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KASA Construction, Inc. - 2016-11-07
A RECEIVED BY-� CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) !r f/ ` after signing/dating (Date) CITY OF HUNTINGTON BEACH -; INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: / �B ``� / SUBJECT: Bond Acceptance I have received the bonds for 1� l sf t�'1' I �r Ut� �l V I1_) .. - n r (Company Name) 1 CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. / sk� Warranty or Maintenance Bond No. C� -� o&7_ M 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. Approved Agenda Item No. City Clerk Vault No. Other No. SIRE System ID No g:/forms/bond transmittal to treasurer P/QW/65' (Council Approval Date) DATE: TO: FROM: SUBJECT: CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION 12/14/2017 THOSE LISTED HEREON Joseph Dale, PW Construction Manager Retention Release Payment - PO #22577 OJ Supplier #109898 Co. #209 Worthy Park Reconfiguration, Project # CC 1513 Contractor's Name: Kasa Construction, Inc. Address: 15148 Sierra Bonita Lane City, State and Zip Code: Chino, CA 91710 Phone Number: (909) 457-8260 City Business License Number: A297909 Notice of Completion (Date by City Clerk): 9/5/2017 The conformed copy of the Notice of Completion for the above contract has been filed. The thirty-five (35) day waiting period has elapsed or will elapse before payment is made. Processing of the retention payment is recommended so long as no stop notices or outstanding invoices are on file with the City. I certify that no stop notices are on file. Date Travis K. rdQfAins, Director of Public Wo I certify that there are no outstanding invoices on file. 18►►1 Date M Joyce Zacks, Deputy City Treasurer I certify that no stop notices are on file, and that a guaranty bond has been filed with the City Clerk's Office. Date Robin Estanislau, City Clerk Attachments C Tr*-" 1. Notice of Completion �" 2. Maintenance Bond 3. Certificate of Compliance with Prevailing Wage Laws 4. Contractor's Certificate 5. Certificate of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 6. Consent for Release letter from the Surety Company RECEIVED BY: (Name) CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office after signing/dating (Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: / �m -2 (j) SUBJECT: 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. CG 15I`� MSC No. (Company Name) Uc,P—yv(v i 75Y — M Approved Agenda Item No. City Clerk Vault No. Other No. SIRE System ID No. g1forms/bond transmittal to treasurer Q % 16O (Council Appro al Date) OVPUe 09161AM-L Bond No.: 024061754-M ** Executed in Duplicate ** MAINTENANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: That Kasa Construction, Inc. (contraftes ) 15148 Sierra Bonita Lane, Chino. CA 9171 (conbacWs streerl address, city and state and zip code) as Prhdpal (hereinafter caged Contractor), and: The Ohio (sureYs nerne) and stale and zip Code) a corporatist and eodsting undarthe laws of the Slate of New Hampshire with Its principal off In the City of Keene as Surety (hereinafter called Surety), are held firmly bound unto CITY OF HUNTINGTON BEACH as Obligee (fmrelnefter called Owner). In the amount of One Million, Five Hundred Eiehty-* Dopers ($. 1,588,434.51 ), equivalent to the antke contract amount Including all orders, for the payment whereof Contractor and Surety bind themselves, their heirs, executors, admdntsWors, successors, and assigns, Jointly and severally, frmly by these presents, * Eight Thousand, Four Hundred Thirty -Four and 51/100 WHEREAS, Surety is a dulyadmitted surely Insurer under the laws of the State of California; and Surety is certified and gated in the U.S. Department of the Treasury Circular 570. and able to provide proof or bonding limitation shown in said circular Is sufficient to provide bonds In the amount required by said Contract; and Surety has provided financial strength ratings tram reputable companies, such as from A.M. Best, Moody's, Standard & Poor's, to ve(idate that Surety has positive ratings of being secure or stable; and Surety Is registered and listed with the California Depautn ent of Insurance; ands Contractor has by written agreement dated December 15. 2o16 entered Into a eonfrad * t Owner for the Worthy Park Reconfiguration. Project # C 1513 In aocordanoe with drevwings and specifications prepared by the office of the Department of Public** which contract is by referenoe made a pant hereof (hereinafter referred to as the Contract); and ** Works of the City of Huntin *ton Beach The Contract provides that the principal will guarantee, for a period of OR year, the work performed as part of the Contract from and against all defects in materials and worbnanship; and The Contrail also provides that the Contnador shah secure Conbadoes obligations during the one-year period with a bond executed by a surety duty admitted In the state of Caffomia; end The Contract has been conplated, and the Owner. Cordrador and Surety agree that the commencement date for this Guarantee and Bond shall be November 27th . 2t))Z 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 Cantred by Owner, repair and/or replace any and all defects arising In the Wok, whether resulting from defective materials or defective workmanship, than this obligation shall be null and void; otherwise it will remain in fug force and effect. The Surety hereby waives notice of any alteration or extension of time made by the Owner. Whenever Cahtrador shag be, and declared by Owner to be to default under the Contract, the Surety shall, within thirty (30) days following Owners written notice of default, eMer. (a) remedy the default, or (b) shall promptly complete the Contract in aeerdance with Re terns and conditions. Surety shall save the Owner harmless from any dams, Judgments, hens or losses arising.trom the Surety's failure to either remedy the default or to complete the Contrad In accordance with Its terns and conditions In a timely manner. 154584/11913A Whenever the Principal shall be, and declared by the Owner to be in default under the Contract, which shag include without limitation, arty breach or default of the Contract, then, after written notice from the Owner to the Surety, as prowded for below, the Surety shag eber (a) remedy the default or !reach by the Principal. or (b) shag linty and faithfully take charge of the Work and complete the Work In accordance with the requirements of the Contract with a contractor other than the Principal, at its own expense, and make available as work progresses sufficient funds to pay the cost of completion less the unpaid balance of the Contract Including other costs and damages for which the surety may be liable hereunder, provided, however, that the procedure by which the Surety undertakes to discharge Us obligations under this Bond shall be subject W the advance wrWen approval of the Owner. VMM 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 shag be the duty of the Surety to ghre to the Owner a nodoe, in writing, of the Surey's election to (a) remedy the defauil(s) of the Principal promptly, or (b) amehge for performance or the Contract promptly by a contractor other then the Principal, lime being of essence to this Bond. In sold Notice of Election, the Surety shag state the date of commencement of Its cure or remedy of the Principars defauit(s) or its performance of (he ContmcL The Surety's obligations for are or remedy, Ind, de but are not limited to: correction of deLnUve work and completion of the Contract, additional legal, design professional and delay costa arising from Surety's aeons or failure to ad; and liquidated damages (or if no liquidated damages are specified In the Contract, actual damages caused by delayed performance or non-performance by the PrincipalI. The Surety shag give prompt written notice to the Owner upon completion of the cure or remedy of the Pdndpars delault(s) of its performance of the Conlred. If the Suaaty does issue is Notice of Becton and does not proceed to cure or remedy the Prindpars default(s) of Its performance of the Work within Oft (30) days after receipt of a written notice frorn Owner, Surety shall be deemed to be in default an this bond, and the Darner shag be entitled to enforce any remedy available to Owner. No right of action shall some on We bond to or for the use of any person or corporation other than the owner named herein or the suocessors of Owner. Signed and sealed this 4th day of Principal Raised Corporate Seal (MUST BE AFFIXED) Principal Raised Corporate Seat [MUST BE AFFIXED] NOTES: Admowledgmenis must be owpided and retuned as part of the bond. Raised Ca mnk Seats are mandatory. Please attach Power of Atomey. 154SW 16138 December .2o 17 Kasa Construction, Inc. (Contractor Name) By: (Seal) The Ohio Casualty Insurance Company ( unary Nam By., (Seam Matthew R. Dobyns Attorney -in -Fact APPROVED AS RM•. By: r RAichael E. Ga es, City Attormey 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. 7757858 Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation 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, Matthew R. Dobyns; Randy Spohh all of the city of Santa Ana 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 5th day of May 2017 y, ' The Ohio Casualty Insurance Company 13 Liberty Mutual Insurance Company l West American Insurance Company W a) a By:4. STATE OF PENNSYLVANIA ss David M. Carey; Assistant Secretary +_+ COUNTY OF MONTGOMERY C d On this 5th day of May 2017 • before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance v F O y 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 �N p =i therein contained by signing on behalf of the corporations by himself as a duly authorized officer. d LLJ > LEs- to IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written. i E O M, IA , COMMONWEALTH OF PENNSYLVANIA NCt t I it Sea. Q M Teresa P 1ste a. Notary Pub! c BY _-.-- O Upper 4lenon iwp Mcntgoment county Teresa Pastella, Notary Public V, O � y. My Commission Cxpres Mart; 28, 2021 to Nlember, Pennsylvania Assochlion of Nctmes O E CL C This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual U) C y' 4, Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: r t3f U) ets d 4) 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 f+ CT1 O C 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 y O ,� acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective F 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 G) O to 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 > .0 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, y N 00 yd 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, 0 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 oo v 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 O e '' 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 ihe. Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys -in- ~ f 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. - 1, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and iNest American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true andcorrect copy of the Power of Attcrney 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 4th day of December 2017 , E By: Renee C. Lle.ve ssistant Secretary 84 of 100 LMS 12873 022017 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of CALIFORNIA County of ORANGE On before me, ASHLEY MARIE SPOHN, NOTARY PUBLIC, personally appeared MATTHEW R. DOBYNS , ® who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their .• - - - - - - - - - - - - - -A authorized capacity (+es-}, and that by his/her/their signature(s-) on the ASHLEY MARIE SPOHN p behalf instrument the � person(s), or the entity upon of which the person(s-) .... .' � COMM. # 218866P o NOTARY PUBLIC CALIPORNIA acted, executed the instrument. 3 ORANGE COUNTY ro Mycomm.expiresMar,2�,2o21 �t 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. StOure of Notary Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER 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) 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: Contract: Project: Certification of Compliance with Prevailing Wage Laws 1513 Worthy Park Reconfiig ration The undersigned contractor on the above -referenced project ("Project") hereby certifies that all laborers, mechanics, apprentices, trainees, watchmen and guards employed by him or by any subcontractor performing work under the contract for the Project have been paid pursuant to the minimum wage and bona fide fringe benefit requirements specified for each particular classification of work, as set forth in the wage -rate determinations of the State of California, Department of Industrial Relations, and/or the United States Department of Labor. 1 declare under penalty of perjury under the laws of the State of California thatthe foregoing is true and correct. Executed. this 15 _day of November , 20 17 at_ Chino , California. KASA Construction. Inc. (Contractor Name) APPROVEDAS..TO FORTM By: '�:.fF.: s Michael E. Gates City Attorney I, Tony Kasbar , state and certify that: (Name of Declarant) 1 KASA Construction Inc. is the general contractor to the City of Huntington Beach ("City") on Contract No. 1513 (the "Contract") for the construction of the public work of improvement entitled; Worthy Park Reconfiguration _ (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 front the performance of the Contract, have been paid and satisfied (list unpaid debts and claims; if none, write "NONE"): Please see attached - 4. Attached hereto are the lien waivers required by the Contract Documents, which lien waivers have been executed by all persons who performed work on or supplied labor, services, materials, and/or equipment for use at the Project. 5. Set forth below is a list of disputed claims or claims that are the subject of a Notice to Withhold filed pursuant to the Civil Code of the State of California (list all disputed claims; if none, write "NONE"). NONE - - I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at Chino — on this 15 day of November 2017 (Signature of e larant) APPROVED AS T01"6RM Michael.E. Gates City_ Attorney Certification of Compliance with Title VIl 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. Boa 190 Huntington Beach, CA 92648 Re: Certification of Compliance with.Title V11 of the Civil Rights Act and Equal Employment Opportunity Act of 1972 Contract: 1513 Project: Worthy Park Reconfiguration The undersigned contractor on the above -referenced project ("Project") hereby certifies that it has complied with title VII of the Civil Rights Act, the Equal Opportunity Act of 1972 and Executive Order 11246, and has riot discriminated against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age or disability. The undersigned contractor also certifies that it has not maintained any segregated facilities at its establishments on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age or disability (with the exception of access for the disabled). I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this 15 _day of November , 20 17 , at Chino California. KASA Construction, Inc. (Contractor Name) APPROVED AS:ZQ FORM y: Michael E. Gates City Attorney THE OHIO CASUALTY INSURANCE COMPANY CONSENT OF SURETY PR03ECT: Worthy Park Reconfiguration Project #CC 1513 TO (OWNER) City of Huntington Beach Bond No. 024061754 200 Main Street Huntington Beach, CA 92648 Contract No. N/A Contract For: Worthy Park Reconfiguration Contract amount: $1,588,434.51 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the THE OHIO CASUALTY INSURANCE COMPANY , SURETY COMPANY, on band of KASA CONSTRUCTION, INC.., hereby approves the release of final payment to the Contractor. The Surety agrees that such release of final payment to the Contractor shall not relieve the Surety of any of its obligations to City of Huntington Beach, Owner, as set forth in the said Surety's band. IN WITNESS WHEREOF, the Surety has hereunto set its hand this 4th day of December. 2017 The Ohio Casualty Insurance Company Sure' �--- Matthew R. Dobyns , Attorney -in -fact Document-3901651-Page-1 Page 1 of 1 PLEASE COMPLETE THIS INFORMATION RECORDING REQUESTED BY: WHEN RECORDED MAIL TO: CITY OF HUNTINGTON BEACH PUBLIC WORKS DEPARTMENT Attn:Jim Escutia P.O. Box 190 — 2000 Main Street Huntington Beach, CA 92648 Recorded in Official Records, Orange County Hugh Nguyen, Clerk -Recorder II I I II II II I II I II III I I I II II NO FEE *$ R 0 0 0 9 5 3 7 5 2 7$ 201700037626811:45 am 09105117 7 405 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 Kasa Construction, Inc., who was the company thereon for doing the following work to -wit: Worthy Park Reconfiguration, Project # CC 1513 That said work was completed 08/30/2017 by said company according to plans and specifications and to the satisfaction of the City Engineer of the City of Huntington Beach and that said work was accepted by the Director of Public Works on 08/30/2017, per City Council Resolution No. 2003-70 adopted October 6, 2003. That upon said contract The Ohio Causualty 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. Director of Public ork or City Engineer L Da City of Huntington Beach, California STATE OF CALIFORNIA) County of Orange ) ss: City of Huntington Beach ) I, the undersigned, say: I am an Agent of the City of Huntington Beach, owner in fee, in the foregoing NOTICE OF COMPLETION. I have read said NOTICE OF COMPLETION and know the contents thereof: the same is true of my knowledge. I declare under penalty of perjury that the foregoing is true and correct, and that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the County Recorder of Orange County. This document is solely the official business of t the City of Huntington Beach, as contemplated I oo under Government code section 27383 and Director of Public Work or City Engineer Date should be recorded free of charge. City of Huntington Beach, California THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) about:blank 9/5/2017 RECEIVED"'BY: CITY CLERK RECEIPT COPY f %, 1 Return DUPLICATE to City Clerk's Office (Name) I after signing/dating (Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION J, TO: City Treasurer FROM: City Clerk DATE: SUBJECT: Bond Acceptance have received the bonds fort - CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. .,.:Warranty or Maintenance Bond No. nu- TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. CC No. MSC No. Other No. g:/forms/bond transmittal to treasurer (Company Name) Approved (Council Approval ate) Agenda Item No. City Clerk Vault No._l r SIRE System ID No. � �! CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND Kasa Construction, Inc. FOR Worthy Park Reconfiguration THIS AGREEMENT ("Agreement") is made and entered into by and between the City of Huntington Beach, a municipal corporation of the State of California, hereinafter referred to as I<MA Cv+�ST2vc7fo✓i �d� "CITY," and % , a corporation, hereinafter referred to as "CONTRACTOR." c,4c.Jf10aA A WHEREAS, CITY has solicited bids for a public works project, hereinafter referred to as "PROJECT," more fully described as 4c JS+3in the City of Huntington Beach; and CONTRACTOR has been selected to perform said services, NOW, THEREFORE, in consideration of the promises and agreements hereinafter made and exchanged the parties covenant and agree as follows: 1. STATEMENT OF WORK; ACCEPTANCE OF RISK CONTRACTOR shall complete and construct the PROJECT pursuant to this Agreement and the Contract Documents (as hereinafter defined) and furnish, at its own cost and expense, all labor, plans, tools, equipment, supplies, transportation, utilities and all other items, services and facilities necessary to complete and construct the PROJECT in a good and workmanlike manner. CONTRACTOR agrees to fully assume the risk of all loss or damage arising out of the nature of the PROJECT, during its progress or prior to acceptance by CITY, from the action of the elements, from any unforeseen difficulties which may arise or be encountered in the prosecution of work, and for all other risks of any description in connection with the work, including, but not limited to, all expenses incurred by or in consequence of the suspension or discontinuance of work, except such as are herein expressly stipulated to be borne by CITY, and I 16-5195/city-funded-construction-contract.doc — revised 04/2016 for well and faithfully completing the work within the stipulated time and in the manner shown and described in this Agreement, and in accordance with the requirements of CITY for the compensation set forth in the accepted bid proposal. 2. ACCEPTANCE OF CONDITIONS OF WORK, PLANS AND SPECIFICATIONS CONTRACTOR acknowledges that it is fully familiar with all the terms, conditions and obligations of this Agreement and the Contract Documents (as defined below in this Section), has inspected the location of the job site, and the conditions under which the work is to be performed, and that it enters into this Agreement based upon its thorough investigation of all such matters and is relying in no way upon any opinions or representations of CITY. It is agreed that the Contract Documents are incorporated into this Agreement by this reference, with the same force and effect as if the same were set forth at length herein, and that CONTRACTOR and its subcontractors, if any, shall be bound by the Contract Documents insofar as they relate in part or in any way, directly or indirectly, to the work covered by this Agreement. "Contract Documents" as defined herein mean and include: A. This Agreement; B. Bonds covering the work herein agreed upon; C. The CITY's standard Plans and Specifications and special contractual provisions, including those on file in the office of the Department of Public Works of CITY, and any revisions, amendments or addenda thereto; D. The edition of Standard Specifications for Public Works Construction, published by Builders' News, Inc., 10801 National Boulevard, Los 2 16-5195/city-funded-construction-contract.doc — revised 04/2016 Angeles, CA 90064, and all amendments thereto, written and promulgated by the Southern California chapter of the American Public Works Association and the Southern California District Associated General Contractors of the California Joint Cooperative Committee as specified in the particular Plans, Specifications, Special Provisions and Addendum applicable to the Project; E. Bid documents including the Notice Inviting Bids, the Special Instructions to Bidders and the CONTRACTOR's proposal, (which is attached hereto as Exhibit "A" and incorporated herein by this reference); F. The particular Plans, Specifications, Special Provisions and Addenda applicable to the PROJECT. Anything mentioned in the Specifications and not indicated in the Plans or indicated in the Plans and not mentioned in the Specifications, shall be of like effect as if indicated and mentioned in both. In case of a discrepancy between any Plans, Specifications, Special provisions, or Addenda, the matter shall be immediately submitted by CONTRACTOR to the Director of Public Works of CITY or his or her written designee (hereinafter referred to as "DPW"), and CONTRACTOR shall not attempt to resolve or adjust the discrepancy without the decision of DPW, save only at its own risk and expense. Should there be any conflict between the terms of this Agreement and the bid or proposal of CONTRACTOR, then this Agreement shall control and nothing herein shall be considered as an acceptance of the terms of the bid or proposal which is in conflict herewith. 3 16-5195/city-funded-construction-contract. doe — revised 04/2016 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 OAJE MUL1oAJ Fout NuwDrGp ErwrysEvewTmus^swo 8t6HTMUwDt2C-D �! Dollars ($ ), as set forth in the Contract Documents, to be paid as provided I, 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 Ai werY( gp ) consecutive Working days from the day the Notice to Proceed is issued by DPW, excluding delays provided for in this Agreement. 5. TIME OF THE ESSENCE The parties hereto recognize and agree that time is of the essence in the performance of this Agreement and each and every provision of the Contract Documents. CONTRACTOR shall prepare and obtain approval as required by the Contract Documents for all shop drawings, details and samples, and do all other things necessary and incidental to the prosecution of its work in conformance with the progress schedule set forth in the Contract Documents. CONTRACTOR shall coordinate its work with the work of all other contractors, subcontractors, and CITY forces working on the PROJECT in a manner that will facilitate the efficient completion of the PROJECT and in accordance with the terms and provisions of this Agreement. CITY shall have complete control of the premises on which the work is to be performed and shall have the right to decide the time and order in which the various portions of the work shall be performed and the priority of the work of other contractors, 4 16-5195/city-funded-construction-contract.doc — revised 04/2016 subcontractors and CITY forces and, in general, all matters concerning the timely and orderly conduct of the work of CONTRACTOR on the premises. 6. CHANGES CONTRACTOR shall adhere strictly to the plans and specifications set forth in the Contract Documents unless a change therefrom is authorized in writing by DPW. CONTRACTOR agrees to make any and all changes, furnish materials and perform all work necessary within the scope of the PROJECT as DPW may require in writing. Under no condition shall CONTRACTOR make any changes without the prior written order or acceptance of DPW, and CITY shall not pay any extra charges made by CONTRACTOR that have not been agreed upon in writing by DPW. When directed to change the work, CONTRACTOR shall submit immediately to DPW a written cost proposal reflecting the effect of the change. Should DPW not agree to such cost proposal, the work shall be performed according to the changes ordered in writing by DPW and the proper cost thereof shall be negotiated by the parties upon cost and pricing data submitted by CONTRACTOR; thereupon, CITY will promptly issue an adjusted change order to CONTRACTOR and the contract price will be adjusted upward or downward accordingly. 7. NOTICE TO PROCEED No work, services, material, or equipment shall be performed or furnished under this Agreement unless and until a Notice to Proceed has been given to CONTRACTOR by CITY. CITY does not warrant that the work will be available on the date the Notice to Proceed is issued. In the event of a delay in commencement of the work due to unavailability of the job site, for any reason, relief to CONTRACTOR shall be limited to a time extension equal to the delay due to such unavailability. 5 16-5195lcity-funded-construction-contract.doc —revised 04l2016 8. BONDS Only bonds issued by California admitted sureties will be accepted. CONTRACTOR shall, prior to its performance of this Agreement, furnish the following two (2) bonds approved by the City Attorney: One in the amount of one hundred percent (100%) of the contract price to guarantee the CONTRACTOR's faithful performance of the work, and one in the amount of one hundred percent of the contract price to guarantee payment of all claims for labor and materials furnished. In addition, CONTRACTOR shall submit to CITY a bond in the amount of one hundred percent (100%) of the final contract price, including all change orders, to warrant such performance for a period of one (1) year after CITY's acceptance thereof within ten (10) days of filing of the Notice of Completion. 9. WARRANTIES CONTRACTOR unconditionally guarantees all work done under this Agreement including, but not limited to, any workmanship, installation, fabrication, material or structural facilities constructed. CONTRACTOR, within ten (10) days after notice by CITY of any defect in the work, shall have the option to make appropriate repairs or replace the defective item or items. Upon expiration of such ten (10) day period, CITY may then make appropriate repair or replacement at CONTRACTOR's risk and own cost and expense. 10. INDEPENDENT CONTRACTOR It is understood and agreed that CONTRACTOR is, and shall be, acting at all times hereunder as an independent contractor and not an employee of CITY. CONTRACTOR shall secure at its own cost and expense, and be responsible for any and all payment of all taxes, social security, state disability insurance compensation, unemployment compensation and other 6 16-5195/city-funded-construction-contract.doc — revised 04/2016 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 ($ 500 ) per each calendar day's delay in completing the work in excess of the number of working/calendar days set forth herein, which represents a reasonable endeavor by the parties hereto to estimate a fair compensation for the foreseeable damages CITY would sustain in the event of and by reason of such delay; and CONTRACTOR agrees to pay these damages herein provided, and further agrees that CITY may deduct the amount thereof from any monies due or that may become due to CONTRACTOR hereunder. CONTRACTOR will be granted an extension of time and will not be assessed damages for any portion of the delay in the completion of the work due to unforeseeable causes beyond the control and without the fault or negligence of CONTRACTOR, including, but not limited to, acts of God or of the public enemy, fire, floods, epidemics, quarantine restrictions, strikes, unsuitable weather, or delays of subcontractors due to such causes. CONTRACTOR shall, within fifteen (15) days from the beginning of any such delay (unless DPW shall grant a further period of time), notify DPW in writing of the cause of the delay and CITY shall extend the time for completing the work if, in its judgment, the 7 16-5195/city-funded-construction-contract.doc — revised 04/2016 findings of fact thereon justify the delay; and the decision of DPW shall be conclusive on the parties hereto. Should CONTRACTOR be delayed in the prosecution or completion of the work by the act, neglect or default of CITY, or should CONTRACTOR be delayed by waiting for materials required by this Agreement to be furnished by CITY, or by damage caused by fire or other casualty at the job site for which CONTRACTOR is not responsible, or by the combined action of the workers, in no way caused by or resulting from default or collusion on the part of CONTRACTOR, or in the event of a lockout by CITY, then the time herein fixed for the completion of the work shall be extended by the number of days CONTRACTOR has thus been delayed, but no allowance or extension shall be made unless a claim therefor is presented in writing to CITY within fifteen (15) days of the commencement of such delay. No claims for additional compensation or damages for delays, irrespective of the cause thereof, and including without limitation the furnishing of materials by CITY or delays by other contractors or subcontractors will be allowed and an extension of time for completion shall be the sole remedy of CONTRACTOR. 12. DEMANDS FOR ADDITIONAL TIlOE OR MONEY. A. Definitions. (1) "Change Order" means a document signed by the CONTRACTOR and CITY which authorizes an addition, deletion or revision in the work, or an adjustment in the Compensation under Section 3, or the Completion Time specified at Section 4. (2) "Demand" means a written demand for a Change Order by the CONTRACTOR for any of the following: (a) A time extension; 8 16-5195/city-funded-construction-contract.doc — revised 04/2016 (b) Payment of money or damages arising from work done by, or on behalf of, the CONTRACTOR pursuant to this Agreement and payment of which is not expressly permitted pursuant to Section 3 of this Agreement; (c) Payment of an amount the CITY disputes; (d) Any disputes and other matters relating to the acceptability of the work performed or the interpretation of the Contract Documents; (e) A request for a time extension or additional payment based upon differing site conditions, such as subsurface or latent physical conditions at the job site differing materially from those indicated in this Agreement or the Contract Documents, or unknown physical conditions at the job site, of an unusual nature, differing materially from those ordinarily encountered and generally recognized as inherent to work of the PROJECT; or (f) A request for a time extension or additional.payment based upon acts of neglect by CITY or due to fires, floods, labor disputes, epidemics, abnormal weather conditions or acts of God. B. A Demand for a time extension or payment of money or damages may only be granted by a Change Order. C. No Change Order may be granted except where the Contractor has submitted a Demand to the DPW (or his or her written designee). All Demands shall be submitted promptly, but in no event later than thirty (30) days after the occurrence of the event giving rise to the Demand. The Demand shall be in writing and include all documents necessary to substantiate the Demand. The DPW shall act on the Demand within fifteen (15) days after receipt, including by requesting additional information from the CONTRACTOR to determine whether to approve the Change Order the Demand seeks. The DPW shall act on the Demand 9 16-5195/city-funded-construction-contract.doe —revised 04/2016 within fifteen (15) days after receipt of the additional information or within a period of time no greater than the time the CONTRACTOR took to produce the additional information requested, whichever is greater. D. Notwithstanding the thirty (30) days to submit a Demand under Subparagraph C, in the case of differing or unknown site conditions, immediately upon encountering the conditions, CONTRACTOR shall notify the DPW in writing of the conditions, so that the CITY may promptly investigate the conditions. E. If the CONTRACTOR disputes the DPW's written response on the Demand, or the CITY fails to respond within the time prescribed, the CONTRACTOR may so notify the City Engineer, in writing, either within fifteen (15) days of receipt of the City Engineer's response or within fifteen (15) days of the DPW's failure to respond within the time prescribed, respectively, and request an informal conference to meet and confer for settlement of the Demand. Upon the CONTRACTOR's request, the DPW shall schedule a meet and confer conference within thirty (30) days to seek to resolve. F. CITY and CONTRACTOR shall execute appropriate Change Orders covering changes to the time or price by executing the Change Order by mutual agreement. If the CITY and CONTRACTOR are unable to reach a mutual agreement, then the City Engineer shall issue a written decision on the claim within a reasonable time. G. Following the meet and confer conference, if the Demand remains in dispute, the CONTRACTOR may file a claim with the City as provided in Chapter 1 (commencing with Section 900) and Chapter 2 (commencing with Section 910) of Part 3 of Division 3.6 of Title 1 of the Government Code. For purposes of those provisions, the running of the period of time within which a claim must be filed shall be tolled from the time the 10 16-5195/city-funded-construction-contract.doc — revised 04/2016 CONTRACTOR submits his or her Demand until the Demand is denied as a result of the meet and confer process, including any period of time utilized by the meet and confer process. 13. VARIATIONS IN ESTIMATED QUANTITIES The quantities listed in the bid schedule will not govern final payment. Payment to CONTRACTOR will be made only for the actual quantities of contract items used in construction of the PROJECT, in accordance with the plans and specifications. Upon_ completion of the PROJECT, if the actual quantities used are either more than or less than the quantities listed in the bid schedule, the bid price shall prevail subject to the provisions of this Section. DPW may, at its sole discretion, when warranted by the facts and circumstances, order an equitable adjustment, upwards or downwards, in payment to CONTRACTOR where the actual quantities used in construction of the PROJECT are in variation to the quantities listed in the bid schedule. No claim by CONTRACTOR for an equitable adjustment in price or time for completion shall be allowed if asserted after final payment under this Agreement. If the quantity variation is such as to cause an increase in the time necessary for completion, DPW shall ascertain the facts and circumstances and make such adjustment for extending the completion date as in its sole judgment the findings warrant. 14. PROGRESS PAYMENTS Each month DPW will make an estimate in writing of the work performed by CONTRACTOR and the value thereof. From each progress estimate, five percent (5%) will be deducted and retained by CITY and the remainder of the progress estimate, less the amount of all previous payments since commencement of the work, will be paid to CONTRACTOR - When CONTRACTOR has, in the judgment of DPW, faithfully executed fifty percent (50%) or more of the value of the work as determined from the bid schedule, and if DPW finds that satisfactory progress has been and is being made, CONTRACTOR may be paid such 11 16-5195/city-funded-construction-contract.doc —revised 04/2016 sum as will bring the payments of each month up to one hundred percent (100%) of the value of the work completed since the commencement of the PROJECT, as determined in its sole discretion by DPW, less all previous payments and less all previous retained amounts. CITY's final payment to CONTRACTOR, if unencumbered, or any part thereof unencumbered, shall be made thirty-five (35) days after the acceptance of the work and the filing of a Notice of Completion by CITY. Provided, however, that in the event of a dispute between CITY and CONTRACTOR, CITY may withhold from the final payment an amount not to exceed 150 percent of the value of any disputed amount of work. Payments shall be made on demands drawn in the manner required by law, each payment to be accompanied by a certificate signed by DPW, affirming that the work for which payment is demanded has been performed in accordance with the terms of the Agreement and that the amount stated in the certificate is due under the terms of the Agreement. Partial payments on the contract price shall not be considered as an acceptance of any part of the work. 15. WITHHELD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES At the request and at the sole cost and expense of CONTRACTOR, who shall retain beneficial ownership and receive interest, if any thereon, CITY shall permit the substitution and deposit therewith of securities equivalent to the amount of any monies withheld by CITY to ensure performance under the terms of this Agreement. 16. AFFIDAVITS OF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall file with DPW its affidavit stating thatall 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 12 16-5195/city-funded-construction-contract.doc — revised 04/2016 claims, or items in connection with Notices to Withhold, which have been filed under the provisions of the statutes of the State of California. 17. WAIVER OF CLAIMS The acceptance by CONTRACTOR of the payment of the final certificate shall constitute a waiver of all claims against CITY under or arising out of this Agreement. A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code, CONTRACTOR shall, as penalty to CITY, forfeit twenty-five dollars ($25) for each calendar day or portion thereof for each worker paid (either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 18. CALIFORNIA PREVAILING WAGE LAW A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by 13 16-5195/city-funded-construction-contract.doc —revised 04/2016 resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code, CONTRACTOR shall, as penalty to CITY, forfeit twenty-five dollars ($25) for each calendar day or portion thereof for each worker paid (either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 19. CALIFORNIA EIGHT -HOUR LAW A. California Labor Code, Sections 1810 et seq, shall apply to the performance of this Agreement; thereunder, not more than eight (8) hours shall constitute one day's work and CONTRACTOR and each subcontractor employed by its hereunder, shall not require more than eight (8) hours of labor per day or forty (40) hours per week from any one person employed by it hereunder, except as stipulated in California Labor Code Section 1815. CONTRACTOR and each subcontractor employed by it hereunder shall, in accordance with California Labor Code Section 1812, keep an accurate record, open to inspection at all reasonable hours, showing the name and actual hours worked each calendar day and each calendar week by each worker employed in connection with the PROJECT. B. Pursuant to this Agreement and in accordance with California Labor Code Section 1813, CONTRACTOR shall, as a penalty to CITY, forfeit twenty-five dollars ($25) for each worker employed hereunder by CONTRACTOR or any subcontractor for each calendar day during which such worker is required or permitted to work more than eight (8) hours in any 14 16-5195/city-funded-construction-contract.doc — revised 04/2016 one (1) calendar day or forty (40) hours in any one (1) calendar week in violation of California Labor Code Section 1815. 20. PAYMENT OF TRAVEL AND SUBSISTENCE ALLOWANCE Section 1773.8 of the California Labor Code, regarding the payment of travel and subsistence allowance is applicable to this PROJECT. 21. EMPLOYMENT OF APPRENTICES Section 1777.5 of the California Labor Code, regarding the employment of apprentices is applicable to this PROJECT. 22. PAYROLL RECORDS CONTRACTOR agrees to keep accurate payroll record showing the name, address, social security number, work classification, straight time and overtime hours worked each day and week, and the actual per diem wages paid to each journeyman, apprentice or worker employed by it in connection with the PROJECT and agrees to require each of its subcontractors to do the same. CONTRACTOR further agrees that its payroll records and those of its subcontractors, if any, shall be available at all reasonable times to the CITY, and the employee or his representative, and the Division of Labor Standards Enforcement and the Division of Apprenticeship Standards, and to comply with all of the provisions of California Labor Code Section 1776, in general. 23. INDEMNIFICATION, DEFENSE, HOLD HARMLESS CONTRACTOR hereby agrees to protect, defend, 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 15 16-5195/city-funded-construction-contract.doc —revised 04/2016 property, arising directly or indirectly out of the obligations or operations herein undertaken by CONTRACTOR, caused in whole or in part by any negligent act or omission of the CONTRACTOR, any subcontractors, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, including but not limited to concurrent active or passive negligence, except where caused by the active negligence, sole negligence, or willful misconduct of the CITY, its officers, elected or appointed officials, employees, agents, and volunteers. CONTRACTOR will conduct all defense at its sole cost and expense and CITY shall 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. 24. WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE Pursuant to California Labor Code Section 1861, CONTRACTOR acknowledges awareness of Section 3700 et seq. of this Code, which requires every employer to be insured against liability for workers' compensation; CONTRACTOR covenants that it will comply with such provisions prior to commencing performance of the work hereunder. CONTRACTOR shall obtain and furnish to City workers' compensation and employer's liability insurance in an amount of not less than the State statutory limits. CONTRACTOR shall require all subcontractors to provide such workers' compensation and employer's liability insurance for all of the subcontractors' employees. CONTRACTOR shall 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. 16 16-5195/city-funded-construction-contract.doc — revised 04/2016 25. INSURANCE In addition to the workers' compensation and employer's liability insurance and CONTRACTOR's covenant to defend, hold harmless and indemnify CITY, CONTRACTOR shall obtain and furnish to CITY, a policy of general public liability insurance, including motor vehicle coverage covering the PROJECT. This policy shall indemnify CONTRACTOR, its officers, employees and agents while acting within the scope of their duties, against any and all claims arising out or in connection with the PROJECT, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including products/completed operations liability and blanket contractual liability, of One Million Dollars ($1,000,000) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit, the aggregate limit must be no less than One Million Dollars ($1,000,000) for this PROJECT. This policy shall name CITY, its officers, elected or appointed officials, employees, agents, and volunteers (the "Additionally Insured Parties") as Additional Insureds, and shall specifically provide that any other insurance coverage which may be applicable to the PROJECT shall be deemed excess coverage and that CONTRACTOR's insurance shall be primary and non-contributory with any other valid and collectible insurance or self-insurance available to the Additionally Insured Parties. Any available insurance proceeds in excess of the minimum coverage amount specified herein shall be available to the Additionally Insured Parties. All coverage available to CONTRACTOR shall also be available to the Additionally Insured Parties. Under no circumstances shall said above -mentioned insurance contain a self -insured retention without the express written consent of CITY; however an insurance policy "deductible" of Five Thousand Dollars ($5,000.00) is permitted. CONTRACTOR shall be responsible for causing all Subcontractors to maintain the same types and Iimits of insurance coverage as that required of CONTRACTOR by this Agreement. 17 16-5195/city-funded-construction-contract.doc — revised 04/2016 26. CERTIFICATES OF INSURANCE; ADDITIONAL INSURED ENDORSEMENTS Prior to commencing performance of the work hereunder, CONTRACTOR shall furnish to CITY certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverages as required by this Agreement; the certificates shall: 1. Provide the name and policy number of each carrier and policy; 2. State that the policy is currently in force; and 3. Promise to provide that such policies will not be canceled or modified without thirty (30) days' prior written notice of CITY. CONTRACTOR shall maintain the foregoing insurance coverages in force until the work under this Agreement is fully completed and accepted by CITY. The requirement for carrying the foregoing insurance coverages shall not derogate from the CONTRACTOR's defense, hold harmless and indemnification obligations as set forth under this Agreement. CITY or its representative shall at all times have the right to demand the original or a copy of all the policies of insurance. CONTRACTOR shall pay, in a prompt and timely manner, the premiums on all insurance hereinabove required. CONTRACTOR shall provide a separate copy of the additional insured endorsement to each of CONTRACTOR's insurance policies, naming CITY, its officers, elected and appointed officials, employees, agents and volunteers as Additional Insureds, to the City Attorney for approval prior to any payment hereunder. 27. NOTICE OF THIRD PARTY CLAIM Pursuant to Public Contracts Code §9202, CITY shall provide notice to CONTRACTOR of receipt of any claim filed with CITY or a court of competent jurisdiction 18 16-5195/city-funded-construction-contract.doc — revised 04/2016 which arises out of performance of this agreement within ten (10) days of receipt of such claim or claims. 28. 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 29 and any damages shall be assessed as set forth in Section 29. 29. TERMINATION FOR CONVENIENCE CITY may terminate this Agreement for convenience at any time with or without cause, and whether or not PROJECT is fully complete upon seven (7) calendar days written notice to CONTRACTOR. In the event of termination, under this Section CITY shall pay CONTRACTOR for value of work in place on the PROJECT through the termination period less all such payments already made. In case of such termination for convenience, the CONTRACTOR shall be entitled to receive payment for work executed, and costs incurred by 19 16-5195/city-funded-construction-contract.doc — revised 04/2016 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. 30. DISPOSITION OF PLANS, ESTIMATES AND OTHER DOCUMENTS CONTRACTOR agrees that upon completion of the work to be performed hereunder, or upon expiration or earlier termination of this Agreement, all original plans, specifications, drawings, reports, calculations, maps and other documents pertaining to this Agreement shall be delivered to CITY and become its sole property at no further cost. 31. NONASSIGNABILITY CONTRACTOR shall not sell, assign, transfer, convey or encumber this Agreement, or any part hereof, or any right or duty created herein, without the prior written consent of CITY and the surety. 32. CITY EMPLOYEES AND OFFICIALS CONTRACTOR shall employ no CITY official nor any regular CITY employee in the work performed pursuant to this Agreement. No officer or employee of CITY shall have any financial interest in this Agreement in violation of the California Government Code. 33. STOP NOTICES• RECOVERY 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 Iegal document. This obligation shall be provided for in the labor and materials payment bond required of CONTRACTOR. CITY may charge an administrative fee of One Hundred Dollars ($I00) for every Stop Notice filed in excess of two (2), regardless of whether or not CITY is named in an action to enforce such stop notices. CITY may set off any unreimbursed cost or 20 16-5195/city-funded-construction-contract.doc —revised 04/2016 expense so incurred against any sum or sums owed by CITY to CONTRACTOR under this Agreement. 34. NOTICES Any notices, certificates, or other communications hereunder shall be given either by personal delivery to CONTRACTOR's agent (as designated in Section 1 hereinabove) or to CITY as the situation shall warrant, or by enclosing the same in a sealed envelope, postage prepaid, and depositing the same in the United States Postal Service, to the addresses specified below; provided that CITY and CONTRACTOR may designate different addresses to which subsequent notices, certificates or other communications will be sent by notifying the other party via personal delivery, reputable overnight carrier or U. S. certified mail -return receipt requested: TO CITY: City of Huntington Beach ATTN:e.&cwn* Public Works 2000 Main Street Huntington Beach, CA 92648 35. SECTIONHEADINGS TO CONTRACTOR: kASA C4,us_-R.uc710�, 1N 6 ATTN: 7oVV ,�,pSBAit 151W3 51C-2eLA 3o,uITd t,a�G GFI140, Ga 9'1710 The titles, captions, section, paragraph and subject headings, and descriptive phrases at the beginning of the various sections in this Agreement are merely descriptive and are included solely for convenience of reference only and are not representative of maters included or excluded from such provisions, and do not interpret, define, limit or describe, or construe the intent of the parties or affect the construction or interpretation of any provision of this Agreement. 21 16-5195/city-funded-construction-contract.doc — revised 04/2016 36. IMMIGRATION CONTRACTOR shall be responsible for full compliance with the immigration and naturalization laws bf the United States and shall, in particular, comply with the provisions of United States Code Section 1324a regarding employment verification. 37. LEGAL SERVICES SUBCONTRACTING PROHIBITED CONTRACTOR and CITY agree that CITY is not liable for payment of any subcontractor work involving legal services, and that such legal services are expressly outside the scope of services' contemplated hereunder. CONTRACTOR understands that pursuant to Huntington Beach City Charter Section 309, the City Attorney is the exclusive legal counsel for CITY; and CITY shall not be liable for payment of any legal services expenses incurred by CONTRACTOR. 38. ATTORNEY'S FEES In the event suit is brought by either party to construe, interpret and/or enforce the terms and/or provisions of this Agreement or to secure the performance hereof, each party shall bear its own attorney's fees, such that the prevailing party shall not be entitled to recover its attorney's fees from the non -prevailing party. 39. INTERPRETATION OF THIS AGREEMENT The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of the parties. If any provision of this Agreement is held by an arbitrator or court of competent jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other 22 16-5195/city-funded-construction-contract.doc — revised 04/2016 whenever the context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act contrary to law, and wherever there is any conflict between any provision contained herein and any present or future statute, law, ordinance or regulation contrary to which the parties have no right to contract, then the latter shall prevail, and the provision of this Agreement which is hereby affected shall be curtailed and limited only to the extent necessary to bring it within the requirements of the law. 40. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of California. 41. DUPLICATE ORIGINAL The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals, each of which so executed shall, irrespective of the date of its execution and delivery, be deemed an original. Each duplicate original shall be deemed an original instrument as against any party who has signed it. 42. CONSENT Where CITY's consent/approval is required under this Agreement, its consent/approval for one transaction or event shall not be deemed to be consent/approval to any subsequent occurrence of the same or any other transaction or event. 43. SURVIVAL Terms and conditions of this Agreement, which by their sense and context survive the expiration or termination of this Agreement shall so survive. 44. MODIFICATION No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties. 23 16-5195/city-funded-construction-contract.doc — revised 04/2016 45. SIGNATORIES Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify CITY fully for any injuries or damages to CITY in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. 46. ENTIRETY The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive arm's length negotiation, and that each has had the opportunity to consult with legal counsel prior to executing this Agreement. The parties also acknowledge and agree that no representations, inducements, promises, agreements or warranties, oral or otherwise, have been made by that party or anyone acting on that party's behalf, which are not embodied in this Agreement, and that that parry has not executed this Agreement in reliance on any representation, inducement, promise, agreement, warranty, fact or circumstance not expressly set forth in this Agreement. This Agreement, and the attached Exhibit "A", contain the entire agreement between the parties respecting the subject matter of this Agreement, and supersede all prior understandings and agreements whether oral or in writing between the parties respecting the subject matter hereof. 24 16-5195/city-funded-construction-contract.doc — revised 04/2016 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers on d :7 , 20 /(o CONTRACTOR: B (print name) ITS: Chairman 4 resident . Vice -President (circle one) rent name) ITS: Secret / Chief Financial Officer Asst. Secretary / Treasurer (circle one) CITY OF HUNTR TON BEACH, a municipal cc%tporation Af ejStateo6f California `.' ' Mayor Aa4ou & City Clerk INITIATED AND A VED: Director 6f Public Works 25 16-5195/city-funded-construction-contract.doc — revised 04/2016 APPROVED: ,tee Manager City Attorney SECTION C PROPOSAL for the construction of WORTHY PARK RECONFIGURATION PROJECT CC No. 1513 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 90 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with the Department of Public Works 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 the Department of Public Works 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 DEPARTMENT OF PUBLIC WORKS 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 Department of Public Works will reject all bids and will re -advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the Department of Public Works' notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the Department of Public Works and this bid and the acceptance hereof may, at the Department of Public Works' option, be considered null and void. Accompanying this proposal of bid, find �`i �o ►X r� in the amount of i0 I which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the Department of Public Works. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond forik% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder' Signature 0 t3 l _ r PROJECT BID SCHEDULE Item No. Item Base Bid Amount in Figures Construct "Worthy Park Reconfiguration" Project, CC- 1 1513. ROMTEC Restroom building components supplied by City as indicated on Drawings and SSDS. All other $ Y 3 1 materials necessary to complete the construction, including r site work, identified on plans and specifications to be supplied and constructed by Contractor. Total Bid Amount $ q' 37, 'A State Base Bid amount in words, which will be basis of award. q/ f Ven , Dollars A. This Section identifies potential changes in the work under consideration for this contract. The Owner reserves the right to accept any or all of the listed Alternates, regardless of the order of their listing. State added cost to replace Tifway II Seeded Turf with Tifway II Sodded Turf. bT & Dollars (in words) ($ 56j,,D60 ) (numbers) C-2 r,A �/7 P �- LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the narne and business address of each subcontractor who will perforrn work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR Dollar % of Items) Subcontractor License Number Amount Contract Number d tC I 1-1W-othdf t3lvej% 1 Fo 11'!q71 A C�� ' 1000610060 � 21q,000 �5 ° 1 7 w r et. 91 70 2 j2o,Mt�c �vl� i�a►� t� � ,� 1�2N0 NS;�nk �<.(.. 3�1�ZK(, IGDOcaLz2s�Z jl`ti73� R X Inst�,11 jr oSebvey, 09- 17ti'70 S,,<<+A(MJ 2,414 VJ. 125-t �Tlti JOUM-27ao Z 7�',b (' 5j Tfrw y . Al g5Z ,� 1 t7icKl-�1� tl �i�ylo� `C�nr,ts Cv�ir i � L._� 1 �a Ar Lo""' Cr. Tyv.C.. ' -Q�..� I(P I i t2n1� S pr, t �3 I'3SZ � 13 1p)DUutst(, 5�,'SLi() ?) � Cvruna Tlal k liLvnn A 6 Ql�lu�'h^Z�1-f � lltlt0 Sie(ra MGtL�fE Cr. �-1�51�1� .fit tuCt9l%C�0(oG� �iy��U Z- r�s a 0 A(tn-Va CA `tZ 7U 50D ; West (_oas.J Tvc-� elf. iS Usp�l 94 `3ox 4St03 t� z��U�sl lauu�c;�y I � Oba 2 161 Palm lies-ert (A-, 9-11 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 Department of Public Works will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. 1✓ V C-3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or S 10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Item(s) Name and Address of Subcontractor State License Number Class DIR Number Dollar % of Amount Contract I I� Ij i� I I fay submission of this proposal, the Bidder certifies: l . That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing, ?. That the Department of Public Works 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 1b , at C ' 'InO D City State 1 G1Y\1h being first duly sworn, deposes and says that he or she is _�� �S►G�fi�l i of 0SA (aizA Achm , I VG -,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. N eAVI IA ka5W( __ Name of Bidder A Signature of Bidd r 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 WORTHY PARK RECONFIGURATION PROJECT, (T)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is_familiar vvith 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: oq / do Vivl Lo 4 ASA (o,nS�r�+c}itN1, I r� Contractor By Title C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation'? ❑ Yes JU 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: V C1 /oI /�O l y C-7 KAS-A 1uratrUdiml, I a. Contractor y Pr-el)i A�kgt Title BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: ;qsA Conslfyc�urn, iU(- Bidder Name Business Address i VwA6 CA 9 rl I U City, State Zip ( e10q) 4-I 57 - Sq,(fi0 Telephone Number 9T7f)9q Z A, E2 i c -- a C - 17 State Contractor's License No. and Class b/ 15f 01 Original Date Issued Uif'51/n Expiration Date The work site was inspected by Ai edi) r Z6AV41 IGZ of our office on 1 , 201(o. The following are persons, firms, and corporations having a principal interest in this proposal: bi (IVAa K msbl(r Pr e5n u r-e r y 1.� 'Pr 4i Acot Sot�refczry 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. 1l J � C GY151 Y' u�C+ i 0 C� Name ignature of Bidder Ibj nua & � G+SI �cw — Pre,5l Lni Printed or Typed Signature Subscribed and sworn to before me this 'L day of S� 2010. It A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of County of ) On before me Month, Day, and Year Insert Name and Title of Notary personally appeared IV- Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. HECTOR ZAVALA WITNESS my hand and official seal. '~' commission # 20as822 Z �_+�_ Notary Public - California Z Z `� ' e San Bernardino County D MY Comm. Expires Oct 28, 2017 Sign of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. General Contractor or sub -contractor should have experience with construction of ROMTEC modular constructed buildings. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: Name and Address of Public Agency 1(,, Name and Telephone No. of Project Manager: GILL �) ��� i`1 I y y cI tco Contract Amount Type of Work Prove e additional project description to show similar work: 2. L I jM O t (' OSIA Mf"?A - 71 Name and Address of Public Agency Date Completed `'lti(nti Name and Telephone No. of Project Manager: Cif jC KA a( (IJq) J 5 `I -5' y Contract Amount Type of ork Date Completed Provide additional project description to show similar work: 3. cibi OV Rfooff WO (iVi(, Cyliff WW)pO(I BcrJkl �-A Name and Address of Public Agency �2��. J Name and Telephone No. of Project Manager: �k Arc, l Y11 e (� Cl — ��� ��(Ot{y �iD HUD, -1 I—LO-1 0 11 i5 Contract Amount Type R Work Date Completed Provide additional project description to show similar work: C it iJ 1), : [a Y1 J S C a �� _� r Y (1 Ci 0 i1 Cat t 01 by?" vies C-to Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. Name of proposed Project Manager Telephone No. of pr"foposed Project Manager: (�U�) 51 x,,0 ���� lra�� I m�rOY,✓ vit5 Fxa I mOotwkMMK 2 h L Project Name & Contract Amount Type of Work Date Completed 1ki�tbc�� I�iK� ir�,l I��n,N�,wu�r Project Name & Contract Amount Type of Work Date Completed 99AX 6411 V i td iW -15 to 01 / r� Project Name & Contract Amount Type of W rk Date Completed 2. Ch�A&-.l 'Fam-ell Name of proposed Superintendent Telephone No. of proposed Superintendent: (010q)g5� 7toV 40Wer S-Ifpct k1,6kia" q (,'I -14) q. q ..v 0'& -Arran IMofiVR wak ?A(� iM0C6 OWAIS Project Name & Contract Amount Type of Work Date Completed — # L;'Gie- J� lw � e S 25 I Project Name & Contract Amount Type of Work Date Completed gft4 &A�-J &W PACK 3 UU far r s i 5 Project Name & Contract Amount Type of rk Date Completed C- l l CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 177 ] . ] (a)), passed by the California State Senate on June 20, 20141, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whorn a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet-6.30.14.pdf DIR's Contractor Registration Link — Call (844) 522-6734 littps://efiling.dir.ca.gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Y A SIA Contractor Y Title Date: 0 �1 � ��� � Z�UIIP DIR #:1DDODO 5 C-12 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For WORTHY PARK RECONFIGURATION PROJECT, CC1513 in the CITY OF HUNTINGTON BEACH September 13, 2016 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Table of Contents Page 4: Delete "Bidders Certification ........................ C-13" This sheet is not included in Section C as it is not required for this project 2) Please find following, the Asbestos Certification and supporting documents. This is to acknowledge receipt and review of Addendum Number One, dated September 13, 2016 UM cuns�(w h co , I vic. . Com any Name �%3�A, t D Kz, Ve All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For WORTHY PARK RECONFIGURATION PROJECT, CC1513 in the CITY OF HUNTINGTON BEACH September 15, 2016 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Replace Sheet C-2 with the following sheet. This is to acknowledge receipt and review of Addendum Number One, dated September 13, 2016 l� AS A Dl5-IVyc w , I Vic, Company N_a e Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. CITY OF NEWPORT BEACH F'Ui=31....IC WORI<,S DEPARTMENT July 21, 2015 KASA Construction. 316 North Corona Avenue Ontario, CA 91764 Project: C-5892 Back Bay View Park Maintenance To Whom It May Concern: The City of Newport Beach would like to thank KASA Construction for their commendable performance in completing the Back Bay View Park Maintenance Project. KASA Construction completed this project with diligence and commitment, maintaining the highest level of professionalism, attention to detail and work ethic. KASA Construction's scheduling and coordination was extremely smooth. They maintained an excellent relationship with the City project management and inspection team and kept the job running in a compliant and organized fashion. It has been a pleasure working withKASA and we would not hesitate to recommend their outstanding services to others. Sincerely, Patrick Arciniega, l�E Senior Civil Enginee Floc-t" C 'E 3{:;E' Box 1768, NEWPORTBEACH, CA 92658-891 5 E > (949) 644 . 31 1 1 F (9/. ) 644 - ;318 1 vvWw. ,NEWP(-)RTBEA(, C .c (1V I Y OF ORANGE COMMUNITY SERVICES DEPARTMENT www.dtyoforange,org PHONE: (714) 744-7274 - FAX, (714) 744-72,31 . .. . . ... ...... July 14, 2015 KASA Construction 15148 Sierra Bonita Lane Chino, Ca. 91710 Subject: Grijalva Park Exercise Circuit Landscape To Whom It May Concern: It is my privilege to offer this letter of recommendation on behalf of the City of Orange to KASA Construction for their superb work at our landscape renovation at Grijalva Park. KASA Construction completed the work in a timely fashion, showing up on the job each day until it was complete. KASA Construction displayed a professional attitude and work ethic from their management, superintendent, foreman to laborer staffing. Customer service and satisfaction was reflected throughout this project... I would not hesitate in providing a positive referral and I hope that the City of Orange has the good fortune to work alongside them in the future, COMMUNITY SERVICES DEPARTMENT - 230 E. CHAPMAN AVENUE - ORANGE. CA 92866 Robert J. Kest€ Public Works Director September 6, 2011 KAS.A Construction hic, 3 t 'N. Corona ;Avenue Ontario, CA 9176 prole t. Median Island Improvements for the Beautification of Western Avenue from 190"' Street to Carson Street To Whom ItM,,.av Concem: KA.Sf\ Cons ruction Inc. completed the above project in a timely nia� ner and within the budgeted �in,ioa w, Kt\.SA's ;s .affshca ved experience ;:aatd rofessional sr -a "in their work. The work also in\ olved lan closures on. C;salt-aTs right-of-way, KASHA s stafffollowed the Traffic Control Plans and worked ck-,elv with t1a:a Caltr;ans inspector sand personnel froin other; utility companies, `1 ears glad to spay that nacre Pere 110 iracide nts throughout the projject. KASA's foreman. and stiperiaatendentwere easy to work anj made SUrC that the jcal) SitC Wi s ebb an and secure at the end ofcach working day, 1 aarn pleased with the finished product, and 1 am olad to recorrinieml KASN Construction for future prtajects, John C. Dettle, P'E 2+t, Lewis Ope:ra,t.ac Corp 1156 N. Mountain Avenue (91786) / Post Office Box 670 Upland, CA 91785-0670 Office — (909) 949-6789 / Facsimile (909) 931-5595 January 21, 2015 RE: Letter of Recommendation for KASA Construction To Whom It May Concern: In September of 2014, KASA Construction was selected and began construction of certain CFD improvements in our Park Place master planned community in Ontario, CA (a joint venture project by Lewis Conununity Developers and Stratham Communities). Park Place showcases homes by industry leading homebuilders, KB Home, TRI Pointe Homes, Ryland Homes and Woodside Homes. The CFD improvements completed by KASA Construction included Celebration Park (a 6 acre public park) and Merrill Avenue landscape improvements with total costs in excess of $5,000,000. KASA Construction was aggressive in their bidding for Celebration Park and were approximately 14% lower than the second place bid. The Park Place Grand Opening took place on November 8, 2014 and over 4,000 people attended the opening celebration which included the viewing of 18 beautifully appointed model homes and a tour of the Parkhouse (a spectacular 14,500SF recreation center). The Grand Opening also included live entertainment and food service in Celebration Park. The date of the Grand Opening; however, was not confirmed until after KASA Construction had commenced its work. KASA Construction rose to the challenge and completed over $5,000,000 of construction in half the time granted by our agreement. A significant portion of the work had to be completed within a mere 20 working days from commencement of construction. Six months of construction were accelerated and successfully completed within a total of 60 working days — all while coordinating construction activities with various contractors of other trades concurrently performing work within Park Place. KASA's exemplary performance exceeded our expectations. It is with great pleasure that we have been afforded the opportunity to collaborate with KASA's experienced, dedicated and driven staff. KASA's professional managerial skills, from the top down, alongside their relentless "get the job done" attitude and approach in the administration and implementation of construction truly made the difference in the successful and accelerated completion of Celebration Park which allowed us to meet our November 8'11 Grand Opening date. I look forward to working with the KASA Construction team on many more projects in the future, Sincerely, Randall Lewis Executive Vice President THE OHIO CASUALTY INSURANCE COMPANY BOND NO.: KA SCO-680 BID BOND KNOW ALL MEN BY THESE PRESENTS: That we, KASA CONSTRUCTION, INC., (hereinafter called the Principal), and THE OHIO CASUALTY INSURANCE COMPANY, a corporation organized and doing business under and by virtue of the laws of the State of NEW HAMPSHIRE, and duly licensed for the purpose of making, guaranteeing or becoming sole surety upon bonds or undertakings required or authorized by the laws of the State of, 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 OF THE BASE BID Dollars (10% OF THE BASE BID), 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 WORTHY PARK RECONFIGURATION PROJECT, CC NO. 1513, 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 13TH day of SEPTEMBER, 2016. BY: BY: �!� /G��? `i MATTHEW R. DOBYNS, ATTORNEY- -FACT TFII5 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. 7300834 L O L d O m> d � O i M O 0.4) C to L R) L O S E6 L *.d 0 M a� r:0 C >m 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 8 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 Indiarla (herein collectively called the "Companies"),.pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Matthew R. Dobyns; Randy Spohn all of the city of Santa Ana 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 othersurety 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 Compa1. nies and the corporate seals of the Companies have been affixed thereto this 28th day of March 2016 j Pp1D CgSG w INS(,, ,NwR y,Nsuk American Fire and Casualty Company ��'c� The Ohio Casualty Insurance Company v m s o 991 Liberty Mutual Insurance Company a a 1906 p o 1919 n Y 5 1912 a' 1West American Insurance Company 1 * * By. > STATE OF PENNSYLVANIA ss David M. Carey, -Assistant Secretary C R COUNTY OF MONTGOMERY = On this 28th day of March 2016 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of American Fire and v Casualty Company, Liberty Mutual Insurance Company, The Ohio Casualty Insurance Company, and West American Insurance Company, and that he, as such, being authorized so to do, >,W execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. O CE IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting, Pennsylvania, on the day and year first above written. O C �yP PASTS COMMONWEALTH OF PENNSYLVANIA Q M Q �MONW,q < Notarial Seal o° �= v Teresa Pastella, Notary Public By; ���/!/� O OF Plymouth Up., Montgomery County Teresa Pastelia, Notary Public vP�P My Commission Expires March 28, 2017 R 4.1 ��`` Member, Pennsylvania Association of Notaries O E RY as This Power of Attorney is made and executed pursuant to an by authority of the following By-laws and Authorizations ofAmerican Fire and Casualty Company, The Ohio Casualty Insurance .00 Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: r ARTICLE IV— OFFICERS —Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject O C 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 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 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 d 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 > C the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. = 4., N ARTICLE XIII — Execution of Contracts — SECTION 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, E o0 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 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 = o? 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. O co Certificate of Designation —The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys -in- ~ fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company: in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed. I, Gregory W. Davenport, the undersigned, Assistant Secretary, ofAmerican 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 13th day of September 20 16 �p1D CASG ��Y INS(r �1NSOR N1tJ5UR c(oP,Prru,�`�92C� jJc.oaPOagrG�oF4�``r �flPo2,'�T�� - o a 1906 no 0 1919 n rr 1912 c' ` 1991 By:- z Gregory W. Davenport, Assistant Secretary LMS-12873_122013 59 of 100 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of CALIFORNIA County of ORANGE I On before me, ERIKA GUIDO, NOTARY PUBLIC, personally appeared MATTHEW R. DOBYNS , ® who proved to me on the basis of satisfactory evidence to be the personH whose name( is/are subscribed to the within instrument and acknowledged to me that he/she/tom executed the same in his/hef/their= authorized capacity (Les), and that by his/ice/their signature(s) on the instrument the person(, or the entity upon behalf of which the person(5) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of _ California that the foregoing paragraph is true and correct. ERIKA GUIDO COMM. # 2022671 WITN ES my and and official seal. PUBLIC CALIFORNIA o NOTARY 3 ORANGE COUNTY ^' May 5, 2017 M Comm. expires / �v ' nature otary '1 k..�-NartaJa.�ravro!iTr`'� 4z{'..s'. 9 .i'i, ::ftYP �5 }� 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) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <'T..-.L.� �C'�'�',4�C'.M.:!"��C`cc � ��C`ti-r-.^':nn^^.M.tuE_:G'tS�'C-U-�C'S'�'�C'S`C.:nC'��nC'.M.C1YnC'� �G^�C>C1'�'� �".M�-�c....^�•�.Mti-�^�1.M�"F',r�(' A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of San Bernardino On q / 2 n 1/ 1c, before me, Date personally appeared Diana Kasbar Hector Zavala, Notary Public Here Insert Name and Title of the Officer Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose 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. HECTOR ZAVALA _ a -+ Ra Commission # 2046822 Notary Public California z - Z t' r San Bernardino County M Comm. Ex ires Oct 28, 2017 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 an Signature cial seal. ture of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Number of Pages: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: L1 Corporate Officer — Title(s): L1 Partner — L1 Limited L1 General L1 Individual L1 Attorney in Fact n Trustee O Guardian or Conservator El Other: Signer Is Representing: Signer's Name: L1 Corporate Officer — Title(s): L1 Partner — L1 Limited L1 General L1 Individual L1 Attorney in Fact ❑ Trustee O Guardian or Conservator E' Other: Signer Is Representing: C� c C�� :� C ✓ t7r C r.:v ?� :C c z }t: u vz� ram' z G� c� v � Li 4r C:r� e GTwL v� L�4r C u;' C` X< ' _ <X 02014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 z 0 U) z 0 CO) R, w z c z 0 < C) 0 Z w 00 1% ACORN® CC) CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD/YYYY) 12/8/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Cavignac & Associates Sa B Street, Suite San Diego CA 92101 CONTACT NAME: Certificate Department P"°NE 619-744-0574 FAX 619-234-8601 E nnAIL certificates cavi nac.com @ g INSURE S AFFORDING COVERAGE NAIC # INSURER A:West American Insurance Company INSURED KASACON-01 INSURERB:MIdwest Employers Casualty Company KASA Construction, Inc. INSURER c:Navigators Specialty Ins Co 36056 15148 Sierra Bonita Lane Chino CA 91710 INsuRERD:American Fire & Casualty Ins 24066 INSURERE:The First Liberty Insurance Company INSURER F : COVERAGES CERTIFICATE NUMBER: 1832374399 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 ADDLSUBR INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM1DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y BKW1757057868 2/18/2016 2/18/2017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X� OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $500,000 MED EXP (Any one person) $15,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY 0 PRO- JECT ❑ LOC PRODUCTS - COMP/OP AGG $2,000,000 Deductible $0 OTHER: E AUTOMOBILE LIABILITY Y AS6Z91466297016 8/8/2016 4/20/2017 Ea accident IN LIMI $2,000,000 X BODILY INJURY (Per person) $ A1NY AUTO ALL OWNED SCHEDULED HIRED AUTOS AUTOS NON -OWNED AUTOS BODILY INJURY (Peraccident) $ PROPERTY DAMAGE Per accident $ D UMBRELLA LIAB X OCCUR ESA1757057868 2/18/2016 2/18/2017 EACH OCCURRENCE $4,000,000 AGGREGATE $4,000,000 EXCESS LIAB CLAIMS -MADE DED X I RETENTION$0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N/A Y BNUWC0135218 2/18/2016 2/18/2017 X PER OTH- STATUTE ER E.L. EACH ACCIDENT . $1,000,000 E.L. DISEASE - EA EMPLOYE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Pollution Liability CH15ECP3062071C 12/17/2015 12/17/2016 Each Occurrence $2,000,000 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Worthy Park Reconfiguration, CC No. 1513. The City of Huntington Beach its officers, elected or appointed officials, employees, agents and volunteers are named as additional insured as respects to General Liability and Automobile Liability per policy form. This insurance is primary and noncontributory with any other insurance of the additional insured as required by written contract as respects to General Liability and Automobile Liability per policy form. Waiver of subrogation applies to General Liability and Workers Compensatio er policy form. If the insurance company elects to cancel or See Attached.. APPROVE CERTIFICATE HOLDER CANCELLATION CHAEL E. GATES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Huntington Beach CITY ATTORNEY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2000 Main Street Huntington Beach CA 926 OF HUNTINGTON BEACH ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0<frs 4-1 4. yJ# ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: KASACON- 01 _ LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Cavignac & Associates NAMED INSURED KASA Construction, Inc. 15148 Sierra Bonita Lane Chino CA 91710 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE:CERTIFICATE OF LIABILITY INSURANCE non -renew coverage for any reason other than nonpayment of premium Cavignac & Associates will provide 30 days written notice to the certificate holders which require such action per written contract or agreement, except 10 days notice of cancellation for non-payment of premium. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement, effective on 2/1B/2016 at 12:01 A.M. standard time. forms a part of Policy NO. BNUWC013521B Endorsement No. Of the MIDWEST EMPLOYERS CAS CO NCCI Carrier Code Issued tO:KASA Construction, Inc. 1514E Sierra Bonita Lane Chino. CA 91710 United States Policy Expiration Date: 2/18/2017 Premium (if any)$ oUat".1 4 - A,# Authorized Representative Matthew R. Slakoff We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description Page 2 of 2 Policy Number AS6-Z91-466297-016 COMMERCIAL AUTO Issued by First Liberty Insurance Corporation Effective: 08/08/2016 Insured: KASA Construction, Inc. CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage form. SCHEDULE Name Of Person(s) Or Organization(s): Any person or organization whom you agreed in writing as an additional insured, but only for the coverage and minimum; limits of insurance required by the written agreement, and in no event to exceed either the scope of coverage or the limits of insuranceprovided in this policy Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph Al. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. ; Policy Number: AS6-291-466297-016 Issued by: First Liberty Insurance Corporation THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED - NONCONTRIBUTING This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIERS COVERGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage form. Schedule Name of Person(s) or Organizations(s): Any person or organization whom you have agreed in writing to add as an additional insured, but only coverage and minimum limits or insurance required by the written agreement, and in no event to exceed either the scope of coverage or the limits of insurance provided in this policy Regarding Designated Contract or Project: Any Each person or organization shown in the Schedule of this endorsement is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. The following is added to the Other Insurance Condition: If you have agreed that this policy will be primary and without right of contribution from any insurance in force for an Additional Insured for liability arising out of your operations and the agreement was executed prior to the "bodily injury" or "property damage", then this insurance will be primary and we will not seek contribution from such insurance. AC 84 23 08 11 O 2010, Liberty Mutual Group of Companies. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL GENERAL LIABILITY CG 85 84 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): The City of Huntington Beach, officers, elected or appointed officials, employees, agents and volunteers 2000 Main Street Huntington Beach, CA 02648 Location And Description Of Completed Operations: Worthy Park Reconfiguration CC No. 1513 (Information required to complete this Schedule, if not shown above, will be shown in the Declarations.) A. Paragraph 2. under Section II —Who Is An Insured is amended to include as an insured any person or organization shown in the Schedule, whom you have agreed to add as an additional in a written contract or written agreement. Such person or organization is an additional insured but only with respect to liability for "bodily injury" or "property damage": 1. Caused by "your work" performed for that additional insured that is the subject of the written contract or written agreement and at the location designated in and described in the Schedule of this endorsement; and 2. Included in the "products -completed operations hazard". However: a) The insurance afforded to such additional insured only applies to the extent permitted by law; and b) if coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. The insurance provided by this endorsement applies only if the written contract or written agreement is signed prior to the "bodily injury" or "property damage". We have no duty to defend an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured as required in Paragraph b. of Condition 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit under Section IV— Commercial General Liability Conditions. Q2013 Liberty Mutual Insurance CG 85 84 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 Of 2 BKW57057868 B. With respect to the insurance provided by this endorsement, the following are added to Paragraph 2. Exclusions under Section I — Coverage A— Bodily Injury And Property Damage Liability: The insurance does not apply to: 1. 'Bodily injury" or "property damage" that occurs prior to you commencing operations at the location where such "bodily injury" or "property damage" occurs. 2. `Bodily injury" or "property damage" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services including: a. The preparing, approving or failure to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawing and specifications; and b. Supervisory, inspection, architectural or engineering activities. C. With respect to the insurance afforded to these additional insureds, the following is added to Section 11— Limits of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: Required by contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declaration. whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. D. With respect to the insurance afforded by this endorsement, Section IV — Commercial General Liability Conditions is amended as follows: The following is added to Paragraph 2 Duties in The Event Of Occurrence, Offense, Claims Or Suit: An additional insured under this endorsement will as soon as practicable. a. Give written notice of an "occurrence" or an offense that may result in a claim or "suit" under this insurance to us; b. Tender the defense and indemnity of any claim or "suit" to all insurers whom also have insurance available to the additional insured; and C. Agree to make available any other insurance which the additional insured has for a loss we cover under this Coverage Part. d. We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured. 2. Paragraph 4., of Section IV — Commercial General Liability Conditions is amended as follows: a. The following is added to Paragraph a. Primary Insurance: If an additional insured's policy has an Other Insurance provision making its policy excess, and you have agreed in a written contract or written agreement to provide the additional insured coverage on a primary and noncontributory basis, this policy shall be primary and we will not seek contribution from the additional insured's policy for damages we cover. b. The following is added to Paragraph b. Excess Insurance: When a written contract or written agreement, other than a premises lease, facilities rental contract or agreement, an equipment rental or lease contract or agreement, or permit issued by a state or political subdivision between you and an additional insured does not require this insurance to be primary or primary and non-contributory, this insurance is excess over any other insurance for which the additional insured is designated as a Named Insured. Regardless of the written agreement between you and an additional insured, this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies. @ 2013 Liberty Mutual Insurance CG 85 84 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission, Page 2 Of 2 POLICY NUMBER: BKW57057868 COMMERCIAL GENERAL LIABILITY CG 20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ |TCAREFULLY. ADDIT�KK�'��Ul�U������U INSURED �_ ����*� LESSEES ���� IONAL n��o�x~�u� no�����m�u��� ����o�u�.~��» u~u������~���� ��o"^ CONTR��o����������� � SCHEDULED �����n��� ���� ACTORS n�x�m�w n ��n��n� ����on������u~���� o-��n�����po� ��o�^ ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations The City of Huntington Beach, officers, elected Worthy Park Reconfiguration or appointed officials, employees, agents CC No. 1513 and volunteers 2000Muin Street Huntington Beach, CA 92648 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. I A Section U —Whm Is An Insured is amended to B include as an additional insured the n(s) or organization(s) shown in the 3chadu|e, but only with respect in liability for "bodily injury'`. "property damage" or "personal and advertising injury" oauaed, inwhole orinpart, by: 1. Your acts oromissions; or 2. The acts or omissions of those acting on you/ behalf; inthe performance ofyour ongoing b for the additional insured(s) at the location(s) designated above. 1. The insurance afforded to such additional insured only applies 0nthe extent permitted by law; and 2. If coverage provided hothe additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. /U| wnrk, including mateda|a, pmMa or equipment furnished in connection with such wmdh. on the project (other than oen/icm, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been oomp|ehad; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor orsubcontractor engaged in performing operations for a principal ammpart o/the same project. CG 20 10 04 13 @ Insurance Services Office, Inc., 2012 Page I of 2 C.VWth respect to the insurance afforded to these additional insureds, the following is added to Section III —Limits OfInsurance: |fcoverage provided 10the additional insured is required by o contract oragreement, the most we will pay on behalf ofthe additional insured is the amount ofinsurance: 1. Required bythe contract oragreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the Page 2 of 2 @ Insurance Services Office, Inc., 2012 CG 20 10 04 13 Policy No. BKW1757057868 COMMERCIAL GENERAL LIABILITY CG 88 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY EXTENSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART INDEX SUBJECT PAGE NON -OWNED AIRCRAFT 2 NON -OWNED WATERCRAFT 2 PROPERTY DAMAGE LIABILITY — ELEVATORS 2 EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) 2 MEDICAL PAYMENTS EXTENSION 3 EXTENSION OF SUPPLEMENTARY PAYMENTS — COVERAGES A AND B 3 ADDITIONAL INSUREDS — BY CONTRACT, AGREEMENT OR PERMIT 3 PRIMARY AND NON-CONTRIBUTORY — ADDITIONAL INSURED EXTENSION 5 ADDITIONAL INSUREDS — EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" 6 WHO IS AN INSURED — INCIDENTAL MEDICAL ERRORS/MALPRACTICE AND WHO IS AN INSURED — 6 FELLOW EMPLOYEE EXTENSION — MANAGEMENT EMPLOYEES NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES 7 FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES 7 KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT 7 LIBERALIZATION CLAUSE 7 BODILY INJURY REDEFINED 7 EXTENDED PROPERTY DAMAGE 8 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US — 8 WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 8 Page 4 of 11 With resN4 M cK*'WJ90ff&%ed by this endorsement, the provisions of the policy apply unless modified by the endorsement. A. NON -OWNED AIRCRAFT Under Paragraph 2. Exclusions of Section I — Coverage A - Bodily Injury And Property Damage Liability, exclusion g. Aircraft, Auto Or Watercraft does not apply to an aircraft provided: 1. It is not owned by any insured; 2. It is hired, chartered or loaned with a trained paid crew; 3. The pilot in command holds a currently effective certificate, issued by the duly constituted authority of the United States of America or Canada, designating her or him a commercial or airline pilot; and 4. It is not being used to carry persons or property for a charge. However, the insurance afforded by this provision does not apply if there is available to the insured other valid and collectible insurance, whether primary, excess (other than insurance written to apply specifically in excess of this policy), contingent or on any other basis, that would also apply to the loss covered under this provision. B. NON -OWNED WATERCRAFT Under Paragraph 2. Exclusions of Section I — Coverage A — Bodily Injury And Property Damage Liability, Subparagraph (2) of exclusion g. Aircraft, Auto Or Watercraft is replaced by the following: This exclusion does not apply to: (2) A watercraft you do not own that is: (a) Less than 52 feet long; and (b) Not being used to carry persons or property for a charge. C. PROPERTY DAMAGE LIABILITY — ELEVATORS Under Paragraph 2. Exclusions of Section I — Coverage A — Bodily Injury And Property Damage, Liability, Subparagraphs (3), (4) and (6) of exclusion j. Damage To Property do not apply if such "property damage" results from the use of elevators. For the purpose of this provision, elevators do not include vehicle lifts. Vehicle lifts are lifts or hoists used in automobile service or repair operations. The following is added to Section IV — Commercial General Liability Conditions, Condition 4. Other Insurance, Paragraph b. Excess Insurance: The insurance afforded by this provision of this endorsement is excess over any property insurance, whether primary, excess, contingent or on any other basis. D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) If Damage To Premises Rented To You is not otherwise excluded from this Coverage Part: Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury and Property Damage Liability: a. The fourth from the last paragraph of exclusion j. Damage To Property is replaced by the following: Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire, lightning, explosion, smoke, or leakage from an automatic fire protection system) to: (i) Premises rented to you for a period of 7 or fewer consecutive days; or (ii) Contents that you rent or lease as part of a premises rental or lease agreement for a period of more than 7 days. Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" to contents of premises rented to you for a period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described in Section III — Limits of Insurance. © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 8 Page 5 of 11 Policy No.OKw1757fhWPAt paragraph of subsection 2. Exclusions is replaced by the following: Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III — Limits Of Insurance. 2. Paragraph 6. under Section III — Limits Of Insurance is replaced by the following: 6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to: a. Any one premise: (1) While rented to you; or (2) While rented to you or temporarily occupied by you with permission of the owner for damage by fire, lightning, explosion, smoke or leakage from automatic protection systems; or b. Contents that you rent or lease as part of a premises rental or lease agreement. 3. As regards coverage provided by this provision D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) - Paragraph 9.a. of Definitions is replaced with the following: 9.a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion, smoke, or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with the permission of the owner, or for damage to contents of such premises that are included in your premises rental or lease agreement, is not an "insured contract". E. MEDICAL PAYMENTS EXTENSION If Coverage C Medical Payments is not otherwise excluded, the Medical Payments provided by this policy are amended as follows: Under Paragraph 1. Insuring Agreement of Section I — Coverage C — Medical Payments, Subparagraph (b) of Paragraph a. is replaced by the following: (b) The expenses are incurred and reported within three years of the date of the accident; and F. EXTENSION OF SUPPLEMENTARY PAYMENTS — COVERAGES A AND B 1. Under Supplementary Payments — Coverages A and B, Paragraph 1.b. is replaced by the following: b. Up to $3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 2. Paragraph 1.d. is replaced by the following: d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work. G. ADDITIONAL INSUREDS - BY CONTRACT, AGREEMENT OR PERMIT 1. Paragraph 2. under Section II —Who Is An Insured is amended to include as an insured any person or organization whom you have agreed to add as an additional insured in a written contract, written agreement or permit. Such person or organization is an additional insured but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused in whole or in part by: a. Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of your on going operations for the additional insured that are the subject of the written contract or written agreement provided that the "bodily injury" or "property damage" occurs, or the "personal and advertising injury" is committed, subsequent to the signing of such written contract or written agreement; or © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 3 of 8 Page 6 of 11 Policy No.19Kw17570MMes or facilities rented by you or used by you; or The maintenance, operation or use by you of equipment rented or leased to you by such person or organization; or d. Operations performed by you or on your behalf for which the state or political subdivision has issued a permit subject to the following additional provisions: (1) This insurance does not apply to "bodily injury", "property damage", or "personal and advertising injury" arising out of the operations performed for the state or political subdivision; (2) This insurance does not apply to "bodily injury" or "property damage" included within the "completed operations hazard". (3) Insurance applies to premises you own, rent, or control but only with respect to the following hazards: a) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners, or decorations and similar exposures; or (b) The construction, erection, or removal of elevators; or (c) The ownership, maintenance, or use of any elevators covered by this insurance. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. With respect to Paragraph 1.a. above, a person's or organization's status as an additional insured under this endorsement ends when: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. With respect to Paragraph 1.b. above, a person's or organization's status as an additional insured under this endorsement ends when their written contract or written agreement with you for such premises or facilities ends. With respects to Paragraph 1.c. above, this insurance does not apply to any "occurrence" which takes place after the equipment rental or lease agreement has expired or you have returned such equipment to the lessor. The insurance provided by this endorsement applies only if the written contract or written agreement is signed prior to the "bodily injury" or "property damage". We have no duty to defend an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured as required in Paragraph b. of Condition 2. Duties In the Event Of Occurrence, Offense, Claim Or Suit under Section IV — Commercial General Liability Conditions. © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 4 of 8 Page 7 of 11 policy No.Wl1 e 7 gLA% the insurance provided by this endorsement, the following are added to Paragraph 2. Exclusions under Section I - Coverage A - Bodily Injury And Property Damage Liability: This insurance does not apply to: a. "Bodily injury" or "property damage" arising from the sole negligence of the additional insured. b. "Bodily injury" or "property damage" that occurs prior to you commencing operations at the location where such "bodily injury" or "property damage" occurs. C. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services. d. "Bodily injury" or "property damage" occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. e. Any person or organization specifically designated as an additional insured for ongoing operations by a separate ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS endorsement issued by us and made a part of this policy. 3. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the contract or agreement; or b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. H. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED EXTENSION This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. Condition 4. Other Insurance of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: a. The following is added to Paragraph a. Primary Insurance: If an additional insured's policy has an Other Insurance provision making its policy excess, and you have agreed in a written contract or written agreement to provide the additional insured coverage on a primary and noncontributory basis, this policy shall be primary and we will not seek contribution from the additional insured's policy for damages we cover. © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 5 of 8 Page 8 of 11 Policy No. lqKw1757fAWMllowing is added to Paragraph b. Excess Insurance: When a written contract or written agreement, other than a premises lease, facilities rental contract or agreement, an equipment rental or lease contract or agreement, or permit issued by a state or political subdivision between you and an additional insured does not require this insurance to be primary or primary and non-contributory, this insurance is excess over any other insurance for which the additional insured is designated as a Named Insured. Regardless of the written agreement between you and an additional insured, this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies. ADDITIONAL INSUREDS - EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. The following is added to Condition 2. Duties In The Event Of Occurrence, Offense, Claim or Suit: An additional insured under this endorsement will as soon as practicable: Give written notice of an 'occurrence" or an offense that may result in a claim or "suit' under this insurance to us; b. Tender the defense and indemnity of any claim or "suit' to all insurers whom also have insurance available to the additional insured; and C. Agree to make available any other insurance which the additional insured has for a loss we cover under this Coverage Part. d. We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice of a "suit' by the additional insured. The limits of insurance applicable to the additional insured are those specified in a written contract or written agreement or the limits of insurance as stated in the Declarations of this policy and defined in Section III — Limits of Insurance of this policy, whichever are less. These limits are inclusive of and not in addition to the limits of insurance available under this policy. J. WHO IS AN INSURED - INCIDENTAL MEDICAL ERRORS / MALPRACTICE WHO IS AN INSURED - FELLOW EMPLOYEE EXTENSION - MANAGEMENT EMPLOYEES Paragraph 2.a.(1) of Section II - Who Is An Insured is replaced with the following: (1) 'Bodily injury" or "personal and advertising injury": (a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), to a co -"employee" while in the course of his or her employment or performing duties related to the conduct of your business, or to your other "volunteer workers" while performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co -"employee" or "volunteer worker" as a consequence of Paragraph (1) (a) above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraphs (1) (a) or (b) above; or (d) Arising out of his or her providing or failing to provide professional health care services. However, if you are not in the business of providing professional health care services or providing professional health care personnel to others, or if coverage for providing professional health care services is not otherwise excluded by separate endorsement, this provision (Paragraph (d)) does not apply. © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 6 of 8 Page 9 of 11 N%%MWOWN above do not apply to "bodily injury" or "personal and advertising injury" caused by an "employee" who is acting in a supervisory capacity for you. Supervisory capacity as used herein means the "employee's" job responsibilities assigned by you, includes the direct supervision of other "employees" of yours. However, none of these "employees" are insureds for "bodily injury" or "personal and advertising injury" arising out of their willful conduct, which is defined as the purposeful or willful intent to cause "bodily injury" or "personal and advertising injury", or caused in whole or in part by their intoxication by liquor or controlled substances. The coverage provided by provision J. is excess over any other valid and collectable insurance available to your "employee". K. NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES Paragraph 3. of Section II - Who Is An Insured is replaced by the following: Any organization you newly acquire or form and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only until the expiration of the policy period in which the entity was acquired or formed by you; b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and C. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. d. Records and descriptions of operations must be maintained by the first Named Insured. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations or qualifies as an insured under this provision. L. FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES Under Section IV — Commercial General Liability Conditions, the following is added to Condition 6. Representations: Your failure to disclose all hazards or prior "occurrences" existing as of the inception date of the policy shall not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or prior "occurrences" is not intentional. M. KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT Under Section IV — Commercial General Liability Conditions, the following is added to Condition 2. Duties In The Event of Occurrence, Offense, Claim Or Suit: Knowledge of an "occurrence", offense, claim or "suit" by an agent, servant or "employee" of any insured shall not in itself constitute knowledge of the insured unless an insured listed under Paragraph 1. of Section II — Who Is An Insured or a person who has been designated by them to receive reports of "occurrences", offenses, claims or "suits" shall have received such notice from the agent, servant or "employee". N. LIBERALIZATION CLAUSE If we revise this Commercial General Liability Extension Endorsement to provide more coverage without additional premium charge, your policy will automatically provide the coverage as of the day the revision is effective in your state. O. BODILY INJURY REDEFINED Under Section V — Definitions, Definition 3. is replaced by the following: 3. "Bodily Injury" means physical injury, sickness or disease sustained by a person. This includes mental anguish, mental injury, shock, fright or death that results from such physical injury, sickness or disease. © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 7 of 8 Page 10 of 11 Policy No. BKW1757057868 P. EXTENDED PROPERTY DAMAGE Exclusion a. of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY is replaced by the following: a. Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury' or "property damage" resulting from the use of reasonable force to protect persons or property. Q. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US — WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU Under Section IV — Commercial General Liability Conditions, the following is added to Condition 8. Transfer Of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have against a person or organization because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard" provided: You and that person or organization have agreed in writing in a contract or agreement that you waive such rights against that person or organization; and 2. The injury or damage occurs subsequent to the execution of the written contract or written agreement. © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 8 of 8 Page 11 of 11 CONTRACTOR'S SWORN STATEMENT AND WARRANTY REGARDING CONTINUING INSURANCE OBLIGATIONS FROM: &s14i- PROJECT;' �►+l (Contractor Name) f �c_�iMt-i 5 v'Jsi.�rZ N Vy��ti�x` (Street Address) CA q010 (City, State and Zip) TO: CITY OF HUNTINGTON BEACH DECLARATION Attached hereto is a true and correct copy of the current Certificate of Insurance and Additional Insured Endorsement CG 2010 1185, which Certificate complies with the insurance requirements of the Contract by and between the City of Huntington Beach ("City) and the above -named Contractor ("Contractor') for the above -described project ("Project"). I declare under penalty of perjury under the laws of the State of Califbmia that the above statement is true and correct Signed on 2" at -- (Date) (City', State) r " V, - a - (Signature of dividual Who is Making Declaration) WARRANTY Contractor hereby warrants and agrees to maintain Products and Completed Operations Insurance in compliance with the Insurance requirements of the Contract for the Project, Said insurance shall be maintained through and until the expiration of all Warranties provided by Contractor, Said insurance shall contain Additional Insured Endorsement CG 2010 1185, naming City as an additional Insured. Contractor shall supply to City, on at least an annual basis, a Certificate of Insurance and the aforementioned Endorsement evidencing continued coverage which meets the Contraq requirements. Signed on t'J v,l . - i t i 2dL at a �— (Date) /(City, State) CONTRACTOR: i Name: 4kk Z776Zr.2 RECEIVED BY: (Name) (Date) TO: FROM: DATE: SUBJECT: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office after signing/dating CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION City Treasurer City Cler i Bond Acceptance 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. g1forms/bond transmittal to treasurer (Company Name) s Approved Z— % (Council Approval ate) Agenda Item No. City Clerk Vault No. — - - f SIRE System ID No. -42V:�o - Bond No.: 024061754 ** Executed in Duplicate **' .i;h= tt @04AL PREMIUM !S, ;��i-,IEOICATED ON THE F241AL %ONTRAOT MO PERFORMANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS, City of Huntington Beach (hereafter referred to as 'W has, by written agreement dated . 2016, entered Into a contract with 4 Kasa Construction Inc. 15148 Sierra Bonita Lane, Chino, CA 91710 (name and address of Contractor) i i (hereinafter referred to as 'Principal"), for performance of the work described as follows: Worthy Park Reconfiguration, Project #CC 1513 (Project Title) WHEREAS, said contract, and all documents referenced therein (hereinafter collectively. 'Contract°}, are incorporated herein by this reference made a part hereof as though set forth herein in full', and Said Principal is required under the terms of the Contract to fumish a bond guaranteeing the prompt, full and faithful performance of said Contract, by a duly admitted surety insurer under the laws of the State of California (hereinafter referred to as "Surety`); and Surety is certified and listed in the U.S. Department of the Treasury Circular 570, and has provided proof of sufficient bonding limitations as shown in said circular to provide bonds in the amount required by said Contract; and Surety has provided financial strength ratings from reputable companies, such as from A.M. Best, Moody's, or Standard & Poor's, to validate that Surety has positive ratings of being secure or Stable; and Surety is registered and listed with the California Department of Insurance, NOW, THEREFORE, we, the undersigned, as Principal, and The Ohio Casualty Insurance Company 62 Maple Ave Keene, NH 03431 (name and address of Surety) as Surety, are held and firmly bound unto City In the penal sum of One Million, Four Hundred Eighty -Seven Thousand, Eight Hundred and 00/100 Dollars ($1,487,800.00 ), this amount being not less than one hundred percent of the price setforth 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") fromany and all losses, liability and damages, claims, judgments, stop notices, fees and costs of every description, whether Imposed by law or in equity, which may be Incurred by the Obligees by reason. of the (allure or default on the part of the Principal in the performance of any or all of the terms orthe obligations of the Contract, including all alterations, amendments and modifications thereto, and any warranties or guarantees required thereunder, then this obligation shall be void; otherwise, It shall be and shall remain in full force and effect. Surety stipulates and agrees, for value received, that no adjustment of the time or price in the Contract or any alteration, change, deletion, addition or other modification to the Contract, or the work to be performed thereunder, shall in any way affect, limit, restrict, impair or release the obligations of the Surety under this Bond, Surety waives notice of any adjustment of contract or contract price, and any other alteration, change, deletion, addition or other modification to the Contract, or the work to be performed thereunder, and agrees 154584/117174 Bmid N0 024061754 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. i IN WITNESS WHEREOF, each party represents and warrants that this Instrument has been duly executed by Principal and Surety, on the date set forth below, that the name of each corporate party being affixed hereto is such party's proper legal. name and that the individuals signing this instrument Have been duly authorized pursuant to the authority of Its governing body. Surety, by execution of this bond, waives any defense which Surety has or may have by reason of any failure of the Principal to execute or property execute this bond. Dated: November 16th, 2016 j ATi EST Kasa Construction, Inc. i (Corporate Seat) (Principal Name) Name: Tide: ATTEST The Ohio Casualty Insurance Company (Corporate Seal) ure Name By: Name: Matthew R. Dobyns i (Signature of Attomey-in-Fad for Surety) (Attach Attorney -in -Fact Certificate) d�58j255-398 i (Area Code & Telephone Number for Surety) APPROVED AS TO F ay: '�' ✓ chasi E. Gales, City Attorney /7415 Note: This bond must be executed In duplicate and dated, all slgnatures must be notarized, and evidence of the authonly of any person signing as attomey-in-fact must be attached PERFORMANGE BOND Page 2 of 15-45841117174 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. 7528337 u C C 0 L U C OC L 4) . C1 c0 . 6 0 C c0 E 0 O Z Liberty Mutual Insurance Company The Ohio Casualty Insurance Company . West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation 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, Matthew R. Dobyns; Randy Spohn all of the city of Santa Ana state of CA each individually ifthere 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 asits 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 he 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 28th day of October 2616 �1Y INSV tNSUq- J� The Ohio Casualty Insurance Company Liberty Mutual Insurance Company Q ° 1919 1912 , 1991 ; West American Insurance Company STATE OF PENNSYLVANIA ss David M. Care ;Assistant Secretary COUNTY OF MONTGOMERY On this 28th day of October 2016 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of 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 King of Prussia, Pennsylvania, on the day and year first above written. c0 �yA PASp� COMMONWEALTH OF PENNSYLVANIA J 7 U Q, .,oNwc�( < Notarial Seal N � � = v Teresa Pastella, Notary Public By: y OF Upper Merion Twp., Montgomery County Teresa Pastella, Notary Public - My Commission Expires March 28, 2017 - O _V �<.4 Member, Pennsylvania Association of Notaries C1 to This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual Y Insurance Company, and West American 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 4; 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, _ 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 y powers of attorney, shall have full power to bind the. Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.. When so 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 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, D 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, 3 :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 v 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 Presidentof the Company, acting pursuant to the Bylaws ofthe Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys -in - fact as may be necessary to act on behalf of the Company make, execute, seal, acknowledge and deliver asaureIt any:and all undertakings;,bonds, recognizances and other surety obligations. Authorization - By unanimous consent of the Company's Board of Directors, the Company comrits: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, Renee C. Llewellyn, the undersigned, Assistant: Secretary The Ohio _i 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 16 th day of, No ember 2016 - - �1,i INS(, - �tNsuq �JP�,Q�CRAT��2 0 1919. o 1912 ° 1991 a By: Renee C. Llew ssistant Secretary ,iJAS ) S�iIiUS` .�= 'NDIAr:P u r. C a — C "u �'LL C1 C O C Q OT 4) C 3 R O E L ,N C � C O L a �a >s 4) d 45 a Eri cc a oc U T. HT. 4 of 100 LMS 12873 082016 - CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of CALIFORNIA County of ORANGE On �'���-1 before me, ERIKA GUIDO, NOTARY PUBLIC, personally appeared MATTHEW R. DOBYNS , ® who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/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. ERIKA GUIDO COMM. # 2022671 WITNESS hand and official seal. NOTARY PUBLIC CALIFORNIA N ORANGE COUNTY May 5, 2017 J� My Comm. expires ignature o otary 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) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of San Bernardino On Date personally appeared before me, Diana Kasbar Hector Zavala, Notary Public Here Insert Name and Title of the Officer Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose 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. HECTOR ZAVALA Commission # 2046822 z =� Notary Public - California z z ' San Bernardino County r M Comm. Expires Oct 28, 2017 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hard and official seal. Signature Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Number of Pages: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator [....-'Other: Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact El Trustee ❑ Guardian or Conservator I::::. Other: Signer Is Representing: ©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 Bond No.: 024061754 ** Executed in Duplicate ** PAYMENT BOND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS, City of Huntington Beach (hereafter referred to as "City") has awarded to Kasa Construction, Inc. 15148 Sierra Bonita Lane Chino CA 91710 {name and address of Contractor) (hereinafter referred to as "Principar), a contract ("Contrad) for the work described as follows: Worthy Park Reconfiguration, Project #CC 1513 (Project Title) WHEREAS, Principal is required under the terms of the Contract and the California Civil Code to furnish a bond to secure the payment of claims of laborers, mechanics, materialmen, and other persons as provided by law, by a duly admitted surety insurer under the laws of the State of California (hereinafter referred to as 'Surety"); and Surety is certified and listed in the U.S, Department of the Treasury Circular 570, and has provided proof of sufficient bonding limitation, as shown in said circular to provide bonds in the amount required by said Contract; and Surety has provided financial strength ratings from reputable companies, such as from A.M. Best, Moody's or Standard & Poof s,,to vafidate that Surety has positive ratings of being secure or stable; and Surety is registered and listed with the California Department of insurance. NOW THEREFORE, we, the undersigned Principal, and _ The Ohio Casualty Insurance (name and address of Surety) as Surety, are held and firmly bound unto City in the penal sum of One Million, Four Hundred Eighty -Seven Thousand, Eight Hundred and 00/100 dollars ($1,487,800.00 ), 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 ofthe 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. Page 1 of 2 15-45841117357 PAYA1ENT BOND _t i Surety stipulates and agrees, for value received, that no change, extension of time, alteration, addition or modification to the terms of the Contract, or any contract document or any work to be performed thereunder, whether made after notice or not, shall in any way affect, impair or release _ the obligations of Surety under this bond. Surety hereby waives notice of any such change, extension of time, alteration, addition, or modification to the terms of the Contract, the contract documents or work thereunder_ Surety also waives the provisions of California Civil Code §§ 2845 and 2849. IN WITNESS WHEREOF, each party represents and warrants that this instrument has been duly executed by Principal and Surety, on the date set forth below, that the name of each corporate party being affixed hereto is such party's proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body. Surety, by execution of this bond, waives any defense which Surety has of may have by reason of any failure of the Principal to execute or property execute this bond. Dated: November 16th, 2016 ATTEST Kasa Construction, Inc. (Corporate Seal) (Principal N/Me) Name; s Title_ ATTEST The Ohio Casualty Insurance Company (Corporate Seal) /(,Surety Name) By, Name: Matthew R. Dobyns (Signature of Attorney -in -Fact for Surety) (Attach Attorney -in -Fact Certificate) 8U255-398 (Area Code & Telephone Number for Surety) APPROVED AS T By: i6hael E Gates, ity Attorney Note: This bond musf be executed fn duplicate and dateg all signatures must be notarized, and evidence of the authority of any person signing as attomey-in-fact must be attached. PAYMENT BOND Page 2 of 2 15-45M] 735T 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. 7528339 Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organizedunder 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, Matthew R. Dobyns; Randy Spohrf. = - all of the city of Santa Ana 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 bythe..president and attested bythe 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 28th day of October 2016 IN, U r.'su. - 1919 } - 1972 - -1991 l - i `s a Jl vy,"4Mv'JG��� � .Sn CH`.iS- 'NDIn;=P STATE OF PENNSYLVANIA ss COUNTY OF MONTGOMERY The Ohio Casualty Insurance Company Liberty Mutual Insurance Company West American Insurance Company By: e David M. Care ;Assistant Secretary On this 28th day of October 2016 , before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance G) 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 O therein contained by signing on behalf of the corporations by himself as a,duly authorized officer. cC IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written. Rf ASP PAS, COMMONWEALTH OF PENNSYLVANIA '� - Q• �F�oNW� ll Notarial Seal _ . t y Teresa Pastella, Notary Public By: - y - of Upper Merion Twp., Montgomery County - - Teresa PaStella, Notary Public My Commission Expires March 28. 2017 Member, Pennsylvania Association of Notaries Fly a� This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: N 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 President, and subject 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, e 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 ai powers of attorney,. shall have full power 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 attorney -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. c 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, O 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, 3 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 v 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 asrbinding as if signed by:the 1president and attested by -the secretary. Certificate of Designation — The Presidentaf the Company, acting pursuant to the Bylaws of the:Compa. authorizes David M. Carey, Assistant.Secretary to appoint such attorneys -in-. fact as may be necessary to act on behalf of the Companyto 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 aft rn6y 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, Renee C. Llewellyn, the undersigned, Assistant :Secretary, The Ohlo: 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 6 th day of Nbv'amber 2016 �-(\ INgU L1NSUq, p INSUN�- 4 °cvuoagT�g2 jJoPa.��;�ro��:, F� 1� oxeop�T� m r o 1919 > 1912 ° 1991 E — �. y �' _ Renee C. Llew ssistant Secretary 9?�SACtIt1S� a C a (/ C r/ s i C a C C v� �LL O C O C Q N: Od O C 3R O£ LR .N C L C 4— a C >s (D d E oc L N -� Coc vT- O� H � 6 of 100 LMS 12873 082016 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of CALIFORNIA County of ORANGE On 't Z- before me, ERIKA GUIDO, NOTARY PUBLIC, personally appeared MATTHEW R. DOBYNS , ® who proved to me on the basis of satisfactory evidence to be the person(} whose name(} is/afe subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity (1es), and that by his/her/their signature(-s) on the instrument the person(}, or the entity upon behalf of which the person(-S.} acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. _ e ERIKA GUIDO I COMM. # 2022671 WITNESS my h n and official seal. g NOTARY PUBLIC CALIFORNIA o ORANGE COUNTY PO May 5, 2017 jt My comm. expires Si ure of Notary Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER 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) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of San Bernardino On i ti before me, Date personally appeared Diana Kasbar Hector Zavala, Notary Public Here Insert Name and Title of the Officer Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose 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. HECTOR ZAVALA Commission # 2046822 a ==m Notary Public - California z Z i. e D San Bernardino County My Comm. Expires Oct 28, 2017 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 / l'-iluignature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Number of Pages: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact Trustee ❑ Guardian or Conservator Other: Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact F. Trustee ❑ Guardian or Conservator i::: i Other: Signer Is Representing: :K ©2014 National Notary Association • www.NationaiNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 Company Profile Page 1 of 2 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 OHIO CASUALTY INSURANCE COMPANY (THE) 175 BERKELEY STREET BOSTON, MA 02116 Old Company Names Agent For Service KARISSA LOWRY 2710 GATEWAY OAKS DRIVE SUITE 15ON SACRAMENTO CA 95833 Reference Information Effective Date NAIC #: I 24074 California Company ID #: 5133-4 Date Authorized in California: 11/17/2008 License Status: UNLIMITED -NORMAL Company Type: Property & Casualty State of Domicile: NEW HAMPSHIRE back to top NAIC Group List NAIC Group #: 0111 LIBERTY MUT 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 COMMON CARRIER LIABILITY CREDIT FIRE LIABILITY MARIN E MISCELLANEOUS PLATE GLASS SPRINKLER SURETY WORKERS' COMPENSATION https:Hinteractive.web.insurance.ca. gov/companyprofile/companyprofile?event=company... 11 /28/2016 Company Profile Page 2 of 2 back to top © 2008 California Department of Insurance https:Hinteractive.web.insurance. ca. gov/companyprofile/companyprofile?event=company... 11 /28/2016 Surety Bonds - Certified Companies Page 15 of 23 DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New York. New Hampshire Insurance Company (NAIC #23841) BUSINESS ADDRESS: 175 WATER STREET, 18TH FLOOR, NEW YORK, NY 10038. PHONE: (212) 770- 7000. UNDERWRITING LIMITATION b/: $7,959,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois. NGM Insurance Company (NAIC #14788) BUSINESS ADDRESS: 55 WEST STREET, KEENE, NH 03431. PHONE: (904) 380-7282. UNDERWRITING LIMITATION b/: $98,604,000. SURETY LICENSES c,f/: AL, AZ, AR, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Florida. NORTH AMERICAN SPECIALTY INSURANCE COMPANY (NAIC #29874) BUSINESS ADDRESS: 650 ELM STREET, MANCHESTER, NH 03101. PHONE: (603) 644-6600. UNDERWRITING LIMITATION b/: $31,838,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New Hampshire. NOVA Casualty Company (NAIC #42552) BUSINESS ADDRESS: 5 WATERSIDE CROSSING, SUITE 201, WINDSOR, CT 06095. PHONE: (860) 683- 4250. UNDERWRITING LIMITATION b/: $9,176,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WI, WY. INCORPORATED IN: New York. t Back To Top Ohio Casualty Insurance Company (The) (NAIC #24074) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 357-9500. UNDERWRITING LIMITATION b/: $153,699,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New Hampshire. Ohio Farmers Insurance Company (NAIC #24104) BUSINESS ADDRESS: P. 0. Box 5001 , Westfield Center, OH 44251 - 5001. PHONE: (330) 887-0101. UNDERWRITING LIMITATION b/: $199,714,000. SURETY LICENSES c,f/: AL, AZ, AR, CO, DE, FL, GA, IL, IN, IA, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NC, ND, OH, OK, PA, RI, SC, SD, TN, TX, UT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio. Ohio Indemnity Company (NAIC #26565) BUSINESS ADDRESS: 250 East Broad Street, 7th Floor, Columbus, OH 43215 - 0000. PHONE: (614) 228- 2800. UNDERWRITING LIMITATION b/: $4,549,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio. Ohio Security Insurance Company (NAIC #24082) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 357-9500. UNDERWRITING LIMITATION b/: $1,547,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New Hampshire. Oklahoma Surety Company (NAIC #23426) BUSINESS ADDRESS: P.O. Box 1409, Tulsa, OK 74101. PHONE: (918) 587-7221. UNDERWRITING LIMITATION b/: $1,550,000. SURETY LICENSES c,f/: AR, KS, OH, OK, TX. INCORPORATED IN: Ohio. OLD DOMINION INSURANCE COMPANY (NAIC #40231) BUSINESS ADDRESS: 55 WEST STREET, KEENE, NH 03431. PHONE: (904) 380-7282. UNDERWRITING LIMITATION b/: $3,460,000. SURETY LICENSES c,f/: CT, DE, FL, GA, ME, MD, MA, NH, NY, NC, PA, RI, SC, TN, VT, VA. INCORPORATED IN: Florida. Old Republic General Insurance Corporation (NAIC #24139) BUSINESS ADDRESS: 307 NORTH MICHIGAN AVENUE, CHICAGO, IL 60601. PHONE: (312) 346-8100. UNDERWRITING LIMITATION b/: $50,017,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Illinois. Old Republic Insurance Company (NAIC #24147) BUSINESS ADDRESS: P.O. Box 789, Greensburg, PA 15601 - 0789. PHONE: (724) 834-5000. UNDERWRITING LIMITATION b/: $103,399,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. Old Republic Surety Company (NAIC #40444) BUSINESS ADDRESS: P.O. BOX 1635, MILWAUKEE, WI 53201 - 1635. PHONE: (262) 797-2640. https://www.fiscal.treasury.gov/fsreports/ref/suretyBnd/c570_a-z.htm 11 /28/2016 City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachea.gov Office of the City Clerk Robin Estanislau, City Clerk December 15, 2016 Kasa Construction, Inc. ATTN: Tony Kasbar 15148 Sierra Bonita Ln. Chino, CA 91710 Re: Worthy Park Reconfiguration — CC-1513 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 protect 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, o 4q4ftL) ti6? 4waw Robin Estanislau, CIVIC City Clerk RE: pe Enclosures: Copy of Contract including Proposal Copies of insurance/bonds Bid Bond (original) Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand Dept. ID PW 16-060 Page 1 of 3 Meeting Date: 11/7/2016 /J0� CITY OF HUNTINGTON BEACH REQUEST FOR. CITY COUNCIL ACTION MEETING DATE: 11/7/2016 SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Fred A. Wilson, City Manager PREPARED BY: Travis K. Hopkins, PE, Director of Public Works Janeen Laudenback, Director of Community Services SUBJECT: Award and authorize execution of a Construction Contract in the amount of $1,487,800 to KASA Construction, Inc. for the Worthy Park Reconfiguration Proiect, CC-1513 Statement of Issue: On September 20, 2016, bids were publicly opened for the subject project. City staff recommends award of a construction contract to KASA Construction, Inc., the lowest responsive and responsible bidder. Financial Impact: Funds are available in Fund 20945004 in the amount of $1,311,308 and Fund 31445002 in the amount of $451,095. Recommended Action: A) Accept the lowest responsive and responsible bid submitted by KASA Construction, Inc. in the amount of $1,487,800; and, B) Authorize the Mayor and City Clerk to execute a construction contract in a form approved by the City Attorney. Alternative Action(s): Reject all bids and direct staff on how to proceed. Analysis: Worthy Community Park, located at 1831 17th Street, is a 6.61 acre site, bordered by Main Street to the east, 17th Street to the south, and Huntington Beach High School to the north. The Park was completed in 1984 as a joint project with the Huntington Beach Union High School District. At the time, the park totaled approximately 12 acres. In 2010, the School District opted to take back five acres of land that made up part of the park. As a result, the City is in need of reconfiguring the remaining portions of the park. Prior to the District's action, the park included two lighted softball fields, a 10,000 SF racquetball facility, public restrooms, a tot lot, picnic area, outdoor lighted basketball courts, and 48 space parking lot. Previously the softball fields were used by the city's adult leagues and by Huntington Beach High School during the week as well as various youth organizations on the weekends. The loss of the District property eliminated a majority of the playing area of one of the softball fields — which made it unusable for softball. HB -24s- Item 8. - I Dept. ID PW 16-060 Page 2 of 3 Meeting Date: 11/7/2016 The Community Services Department plans to reconfigure the park to address the impacts created by the loss of acreage and to better accommodate youth sports and other recreational needs of the community. The intent of the project is to refurbish the area of the former softball field and demolish the former racquetball building. This will maximize the turf areas to accommodate a greater variety of youth sports, and provide much needed lighted practice fields. Other elements of the project will include converting the existing basketball courts to pickle ball courts. Pickle ball is a fast growing sport and other cities in the area have created or converted courts to address the demand. The tot lot area, which was constructed more than 30 years ago, is in need of upgrades and will receive new play equipment. A group picnic shelter will also be constructed near the tot lot. Finally, a 282 SF pre-engineered restroom building will be constructed to replace the ones being eliminated with the racquetball building. No additional lighting will be part of the project. The sports practice area will utilize the existing lights of the former softball field. Improvements for pickle ball will be limited to restriping and painting the existing basketball courts. The existing slab will remain in place, along with the existing light poles. No improvements are planned for the parking lot at this time. The Community Services Department conducted a public input meeting on August 14, 2013, to review the conceptual master plan for reconfiguration of Worthy Park. As part of the notification process, information flyers were mailed to properties within 1,000 feet of the park boundary, as well as, posted on the City's webpage and in the local news paper. The master plan was approved by the City Council on October 21, 2013. Bids for the project were publically opened on September 20, 2016. The verified bid amounts are listed below: Bidding Contractor Submitted Bid United Engineering & Construction $1,381 936.00 Spectrum Construction $1 398 682.94 KASA Construction $1 437 800.00 Environmental Construction 1,446 613.00 C.S. Legacy Construction 1 478 457.00 Yakar $1 491 906.35 Horizons Construction 1 560 000.00 Ohno Construction 1 616 000.00 Byrom -Davey 1 740 000.00 G2K Construction $1 798 000.00 Morillo Construction 1,970 000.00 After bids were opened, KASA Construction submitted Bid Protest letter. Public Works' and City Attorney's staff reviewed the letter as well as all the proposals and determined that the bid proposals submitted by United Engineering & Construction and Spectrum Construction to be non- responsive. United Engineering & Construction submitted the wrong bid sheet and various other irregularities. Spectrum Construction did not list any references for prior work and various other irregularities. Spectrum Construction provided additional information after being informed of the City's decision. The City then informed Spectrum Construction that the information did not alter the City's determination as to their being non -responsive. Spectrum Construction then communicated to City staff that they would abide by the City's decision. Therefore, staff recommends award of the contract to KASA Construction. The selection of the lowest responsive and responsible bid is based on the base bids shown above. The proposal Item 8. - 2 H B -246- Dept. ID PW 16-060 Page 3 of 3 Meeting Date: 11/7/2016 requested the contractors also include an alternate bid item for the additional cost to replace seeded turf with sodded turf. KASA's alternate bid item for this is $50,000. Therefore, staff recommends inclusion of this alternate bid item for a total contract cost of $1,487,800. Reference checks of the contractor have provided successful similar projects. The total estimated project cost of the project is $1,750,000, which includes the construction contract, project management, construction contingency and supplemental expenses (inspection services). Public Works Commission Action: On May 18, 2016, the Public Works Commission reviewed and determined the project was in substantial conformance with the CIP. Environmental Status: The project is categorically exempt pursuant to Class 1, Section 15301 and Class 3, Section 15303 of the California Environmental Quality Act. Strategic Plan Goal: Enhance and maintain infrastructure Attachment(s): 1. Location Map HB -247- Item 8. - 3 Item Worthy Park Reconfiguration Project C.C. NO. 1513 BID OPENING DATE: September 20, 2106 TIME: 2:00 PM ENGINEER'S ESTIMATE: $1,500,000 BIDS SUBMITTED (AS READ AT OPENING) No. BI[)QER:S NAME RANK : APPARENT BID AMOUNT 1 Access Pacific, Inc. 2 Aramexx Construction 3 Byrom -Davey, Inc. / -7 4 C.S. Legacy Construction, Inc. 5 Caltec Corp 6 ENVIRONMENTAL CONSTRUCTION, INC. F 7 Fleming Environmental Inc. 8 Halbert Co 9 Horizons Construction Company 10 J&G Industries, Inc. 11 KASA Construction, Inc ll " 12 Los Angeles Engineering, Inc. 13 Minco Construction 14 Morillo Construction ' ci -00 15 Ohno Construction Company I ma J Q 16 Parsam Construction, Inc. 17 PCN3, INC. 18 r Jensen company, Inc. 19 United Engineering & Construction 20 YAKAR / 21 130 22 23 r CC-1513 Bid Opening Worksheet tc 20 cm to -0:z cli RI CD SECTION A NOTICE INVITING SEALED BIDS for the construction of WORTHY PARK RECONFIGURATION PROJECT CC No. 1513 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as the Department of Public Works, invites sealed bids for the above stated projects and will receive such bids in the office of the City Clerk, Second Floor, 2000 Main Street, Huntington Beach, California 92648, up to the hour of 2:00 pm on September 20, 2016. Bids will be publicly opened in the Council Chambers unless otherwise posted. Copies of the Plans, Specifications, and contract documents are available from the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648, upon payment of a $75.00 nonrefundable fee if picked up, or payment of a $125.00 nonrefundable fee if sent by UPS ground delivery (bidder shall pay additional costs for special delivery). Plans, Specifications, and contract documents can be downloaded free on the Department of Public Works website. http://wAvwv.huntingtonbeachca.aov/government/departments/public works/Bids/ Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California, the minimum prevailing rate of per diem wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial Relations of the State of California, which are on file at the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. The Department of Public Works will deduct 5% retention from all progress payments. The Contractor may substitute an escrow holder surety of equal value to the retention in accordance with the provisions of the Public Contract Code, Section 10263. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The Department of Public Works hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be A-1 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 Department of Public Works. The bid must be accompanied by a certified check, cashier's check, or bidder's bond made payable to the Department of Public Works for an amount no less than 10% of the amount bid. The successful bidder shall be licensed in accordance with provisions of the Business and Professions Code and shall possess a State Contractor's License Class A at the time of the bid opening. The successful Contractor and his subcontractors will be required to possess business licenses from the Department of Public Works. All extension of unit prices will be subject to verification by the Department of Public Works. In case of a variation between the unit price and the extension, the unit price will govern. Project Description: The project consists primarily of the demolition and removal of an existing 10,000 square foot racquetball building, existing play area, four (4) trees, and a turf area. Improvements will consist of the conversion of the existing basketball courts into pickleball courts, the installation of a new picnic structure, ROMTEC modular constructed restroom building, play area, and a rehabilitation of the turf area. The contract shall allow the Contractor 90 working days to complete the contract. The Department of Public Works reserves the right to reject any or all bids, to waive any irregularity and to take all bids under advisement for a maximum period of 60 days. BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH, CALIFORNIA, the 8th day of September 2015, by Resolution No. 2015-47. Attest: Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH A-2 Esparza, Patty From: David Ward [dward@ocregister.com] Sent: Wednesday, August 24, 2016 12:13 PM To: Esparza, Patty Subject: Re: Legal Ad for HB Wave - CC-1513 Good afternoon Patty. How are you doing? Your notice is all set up and ready to go. Have a good day. Ad410192558 Run Dates 9/1, 9/8, 9/15 Cost $630.00 PROOF V SEC I ON A NOTICE IN'V'IAL TING SE for the construction WORTHY PARK REOONFIGURJ CC NO,. 1 513 in the CITY OF HUNTINGTON PUBLIC N0710E IS HEREBY GIVEN that the G11 the Department of Public Works, invites sealed bids f receive such bids in the office of the City Clerk, Seco ton Beach, California 92048, up to the hour of 2:00 p will be publicly opened in the Council Chambers unleti Copies of the Plans,. Specifications, and contract doc of the Director of Public Works, 2000 Main Street, Hur ment of a $75.00 nonrefundable fee if picked up, or fee if sent by UPS ground delivery (bidder shall pay ; Plans, Specifications, and contract documents can be of Public Works website. http://www. huntinptcnbeachca.gov/government/( Any contract entered into pursuant to this notice will it Labor Code. Pursuant to the provisions of the Laboi minimum prevailing rate of per diem wages for each ci needed to execute the contract shall be those determ lations of the State of California, which are on file al Works, 2000 Main Street, Huntington Beach, CA 920 E The Department of Public Works will deduct 5% retent Contractor may substitute an escrow holder surety c cordance with the previsions of the Public Contract C shall be beneficial owner of the surety and shall receiv, On Wed, Aug 24, 2016 at 9:57 AM, Esparza, Patty <PEsparzagsurfci .-hb.orQ> wrote: Hi David! Attached is a legal ad for the HB Wave that needs to be published 3 weeks in a row: September 1, 2016; September 8, 2016; and September 15, 2016. Please confirm when possible - thanks! Patty Esparza, C-"A4C Senior Deputy City Clerk City of Huntington Beach 2000 Main Street Huntington Beach. CA 92648 (714) 536-5260 David Ward Legal Advertising Phone: 714-796-6764 Email: dwardgocregister.com E-Fax: 714-347-2724 AFFIDAVIT OF PUBLICATION STATE OF CALIFORNIA, ) ) ss. County of Orange ) I am a citizen of the United States and a resident of the County aforesaid; I am over the age of eighteen years, and not a party to or interested in the above entitled matter. I am the principal clerk of the Huntington Beach Wave, a newspaper that has been adjudged to be a newspaper of general circulation by the Superior Court of the County of Orange, State of California, on July 1, 1998, Case No. A-185906 in and for the City of Huntington Beach, County of Orange, State of California; that the notice, of which the annexed is a true printed copy, has been published in each regular and entire issue of said newspaper and not in any supplement thereof on the following dates, to wit: September 1, 8, 15, 2016 "I certify (or declare) under the penalty of perjury under the laws of the State of California that the foregoing is true and correct": Executed at Santa Ana, Orange County, California, on Sep ember 1 , 2016 � A Signature Huntington Beach Wave 625 N. Grand Ave. Santa Ana, CA 92701 (714)796-2209 Proof of Publication SECTION A NOTICE INVITING SEALED BIDS for the construction of WORTHY PARK RECONFIGURATION PROJECT CC No. 1513 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as the Department of Public Works, 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, Hunting- ton Beach, California 92648, up to the hour of 2:00 pm on September 20, 2016. Bids will be publicly opened in the Council Chambers unless otherwise posted. Copies of the Plans, Specifications, and contract documents are available from the Office of the Director of Public Works, 2000 Main Street, Huntington Beach CA 92648, upon pay- ment of a $75.00 nonrefundable fee if picked up or payment of a �125.00 nonrefundable fee if sent by UPS ground delivery (bidder shall pay additional costs for special delivery). Plans, Specifications, and contract documents can be downloaded free on the Department of Public Works website. http://www. huntington beachca. gov/govern m ent/departments/pu blic_works/Bids/ Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions.of the Labor Code of the State of California, the minimum prevailing rate of per diem wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial Re- lations 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 Department of Public Works will deduct 5% retention from all progress payments. The Contractor may substitute an escrow holder surety of equal value to the retention in ac- cordance with the provisions of the Public Contract Code, Section 10263. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The Department of Public Works hereby affirmatively ensures that minority business enter- pprises 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 reli- gion in any consideration leading to the award of contract. No bid shall be considered unless it is prepared on the approved Proposal forms in con- formance with the Instructions to Bidders as determined by the Department of Public Works. The bid must be accompanied by a certified check, cashier's check, or bidder's bond made payable to the Department of Public Works for an amount no less than 10% of the amount bid. The successful bidder shall be licensed in accordance with Provisions of the Business and Professions Code and shall possess a State Contractor's License Class A at the time of the bid opening. The successful Contractor and his subcontractors will be required to possess business licenses from the Department of Public Works. All extension of unit prices will be subject to verification by the Department of Public Works. In case of a variation between the unit price and the extension, the unit price will govern. Project Description: The project consists primarily of the demolition and removal of an existing 10,000 square foot racquetball building, existing Play area, four (4) trees, and a turf area. Improvements will consist of the conversion of the existing basketball courts into pickleball courts, the Installation of a new picnic structure, ROMTEC modular constructed rest - room building, play area, and a rehabilitation of the turf area. the contract shall allow the Contractor 90 working days to complete the contract. fhe Department of Public Works reserves the right to reject any or all bids, to waive any ir- egularity and to take all bids under advisement for a maximum period of 60 days. 3Y ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH, CALIFORNIA, the Hh day of September 2015, by Resolution No. 2015.47. Attest: Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH Published: The Huntington Beach Wave September 1, 8, 15, 2016 10192558 nor 0 C" z ? o W AFFIDAVIT OF PUBLICATION Proof of Publication STATE OF CALIFORNIA, ) ) ss. County of Orange ) SECTION A NOTICE INVITING SEA�LoED BIDS forWORTHY PARK RECONFIGURATION PROJECT I am a citizen of the United States and a resident CC No. 1513 in the CITY OF HUNTINGTON BEACH of the Countaforesaid; I am over the a e Of y g PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as the Department of Public Works, invites sealed bids for the above eighteen years and not a party to or interested in stated projects and will receive such bids in the office of the City Clerk, Second Floor, 2000 Main Street, Hunting - ton Beach, California 92648, up to the hour of 2:00 pm on September 20, 2016. Bids will be publicly opened in the Council Chambers unless otherwise posted. the above entitled matter. I am the clerk principal 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, Of the Huntington Beach Wave, a newspaper gPlans, upon pay- ment of a $75.00 nonrefundable fee if picked up or payment of a $125.00 nonrefundable fee f sent by UPS ground delivery (bidder shall pay additional costs for special delivery). Specifications, and contract documents can be downloaded free on the Department of Public Works website. that has been adjudged to be a newspaper of http://www.huntingtonbeachca.gov/governmenVdepartments/public_works/Bids/ ggeneral circulation b theSuperior Court of the by P 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 California, County of Orange, State of California, on July 1, of the needed onimum pexecuite the contract rate of hall ber them e those determined les for each craft, c the Director sification or of Induse of trial rkman Re- lations 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. 1998, Case No. A-185906 in and for the City Of The Department of Public Works will deduct 5% retention from all The Huntington Beach, County of Orange, State of progress payments. Contractor may substitute an escrow holder surety of equal value to the retention jn ac- cordance with the provisions of the Public Contract Code, Section 10263. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. California; that the notice, of which the annexed The Department of Public Works hereby affirmatively ensures that minority business enter- prises will be afforded full opportunity to submit bids in response to this notice and will not e discriminated is a true printed copy, has been published in each against on the basis of race, color, national origin, ancestry, sex, or reli- gion in any consideration leading to the award of contract. regular and entire issue of said newspaper and No bid shall be considered unless it is prepared on the approved Proposal forms in con - formance with the Instructions to Bidders as determined by the Department Public not in any supplement thereof on the following of Works. The bid must be accompanied by a certified check, cashier's check, or bidder's bond made payable to the Department of Public Works for an amount no less than 10% of the amount bid. The successful bidder shall be licensed in accordance with provisions of the Business and Professions Code and shall possess a State Contractor's License Class A at the time of the bid opening. The successful Contractor his dates, to wit: and subcontractors will be required to possess business licenses from the Department of Public Works. All extension of unit prices will be subject to verification by the Department of Public Works. In case of a September 1, 8, 15, 2016 variation between the unit price and the extension, the unit price will govern, "I Project Description: The pprotJect consists primarily of the demolition and removal of an existing 10,000 square foot racquetball building, existing certify (or declare) under the penalty of play area, four (4) trees, and a turf area. Improvements will consist of the conversion of the existing basketball courts into perjury under the laws of the State of California pickleball courts, the installation of a new picnic structure, ROMTEC modular constructed rest. room building, play area, and a rehabilitation of the turf area. that the foregoing is true and correct": The contract shall allow the Contractor 90 working days to complete the contract. The Department of Public Works reserves the right to reject any or all bids, to waive any ir- regularity and to take all bids under advisement for a maximum Executed at Santa Ana, Orange County, period of 60 days. California, On BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH, CALIFORNIA, the 81h day of September 2015, by Resolution No. 2015-47. Attest: Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH Published: The Huntington Beach Wave September 1, 8, 15, 2016 10192558 tem�ber J55, 2016 Signature N HuntingtonWave AJ 625 N. Grand nd A �.� � Santa Ana, CA 92701 PJ (714) 796-2209 l _, Q UNSUCCESSFUL BIDS CC-1513 Worthy Park Reconfiguration City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk January 4, 2017 Byrom -Davey, Inc. 13220 Evening Creek Drive S, Ste. 103 San Diego, CA 92128 RE: Worthy Park Reconfiguration — CC-1513 Enclosed please find your original bid bond for CC-1513. Sincerely, oqs�v �&4V4'&j Robin Estanislau, CIVIC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand z 0 M ~ � � O N z o v o ai W V W N A � � o � I Q O N N i � � M N I ti N wUo" two o, Q�b-0 SECTION C PROPOSAL for the construction of WORTHY PARK RECONFIGURATION PROJECT CC No. 1513 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 90 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with the Department of Public Works 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 the Department of Public Works 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 DEPARTMENT OF PUBLIC WORKS 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 Department of Public Works will reject all bids and will re -advertise the project. In the case of discrepancies in the amo 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 Department of Public Works' notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the Department of Public Works and this bid and the acceptance hereof may, at the Department of Public Works' oltion, be considered null and void. Accompany in this proposal of bid, find bd bOM ,,r l o'/o in the amount of which said amount is not less than 10% of the aggregate of the total bid price, as Ij �rd0 -required by the Notice Inviting Sealed Bids, payable to the Department of Public Works. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date,Reeeived cdderIs Si 2- PROJECT BID SCHEDULE Item No. Item Base Bid Amount in Figures i Construct "Worthy Park Reconfiguration" Project, CC- I 1 1513. ROMTEC Restroom building components supplied by City as indicated on Drawings and SSDS. All other $ materials necessary to complete the construction, including site work, identified on plans and specifications to be �. �� j �' supplied and constructed by Contractor. Total Bid Amount $— State Base Bid amount in words, which will be basis of award. Dollars Ox.e mt l/f-&-li 1w, ,4r-cd F,,- fY 'aL a A. This Section identifies potential changes in the work under consideration for this contract. The Owner reserves the right to accept any or all of the listed Alternates, regardless of the order of their listing. State added cost to replace Tifway II Seeded Turf with Tifway II Sodded Turf. �urr �i ve pU5a-, d Dollars (in words) ($ 41 S , 00 ) (numbers) C-2 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For WORTHY PARK RECONFIGURATION PROJECT, CC1513 in the CITY OF HUNTINGTON BEACH September 13, 2016 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Table of Contents Page 4: Delete "Bidders Certification ........................C-13" This sheet is not included in Section C as it is not required for this project 2) Please find following, the Asbestos Certification and supporting documents. This is to acknowledge receipt and review of Addendum Number One, d 13, 2016 Co pany Name q-20- l io Date By S+C�ue- �a� All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For WORTHY PARK RECONFIGURATION PROJECT, CC1513 in the CITY OF HUNTINGTON BEACH September 15, 2016 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Replace Sheet C-2 with the following sheet. This is to acknowledge receipt and review of Addendum Number One, 13, 2016 _lliaY-ofy� - NAV ,u . Iyl Co pany Name 01-lo. 1 to Date By S�eJve. iJ�we-c� All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR Dollar % of Item(s) Subcontractor License Number Amount Contract Number fe 1 -79,+s A A"e..r w, CA • 5��.j�, 012 Zc IS l�l ,` (A y Z Y 71? j ) 3Z�v eve-t-i cry 313 `i617s i 6-5 5� 33 i b..&IZ j� y Gtk �t vo(-A sf. 66094 )d6000 3�rlc"6 2 ��yy jd�.rY�ret� Cc,�:r�.r�ct1R�� A; P-W 2 ©3 � 1 5ce 3 i. ,j�G Va3,fJ'a(� G15 ��SO� tw' b3' 7pq 1 z ty res l/ l 3 7,5 )9f6 5 j. #k /a Y 3G GLl y 36 1 j 2 C� rcra ; C.�S • 9 z 2,7 0 �cito ��i1itG�° 13 lC)00e,40 0 rsIJe/c:A; IfZSoel %Zak "rr C zq © ,�. port'--k-/ , �y y 2�t �� l G p p `� 1 �y,3 G 51 $ram► �� 5 z 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 Department of Public Works will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Item(s) Name and Address of Subcontractor State License Number Class DIR Number Dollar Amount % of Contra& !"A Aare . Lc5 le-5 !]c1.3 c� 0 oc d yrs 0ell gFp / 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 Department of Public Works 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 140Alaat an ,C A Dale City State S-tye bem Efirst duly sworn, deposes and says that he or she is of U Yu — v6tj Inc. the party making the foregoing bid that the bid is not made in the interest of, or n the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Name of Bidder Signature cbf—Kider 13210 tVe-✓1i(L9 Creek b CA � q-2 2 6 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 WORTHY PARK RECONFIGURATION PROJECT, (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 comp�e—by—any, said subcontractor or subcontractors with the requirements contained herein. Date: 01 •20 , � 1p C-5 Con % e, %V By �, ( \ AeYrA- Title DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of periury, 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. VA 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) - 2 O' ( \,o C-7 Contractor By Title BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidde. Name J 22U I a3 Business Address City, (&5B) 513 - -)199 Telephone Number State Contractor's License No. and Class Original Date I§Aued State Zip �30- A" Expiration Da The work site was inspected by of our office on 201L. The following are persons, firms, and corporations having a principal interest in this proposal: �a nk.bu)gL. VP. err -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. ■EM Company Name Signature of Bidder S-Pe-ve 1jCU Printed or Typed Signdture Subscribed and sworn to before me this 26 day of S , 201-b. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of ) County of ) On before Month, Day, and Year personally appeared Insert Name and Title of Notary Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrumeytf 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 PENALTYOF PERJURY under the laws of the State of California that the foregoing paragraph is trug and correct. WITNESS my hand anal' official seal. Signa7e Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 A notary public or other office completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the CAILBFUR IIA JULTAY CHYN QRM&NY truthfulness,accuracy, or validity of that document. GOVERMMENT CODE § 89202 �:FFn,F,cy�C� a-i;�,iFi�y%��•.ran�q�'.rYJ.b.�?5`.%'�.���^;E\^.CC"!.Z^.f"`�iC'!`-�,4�`^'"-�-.��.�'f�,G1!`,FF.`k-i�.'-1�`�i��"!_r-12'2 fee Attached Document (Notary to cross out lines 1-6 below) ❑ See Statement Below (Lines 1-6 to be completed only by document signer(s], not Notary) .._........... 4._._......... ........- - --- Signature of Document Signer No. 1 State of California County of 9 a, MALAIKHAMr SI N SO RYA H0. Commission # 2096783 Notary Public - California San Diego County M Comm. Ex lres Jan 11, 2019 Place Notary Seal Above Signature of Document Signer No. 2 (if any) Subscribed and sworn to (or affirmed) before me on this 20 day of 20�0 , by Date Month Year Name*) 6f Signe, (k— proved to me on the basis of satisfactory evidence to be the persoKwho appea d before me. Signature ij, , I Signature °No' Public OP 1 iONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Number of Pages: © 2013 National Notary Association o www.NationalNotary.org o 1-800-US NOT AIRY (1-800-876-6827) Item f5910 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. General Contractor or sub -contractor should have experience with construction of ROMTEC modular constructed buildings. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: n S°15 I V � j� \ \ cekt Loo p 1. I it Vl I I(�vi 4P4 ttrn V J I- �-vi r4n C-0 92130 3 Name a►jd Address of Public Agency Name and 'telephone No. of Project Manager: '2ws lkw rN-�tn 13,q� 5�01 Contract Amount Type of Work buI0'1( ,5 ide additional project description to show similar work: W o W nA iM a. bu.)-� a wd r k C o n �_✓Q fe -,� (o 0. 75 3. ( LV:) ► 2 Completed Name and Address of Public Agency J q' hj &0 Name and Telephone No. of Project Manager: Contract Amount Provide additional project d Ai u TOCA t Type of Work i�tion to show similar work: —qLi k'i-q 0 —rho , av Flu x ha U 0JaI k ,S . Name and Address of Public Agency M Name and Telephone No. of Project Manager 't t 1 2201l 05 Contract Amount 201 Date dornpleted CL3 Eck n(Al Ut-W U (Lao( C 4 9?� '.Tamn & nt S [SI(u 6UII Type of Work I Date Completed vide additional project description to show similar work: K/Y Y 16) r)A/i /,j inn n zlo 6,, is (_ C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. Name of proposed Project Manager Telephone No. of proposed Project Manager: Pj jg (5 13--� �9 9 !1G,Y� .�- 1- hoc zZ �YOa-- Project Name & Contract Amount Type of Work �ULQaya"w'kI o 1pi �"o Project ame & Co tract Amount Type of Worl Project Name & Contract Amount 2. U�-K� \ (-') L Name of proposed S c OOM Type of Work Telephone No. of proposed Superintendent: BSA • Uc(, j 7-2 mpleted yarbh Za l Date Completed -2c)15 Date Completed l Tito Project Name & 6ntract Amount Type of Work Date Completed �o()`,\aCr k �aYk ���od\��39m - S W\-,Zd15 Project Name & Contract Amount pe of Work Date Completed Lmwoo& W. \. R)N 1. Meld Ya ec oIS Pr ect Name & Contract Amount Type of Work Date dompleted C-11 Dave Powell Superintendent B10: David has over 28 years of construction experience in both a residential and commercial environment. David is proficient in alll facets of office and site administration including bidding, estimating, proposals, scopes of work. Billing, shop drawings and BFI's. David has a proven track record in regards to cost and budget control, quality assurance and meeting or exceeding demanding scheduling requirements and deadline. IN BRIEF: 28+ years of industry Connect experience AGC - Storm Water Pollution § s (858) 583-4317 Cuyamaca College - Course work Project Highlights: La Jolla High School La Jolla CA Northview High School Covina CA La Costa Valley Ms San Diego CA Golden West College Costa Mesa CA Rancho Buena Vista High School Vista CA Mater Dei High School Santa Ana CA Bonita Creek Park Costa Mesa CA Oceanview Elementary Oxnard CA Mira Mesa High School San Diego CA Mira Mesa High School San Diego CA Pacific Beach Ms San Diego CA O'farrell Charter School San Diego CA Lynwood High School Lynwood CA El Capitan High School Santee CA La Costa Canyon High School San Diego CA Santa Fe Christian High School San Diego CA Ramona High School Ramona CA Valley Center High School Valley Center CA Rancho Cucamonga High School Rancho Cucamonga CA Alta Loma High School Rancho Cucamonga CA Whittier Charter School San Diego CA La Valley College Los Angeles CA California High School Whittier CA Covina Valley High School Covina CA Covina High School Covina CA Palomar College San Marcos CA Northview High School Covina CA South Hills High School Covina CA Taft Middle School San Diego CA Audubon Elemtary School San Diego CA Newbury Park High School Newbury Park CA Westlake High School Westlake CA Arcadia High School Arcadia CA �K(9,Rvrom-Uavey, Inc. Julio Diaz Superintendent BIO: Julio fakes pride in his jobsife with a proven record of over 12+ years of experience in the construction industry. Julio fakes the time to understand the owners concerns and explains in detail the proposed solution that he sees fit while working with upper management. Connect IN BRIEF: 9+ years of industry experience (858) 829-5722 AGC - Storm Water Pollution Prevention Seminar Excavation Awareness Program OSHA 10 Certified Maric College - Associates in Arts Project Highlights: La Jolla High School La Jolla CA Norfhview High School Covina CA La Costa Valley Ms San Diego CA Golden West College Costa Mesa CA Rancho Buena Vista High School Vista CA Mafer Dei High School Santa Ana CA Bonita Creek Park Costa Mesa CA Oceanview Elementary Oxnard CA Mira Mesa High School San Diego CA Mira Mesa High School San Diego CA Pacific Beach Ms San Diego CA O'farrell Charter School San Diego CA Lynwood High School Lynwood CA El Capitan High School Santee CA La Costa Canyon High School San Diego CA Santa Fe Christian High School San Diego CA Ramona High School Ramona CA Valley Center High School Valley Center CA Rancho Cucamonga High School Rancho Cucamonga CA Alta Loma High School Rancho Cucamonga CA Whittier Charter School San Diego CA La Valley College Los Angeles CA California High School Whittier CA Covina Valley High School Covina CA Covina High School Covina CA Palomar College San Marcos CA Norfhview High School Covina CA South Hills High School Covina CA Taff Middle School San Diego CA Audubon Elemfary School San Diego CA Newbury Park High School Newbury Park CA Westlake High School Westlake CA k1lyrom-Dauey, Inc. CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 177].](a)), passed by the California State Senate Oil .June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July l through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whore a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link — Call (844) 522-6734 https://efiling.dir.ca.gov/PWCR/ActioiiServlet?action=displayPWCRegistratioiiForm DIR's Contractor Registration searchable database: https://efiliiig.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal. subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded.'' I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. � fce \ diva Title Date: C) DIR #: � 000 000 .) 12 C-12 Registr t`on Payment Success http s://efiling.dir.ca.gov/PWCR/ActionServlet?action=paymentComplete Division of Labor Standards Enforcement Thank you for your payment. Payment Confirmation Number: WLNFZ8LV81 PC1 Registration Number: 1000000392 Contractor Name: BYROM-DAVEY, INC. —NOTICE: If paying by ACH/EFT, please allow up to 7 days for processing.— ...... ..... .......................................................................................................... _- Return to Public Works Homepage ............. ........ ........................................ _............. _.... _............. _... _...... _.... _........... ... 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RT R a o > 3 w o R o U w— c E R Ll w x c E w b5 69 O C O Vi G w U so U W 69 69 /I w C O O O O O 10 O C O O O O C O O — C O D` Or O O C O C C In V N O O V' N O O N O O N O O N O O N O O N O O N O O N C C N Q O O N < O O N — G 0 Y w 0 + � o p a ` '`U1 dQ v c) w O ca Q O N O O F- .n� u 'm c y �. O N p U OE O G E E E 'O y v45 0 M N N L) O D` In N N — ^ n O IIn nQ 'n OO N In M rq M M 00 N In N N Q� M M M �n V' M N N t R aw c1 aw r- ca aw aw -O ca o-w t a.w t aw t c:l aw t R aw t A o-w es -o w on lu V) � o`n c`r E s C7 < U N Ln C.7 —, F^ P- V N N � cr cn U o E 0 s v) y O U O U th s Y o p nU <U C7v) o p O �J f� w aJ ul O Y cJ O. R C) N °o° w N O > p °c° °- v E j, o aL. crcr� -3< �l<� z�� <� =w� BID BOND CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status and address) Byrom -Davey, Inc. Fidelity and Deposit Company of Maryland 1232 Monte Vista Avenue, Ste. 5, Upland, CA 91786 1400 American Lane, Schaumburg, IL 60196 OWNER: This document has important legal consequences Consultation (Name, legal status and address) with an attorney is encouraged City of Huntington Beach with respect to its completion or 200 Main Street, Huntington Beach, CA 92648 modification. BOND AMOUNT: ten percent (10%) of total amount bid Any singular reference to Contractor, Surety, Owner or other party shall be considered PROJECT: plural where applicable. (Name, location or address, and Project number, if any) Worthy Park Reconfiguration Project The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that,Ns Bond shall be construed as a statutory bond and not as a common law bond. a d ed this 31st day of August, 2016 B rom-Dave , Inc. (Witness) (Principal) (Seal) (Title) Fidelity and Deposit Company of Maryland (Witness) (Surety) I �4, (Seal) (Title) Anne Wright, orney-in-Fact This Document conforms to the AIA Document A3107°— 2010 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA County of San Diego On August 31, 2016 before me, Pam Davis Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Anne Wright Name(s) of Signer(s) P M DAVIS y `a Commission # 1991984 Notary Public - California z �`'''�' San Diego County , My Comm. Expires Oct 20, 2016 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 had official s I. Signature ('40z,"�7' ✓ Place Notary Seal Above Signature of Notary Public Pam Davis OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document. - Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Individual ❑ Corporate OfficerTitle(s):_ ❑ Partner ❑ Limited ❑ General [✓1 Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: 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: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by THOMAS O. MCCLELLAN, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Anne WRIGHT, Cyndi BEILMAN and Dana MICHAELIS, all of LA MESA, California, EACH its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 25th day of August, A.D. 2015. ATTEST: BY ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND _ wa 9EI0fr ,.G�y,INSV °•,, st 8EAL T Q ��•7 6�. t£138 ,�'fail N... ... Z r/ Secretary Vice President Eric D. Barnes Thomas O. McClellan State of Maryland County of Baltimore On this 25th day of August, A.D. 2015, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, THOMAS O. MCCLELLAN, Vice President, and ERIC D. BARNES, Secretary, of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly swom, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. \II\Inuq,, Constance A. Dunn, Notary Public My Commission Expires: July 9, 2019 POA-F 012-0113A City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk January 4, 2017 C. S. Legacy Construction, Inc. 1461 S. East End Avenue Pomona, CA 91766 RE: Worthy Park Reconfiguration — CC-1513 Enclosed please find your original bid bond for CC-1513. Sincerely, Robin Estanislau, CIVIC City Clerk RE:pe Enclosure Sister Cities. Anjo, Japan ♦ Waitakere, New Zealand O o oo O y C7 �1' C7 v °"• N A U C O > �O N O ++ Q �O N 00 �- '� �o N w O N 00 u rd t�f1 V w rd O cp% Z Q Os � U In OC y vOi c rn•o o 9u J r- = U- J L1 �Q City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 0 0 0 40 For WORTHY PARK RECONFIGURATION PROJECT, CC1513 in the CITY OF HUNTINGTON BEACH September 13, 2016 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Table of Contents Page 4: Delete 'Bidders Certification ........................C-13" This sheet is not included in Section C as it is not required for this project 2) Please find following, the Asbestos Certification and supporting documents. This is to acknowledge receipt and review of Addendum Number One, dated September 13, 2016 (" 41c . Company N me By C-,7 S U - rf-"f i �I)C411 Date All bidders must acknowledge and include the receipt of this Addendum with your bid Proposal. City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For WORTHY PARK RECONFIGURATION PROJECT, CC1513 in the CITY OF HUNTINGTON BEACH September 15, 2016 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Replace Sheet C-2 with the following sheet. This is to acknowledge receipt and review of Addendum Number One, dated September 13, 2016 C.S beogC / C�jIL -VUCi�cV1 ��IC Company Alae ` )SJ1!v Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. SECTION C PROPOSAL for the construction of WORTHY PARK RECONFIGURATION PROJECT CC No. 1513 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 90 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with the Department of Public Works 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 the Department of Public Works 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 DEPARTMENT OF PUBLIC WORKS 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 Department of Public Works will reject all bids and will re -advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the Department of Public Works' notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the Department of Public Works and this bid and the acceptance hereof may, at the Department of Public Works' option, be considered null and void. Accompanying this proposal of bid, find to -1, gid fond in the amount of lc `1 Ki d end 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 Department of Public Works. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond forio % ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: t\ Addenda No. Date Received I N , , idder's Signature 13 ) CO Car S f --rr-"51c� 9 s I t: J F 16Y"raft grV Kq,,�Pras;ct I PROJECT BID SCHEDULE �nf Item No. Item Base Bid Amount in Figures Construct "Worthy Park Reconfiguration" Project, CC- 1 1513. ROMTEC Restroom building components supplied by City as indicated on Drawings and SSDS. All other $ l 4i <,, ` 5-i. (,,TJ materials necessary to complete the construction, including site work, identified on plans and specifications to be supplied and constructed by Contractor. Total Bid Amount S State Base Bid amount in words, which will be basis of award. d� million - OLw ltu►^�li��cfl s;�u��ttu-�rrrVrt fN;l y,.:gty1 4:�tur Dollars l li�t1�(�(�oP Fr�f tl - szvu� C,64 lnel-s ctltrl Ce v/-, A. This Section identifies potential changes in the work under consideration for this contract. The Owner reserves the right to accept any or all of the listed Alternates, regardless of the order of their listing. State added cost to replace Tifway II Seeded Turf with Tifway Il Sodded Turf. ��ritil -Sill `i suscnc�}I 5ev�r� 11,,4��r1✓,C� nivo-h, - Dollars (in words) ($ 7 9 3 . co ) (numbers) C-2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR Dollar % of Item(s) Subcontractor License Number Amount Contract Number cfecrhve Czn lructi;r5 Corp. l� C1ci, 4 35,zoo.G> l P.b.. l3c.x �so�g c12t.4,g L0303`} 04' Ibcczns'� �cxr��a Scil'l�i lvlar 1� D�3 ° 02 Csrl•�-�ryvc� �sur-forc�;t�.i 46a352 clavp n F, c �I ►l 1 1 �` 1 I c oCeczasc . 0 I Po- r1 n InkLtsi-ries, Inc • Ccol, ' Z`♦�'� W �2-7h,SIr�z7.5�;ttS Tz lu , >3 z SS S 2s3 j �kvl2LU li1 1 0 ccoc, .05 BSc Lana SUrU,rly InC �i I, q5o �� 1 lGl�f N �>`ha;F•f S�- 1..���,l.11 SutV� IGoc�cC,i533 d Vueg) cex-isl•' TUY f 1'.o - 13cy qs�,--3 ss, V,S1 C 2_1 10ccoo g410 36i72 cU (jz pnl m L7e5crt, (.A- cI zz�cl F�+� c.�CurP, I ►2c 12t��i5ic�u C'6 g2501 l 3czl 9 S geSI CIU lud0c1,qis`) 1 W5, g7S.crl D� t-"M� iiti ,s , CA- (cost C �i 5 tiV ls1 Ci2t<- QY, u Gc 1 � O �;y c f 0_7 a�� I` �'Zp3'Cl.t:i Gtr 925v1 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 Department of Public Works will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Item(s) Name and Address of Subcontractor State License Number Class DIR Number 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 Department of Public Works will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Item(s) Name and Address of Subcontractor State License Number Class DIR Number 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 Department of Public Works 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 14 1 lalib , at Por►vo►-,,% Gq II Date City State ��r�rjeJ STYth� _, being first duly sworn, deposes and says that he or she is of C. s Cans u �fi cm I ric. the party making the foregoing bid that the bid is not made in the inter st of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Name of Bidder Signature V"idder Cyr Si-�u►-n�F— 1'r?sr -r7 i 4 L(" f> . Ecesf E-k1d OW tom0n0 c1 2t71oo Address of Bidder C-4 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of LOS ANGELES On SEPTEMBER 19, 2016 before me, GLORIA MACIAS, NOTARY PUBLIC (insert name and title of the officer) personally appeared GREGG STRUMPF 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 AAtt" GLORIA MACIAS Commission # 2105161 Notary Public - California D Z ' Los Angeles County My Comm. Expires Mar 29, 2019 (Seal) 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 WORTHY PARK RECONFIGURATION PROJECT, (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: glIcf/Itr C COhS-6, i cn Inc Contractor C-s DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes zo If the answer is yes, explain the circumstances in the space provided. NA Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the perfonnance of the work of this contract. Date: 1I Icj I Iu G.S. Lawcg Contractor t� C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: C.S. Cia)54uc�f;Cm Inc Bidder Name I `-i- �p E r)d )�-V-o- Business Address F C) m C YAG c 14- `11 '7 If,V City, State Zip ( 9 G" I ) 5w0 - 242l0 Telephone Number 'SZic,�-I() P, a; (-.2--7 State Contractor's License No. and Class o/z9lC'3 Original luI�,?II)] Expiration The work site was inspected by '419 tAram-- of our office on ,tuber I , 201 �P. The following are persons, firms, and corporations having a principal interest in this proposal: Tj 14 u I 5 . E as1' End nve FcYYvorxa, " 911UW ► 1 Ghwd Can Zd lrzs -- se- Grit./ ► `�L0I s- Fgs f iclr'�i i9ve I Pc h,'10 r,� , C-lt ill 7 U V 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. Company Name { Signature of Bidder Printed or Typed Signature Subscribed and sworn to before me this _ day of , 201_ A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of _ County of On Month, Day, and Year personally appeared before me, (1 j / Insert Name and Title of Notary ame(s) of Signer(s) who proved to me on the basis of /satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of LOS ANGELES On SEPTEMBER 19, 2016 before me, GLORIA MACIAS, NOTARY PUBLIC (insert name and title of the officer) personally appeared GREGG STRUMPF 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. GLORIA MAC IAS WITNESS my hand and official seal. .' Commission # 2105161 Notary Public - California Z Los Angeles County D = M Comm. Expires Mar 29, 2019 Signature c�,� .��� (Seal) Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. General Contractor or sub -contractor should have experience with construction of ROMTEC modular constructed buildings. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1 CA-" 0 -Sn►-i MOWCc s - 2L1 Ma in Wq Q Scljj Ptar-c,05� C #9- q 2�-_)ioc/ Name and Address of Public Agency I r 2. Name and Telephone No. of Project Manager: m i cl'la-4 f= d u,erclS -71,C, 7 jC Vc 2-5Z.C76 Contract Amount ra Y.r- I p Type of W Provide additional project description to show similar work: F6t Y k- hu-V Yo ✓ Z. M D yl + - I n _Aq A c r'e_v,t'� t_PImrn%aVW�J wek1- c�rnmr-�s�n� Name and Address of Public Agency ►' rW1 t1 j VOO CK ilXp n Date Completed Al 1-� Name and Telephone No. of Project Manager: ,�-F.� , N3 i be-n - 3Z3. 2 (,; c 3 cj Contract Amount 'cl ► — I $--112 Type of Work Provide additional project description to show similar work: Gi Date Completed PC-►- t I �9 r P(ce-e4 C--l2 Gl-.P7 , SlI e �t e rvU S�tf t t 1 Ual, �-h Irn)II L (.f� c4- _CAd l� r�6d� _ 3'111 C,rot�n Vctlt i�aY Name and Address of Pub is Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Provide additional project description to show similar work: Date Completed 1, (i-�- °1 2,LO- C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. Name of pro osed P Manager Telephone No. of proposed Project Manager: 9M - 5901 -�2-kIP2U Us h V fckl 1� 4 21 11"9gi , 241. 00 -'a r K- Project Name & Contract Amount Type of Work Date COMDleted ViI1a PC( VI< 11,-3-11,,`�K'-a' ill�'k Project Name §- Contract Amount Type of Work Date Completed i��1I � I ►u� . C 1'z5 u%I� � Q 1 � C�i�1111 � 1 I'1��-i 1'G { � � `}• S9� , 'i g� �� �Z I �% S Project Name & Contract A 2. Rciw.n P recrct Name of proposed Superintendent Type of Work Telephone No. of proposed Superintendent: 9 H - SAlc . 2fc,2-(o Date Completed P"ll-, 4( 214gq, 2�I •f;b►"k-- 7-470ir,- Project Name & Contract Amount Type of Work Date Completed F-I4 V Ph 1K � � 3 r� 4 �' e� ��t►'K Ivy Project Name & Contract Amount Type of Work Date Completed CC) NMI UIII -i►� T t Project Name & Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link — Call (844) 522-6734 https://efiling. dir. ca. gov/PWCR/ActionServlet?action=displayP WCRegistrationForm DIR's Contractor Registration searchable database: https:HefilIng.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Date: Cl I (-,i ) Le DIR #: 1 C,)CUcx) Z90 Title C-12 -W a w x mm." O's v C.S. LEGACY CONSTRUCTION, INC. MINUTES OF BOARD OF DIRECTORS MEETING A SPECIAL MEETING OF THE BOARD OF DIRECTORS OF C.S. LEGACY CONSTRUCTION, INC, A CALIFORNIA CORPORATION, WAS HELD AT 1461 S. EAST END AVE POMONA, CA 91766 ON MAY 25, 2016. THE BOARD OF DIRECTORS OF THE CORPORATION.- GREGG STRUMPF DIRECTOR CONSTITUTING ALL OF THE MEMBERS OF THE BOARD OF DIRECTORS WERE PRESENT AT THE MEETING. THE MOTION WAS DULY MADE, SECONDED AND CARRIED THE FOLLOWING RESOLUTION WAS ADOPTED: RESOLVED, GREGG STRUMPF, PRESIDENT, IS SOLELY VESTED FULL AUTHORITY TO SIGN ANY AND AN ALL CONTRACTUAL DOCUMENTS FOR THE CORPORATION, AND THEREFORE HAS THE FULL AUTHORITY TO OBILIGATE THE CORPORATION IN ALL CONTRACTURAL MATTERS. THE UNDERSIGNED, RIC1 ARD GONZALES, SECRETARY, CERTIFIED THAT GREGG STRUMPF IS THE DULY APPOINTED PRESIDENT OF C.S. LEGACY CONSTRUCTION, INC. AND THAT THE ABOVE IS A TRUE AND CORRECT COPY OF THE RESOLUTION DULY ADOPTED AT A MEETING OF BYLAWS OF SAID CORPORATION ON MAY 25, 2016. IN WITNESS THEREOF, I HAVE AFFIXED MY NAME AS SECRETARY OF THE CORPORATION, AND HAVE ATTACHED THE SEAL OF C.S. LEGACY CONSTRUCTION, INC. TO THIS RESOLUTION. DATE: MAY 25, 2016 Z' I v R CHARD GONZALES - SECRETARY 1461 S. EAST END AVE POMONA, CA 91766 (909) 590-2626 (909) 590-4117 fax California Department of Industrial Relations - Contact DIR Page 1 of 1 Press Room I Contact DIR I CA.gov 1,TGo to Search Public Works Public Works Contractor (PWC) Registration Search This is a listing of current and active PWC registrations pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720 of the California Labor Code.) Enter at least one search criteria to display active registered public works contractor(s) matching your selections. Registration Year: Current Fiscal Year: 2016/17 jv PWC Registration Number: example: 1234567890 Contractor Legal Name: example: ABC COMPANY Contractor License Lookup License Number: 826870 County: Select County Search Reset Search Results Export as: Excel PDF One registered contractor found. 1 Details Legal Name Registration County City Registration Expiration Number Date Date View C.S. LEGACY CONSTRUCTION, INC 1000002947 LOS ANGELES POMONA 06/13/2016 06/30/2017 v2.20160101 About DIR Work with Us Learn More Who we are Licensing, registrations, certifications & permits Site Map DIR Divisions, Boards & Commissions Notification of activies Frequently Asked q Y Questions Contact DIR Public Records Act Jobs at DIR Conditions of Use Privacy Policy . Disclaimer Disability accommodation Site Help Copyright ©2015 State of California https://efiling.dir.ca.gov/PWCR/Search.action 9/ 19/2016 REFERENCES 1. Eagle Glen Corner Drainage Improvements Eagle Glen Apartments LLC c/o Mr. Michael S. Aimola J & M Realty Company 1651 E. Fourth St. Suite 250 Santa Ana, Ca. 92701 (714) 285-1 170 (714) 285-1 178 FAX Completed March, 2004, $56,000.00 2. Santa Ana Zoo DG Howard S. Wright Construction Mr. Greg Ahman 18500 Von Karman Ave. Suite 420 Irvine, Ca. 92012 (949) 567-1909 (949) 567-1917 FAX Completed April, 2004 $52,000.00 3. Canada Vista Park Parking Lot Expansion City of Rancho Santa Margarita Jacque Niemi 30211 Avenida de las Banderas Suite 101 Rancho Santa Margarita, Ca. 92688 (949) 635-1800 (949) 635-1840 FAX Completed May, 2004 $351,577.49 4. Crown Valley Park Synthetic Soccer Field City of Laguna Niguel Nicholas Renn 27911 La Paz Road Laguna Niguel, Ca. 92677 (949) 362-4341 (949) 362-4385 FAX Completed June 2004 $539,217.49 5. -Freeman, Bell, & Thornburg Park Playground Renovation City of Gardena Dave Negrete P.O. Box 47003 Gardena, Ca. 90247 (310) 217-9500 (310) 217-9876 Completed June 2004 $355,069.90 6. Delta Plant Fencing & Landscaping City of Monterey Park Mr. Elias Saykali 320 W. Newmark Ave. Monterey Park, Ca. 91754 (626) 307-1320 (626) 307-2500 FAX Completed July 2004 $120,580.00 7. Eagle Glen Street Improvements Eagle Glen Apartments, LLC c/o Mr. Michael S. Aimola J & M Realty Co. 1651 E. Fourth St. Suite 250 Santa Ana, Ca. 92701 (714) 285-1 170 (714)285-1178 Completed July 2004 $ 153,250.00 8. Ayala Park Temporary Parking Lot City of Chino Carolyn Baltzer, Asst. Project Coordinator P.O. Box 667 Chino, Ca. 91708 (909) 627-7577 (909) 464-0799 FAX Completed 9/04 $95,730.00 9. Site Prep for 2 Relocatables q New Ventures Huntington Beach Union High School District Nelson M. Cayabyab Director of Facilities 10251 Yorktown Ave. Huntington Beach, Ca. 92646 (714) 964-3339 (714) 963-7684 FAX Completed 9/04 $227,455.00 DSA Inspected 10. SR 79S Sidewalk Improvement Project City of Temecula Avlin R. Odviar Asst. Engineer P.O. Box 9033 Temecula, Ca. 92589 (951) 694-6411 (951) 693-3929 FAX Completed 9/04 $147,328.00 11. Lincoln Ave. Median Landscape Improvements City of Buena Park Wood Nousome Asst. Engineer P.O. Box 5009 Buena Park, Ca. 90622 (714) 562-3676 (714) 562-3677 FAX Completed 6/05 $816,000.00 12. Floe Packer Landscape Improvement City of Lake Forest Steve Velasco, Engineer (949) 461-3480 (949) 461-351 1 FAX 25550 Commercentre Drive Lake Forest, Ca. 92630 Completed 5/05 $91,974.32 13. Replacement of Lang Park Play Equipment City of Laguna Beach Derek Wieske, Asst. City Engineer 505 Forest Ave. Laguna Beach, Ca. 92651 (949) 497-3311 (949) 497-0771 FAX Completed 1 /05 $182,299.00 14. Edison High School SAC Addition 15. Huntington Beach High School Elevators Huntington Beach Union High School District 10251 Yorktown Huntington Beach, Ca. 92646 Nelson Cayabyab Director of Facilities (714) 964-3339 (714) 963-7684 FAX Edison High School Completed 5/05 $391,576.42 Huntington Beach Elevators Completed 05/06 $780,956.00 16. Talega Recreation Center Phase 3 Talega Partners 951 Calle Negocio Suites D San Clemente, Ca. 92673 Charlie Mallon Project Manager (949) 498-1366 (949) 369-7659 Complete 6/05 $490,679.55 17. Rancho San Jacinto Play Areas Imp. City of San Jacinto 201 East Main St. San Jacinto, Ca. 92583 Ray Sanchez / Pam Stull (951) 487-7342 (951) 654-3728 FAX Completed 3/05 $294,836.00 18. Shady Grove Park City of Chino 13220 Central Avenue Chino, CA 91708-0667 Mike Knolling (909) 464-0768 (909) 464-0799 FAX Completed 10105 $1,344,705.00 19.Pinacate Middle School Perris Union High School District 155 East Fourt Street Perris, Ca 92570 Jeremy Chou (909) 987-0909 Completed 2005 $298,182.00 DSA Inspected 20.Monte Vista Splashpad City of Chino P.O. Box 667 Chino, Ca 91708 Arlene Salazar (909) 464-0770 (909) 590-5581 Fax Completed 4/06 $227,187.12 21.Playground Retrofit City of Chino 13220 Central Ave. Chino, CA 91708-0667 Carolyn Baltzer (909) 627-7577 (909) 464-0799 FAX Completed 12/05 $285,965.00 22.Starshine Park City of Diamond Bar 21825 Copley Drive Diamond Bar, CA 91765-4177 Ryan Wright (909) 839-7072 (909) 861-31 17 FAX Completed 06/05 $269,337.00 23.Sycamore Canyon Park City of Diamond Bar 21825 Copley Drive Diamond Bar, CA 91765-4177 Ryan Wright (909) 839-7072 (909) 861-31 17 FAX Est. Completion 01/06 $462,373.52 24. Rancho San Jacinto Basins City of San Jacinto 201 East Main St. San Jacinto, Ca. 92583 Ray Sanchez / Pam Stull (951) 487-7342 (951) 654-3728 FAX Completed 07/05 $868,589.12 25.Child Development Center Playground Santa Monica -Malibu Unified School District 1651 Sixteenth Street Santa Monica, CA 90404 J. Wallance Berriman (310) 450-8338 (310) 450-1667 FAX Completed 08/05 $359,551.76 26.Granada Streetscape City of San Clemente 910 Calle Negocio Ste. 100 San Clemente, CA 92673 Gary Voborsky (949) 361-6100 (949) 361-8316 FAX Completed 12/05 $197,245.91 27.Victoria Gardens Lane Median City of Rancho Cucamonga 10500 Civic Center Drive Rancho Cucamonga, CA 91729-0807 Jerry Dyer (909) 477-2700 (909) 477-2849 FAX Completed 12/05 $155,482.00 28.MM O'Neil Park City of Mission Viejo 200 Civic Center Mission Viejo, CA 92691 Keith Rattay (949) 470-3000 (949) 581-0983 FAX $718,029.96 29.ATL Building Irrigation & Landscape Chaffey College 5885 Haven Ave. Rancho Cucamonga, CA 91737 Sarah Riley (909) 477-8547 (909) 477-8571 FAX Completed 05/06 $286,910.61 30. YMCA Daycare Center City of Mission Viejo 200 Civic Center Mission Viejo, CA 92691 Jerry Hill (949) 470-3052 (949) 581-0983 FAX Completed 04/06 $239,542.00 31.Grass Playfields Long Beach Community College 4901 E. Carson Street Long Beach, CA 90808 Sandy Mathis (562) 938-41 1 1 (562) 93 8-4118 FAX Completed 05/06 $520,247.88 32.La Habra Landscape & Electrical City of La Habra 201 E. La Habra Blvd. La Habra, CA 90631 Contact: Sam Makar (562) 905-9720 (562) 905-9643 FAX Completed O1/06 $862,344.87 33.Yucca Park City of Los Angeles 200 N. Spring Street Los Angeles, CA 90012 Contact: Richard Chang (213) 978-1912 (213) 978-1901 Fax Completed 10/06 $574,960.24 34. Fullerton High School Landscape 35.Fullerton High School Site Work Erickson -Hall Construction Co. 1021 W. Bastanchury # 1 10 Fullerton, CA 92833 Contact: Santosh Mhapsekar (714) 738-4995 (714) 738-5194 Fax Fullerton High School Landscape Completed 03/06 $113,051.00 Fullerton High School Site Work Completed 03/06 $239,422.00 36.Sidewalk, Curb & Gutter City of Newport Beach 3300 Newport Blvd. Newport Beach, CA 92663-3884 Contact: Frank Tran (949) 644-3340 (949) 644-3308 Fax Completed 05/06 $595,341.00 37.Brea Blvd. Median Landscape City of Brea 1 Civic Center Circle Brea, CA 92821 Contact: Raul Lising (714) 671-4450 (714) 990-2258 Fax Completed 08/06 $1,344,650.00 38.Villegas Park Improvements 39.Monroe Street Wall 40.Sidewalk Curb & Gutter City of Riverside 3900 Main Street Riverside, CA 92522 Contact: Daniel J. Simmons (951) 826-5591 (951) 826-5542 Fax Villegas Park Imp. Completed 2006 $306,523.00 Monroe Street Wall Completed 10/2006 $200,679.00 Sidewalk Curb & Gutter Completed 10/2006 $948,142.00 41.West Chapman Ave. Parking Lot Expansion City of Fullerton 303 West Commonwealth Ave. Fullerton, CA 92832-1775 Contact: Mehrdad Miralaie (714) 738-6866 (714) 738-31 15 Fax Completed 2006 $353,903.0 42.Teen Square Improvements City of Lynwood 11330 Bullis Road Lynwood, CA 90262 Contact: Jorge Roque (310) 603-0220 (310) 635-0493 Fax Completed 10/06 $470,047.00 43.Harbor Hills Community Center Community Development Commission of LA County 4800 E. Cesar E Chavez Ave. Los Angeles, CA 90022 Contact: Bill Yee (323) 260-3412 (323) 266-5930 Fax Completed 09/06 $209,034.00 44.Patricia Lane Park Improvements City of Santa Ana 20 Civic Center Plaza M-22 Santa Ana, CA 92702 Contact: Ed Torres (714)647-5018 (714) 647-5058 Fax Completed:10/06 $456,181.00 45.La Palma Play Area Rehabilitation City of La Palma 7822 Walker Street La Palma, CA 90623-1771 Contact: Ismile Noorbaksh (714) 690-3310 (714) 523-2141 Fax Completed: 10/06 $245,372.00 46.Freeway Beautification City of Riverside 3900 Main Street Riverside, CA 92522 Contact: Daniel J. Simmons (951) 826-5591 (951) 826-5542 Fax Completed 09/06 $245,685.00 47.Veterans Memorial City of Paramount 16400 Colorado Ave. Paramount, CA 90723-5012 Contact: Jack Perich (562) 220-2000 (562) 630-6731 Fax Completed 10/06 $995,680.77 48.Ray Moore Stadium Improvements CAL K-12 32598 Oak Glen Road Yucaipa, CA 92399 Contact: Nolan Ballard (909) 795-9169 (909) 795-9432 Fax Completed 09/06 $594,464.00 49.Fountain Valley Sidewalks City of Fountain Valley 10200 Slater Ave. Fountain Valley, CA 92708 Contact: Hairy Drake (714)593-4606 (714)593-4494 Fax Completed 09/06 $150,230.00 50.Civic Center Hardscape City of Apple Valley 14955 Dale Evans Parkway Apple Valley, Ca 92307 Contact: Gina Whiteside (760) 240-7000 Completed 02/07 $698,802.96 51.Mpower Parking Lot City of Bellflower 16600 Civic Center Drive Bellflower, Ca 90706 Contact: Paul Zweip (562) 804-1424 (562)925-8660 Completed 01 /07 $317,361.06 52.Loma Linda Tennis Courts City of Loma Linda 25541 Barton Road Loma Linda, Ca 92354 Contact: Eleazar Alex Rubalcava (909) 799-2800 (909) 799-2890 Fax Completed 12/06 $351,278.42 53.Adelanto Road Imp. City of Adelanto 11600 Airbase Road Adelanto, Ca 92301 Contact: Wilson So (760) 246-2300 Completed 1 1/06 $967,788.90 54.Perris Blvd. Median City of Moreno Valley 14177 Frederick Street Moreno Valley Contact: Ben Rahimian (951) 413-3130 (951) 413-3170 Fax Completed 12/06 $96,967.05 55.Highland Sidewalks City of Highland 7231 Boulder Avenue #531 Highland, Ca 92346 Contact: John G. Egan (909)748-0010 (909) 748-0016 Fax Completed 01/07 $283,989.03 56.Lincoln St. Park City of Lake Elsinore 130 S Main St. Lake Elsinore, Ca 92530 Dave Solomon (951) 674-87-61 (951) 674-3124 Fax Completed 3/07 $769,634.40 57.Shirpser Elementary School El Monte City School District. 3540 N. Lexington Ave. E1 Monte, Ca 91731 Contact: Lila Hoverman (909) 305-2332 (909) 305-2180 Completed 03/07 $160,391.68 58.Mistletoe Park Imp. City of San Jacinto 248 E. Street San Jacinto, Ca 92583 Contact: Mike Ernberton (951) 654-4041 (951) 487-7382 Completed 02/07 $220,966.60 59.Allendale Park City of Pasadena 100 N. Garfield Ave. Pasadena, Ca 91 105 Contact: Alba Iraheta (626) 744-4124 Completed 02/07 $278,093.32 60.Ramsey Street Medians City of Banning 99 E. Ramsey Street Banning, Ca 92220 Contact: Arturo Vela (951) 922-3130 (909) 922-3141 Fax Completed 05/07 $914,522.00 61.Boeing St. City of Moreno Valley 14177 Frederick Street Moreno Valley, Ca 92552 Contact: Christopher L. Wiberg (951) 413-3135 (951) 413-3170 Fax Completed 02/07 $281,834.81 62.Alicia Parkway Medians City of Laguna Hills 24035 El Toro Road Laguna Hills, Ca 92653 Contact: Kenneth Rosefield (949) 707-2650 (949) 707-2633 Completed 05/07 $434,021.89 63.Cesar Chavez Park Imp. City of South Gate 8650 California Avenue South Gate, Ca 90280 Contact: Adel Freij Willdan (323) 357-9657 (323) 563-9572 Fax Completed 05/07 $1,503,328.08 64.Chino Concrete Repair City of Chino 13220 Central Avenue Chino, Ca 91710 Contact: Jerry Perez (909) 627-7577 (909) 591-6829 Fax Completed 06/07 $362,006.00 65.Chapman Ave. Streetscape City of Stanton 7800 Katella Ave Stanton, Ca 90680 Contact: Patricia A. Simpson (714)379-9222 (714) 890-3123 Fax Completed July 2007 $905,480.50 66.1mperial Highway County of Los Angeles 900 South Fremont Avenue Alhambra, Ca 91803 Contact: Hector Hernandez (626) 458-5100 Completed June 2007 $333,355.35 67.Fairplex Park & Ride County of Los Angeles 900 South Fremont Avenue Alhambra, Ca 91803 Contact: Jose Pou (626) 458-5100 Completed 2007 68.Holifield Park City of Norwalk 127000 Norwalk Blvd. PO Box 1030 Norwalk, Ca 90651 Contact: Brenda L. De Jager (562)929-5700 (562) 929-5773 Fax $96,987.50 69.Veterans Park Walkway City of Yorba Linda 4845 Casa Loma Ave. P.O. Box 87014 Yorba Linda, Ca 92885 Contact: Steve Campbell (714) 961-7100 Completed 04/07 $139,643.00 70.Foothill Blvd. Medians Lewis Operating Corporation 1 156 North Mountain Ave. P.O. Box 670 Upland, Ca 91785 Contact: Stacy Lin (909) 985-0971 Completed 05/07 $166,373.29 71.Foothill Blvd. Perimeter Lewis Operating Corporation 1 156 North Mountain Ave. P.O. Box 670 Upland, Ca 91785 Contact: Stacy Lin (909) 985-0971 Completed 05/07 $475,333.22 72.Chino Hills Pkwy Monument City of Chino Hills 2001 Grand Avenue Chino Hills, Ca 91709 Contact: Anne Dutrey (909) 364-2760 (909) 364-2791 Fax Completed 4/07 $300,175.00 73.Civic Center Park Landscape City of Apple Valley 14955 Dale Evans Parkway Apple Valley, Ca 92307 Contact: Gina Whiteside (760) 240-7000 Completed 08/07 $534,283.01 74.Friendship Park City of Bellflower 16600 Civic Center Drive Bellflower, Ca 90706 Contact: Paul Zweip (562) 804-1424 Ext.2250 (562) 804-4465 Fax Completed 1 1 /07 $919,500.00 75.Kessler Park County of San Bernardino 157 W. 5"' Street San Bernardino, Ca 92415 Contact: Greg Bacon (909) 387-6076 (909) 397-5968 Completed 9/07 $456,152.00 76.Barstow High School Landscape City of Barstow 551 South Avenue H Barstow, Ca 92311 Contact: Steve Prince Phone: (909) 989-9979 Completed 08/07 $326,412.00 77.Laguna Niguel Amphitheater City of Laguna Niguel 27791 La Paz Road Laguna Niguel, Ca 92677 Contact: Nicholas Renn (949) 362-43414 Completed 5/07 $157,900.00 78.Valley High School PCM3 1801 S. Greenville Street Santa Ana, Ca 92704 Contact: Pamela Goodrich (714) 662-0227 (714) 662-0233Fax Completed 10/07 $234,830.00 79.Chapman Ave and Katella Ave Streetscape City of Stanton 7800 Katella Ave Stanton. Ca 90680 Contact: Sean Crumby (714) 379-9222 Ext. 204 (714) 890-3123 Fax Completed July 2007 $905,480.50 80.Cerritos Ave Streetscape City of Stanton 7800 Katella Avenue Stanton, Ca 90680 Contact: Sean Crumby (714) 379-9222 Ext.204 Completed 9/07 $1,059,468.62 81.Rivera Park City of Pico Rivera 6767 Passons Blvd. Pico Rivera, Ca 90660 Contact: Jose Rico (562)802-4432 Completed 8/07 $237,592.00 82..San Gabriel Blvd City of San Gabriel 425 S. Mission Drive San Gabriel, Ca 91776 Contact: Mark Moreno (714)293-0278 (714) 973-2263 Fax Completed 11/08 $228,927.00 83..Tree Removal and Sidewalk City of Bellflower 16600 Civic Center Drive Bellflower, Ca 90706 Contact: Paul Zwiep (562)804-1421 Ext.2250 (562) 804-4465 Fax Completed 6/07 $183,182.00 84.Grace Street Reconstruction City of Barstow 220East Mountain View Street Barstow, Ca 9231 1 Contact:William Henderson (760)255-5157 (760) 760-256-1750 Fax Completed 6/07 $297,741.00 85.Recreation Trail Improvements City of Villa Park 17855 Santiago Blvd Villa Park, Ca 92861 Contract: Blane Frandsen (714) 973-2230 Completed 9/07 $144,242.32 86.Veterans Memorial Park City of Stanton 7800 Katella Avenue Stanton, Ca 90680 Contact: Sean Crumby (714) 379-9222 Ext. 204 Completed 12/07 $1,096,382.35 87.Santa Fe High School Whittier Unified School District 9401 S. Painter Ave. Whittier, Ca 90605 Contact: Dan Romo (562) 698-8121 (562) 693-5371 Completed 10/07 $349,309.00 DSA Inspected 88.Curbs, Gutters & Sidewalks City of El Segundo 350 Main Street El Segundo, Ca 90245 Contract: Maryam Jones (310)524-2361 Completed 9/07 $182,201.00 89.Yucca Park City of Indio 100 Civic Center Mall Indio, Ca 92201 Contact: Connie Allen (760) 391-4005 Completed 03/08 $1,044,965.00 90.Foglesong Park City of Barstow 220 East Mountain View Street Barstow, Ca 92311 Contact: Jeanette Hayhurst (760)255-5146 (760) 760-256-5621 Completed 02/08 $381,825.00 Percent Completed 100% 91.Las Flores Park City of Malibu 23815 Stuart Ranch Road Malibu, Ca 90265 Contact: Arthur Aladjadjian (310) 456-2489 (310) 456-3356 Fax Completed 09/08 2,040,673.00 92.Imperial Median City of La Mirada 13700 La Mirada Blvd. La Mirada, Ca 90638 Contact: Steve Forster (562)902-2371 Completed 12/07 $990,381.00 93.Rialto Concrete City of Rialto 150 South Palm Ave. Rialto, Ca 92376 Contact: Naddem Syes (909) 421-4986 (909) 421-72 10 Fax Completed 11 /07 $170,701.00 94.UCR Parking Lot The Regents of The University of California. 3615A Canyon Crest Drive Riverside, Ca 92507 Contact: John A. Friedrach (951) 781-081 1 (951)781-8435 Fax Completed 12/07 $357,924.00 95.Serrano Creek Play Structure City of Lake Forest 25550 Commercentre Dr. Lake Forest, Ca 92630 Contact: Jesse Caballero (949) 855-5764 (949) 855-7050 Fax Completed 12/07 $417,545.32 96.Azusa Ave. Medians City of West Covina 1444 West Garvey Ave. West Covina, Ca 91793 Contact: Sam Guitierrez (626) 939-8734 (626)939-8660 Fax Completed 12/07 $325,320.00 97.Thompson Basketball Park City of Oxnard 305 West Third Street Oxnard, Ca 93030 Contact: Patricia C. Friend (805) 385-7821 (805)805-385-8329 Fax Completed 11/07 $200,462.85 98.College Park City of Oxnard 1060 Pacific Avenue. Building 2 Oxnard, Ca 93030 Contact: Patricia C. Friend (805) 3 85-782 1 (805) 385-8329 Fax Completed 4/08 2,343,473.50 99.Warner Basin City of Anaheim 200 S. Anaheim Blvd. Suite 276 Anaheim, Ca 92805 Contact: Caster D. Williams (714) 765-5176 (714) 765-5225 Fax Completed 3/08 166,199.00 100.Dog Park City of Culver City 9770 Culver Blvd. Culver City, Ca 90232 Contact: Hong Wang (310) 253-5604 (310) 253-5626 Fax Completed 3/08 $123,102.00 IO1.Maxwell Park Renovation City of Anaheim 200 S. Anaheim, Ca 92805 Contact: Robert Palaeologus (714) 765-5175 Ext 5711 Completed 1 1 /08 $1,669,901.50 102.Whittier High School Quad Whittier Union High School District 9401 So. Painter Ave. Whittier, Ca 90605 Contact: Doug Orndorff (562) 698-8121 Ext 1537 Completed 08/2008 $1,009,783.00 103.Meadows Park City of Lynwood 11330 Bullis Road Lynwood, Ca 90262 Contact: Arsenio Frontela (310) 603-0220 (310) 635-0493 Completed 9/08 $1,473,593.20 104.Hesperia Civic Plaza City of Hesperia 9700 Seventh Ave. Hesperia, Ca 92345 Contact: David R. Burkett (760)947-1202 Completed 9/2008 $3,500,000.00 105.PCH Roadway Improvements City of Dana Pont 33282 Golden Lantern Dana Point, Ca 92629 Contact: Todd Niemann (949) 213-4231 Completed 09/2008 $712,343.30 106.Dateland Park City of Coachela 1515 Sixth Street Coachella, Ca 92236 Contact: Mark Chappell (760) 398-5744 (760) 398-1630 Completed 10/2008 $1,679,765.61 107.Thornton & Windsor Parks City of Santa Ana P.O. Box 1988 Santa Ana, Ca 92702 Contact:Williarn Albright (714) 647-5029 Completed 9/2008 $331,240.00 108. Dotson Park City of Stanton 7800 Katella Avenue Stanton, Ca 90680 Contact: Sean Crumby (714) 379-9222 Ext. 204 Completed 12/08 $1,866,279.00 109.Garcia Park City of Rancho Cucamonga 10500 Civic Center Dr. Rancho Cucamonga, Ca 91729 Contact: Karen Emery Meguire (909) 477-2740 Ext. 4080 (909) 477-2746 Fax Completed 09/08 $1,831,717.25 I IO.Estudillo Parking Lot City of San Jacinto 595 S. San Jacinto Ave San Jacinto, Ca 92583 Contact: Holly Binkley (951) 654-3592 (951) 651-3672 Completed 8/08 $215,783.00 I I I.Memorial Park Walkway & Walkway Lighting City of Pasadena 100 North Garfield Ave Pasadena, Ca 91 109 Contact: Reny Q. Quijano (626)744-6741 (626) 744-3892 Completed 09/2008 $130,000.00 112. Oak Glen Park Improvements County of San Bernardino 157 West Fifth Street San Bernardino, Ca 92415 Contact: Greg Bacon (909) 387-5940 (909) 387-5968 Completed 2008 Original Contract $911,488.00 113.Westmister H.S. Parking Lot Huntington Beach U.H.S.D 5832 Bolsa Ave., Huntington Beach, Ca 92646 Contact: Celia Taylor (714) 903-7000 (714) 372-8105 Completed 01/09 $854,832.00 114. 1000 Palms Community Park Riverside County Redevelopment C/O Ian Davison Landscape Architecture, Inc. 3744 Tenth St. Suite 200 Riverside, Ca 92501 Contract: Ian Davison (951) 683-1282 (951) 683-4352 Completed 12/08 $ 775,000.00 115.Centennial H.S. Softball Park Compton U.S.D C/O DelTerra 13181 Crossroads Pkwy North Ste. 200 City of Industry, CA 91746 Contact: Lisa Estrada (626) 839-9300 (626) 592-3595 Completed 11/08 $310,000.00 116.Moorpark College Walkway Ventura Community College C/O Heery 103 Durley Avenue Camarillo, Ca 93010 Contact: Dick Jones (805) 384-8152 (805) 384-8155 Completed 12/08 $359,956.00 117.Sky Water Trail Sidewalk City of Cathedral City 68-700 Avenida Lalo Guerrero Cathedral City, CA 92234 Contact: Mitchell J. Nieman (760) 770-0348 (760) 202-1460 Completed 10/08 $143,021.00 118.Playfield Expansion Pomona Unified School District 800 S. Garey Ave Pomona, Ca 91766 Contact: Ava Hill (909) 397-4800 (909) 397-5050 Completed 11/2008 Original Contract $257,205.00 119.13anning Parking Lot City of Banning 99 E. Ramsey Street Banning, Ca 92220 Contact: Holly Stuart (951) 922-3138 (951) 922-3141 Completed 12/08 $961,941.00 120.13all Jr. High Concrete Anaheim Unified School District 501 Crescent Way Anaheim, Ca 92803 Contact: Ralph Figueroa (714) 999-2188 (714) 520-5741 Completed 8/2008 $198,698.00 121. Slauson Ave Median Los Angeles County 900 South Fremont Ave 8t" Floor Alhambra, Ca 91803 Contact: Irma V. Serna (626) 458-4951 (626) 458-2197 Completed 08/2008 $ 698,729.00 122.Cypress St. Improvement City of Highland 27215 Base Line Highland, Ca 92346 Contact: Etta R. Pulce (909) 890-1255 (909) 890-0995 Completed 09/09 Original Contract $437,389.00 123. Huntington Beach HS Tennis Courts Huntington Beach Union High School District 5832 Bolsa Ave Huntington Beach, Ca 92649 Contact: Celia Taylor (714) 903-7000 (714)372-8105 Completed 03/2009 $1,475,370.00 124. Downtown Infrastructure City of Indio 100 Civic Center Mall Indio, Ca 92201 Contact: Mariano Aguire (760) 541-4230 (760) 391-4021 Completed 09/2009 $3,550,000.00 125.Soccer Field Beverly Hills Unified School District 255 S. Lasky Drive Beverly Hills, Ca 90212 Contact: Arturo Arce (310) 550-8049 (310) 551-0287 Completed 05/2009$363,935.00 126.Community Services Parking Lot City of Westminster 8200 Westminster Boulevard Westminster, Ca 92683 Contact: Jake Ngo (714) 898-3311 (714) 895-4499 Completed 10/09 Original Contract $237,314.00 127.Veterans Park Sports City of Colton 650 N. La Cadena Dr Colton, Ca 92324 Contact: Thomas I Williams (909) 370-5099 Completed 11/2009 $3,046,000.00 128. South Laguna Streetscape City of Laguna Beach 505 Forest Ave Laguna Beach, Ca 92651 Contact: Lisa M. Penna (949) 497-0792 Completed 1 1/2009 $848,282.00 129. Challenger Youth Center County of Los Angeles 900 South Fremont Avenue Alhambra, Ca 91803 Contact: Brian Soria (626) 459-5100 Completed 06/09 Original Contract $101,294.00 130. Tierra Bonita Park City of Lancaster 44933 Fern Avenue Lancaster, Ca 93534 Contact: Jon H Manager (661) 723-6000 Completed 07/09 Original Contract $101,294.00 131. Marina High School Courts Huntington Beach U.H.S.D 5832 Bolsa Ave Huntington Beach, Ca 92649 Contact: Celia Taylor (714) 903-7000 Completed 10/2009 $1,268,639.00 132.Thundersky Park City of Riverside 3900 Main Street Riverside, Ca 92522 Contact: Andy Emery (951) 826-53 11 Completed 10/2009 $1,259,000.00 133.Mary Van Dyke Park City of South E1 Monte 1415 N. Santa Anita Avenue South El Monte, Ca 91733 Contact: Norma Macias (626) 579-6540 Completed 12/2009 $1,259,000.00 134.Prime Desert Pavilion City of Lancaster 44933 Fern Ave Lancaster, Ca 93534 Contact: Neal Knopik (661) 72-6000 Completed 10/2009 $145,674.00 135.Robinson Park City of Pasadena 100 North Garfield Avenue Pasadena, Ca 91109 Contact: Steven L. Wright (626) 744-7389 Completed 12/2009 $ 2,459,699.00 136.Westminster H.S. South Parking Lot Huntington Beach Union High School District 5832 Bolsa Avenue Huntington Beach, Ca 92649 Contact: Celia Taylor (714)903-7000 Completed 10/2009 $ 1,065,526.00 137.Huntington Beach H.S. Fire lane Huntington Beach Union High School District 5832 Bolsa Ave Huntington Beach, Ca 92649 Contact: Nelson Cayabyab (714) 903-7000 Completed 10/2009 $664,687.00 138. Villa & Singer Restrooms City of Pasadena 100 North Garfield Avenue Pasadena, Ca 91109 Contact: Steven L. Wright (626)744-7389 Completed 7/2010 $458,855.00 139.Lake Skinner Improvements Riverside County Regional Park & Open - Space District 4600 Crestmore Rd Riverside, Ca 92509 Contact: Jason Plotkin (951) 955-0169 (951) 955-1383 Completed 7/2010 $4,162,378.55 140.West Downtown Pedestrian Improvement City of Santa Barbara 630 Garden Street Santa Barbara, Ca 93102 Contact: Eric Maple (805) 564-5377 (805) 897-2613 Completed 04/201 1 $2,299,220.00 141.Fairmount Park Universal Play Area City of Riverside 3900 Main Street Riverside, Ca 92522 (951) 826-2000 (951) 826-2005 Contact: Andy Emery Completed 06/2010 $2,207,907.00 142.Palm Dr & Pierson Streetscape City of Desert Hot Springs 65-950 Pierson Blvd Desert Hot Springs (760)329-6411 (760) 288-0606 Contact: Jonathan Joy Completed 06/2010 $3,221,889.93 143.Eastside Box & Woodward Parks City of Yorba Linda 4845 Casa Loma Avenue Yorba Linda, Ca 92885 Steve Campbell (714) 961-7168 Completed 06/2010 $1,067,515.41 144.Peck Park City of Los Angeles 1 149 South Broadway Los Angeles, Ca 90015 (213) 847-1922 Contact: Mary Carter Completed 09/1 1 Original Contract $3,636,946.00 145.Pioneer High School Sitework — Quad Whittier Union High School District 9401 S Painter Ave Whittier, Ca 90605 (562) 698-8121 Contact: Stephanie Ruternbeck Completed 09/2010 Original Contract $1,088,487.00 146. El Toro Park Renovation City of Lake Forest 25550 Commercentre Dr Suite 100 Lake Forest, Ca 92630 (949) 461-3400 Contact: Luis Estevez Completed 09/2010 Original Contract $ 563,681.00 147. Van Wig Courtyard Renovation Bassett Unified School District 904 N. Willow Ave La Puente, Ca 91746 (626) 839-9300 Contact: Wilson Vasconez Completed 10/2010 Original Contract $ 648,276.00 148. Hunter Hobby Park City of Riverside 3900 Main St Riverside, Ca 92522 (951) 826-2012 (951) 826-2038 Contact: Ewina Lau Completed 12/201 1 Original Contract $4,754,813.00 149. Costa Mesa High School Newport — Mesa Unified School District 2985 A Bear Street Costa Mesa, Ca 92626 (714) 424-5000 Contact: James Lamond Completed: 09/2010 Original Contract $ 369,072.00 150. Sepulveda Basin Sports Complex City of Los Angeles 221 N. Figueroa St. Ste 1510 Los Angeles, Ca 90012 (213) 202-2640 Contact: Mary E Alvarez Completed 01/2012 Original Contract $ 7,301,548.00 151. Corona Del Mar High School Newport Mesa Unified School District 2985 — A Bear Street Costa Mesa, Ca 92626 (714) 424-5000 Contact: Jeffery Trader Completed 02/201 1 $9 l 6,155.00 152. Multi -Site Track & Field Improvements Huntington Beach Unified H.S.D. 5832 Bolsa Ave Huntington Beach, CA 92649 (714) 903-7000 x 4359 Contact: Celia Taylor Completed 05/201 1 3,208,884.00 153.Atwater Park City of Los Angeles 221 N Figueroa Street Los Angeles, Ca 90012 (213) 202-2640 Contact: Mary E Alvarez Completed 12/201 1 Original Contract: 2,170,632.00 154.Pier Bowl Lighting City of San Clemente 910 Calle Negocio San Clemente, Ca 92673 (949) 361-8267 Contact: Tim Shaw Completed 07/1 1 Original Contract: 1,326,322.00 155.411' Avenue Park County of Los Angeles 4800 Cesar E Chavez Avenue Los Angeles, Ca 90022 (323) 260-3449 Contact: Jeffrey Biben Completed 5/12 Original Contract: 3,866,188.00 156. College Park City of Oxnard 1060 Pacific Avenue Oxnard, Ca 93030 (805) 385-7821 Contact: Ralph Alamillo Completed 1/12 Original Contract: 11,056,475.00 157.Doty Trust Park City of Riverside 3900 Main Street Riverside, Ca 92522 (951) 826-2000 Contact: Andy Emery Completed 5/12 Original Contact: $3,531,462.00 158.Gibson Mariposa Park City of El Monte 1 1333 Valley Blvd El Monte, Ca 91731 (626)580-2058 Contact: James Enriquez Completed 01 / 12 Original Contract 2,905,629.00 159.Huntington Beach High School Athletic Field Imp Huntington Beach Union High School District 5832 Bolsa ave Huntington Beach, Ca 92649 (714)903-7000 Contact: Celia Taylor Completed 12/201 1 Original Contract $ 2,235,567.00 160.Cucamonga Elementary School Site Imp Cucamonga School District 8776 Archibald Ave Rancho Cucamonga, Ca 91730 (909) 484-1009 Contact: Lynn Ashton Completed 08/ 11 Original Contract: $212,426.00 161.Costa Mesa High School Paving & Landscape Newport — Mesa Unified School District 2985 — A Bear Street Costa Mesa, Ca 92626 (714) 424-5079 Contact: Jeffery Trader Completed 09/1 1 Original Contract $ 467,692.00 162.Don Julian Elementary Path of Travel Basset Unified School District 904 N Wilson Ave La Puente, Ca 91746 (626) 931-3000 Contact: Wilson Vasconez Completed 08/1 1Original Contract $ 779,654.00 163.Atlantis Splash Pad City of Garden Grove 11222 Acacia Parkway Garden Grove, Ca 92842 (714) 741-5040 Contact: Sandra Segawa Completed 03/ 12 Original Contract $ 668,192.00 164.Costa Mesa H.S. Utilities Newport — Mesa Unified School District 2985 — A Bear Street Costa Mesa, Ca 92626 (714) 424-8950 Contact: Craig P. Scaringi Completed 09/1 1 Original Contract $ 1,215,274.00 165.Copper Hill Park County of Los Angeles 900 South Fremont Ave Alhambra, Ca 91803 (626) 300-2329 Contact: Claire Chang Completed 5/2012 Original Contract $ 795,555.00 166.Florence Ave. Parking Lot County of Los Angeles Community Development Commission 1616 E. Florence Ave Los Angeles, Ca 90001 (323) 864-2574 Contact: Chen Kao Completed 1/2012 Original Contract $364,104.00 167. Full Half Width County of San Bernardino 222 W. Hospitality Lane San Bernardino, Ca 92415 (909)386-8775 Contact: Arthur L Rivera Completed 10/2012 Original Contract $ 2,696,336.00 168.Tequesquite Park Imp. City of Riverside 3900 Main St Riverside, Ca 92522 (951) 826-2000 Contact: Andy Emery Completed 6/2013 Original Contract $7,016,220.00 169.Arlington H.S. Field Upgrades Riverside Unified School District 3380 14"' Street Riverside, Ca 92501 951-352-6729 Contact: Chenchira (Jane) Jumnongslip Completed 1 1 /2012 Original Contract $3,092,452.00 170.Roosevelt II Elementary School San Bernardino City Unified School District 777 N. F Street San Bernardino, Ca 92410 909-384-1785 Contact: Andres Ramirez Completed 12/12 Original Contract $1,088,938.00 171.Poly High School — Stadium Improvements Riversde Unified School District 3380 14"' Street Riverside, Ca 92501 951-788-7147 Contact: Janet Dixon Completed 01/12 Original Contract $1,223,921.00 172.Monterey Ave Entrance Desert Community College District 43-500 Monterey Ave Palm Desert, Ca 92260 760-346-8041 Contact: Karen LeSassier Completed 08/2013 Original Contract $1,201,040.00 173.North Campus Front Quad Landscape Long Beach Community College District 4901 East Carson Street Long Beach, Ca 90808 562-938-4947 Contact: Margie Padron Completed 5/2013 Original Contract $2,271,564.25 174.Magnolia High School Anaheim Union High School District 501 Crescent Way Anaheim, Ca 92803 714-999-351 1 Contact: Jennifer Ellmore Completed 12/2012 Original Contact $1,427,100.00 175. Fitness Park City of Paramount 16400 Colorado Avenue Paramount, Ca 90723 562-220-2000 Contact: Bill Pagett Completed 4/2013 Original Contact $3,767,348.23 176. Bagdouma Park City of Coachella 1515 Sixth St Coachella, Ca 92236 760-398-5744 Contact: Gordon Fisher Completed 4/2013 Original Contract $2,447,971.00 177. Hwy 18 Imp Town of Apple Valley 14955 Dale Evans Pkwy Apple Valley, Ca 92307 760-240-7000 Contact: Christopher Moore Completed 4/2013 Original Contract: $967,933.41 178.Valley College San Bernardino Valley College District 114 S. Del Rosa Dr San Bernardino, Ca 92408 Contact: Charlie NG 909-382-4000 Completed 4/2013 Original Contract: $1,356,776.00 179.Orange Grove Park Community Development Commission County of Los Angeles 700 W. Main St Alhambra, Ca 91801 (323) 260-3449 Contact: Jeffrey Biben Completed 01 / 14 Original Contract: $1,756,889.72 180.1) Street Improvements City of Perris 101 N D Street Perris, Ca 92570 Contact: Michael Morales 951-956-2120 Completed 11/2013 Original Contract: $ 1,723,873.60 181.Chittick Field City Of Long Beach 333 West Ocean Blvd 10°i Floor Long Beach, Ca 90802 Contact: Manly Surakis 562-570-6283 Completed 5/2014 Original Contract: $7.1 MM 182.Avocado Heights Trail County of Los Angeles 900 S Fremont Ave Alhambra, Ca 91803 Contact: Irma Vasquez 626-458-4951 Completed 7/2014 Original Contract: $4,038,400.00 183.Rimrock Road City of Barstow 220 E Mountain View Street Barstow, Ca 92311 Contact: JoAnne V. Cousino 760-256-3531 Completed 2/1014 Original Contract: $ 7,547,936.24 184. Median Improvements Town of Yucca Valley 58928 Business Center Dr Yucca Valley, Ca 92284 Contact: Alex Qishta 760-369-6579 Completes 5/2014 Original Contract: $2,161,147.00 185. Cedar Avenue County of San Bernardino 825 E. Third St San Bernardino, Ca 92415 Contact: Johnny Gayman (909) 387-8104 Completed 06/2014 Original Contract: $ 81 1,969.00 186. Rexford Intersection Imp. City of Beverly Hills 455 N. Rexford Drive Beverly Hills, Ca 90210 Contact: Alan Schneider (310) 285-2400 Completed 5/2014 Original Contract: $ 396,624.00 187.CDBG Sidewalk Imp City of Corona 400 S. Vicentia Avenue Corona, Ca 92882 Contact: Barry Ghaemi (951) 739-4961 Completed 7/2014 Original Contract $422,893.00 188. W. San Grabriel River City of Lakewood 5050 N. Clark Ave Lakewood, Ca 90714, Contact: Kimberly McDowell 562-866-9771 Completed 1 1 /2014 Original Contract $912,903.00 189. Royal High School Track & Field Simi Valley U.S.D 875 E. Coclu•an St Simi Valley, Ca 93065 Contact: Pedro Avila 805-306-4500 Completed 1 1 /2014 Original Contract $1,845,235.00 190. Curb & Sidewalk Imp City of Rialto 335 W. Rialto Ave Rialto, Ca 92376 Contact: Marcus L. Fuller 909-820-2525 Completed 10/2014 Original Contract $ 407,827.00 191. Ballfield No.5 City of Buenaventura 501 Poll Street Ventura, Ca 93002 Contract: Melissa Yanez 805-654-7870 Completed 1 1 /2014 Original Contract $ 610,809.62 192. Oso Parkway Widening City of Mission Viejo 200 Civic Center Mission Viejo, Ca 92691 Contact: Kimberly Schmitt 949-470-3052 Completed 7/2015 Original Contract $ 3,481,376.71 193. East Village Park City of Oxnard 1060 Pacific Ave Oxnard, Ca 93030 Contact: Ralph Alamillo 805-385-7821 Completed 5/2015 Original Contract $ 1,396,440.00 194. Crown Valley Community Park City of Laguna Niguel 301 11 Crown Valley Parkway Laguna Niguel, Ca 92677 Contact: Nancy Palmer 949-362-4337 Completed 8/2015 Original Contract $4,599,485.88 195. Roxbury Park City of Beverly Hills 345 Foothill Road Beverly Hills, Ca 90210 Contact: Alan Schneider 310-285-1 188 Completed 5/2015 Original Contract $996,626.00 196. Whitewater Park City of Cathedral City 68700 Avenida Lalo Guerrero Cathedral City, Ca 92234 Contact: John A. Corella 760-770-0340 Completed 8/2015 Original Contact $ 2,499,241.00 197.Rutland & Gramercy Streets City of Riverside 3900 Main St. Riverside, Ca 92522 Contact: Danny Cwiak 951- 826-5341 Completed 04/2015 Original Contract $368,657.00 198. D Street Imp. Phase 6 City of Perris 101 N. D Street Perris, Ca 92510 Contact: Michael Morales 951-956-2120 Completed 05/2015 Original Contract: $495,498.20 199. Grijalva Park City of Orange 300 E. Chapman Ave Orange, Ca 92866 Contact: Don Esquitz 714-532-6464 Completed 04/2015 Original Contract $ 337,809.00 200. La Mirada Blvd Median Nose Imp. City of La Mirada 13700 La Mirada Blvd. La Mirada, Ca 90637 Contact: Lori Wolfe 562-943-0131 Completed 5/2015 Original Contact $ 290,578.00 201. Lynwood Linear Park City of Lynwood 11330 Bullis Rd Lynwood, Ca 90262 Contact: Bruno Nauils 310-603-0220 Completed 10/2015 Original Contract $ 4,683,273.00 202. Civic Center Conservation Park City of Ontario 303 East B. Street Ontario, Ca 91764 Contact: Carolyn Bell 909-395-2622 Completed 9/2015 Original Contract $ 1,985,083.00 203. Orange Splash Pad Zone City of Paramount 16400 Colorado Ave Paramount, Ca 90723 Contact: Sarah Ho 562-220-2000 Completed 9/2015 Original Contract $591,701.00 204. Perris Sound Wall Penis Elementary School District 143 East I" Street Perris, Ca 92570 Contact: Gloria Gonzales 951-657-31 18 Completed 8/2015 Original Contract $ 558,772.00 205.Calipatria Capital Imp. City of Calipatria 140 West Main St Calipatria, Ca 92233 Contact: Jack 760-337-3883 Completed 8/2015 Original Contract $643,784.00 206. Oxford Retention Basin County of Los Angeles 900 S. Fremont Ave Alhambra, Ca 91803 Contact: Rick Sun 626-458-591 1 Completed 6/2016 Original Contract $8,004,089.00 207.Beverly Hills Concrete, Curb & Gutter City of Beverly Hills 345 Foothill Rd Beverly Hills, Ca 90210 Contact: Tristan D Malabanan 310-285-2512 Completed 3/2016 Original Contact $ 996,981.00 208.Ridgecrest Corp. Yard City of Ridgecrest 100 W. California Ave Ridgecrest, Ca 93555 Contact: Mike Bustos 760-499-5083 Completed 5/2016 Original Contract $869,734.00 209. Los Feliz Dr. Sidewalk City of Thousand Oaks 2100 Thousand Oaks Blvd Thousand Oaks, Ca 91362 Contact: Mike Tohidian 805-449-2400 Completed 6/2016 Original Contact $881,446.00 210. Via Verde Avenue City of San Dimas 245 East Bonita Avenue San Dimas, Ca 91773 Contact: Steve M. Farmer 909-394-6200 Completed 7/2016 Original Contract $766,956.00 211. Pearbloosom Park County of Los Angeles 900 S. Fremont Ave Alhambra, Ca 91803 Contact: David Palma 626-458-2180 Completed 8/2016 Original Contract $1,082,272.00 212. Orange Blossom Trail City of Redlands 35 Cajon Street Redlands, Ca 92373 Contact: Gregory Brooks 909-798-7698 Completed 8/2016 Original Contract $692,783.00 213. Multi Parks City of Oxnard 305 West Third Street Oxnard, Ca 93030 Contact: Ralph Alamillo 805-385-7803 Completed 6/2016 Original Contract $588,097.00 214. Paramount Blvd. Urban Renovations City of Paramount 16400 Colorado Ave Paramount, Ca 90723 Contact: Edward Cox 562-220-2027 Completed 8/2016 Original Contract $3,316,409.95 215. HRPP Grant Parks City of Indio 100 Civic Center Mall Indio, Ca 92201 Contact: Mike Edgar 760-391-4000 Completed 6/2016 Original Contract $1,069,040.00 216. CDBG Sidewalk Imp. City of Corona 400 S. Vicentia Ave Corona, Ca 92882 Contact: Barry Gliaemi 951-739-4961 Completed 7/2016 Original Contract $746,235.00 217. Tierra Bonita Park City of Lancaster 44933 Fern Ave Lancaster, Ca 93534 Contact: John Loomis 661-723-6237 Currently Working Original Contract $514,032.30 218. Richmar Park City of San Marcos 201 Mata Way San Marcos, Ca 92069 Contact: Michael Edwards 760-744-1050 Currently Working Original Contract $1,617,252.00 219. Landmark / Mountain View R & R Moreno Valley Unified School District 25634 Alessandro Blvd Moreno Valley, Ca 92553 Contact: Veronica Castro 951-571-7679 Currently Working Original Contract $505,303.00 THE AMERICAN INSTITUTE OF ARCHITECTS AIA Document A310 C.S. Legacy Construction, Inc. 1461 S. East End Avenue Pomona, CA 91766 KNOW ALL MEN BY 'I'1-IESE PRESENT'S, thatwe (Here insert full name and address or Icgat tale of Contracted) as Principal, hereinafter called the Principal, and International Fidelitv Insurance Companv One Newark Center, 20th Floor, Newark, New Jersey 07102 Herc insert Jill naine and addres, or legal title of Surely) a corporation duly organized under the lairs of the State of New Jersey as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach 2000 Main Street, Huntington Beach, CA 92648 (Ilere invert fits name and addres or legal title of Own") as Obligee, hereinafter called the Obligee, in the sum of Ten Percent of Amount Bid Dollars (S 10% of Bid ), For the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executor, administrators, successors and assign, jointly and severally, firmly by'these presents. 'A'IIEREAS, the Principal has submitted a bid for Worthy Park Reconfiguration Project (Here insert full name and description or 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 terns of such bid, and give such bond or bonds as may be specified in the bidding payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter 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 15th (Witness) See Attached Acknowledgment (Witness) day of Sept ber 2016, C.S. L nstruction, Inc. (Princr�naVL6'ideQty (Seal) Greggmpf, President (Tit] d Inte{r�aInsulInce Company (Sutet�")�-/ " (Seal) Kevin P. Reed, Attorney-in3Fact (Title) AIA DOCUMENT A310 BID BOND AIA FEBRUARY 1970 ED THE AMERICAN INSTITUTE OF ARCHITECTS. 1?35 N.Y. AVE., N W., WASHINGTON, D.C. -10006 THIS FORM MUST BE SUBMITTED WITH THE SEALED BID 12 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of LOS ANGELES On SEPTEMBER 19, 2016 . before me, GLORIA MACIAS, NOTARY PUBLIC (insert name and title of the officer) personally appeared GREGG STRUMPF 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. • n atu rej1X GLORIA MACIAS Commission # 2105161 Notary Public - California z z Los Angeles County My Comm. Expires Mar 29, 2019 (Seal ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On September 15, 2016 before me, Brandon K. Grindel, Notary (insert name and title of the officer) personally appeared Kevin P. Reed, Attorney -in -Fact 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.2069031 �'-�: ,> Or2ng:, County tr Comm,,Expsrzs Jun 18, 2018 Signature �l (Seal) -' Y KNOW ALI, A1EN BY THESE PRESENTS. That INTERNATIONAL FIDELITY INSURANCE CONIPANY, a corporation organized and existing laws of the State of New Jersey, and having its principal office in the City of Newark, New Jersey, does hereby constitute and appoint_ - MARCUS REED, KEVIN P. REED Santa Ana, CA. its true and lawful attorneys) -in -fact to execute, seal and deliver for and on its behalf as surety, an)}, and all bonds and undertakings, contracts of indemnity and Cher writings obligatory inthe nature thereof, which are or may be allowed, required or permitted bv'law, stature, 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 COA1PANY, as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by its regularly elected officers at its principal office. This Power Of Attorney is executed, and trayy be revoked. pursuant to and by authority of Article 3-Section 3, of the fly -Laws adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE CONIPANY at a meeting called and held on the 3th day of February, 1P974, The President or any Vice President, Executive Vice President, Secretary or Assistant Secretary, shall have power and authority { 1) To appoint Attorneys -in -fact, and to authorize them to execute on behalf of the Company, and attach die Seal of the Company thereto, bands and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and, i2i To rernove, at any time, any such attorney -in -fact and revoke the authority given. Further, this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the hoard of Directors of said Company adopted at a meeting duly called and held on the 29th day of April, 1932 of which the following is a trite excerpt. Now therefore the signatures of such officers and the seal of the Company may be affixed to any such power of attorney or any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid Arid binding upon the Company and any such power so executed and certified by.facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future.with respect to any bond or undertaking to which it is attached. rL1TY %/ IN TESTIMONY WHEREOF, INTFRNATIONAL FIDELITY INSURANCE COMPANY has caused this instrument to be signed and its corporate seal to be affixed by its authorized officer, this 16th day of October, A.D. 2007. INSURANCE CONIPANY 44p0 SEAL INTERNATIONAL FIDELITY STATE OF NEW JERSEY r'y�� •y'_ County of Essex Secretary On this 16th day of October 2007, before me came the individual who executed the preceding instrument, to rite personally} known, and, being by me duly sworn, said the he is the therein described and authorized officer of the INTERNATIONAL FIDELITY INSURANCE COMRkNY; that the seal affixed to said instrument is the Corporate Seal of said Company; that the said Corporate Seal and his signature were duly affixed by order of the Board of Directors of said Company. `',- '++ IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seal, e,�'•-�iA,p _ (��+,r at the City of Newark, Ncw Jersey the day and year first above written. 13 OFN A NOTARY PUBLIC OF NEW JERSEY' �ih'r•••rss;s My Commission Expires March, 27, 2014 CERTIFICATION I, (tie undersigned officer of IN7"ERNAI'IONAL FIDELITY INSURANCE COMPANY do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit, and the copy of the Section of (lie By -Laws of said Company as set forth in said Power of Attrrney, with the ORIGINALS ON IN THE HOME OFFICE OF SAID COMPANY, and that die same are correct transcripts thereof, and of the whale of the said originals, and that the said Power of Attorney has not been revoked anti is now in full force and effect IN TESTIMONY WHEREOF, 1 have hereunto set my hand this 15th day of September , 2016 Asgistatu Sccreta l in City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachea.gov Office of the City Clerk Robin Estanislau, City Clerk January 4, 2017 Environmental Construction, Inc. 21550 Oxnard St. #1050 Woodland Hills, CA 91367 RE: Worthy Park Reconfiguration — CC-1513 Enclosed please find your original bid bond for CC-1513. Sincerely, Robin Estanislau, CMC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand U) ? CD s .� ' N a U O � M O � v � � O � � O C w 4 C= SECTION C PROPOSAL for the construction of WORTHY PARK RECONFIGURATION PROJECT CC No. 1513 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 90 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans. specifications. Instructions to Bidders and all other contract documents. Ifs this proposal is accepted for award, BIDDER agrees to enter into a contract with the Department of Public Works 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 the Department of Public Works 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 DEPARTMENT OF PUBLIC WORKS RESERVES TI-IE RIGHT TO DELETE ANY ITEM FROM TFIE CONTRACT. It is agreed that the unit and/or lump Sllm 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 Department of Public Works will reject all bids and will re -advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and tiling the necessary bonds and insurance certificates within 10 working days after the date of the Department of Public Works' notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the Department of Public Works and this bid and the acceptance hereof may, at the Department of Public Works' option, be considered null and void. Accompanying this proposal of bid, find in the amount of which said amount is not less than IO% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the Department of Public Works. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature l , 3 PROJECT BID SCHEDULE Item No. Item Base Bid Amount in Fissures Construct "Worthy Park Reconfiguration" Project, CC- 1 1513. ROMTEC Restroom building components supplied by City as indicated on Drawings and SSDS. All other $ materials necessary to complete the construction, including —� site work, identified on plans and specifications to be Supplied and constructed by Contractor. Total Bid Amount $ /, 04, 413. ev State Base Bid amount in words, which will be basis of award. /i S,X 7-/yu fjyIe<;x14uivd 71z4eiDollars A. This Section identifies potential changes in the work under consideration for this contract. The Owner reserves the right to accept any or all of the listed Alternates, regardless of the order of their listing. State added cost to replace Tifway II Seeded Turf with Tifway It Sodded Turf. (in words) (S✓. _ ) (numbers) C-2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104. the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name mud Address of State Class DIR Dollar % of Item(s) Subcontractor License Number Amount Contract Number p Sul�fcCi. Inds©' N 1,VY4 Ci oec i.E 373 5��3 (�l if�C of %%�� .�� G LrG� 1,7 J F n a,Q) c �3 �> ZgSSS i 41, >>76r d v,o4. ,2rZi f2 fie 3 �-3 Q:J •��" ��l lccLn�Z7cc / c2 ve rejlS'1 �.p e it 3 i By submission of this proposal, the Bidder certifies: That he is able to and will perform the balance of all work which is not covered in the above subcontractors listinb. 2. That the Department of Public Works will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID declare under penalty of perjury under the laws of the State of California that the f regoing is true and correct and that this declaration is executed on �-Iq jUat IaM, Dale Ci/Y Sl[Ne jtrld S (6064 I being first duly sworn deposes and says that he or she is ` r-e&I /ko f ofE6yirmw)64q I ditO t eearty making, the foreg 1ng 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 gCIuine 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 aureement. communication, or conference with anyone to fix the bid price, or that of am/ 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, or�uanization, bid depository. or to any member or agent thereof to effectuate a collusive or sham bid. fitarld Sorbiy,41 Name of Bidder Sign Lire of Bidder �l Ssv QXn Gir-� S-� • � /®�� Wood laad rui•/lS, C4. 2/ 36,7-- Address of Bidder C-4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County ofLvC ;"a On i"—i9—! before me, /���.✓ S%�}�� /.�%�f ��,��cc Date Here Insert Name and Title,& the Officer personally appeared,�i �0✓e'UGl ��� Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(&) is/are subscribed to the within instrument and acknowledged to me that he/she/the—executed the same in his/.he'r/their authorized capacity(ies)-rand that by his/her/their"signature(s)"on the instrument the person(s),ror the entity upon behalf of which the person.(s) acted, executed the instrument. ALAN SAFAEI I" ' Commission # 2008404 Notar Public z y California Los Angeles County Y' ` My Comm. Expires Feb 23, 2017� Place Notary Seal Above Description of Attached Document Title or Type of Document: Number of Pages: 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— SignaturVof Notary Public C/ Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner - ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner - ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: © 2014 National Notary Association www.NationalNotary.org * 1-800-USNOTARY (1-800-876-6827) Item #5907 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the WORTHY PARK RECONFIGURATION PROJECT, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8. California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or inslriiclion, is f uniliar rnilh the operolion to be pelforIned and the hetzcrrds 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 bindin�o 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 Contractor B �ces id t, f Title DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes �2No I f 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 ever\, 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: q- 1q' 2 D1 V C-7 CYI Vi �Un rnU lA✓�JT�'�9 CT7(.a j/?C Contractor BY ; Pre id,&& Title BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name Business Address ar4 �-1,' // C. CA - (? City, State Zip Telephone Number 401ffe,)Y - A, 8, clo, ca-/, Y414Z� AS�� State Contractor's License No. and Class /O- / 3- 200C/ Original Date Issued Expiration Date The work site was inspected byAb l ,� Qil of our office on q201 �r The following are persons, firms, and corporations having a principal interest in this proposal: —rid �rb ► "Pre KtAvif 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 m accordance with the plans and specifications set forth. t_yitbn r►1eln �o Company Name SignXu-e of Bidd -far 1 d 0 co Ld s rA Printed or Typed Signature Subscribed and sworn to before me this day of 1 ,4-1 201 JF: U A notary public or other officer completing this certificate verities only the identity of' the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of Ci�i�, % ��'-.1 ✓' County of' p B On / "�l 2 e / before me, A� -'.tip S�/ �N�%/� "�'�`� Z Month, Day. and Year Insert Name and Title of No ary personally appeared F;y✓el-j o'eel t'(IDI Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s). or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY foregoing paragraph is true and correct. WITNESS my hand and official seal. Sigmature Wider the laws of the State of California that the ALAN SAFAEi Commission # 2008404 Noty. ary Public -California Los Angeles County ' My Comm. Expires Feb 23 2017 Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. General Contractor or sub -contractor should have experience with construction of' ROMTEC modular const-ucted buildings. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: Name and Address of Q iblic Agency ��a 805 - 8`t Lf� Name and Telephone No. of Project Manager: l ��(Y� �� -' p- 2. Contract Amount kType of Work Date Completed Provide additional project description to show similar work: A- r^jnA-,-1 09u,.) - � h a `7 r Arc- i G3D ---'S ame and Additess of Public Agency Name and Telephone No. of Project Manager: an K(i S/� _ ���0 ~��- �-7- J Contract Amount Type of Work Date Completed Provide addit-oral project description to shoxv similar work: 3. OF Qorr; s "D "sf. Name And Ad� d� of Public Agency . I? C�sAv Name and Telephone No. of Project Manager: Ldi' 6�Me—Z l , - 7-> —3 7,s5 Contract Amount Type of Work Provide additional project description to show similar work: \-I-A . r 4 no . S,. n -lam a�ri L . ����n'o Da,-k C-to Date Completed Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment Of the bidder Of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. I. hauv e-) U (iC � O n Name of'proposed Project Manager Q Telephone No. of proposed Project Manager: 01 — 535 -0giU 2 f not Project Name & Contract AmO nt Type of Work �Pro1ect Name & Contract Amount e of Work J yp L k4o ke I I-1(-K Mark / /� 2 90/, o S Project Name &Contract Amount Type of Date nlpleted C�nsi- j / S> /0—90/.5� Dat Completed ate Completed Name of proposed Superintendent Telephone No. of proposed Superintendent: �/ �' �76—('('S�� !aA`cle_ C( /),g isUy Project Nan4 & dontract AIIIOUnt Type of ork to Completed ; Pik Coccer �w I -�, 7go., I , Project Mme & Contract Amount I Typ of Work Date C nlpleted D4,-k /,9 161, v 5-ElcL C Project Name & Contra t AmOU t Type of Work Date Completed C-II CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771. ] (a)), passed by the California State Senate Oil June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing wort: on Public Works Projects to register on an annual basis (each July 1 throu(Ill June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration tee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall si-n the following certificate. DIR FACT SHEET on SB 854 http://www.dii-.ca.gov/DLSE/PublicWorks/SB854FactSlieet_6.30.14.pdf DIR's Contractor Registration Link —Call (844) 522-6734 https://etiling.dii-.ca.gov/PWCR/ActioiiServlet?action=displayPWCRegisti-atioiiForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Searcli.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal. subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 Of the Public Contract Code, provided the contractor is registered to perform public %vork pursuant to Section 1725.5 at the time the contract is awarded." 1 furthermore will comply by providing proof of registration with DIR as the primary contractor. as well as for ALL subcontractors at the time of submitting the bid. Date: V� DIR 4: 1U1 /1'1 1 C-12 Contractor B 0f/►' I J Title City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For WORTHY PARK RECONFIGURATION PROJECT, CC1513 in the CITY OF HUNTINGTON BEACH September 15, 2016 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Replace Sheet C-2 with the following sheet. This is to acknowledge receipt and review of Addendum Number One, dated September 13, 2016 �nvi �DnImP��il Con�'fYt�G�tvn , �(_ Company Name q-/q-90 l Co Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For WORTHY PARK RECONFIGURATION PROJECT, CC1513 in the CITY OF HUNTINGTON BEACH September 13, 2016 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Table of Contents Page 4: Delete "Bidders Certification ........................ C-13" This sheet is not included in Section C as it is not required for this project 2) Please find following, the Asbestos Certification and supporting documents. This is to acknowledge receipt and review of Addendum Number One, dated September 13, 2016 l ons-huc w /� Company Name B Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. A-AIA Document A310TM -2010 CONTRACTOR: SURETY: (Afame, legal sugars and address) (Varne, legal status and principal place Environmental Construction, Inc. of'business) 21550 Oxnard St., Ste. 1050 Vigilant Insurance Company Woodland Hills, CA 91367 15 Mountain View Road Warren, NJ 07059 OWNER: (Name, legal staters and address) City of Huntington Beach 2000 Main Street, Huntington Beach, CA 92648 BOND AMOUNT: (10%) Ten percent of the attached bid amount 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. PROJECT: (flame, location or address, and Project number, if any) Project No. CC1513, Worthy Park Reconfiguration Project Number, if any: CC1513 The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (I ) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof', or (2) pays to the 0-wrier the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. igngano sealed this 15th � tAleuZi a,-\ (Witness) (Vanessa Copeland day of September, 2016 EnvironmentA Constructic (Princ' a G� (Till Vigilant Insurnc a (Szu•el1 Inc. (Title) Shawn Blume, Attorney -in -Fact (Seal) (Seal) AIA Document A310- — 2010. Copyright © 1963, 1970 and 2010 by The American Institute of Archilects. All rights reserved. INARNING: This AIA' Init. Document is protected by U.S. Copyright Law and loternational Treaties. Unauthorized reproduction or distribution of this AIA`' Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to ?he maximum extent possitale under the law, This t document was created on 01/27/2012 07:23:12 under the terms of AIA Documents -on -Demand- order no. 2008397483 . and is not for resale. This document is licensed by The American Institute of Architects for one -lime use only, and may not be reproduced prior to its romnletion. neii,o CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of-� On I�/1 -Z-c/C before me, /3Zig;,l Date Here Insert Name and Title of tKe Offic personally appeared _`�y'DU %J/ Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person,(_-�-whose name.W is/are subscribed to the within instrument and acknowledged to me that hefshe/they executed the same in his/t efltfroir authorized capacity,(i-e j, and that by hisfher/therr signatures on the instrument the person�s),or the entity upon behalf of which the person,( acted, executed the instrument. ALAN SAFAE1 _� �; .y�ay Commission # 200840� ( a_i�?' 1� notary Public - California Los Angeles County My Comm. 3 Expires Feb 2. P - , 2017,1;�' Place Notary Seal Above Description of Attached Document Title or Type of Document: Number of Pages: 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 Signatulof Notary Public Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer - Title(s): ❑ Partner - ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: Signer's Name: ❑ Corporate Officer - Title(s): ❑ Partner - ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: © 2014 National Notary Association www.NationalNotary.org * 1-800-USNOTARY (1 7800-876-6827) Item #5907 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached and not the truthfulness, accuracy, or validity of that document. State of California ) County of Orange ) On ' before me, Barbara Copeland Notary Public, personally appeared Shawn Blume 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/sirefthey executed the same in his/her/their authorized capacity(ies), and that by his/herftheir signature(s) on the instrument the person(, or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the BARBARA COPELAND laws of the State of California that the foregoing Commission # 2016348 a paragraph is true and correct. a - -� Notary Public- Califotala z Z D Orange County WITNESS my hand and official seal. My Comm. Expires Apr 19, 2017 Signature.���(�c—.� Signature P otary Public Place Notazv Sea] Above ---- ------------------- ------ -------------------- OPTIONAL ---------------------- ------------------------------------- Though the information below is not required by law, it may prove valuable to persons relying on the document and could present fraudulent and reattachment of this form to another document. Description of Attached Document Type or Title of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Shawn Blume ❑ Individual ❑ Corporate Officer — Title(s): ❑ Partner: ❑Limited ❑ General ® Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other. - Signer Is Representing: Number of Pages: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ hdividual ❑ Corporate Officer — Title(s): ❑ Partner: ❑Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Rev. 1-15 Chubb POWER Federal Insurance Company Attn: Surety Department OF Vigilant Insurance Company 15 Mountain View 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 Shawn Blume, Kevin Cathcart, Eric Lowey, Stephanie Hsiang and Mark Richardson of Costa Mesa, California----- -- 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 COMP%Y, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seals on this 29 day of April, 2015. Dbwn M. Chloros, Assistant Secretary ,�-, * -1=0 STATE OF NEW JERSEY SS. County of Somerset On this 29th day of April, 2015 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. Chloros, being by me duly sworn, did depose and say that she 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 she signed said Power of Attorney as Assistant Secretary of said Companies by like authority; and that she 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 Attomey is in the genuine handwriting of David B. Norris, Jr., and was thereto subscribed by authority of said By- Laws and in deponents presence. Notarial Seal �OTAR KATHERINE J. ADELAAR rz NOTARY PUBLIC OF NEW JERSEY No.2316685 PUBLt Commission Expires July 16, 2019 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- Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.' 1, Dawn M. Chloros, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the "Companies") do hereby certify that (i) the foregoing extract of the By- Laws of the Companies is true and correct, (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 the U.S. Virgin Islands, and Federal is licensed in, Guam, Puerto Rico, and each of the Provinces of Canada except Prince Edward Island; and (III) the foregoing Power of Attorney is true, correct and in full force and effect. Given under my hand and seals of said Companies at Warren, NJ this September 15, 2016 *(Do 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 e-mail: suretyachubb.com Form 15-10- 0225B- U GEN CONSENT (rev. 12-14) City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk January 4, 2017 G2k Construction, Inc. 28348 Roadside Drive, Ste. #205 Agoura Hills, CA 91301 RE: Worthy Park Reconfiguration — CC-1513 Enclosed please find your original bid bond for CC-1513. Sincerely, Robin Estanislau, CIVIC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand O N 4-4 r--� O U � U Q •O U •� � O � � O � U Oo M O .-� A b �po N P4 O O H Q Z O �i W h O Q Iv -I N � O N O A U U W U a z w � � O O� O U W _ W Q w ....,.. SECTION C PROPOSAL for the construction of WORTHY PARK RECONFIGURATION PROJECT CC No. 1513 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 90 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with the Department of Public Works 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 the Department of Public Works 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 DEPARTMENT OF PUBLIC WORKS 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 Department of Public Works will reject all bids and will re -advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and tiling the necessary bonds and insurance certificates within 10 working days after the date of the Department of Public Works' notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the Department of Public Works and this bid and the acceptance hereof may, at the Department of Public Works' option, be considered null and void. Accompanying this proposal of bid, find ��� �fi r' �� ;i ;� UI1 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 Department of Public Works. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond food% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Receives! Ridtler's Signature Q Z 201& PROJECT BID SC14EDULE Item No. Item BaseBid Amount ill Construct "Worthy Park Reconfiguration" Project, CC- 1 1513. ROMTFIC Restrooii-i 111.1ilding eomponcnts supplied by City as indicated on Drawings and SSDS. All other S A qC O 000 b ' materials necessary to complete the construction, including site work, Identified on plans and speeifieations to be su plied and constructed by Contractor. Total Bid Amount $ �, T� � � ©e _' - State Base Bid amount in words, which will be basis of award. A. This Section identifies potential changes in the work under- consideration for this contract. The Owner reserves the right to aeeept any or all of the listed Alternates, regardless of the order o;' their listing. State added cost to replace Tifway II Seeded Turf with Tifway I1 Slodded Turf. rI f f y i H ��� SC.�rd Doliars ;in words) ,r (numbers) C-2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid _ Name and Address of State Class DIR Dollar % of Item(s). Subcontractor License Number Amount Contract Number f'Z6 tN Rom r cC i? 7_400 N OP g7Y70 3q'7 D'Z.. A14 / 'R A,-M,,, C 4 l o .4,dOScnR'���v► ts�eYs;►-%-.R�,— 7Gr4'S�� �0�, �Loc?,coC? y/ S'71 4���5� S i�� LLL� � c 400000 3 ° so C ��' Jo ff, coo ccc'e �rz� h OVA�,4,,v JD; cgWZ C-i6 .20'ai0 1`�`Vr►- • L:� c rLn,� :� cl I `L Ili (�U�� l� By submission of this proposal, the Bidder certifies: I. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the Department of Public Works will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 LIST OF SUBCONTRACT ORS In accordance with Government Code Section 4104, the Bidder small set forth the name and business address of each subeontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or S 10,000, whichever is greater, and the portion of the work to be done by sueh subeontractor. Bid Name and Address of State Class DIR Dollar % of Jtem() Subcontractor License Number AOl1otwit Contract ! Number 1 2 4 ►2i1, I �� S-t # , s , � ��` /OCR COO 3� � � TE,�L%A ,42 —00 ��� 1 � ID Ply 7o ' sR)r , i Ao0occ(,, 5I"'v' VAIIQx 6,14 q�r(-,S i I it it i By submission of this proposal. the Bidder certifies: i. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the Department of Public Works will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3v 0 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 9f d2')14, at -aryTa o)/)s , CA Date City State cmjtm (. �yy being first duly sworn, deposes and says that he or she is 0 crsr t�(i'i `''' C of 0 0 k C 0-0> irK 1`l�-U: l-ti'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. C7 21k C -OIC6 /; Lam 7'l0-tr , -Z ✓V Name of Bidder 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 WORTHY PARK RECONFIGURATION PROJECT, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, 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: 1 C-5 G 2 k CJ (/ �TRVC TI J�UiGL . Contractor y Title r DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes .0, No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-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. l 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:'! +L . *C'-50iL C-7 Contractor Title Fc-5 foc!v✓,i BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name Business Address AopL"; .o, CA gijj i City, State Zip Telephone Number 0,q,:9C(,, Z L+c A � J3 State Contractor's License No. and Class Original Date Issued 12- z, 31 . 2-0 i 7 Expiration Date The work site was inspected by-5-1-a-, of our office on 2016. The following are persons, firms, and corporations having a principal interest in this proposal: V /y1�SfiC [_�r(i ✓ACC F'k'C--� ��'�% 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 k cow-F. L/C io'V ]-,/( . Company Name r no Signature of Bidder CMic0 G � &(--'v9 Printed or Typed Signature 414 Subscribed and sworn to before me this l9 day of S , 201 L. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of Cc`L _ K, _,_ _ - ) County of U,, CS, , ' On cl I k C=t 1 k Month, Day, and Year personally appeared before me, , \\, , ti -„ . _ _ �r,- : K ; r, ,; . , Insert Name and Title of Notary Name(') of SignerO who proved to me on the basis of satisfactory evidence to be the person(s) whose name(,) is/ate subscribed to the within instrument and acknowledged to me that h6/she/they executed the same in h4s/her/their authorized capacity(igs'), and that by hys/her/their signature(sy on the instrument the person(4), 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 SHELLEY YOUNKER Commission # 2116821 i s Notary Public - California Z Los Angeles County My Comm. E ires Jun 22, 2019 Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. General Contractor or sub -contractor should have experience with construction of ROMTEC modular constructed buildings. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: L J� an Cs� Yj "y.� li - `�'� ' S. TJrr►rl�%r« ��L��aT:� Or �.,.,, �: ���: 1 L 9 i 77 Name and Address of Public Agency 2. Name and Telephone No. of Project Manager: Foh GLU",,iLJIe - 9It? - 5_19 -G s 16. Contract Amount Type of Work - cam:k 0 5lao Provide additional project description to show similar work: Aii l/'j-, ci/� ! PLkf[` &i•Yarsi F, o»�Y��'� %�r�:�ta7�✓,r"5 ��i�=> Ld�h't5`> r�t�, �h',�!`l. Name and Address of Public Agency .- Ac�2.ck -- Oei-- Jr O,iJ�I" �tr�rk Name and Telephone No. of Project Manager: Date Completed Sri -ice - - S77:n -11�5�G Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C.c�nytr✓�tlO✓i J�' AfeW ii��i��dr►J :2Y1cl 4400,Y%G 3. Name and Address of Public Agency, S:z.,, ,�.1arr�� 1✓;�, rr i Sch,e:al �5�r<� f - �,�c s T�-� ���<<� S',�� ra_ O>. Name and Telephone No. of Project Manager: RaOL,U �r� rLoi Contract Amount Type of Work t31'10rtfZ Date Completed Provide additional project description to show similar work: C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 3 -enA&\ SCSC)\)ck" Name of proposed Project Manager Telephone No. of proposed Project Manager: /6 ` ��c�A " >��W �C> Project Name & Contract Amount Type of Work Date Completed ' S, LI O G 0 0 .iy I>A t V tt O vI A lC% 1 r`v I Z, 0 1 (3 Project Name & Contract Amount Type of Work Date Completed V e V, ;&Af e8� o VAS C) CA � Project Name & Contract Amount Type of Work Date Completed o, V" 7C) \-rNG\S Name of proposed Superintendent Telephone No. of proposed Superintendent: S \<�' (,� %C1 — (-oLi L, Wu s�, �1evr,ev\Nav y 14; 570n,0a4. a0 731�,S�-; \tAk0V\c.\ s" VroyreS� Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Vev��uvq ��vv�wnu�n��y Co\�C�� 3;'ACc, 000-C)C) kx�kW,VXGJ Li 7,0IZG1T Project Name & Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 177 L I (a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/Public Works/S B854FactSheet_6.30.14.pdf DIR's Contractor Registration Link— Call (844) 522-6734 https:HefiIing.dir.ca.gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 177 L I (a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. &Zk CQ,{! j .R✓C 7'I Owl/ TA16 . Contractor Title Date: CxG �3J1 Zai % DIR #: 1000.0 2766 7 C-12 City of Huntington Beach Public Works Department 2000 Main: Street Tel. (714) 536-5431, Fax (714) 374-15I For WORTHY PARK RECONFIGURATION PROJECT, CC1513 in the CITY OF HUNTINGTON BEACH September 13, 2016 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Table of Contents Page 4: Delete "Bidders Certification ........................ C-13" This sheet is not included in Section C as it is not required for this project 2) Please find following, the Asbestos Certification and supporting documents. This is to acknowledge receipt and review of Addendum Number One, dated Septarnher 13, 2016 &A COY7S'-�YvG�ld� �`iG - Tye Scl,Co �nl� p,�✓ l� By Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 For WORTHY PARK RECONFIGURATION PROJECT, CC1513 in the CITY OF HUNTINGTON BEACH September 15, 2016 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Replace Sheet C-2 with the following sheet. This is to acknowledge receipt and review of Addendum Number One, dated September 13, 2016 Compan Na s By 0 Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. INTERNATIONAL FIDELITY INSURANCE COMPANY BID BOND KNOW ALL MEN BY THESE PRESENTS, That we, G2K Construction, Inc. as Principal, and International Fidelity Insurance Company a corporation authorized to transact a general surety business in the State of California as Surety, are held and firmly bound unto City of Huntington Beach (hereinafter called the Obligee) in the full and just sum of Ten Percent of the Total Amount Bid Dollars, ($ 10% ) for the payment whereof in lawful money of the United States, we bind ourselves, our heirs, administrators, executors, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the said PRINCIPAL has submitted the accompanying bid for Worthy Park Reconfiguration Project, CC No. 1513 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 the 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 G2K Construction, Inc. day of September 2016 Prin ipal International Fidelitv Insurance Compan Surety By/ William Syrkin, Attom;.y-in-Fact CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of Los Angeles ) On September 16, 2016 before me, Date personally appeared William Syrkin Corinne L. Hernandez, Notary Public Here Insert Name and Title of the Officer Name(&) of Signer( who proved to me on the basis of satisfactory evidence to be the person(s) whose name() is/art subscribed to the within instrument and acknowledged to me that he/sbe/they executed the same in his/her/their authorized capacity(ies), and that by his/herltheirsignature0yon the instrument the person(, or the entity upon behalf of which the person(8).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. CORINNE L. HERNANDEZ WITNESS my hand and official seal. Commission # 2083563 z Notary Public - California z Los Angeles County D Signa re n j ~� My Comm. Expires Sep 27, 2018 Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: William Syrkin ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual `Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: International Fidelity Insurance Companv Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General 0 Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: ©2014 National Notary Association . www.NationalNotary.org - 1-800-US NOTARY (1-800-876-6827) Item #5907 City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk January 4, 2017 Horizons Construction Co. 432 W. Meats Ave. Orange, CA 92865 RE: Worthy Park Reconfiguration — CC-1513 Enclosed please find your original bid bond for CC-1513. Sincerely, Robin Estanislau, CIVIC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand rn -. - - '- co IZZI- .. l,� _ _ . W .q ► N bf) O �"a ram+ 4-0 m U v ci Fl •® N � +; U CC7 � m V LO O >j CO Q 2 0) �Qg0 V m m� c 0 4o SECTION C PROPOSAL, for the construction of WORTHY PARK RECONFIGURATION PROJECT CC No. 1.513 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 90 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract docL►nlenls. If this proposal is accepted for award, BIDDER agrees to enter into a contract with the Department of Public Works 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 the Department of Public Works 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 DEPARTMENT OF PUBLIC WORKS 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 Department of Public Works will reject all bids and will re -advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words Shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the Department of Public Works' notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the Department of Public Works and this bid and the acceptance hereof may, at the Department Of Public Works' option, be considered null and void. Accompanying this proposal of bid, find _B J&Lr9 B in the amount of 1b Y . 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 Department of Public Works. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt ofall Addenda here, if any: Addenda No. Date Received Bidder' lature �-- Is - PROJECT B11) SCHEDULE Item No. Item Base Bid Amount in Figures Construct "Worthy Park Reconfiguration" Project, CC- 1 1 5 13. ROMTEC Restroom building components supplied by City as indicated on Drawings and SSDS. All other ��'—Gxc, materials necessary to complete the construction- including �— site work, identified on plans and specifications to be sup lied and constructed by Contractor. "Total Bid Amount S i; 5 Z C), oa G State Base Bid amount in words, which will be basis of award. Dollars A. This Section identifies potential changes in the work under consideration for this contract. The Owner reserves the right to accept any or all of the listed Alternates, regardless of the order of their listing. State added cost to replace Tif,,vay lI Seeded "Turf with Tifway II Sodded Turf Dollars (in words) ($6 (30 , _I (numbers) C-2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work'to be done by such subcontractor. Bill Name and Address of State Class DIR Dollar % of Item(s) Subcontractor License Number Amount Contract plumber 3(-)16 q ZNL'P ��ct A W C C ) (C li1 i9fi 1 1i 11 0' r ��Ikttio� �GtrX 1�% xmfz% Nor0'ch C-21 10 L TX)2T1 ' IfYg1h'6% . d Fence IP��v+� i�L'�St C' 11►��-iire G `a' A 100C(Y)'V51k 5-1 yam, k) eii 5 1 s fir. -_i.3 U'r-U4-Y4Q' A CA Z ReJncm RCrn�� 1�fz C`1�6 'erg � GZ`) 1()D�'�!02�� ihl�tc�IlcyY i `6 29G I ICI,-13-1 � o �ynth�ti� 51ctrc� ty r Pi dC - '�5ti42q 1p-, 2�_ J0CCOC) Z; q 77 G / 555 U)I��I�` ace l5 �Z�VL�r �-&��nzn� `—Ci`,Jti�l�� �Y1�J1fc;:v11`►'ICt'1'tit 1 L�-I� .�h �v1+-ter' �. i c�� l� �llclC � ,_21 1��'�-�`� jq(-Z (Itcoo � 5LtV)-10i tf, !PY)cf; L 6E>j L 1 O 7 `i;'2 �) C+ �l7� 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 Department of Public Works will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor Ior 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`11���� , at 0,CDVCA Date Cily stale Kinan Kotrash _ being first duly sworn, deposes and says that he or she is V. President _ of Horizons Construction Co Inter 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 fi•om 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. Kinan Kotrash Name of Bidder SignZ13idder tire 432 W. Meats Ave. Orange, CA 92865 Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF I-IUNTINGTON BEACII, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the WORTI-IY PARK RECONFIGURATION PROJECT, (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 vvho, by reason of experience or instruction, is familiar with the operation to be performed ancl 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] I � 9' ` Horizons Construction Co. Int'I, Inc. Contractor By K Wf<otrash V. President Title C-s DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal. State or local government project because of a violation of law or a safety regulation? LJ Yes W No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State I_,abor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions o1. Section 3700 of the Labor Code which require every employer to be insured against liability for worl<er'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 ol' the work of this contract. Date: 91 � Cl � � `" Horizons Construction Co. Int'I. Inc. Contractor By nib Kotrash V. President Title C-7 BIDDER'S INFORMATION BIDDER certifies that the following; information is true and correct: Horizons Construction Co. Int'I, Inc. Bidder Name 432 W. Meats Ave. Business Address Orange City, ( 714 ) 626-0000 Telephone Number 825022 A & B State Contractor's License No. and Class 09/25/2003 Original Date Issued 09/30/2017 Expiration Date CA 92865 State zip The work site was inspected by Mike Ortega of our office on September 14 2016. The following are persons, firms, and corporations having a principal interest in this proposal: Horizons Construction Co. Int'I, Inc. Kinan Kotrash, V. President Hatem Ibrahim, President 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. Horizons Construction Co. Int l.,Jnc. Company Nam Signature of,W:'dder Kinan Kotrash Printed or Typed Signature Subscribed and sworn to before me this al�lay of ��, 201(0 . A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity ofthat document. State of Coll 'iforo i Ci > County of Or ri On 5eptmbsey Ia, 201 before me, _ja2AIy) '&r►?G, Noiayv PUdi1�., Month, Day, and Year Insert Name and Title of Notary personally appeared Ki , UlY) Name(-s- of Signer(sj- who proved to me on the basis of satisfactory evidence to be the persons whose name(@*is/ subscribed to the within instrument and acknowledged to me that he, ��e-y executed the same in hisAt i .authorized capacity(4es�- and that by his/4+o4; ,ir signature(4 on the instrument the perso114�. or the entity upon behalf of which the persons -acted, executed the instrument. 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. YAZMIN 6ARRERA VALDES WITNESS my hand and official seal. Commission # 2070179 •� m Notary Public - canTornia z Z. Orange County D b _ , My Comm. Expires Jun 2, 2018 Signature ignature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. General Contractor or sub -contractor should have experience with construction of ROMTIC modular constructed buildings. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. Santa Ana Unified School District 1601 E. Chestnut Ave. Santa Ana, CA 92701 Name and Address of Public Agency Name and Telephone No. of Project Manager: Albert Bolanos 714-480-5365 $3,687,000 Wilson Elementary School - ORG May 2015 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. Rosemead School District 3907 Rosemead Blvd. Rosemead, CA 91770 Name and Address of Public Agency Name and Telephone No. of Project Manager: Juan Romero 909-615-8005 $1,587,115.65 School District office Improvements March 2015 Contract Amount 'type of Work Date Completed Provide additional project description to show similar work: 3. City of Los Angeles 221 N. Figueroa St. Los Angeles, CA Name and Address of Public Agency Name and Telephone No. of Project Manager: Hoi Luc 213-847-4808 $3,433,251 Rosecrans Recreation Center December 2013 Contract Amount "Type of Work Date Completed Provide additional project description to show similar work: C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar wort: within the last five years. "These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. �A.. Q AM i Name of proposed Project Manager "Telephone No. of proposed Project Manager: I4�42C_9 lqo Project Name & Contract Amount Type of Work Date Completed \iC-),6W)rY x 1r1rt c 1x0�� 7k5fy -� �\ �'�carCL� 2- 1!5 Project Nan -le & Contract Amount Type of Work Date Completed Project Name & Contract Amount �� �1uyyck` T rn n cab's Name of proposed Superintendent ► L� Is I cc) () 26— Type of Work Date Completed Telephone No. of proposed Superintendent: 17 Project Name & Contract Amount Type of Work Date Completed Mnilardi oo ' 'MAV Off, , O G hn'S DWI y 697i SM "D Project Name & Contract Amount Type of" ork Date Cominpl ed J` u Project Name & Contract Amy unt Type of Work Date Completed C-11 Education: Hamid Reza Emami Pour 507 S. Beechtree Ct. Anaheim, CA 92808 Phone (714) 282 - 8216 hrep_mot'4�,yahoo.com California State University of Long Beach. (C.S.U.L.B) College of Electrical Engineering, M.S. (1999) & Q.S. (1998) Emphasized area: Control System, Communication System & Biomedical. Computer Skills: Primavera Microsoft Office Suretrak Work Experiences: *Project Manager with Horizons Construction Co. Various Projects (2009 — current) **Project Engineer with Horizons Construction, Co. Building two new pools at Downey Pool Replacement in Los Angeles, California (2009 -20I0) ($2,500,000.00) **Project Coordinator with SMC Construction, Co. Building new structure steel Two Story Library at Golden West College Pro'jcct in Huntington Beach, California (2008- 2010)($25,000,000.00). **Project Engineer with SMC Construction. Co. Building a new Science class rooms and modernization of Administration building at La Mirada high School in La Mirada Ca, (2007- 2008) ($ 8,700,000.00) **MEP Coordinator with Clark Construction. Built a Theater " NOKIA" and Building Fifty Three story structure steel " LA Life" Projects at Los Angeles California (2007-2007) ($300,000,000.00) **Project Engineer with FTR International, Inc. Built a concrete structure library & modernized existing library at Orange County Public Law Library Project in Santa Ana, California, (2003- 2006) ($ 11,000,000.00) **Project Engineer with FTR International, Inc. Built a new theater & modernized several buildings at Pasadena High School project in Pasadena, California, (2002-2004) ($ 22,000,000.00). ** Project Engineer with FTR International, Inc. Modernization of the several buildings at Lincoln high school project in Los Angeles. California, (2001-2003) ($ 15,000,000.00). **Project Engineer with FTR International, Inc. Built a new science lab & modernized several buildings at Marshall Fundamental Middle School project in Pasadena, California, (2001-2003) ($13,000,000.00). **Project Engineer with FTR International, Inc. Modernization of the music building in California, State University, Los Angeles (2000-2001) ($ 9,500,000.00). Closed — Out the following projects: I- Parent Elementary School project in Inglewood, California; new buildings & modernization 2004 ($ 10,000,000.00). 2- Burger Meyer Library Project in Monterey Park, California; new building & modernization 2006 ($12,500,000.00). 3- Orange County Public Law Library Project in Santa Ana, California; new building & modernization 2007 ($1 1,000.000.00) Additional Assignment with the following projects: 1- Dooley's Elementary School: Several buildings such as class rooms, library, offices, multipurpose room, kitchen & playground in Long Beach, California. 2- Allied Health Science building: Steel structure at Allied Valley College in Van Nuys, California. 3- Police Station: Steel structure & car- wash station at 1-Iollenbeck Police Station in Los Angeles, California. 4- Psychology building: Steel structure at University of California in Riverside, California. 5- Crozier Middle School Modernization of the existing theater in Inglewood, California. Duties: I- Track & review Submittals. 2- Track RFIs. 3- Identify and formalize changes in the project. 4- Distribute changes documents (RFIs & Bulletin) to all affected parties issue and expedite request, for subcontractors and venders and view quotes for fairness and accuracy. 5- Generate, estimate, negotiate & process change orders. 6- Schedule, review design & shop drawings to assess effect on cost and construction. 7- Coordinate weekly construction meetings. 8- Prepare agenda and documents for distribution such as, schedules and log for weekly construction meetings. 9- Review MEP plans, coordinate & assist staff in the field. 10- Assist in the preparation of final records for the project & closing the project. Personal: My hobbies are martial art, soccer, volleyball, jogging, basketball & travel. References: It will be provided upon request Salary: My present salary is $70,000.00 Ghandi Innabi 12262 Malhine Place Victorville, CA 92392 (760) 985-4456 g_handi a horizonscci.com Highly self -motivated, responsible, well organized, able to multi -task, and excellent communicator Superintendent. Safety oriented and Flexible to adapt to different work environments to directly meet client needs and expectations on a daily basis. EDUCA'r10N Yonkers High School, New York Graduated 1976 U.S Navy Technical Services 1976 — 1980 General Safety OSHA training and Excavations / Trenching Safety Operations. WORK EXPERIENCE Horizons Construction, Orange, CA February 2006 - Present General Superintendent • Schedule and coordinate daily work for Subcontractors / in-house labor. Supervise and maintain a team of construction workers and overlook safety procedures Responsible to coordiate all job site materials, supplies, and equipment 1) Wilson Elementary School $3.8 M new school building and sitework. Recently completed in May 2015 2) Rialto Fire Station No. 202 New Fire Station with contract amount of $4.4 M. State of the Art project. 3) San Bernardino DMV Office Reconfiguration DMV Remodel with contract amount of $1.7 M 4) HVAC Upgrades and 4 schools in San Bernardino Remodel of 4 schools with contract amount of $5.2 M 5) Many other projects ranging from $400,000 to $3 M Gold Shield Services, New York February 1986 — January 2006 Owner Operator — Air Conditioning Cornpany. CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)). passed by the California State Senate Oil June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is 5300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 littp://www.dii-.ca.L, I4.pdf D1R's Contractor Registration Link — Call (844) 522-6734 https://eftling.dir.ca.gov/PWCR/ActioiiSet-vlet?action=dlsplayl'WCRegistratiotiF'orm DIR's Contractor Registration searchable database: https://cfiling.dir.ca.(,ov/PWCR/Searcli.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the I'ublic Contract Code, or engage in the performance of any contract for public work. as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 Of the Public Contract Code.. provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply, by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Horizons Construction Co. Int'I, Inc. Contractor By Kir�ri Kotrash V. President Title Date: 9 CC DIR 4: 1000011017 C-12 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 For WORTHY PARK RECONFIGURATION PROJECT, CC1513 in the CITY OF HUNTINGTON BEACH September 13, 2016 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Table of Contents Page 4: Delete "Bidders Certification ... .... .... C-13" This sheet is not included in Section C as it is not required for this project 2) Please find following, the Asbestos Certification and supporting documents. This is to acknowledge receipt and review of Addendum Number One, dated September 13. 2016 N c n zans Uxbt yucjin)n C_ 'h___ Company Na e C?� IG�L� Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For WORTHY PARK RECONFIGURATION PROJECT, CC1513 in the CITY OF HUNTINGTON BEACH September 15, 2016 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Replace Sheet C-2 with the following sheet. This is to acknowledge receipt and review of Addendum Number One, dated September 13, 2016 14ffiZL,r6 Company ame';�►'�c;t Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. OLD REPUBLIC SURETY COMPANY BOND NO.: HORCO-335 BID BOND KNOW ALL MEN BY THESE PRESENTS: That we, HORIZONS CONSTRUCTION COMPANY INTERNATIONAL, INC. (hereinafter called the Principal), and OLD REPUBLIC SURETY COMPANY a corporation organized and doing business under and by virtue of the laws of the State of WISCONSIN, 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 OF THE BID Dollars (10% OF THE 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 WORTHY PARK RECONFIGURATION PROJECT, JOB/BID NO. 1513, 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 sigrfied and sealed this 16TH day of SEPTEMBER, 2016. OLD RE UBLIC SURETY COMPANY Y SPQIW, Attorney -in -Fact CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of CALIFORNIA County of ORANGE } On ` 'I 1 ilL-AV before me, ERIKA GUIDO, NOTARY PUBLIC, personally appeared RANDY SPOHN , ® who proved to me on the basis of satisfactory evidence to be the personH whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/t-bey executed the same in his/+ef/thei-r authorized capacity fies), and that by his/ice/thei-r signaturefs- on the instrument the personN, or the entity upon behalf of which the personN acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. FRIKAGUIDO i_ COMM- # 2022671 WITNESS nd and official seal. NOTARY PUBLIC CALIFORNIA G ORANGE COUNTY 5, 2017 t 91 My comm. expires May ure of Wot ary 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 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk January 4, 2017 Morillo Construction, Inc. 227 N. Holliston Ave. Pasadena, CA 91106 RE: Worthy Park Reconfiguration — CC-1513 Enclosed please find your original bid bond for CC-1513. Sincerely, Robin Estanislau, CIVIC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand - +J '� ���► MORILLO CONSTRUCTION, INC. 227 N. Holliston Ave., Pasadena, CA 91106 Lic. No. 326965 Sealed Bid for Worthy Park Reconfiguration Project In the City of Huntington Beach DO NOT OPEN WITH REGULAR MAIL TO: City of Huntington Beach, City Clerk 2000 Main Street, 2"d Floor, Huntington Beach, CA 92648 BID DUE: September 20, 2016 (cry 2:00 PM h SECTION C PROPOSAL for the construction of WORTHY PARK RECONFIGURATION PROJECT CC No. 1513 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 90 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with the Department of Public Works 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 the Department of Public Works 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 DEPARTMENT OF PUBLIC WORKS 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 Department of Public Works will reject all bids and will re -advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-t 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 Department of Public Works' notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the Department of Public Works and this bid and the acceptance hereof may, at the Department of Public Works' option, be considered null and void. Accompanying this proposal of bid, find bid bond in the amount of to 0 of bid which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the Department of Public Works. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: PROJECT BID SCHEDULE Item No. Item Base Bid Amount in Figures Construct "Worthy Park Reconfiguration" Project, CC- 1 1513. ROMTEC Restroom building components supplied by City as indicated on Drawings and SSDS. All other materials necessary to complete the construction, including site work, identified on plans and specifications to be su lied and constructed by Contractor. Total Bid Amount $ State Base Bid amount in words, which will be basis of award. 017e ,(� illi0n 121�7{ hun cl&o/ d'Pd��� 7`6w-rawd Dollars A. This Section identifies potential changes in the work under consideration for this contract. The Owner reserves the right to accept any or all of the listed Alternates, regardless of the order of their listing. State added cost to replace Tifway II Seeded Turf with Tifway II Sodded Turf. 'l��Lj r �ltl?Oi EI�f�%1�/7G1�� Dollars (in words) (S gy, 900 ) (numbers) C-? /'40l/ r-W-a fr r LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR Dollar % of Item(s) Subcontractor License Number Amount Contract Number G36 mCA 9gy'o;6 2.5,�� / 3 oy7 ZL� • 64 G, r� % �6aM f (,�� � 93 j�, % .51, 350 q Pr • 3.rz c /3 G� c+- ?uTZ C n 1 ay �/jc� a h /9/d (7 TAH At-c 27ql9 By submission of this proposal, the Bidder certifies: That he is able to and will perforn the balance of all work which is not covered in the above subcontractors listin-. That the Department of Public Works w111 be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-v fired LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business ,address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid_—. _Name -and -Address -of —State --Class DIR —Dollar %-of Item(s) Subcontractor License Number Amount Contract Number; nG� in�n� ic�� � � � D• box �D��SI G3G73 �4� G(o �� L l�S� -b/ JSiZCl� �' �k -Ao- Am Arc A'. B /DVD 119" R? -Y) N &0k ed- t��f�c�r 29'/� 6v • j2 � �%¢�i7� .T �l2 jt-/!v �' �J ch-� .tom /"1ch Co»7iA �'• C °/(off ���� (� •� ��`�,�lfs 7 �(`ruw L� , GQ 9Zrgv By submission of this proposal, the Bidder certifies: I. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the Department of Public Works will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Item(s) Name and.Address-of' - Subcontractor State--- License Number -Class- DLR Number —Dollar Amount 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 Department of Public Works 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 on9/20/16 at Pasadena CA Date City State Antoine B. Morillo being first duly sworn, deposes and says that he or she is President of Morillo Construction Inc. the parry making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Morillo Construction Inc. Name of Bidder ignature of Bid er 227 N. Holliston Ave., Pasadena, CA 91106 Address of Bidder C_, 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 WORTHY PARK RECONFIGURATION PROJECT, (1)(we)(1t) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved. " The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal -OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Date: 9/20/16 C-_5 Morillo Construction Inc. Contrac�..�.. Antoine B. Morillo I� President Title DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes M No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Date: 9/20/16 C-7 Morillo Construction Inc. Contracto -- - Antoine B. Morillo President Title BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Morillo Construction Inc. Bidder Name 227 N. Holliston Ave. Business Address Pasadena, CA 91106 City, State Zip (626 ) 796-3800 Telephone Number Lic. No. 326965; Class A, E State Contractor's License No. and Class 10/21/76 Original Date Issued 03/31/17 Expiration Date The work site was inspected by Jerrico Remoquilloof our office on Sept. 14 ,)01 6 The following are persons, firms, and corporations having a principal interest in this proposal: Antoine E. Morillo, President Pierre E. Morillo, VP/Treasurer 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. Morillo Construction Inc. Antoine B. Morillo Printed or Typed Signature Subscribed and sworn to before me this'Phay of Sept . ,)016 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. Stateof California ) County of Los Angeles ) On SL7-69, bel-010 w/ 4 before me, ,VArxv �. do in Soya I A)V 7zW!j P�" - L Month, Day, and Year Insert Name and Title of Notary ' personally appeared Antoine B. Morillo Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. �•`"`:' KANY J. ROBINSON WITNESS m hand and official seal. �� CoMM. 2125136 y N � g NOTARY PUBUC•CALIfORNIA U1 L0E ANCEIEf CWM1T MT core. ExP, auo. 2e, 2o�e� Signature ignatty(e cjNotary Public (PLACE NOTARY SEAL ABOVE) C_o U��OtS "TI�i CONSENT OF D=CTORS IN LIFTS OF N=EETII�G OF NIORILLO COTNST2UCTIO-', INC. T'necnnsi,Lr=- :he directors oI Mnl o CO= -''G1on 1'2C., a CMG m2 cG�Gra=Gu he `Cnrpnra�nn�), do hereby consent to the �dnptinn ve in IOwT1'i� resnlutln�S. W.H=A-S, the Corporation periodicaly receives proposals "PrnpG-Sals") from a-Dve=ent agencies, school districts, and other entities requesting the Corporation submit construction bids to connectifln whh projects being developed by such agencies or entities; WARE s, `ht Proposals req lire that any bids submi..ed by �e Co-poratinn be sued by a co Borate officer or o Sher aerso^s ni the bidding company who h_ve been d,u}y authored by )e bidding coznpanY to sign on i.Is behalf, RESOLVE r D , 'nai any one (1) or re =GOF tIle iG In wig 7erson' hereby authoi.?--d to igal n":1 the lf o H, 2� CG:-poram-on on any bids ,-ZDd in -Lae nr:-1e Gi e Cor. >D: , o P =- P—RE MO_P�.0 a1 OLD B. NMORJ-T —To 'I'h--,s aC`1on is zakC n autho:"Ty gr meted L"a ScCtlon 30/ CD) oI h-- C�1tTn W'a Cnrpn atlas Code. Da_=d: Ma GII 14, 2003 Pierre Morilln, D�-ecnr Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. General Contractor or sub -contractor should have experience with construction of ROMTEC modular constructed buildings. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: Liberty Community Plaza; Community Dev't. Commission of County of Los Angeles, 1 700 W_ Main St Alhamhra CA 918ni Name and Address of Public Agency Name and Telephone No. of Project Manager: Daniel Mendoza; 626/262-4511 $11,513,484 New construction Contract Amount Type of Work 10/16/15 Date Completed Provide additional project description to show similar work: Site preparation o approximately 8 acres, and construction of a new LEED Gold, as well as construction of photovoltaic canopy, outdoor amphitheaters, extensive landscapes, play structures, site seating ant lighting ant utilities. Hollywood Recreation Center - Pool & Pool Bldg. 2. City of Los Angeles; 200 N. Spring St.,Ste.2303 LA CA 90012 Name and Address of Public Agency Name and Telephone No. of Project Manager: Michael Uemura ; 2 31 / 8 4 7 - 4 7 81 $6,480,285 Contract Amount New construction Type of Work 01/11/16 Date Completed Provide additional project description to show similar work: The recreation center included construction of new 5,669 sf. pool bldg.,with pool ite was also upgraded with new storm water tank, landscape and irrigation, shade structure and site uti sties. Wilson High School - ADA Upgrades Long Beach USD; 2425 Webster Ave., Long Beach CA 90810 Name and Address of Public Agency Jim Fisher; 760/796-7700 x 121 Name and Telephone No. of Project Manager: Rick Osgood; 760/445-3075 $2,001,208 ADA and site improvements 02/27/15 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: The project consists of ADA upgrades; upgrade to football field to include lighting; regrade and provide staa_um seating for soccer field and fo-sndations for portable co_.cessicn buildings and Bathroom. buildings. Site: 28 ages. C-10 ROMTEC Bidder's Project History For the pu►poses of this project, the bidder shall provide project history of similar work. Biddeis are encouraged to submit supplemental relevant project history in addition to the projects listed herein. General Contactor or sub -contractor should have experience xvith construction of ROMTEC modular constricted buildings. _ Listed belong are the names, address and telephone numbers for three public agencies for Which the bidder has performed similar %vork within the past fide years: I. Ala i -I ; m- 9,%d - /20u f AJ0 4 �... _..� Name and Address of Public Agency 3. Nance and Telephone No. of Project Manager. Contract Amount Type of Work Date Completed Provide additional project description to shout similar work: Name and Address of Public Agency Nance and Telephone No. of Project Manager: Sri vwm Z 1 U_.�75=%d,,U Contract Amount Type of Work Date Completed Provide additional project description to show similar 2 Dante dnd Address of Public Mane and 'Telephone No. of Project Manager: �'ar ���L�q.._ ........ �7a Conn -art Amount Type of Work Date Completed Provide additional project description to show Similar work: C- toi Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. Pierre B. Morillo Name of proposed Project Manager Telephone No. of proposed Project Manager: 6 2 6/ 3 9 4- 0 0 0 0 Liberty Community Plaza New construction 10/16/15 Project Name & Contract Amount Type of Work Date Completed Hollywood Recreation Center New construction 01/11/16 Project Name & Contract Amount Type of Work Date Completed Wilson HS ADA Upgrades New construction 02/27/15 Project Name & Contract Amount Type of Work Date Completed I Richard Lizama Name of proposed Superintendent Telephone No. of proposed Superintendent: 6 2 6/ 3 9 4- 0 015 Liberty Community Plaza New construction 10/16/15 Project Name & Contract Amount Type of Work Date Completed Hollywood Recreation Center New construction 01/11/16 Project Name & Contract Amount Type of Work Date Completed Wilson HS ADA Upgrades New construction 02/27/15 Project Name & Contract Amount Type of Work Date Completed CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublieWorks/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link — Call (844) 522-6734 http s: //efiling. dir. ca. gov/P W CR/ActionS ervlet? action=di sp layP W CRegi strationFonn DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Date: 9/20/16 DIR, 1000003577 C_ 12 Morillo Construction Inc. ---------- Contractor� Antoine B. MorfTlo President Title City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For WORTHY PARK RECONFIGURATION PROJECT, CC1513 in the CITY OF HUNTINGTON BEACH September 13, 2016 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Table of Contents Page 4: Delete "Bidders Certification ........................ C-13" This sheet is not included in Section C as it is not required for this project 2) Please find following, the Asbestos Certification and supporting documents. This is to acknowledge receipt and review of Addendum Number One, dated September 13, 2016 __ 1 l Morillo Construction Inc. Antoine B. Morillo Company Name 9/13/16 Date By All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For WORTHY PARK RECONFIGURATION PROJECT, CC1513 in the CITY OF HUNTINGTON BEACH September 15, 2016 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Replace Sheet C-2 with the following sheet. This is to acknowledge receipt and review of Addendum Number One, dated September 13,2016 ( (XI Morillo Construction Inc. Antoine 3. Morillo Company Name 9/15/16 Date By All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. GREAT AMERICAN INSURANCE COMPANY BOND NO.: MORCO-242 BID BOND KNOW ALL MEN BY THESE PRESENTS: That we, MORILLO CONSTRUCTION, INC., (hereinafter called the Principal), and GREAT AMERICAN INSURANCE COMPANY, a corporation organized and doing business under and by virtue of the laws of the State of OHIO, 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 OF THE BID Dollars (10% OF THE 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 WORTHY PARK RECONFIGURATION PROJECT, CC NO. 1513, 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 13TH day of SEPTEMBER, 2016. raw MORILLO CONSTRUCTION, INC. GREAT AMERIC/IkN INSURANCE COMPANY BY: &/04t:: 2 i MATTHEW R. DOBYNS, Attorney-in-F 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 THREE No.0 14578 POWER OF ATTORNEY 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 attorney -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 RANDY SPOHN ALL OF ALL ZARA SPOHN SANTAANA, $100,000,000.00 MATTHEW R. DOBYNS CALIFORNIA This Power of Attorney revokes all previous powers issued on behalf of the attorneys) -in -fact named above. IN WITNESS WHEREOF the GREAT AMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this 1ST day of SEPTEMBER 1 2015 Attest GREAT AMERICAN INSURANCE COMPANY IXSI/q Assistant Secretary or Vice President STATE OF OHIO, COUNTY OF HAMILTON - ss: DAVID C. KiTCHiN (677-377-2405) On this 1ST day of SEPTEMBER 2015 , before me personally appeared DAVID C. KITCHIN, to me known, being duly swom, 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 in and 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. +rai This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American 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 behalf of 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 Secretory or Assistant Secretory of the Company maybe 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 ofsuch 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 13th day of September 12016 4�_ 3; �yulm, Assistant Secretary S1029AF (06/15) ° CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of CALIFORNIA Countyy.o ORANGE I On (I J V v' before me, ERIKA GUIDO, NOTARY PUBLIC, personally appeared MATTHEW R. DOBYNS , ® who proved to me on the basis of satisfactory evidence to be the personH whose nameH is/afe subscribed to the within instrument and acknowledged to me that he/sloe/they executed the same in his/ice/41ei-F authorized capacity fies), and that by his/her/4iei-F signatureH on the instrument the person{s), or the entity upon behalf of which the personH 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. ERM. # 20 2671 WITNE hand and official seal. COMM. # 2022671 NOTARY PUBLIC CALIFORNIA N 3 ORANGE COUNTY J� M comm. expires May 5, 2017 7r 'gnatu f otary Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER ❑ PARTNER(S) ❑ LIMITED ® ATTORNEY -IN -FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) DESCRIPTION OF ATTACHED DOCUMENT City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk January 4, 2017 Ohno Construction Company 16398 Boyle Ave. Fontana, CA 92337 RE: Worthy Park Reconfiguration — CC-1513 Enclosed please find your original bid bond for CC-1513. Sincerely, Robin Estanislau, CIVIC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand j C, C14 r) 06 rl- C14 co C: m ,a CL 0 E 0 < C: co O a) a) CD > rn < ,t < 04 co M 0 (2 00 E 00 C: 00 0 M 00 0 0 c) rl_0. 00 C: 0 0.) M C14 , U) C,) C: 6 co 0 0 co 0 7- u- co o OD o 0 0 o C) o >, >, c):3 a) U) -L-f C) t-� C) NC:) = UJ SECTION C PROPOSAL for the construction of WORTHY PARK RECONFIGURATION PROJECT CC No.1513 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 90 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with the Department of Public Works 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 the Department of Public Works 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 DEPARTMENT OF PUBLIC WORKS 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 Department of Public Works will reject all bids and will re -advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the Department of Public Works' notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the Department of Public Works and this bid and the acceptance hereof may, at the Department of Public Works' option, be considered null and void. Ac ompanying proposal of bid, find Bidder's Bond for 10% in the amount ofH, 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 Department of Public Works. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received 1 09-13-2016AW 2 09-15-2016- A PROJECT �B D C EDULE Item No. Item Base Bid Amount in Figures Construct "Worthy Park Reconfiguration" Project, CC- 1 1513. ROMTEC Restroom building components supplied by City as indicated on Drawings and SSDS. All other materials necessary to complete the construction, including site work, identified on plans and specifications to be supplied and constructed by Contractor. �c Total Bid Amount $ 1 (0 State Base Bid amount in words, which will be basis of award. 4- ,s4 a L' ��, in , �- - �n�a,� Ac m& z w Q�� ►. �,.�c� c� - Dollars A. This Section identifies potential changes in the work under consideration for this contract. The Owner reserves the right to accept any or all of the listed Alternates, regardless of the order of their listing. State added cost to replace Tifway II Seeded Turf with Tifway II Sodded Turf. LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bill Name and Addres of State Class DIR Dollar . % of ; Item(s) Subcontractor- License. Number Amount Contract 1VumheN °te (r!e"1 a(r1 'D \a \boo era 2L11q k2+-L S� S-- s cc� C©nc 'k-faA 1 • • J L��:�o �o� C 0rs �%AA110,l �tba3 t oo o o �S�{o 13�183` WdAMV_1 w � 1�31�3� � 00 io�-I So0 3 3, 'v�vlcc,�`✓t ���1 Mar S� °t 2� C: C�OC�C? c j . }c� CA `7 Cq S' `7 _ vsvt 0 By submission 8t- is proposal, the Balder 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 Department of Public Works will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 t e s� W2,1 VOAev`w-. v �bbbDo 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 9/20/16 , at Fontana CA Date City State Michio Marcus Ohno , being first duly sworn, deposes and says tha he r she is Chief Operating Officer of Ohno Construction 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. Ohno Con Name of i4 Signature of Bidder // Michio Marcus Ohno 1639�/Boyle Ave. Fontana, CA 92337 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 WORTHY PARK RECONFIGURATION PROJECT, (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: Sept. 20, 2016 C-5 Ohno Construction Contractor/' Chief Operating Officer DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes &No If the answer is yes, explain the circumstances in the space provided. Not Applicable 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: Sept. 20, 2016 C-7 Ohno Construction T Michio Marcus Ohno hief ODeratina Officer BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Ohno Construction Company Bidder Name 16398 Boyle Avenue Business Address Fontana CA 92337 City, State Zip ( 619 ) 278-8824 Telephone Number 833470 - Class A, B, C-12, C-27 & C-61/D-12 State Contractor's License No, and Class March 5, 2004 Original Date Issued March 31, 2018 Expiration Date The work site was inspected by Michio Marcus Ohno of our office on ept. 13 )2016. The following are persons, firms, and corporations having a principal interest in this proposal: Yoshio Ohno, President, Ohno Construction Co Richard Brangwin, VP, Ohno Construction Co C-8 Michio Marcus Ohno, COO, Ohno Construction Co. Barbara Ohno, Secretary, Ohno Construction Co. 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 faAh. Ohno Constri:action Comp riy Company; " ne I/' Signature of Michio Marcus-Ohno ?rinted or/Typed Signature Subscribed and sworn to before me this 20thday of Sept. � 201 16 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of San Bernardino On Sept. 20, 2016 Month, Day, and Year personally appeared before me, I AY 11679 I Insert Name and Title of Notary Michio Marcus Ohno Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official s S ignature Y"NU flAE ROBBERSON Commission # 2070374 z Notary Public - CalNornia i = San Bernardino County M I V Comm. Ex Ues Jun 5, 2018 of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. General Contractor or sub -contractor should have experience with construction of ROMTEC modular constructed buildings. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 111 Los Angeles Dept. of Public Works - Parks & Rec, 900 S. Fremont Ave., Alhambra, CA 91803 Name and Address of Public Agency Name and Telephone No. of Project Manager: Sam Shadab - 626-300-2328 $9,874,552 El Cariso Park - Design Build Public Park 06/30/2015 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3 park buildings, UAPA play area, 1 natural and 1 synthetic turf sports field, 6 picnic shelters, demo, handball courts, Musco lights, parking lot, park lighting, utilities, site furnishings City of Torrance - 3350 Civic Center Drive, Torrance, CA 90503 Name and Address of Public Agency Name and Telephone No. of Project Manager: . Jon Landis. Facilities - 310-781-7199 or 310-825-4321 $1,632,960 Toyota Sports Park - Public Park 01/31/2014 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Pre-fab rest room/concession building, 225,000SF synthetic turf fields, utilities, irrigation, Masonry wall, site furnishings ADA walkways landscaping, fencing, electrical City of Glendale, 613 E. Broadway, Room 110, Glendale, CA 91206 Name and Address of Public Agency Name and Telephone No. of Project Manager: $769, 506 Contract Amount Mr. Shahen Begoumian - 818-548-3945 Pacific Park - Public Park Type of Work 03/31 /2014 Date Completed Provide additional project description to show similar work: Demo of sod field, irrigation, landscaping, fencing, bleachers, new synthetic turf athletic field Note: Additional relevant project list and references are attached. C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. John Karlsson Name of proposed Project Manager Telephone No. of proposed Project Manager: 909-272-5150 El Cariso Park (Asst PM), LA Parks & Rec - $9,874,552 - Design Build Public Park 06/30/2015 Project Name & Contract Amount Type of Work Date Completed Pacific Park, City of Glendale - $769,506 - Public Bid Park 03/31/2014 Project Name & Contract Amount Type of Work Date Completed CSU Long Beach Track & Field - $3,942,325 - University Design Build Public Bid 06/30/2015 Project Name & Contract Amount Type of Work Date Completed 2. Justin English Name of proposed Superintendent Telephone No. of proposed Superintendent: 714-655-3920 Toyota Sports Park, City of Torrance - $1,632,960 - Public Bid Park 01/31/2014 Project Name & Contract Amount Type of Work Date Completed El Cariso Park, LA Parks & Rec - $9,874,552 - Design Build Public Park 06/30/2015 Project Name & Contract Amount Typc of Work Date Completed UCLA Intramural Fields, UCLA - $4,086,807 - University Sports Fields 05/31/2015 Project Name & Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refandable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublieWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link — Call (844) 522-6734 https://efiling. dir.ca. gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiling,dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work, pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Date: Sept. 20, 2016 DIR #: 1000000584 C-12 Ohno Construction By MZhio Marcus Ohno Title Operating Officer Consent in Lieu of Special Meeting of Directors In accordance with the provisions of the Washington Business Corporation Act for unanimous consent of the directors in lieu of meetings, and for waiver of notice thereof, the undersigned, being all the directors of Ohno Construction Company hereby, expressly in lieu of a special meeting of directors, consent to and approve the resolutions set forth below. RESOLVED, That Micho Marcus Ohno (aka "Marcus Ohno") is unanimously elected to the office of Chief Operating Officer / Treasurer to hold office until the next annual meeting of directors, or until his successor shall have been elected and qualified. RESOLVED, That the following persons are authorized to sign contracts on behalf of the Corporation: Yoshio A. Ohno, President Richard L. Brangwin, Vice President Michio Marcus Ohno, Chief Operating Officer / Treasurer Barbara Ohno, Secretary Joseph Fant, Senior Project Manager Jeffrey Byerly, Project Manager SIGNED AND DATED as of A ----a - --- 72016. 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W Ohno Construction Company Resume Of John Karisson - Project Manager Experience: John Karlsson became part of Ohno Construction in 2012 after working in tandem with Ohno's team on the San Juan Hills Stadium project, where John had been involved with the school district's construction management contractor. Since joining Ohno, John has worked in project management for virtually every athletic field project that has been awarded. He has earned the solid reputation he holds with UCLA and the other owners he has worked for by his proactive resolutions to problems that arise, as well as for his ability to keep projects on schedule through attentive management of submittals and material orders. John's self- discipline may be grounded in the time he spent in the U. S. Marine Corps, but his altruism speaks to his commitment to living a faith -filled life. Education: University of Phoenix, BS — Business Management (In Progress) University of California, Irivne — Project Management Certificate Employment: 2012 — Present: Project Engineer (starting), promoted to Project Manager, Ohno Construction Company 2011 — 2012: Sr. Project Engineer, Capistrano Unified School District/Knowland Construction Services 2005 — 2011: Project Engineer/Assistant Estimator, Consolidated Contracting Services 2004 — 2005: Loan Processor, Dell Financial Services 2002 — 2004: Lead Installer, Hardy Window & Door 1996 — 2002: U.S. Marine Corps (Honorable Discharge) Accreditations: Construction Quality Management Certificate First Aid/CPR 30 Hour OSHA Construction Industry Outreach Recent Project Experience: 2016: Sunnymead Middle School Track & Field, Moreno Valley USD John H. Liechty Middle School Turf Replacement, LAUSD (cont. from 2015) 2015 John H. Liechty Middle School Turf Replacement, LAUSD Diego Rivera Learning Complex Turf Replacement, LAUSD Sandra Cisneros Learning Academy Turf Replacement, LAUSD 2015 (cont) Sonia Sotomayor Learning Academy Turf Replacement, LAUSD El Camino Real Charter High School Turf Replacement, LAUSD Fairfax High School Turf Replacement, LAUSD Track Replacement Project, Cal State University Long Beach (cont. from 2014) 2014 El Cariso Park, County of Los Angeles Parks & Rec (2 fields) Track Replacement Project, Cal State University Long Beach Pacific Park, City of Glendale Canyon High School Athletic Track & Field, William S. Hart School Unified District Valencia High School Athletic Track & Field, William S. Hart Unified School District Bishop Amat High School Field, Roman Catholic Archdiocese of Los Angeles Nativity High School Field, Nativity School 2013 San Dieguito Academy Track & Field, San Dieguito Union High School District St. Francis X Cabrini Athletic Field, Roman Catholic Archdiocese of Los Angeles Carter High School Athletic Field, Rialto Unified School District/Neff Construction Rialto High School Athletic Field, Rialto Unified School District/Neff Construction Rio Hondo Community College Softball Field, Rio Hondo Community College District Drake Stadium Track Replacement, UCLA Keppel High School Athletic Field, Neff Construction/Glendale Unified School District Experience Prior to Ohno Construction 2012 San Juan Hills High School Stadium, Capistrano Unified School District San Juan Hills High School Pool, Capistrano Unified School District 2011 Capistrano Valley High School Performing Arts Theatre, Capistrano Valley Unified School District 2010 Palm Club Park C, Irvine Company Saddleback Group Medical Facilities, Saddleback Group Ohno Construction Company Resume of Justin English - Superintendent Experience: Justin English has been with Ohno Construction for nearly 15 years, proving his ability to assume increasingly greater responsibilities in on -site supervision, as well as subcontractor management, equipment operation, and estimating. Justin has been an integral part of the growth and expansion of Ohno's operations in southern California. His background includes numerous athletic tracks, fields and facilities for public school projects, in addition to parks and private sector work. He is known for his ability to `think outside the box', and has even fabricated special tools to use at project sites, saving both time and expenses. Justin most recently served as Superintendent on a 330,000 SF synthetic turf fields facility at UCLA, located on a rooftop parking structure. Employment History: 2001 to Present: Superintendent, Ohno Construction Company Accreditations: Flagger Trench Safety Red Cross/CPR & First Aid Erosion Control- 24 Hr SWPPP 30 Hour OSHA Hazard Recognition Proficiencies: Crew Supervision, Construction Coordination, Punch List Completion, Safety, Pipe Laying, Irrigation, Landscaping, Heavy Equipment Operations, Quality Control, Scheduling Inspections & Plan Analysis Recent Project Experience: 2016 Bishop Mora Salesian High School (Private) KARE Youth Soccer Fields, Santa Fe Dam Park (Private/Public Partnership) Los Altos High School Track & Field, Hacienda La Puente USD (In Progress) 2015 UCLA Intramural Fields (3), University of California — Los Angeles Drollinger & Hannon Athletic Fields, Loyola Marymount University Moorpark College Track, Ventura County CCD Compton Community College Athletic Field, Compton CCD 2014 Bishop Amat High School Field (Private), Design -Build Canyon High School Athletic Track & Field, William S. Hart Union HSD Track Replacement Project, California State University — Long Beach (Design/Build), CSULB 2013 Drake Stadium Track Replacement, UCLA Toyota Sports Park Athletic Fields (255,000 SF), City of Torrance Carter High School Athletic Field & Track Improvements, Rialto USD Rialto High School Athletic Field & Track Improvements, Rialto USD El Cariso Park, LA County Parks & Rec, Design Build 2012 Hoover High School Track & Field, Glendale USD USU Rec Field (129,OOOSF), Cal State University - Northridge Spaulding Field Turf, UCLA Lanark Park Turf Replacement, City of Los Angeles — Parks & Rec Big Finn Hill Lacrosse Park, King County Parks 2011 Husky Field Turf Removal, University of Washington San Juan Hills High School Stadium Improvements, Capistrano USD Coronado Village School Turf Field, Coronado USD Belmont High School Athletic Field and Track, LAUSD 2010 Orange Park Acres Storm Drain, Orange County Public Works 2009 San Gabriel High School Track & Field, Alhambra USD Huntington Beach High School Stadium, Track & Field, Huntington Beach Union HSD Westminster High School Stadium, Track & Field, Huntington Beach Union HSD 2008 Antelope Valley Community College Baseball Field West Expansion, Antelope Valley CC District 2007 Bassett County Park Improvements Phase II Soccer Fields (2), LA County Parks & Rec Estancia High School Athletic Field, Newport -Mesa USD Agoura & Calabasas High School Fields, Las Virgenes USD American Martyrs Playfield (Private), Design -Build 2006 El Segundo Athletic Fields (2), City of El Segundo Cerritos College Football Field and Track, Cerritos Community College District La Costa Canyon High School Track and Field, San Dieguito Union HSD La Puente High School Track and Field, Hacienda La Puente Unified SD 2005 Jack Bulick Park (3 Natural Turf Fields), City of Fontana San Marino High School Track & Field, San Marino Unified Schools Dan Young Synthetic Turf Field, City of Santa Ana San Marcos High School Track & Field, San Marcos Unified Schools City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 For WORTHY PARK RECONFIGURATION PROJECT, CC1513 in the CITY OF HUNTINGTON BEACH September 13, 2016 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Table of Contents Page 4: Delete "Bidders Certification ............... ......... C-13" This sheet is not included in Section C as it is not required for this project 2) Please find following, the Asbestos Certification and supporting documents. This is to acknowledge receipt and review of Addendum Number One, dated 13, 2016 i .1// Ohno Construction Company Company Name By Sept. 20, 2016 Date .!' All bidders must acknowledge and include the receipt of proposal. io Marcus Ohno Addendum with your bid r City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For WORTHY PARK RECONFIGURATION PROJECT, CC1513 in the CITY OF HUNTINGTON BEACH September 15, 2016 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Replace Sheet C-2 with the following sheet. This is to acknowledge receipt and review of Addendum Number One, dated 13, 2016 i Ohno Construction Company Company Name Sept. 20, 2016 Date All bidders must acknowledge and include the receipt of proposal. arcus Ohno dendum with your bid From: Ohno Estimating Sent: Tuesday, September 20, 2016 10:05 AM To: Jill Agnelli; Vanessa Robberson; Sid Fontenot Subject: Fwd: RE: Completed Projects List - SJ GRIGOLLA Grigolla's Project References... -------- Forwarded Message-------- Subject:RE: Completed Projects List - SJ GRIGOLLA Date:Tue, 20 Sep 2016 10:03:33 -0700 From:Rosie Aguilar <rosie.sigri olla ,verizon.net> To:'Stephen Young'<stephen.sjg_rigolla(i�gmail.com>,'ohno cc estimating' <estimating2ohnoconstruction.com>,'Rita' <sj grigolla2verizon.net> Completed Projects: 1. Walnut ES - Terra Pave - $100,000.00+ 08/2016 2. Rancho Cucamonga MS - AMG and Associates - $365,000+ 07/2016 3. Walnut Creek Park - Principles Contracting - $85,000.00+ 02/2016 4. La Habra Community Center - Cal City - $145,000+ 05/2015 5. CSULB Art Plaza, Horn Center - Angeles Contractor - $85,000.00+ 09/2015 6. Costa Mesa HS Parking Lot - Harik Construction - $300,000+ 10/2015 7. San Clemente Library Expansion - Sanders Construction - $60,000.00+ 05/2015 8. UCLA Northwest Facilities Yard - PCN3 - $175,000.00+ 02/2016 9. Rio Hondo Track and Field - Sanders Constructon - $225,000.00+ 01 /2016 10. Long Beach CC -Angeles Contractor- $225,000.00+ 10/2013 Rosie Aguilar - Account Manager S.J. Grigolla Construction Co., Inc. 2639 Sierra Way - La Verne, CA 91750 Tel: (909) 596-6406 - Fax: (909) 596-5031 Cell:(310) 462-2152 License No. 462356-A&B BID BOND KNOW ALL BY THESE PRESENTS, That we. Ohno Construction Company of 9416 Martin Luther King Jr. Way S., Seattle, WA 98118 (bercinailcr called the Priafiipal), as Principal, and Travelers Casualty and Surety Company of America (hereinafter called the Surety). as Surety arc held and firmly bowed unto City of Huntington Beach (hereinafter called the Obligee) in the penal sum of Ten Percent (10%) of Total Amount Bid Dollars ($ I(l% _ ) for the payment of which the Principal and the Surcty bind themselves, their heirs, executors, administrators, successors and assigns. jointly .and severally, firmly by these presents- THF CONDITION OF THIS OBLIGATION IS SUC1I, That WREREAS, the Principal has submitted or is about to submit a proposal to the Obligcc on a contract for Worthy Park Reconfiguration Project, CC No. 1513 NOW. TF{FREFORE, If the said Contract be timely awarded to the Principal and the .Principal shall, wilhin such time as tnay be specified, enter into the Contract in writing. and Dive band, if bond is required, with surety acceptable to the Obligee for the faithful perfornuince of the said Contract, then this obligation shall be void; otherwise to remain in full force and effect, Signed and scaled this 20th day of _. September . 2016 I 4Vi tnesg i Witness Ohno C ' truction m�Ifany.(Sca]) I // Principal ���i uiG rti� lUv'�D (-VQC , «w Title Travelers asualty and Surety Company of Americ ' Jim S. Kuich Attorn6 cat-I"ac t ATTORNEY -IN -FACT ACKNOWLEDGEMENT STATE OF WASHINGTON ) ss: COUNTY OF KING ) On this 20th day of September, 2016, before me, the undersigned, a Notary Public in and for the said State, personally appeared Jim S. Kuich, known to me to be the Attorney -in - fact for Travelers Casualty and Surety CoMpan_y of America, whose name is subscribed to the within instrument and acknowledged to me that he executed the same. NOTARY PUBLIC My commission expires: 9/21/2019 M C ' o��gSIONF�A• �� ' `' NOTARY l �A PUBLIC �:'ZZ ��� F QER 2 .• 0�,,. 0F WASH����`' ���IIIIIII% WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER 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. 230854 Certificate No. O O 6 8 O 2 6 9 3 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 Julie M. Glover, S.M. Scott, Michael A. Murphy, Jim W. Doyle, Andy D. Prill, Jim S. Kuich, Chad M. Epple, Steve Wagner, Theresa A. Lamb, Carl M. Lovested III, Patti White, and Teresa Glombecki of the City of Bothell , State of Washington , their true and lawful Attomey(s)-in-Fact, each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this day of 'May 2016 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 18th St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company Gr SU,�� 2 0 �� M•� y v O� �- 9 J .. ... 9 S .`l Na gtTYC �� I982 ; � 19// M � PDRAtED Leh �a .m' SOP Tt.;l^ c-� yy ?_ i --_ � s a HARTFORD, < e J'} HAFYfFORD, ;S ` Nc6Bi7N4RC w CONN. n °,5` CONK. f 2 N 1896 �j, 195 �t.SEALio' EALa°O� � •-• ... a'r J o: ....... an F e n; h• '•+ �lNiI do .f T"`�„��: w• .NS NMAN�.�s' .ra d �"+ ! •' ANt State of Connecticut City of Hartford ss. By: - Robert L. Raney, Senior Vice President On this the 18th day of May 2016 , 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. GTE nn� t /1 In Witness Whereof, I hereunto set my hand and official seal. My Commission expires the 30th day of June, 2021. �0I18��G * Mar e C. Tetreault, Notary Public 58440-5-16 Printed in U.S.A. WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachea.gov Office of the City Clerk Robin Estanislau, City Clerk January 4, 2017 Spectrum Construction Group, Inc. 32 Edelman Irvine, CA 92618 RE: Worthy Park Reconfiguration — CC-1513 Enclosed please find your original bid bond for CC-1513. Sincerely, Robin Estanislau, CIVIC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand F- U W O w a. z O H Q D (D LL O U LL 0 O 0 W z w O Y m J w zLij o p o fn U N Q 3 O /L^ V O Y Y 00 Q0 U EG < 41 W _C Q N Ln m — co co 0 N Q U 2 U Q W m z O H C� z z D 2 SECTION C PROPOSAL for the construction of WORTHY PARK RECONFIGURATION PROJECT CC No. 1513 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 90 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with the Department of Public Works 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 the Department of Public Works 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 DEPARTMENT OF PUBLIC WORKS 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 Department of Public Works will reject all bids and will re -advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the Department of Public Works' notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the Department of Public Works and this bid and the acceptance hereof may, at the Department of Public Works' option, be considered null and void. Accompanying this proposal of bid, find '91 00 J in the amount of 10 Y. o� 9A 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 Department of Public Works. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received idder's Si nature 1 '7 13 2 I 1116 PROJECT BID SCHEDULE Item No. Item Base Bid Amount in Figures Construct "Worthy Park Reconfiguration" Project, CC- 1 1513. ROMTEC Restroom building components supplied by City as indicated on Drawings and SSDS. All other �;� i � �tr materials necessary to complete the construction, including site work, identified on plans and specifications to be supplied and constructed by Contractor. Total Bid Amount $ State Base Bid amount in words, which will be basis of award. A. This Section identifies potential changes in the work under consideration for this contract. The Owner reserves the right to accept any or all of the listed Alternates, regardless of the order of their listing. State added cost to replace Tifway II Seeded Turf with Tifway II Sodded Turf. SQVCnr � � �'l���V S� (�� c.�C S Dollars (in words) ($ ) (numbers) C-2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Item(s) Name and Address of Subcontractor State License Number Class DIR Number Dollar Amount % of Contract Y L, 4/0 909-TS `PhtTIA) Lck'�1:6ren CA By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the Department of Public Works will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 IVA NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the St to of California that the foregoing is true and correct and that this declaration is executed on , at Srvi"r- Date City State BISHER ALJAZZAR , being first duly sworn, deposes and says that he or she is CEOT ESIDENTISECRETARY Of SPECTRUM CONSTRUCTIONG ROUP, 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. SPECTRUM CONSTRUCTION GROUP INC. Name of Bidder Si ature of Bidder 32 EDELMAN IRVINE CA 92618 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 WORTHY PARK RECONFIGURATION PROJECT, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who. by reason of experience or instruction, 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: 1/to / d SPECTRUM CONSTRUCTION GROUP, INC. Contractor 4��9� a -BISHER ALJAZZAR By C-5 CEO/PRESIDENT/SECRETARY Title DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes 0 No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Date: SPECTRUM CONSTRUCTION GROUP, INC. Contractor A-- � BISHER ALJAZZAR By C-7 CEOT RESIDENT/SECRETARY Title BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: SPECTRUM CONSTRUCTION GROUP, INC. Bidder Name 32 EDELMAN Business Address IRVINE CA 92618 City, State Zip ( 949 ) 299-1400 Telephone Number 1005737 - A & B State Contractor's License No. and Class 07/21 /2015 Original Date Issued 07/31/2018 Expiration Date The work site was inspected by NOT APPLICABLE of our office on N/A , 201 _ The following are persons, firms, and corporations having a principal interest in this proposal: SPECTRUM CONSTRUCTION GROUP, INC. BISHER ALIAZZAR - CEO/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. SPECTRUM CONSTRUCTION GROUP INC. Signature of Bidder BISHER ALJAZZAR Printed or Typed Signature Subscribed and sworn to before me this/ % day ofsC�A doc3 2014 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of 71 County of -/ " uCz' ) On Sot:--P ''Jo�� / S c9vle: before me, hZ&—'LTI C? Month, Day, and Year Insert Name and Title of Notary personally appeared Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person (s'S whose namg(s) is//� subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/then authorized capacity(j,6s), and that by his/he'r/their signature,(,') on the instrument the person(sf, 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. TAMASE # 2000177 WM - California Zountyi s Dec 23. 2016 Signature l Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. General Contractor or sub -contractor should have experience with construction of ROMTEC modular constructed buildings. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. NOT APPLICABLE Name and Address of Public Agency Name and Telephone No. of Project Manager: NOT APPLICABLE NOT APPLICABLE Contract Amount Type of Work Provide additional project description to show similar work: NOT APPLICABLE 2 NOT APPLICABLE Name and Address of Public Agency Name and Telephone No. of Project Manager: NOT APPLICABLE Contract Amount NOT APPLICABLE Type of Work Provide additional project description to show similar work: NOT APPLICABLE 3. NOT APPLICABLE Name and Address of Public Agency Name and Telephone No. of Project Manager: NOT APPLICABLE Contract Amount NOT APPLICABLE Type of Work Provide additional project description to show similar work: NOT APPLICABLE C-10 Date Completed Date Completed Date Completed Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. BISHER ALJAZZAR Name of proposed Project Manager Telephone No. of proposed Project Manager 949-246-9749 CITY OF LAWNDALE - $1 600 000.00 - PARK RENOVATION AND RESTROOM - 08/2015 Project Name & Contract Amount Type of Work Date Completed CA DEPT. OF TRANSPORTATION - $800 000 - MAINTENANCE BUILDING - 01/2015 Project Name & Contract Amount Type of Work Date Completed CITY OF LOS ANGELES - $1 300 000.00 - YOUTH SHELTER - 03/2016 Project Name & Contract Amount Type of Work Date Completed 2. SAUL LOPEZ Name of proposed Superintendent Telephone No. of proposed Superintendent: 949-330-3243 PASADENA HIGH SCHOOL - $20,000,000.00 - NEW BUILDING - 06/2007 Project Name & Contract Amount Type of Work Date Completed PORT OF LOS ANGELES POLICE HQ - $45,000,000.00 - NEW CONSTRUCTION - 08/201 1 Project Name & Contract Amount Type of Work Date Completed PORT OF LONG BEACH PIER G - $39 000,000.00 - NEW CONSTRUCTION - 1 1/2010 Project Name & Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link — Call (844) 522-6734 https://efil ing.dir.ca.gov/PWCR/ActioiiServiet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efi ling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Date: _�/Zo /� 6 DIR #: 1000039712 C-12 SPECTRUM CONSTRUCTION GROUP, INC. Contractor By CEO/PRESIDENT/SECRETARY Title THE AMERICAN INSTITUTE OF ARCHITECTS AIA Document A310 Spectrum Construction Group, Inc. 32 Edelman, Irvine, CA 92618 KNOW ALL MEN BY 1-FIESE PRESENTS, thatwe (Here insert full name and address or Iceal title of Contracted) as Principal, hereinafter called the Principal, and International Fidelitv Insurance Company One Newark Center, 20th Floor, Newark, New Jersey 07102 (Here insert full name and addres; or legal tide of Surer) a corporation duly organized under the laws of the State of New Jersev as Surety, hereinafter called the Surety, are held and firmly bound unto Citv of Huntington Beach 2000 Main Street, Huntington Beach, CA 92648 Olere insert full name and addres or le al title of Owner) as Obligee, hereinafter called the Obligee, in the SUM of Ten Percent of Amount Bid Dollars (S 10% of Bid ), For the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executor, administrators, successors and assign, jointly and severally, firmly by'these presents. WI fEREAS, the Principal has submitted a bid for Worthy Park Reconfiguration Project (Here insert full name 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 payment of labor and material furnished in the prosecution thereof; or in the event of the failure of the Principal to enter 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 (Witness) *See attached acknowledgement (Witness) day of September _ _ 2016, Spectru struction Group, c. (Principal) (Seal) Bis er Aljazzar, President Tii el I rnati al Fide ty Insurance Company (S rety (Seal) Kevin P. Reed, Attornev-in-Fact (Title) AIA DOCUMENT A310 BID BOND AIA FEBRUARY 1970 ED THE AMERICAN' INSTITUTE OF ARCHITECTS. r 13S N.Y. AVE., N w', WASHINGTON, D.C. 20006 THIS FORM MUST BE SUBMITTED WITH THE SEALED BID 12 KNOW ALL MEN BY THESE PRESENTS: That INTERNATIONAL FIDELITY INSURANCE COMPANY, a corporation organized and existing laws of the State of New Jersey, and having its principal office in the City of Newark, New Jersey, does hereby constitute and appoint MARCUS REED, KEVIN P. REED Santa Ana, CA. its true and lawful attorneys) -in -fact to execute; seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and otter writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, stature, rule, regguulation, contractor otherwise, and the execution of such instrumenttsi in pursuance of these presents, shall be as binding upon the said INTERNATIONAL FIDELITY INSURANCE COMPANY, as fully and amply, to all intents and purposes, as if the same had been duty executed and acknowledged by its regularly elected officers at its principal office. This Power of Attorney is executed, and may be revoked, pursuant to and by authority, of Article 3-Section 3, of the By -Laws adopted by the Board of Directors of INTERtATIONAL FIDELITY INSURANCE COMPANY at a meeting called and held on the 7th day of February, 1974. The President or any Vice President, Executive Vice President, Secrerary or Assistant Secretary„ shall have power and authority (I) To appoint Attorneys -in -fact, and to authorize them to execute bit behalf of the Company, and attach the Seal of the Company thereto, bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and, (2) To remove, at any time, any such attorney -in -fact and revoke the authority given. Further, this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of said Company adopted at a meeting duly called and held on the 29th day. of April, 1932 of which the following is a true excerpt: Now therefore the signatures of such officers and the seal of ire Company may be affixed to any such power of attorney or any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seat shall be valid and binding upon the Company and any such power so executed and certified by facsimile signatures and facsimile seat shall be valid and binding upon the Company in the future with respect to any band or undertaking to which it is attached, �.tTY lyf IN TESTIMONY WHEREOF, INTERNATIONAL FIDELITY INSURANCE COMPANY has caused this instrument to be p� G signed and its corporate seal to be affixed by its authorized officer, this 16th day of October. A.D. 2007. INTERNATIONAL FIDELITY INSURANCE COMPANY QR�0'`9f Z SEAL rn 1904 STATE OF NEW JERSEY County of Essex � d Secretary On this 16th clay of October 2007, before me came the individual who executed the preceding instrument. to me personally} known, and, being by me duly sworn, said the he is the therein described and authorized officerof the INTERNATIONAL FIDELITY INSURANCE COMPANY; that the seal affixed to said instrument is the Corporate Seal of said Company: that the said Corporate Seal and his signature were duly affixed by order of the Board of Directors of said Company. !yam`" Nsj }% IN TESTIMONY WHEREOF, 1 have hereunto .wet my hand affixed my Official Seal, at the City of Newark, New Jersey the day and year first above written. 47 0,4 •'�'+�figF NE,N t t ry+ yr<< A NOTARY PUBLIC OF NEW JERSEY cERTIFICATION My Commission Expires March. 27, 2014 - 1, the undersigned officer of INTERNA770NAL FIDELITY INSURANCE COMPANY do hereby certify that I have compared the toregoing copy of the Power of Attorney and affidavit, and the copy of the Section of the By-i.aws of said Company asset forth in said Power of Attorney, with, the ORIGINALS ON IN THE HOME OFFICE OF SAID COMPANY, and that the same are correct transcripts thereof, and of the w�holc or the said originals, and that the said Power ,)f Attorney has not been revoked and is now in full force and effect IN'TESTIMONY_WHEREOF, I have hereunto set ity hand this 19th day of September, 2016 Assistart ectetar . ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On September 19, 2016 before me, Brandon K. Grindel, Notary (insert name and title of the officer) personally appeared Kevin P. Reed, Attorney -in -Fact 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 hand } 2069031 f my and official seal., .?1 Crrnmis,io;i ", : r i oia; y ?ubft - Ca1liornia n ✓ Orange County _"" h".v Coirm. Expires Jun 18, 2018 Signature - (Seal) City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For WORTHY PARK RECONFIGURATION PROJECT, CC1513 in the CITY OF HUNTINGTON BEACH September 13, 2016 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Table of Contents Page 4: Delete "Bidders Certification ........................ C-13" This sheet is not included in Section C as it is not required for this project 2) Please find following, the Asbestos Certification and supporting documents. This is to acknowledge receipt and review of Addendum Number One, dated September 13, 2016 , ��f'am �Slr"LJ(ior� ,,p,T C mpany Name By — 20 — ?,Q l Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For WORTHY PARK RECONFIGURATION PROJECT, CC1513 in the CITY OF HUNTINGTON BEACH September 15, 2016 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Replace Sheet C-2 with the following sheet. This is to acknowledge receipt and review of Addendum Number One, dated September 13, 2016 Company Name "By �I/Z—//6 Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk January 4, 2017 United Engineering & Construction 336 N. Central Ave., Ste. 10A Glendale, CA 91203 RE: Worthy Park Reconfiguration — CC-1513 Enclosed please find your original bid bond for CC-1513. Sincerely, Robin Estanislau, CMC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of WORTHY PARK RECONFIGURATION PROJECT CC No. 1513 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 90 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. if this proposal is accepted for award, BIDDER agrees to enter into a contract with the Department of Public Works 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 the Department of Public Works 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 DEPARTMENT OF PUBLIC WORKS 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 Department of Public Works will reject all bids and will re -advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the Department of Public Works' notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the Department of Public Works and this bid and the acceptance hereof may, at the Department of Public Works' option, be considered null and void. Accompanying this proposal of bid, find /O /. in the amount of U91M36 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 Department of Public Works. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature I .Sep 13 — 2016 lS — 2 co I6 PROJECT BID SCHEDULE Item No. Item Bid Amount in Figures 1. Construct "Worthy Park Reconfiguration" Project, CC-1513. ROMTEC Restroom building components $ 11 3 g d31rA at supplied by City as indicated on Drawings and SSDS. All other materials necessary to complete the construction, including site work, identified on plans and specifications to be supplied and constructed by Contractor. Total Bid Amount $� 4 hq 3�, �o Total Bid Amount in Words: fly, C-2 �dJrrt� �'nxaiN�y�l(� 0 LIST OF SUBCONTRACTORS In accordance with Governinent Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR Dollar %' of Item(s) Subcontractor License Number Amount Contract Number I3ta� l< -VC, RA&rsan Co f U v l ooam43 w91� ©m►r , ci4 92g63 T� r 12 ®b•er{so ►n i�ectae.�•.erna► Sur�Ge 6672(0► 1��� rv000 0 7916 M 5.6 i . L. �7� 1er sAPrvyyvi p t�( Ws4o (AA d S6V 997$S3 C 27 lovoo.:O 2141IS I S-T S8 3 v��w# GreQ-kV& Confr"ts 63673�t ' l00000 3S; Z00 Ro►nch0 $AM MAA ,rim 1759 c�►vert' skQ.4 uT Lor T�+,�s Cmu�'I 373423 10000ioo MAY ri 14 77 6'e_c. • 69►7 c1 o 10000 10 10010W 7, 2 Work AUSO V;e. o C4 $2i Fence. r7 Go r r1 1'Q.r� �- CO 1 2 2g AKo61111 100000 o ' Q, y3l OrAnee , CM �3.�f� 9�6 . By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the Department of Public Works will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. "F 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 9-20 &at G/pAclqL4?` _CAJ. Date City State Rez-q Fir8 being first duly sworn, deposes and says that0or she is hnsb of (J10 j}� r6&40*4 Cot,*. irythe 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, comlived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Name of Bidder Signature of Bidder 33 6 Aye. LAA.& Lo Address of Bidder G Ie*%da lam' C r CJ I Zvi 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 WORTHY PARK RECONFIGURATION PROJECT, (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: Iq 12 ( � eJ ,�j�eP ' G nsn�a:-r'or% Try Contractor CIN IqeeA r By 1 r4ft j`d e4j Title C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Govern vent Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes lid 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: q 1 2—o — ZDl % Contractor R gaa%4 r� By Prey,; o�•� Title C-7 BIDDER'S IN)F'ORMATION BIDDER certifies that the Following information is true and correct: Bidder Name 3 3 6 W, Ce 4rdj 14�n2 �� Lip Business Address WR.4n ►ke G9- 912o3 City, State Zip l tg) 662-So55 Telephone Number 9n3 7 37 State Contractor's License No. and Class S9f , 0 7 Original Date Issued Seo ze 17 Expiration Date The work site was inspected by LA re (� of our office on. °'��, 2016. 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. Company Name Signature of Bidd Printed or Typed Signature Subscribed and sworn to before me this ! r; day of , 201 ( . v A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of County of / -V A,, �-'-L ; - ) ,. On � , __� � l G% before me, � � � ��� �-� /�t .s.s�. `L.t A - Month, Day, and Year Insert Name and Title of Notary personally appeared f<i ame(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/aye subscribed to the within instrument and acknowledged to me that he/-s�executed the same in his/heir authorized capacity(ies), and that by his/he-r t. r signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature of Notary Public SHERAM MASSEHIAN r COMM. # 2086993 -� NOTARY PUBLIC - CALIFOfiNIAO �.� LOS ANGELES COUNTY n My Commis/ion Expires -+ Novemb8r 19, 2018 C (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. General Contractor or sub -contractor should have experience with construction of ROMTEC modular constructed buildings. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. r, Name and Address of Public Agency Name and Telephone No. of Project Manager: 40" CTn k�- (`714 M— SO ) Contract Amount Type of Work Provide additional project description to show similar work: 604nCVaI_ tA.)OrIA_ h\ I%i— e-- 2. � 4 Los, Nwag�g Name and Address of Public Agency Completed Name and Telephone No. of Project Manager: ky Pieyc (323) "7 — Z3o7 d VAri an tied k A-n 4100 to --- Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Name and Address of Public Agency Name and "felephone No. of Project Manager: pr1 Y\A., 24W OrSU, ► r k Contract Amount l 1 Sr% k Type of Work Date Completed Provide additional project description to show similar work: c4a Zo1 L _V C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. R emn 5 rJ Name of proposed Project Manager Telephone No. of proposed Project Manager: ( 7/4) 4 o4 — too o kJ S RekQb- nu,bG� work, Z k M 2016 Project Name & Contract Amount Type of Work Date Completed ScAAA SX6�webs 39-1 A Qvl` t E-tec MoAYGit ZOO Project Name & Contract Amount Type of Work Date Completed C3 eck ��.vs (,yiS--et�'� .��.00 b tAhLJ 440/Arlc�•& C Project Name & Contract Amount Type of Work Date Completed 2. L 4Yr. Poyc . Name of proposed Superintendent Telephone No. of proposed Superintendent:( 'j i L1)q Z— D 7 6 !f. Dir� Work movm' A.- a-M-W--I;'Sn l-JsQ Taeo No✓ 2xDlt'" Project Name & Contract Amount Type of Work Date Completed La. cou,nlb 5 n44V� 12/1, f aAFeb 2o14 Project Name & Contract Amount Type of Work Date Completed i�aAG 0 Project Name & Contract Amount Type of Work I•q, 1A6-1 MArC,k 201& Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July I through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link - Call (844) 522-6734 https://efilin,,.dir.ca. gov/PWCP,/ActionServlet?action=displayP WCRec,istrationFonn DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. I i f�ez� t�zi.ai By 8oft3ka,eJ Date: �— G Title DIR #: 100-a ',w 1 +0 C-12 THE AMERICAN INSTITUTE OF ARCHITECTS AIA Document A310 Bid Bond KNOW ALL MEN BY THESE PRESENTS, THAT WE United Enqineerinq & Construction Inc 336 N. Central Ave #10A Glendale CA 91203 as Principal, hereinafter called the Principal, and The Gray Insurance Company P.O. Box 6202 Metairie LA 70009-6202 a corporation duly organized under the laws of the State of LA as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach 2000 Main Street, Huntingtion 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 Worthy Park Reconfiguration Project, CC1513 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 15th day of September 1 2016 United Engineering & Q I (Prindpap The Gray Insurance C( I I (Surety) (Witness) _ t" '__� CJ---Q—R Jason Lee on Inc AIA DOCUMENT A310 a BID BOND 0 AIA a FEBRUARY 1970 ED. 0 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 N.Y. AVE., N.W., WASHINGTON, D.C.20006 (Seal) (Scral) 0ALIiFORbttah ►fit L-MAPOSE AC#t WL150011111INT CIVIL COM§ 1189 A Willy PLbk; or Other ollicer c aftVIet'srg this r erfificub-, vzriks only the fdenht ?rat the. irdAdiW t�r'rro rted ij* document to v tech tlr eettii> trslvattactred And acxt thnrMAhfiAs'm. acr rr p, validity cl tfrat d xxtertt, State of NQr1h Carglin�-------- -------- -_-------- __ County of Durham r on September 15, 2016 before me Heather Burroughs Date Hm- a Insert AADmar and Wife of the Offmar Personally appeared Jason Lee Sayers taarr*'s) of STgrper&s ' who proved to me on.fne b"s of aat3s%ctory evidence to be the persons)vrhose name(s), Ware subscribed to the within kWs rurrent and acWowjedgc_d to m6 the- helsWhey,execctesl the same in 1�;�'r�rAthetr �rrtl'�rri�er� rsp�C'rt�i>�d arui �t'rat by }tlsr`h�.rktr segrrature{�} cn ttts.ir�irurrrentttre perScait�s), orthe ontity upon bah f *F tvhech the persa*j acted, executed the instrurm , 6 U R R�o�G�, ,e 'eState cut alfornia that the pa laws rq th P \ is true and oorrect_ _ z Notary Public s WT;i ESB - r3r�da�ft€clrit aL Wake County fires =My Commiss 3l1n Epp _ --- = a rrat e /p�THI IC AR0\ Race fttary Sea/ A4 � ve ON ThozLal? olds s tiori is optional comptetrrag this k*rmatr"am mart cfatur afteraVon of 11m,ducument or fnWdWent reattachment of this form to an u�rintanrfad document. Descrgatian of Att:aclred Document We cur Type cf Document: Docu nut bide, Numbv of Parma - Signer(s) Cther "fhan Namod Abam- Capac ityrv�esj Claimed by Slgrer(a) 5 htrre: ti . D Corptareto OfIt er — T-da(SY ._ D Partror7r - ILI urriitsd U Gener-al indPAdvat f—D+ittorney in Fact r?Tru tee Q Guadlah rar Consorvalor C Other, _ Signer Is Reprosenting: Signer's Name: x�,=. t:+.�rporate tYtttde•� -- Titte(s): i:_? Partner — 0 Umltpd 0 Genera] 0 Individual rl Attorney tra FaQt C Trustee TO G=dlan or Cnmervator C", Other, Sinner Is RepresenvnT ..._._ 2014Naiiona!l4otaryAsWgctalitn-WWW.Noon N ,+-g�1-800-tlBf4ffrAR:V-800-876-6S2it It t47 THE GRAY INSURANCE COMPANY THE GRAY CASUALTY & SURETY COMPANY 202585 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 Heather Burroughs, Julia C. McElligott, Bobbi D. Pendleton, Kenneth J. Peeples, Christopher A. Lydick, Phoebe C. Honeycutt, Jason Lee Sayers and Adam Pfanmiller of Durham, North Carolina 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, 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 $1030003000.00 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. i "RESOLV ED, 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 I `, 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. as u R n•,y•0 By: � � � Attest: ''/��i' /'/rjfjJ P�tY d Szr -+.:�.�••icy �i � c,i �•�• ';< Q,f SEAL Michael T. Gray Mark S. Manguno SEAL y, r; President, The Gray Insurance Company Secretary, �y 2 1............ T and The Gray Insurance Company, f ' •••*. Vice President, The Gray Casualty & Surety Company The Gray Casualty & Surety Company State of Louisiana ss: Parish of Jefferson On this 12ih 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. a'gP9 M'C<y' s ' *`• i*= Lisa S. Millar, Notary Public, Parish of Orleans �r•.. Pueu� ; pi`;' State of Louisiana yrFOF io�`9"" My Commission is for Life I, Mark S. Manguno, Secrets of The Gray Insurance Com an and The Gray Casualty & Surety Company, do hereby certify that the above and g 111 Secretary Y P Y 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 S day of Se P 7r01 s� \� 5 U R AVcj �•j• � � ••SCE (,,P �.� '.'��� w _ �� �t SEAL;D �t SEAL Mark S. Manguno, Secretary m': ; — �:• a The Gray Insurance Company yfti, ;12 The Gray Casualty &Surety Company City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk January 4, 2017 Yakar 689 E. San Bernardino Rd. Covina, CA 91723 RE: Worthy Park Reconfiguration — CC-1513 Enclosed please find your original bid bond for CC-1513. Sincerely, Robin Estanislau, CIVIC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand nc"+t�ts lagr r; k � "L �i•'a� eR+ � ��. .iWa"'i '$� "i 3'f' �,Y'j. �, iv' '�,,,y,,�,t;,� 3h iS '- i (« a. s, ,�' { KEG ir��c a . ±iS@ i tt a�r4 3WS s � '`ig?3� nsF x`1 Aw *A tox R t ns� yak kv % rt a 5 tF �'�3� °'- I't# 54 r€'iz' aii 3 s 4 zF# tr a7 'n a US -.r �.5 utii �> zt",r^ c rt'a lt NMI a ,r r'1,. r n �i kt `,', r q + y . / ¢ sw 'NMI! as €�:?f WTI" i 3 z ,}, '�- ;rr.lto t _ z aa:r" t.�trf�s t °tea Mt JfZ r Va fi i '. 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'bE .a M a'.',�. •'-, -4r. �t�i" y.y err { J: � T>'+a. +fi`£i. ��'� � r �' ' � h � ` ^' rf r"� •Y tP� t a " �`L�`�' y . miss 42 5�` �`�� �,.'• s, a „x-;"s V TjllI,�-• s -u;f- ^'"� �5 �� d. ",� - t i}`',is7+^ p `--`�•.., '�, � ;�r.... ,.� r �s.. �! �a'tr.y�. f _rxt� t s v PROPOSAL for the construction of WORTHY PARK RECONFIGURATION PROJECT CC No. 1513 in the CITY OF HUNTINGTON I3LAC'I1 TO THE HONORA13LE MAYOR AND MEMBERS OF THE COUNCIL, CAE I-IUNTINCeTON 13EACH: 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 tie office of tine City Engineer of the City of 1ltintington Beach. The undersigned agrees to perform the work therein to the satisl-actioin of -and under the supervision of -the City Engineer of the Cite OI' I--luntington Beach. and to enie into a conntraci at the following_ prices. �1"1 undersigned agrees to complete the: work within 90 �N orkm- dag s, starting from the date of the Notice to Proceed. BIDDI R declares that this proposal is based upon carel-t„I e.xamination of the work. site. plans, .,rnecificatio€?s, Instructions to Bidders and all other contract documents. 11� this prol�7osal is ar,cepted for award; BIDDER agrees to enter into a contract with the Department of PubiiC 'cm, at the unit and/or lump sum prices set forth in the follovving BRJ Schedule. B!DD A? L.is?L.ti:.rsiai?ds that fa €ltii'C to f'int%r into�? contract E?n theClnann`.'i'`ai'sd tinne prCSC€-ibCd 11iill rC;SUIt r: f:A1f hire to the Department of Public Works of the (`diaranty accompanying this proposal B+DDEP. understands that �1 bid is VCgUirCd ICir TIC entik: WOrki that the e$ilmated quanOties set forth in the Bid SchedulC a€.e solely for the purpose of connparing bids and that final compensation under the contract will be based upon the actual giiantities of work satisfactorily :ompleted. 1-HE DEPARTMENT OF I)I_ BLIC WORI;S Ri,-SF'.RVFS THE RIGHT 110 f =ELh-fF: ANY ITEM FI:+_)M `I'I-11- CONTRACT . It is agreed that the unit anal/or lump sure prtccs bid include all appurtenarnt expenses, taxes, royalties, ;ces; etc., and vvill be auarainteed for a period of sixty days from the bid opening date. ff at such !'.trig the Contract is not awarded, the Department of Pubuc Works will reject all beds tend wail r4-adivertlse the. project. In the case of disf:repancles itn the amount, bid. unit prices Shall 'TOvLrn C-Ver �_'1te?nded amOUni and, viords si-iall oven Oyer ligtireS. C- $ If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S delault in executing the rewired contract and thing the necessary bonds and inSUrance certificates vvitl,in 10 working days after thedate of the Department of fribtit. Works' notice of award of contract to the BIDDER, the p!-ocaeds of the security accompanying t1is bid shall become the property of the Department of Public Works and this bid and the ac ep :;nee hereof may, at the Departrrient Of Public Works' option, be considered ntiif and Voila. A, rl Accompanying this proposal of bid, find � wt, in the amount of -:J_ which said amount is not less than 10"'0 of the aggregate of the total bid price. as required by the Notice /nutting Sealed >3ids, payable to the Department Of Public Works. (Please insert the words "Cash" "Certified Check", or "Bidder's Bond for_®/o ", as the case may bell Any standard Surety Bid Bond Corm is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda moo. j gate Receiver/ Bidder's Si mature 97 PROJECT BID SCIHEDULE Item I Item � Base Bid Amount i I No. Figures 1 Construct -'Worthy Park tteconfiguration" f'roi,-cz. CC- ; I 1 i513. R tMITEC Restroom building components supplied by City as indicated on Drawings and SSDS- Ail other materials necessary to complete the construction- inclt:dssic- � ! site Nvork- identified on plans and specifications to be supph:-nd. and. constructed by Coi;iractor. -j Total aid Amount Is r State [lase tsBid amount in words, which will he l,:islivd.`�����,^ A. fliis Section identilics poiti'mial i'hain' es in isle: work under consideration for this contract. l'ne Owncr Iese:-ves the ri,-,ht Io accept any or all of the listed Aiiernatcs, re!,ardless of the order of their lisiin", ;hate added costo replace, : it.v:i�, 1l Seclleu Tuf \Fill Tilway 11 Sodded Turf. M�.1�T►{�-�"' W —r-tvC 1 \4(57-1 -)o11ai's (in .v; o r sj �.p LIST OF SUBCONTRACTORS it,. 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 set -vice to the bidder on said contract in an amount in excess or one-half of one perceni, of the total bid or $110,000, whichever is seater. and the portion ofithe work to be done by such subcontractor. Bit! IIejn(,v) Na it i e amid A tI_drt_,,_v_v Y _ia f e Suhcoritractor License Climes _- I- I SIR Number Dollar Amount % of" Co),itrud A`umher �� i � I � i I FP kV E�4 ZbO rj 7- CAP LL,)-fj By submission ofthis proposal. the Biddercmilles: 1. That he is able to and -will per f'�w. the; halanec of all work which is not covered in the above subcoollmlairs h,"Lino 2. That the Dcp*cirlll!Cnt',)i'PLII-"!ic Wo.rks %vill be 1-urnished ofall subcontracts entered into and bonds furnished by sumu-nitrac-tor 'or this pro - ject. C-3 of NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the .Tate of California that the foregoing is true and correct and that this declaration is executed oi10 , at CJaa" , Dote Cilv scale kQ ��pr) c �s_�Y-)_tr—........ being first duly sworn, deposes and says that he-�-sly is lo��4t�8_6_ - Z - -- - - - ---- of __,LLp _. �� -- - ----- tl,c party making the oinLL 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 <Llenuine 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 retrain from Nddii'ig; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to lix the bid price, or that of any other bidder, or to secin•e 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 bidIi der has not, directly or indirectly, submitted his or her bid price or any breakdown thereof; or the contents thereof: or divul"ed information or data relative thereto, or paid, and will not pry fee to any corporation;, partnership, company association, organization_ bid depository, or to any member or agent thereof to ettectuate a collusive or sham bid. Narric ot� Bidder QVQ_--'k��1N Signat 0 NB5idd'cr San der n��d :Address of Bidder Cj�)Njl'\C�a I CA I qV Y2 C-4 LiTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen. The Undersigned hereby promises and agrees that in the perlormance ofthe work specified in the contract, known as the WORTHY PARK RIICONFIG URATION PROJECT, (l)(wej(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 Titic S, California Administrative Code, Section 27001, as follows: "Qualified Person: A pei-son bvho, b ' v /vasoP,' (yCXj'_rience or mail- oiori, is An iliac- ividy the operal ion !o be pe rfiviuec! awl the hazards limo!vetf " 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 all.,,,, subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are iltecessary to assure compliance by any said subcontractor or subcontractors with the rsluireilients contained herein. Date: a '"LQ �o-- C-s � \k L\2 Contractor --- _ _ Sa1C�s� l>y —' T itic DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall cotllplete, under penalty ofperjtny_ the followin 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 hidding on or completing a Federal, State or local government pro_'ect because of violation of iaN or a safety regulation? Cl Yes No If the answer is yes. eNplain the circumstances in the space provided. Note: This questionnaire constltuteS 3 part of the Proposal, and a signature portion of the Proposal Shall COnStitUte signature of this ClUeStlonnaire. C'-(P COMPENSATION INSURANCE CERTIFICATE Pursuant to Section f 8 1 of the State labor Code. each. contra.,nor to whom a public works contract has been a,,varded shall ssion the following certif'rcafe. am aware of the provisions of Section 3700 of the Labor 'ode which rcquire 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 cornmencin > the performance ofthe work of this contract. Date: C-7 Contrac?or __ J �Y�\ l ille BIDDER'S INFORNIATiON BIDDER,ccrt; fies that the lbllo,,vini J, I in is true i nd correct: Bidder Nmme B,sjncss AdIldiress qVIM-L- cityState ZIP 7-)q q- TeWphone NIlunn"her Staic Contractor's License I.No, and Class Original Date ISSUcd Expiration DL�ic -T. 1 -11, fie vvorl, site 1,vas inspected by of our o Ffice on fcw--7 2011 The foliowing, are persons, Iirnns. and corporations hlwing a principal interest in this proposal: The undersigned is prepared to satisfy the Council ol'the ity of Fluntington Beach of its ability, financially or otherwise, to perform the contract fir the proposed work and improvements in accordance with the plans and :;ct, fiOrth. ,\/ P,VLN� _- Company Name Signature of Biddcr Printed or Typed Signature Subscribed and sworn to before tyre thisloday of A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity ofthat document. State of CS NN -, Nj(�_ ) County of_�_� On ( Q(z co `1Q(cbcfbrc me. , n Mth, Day, and Year Insert Name and Title of Notary personally appeared ame(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 :rnd 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' Calik)rnia that the foregoing paragraph is true and correct. WITNESS my hand and official SQQ- Sign,'ItUrenature Signature ofNotar-y,, Public (PLACE NOTARY SEAL ABOVE; -9 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validi of that document. State of California County of Los Angeles ) On V & before me, Judy A. Arroyave, Notary Public (insert name and title of the officer) personally appeared Makana Amer 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 (Seal) JUDY ANDREA ARROYAVE 11 COMM. #2040975 zz Notary Public . California o Los Angeles County Comm. Expires Oct. 9, 2017 idder's Project History For the purposes of this project, th( k,;J: dc s1fa!l provide proi::c:s h ory ofsitniiar work, Bidders .are encouraged to submit supplen-ten=.ai relevant project history in addition to the projects listed herein. General Contractor oi- srib-contractor should have c.xpe-rience with construction of ROMTCC modular constructed buiidim.)s. Fisted below are the names, address lid telepho11e numbers for three public agencies [br which the bidder has performed sintilar Nvork within} the past five years: 2 Name aetd Address Of Public A;.ency Name and Telephone No. of Project Manager: ���i �t tA Contract Amount Type of Work J gate Complcied Provide additional project description to show similar work: Ok Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract ArnoL{nt Type of Work Date Completed Provide additional project description to show sirnilar work: lR, Name and Address ol'Public Agency Name and Tclephone No. ol'Project N-tanager: irn S� _Ci �� - ; Contract Amount l'ype of Work Date Completed Provide additional project description to show similar work: mm iddet'"s Critical Staff Listed belo�,v are the names ofthe 1-�r.7izosed Con t+-w.i"ti ,-'i F ro,ject 1Vanager, and SUpei'iFIIC;I"eliI. For CaCh Ot these cri!!,cal positions, please iitil. a( !east three projects for which the Critical staff has pert,Orined Similar work A-V,th:n the iast tivc years. i hese proleCts do not haVC to bC under the employment of dhC2 bidder of this project. Bidders are %nCOUraged subn-tit SLipl7fenlei?til relCVant. I Jed history' in addition to the project', listed hereW. 1 Name of proposed Project Manager Telephone No. of -w-O osed Pica ect Manager: 1 v�c Project Narric & 4ontract Anioffltu Type of Work - -� Date GI-ipleted Protect Name & Contract Arno..mt "type of Worn. Pro --ct Name (",, Contract Annount "hype of Work Name of proposed Superintendent. Telephone No. of proposed SLiperintendent: Project Name k:, Contract An CAI -It -hype ofWork Project Name K Contract AmOLint Type of Work Project Name &- Contract Annount type (-)!'Work C-t 11 Date Completed D to Coipleted Date Completed Date Completed Date Completed CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL ELA T➢ONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor S::!_=on 1771.1(a)), p;;sscd by the Cali'ornia State Senate on .,'Line 20, 2014. established a € e-w public works Contractoi- Re-istration Program, which requires all contractors and subcontractors hiddim, and Performing ='Fork on Public Works Projects to reoistcr on an annual t7asis (each .ILily I through .!Line 30 state fiscal year) with the C alifornia Department of lndustrial Relations (DIR,). Currently the ariitual non-refundable reglSt?'at!On fee Ior CoiitraCto?5 is ni t>. Fach contractor to vihorn a public "works contract has been awarded shall sign the fitliowisg certificate. DIR FACT SHEL"Ton S13 854 http://vvvvw.dir.ca..gov/D1_S;/PtiblicWorks/SB854(,',..ictSheet_-6. 0.14,pd DIR's Contractor Re«istration Link--C'all (8441 522-67-34 https://efilin<�.dir.ca.gov!P�t-CIS iA.etionServlet?<ietion==display)'WCRegistrationForm DIR's Contractor Rc<_istration searchable database: https.;'/��� 1 Frr;.dir.c.:t.gov/PWC:1:/Searclt.action I ant aware and will comply wiih th ; prow isions cif Labor Cade Section 1771,1(a) which states: "A contractor or subcontrack I- shall not be quaii;icc) to bid on, be listed in a bid proposal, subject to the requirements ol'Section 4104 of the Public Contract Code. or engage in the performance of any contract f"Or public work, as defined in this chapter, uniess currently registered and qualified to periorm public work prirsuarnt to Section 1725.5, 11 is not a violation of this section for an LinregEStered contractor to submit a bid that IS authorized by Section 7029, i of the Business and Professions Code or by Section 10164 or 20103,5 of the Public Contract Coue. provided the contractor is registered to perform public work pursuant to Section 1725.5 at the ti -ne the contract is awarded.,' I furthermore will comply, by providing proof of registration with DIR. as the primary contractor, as well as for ALL subcontractors at the time ofsubmitting the hid. Date: D I R 4: A_C_LJQJ _\Y—L - C-12 �___ Contractor ,U�U�Ct i�rc�ez By �. i Title C"ity of Huntington Beach Public Works Department 2000 Main Street 2EVVII I For WORTHY PARK RECONFIGURATION PROjECT, CC1513 in the MY OF HUNTINGTON BEACH September 13, 2016 Notice To All Bidders: Please note the following clarification to, the Project Pans, Specifications, and Specia; Provisions: 1) Table of Contents Page 4: Delete "Bidders Certffication. .— . .. .... .... C - 13 " This sheet is not included in Section C as it :s nct required for This project 2) Please find following, the Asbestos Certification and supporting documents. This is to acknowledge receipt and review of Addendum Number One, dated September 13,2016 � - Company Name Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 For WORTHY PARK RECONFIGURATiON PROJECT, CC1513 it) the CITY OF HUNTINGTON BEACH September 15, 2016 Notice To All Bidders: Please note the fo!iowing clarification to the Project Plans, Specifications, and Special Provisions: 1) Replace Sheet C-2 with the following sheet. This is to acknowledge receipt and revievi of Addevdum Number 13,2016 Comp ny Name By Date All bidders must acknowledge and include the receipt of this Addendum with your bid pMposai. QN-AIA Document A310T"' -2010 CONTRACTOR: (Vance, legal .status and address) YAKAR 689 E. San Bernardino Road Covina, CA 91723 OWNER: (game, legal status and address) City of Huntington Beach 2000 Main Street, Huntington Beach, CA 92648 SURETY: ('name, legal status and principal place of basiness) Allied World Insurance Company 199 Water Street New York, NY 10038 BOND AMOUNT: (10%) Ten percent of the attached bid amount 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. PROJECT: (flame, location o✓• address, and Project number, ij'any) Project No. CC1513, Worthy Park Reconfiguration Project Project Number, if any: CC1513 The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract Nvith the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such lamer amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in Rill force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deenied deleted herefrom and provisions confonning to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law- bond. Signed and sealed this 14th day of September, 2016 YAKAR (Principal) O,Viiness) ll (Title) 1 1 Allied World Insurance Company___ (Sur e - - (Seal) - (Ffitness) Vanessa Copeland (Title) Shawn Blume, Attorney -in -Fact (Seal) AIA Document A310- — 2010. Copyright© 1963, 1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: This AIAs Init. Document is proterted by U.S. Copyright Lew and ir:ternational Treaties. Unauthorized reproduction or tiistributinn of this AIA" Document, cr any portion of it. may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the taw. rhis f document was created on 01127/2012 07 23:12 under the terms of AIA Documents -on -Demand- order no. 2008397483 . and is not for resale. This document is licensed by The American Institute of Architects for one-time use only. and may not be reproduced prior in its rninnletion rai„o CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL, CODE 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached and not the truthfulness, accuracy, or validity of that document. State of Califonua CountyofOrange ) On I 4 (% before me, Barbara Copeland , Notary Public, personally appeared Shawn Blume Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/ar-e subscribed to the within instrument and acknowledged to me that he/shefthey 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 8ARBARA COPELAND laws of the State of California that the foregoing �` Commission # 2016348 Z paragraph is true and correct. z . �� Notary Public - California z Z Orange County r M Comm. Expires Apr 19, 2017 WITNESS my lymd and official seal. Signature: Signature of Not y 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 present fraudulent and reattachment of this form to another document. Description of Attached Document Type or Title of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Shawn Blume ❑ Individual ❑ Corporate Officer - Title(s): ❑ Partner: ❑Limited ❑ General ® Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Number of Pages: 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: Rev. 1-15 ALLIED WORLD INSURANCE COMPANY A L L 1 EO 30 S. 17th St, Suite 1600 R L D Philadelphia, PA 19103 USA POWER OF ATTORNEY Issue Date: August 22, 2016 No. 29210-A1520 Single Transaction Limit: $10,000,000 KNOW ALL MEN BY THESE PRESENTS: Allied World Insurance Company, a New Hampshire corporation (the "Company') does hereby appoint NAME(s): Eric Lowey Stephanie Hoang Mark Richardson Shawn Blume FIRM: Pinnacle Surety Services, Inc. 151 Kalmus Dr. A-201 Costa Mesa, CA 92626 Its true and lawful Attomey(s)4n-Fact, with full authority to execute on its behalf bonds, undertakings, recognizances and other contracts of indemnity and writings obligatory in the nature thereof, issued in the.course of its business, and to bind the Company thereby. This Power of Attorney shall remain in full force and effect for one year from the issued date above -referenced and shall expire on close of business of the first anniversary of such Issue Date. IN WITNESS WHEREOF, ALLIED WORLD INSURANCE COMPANY has caused these presents to be executed by the officer named below, who is duly authorized and empowered to execute on the Company's behalf. This 22nd day of August, 2016 COM*AQlvwg'_.J_1' f Cf P?.NNS YLVAIK4A NOTARtI . SEA? FLIZA*E7H K Vic` Lf. Nt��^f PuVe f,'✓ t" i"rir�»j.4-s3P, �,=,:rn-y..'�;�" va± : � � E 2 — Name: Robert E. Staples Title: Senior Vice President -Surety State of Pennsylvania ) County of Philadelphia )SS. t j, 4 r.'"t On this 22nd day of August, 2016, before me came the above -named officer of, k� ALLIED WORLD INSURANCE COMPANY, to me personally known to be the individual 4�r� and officer described herein, and acknowledged that he executed the foregoing Notary instrument and affixed the seals of said corporation thereto by authority of his My Commission Expires: 08/05/2018 office. CERTIFICATE Excerpt of Resolution adopted by the Board of Directors of the ALLIED WORLD INSURANCE COMPANY (the "Corporation"), on December 31, 2012: RESOLVED, that the proper officers of the Corporation, the head of the surety business line for the Corporation and their appointed designees (each an "Authorized Officer' and collectively, the "Authorized Officers") be, and each hereby is, authorized to appoint one or more Attomeys-in-Fact to represent and act for and on behalf of the Corporation in the transaction of the Company's surety business to execute (under the common seal of the Corporation, if appropriate) bonds, undertakings, recognizances and other contracts of indemnity and writings obligatory in the nature thereof. RESOLVED, that in connection with the Corporation's transaction of surety business, the signatures and attestations of the Authorized Officers and the seal of the Corporation may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Corporation when so affixed with respect to any bond, undertaking, recognizance or other contract of indemnity or writing obligatory in the nature thereof. RESOLVED, that in connection with the Corporation's transaction of surety business, the facsimile or mechanically reproduced signature of any Authorized Officer, whether made heretofore or hereafter, wherever appearing upon a copy of any Power of Attorney of the Corporation, with signatures affixed as next above noted, shall be valid and binding upon the Corporation with the same force and effect as though manually affixed. RESOLVED, that in connection with the Corporation's transaction of surety business, any such Attomey-in-Fact delivering a secretarial or other certification that the foregoing resolutions still be in effect may insert in such certification the date thereof, said date to be not later than the date of delivery thereof by such Attomey-in-Fact. RESOLVED, that the Authorized Officers be, and each hereby is, authorized to execute (under the common seal of the Corporation, if appropriate), make, file and deliver in the name and on behalf of the Corporation any and all consents, certificates, agreements, amendments, supplements, instruments and other documents whatsoever, and do any and all other things whatsoever in connection with the Corporation's transaction of surety business, as such Authorized Officer shall in his or her absolute discretion deem or determine appropriate and any of the foregoing resolutions, the transactions contemplated thereby and any ancillary matters thereto and/or to carry out the purposes and intent thereof, such deeming or determination to be conclusively evidenced by any such execution or the taking of any such action by such Authorized Officer, I, Daniel Zharkovky, Secretary of the ALLEID WORLD INSURANCE COMPANY, do hereby certify that the foregoing excerpts of Resolution adopted by the Board of Directors of this corporation, and the Power of Attomey issued pursuant thereto, are true and correct, and that both the Resolution and the Power of Attomey are in full force and effect ty\ C, IN WITNESS WHEREOF, I have hereunto set my hand and affixed the facsimile seal of the corporation, this L day of / 204 �l% J Daniel Zharkovky, AVID, Assistant General Counsel SUR 00046 00(05/2016)