thumb here ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: © 2010 National Notary Association • NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item n59ui The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Company Name Signature of Bidder 1 C')'(y' Printed or Subscribed and sworn to before me this NOTARY PUBLIC Signature day of , 201_ NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1-15jC Name aijd Address of Public AQ)encv . c. A '-Acac)) 3 J Name and Telephone No. of Project Manager: Clw1SfAGtv`) MuSy\AwA 113 H14L-i Contract Amount Type of W Z- 2. CSc� \kvW k/IS 1 (� 1 i i l `st- L A , `XX- 16 Name and Address of Public Agency Name and Telephone No. of Project Manager: V-iJtA✓�'3 i1 1iZG Date Completed j yC��•� �r,�� •UV T rJ�C�{Y��t�� VIC.►Yi�:�iG� �1�� �:.`�i/�`•:� Contract Amount Type of Work Date Completed 3. G).� ��, t,�CC,,\'1 ji Name aril Address of Public Agency Name and Telephone No. of Project Manager: V, ` U �--) � <,—� S; 71 T1t u0 • 5a LA&,1N'fiI Contract Amount Type of W( �,(IL i, � Date Completed C-9 4J� INSCO INSURANCE SERVICES, INC. InSC%11=93 Underwriting Manager for: Developers Surety and Indemnity Company Indemnity Company of California 17780 Fitch, Suite 200 • Irvine, California 92614 • (949) 263-3300 BID BOND KNOW ALL MEN BY THESE PRESENTS, That we, VT Electric, Inc. BOND NO. NIA as Principal, and Developers Surety and Indemnity Company a corporation authorized to transact a general surety business in the State of Califomia bound unto City of Huntington Beach in the full and just sum of Ten Percent of Amount Bid as Surety, are held and firmly (hereinafter called the Obligee) Dollars, ($ 10% of Bid ) for the payment whereof in lawful money of the United States, we bind ourselves, our heirs, administrators, executors, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the said PRINCIPAL has submitted the accompanying bid for Street Light Modifications 7th from Pacific Coast Highway to Palm Ave NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, or in the event of the failure of the Principal to enter such Contract, If the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and Sealed this 18 day of July 2013 YEAR VT Electric, Inc. Developers Surety and Indemnity Company ------7 Sure By. C. Principal Pamela McCarthy Attorney-' ` Fact ID-1198 (Bid Bond) (REV. 1/01) 'CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT State of California SS. County of San Bernardino ) On July 18, 2013 before me, Cynthia J. Young, Notary Public Name and Title of Officer (e.g., "Jane Doe, Notary Public") Personally appeared Pamela McCarthy CYNTHIA J. YOUNG Commission # 1982442 Notary Public - California z zl:�� Y Z z San Bernardino County D My Comm. Expires Jul 15, 2016 Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her authorized capacity, and that by her signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. OPTIONAL 1 / Sig a re of Notary blic Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: a Individual ® Corporate Officer Title a Partner -- a Limited a General a Attorney -in -Fact a Trustee a Guardian or Conservator Other: Signer is Representing: Number of Pages: Top of thumb here POWER OFATTORNEY.FOR DEVELOPERS SURETY AND INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA PO Box 19725, IRVINE, CA 92623 (949) 263-3300 KNOW ALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, do each hereby make, constitute and appoint: ***Cynthia J. Young, Jay P. Freeman, Laurie B. Druck; Pamela McCarthy, jointly or severally*** as their true and lawful Attomey(s)-in-Fact, to make, execute, deliver and acknowledge, for and on behalf of said corporations, as sureties, bonds, undertakings and contracts of surety- ship giving and granting unto said Attomey(s)-in-Fact full power and authority to do and to perform every act necessary, requisite or proper to be done in connection therewith as each of said corporations could do, but reserving to each of said corporations full power of substitution and revocation, and all of the acts of said Attorney(s)-in-Fact, pursuant to these presents, are hereby ratified and confirmed. This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, effective as of January 1st, 2008. RESOLVED, that a combination of any two of the Chairman of the Board, the President, Executive Vice -President, Senior Vice -President or any Vice President of the corporations be, and that each of them hereby is, authorized to execute this Power of Attorney, qualifying the attorney(s) named in the Power of Attorney to execute, on behalf of the corporations, bonds, undertakings and contracts of suretyship; and that the Secretary or any Assistant Secretary of either of the corporations be, and each of them hereby is, authorized to attest the execution of any such Power of Attorney; RESOLVED, FURTHER, that the signatures of such officers 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 shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond, undertaking or contract of suretyship to which it is attached. IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by their respective officers and attested by their respective Secretary or Assistant Secretary this May 23, 2013. :.. By: ..�tNn cr,gANYQ Daniel Young, Senior Vice-President`pE�+4� G QtPt)t�T 9 ua OCT. OAT. 5 tiTa t f` ` T' By: eLo 7 regg N. 0 ice -President >, b -` C> •0 �q State of California County of Orange On May 23, 2013 before me, Gina L Garner Notary Public Date Here Insert Name and Title of the Officer personally appeared Daniel Young and Gregg N. Okura Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized - - — — capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of GINA L GARNER which the person(s) acted, executed the instrument. COMM. '# 20'1c13 NOTARY, $i3BLi 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. Place Notary Seal Above Signature Gina L. Gamer, Notary Public CERTIFICATE The undersigned, as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA, does hereby certify that the foregoing Power of Attorney remains in full force and has not been revoked and, furthermore, that the provisions of the resolutions of the respective Boards of Directors of said corporations set forth in the Power of Attorney are in force as of the date of this Certificate. This Certificate is executed in the City of Irvine, California, this / gr day of J By: Mark J. Lansdon, Assistant Secretary ID-1380(Rev.05/13) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of � V-\ O CIVIL CODE § 1189 On 0-1 l l 8 11 3 before me, ��.'"Lvt v.f_ L c,V\q L_`7` t , Date Here Insert Name and Title f the Officer personally appeared Name(s) of Signer(s) TNINIE LEANG LAI LWCommission # 1991018 Notary Public - California San Bernardino County Comm. Ex Tres Sep 14, 2018 Wow who proved to me on the basis of satisfactory evidence to be the persor�<whose nameKis/,w-cl subscribed to the within instrument and acknowledged to me that he/sew- executed the same in his/ e+r authorized capacity ' ), and that by his/^berir signatures)' on the instrument the perso91(`;)_, or the entity upon behalf of which the persoo>�_acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Place Notary Seal Above Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Corporate Officer — Title(s): ❑ Individual 0 ❑ Partner — ❑ Limited ❑ General Top of thumb here ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Number of Pages: Signer's Name: ❑ Corporate Officer - Title(s): ❑ Individual e ❑ Partner — ❑ Limited ❑ General Top of thumb here ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: © 2010 National Notary Association • NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) City of Huntington Beach 2000 Main Street ® Huntington Beach, CA 92648 (714) 536-5227'® www.huntingtonbeachea.gov Office of the City Clerk Joan L. Flynn, City Clerk September 25, 2013 Sully -Miller Contracting Co. 135 S. State College Blvd., Ste 400 Brea, CA 92821 RE: Street Light Modifications — CC-1425 Enclosed please find your original bid bond for CC-1425. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure Sister Cities: Anjo, Japan + Waitakere, New Zealand ***SEALED BID *** x„T F" DO NOT OPEN WITH REGULAR MAIL SULLY- MILLER CONTRACTING CO. 135 S. STATE COLLEGE BLVD., STE. 400 BREA, CA 92821 CITY OF HUNTINGTON BEACH ATTN: CITY CLERK, 2ND FLOOR 2000 Main Street Huntington Beach, CA 92648 3ROJECT: Street Lighting Modifications 7`h St from Pacific Coast Highway to Palm Ave (CC No. 1425) BID DATE & TIME: July 23, 2013 @ 2:00 PM SECTION C PROPOSAL for the construction of Street Lighting Modifications 7m Street from Pacific Coast Highway to Palm Avenue CC No. 1425 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNI`INGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. The undersigned acknowledges that the issuance of the Notice to Proceed will occur approximately two months after the award of the contract to allow procurement time for city furnished equipment. 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 C-1 and will readveitise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find Bidder's Bond in the amount of $ 10% of Total 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", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addeizda No: Date Reeeived Bidder's Signature C-2 Project Bid Schedule Street sighting Modification-7th Street CC -1425 tezn o - Estimated Quantity, r Item With Unit Price Wrlttein'Words f f t ` J 1 Mobilization. Umtratce�{ i �7 V. Extended Arriount f ¢ Per L.S. 2 1 L.S. Furnish Project Traffic Control. Per L. S. 3 18 EA_ Install New Street Light Pole, )Foundation and Luminaire. @ bNs'Kv�y�.t1 N uE NdWO q $ 1 S —4g!s (Htn.t� @r'� 1�6�ttrJCJ Per EA. 4 23 EA. Remove and Salvage Existing Street Light Pole, Luminaire and Foundation (Includes Restoration of Surrounding Area). $ 1.2T tv- $ @��y J -J.E -rNO: Aw TWO HUTA? O - - 31R cy FIVE �ovtw.a S- Per EA. 5 1 L.S. Install New Type III Service Cabinet (includes Service Cabinet Foundation). Per L.S. 6 1 L.S. Furnish and Install Pall Boxes, Conduit and New Conductors in New Conduit (Includes Pavement Restoration). $ &, "Z. 2.10 -- il7MN1iLZ%'I'� t,!3Et,$It Per L.S. - 7 1 L.S. Relocate Roadway and Street Name Signs. zitpLF TFtLt a >. Y7 r Z `f _ $ ! V 'i �- $ 3 t9 7 rWf,—rZ a> t j Per L.S. 8 200 L.F. Remove Existing Curb and Gutter and Install New Curb and Gutter per City Standard Plan 202 (Locations to be Determined by the Engineer). S 3 '2.2 -L $ In 111-I 1-1 - @ TFttQ.`sy Tcvo 1JQe chn t Per L.F. ` Total Amount Bid in Figures: $ 6.3 135 Total Amount Bid in Words: ONE Hu vp,zf,O S%F-cy Toafgr- }4V-VrXP (filary r�i-= 3 Nate: The City will provide poles, luminaries and the electrical service cabinet as indicated on the plans at no cost to the contractor. The contractor is to pick up the materials at the City Yard, 17371 Gothard Street, Huntington Beach. Contact George Ruff two working days in advance for pick up at (714) 536-5530. 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 subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Bid Name and Address of Subcontractor State Class. dollar. % of Items) License Amount Contract. Number' I 11 By submission of this proposal, the Bidder certiEes: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. G3 I NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY. BIDDER AND SUBMITTED WITH BID 1 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 7-17-13 , at Brea CA Date City State Raymond Sanchez , being first duly sworn, deposes and says that he or she is Assistant Secretary of Sully -Miller Contracting Company the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication; or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown_ thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association; organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Sully -Miller Contracting Company Nam.c of Bidder Signature Af Bidder Raymond Sanchez, Assistant Se etary 135 S. State College Blvd., Ste. 400, Brea, CA 92821 Address of Bidder Please see attached loose certifica with proper California ►VotarY Wording, to C-4 STATE OF CALIFORNIA COUNTY OF ORANGE Subscribed and sworn to (or affirmed) before me on this 17th day of July, 2013, by Raymond Sanchez, proved to me on the basis of satisfactory evidence to be the person who appeared before me. KRISTEN RENEE CZUPRYN Commission #r 1996022 a; d Notary Public - California z z ; ' Orange County WITNESS my hand nd official seal My Comm. Expires Nov 25, 2016 6 Signature zupryn, Notar�-Public Notary Seal OPTIONAL Description of Attached Document Title or Type of Document: Non -Collusion Affidavit Document Date: July 17, 2013 Signer(s) Other Than Named Above: Number of Pages: 1 Capacity(ies) Claimed by Signer(s): Signer's Name Raymond Sanchez Signer's Name 7 Individual 7 Corporate Officer — Title(s) 7 Partner — Limited/General 7 Attorney In Fact 7 Trustee 7 Guardian or Conservator 7 Other Signer is Representing Assistant Secreta Right Thumbprint of Signer Individual Corporate Officer — Title(s) Partner — Limited/General Attorney In Fact Trustee Guardian or Conservator Other SULLY -MILLER CONTRACTING COMPANY Right Thumbprint of Signer UTILITY Y 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 Street Lighting Modifications -- 7t" Street CC-1.425, (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 nvho, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved. " The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal --OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and arc binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Sully -Miller Contracting Company Raymond Sanchez, Assistant Secretary Title Date: July 17, 2013 DISQUALIFICATION QUES'TIONNAiRF, In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes [N 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. Sully -Miller Contracting Company Con for u By Raymond Sanchez, Assistant Secretary Title Date: July 17, 2013 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Sully -Miller Contracting Company Bidder Name 135 S. State College Blvd., Ste. 400 Business Address Brea, CA 92821 City, State Zip ( 714 578-9600 Telephone Number 747612 A, C-10 State Contractor's License No. and Class March 30, 1998 Original Date Issued March 31, 2014 Expiration Date The work site was inspected by Scott Conover of our office on July 16 , 2013 . The following are persons, firms, and corporations having a principal interest in this proposal: **Please See Attached Certificate of Incumbency** (✓.: ��it�y4a�nlxfj(J1���1t:r51�'�ATJ��J?.{ @, the Secretary 11 �LAly'l5lA1 C}2Erht9k9N�2e). v Cwa pany, aDelvwComotation, and that as such I b ve access to and oustody 'secordS and minute, books of said corporttti n. g ild ii cio herby fui -lien cei��ia�' the tl-ie ol.l.ow ng en is aye duly e ecte d of iclns of said ror��o`atioil, . TITLE, NAME otd?7g= E. ravllcy $ si.r ii'ian of She Board yy � e{ r i � PTdSiCILiEt Da•VId Ll/!aftinoz k; 1'- eilt Ellie_ illailcial Officer and k reasurer '_i'inlothy P. 0-rchard '�� v � ic5i� $ f f'�'a' Vice, Presidentand d >�.ssistaiit �`ecr 8ry i��ic'_nael. Edwards Vice, ftsidept Scott E©ttonnlay Secretary Anthony L. Martino T Assistaijt Secretary George igdricli Ass?staiit secretary Raymond SancUz Assistant Seuetary Deanis CFanSeii 1 Duo er ce ify fiat the follovviilg is a true and corje' t copy oa a resolution duly adopted by the Board of Dir" ors of said Coinpazy at a meeting held on Febr€iary 15, 2012, and that this resolution has not been in any v ay resci_�lded, annulled, of revoked but the sallle is stall in Rini .force and effect: "RID TENDERS: GENT QB, T�1T�, that ai �T oz cer of the Corporation be and. they hei.'eby are authorized in the na.nie and on behalf of tho Corporation, under its coiTorato seal or otherwise (i) to prepare proposals and bids for dic supplying of construQt:ioii i lateri als and the performance by izscl+ or iiE joint venture, or �vori� ora�llatsoeve nature. in connection with the construction or paving of high -ways, roads and airports and ill. C€ ILIectdon. wtijtli ca illworks and civil_ eiigimering projects of all .kinds, together with all work inddental. thereto, (ii) to e xecuto and, submit any and all such proposals and bids to any goven nental authority, instrumentality, or agency. of the United States, its severe- .states, terr itonos and possessions, including without Uraitation, any muuicipaliry or other political or corporate s0dlvisi.on theroof, and to- any corporation, partnership, solc DIX)Xietol'shk, or other businessel-dity, (iii) ill Colxiectiou With any such subinission, to deliver bid deposits of bonds as inay be required amid (LEI) ;o ,xeecut(' arid deliver dGIi rdlvcJ agreements bindinor the Corporation to per'onTn work in accordance with any prop orals and bids authorized Hereby." : � W?T`NES8 WHEE EOF, l ha;rc,- her eurito set my tic—ind and a fixed the corpor afc seal this 23rd clay of kpril 2012. (SEAT—) litl Cny I- r a Ii secreiary Sully -Miller contraetlug compai}y 135 S. 4tate College Blvd., Ste. AN lima, CA 92821 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. Sully -Miller Contracting Company Cornimny' ame Signature Raymond Sanchez, Assistant Secretary Printed or Typed Signature Subscribed and sworn to before me this 17 day of July , 2013 . Please see attached loose certificate with proper California Notary wording., NOTARY PUBLIC NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: "Please See Attached Experience and References" 1. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed G9 STATE OF CALIFORNIA COUNTY OF ORANGE Subscribed and sworn to (or affirmed) before me on this 17th day of July, 2013, by Raymond Sanchez, proved to me on the basis of satisfactory evidence to be the person who appeared before me. KRISTEN RENEE CZUPRYN ® Commission # 1996022 z Notary Public - California z Orange County ' WITNESS my hand and official seal Nly Comm. Expires Nov 25, 2016 _ Signat K. Czupryn, Notary Publi Notary Seal OPTIONAL Description of Attached Document Title or Type of Document: Bidder's Information Document Date: July 17, 2013 Number of Pages: Signer(s) Other Than Named Above. Capacity(ies) Claimed by Signer(s): Signer's Name Raymond Sanchez Signer's Name Individual ® Corporate Officer — Title(s) Partner — Limited/General Attorney In Fact ElTrustee Guardian or Conservator Other Signer is Representing Assistant Secreta Right Thumbprint of Signer Individual Corporate Officer — Title(s) Partner — Limited/General 7 Attorney In Fact ElTrustee Guardian or Conservator Other SULLY -MILLER CONTRACTING COMPANY 0 Right Thumbprint of Signer .. OU SULLY -MILLER CONTRAC r1NG CC). BROKER'S EKG °S EXPERIENCE AWD QUAL FIECA`riROWS Project Name/Number: TORRANCE BOULEVARD / 28791C Year of Project: 10/2008 — 05/2010 Project Description: STREET RECONSTRUCTION & ARHM OVERLAY Agency Name: CITY OF TORRANCE Contact Person: BETH OVERSTREET Telephone:. 310-618-3074 Fax. 310-781-6802 Original Contract Amount., $5,904,267 Final ContractAmount' $6,133,068 Change in original contract amount is due to extra work and/or contract change orders adding "work. Project Name/Number: Year of Project. Project Description: Agency Name: Contact Person: LONG BEACH ANNUAL 2009 / 28810C 01/2009 - 05-2010 AC/ARHM — CONCRETE BASE — SIGNALS — SURVEY — STRIPING - .LANDSCAPE CITY OF LONG BEACH CHARLES RAMEY. Telephone. 562-570-5170 Original Contract Amount: $5,000,000 Annual Contract — work was done on an as needed basis. Fax: 562-570-5176 Final Contract Amount. $4,290,000 Project Name/Number. LACMA PHASE II PAVILION PROJECT 28006 / 29820C Year of Project: 02/2009 — 04/2010 Project Description: B PERMIT Agency Name: MATT CONSTRUCTION CORPORATION Contact Person: GREG WADE Telephone: 562-903-2277 Fax: 562-903-2290 Original Contract Amount: $92,507 Final Contract Amount: $420,000 Change In original contract amount is due to extra work.and/or contract change orders adding work. Project Name/Number: LA SOUTHWEST COLLEGE —PARKING LOT 3 / 28795C Year of Project. 09/2008 — 01/2010 Project Description: AC — BASE — CONCRETE — STRIPING Agency Name: CHEVRON ENERGY SOLUTIONS Contact Person: STEVE PELASYED Telephone: 714-577-1374 Fax. 714-577-1330 Original Contract Amount: $1,120,315 Final Contract Amount. Change in original contract amount is dice to extra work and/or contract change orders adding. work. Project Name/Number: 3Ra STREET BETWEEN RECORD AVENUE TO WOODS AVENUE / 28787C Year of Project. 11/2008—12/2009 Project Description:. AC — CONCRETE.— UNDERGROUND — LANDSCAPE -STRIPING - SIGNALS Agency Name: LOS ANGELES COUNTY DEPARTMENT OF PUBLIC WORKS Contact Person: FAHIM RAHIMI Telephone: 626-458-3112. Fax: 626-458-2197 Original Contract Amount: $3,411,.736 Final Contract Amount: $3,628,000 Change in original contract amount is due to extra work and/or contract change orders adding work. Updated August 2010 5�w :SULLY -MILLER CONTRACTING CO. (° EMpf ERE INCE AND QQ UA LEFECA TRO S Project Name/Number: 2007-2008 PAVEMENT REHABILITATION-28750C Start and Finish Dates: 6/2008 TO 7/2008 Project Description: AC/ARHM — MANHOLES — SURVEY — STRIPING —COLD MILL Agency Name: CITY OF HAWAIIAN GARDENS Contact Person: STEVE STEINBRECHER Telephone: 5627908-6.200 Fax. 562-695-2120 Original Contract Amount: $451,112 Final Contract Amount. $456,287 Change in original contract amount is due to extra work and/or contract change orders.adding work. Project Name/Number: STREET PAVING PROGRAM-28735C Start and Finish Dates: 3/2008 TO 5/2008 Project Description: ARHM - MANHOLES — MONUMENTS — STRIPING — SWPPP- COLD MILL Agency Name: CITY OF WEST HOLLYWOOD Contact Person: MICA SOLOGUB Telephone: 323=848-633.8 Fax: 323-848-6564 Original Contract Amount: $340,986 Final Contract Amount: $315,916 Change in contract amount is due to items of work being deleted by the agency. Project Name/Number: STREET AND WATER IMPROVEMENTS IN PIONEER BOULEVARD-27709C Start and Finish Dates: 11/2007 TO 4/2008 Project Description: WATER LINE AND STREET IMPROVEMENTS Agency Name: CITY OF CERRITOS Contact Person., RASH SYED Telephone: 562-86070311 Fax. 562-916-1371 Original Contract Amount: $1,507,833 Final Contract Amount: $1,1443,408 Change in contract amount is due to items of work being deleted by the agency. Project Name/Number: THE LACMA TRANSFORMATION PROJECT-27662C Start and Finish Dates: 6/2007 TO 4/2008 Project Description: B PERMIT Agency Name: MATT CONSTRUCTION CORPORATION Contact Person: GREG WADE Telephone: 562-903-2277 Fax. 562-903-2290 Original Contract Amount: $912,402 Final Contract Amount: $1,363,596 Change in.orlginal contract amount is due to extra work and/or contract change orders adding work. Project Name/Numbers CATALINA. MEDIA /.THE POINTE-27732C Start and Finish Dates: 1/2003 TO 3/2008 Project Description: SEINER MAIN INSTALLATION Agency Name: KRISMAR CONSTRUCTION COMPANY, INC. Contact Person: GARY MORRISON Telephone: 310-458-3170 Fax: 310-458-9063 Original Contract Amount: $315,955 Final Contract Amount: $411,955 Change in original contract amount is due to extra work and/or Contract Change orders adding work. updated August 2010 2 SMAY MII:I.FIR CONTRAcrING CO. BIDDER'S fix rGorkENCE AND QUAILFFECA0EONS Project Name/Number: PACIFIC ELECTRIC INLAND TRAIL.PI-IASES 2 & 3 / 27653C Start and Finish Dates: 3/07 TO 1/08 Project Description: R/R CONCRETE/AC — LANDSCAPE/IRRIGATION— SIGNALS — STRIPE - UTILITIES. Agency Name: CITY OF RANC1710 CUCAMONGA Contact Person: WALTER STICKNEY Telephone: 909-477-2740 Fax: 909=477-2746 Original Contract Amount: $3,424,781 Final Contract Amount: $31424,780 Change In original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number: MARQUARDT AVENUE / 27689C Start and Finish Dates: 7/2007 TO 9/2007 Project Description: R/R CONCRETE - AC ON FABRIC — ADJUST UTILITIES Agency Name: LOS ANGELES COUNTY DEPT. OF PUBLIC WORKS Contact Person., EMIL KURLYAND Telephone: 626-458-3166 Fax: 626-458-2197 Original Contract Amount: $183,915 Final Contract Amount. $183,915 Project Name/Number: ALPACA STREET IMPROVEMENT PROJECT / 27699C Start and Finish Dates: 8/2007 TO 11/2007 Project Description: R/R CONCRETE & ASPHALT — STRIPING — ADJUST UTILITIES Agency Name: CITY OF SOUTH EL MONTE Contact Person: GEORGE CASTILLO Telephone: 562-682-3620 Fax: 562-684-0130 Original Contract Amount: $135,000 Final Contract Amount., $167,074 Change in original contract amount is due to extra wort( and/or contract change orders adding worm. Project Name/Number: REHABILITATION OF LA MIRADA BLVD. / 27664C Start and Finish Dates: 5/2007 TO 9/2007 Project Description: ARHM / AC PAVING, CONCRETE WORK — LOOP DETECTORS / SIGNALS Agency Name; CITY OF LA MIRADA Contact Person: GARY SANUI Telephone: 562-943-2385 Fax: 714-522-5800 Original Contract Amount: $2,164,089 Final Contract Amount. $2,575,166 Change in original contract amount is due to extra work and/or contract change orders adding work. Project NarrrejNumber: CSULB PARKING LOT 13 REPAIR — REPAVE / 27694C Start and Finish Dates: 7/2007 TO 8/2007 Project Description., AC GRIND / OVERLAY — ASPHALT REPAIR - MINOR CONCRETE REPAIR Agency Name: CALIFORNIA STATE UNIVERSITY, LONG BEACH Contact Person: ENRIQUE ROBLES Telephone: 562-985-4175 Fax: 562-985-2308 Original Contract Amount. $375,823 Final Contract Amount: $380,572 Change in original contract amount is due to extra work and/or contract change orders adding wort(. Updated August 2010 :itJt_IY �it.I_r:R CONTRACTING CO. Project Name/Number: ORANGE LINE— CANOGA.STATION PARK AND RIDE / 25568C Start and Finish Dates: 3/2006 TO 1/2007 Project Description: NEW TRANSPORTATION STATION INCLUDING AC PAVING &CONCRETE WORK Agency Name: METROPOLITAN TRANSPORATION AUTHORITY Contact Person: GHULAM SHAIKH Telephone: .818-262-6300 Fax: 213-922-7384 Original Contract Amount: 13,732,500 Final Contract Amount: $12,415,392 Change in Contract amount is due to items of work being deleted by the agency. Project Name/Number: SOUTH COAST PLAZA PARKING LOT/26608C Start and Finish Dates: 7/2006 TO 10/2006 Project Description: COMPLETE REMOVE AND REPLACE OF PARKING LOT, CONCRETE CURB & GUTTER, LOOP DETECTORS, AND STRIPING Agency Name: SOUTH COAST PLAZA Contact Person: ROBERT THOMAS Telephone: 714-546-0110 Fax: 714-546-9835 Original Contract Amount: $3,100,009 Final Contract Amount: $3,9321226 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number: RESIDENTIAL STREET REHABILITATION WORK 1.26573C Start and Finish Dates 2/2006 to 8/2006 Project Description: ASPHALT. CONCRETE OVERLAY AT VARIOUS LOCATIONS CITYWIDE Agency Name: CITY OF WEST COVINA Contact Person: OSCAR CAPLIN Telephone: 626-939-8.445 Fax: 626-939-8660 Original Contract Amount: $1,430,888 Final Contract Amount: $1,512,4.63 Change In original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number: BERTK 1401-406 BACKLAND IMPROVEMENTS / 25567C Start and Finish Dates: 1/2006 to 4/2006 Project Description: ASPHALT AND CONCRETE PAVING / SITE IMPROVEMENT PROJECT Agency Name: PORT OF LOS ANGELES Contact Person: KEN HARBOR Telephone: 310-831-5389 Fax: 310-831-5389 Original Contract Amount: $3,286,800 Final Contract Amount: $3,386,333 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number: 1WI1 STREET IMPROVEMENT / 25506C. Start and Finish Dates: 5/2005 to 11/2005 Project Description: MEDIAN I'5LAND and STREET REPAIRS Agency Name: CITY OF CERRITOS Contact Person: VIC MASAYA Telephone: 562-916-1231 Fax: 562-916-1371 Updated August 2010 4 SULLY MILLER CONTRAC.TING CO. B�-DDERIS ExPERREMCE AR MD QUALEFY-CA) TH OM, S Original Contract Amount: $862,370 Final contract Amount.* $742,488 Project Namefflumber, MALL PARKING LOT IMPROVEMENTS / 25,492C Start and Finish Date s: 3/2005 to 10/2005 Project Description: REPAIR and PLACE NEW AC PAVING and STRIPE PARKING STALLS Agency Name: CITY OF TEMPLE CITY Contact Person: JANICE STROUD Telephone. 626-285-217,1 Fax: 909-594-2858 Original Contract Amount., $828,837 Final ContradAmotlint. $894,012 Change in original contract amount is due to extra work and/or contract change orders adding work. Change in contract amount is due to items of work being deleted by the agency. Project Namefflumb&: HELLMAN AVENUE STREET IMPROVEMENTS / 24477C Start and Finish Dates: 6/200.4 to 11/2005 Project Description: STREET RECONSTRUCTION PROJECT Agency Name: CITY OF ROSEMEAD Contact Person: KEN RUKABINE Telephone: 562-908-6262 Fax.- 562-695-2120 Original Contract Amount; $1,051,667 Final Contract Amount., $1,067,429 Change in original contract amount Is due to extrawod< and/or contract change orders adding work. Project Namefflumber. HOLGATE AREA STREET REHABILITATION AND WATER MAIN 24446C Start and Finish Dates: 3/2004 to 6/2005 Project Description: STREET REHABLITATION AND. WATER MAIN REPLACEMENT Agency Name: CITY OF LA HABRA Contact Person., CHUCK STEPHAN Telephone: S62-905-19720 Fax: 562-905-9643 Original Contract Amount, $2,0961461 Final Contract Amount: $3;566,942 Change In original contract amount is due to extra work and/or contract change.orders adding work. Project Name/Number: PIER 400 BACKLANDS PHASE 2 / 23301C Start and Finish Dates: 4/2003 to 8/2004 Project Description: TRANSTAINER FACILITY, GRADING, PAVING, UNDERGROUND, CONCRETE. PROJECT FINISHED'ON TIME — EXTRA DAYS FOR EXTRA WORK ONLY Agency Name: PORT OF LOS ANGELES Contact Person: MAHMOUD IRSHEID Telephone: 310-732-w3525 Fax., 310-831-5389 Original Contract Amount: $30,618,798 Final ContractAmount. $30030,429 Change in contract amount, is due to items of work being deleted by agency. Project Nainefflumber., PHANTOM WEST STREET IMPROVEMENT /,82803C Start and Finish Dates: 12/2002 to 8/ 2003 Project Descriptioli: UNDERGROUND/ ASPHALT REHAB, CURB & GUTTER,. COLD MILLING Agency Name: CITY OF VICTORVILLE Contact Person: MARK MILLER Telephone: 760-9S5-9158 Updated August 2010 5 SUIXY-MILLER CONTRACTING CU. BRODEWS EXPERIENCE A, DID QUALM—CATIOM Fax: 760=955-5159 Original Contract Amount: $4,771,477 final ContractAmount: $4,994,840 Project Name/Number: ARROW HIGHWAY - LIVE OAI< AVENUE PHASE 11 / 22213C Start and Finish Dates: 11/ 2002 to 8/ 2003 Project Description: AC GRIND OVERLAY — NEW MEDIANS tSe DECORATIVE CONCRETE Agency Name: CITY OF IRWINDALE Contact Person., KWOK TAM Telephone: 626-430-2212 Fax: 626-962-2018 Original Contract Amount: $4,289,147 Final Contract Amount: $4,654,815 Change in original contract amount is due to extra work and/or contract change orders adding work. Change In original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number. PIER 400 CONTAINER TERMINAL / 21130C Start and Finish Dates: 1/ 2001 to 9/ 2002 Project Description: BACKLAND IMPROVEMENTS, PHASE I Agency Name: PORT OF LOS ANGELES Contact Person: MAHMOUD ISHEID Telephoner 31032-3525 Fax: 310-831-5389 Original Contract Amount: $78,134,500 Final Contract Amount: $74,226,254 Change in contract amount is due to items of work being deleted by agency. 6 Updated August 2010 x SULLY -MILLER CONTRACTING CO. BEDDEWS EMPE-7 E-mrre AND QUALIFE+C A IONS PROJECTS INIVOL@9ENG HEAl s-romm Dwgw® SEWER AND WATER IMPROVEMENTS Project Name/Number: FOSTER PART<, VALLEY VIEW AVE / FOSTER ROAD / 29891C Year of Project. 02/2010 01/2011 Project Description: R/R STREETS; (AC/CMB/C&G); STORM DRAIN IMPROVEMENTS Agency Name: CITY OF LA MIRADA Contact Pelson., GARY SANUI Telephone: 562-349-2727 Fax: 562-943-1464 Original ContractAmount: $2,148,000 Final Contract Amount: $3,075,872 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number: OFFSITE EUCLID.STREET IMPROVEMENTS / 28803C Year of Project: 11/2008 - 05/2010 Project Description: OFFSITE IMPROVEMENTS, STORM DRAIN; ELECTRICAL, AC PAVING, CONCRETE IMPROVEMENTS Agency Name: WATSON LAND COMPANY Contact Person: ROBERT DEBERARD Telephone: 310-952-6429 Fax: 310-522-8785 Original Contract Amount: $4,083,052 Final ContractAmount: $3,849,675 Change in original contract amount is due to extra work and/or contract change orders adding work. Project Name/Number: VALLEY WAY / ARMSTRONG ROAD / 27680C Year of Project: 01/2007 - 01/2009 Project Description; RCP, STORM DRAIN, STRUCTURES, MANHOLES; AC/ARHM, CONCRETE IMPROVEMENTS, BASE, ELECTRICAL, STRIPING Agency Name: COUNTY OF RIVERSIDE Contact Person: STAN DERY Telephone; 951-955-6785 Fax: 951-955-3164 Original Contract Amount: $4,8.13,000 Final, Contract Amount: $6,190,475 Change in original contract amount is due.to extra work and/or contract change orders adding work Project Name/Number: DOUGLAS PARK STREET IMPROVEMENTS AND INFRASTRUCTURE / 26595C Year of Project: 03/2006-07/2007 Project Description: INFRASTRUCTURE - SEWER, WATER, STORM DRAIN Agency Name: BOEING REALTY CORPORATION. Contact Person: STEVE GARIS Telephone: 562-593-4730 Fax: 714-850-0086 original Contract Amount: $11,256,511 Final Contract Amount: $19,932,964 Change in original contract amount is due to extra work and/or contract change orders adding work. Updated March 2011 SULLY -MILLER CONTRACTING CO. sxmws Exprgmw AND QE ALEI RCAT1HGGAS Project Name/Number: PORl'OLA SPRINGS AND MODJESKA / 25534C Year of Project: 0412005-06/2006 Project Description: SEWER, WATER, STORM DRAIN IMPROVEMENTS Agency Name: IRVINE COMMUNITY DEVELOPMENT COMPANY Contact Person: BILL MARTIN Telephone: 714-734-8100. Pax: 9497464-9715 Original Contract. Amount: $8,625,848 .Final Contract Amount: $9,602,943 Change in original contract amount is due to extra work and/or contract change orders adding work, Updated March 2011 SULL; MILLER CONTRA; I'ING CO. ONDD WS [EXPEE-FUE 1CH AM io uALYFECA7 NOON,s S ti jl Flu ari uzw Clay h 1+fit (; mm) PG3omxv Project Name/Number: ANNUAL OVERLAY PROGRAM / 27697C Start and Finish Dates 8/07 TO 7/08 Project Description: ARHM OVERLAY — CONCRETE (C&G, SIDEWALK, DRIVEWAY) -:LOOPS Agency Name: CITY OF CARSON Contact Person: RICK BOUTROS Telephone- 310-952-1700 ext. 1830 Project Value: $2,397,755 Project NamplNumber: NORMANDIE AVENUE — S T PL-5953(451) / 26647C Start and finish Dates: 3/07 TO 9/07 Project Description: ARHM/AC PAVE — LANDSCAPE — CONCRETE - SIGNALS/LIGHTING/LOOPS Agency Name: LOS ANGELES COUNTY — DEPT. OF PUBLIC WORKS (LACDPW)' Contact Person: EMIL KURLYAND Telephone: 626-453-31616 Project Value; $2,713,186 Updated October 200B 1 d, , � ICJ >�.. I (C i .i� t ::,d._9I .. ? ` i C� r ` d:.�.I l , :y �A ). $'''`!i i i 1a:tVttrrl4i'lti 1�'r'G'5e1'VBS:it7n lt4rCYClt��fi. - .loll N[J. Job Valtie Desci'Il7fio1� QWItGr Coitfari 29881e :106,4111 ACpaving, sealcoat and re- Kinder Mol'gan - - - David Lennon stripe Carson Facility 31.0-25:1 lit3J3 29875c 257,093 Coltimili; AC overlay, sealcoat Pratt Whltiiey Jc fi stern and I-estripe the North Lots Rocketciyne 818 !i85 C,S0:1. at tim Desoto facility, CA 29869c 766,286 AC pavhig, sealcoat.and i`esirilie Swinerton Raj Rimunathan Salvation Army parking lot Ikiildei•s 213 11�10 �1585 in Amaiicim, CA. 29853C 78,167 AC paving, sealcoat and re- Hathaway- Reno Contreras stripe parking, lots at The 0hiwiddie 5G2 Jtitl-933_t BLICtdey-SChoo1. 2881sc 280,1172 AC paving, sea3lcont-and restripe Jorgensen Hill VIua Toyota Alrfiite Terminalat 925-2/W:t203 Long Beach Airport, CA. 28792c 36%575 AC repairs, sealcoat 3, restriiae Toyota Logisisttcs Jon Keller Port of Los Angeles, CA, 7J.4-336-2409 27686c 369,931 AC/PCC repairs, sealcoat and Yi'attWhltney. Mike Daley restripinl at two facilities In Rocketdyne 8:18-586-9052. Canoga Part(, CA. -27675c 623,996 AC/PCC repairs, sealcoat and The Boeing; Wayne liolt• restriking at three facilities In Company 562-797-112,14 Anaheim, Huntington Beach, and Seat peach, CA. 237.93c 327,9116 South Coast Drive Realignment C:1 Set erstroin Grant Wllsort included Tylte it Rtiad Slurry Ot Sons tali 4c18-3276 w/2% Latex 23292C. 266,922 `Harpoi"Blvd realignment CiSegerstroni Grant Wilson included Type it Road Slurry ttl Sons tall ?I3II-3 7.76 W12, ,, Latox 22277r. :t,450;79.G Smidi Coast Drive itenliiinment CJ seperstrom. crintWilson hichiciecl Type ll Rom slurry 3r Sons 7111-1A38-3276 w/2`% Latex SIJLLY-MILLER CONTRACTING CO. Project Name/Number.- Completion Date., Project Description: Contract Amount., Agency Name. Contact Person: BIDDERS - EXPERIENCE AND QUALIFICATIONS Route 14, Santa Clarita (07-2X3704) June 2012 Streetlight Conversion and Series to Multiple $ 989,722 Caltrans Gabe Flores Telephone: (213) 216-6068 Project Name/Number: Lakewood Blvd Improvement Project, Phase 3A (Cecelia to Florence) Completion Date: July 1, 2011 Project Description: Median Improv., Road Widening, Street Lights, Signals, AC Paving & Striping Contract Amount., $ 3,547,058 Agency Name: City of Downey Contact Person: Desi Gutierrez Telephone: (562) 622-3468 Project Name/Number. Meadowpass Road Completion Date: February 12, 2011 Project Description: Street Improv., Traffic Signal/Signal Improv., Landscape, Irrigation, Strom Drain... Contract Amount. • $ 3,893,153 Agency Name: City of Walnut Contact Person: Jason Welday Telephone: (909) 594-9702 Project Name/Number: Painter Avenue / Carmenita Road (TSM0010086) Completion Date; June 2012 Project Description: Traffic Signal Mods, Street Lighting, Loops Contract Amount.- $ 885,539 Agency Name: Los Angeles County Department of Public Works Contact Person: Abigal Flores Telephone: (626) 458-3157 Project Name/NumberLong Beach Blvd.- Del Amo Blvd to 561h Street Completion Date: January 2012 Project Description: Street Reconstruction, Traffic Signals & Street Lighting Contract Amount., $ 41500,000 Agency Name: City of Long Beach Contact Person: Lincoln Lo Telephone: (562) 570-6293 Updated April 2012 1 S131.IY-MILLER CONTRACTING CO. BIDDERS - EXPERIENCE AND QUALIFICATIONS Project Name/Number: 2010/2011 Traffic Signal Improvements Start and Finish Dates: June 2012 Project Description: Traffic Signal Improvements Contract Amount., $ 391,150 Agency Name: City of Palm Springs Contact Person: Kathie Hart Telephone: (760) 322-8368 Updated April 2012 2 THE AMERICAN INSTITUTE OF ARCHITECTS AIA Document A310 Bid Bond KNOW ALL MEN BY THESE PRESENTS, THAT WE Sully -Miller Contracting Company 135 S State College Blvd.,Ste 400 Brea CA 92821 as Principal, hereinafter called the Principal, and Liberty Mutual Insurance Company 8044 Montgomery Road Ste 150E Cincinnati OH 45236 a corporation duly organized under the laws of the State of MA as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach 2000 Main Street 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 Street Lighting Modifications 7th Street from Pacific Coast Highway to Palm Avenue CC No 1 NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety.for the faithful performance of such Contract and for the prompt payment of labor and materials furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 16th day of July 1 2013 /r /} Liberty Mutual Insurance Company (,+, .1� ' 1912 (surety) (Seal) "W v Erik Johansson (Witness) CH In r='U M * B: — — Attomey-in-Fact Victoria M. Cam ell lie) AIA DOCUMENT A310 a BID BOND e AIA a FEBRUARY 1970 ED. a THE AMERICAN INSTITUTE OF ARCHITECTS,1735 N.Y. AVE., N.W., WASHINGTON, D.C. 20006 STATE OF CALIFORNIA COUNTY OF ORANGE On July 18, 2013 before me, K. Czuprvn, Notary Public, personally appeared Raymond Sanchez 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 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 ,., KRISTEN RENEE CZUPRYN which the person(s) acted, executed the instrument. - Commission # 1996022 [ -a a I certify under PENALTY OF PERJURY under the laws of z , ,� Notary Public - California z z orange County g the State of California that the foregoing paragraph is true My Comm. Expires Nov 25. 2016 , and correct. WITNESS my hand and official seal Notary Seal 1 ' OPTIONAL Description of Attached Document Title or Type of Document: Bid Bond Document Date: Julv 16, 2013 Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s): Number of Pages: Signer's Name Raymond Sanchez Signer's Name 7 Individual ® Corporate Officer — Title(s) 7 Partner — Limited/General 7 Attorney In Fact 7 Trustee 7 Guardian or Conservator 7 Other Signer is Representing 7 Individual Assistant Secretary ® Corporate Officer — Title(s) Right Thumbprint of Signer Partner — Limited/General Attorney In Fact Trustee Guardian or Conservator Other SULLY -MILLER CONTRACTING COMPANY 1 Right Thumbprint of Signer CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Orange JUL 16 2013 On before me, Julia Hien Nguyen Notary Public DATE NAME, TITLE OF OFFICER - E.G., "JANE DOE, NOTARY PUBLIC' personally appeared Victoria M Campbell , who proved to me on the basis of satisfactory evidence to be the person(s) whose names (s) is/aye subscribed to the within instrument and acknowledged to me that he/she/#4ey executed the same in his/her/th& authorized capacity(ies), and that by 13+s/her/the# 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. . JULIA HIEN NGUYEN Commission # 2006350 WITNESS my hand and official seal. a awe Notary Public - California Z z :� _. z Orange County My Comm. Expires Feb 3, 2017 f /v SIGNATURE OF NOTARY OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑INDIVIDUAL ❑CORPORATE OFFICER TITLE OR TYPE OF DOCUMENT TITLE(S) ❑ PARTNER(S) ❑ LIMITED El GENERAL NUMBER OF PAGES ® ATTORNEY -IN -FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR JUL 16 2013 ❑ OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) SIGNER(S) OTHER THAN NAMED ABOVE THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. Certificate No. 5952490 American Fire and Casualty Company Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire & Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Christina Johnson; Erik Johansson; Kim Heredia; Linde Hotchkiss; Melissa Tetzlaff; Shirley Bauman; Victoria M. Campbell all of the city of Irvine , state of CA each individually if there be more than one named, its true and lawful attorney -in -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 thereto this 16th day of January 2013 American Fire and Casualty Company The Ohio Casualty Insurance Company rn o Liberty Mutual Insurance CompanyCL ayi WestAmerican Insurance Company h_�..u.�,y' �y By: Q STATE OF WASHINGTON ss Gregory W. Davenport, Assistant Secretary COUNTY OF KING O m mOn this 16th day of January 2013 before me personally appeared Gregory W. Davenport, who acknowledged himself to be the Assistant Secretary of American v v m Fire and Casualty Company, Liberty Mutual Insurance Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, >,y 4— execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer.. m W cE r> IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Seattle, Washington, on the day and year first above written. o CL 4' Q M O •y I , � lX,l � By: K�;_ O, O i = „yy=:c - KID Riley, Notdii4 Public o., ti m O This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of American Fire and Casualty Company, The Ohio Casualty Insurance m c Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: t.o Or to +' di m i ARTICLE IV —OFFICERS —Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman orthe President, and subject p O a; to such limitation as the Chairman or the President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, y O r_ acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective :a E 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 o 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 attorney -in -fact under > O the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. ARTICLE XIII — Execution of Contracts — SECTION 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, 00 > L and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, L M p seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their C c0 Z 0 respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so v o executed such instruments shall be as binding as if signed by the president and attested by the secretary. - Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes Gregory W. Davenport, Assistant Secretary to appoint such ~ attorneys -in -fact as may be necessary to act on behalf of the Company to make, execute, seal,. acknowledge and deliver as surety any. and all undertakings, bonds, recognizances and other surety obligations. Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed:' I, David M. Carey, the undersigned, Assistant Secretary, of American Fire and Casualty Company, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance 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 Wday of U 20J_ . David M. Carey, Assistant Secretary LMS 12a73 a92a12 313 of 500