Loading...
HomeMy WebLinkAboutSancon Engineering, Inc. - 2016-08-15 1 F• A REED B ,,Y .:' CITY CLERK RECEIPT COPY Return DUPLICATE to .✓ ' City Clerk's Office (Name) after signing/dating (Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION LD TO: City Treasurer FROM: City /Clerk ` DATE: SUBJECT: Bond Acceptance I have received the bonds for \... -`ftf (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. Warranty or Maintenance Bond No. 110.,E .=33 Vc TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved 1� / 3 PP ,�/Z, (Council Approval Date) CC No. Agenda Item No. '` MSC No. City Clerk Vault No. /r (��),- Other No. SIRE System ID No. - C / g:/forms/bond transmittal to treasurer FOB CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION DATE: 6/1/2017 TO: THOSE LISTED HEREON FROM: Jim Escutia, PW Contract Administrator SUBJECT: Retention Release Payment - PO#22212 OJ Supplier#18130 Co.#511 FY 15/16 Sewer Lining Project, Project#1533 Contractor's Name: Sancon Engineering Address: 5841 Engineer Drive City, State and Zip Code: Huntington Beach, CA 92649 Phone Number: (714) 891-2323 City Business License Number: A200298 Notice of Completion (Date by City Clerk): 3/3/2017 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 ravis Hopkins, Director of Public Works 477� 1 certify that there are no outstanding invoices on file. �18 1 I'l ��A ct Date JoVcd 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. � � I Da e Robin Estanislau, City Clerk Attachments ��� 1. Notice of Completion . t 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 i 170071 I MAINTENANCE BOND 1053344 I KNOW ALL PERSONS BY THESE PRESENTS: That SANCON ENGINEERING, INC. (contractor's name)nt 5841 ENGINEER DRIVE, HUNTI`IV9I ON BEACH,GA (contractor's street address,city and state and zip code) as Principal(hereinafter called Contractor),and: HANOVER INSURANCE COMPANY (surety's name)O (surety's street address,city and state and zip code) a corporation organized and existing under the laws of the State of NEW HAMPSHIRE with its principal office in the City of WORCESTER, MA as Surety(hereinafter called Surety),are held firmly bound unto CITY OF TWO HUNDRE1YFOr1 kgTDWH0US7a*CH as Obligee (hereinafter called Owner), in the amount of FOUR HUN Dollars ($ 244,476.00 ), equivalent to the entire contract amount inc uding all change orders, for the payment whereof Contractor and Surety bind themselves, their heirs,executors,administrators, successors,and assigns,jointly and severally,firmly by these presents, WHEREAS,Surety is a duly admitted surety insurer under the laws of the State of California;and Surety is certified and listed in the U.S.Department of the Treasury Circular 570,and able to provide proof of 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 from reputable companies,such as from A.M. Best, Moody's,Standard &Poor's,to validate that Surety has positive ratings of being secure or stable;and Surety is registebbr��ed and listed with tthe California Department of Insurance;and CPROJECT#1533wFY15%1SrSEWERd NIN AUGPR0JECT tf5301 16,entered into a contract with Owner for the in accordance with drawings and specifications prepared by ully which contract is by reference made a part hereof(hereinafter referred to as the Contract);and The Contract provides that the principal will guarantee, for a period of one year, the work performed as part of the Contract from and against all defects in materials and workmanship;and The Contract also provides that the Contractor shall secure Contractor's obligations during the one-year period with a bond executed by a surety duly admitted in the state of California;and The Contract has been completed,and the Owner,Contractor and Surety agree that the commencement date for this Guarantee and Bond shall be MAY 25,2017 20 NOW,THEREFORE, THE CONDITION OF THIS OBLIGATION is such that if Contractor shall, for a period of one year from and after the date of completion and acceptance of the Contract by Owner, repair and/or replace any and all defects arising in the Work, whether resulting from defective materials or defective workmanship, then this i obligation shall be null and void;otherwise it will remain in full force and effect. I The Surety hereby waives notice of any alteration or extension of time made by the Owner. i Whenever Contractor shall be, and declared by Owner to be in default under the Contract, the Surety shall, within thirty (30) days following Owner's written notice of default, either: (a) remedy the default, or (b) shall promptly complete the Contract in accordance with its terms and conditions. Surety shall save the Owner harmless from any claims,judgments, liens or losses arising from the Surety's failure to either remedy the default or to complete the Contract in accordance with its terms and conditions in a timely manner. 15-45841118138 1 ACKMOWLEDGMENT Y PuworodwdficerCwVieiffV this verifies a*the ►of tfire kv*iduai vho sided the dommei#io wd idt this is affached,and'riot tie trt*&&mesr,,aaxxar or vab&v of thatdoasn� State-Of C Cody Of Los Angeles t CCU AA AGI `41 ; Zp 1�7 before nx-, NEVINE F. AYAD r NOTARY PUBLIC Cmse[t name and tie ofthe oi5oer; Personamy appeared Kxhaef R.Langan who proved tD me on the basis of saw evidertce tQ 6e the shed to the waffin kishun x t and adaawieikjed 8x trae tt� �Wow f�e��o�d ant#that _ m=ded the same in Msm**.or the e3dty Mm befi�afwhich the Person#)actedct4 00mfied the vhA�an the the i cWifY urlder PMALTY OF PEWURY ttie laws of ttae Stake of Cafirmia that fiejuregoiV paragraph IS trte and cmya:t VyF�gS MY hand and ate seal NEVINE F.AYAD COMM.#2024775 m Notary Punic-Caiifomia COWL LOS ANGELES COMP A MY Comm. Oct 24,20mo �e,, THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWERS OF ATTORNEY CERTIFIED COPY KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being corporations organized and existing under the laws of the State of New Hampshire,and CITIZENS INSURANCE COMPANY OF AMERICA,a corporation organized and existing under the laws of the State of Michigan,do hereby constitute and appoint Michael R.Langan of Pasadena,CA and each is a true and lawful Attorney(s)-in-fact to sign,execute,seal,acknowledge and deliver for,and on its behalf,and as its act and deed any place within the United States,or,if the following line be filled in,only within the area therein designated any and all bonds, recognizances, undertakings,contracts of indemnity or other writings obligatory in the nature thereof,as follows: Any such obligations in the United States,not to exceed Ten Million and No/100($10,000,000)in any single instance and said companies hereby ratify and confirm all and whatsoever said Attorney(s)-in-fact may lawfully do in the premises by virtue of these presents. These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Companies which resolutions are still in effect: "RESOLVED,That the President or any Vice President,in conjunction with any Vice President,be and they are hereby authorized and empowered to appoint Attorneys-in-fact of the Company,in its name and as its acts,to execute and acknowledge for and on its behalf as Surety any and all bonds,recognizances, contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with power to attach thereto the seal of the Company.Any such writings so executed by such Attorneys-in-fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons."(Adopted October 7, 1981 -The Hanover Insurance Company;Adopted April 14, 1982- Massachusetts Bay Insurance Company;Adopted September 7,2001-Citizens Insurance Company of America) IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals, duly attested by two Vice Presidents, this 23rd day of January 2013. THE.HANOVER INSURANCE COMPANY 41 MASSACHUSETTS BAY INSURANCE COMPANY r:�P CITIZENS ,14SURANCE POMPANY OF AMERICA 1074 Robert TY,tanlas,Vier President THE COMMONWEALTH OF MASSACHUSETTS COUNTY OF WORCESTER )ss. Joc,grcnstrom. Vici President On this 23rd day of January 2013 before me came the above named Vice Presidents of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein,and acknowledged thatthe seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of said Corporations. BARBARA A.GARttCK r lelary Pubic iAtkl7GOnM'E21!h Ot;.t25Sad7115li15 16t vJRllr#si9Ft ez;fs Sept 27, - Barbara A.Garlick,Notary Public My Commission Expires September 21,2018 I,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America, hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies,and do hereby further certify that the said Powers of Attorney are still in force and effect. This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America. "RESOLVED,That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted and executed by the President or any Vice President in conjunction with any Vice Presidentof the Company,shall be binding on the Company to the same extent as if all signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile." (Adopted October 7, 1981-The Hanover Insurance Company;Adopted April 14,1982-Massachusetts Bay Insurance Company;Adopted September7,2001-Citizens Insurance Companyof America) GIVEN under my hand and the seals of said Companies,at Worcester, Massachusetts,this 25 TH day of May 2017. THE HANOVER INSURANCE COMPANY MA SA HUSETT BAY I RA CE COMPANY C1T EN I SU CE OF AMERICA J. h 1 ete,Vice es ent 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 June 1, 2017 before me, C.Vizcarra, A Notary Public (insert name and title of the officer) personally appeared Chuck Parsons who proved to me on the basis of satisfactory evidence to be the personfs}whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she executed the same in his/#ef/#i,&authorized capacity(fes), and that by his/#e h&F signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. c VUz ARRA Ix o CGnnrl #2166943 z Z .a Notary Public California a Orange County C / Comm.Ex nes Oct.30,2020 Signature t� C/ � (Seal) i Whenever the Principal shall be,and declared by the Owner to be in default under the Contract,which shall include without limitation, any breach or default of the Contract, then, after written notice from the Owner to the Surety, as provided for below,the Surety shall either. (a)remedy the default or breach by the Principal;or(b)shall promptly and faithfully take charge of the Work and complete the Work in.accordance with the requirements of the Contract with a contractor other than the 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 its obligations under this Bond shall be subject to the advance written approval of the Owner. Within thirty(30) days after Surety's receipt of a written notice from Owner of the failure of performance of the Contract by the Principal, it shall be the duty of the Surety to give to the Owner a notice,in writing, of the Surety's election to(a) remedy the default(s)of the Principal promptly,or(b)arrange for performance of the Contract promptly by a contractor other than the Principal, time being of essence to this Bond. In sald Notce of Election, the Surety shall state the date of commencement of its cure or remedy of the Principal's default(s) or its performance of the Contract. The Surety's obligations for cure or remedy,include but are not limited to: correction of defective work and completion of the Contract, additional legal, design professional and delay costs arising from Surety's actions or failure to act; and liquidated damages (or if no liquidated damages are specified in the Contract, actual damages caused by delayed performance or non-performance by the Principal). The Surety shall give prompt written notice to the Owner upon completion of the cure or remedy of the Principal's default(s)of its performance of the Contract. If the Surety does issue its Notice of Election and does not proceed to cure or remedy the Principal's default(s) of its performance of the Work within thirty(30)days after receipt of a written notice from Owner, Surety shall be deemed to be in default on this bond,and the Owner shall be entitled to enforce any remedy available to Owner_ No right of action shall accrue on this bond to or for the use of any person or corporation other than the owner named herein or the successors of Owner. Signed and sealed this 25TH day of MAY,2017 20 Principal Raised Corporate Seal SANCON ENGINEERING,INC. [MUST BE AFFIXED] o ctor Name) ByCi-1. (Seal) I Principal Raised Corporate Seal [MUST BE AFFIXED] 1 V1 u; PAf✓5 r (Title) HANOVER ISNURANCE COMPANY i I (Surety Name j By: Michael,A.Langan ttom�act APPROVED AS,17 NOTES: Michael E. Gates, City Attorney 1. Acknowledgments must be completed and returned / ut as part of the bond. q D 2. Raised Corporate Seals are mandatory. 3. Please attach Power of Attorney. 154584/118138 2 OWNER ❑ CONSENT OF SURETY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ Conforms with the American Institute of SURETY ❑ Architects,AIA Document G707 OTHER ❑ TO OWNER: ARCHITECT'S PROJECT NO.: (Name andaddr,—) CITY OF HUNTINGTON BEACH, CA 2000 MAIN STREET HUNTINGTON BEACH, CA 92648 CONTRACT FOR: FY 15/16 SEWER LINING PROJECT#1533 PROJFCf: CONTRACT DATED: /Namc and oddresa/ FY 15/16 SEWER LINING PROJECT AUG. 15, 2016 #1533 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address q/Surest) HANOVER INSURANCE COMPANY HANOVER INSURANCE COMPANY 5 HUTTON CENTRE DRIVE,#1060 SANTA ANA, CA 92707 .SURETY, on bond of Onsen name and address of Cantracrar) SANCON ENGINEERING, INC. 5841 ENGINEER DRIVE HUNTINGTON BEACH, CA 92649 CONTRACTOR, hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to /Insert name and address o(Uuwer) CITY OF HUNTINGTON BEACH, CA 2000 MAIN STREET HUNTINGTON BEACH, CA 92648 OWNER. as set(brth in said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: MAY 25, 2017 O s,n in a nane the monrh iollaved br dte numeric dine and year) HANOVER INSURANCE CON ANY (Surety) Attest: (Signatroelaathorized re esentattve) Michael R. Langan,Attorney in Fact (Printed name and title) S-2134/AS 10/01 XDP ACKNOWLEDGMENT A notmy pima or aher doer completing this owe vwwm 0*ate identity of fie itai who steed fie dommes#iD whid t&coscate is ft***mM acmracy,or SCAB of CaVomia County of Las Angeles On_ M,��' 2�j ` �„b ^� beft NEVINE F, AYAD F NOTARY PUBLIC t Cat mane OWNS of ie awoer) Pef=WlYMm3md WdedR.Law who proved to me on the basis of dory evidence ID be the persono)whom isfars subbed b the wMsis'sssbsssnert and adcnowiedged b an that hefdmAhW a culed the same in hktwdbsk auOu aed capackjCmq.and that by hmMWUW sgnakwep are Sm mdnmerd the PM0194 or the enft upon behaWaf which fie peraxo)acted,e m 3cgftd the i cw*under PENALTY OF Pit umder the kws of the Sbb of Calaornsia thug Me tragoing Pit is foie and cooser VVri AIEaS hand and 011sn- l - NEViNE F.AYAD COMM.#2024775 Notivy CQ LOSOS ANGP ELES COUNTY MY Comm. Oct 24,2020 11 � • THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWERS OF ATTORNEY CERTIFIED COPY KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being corporations organized and existing under the laws of the State of New Hampshire,and CITIZENS INSURANCE COMPANY OF AMERICA,a corporation organized and existing under the laws of the State of Michigan,do hereby constitute and appoint Michael R.Langan of Pasadena,CA and each is a true and lawful Attorney(s)-in-fact to sign,execute,seal,acknowledge and deliver for,and on its behalf,and as its act and deed any place within the United States,or,if the following line be filled in,only within the area therein designated any and all bonds, recognizances, undertakings,contracts of indemnity or other writings obligatory in the nature thereof,as follows: Any such obligations in the United States,not to exceed Ten Million and No/100($10,000,000)in any single instance and said companies hereby ratify and confirm all and whatsoever said Attorney(s)-in-fact may lawfully do in the premises by virtue of these presents. These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Companies which resolutions are still in effect: "RESOLVED,That the President or any Vice President,in conjunction with any Vice President,be and they are hereby authorized and empowered to appoint Attorneys-in-fact of the Company,in its name and as its acts,to execute and acknowledge for and on its behalf as Surety any and all bonds,recognizances, contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with power to attach thereto the seal of the Company.Any such writings so executed by such Attorneys-in-fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons."(Adopted October 7, 1981 -The Hanover Insurance Company,Adopted April 14, 1982- Massachusetts Bay Insurance Company;Adopted September 7,20C1 -Citizens Insurance Company of America) IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents, this 23rd day of January 2013. THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY ° ; CITI2CNSSURANCE COMPANY OF AMERICA SEAL Vk tg7s Robert Thomas.ViLC'Prc,,ident THE COMMONWEALTH OF MASSACHUSETTS ) r— COUNTY OF WORCESTER )ss. lay Srcnstroni. Vice PTL!5jdCgT On this 23rd day of January 2013 before me came the above named Vice Presidents of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,tome personally known to be the individuals and officers described herein,and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of said Corporations. 01 ' 3A118ARAA.GARiIDI ayPu / -Aq Cor,r.,ss;ca ex;n SSeC.7r.2.?6 G!' </ •! _. � l' � ti� Barbara A.Garlick, Notary Public My Commission Expires September 21,2018 i,the undersigned Vice President of The Hanover;nsui ance Company,IMassachu`etts Bay Insurance Company and Citizens Insurance Company ofAmerica, hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies,and do hereby further certify that the said Powers of Attorney are still in force and effect. This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America. "RESOLVED,That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted and executed by the President or any Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile." (Adopted October 7, 1981 -The Hanover Insurance Company,Adopted April 14,1982-Massachusetts Bay Insurance Company;Adopted September7,2001-Citizens Insurance Companyof America) GIVEN under my hand and the seals of said Companies,at Worcester,Massachusetts,this 25 TH day of Mav 2017. THE HANOVER INSURANCE COMPANY MA SA HUSETT BAY I RA CE COMPANY C1T EN I SUR CE OF AMERICA J. In I ete,Vice es en1 Certification of Compliance with Prevailing Wage Laws To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Prevailing Wage Laws Contract: (',[?i533 Proj ect: 15y // i.WA)la.& &_z 3-e.71 The undersigned contractor on the above-referenced project("Project") hereby certifies that all laborers, mechanics, apprentices, trainees, watclunen 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. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this day of 114­4 d , 20 7 , at %Aiyri 'PA) ga_, California. (Contract Nafne) APPROVED,.AS,TO FORDO Migehael E. Gates City Attorney 1 CONTRACTOR'S CERTIFICATE I, A / state and certify that: (ATame ofDeclarmTt) 1. ,A/600 61UOIAA�1 6a)& /AJ(i is the general contractor to the City of Huntington Beach ("City") on Contract No. (the"Contract") for the construction of the public work of improvement entitled: 5 /6 5-Ec✓G9 c 1R/rNC r IZo kc ?12oj-t<,-r 4e 15 3 3 (the"Project"). 2. All work to be performed pursuant to the Contract has been completed in accordance with the Contract Documents (as such term is defined in the Contract). 3. Except for the claims listed below and the disputed claims listed in paragraph five (5), all persons supplying labor, services, materials and equipment to the Project, including all claims against the contractor arising from the performance of the Contract, have been paid and satisfied(list unpaid debts and claims; if none,write "NONE"): 4 Z/21(-/ 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 clairns; if none, write "NONE"). I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at C,-& on this % day of A/a% , 20/ igrTat e of Declarant) c APPROVED AS`OTORM Michae Gates City?kttorney 1 Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 Contract: M 533 Project: ;Gy � �-i, sit inAQ(z 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 Opportuunity Act of 1972 and Executive Order 11246, and has not discriminated against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age or disability. The undersigned contractor also certifies that it has not maintained any segregated facilities at its establislunents on the basis of race, color, religion, sex, sexual orientation, gender identity,national origin, age or disability (with the exception of access for the disabled). I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this day of 20 ��, at 0uAiE/G1txJ (�} California. (Contr ctor ante) APPROVED ASS'1S) FOIRM By: Micha'el E. Gates Cit3 Attorney 1 Recorded in Official Records, Orange County Hugh Nguyen,Clerk-Recorder IJ ������ IIIIIIII IIIIIIIIIIII II ��� IIIIIIIIIIIIIIIIII'IIIIIIII NO FEE * S R 0 0 0 9 1 0 7 0 5 6 4 PLEASE COMPLETE THIS INFORMATION 2017000091572 9:57 am 03/06/17 RECORDING REQUESTED BY: 63 406 N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 i 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 THIS SPACE FOR RECORDER'S USE ONLY TITLE OF DOCUMENT F 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 Sancon Engineering,who was the company thereon for doing the following work to-wit: ) `t FY 16116 Sewer Lining Project,Project#1533 That said work was completed(Date of Informal Acceptance)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 (Date of Informal Acceptance),per City Council Resolution No.2003-70 adopted October 6, 2003. i That upon said contract(Bond Company Name Here),was surety for the bond given by the said company as required by law. M 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. /7 DirZrof �Works �Clty gineer Date 5 City of Huntington Beach,California j 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 l regularly ordered to be recorded in the Office of the County Recorder of Orange County. i 3 3 This document is solely the official business of the City of Direct ublic orks or City Engineer Date i Huntington Beach,as contemplated under Government City of Huntington Beach, California code section.6103 and should be recorded free of charge. THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) ) N S RECEIVED�BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk/46 DATE: J/D SUBJECT: Bond Acceptance I have received the bonds for \ Y_1.A (IbA) C C�i�t : '`-�✓i--c� (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. l u.33 T Payment Bond (Labor and Materials) Bond No. h9-5 3-3 'L/ Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved 1/ (Council Approval Date) CC No. Agenda Item No. MSC No. City Clerk Vault No. M . -57 Other No. SIRE System ID No. i g1forms/bond transmittal to treasurer CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND Sancon Engineering, Inc. FOR FY 2015/16 Sewer Lining 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 <`6WO CAur-o2)VIA "CITY," and►hre, , a corporation,hereinafter referred to as "CONTRACTOR." WHEREAS,CITY has solicited bids for a public works project, hereinafter referred to as Fyzals'//h S6wr� t..►r ,.V*y « 1533 i"PROJECT," more fully described as n 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 1 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 Specrfrcations for Public Works Construction, published by Builders' News, Inc., 10801 National Boulevard, Los 2 16-5195/city-funded-construction-contract.doe—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.doc—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 7U/0 FOWL TNauSA.-vD Dollars ($ ), as set forth in the Contract Documents, to be paid as provided Fov✓�fFt+.vq� sary 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 ( 4J 5 )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 CLTY. 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 16-5195/city-funded-construction-contract.doe—revised 04/2016 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. Jr. addition. CONTRACTOR shall submit to CITY a bond in the arnount 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 fiiin;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.doe—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 FIVE Nunlp 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 froth 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 duc 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 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 TIME 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-fun ded-construction-contract.doc—revised 04/201.6 (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 pennitted 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 -ranted 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.doc—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 I 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 I 16-5195/city-funded-construction-contract.doe—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 dctennined 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 froin 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 terns 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 that all workers and persons employed, all firms supplying materials and all subcontractors working upon the PROJECT have been paid in full and that there are no claims outstanding against the PROJECT for either labor or material, except certain items, if any, to be set forth in CONTRACTOR's affidavit covering disputed 12 16-5 1 95/city-funded-construction-contract.doe—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 Califomia 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-con struction-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 16-5195tcity-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 181.5. 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 limits of insurance coverage as that required of CONTRACTOR by this Agreement. 17 l 6-5195/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 Attomey 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-fuiided-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 tennination 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 tenninate 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 tennination, 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 tennination for convenience, the CONTRACTOR shall be entitled to receive payment for work executed, and costs incurred by 19 16-51.95/city-funded-construction-contractdoc—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 tennination 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 legal document. This obligation shall be provided for in the labor and materials payment bond required of CONTRACTOR. CITY may charge an administrative fee of One Hundred Dollars ($100) for every Stop Notice filed in excess of two (2), regardless of whether or not CITY is named in an action to enforce such stop notices. CITY may set off any unreimbursed cost or 20 16-5195/city-funded-construction-contract.doc—revised 04/2016 expense so incurred against any sum or sums owed by CITY to CONTRACTOR under this Agreement. 34. NOTICES Any notices, certificates, or other communications hereunder shall be given either by personal delivery to CONTRACTOR's agent (as designated in Section 1 hereinabove) or to CITY as the situation shall warrant, or by enclosing the same in a sealed envelope, postage prepaid, and depositing the same in the United States Postal Service, to the addresses specified below; provided that CITY and CONTRACTOR may designate different addresses to which subsequent notices, certificates or other communications will be sent by notifying the other party via personal delivery, reputable overnight carrier or U. S. certified mail-rcturn receipt requested: TO CITY: TO CONTRACTOR: City of Huntington Beach Sa�eOKJ IUrat ►��n�G� 1� ATTN ,-r,A,Public Works ATTN: G N(ZrS D@$F, 6DEVrO 2000 Main Street SOW &V tn16C-lZ D2WG Huntington Beach, CA 92648 }.lv u-n,t 6-rV-i1 BBC+-I f ep,, gz6q,? 35. SECTION HEADINGS The titles, captions, section, paragraph and subject headings, and descriptive phrases at the beginning of the various sections in this Agreement are merely descriptive and are included solely for convenience of reference only and are not representative of maters included or excluded from such provisions, and do not 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. IMMIGRATIONS CONTRACTOR shall be responsible for full compliance with the immigration and naturalization laws of the United States and shall, in particular, comply with the provisions of United States Code Section I324a 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 Teens 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 frilly 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. Tile parties also acknowledge and agree that no representations, inducements, promises, agreements or warranties, oral or otherwise, have been made by that party or anyone acting on that party's behalf, which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement, promise, agreement, warranty, fact or circumstance not expressly set forth in this Agreement. This Agreement, and the attached Exhibit "A", contain the entire agreement between the parties respecting the subject matter of this Agreement, and supersede all prior understandings and agreements whether oral or in writing between the parties respecting the subject matter hereof. 24 16-5.195/city-funded-construction-contract.doe—revised 04/2016 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers on 2010 CONTRACTOR: CITY OF HUNTINGTON BEACH, a - municipal orporatio o tip Stape of California By. � a or (print name) ITS: Chairman Presid /Vice-President City Clerk (circle one INITIATED AND APPROVED: AND By: ^ /� — Director of Public Works (pint name) ITS S� ecretar-y-/%Chief Financial Officer REV DAPPROVED: Asst. Secretary/Treasurer (circle one) // f'// City Manager APP=ASRM: City Atto ey 25 16-5195/city-funded-construction-contract.doc—revised 04/2016 CONTRACTOR'S SWORN STATEMENT AND WARRANTY REGARDING CONTINUING INSURANCE OBLIGATIONS FROM: PROJECT: (Contractor Name) (Street Address) (City,State and Zip) TO: CM OF HUNTINGTON BEACH i DECLARATION i 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'). s I declare under penalty of perjury under the laws of the State of California that the above statement is true and correct. Signed on_ G / `2 3 .20& at AZwrlz ri�-A)f'J 13,eae 1 0+ (Date) (City,State) (Sig(rature of"Individual Who is-Kaking 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 Cert9flcate of Insurance and the aforementioned Endorsement evidencing continued coverage which meets the Conti Signed f /' Signed on 3 20�at ll/1�7 �'1 yJQ l� -X L (Date) (City,State) CONTRACTOR: z c Name: Name: r G Title: C%J s a L' 1 znezr.z € r SECTION C PROPOSAL for the construction of FY 2015/1.6 SEWER LINING PROJECT from VARIOUS LOCATIONS CC No. 1533 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 45 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-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 AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find 93 j%bcL% Mk sue' in the amount of �o 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 AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 SECTION C PROJECT BID SCHEDULE A FY 15/16 SEWER LINING, CC 1533 BID ITEMS iih�Iu u,u: 9:`wC t 1���I"4', h.k r ;?i ) T �Iil e�iii4 _;m ki, d� €3i i� ---- WCfi( G .0 H = IIIN b'ltem '` Description ;I . X Quantity Umt r UCost r Total Cost ``�}e. .'" fi .re� pnGCrfi".;i l) ( ��; �i €' i�P p, Extension t �; _ Irr,XiG:i i ,' ,,t1 pl krr ,ni � 1 Mobilization/Demobilization 1 LS 2 Furnish Traffic Control 1 LS $ 6500 $ + s 3 Cleaning and preliminary video inspection of 8"and 12" sewer main including tree roots and calcium removal 11,276 LF $ 1 Install liner and post video inspection of 8"and 12"sewer c 4 225 main 11,276 LF $ 20 $ +� 5 Grind and re-open sewer service lateral 278 EA $ %O 6 Prepare Storm Water and Sewer Pollution Prevention Plan 1 LS $ 450 $ 4s0 7 Install &Maintain Construction BMP's 1 LS $ Ns0 $ y 10 TOTAL BID AMOUNT (BASIS OF AWARD) —SCHEDULE A $ Zyy ti4� TOTAL BID AMOUNT IN WORDS: N.+Na.-s C ti (�✓�+D w�p S�uwr� S Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.l 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 By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on /- , at tf i��a� I-Te4,Jj Date City State �iri5 �i �1cs le /- , being first duly sworn, deposes and says that he or she is Sicr��ary of ��y;.Tee,ihs, .Znc. 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. $gY)COn CVI�I'iY1e�i ln� ��, Name of Bidder Signature of Bidder y� q c� ,26 Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the FY 2015/16 SEWER LINING 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 pef formed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. _4!:�Cr1COII G/!�i�9eeY���� �✓!� Contractor By Ghry's '/�l/3e�/NO��f TO ScCretf?Y Title Date: T- 1.2-- 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 l 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. r Sc Y1Coil �ilgiileei'//?9 :1 >1G. Contractor By 6k i5 S��r e7�t Title Date: C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: allcot) L' Y1�{iYleei'jVl� ��C_ Bidder Name Business Address City, State Zip 71 Y`I/-,Z-3;4 3 Telephone Number State Contractor's License No. and Class Original Date Issued 7 Expiration Date The work site was inspected by XV)e- 6r'6t0gcw5 of our office on 201,6. The following are persons, firms, and corporations having a principal interest in this proposal: Chuck Sec 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. Sr17600 �n9i�9ze,"i�Jq �r?G Company Name Signature of Bidder Ghri5 �i ��nede�� Printed or Typed Signature Subscribed and sworn to before me this 1-�2, 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 a ) County of o lnccc ) On Tct/V before me, 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(g) whose nameN is>r�& subscribed to the within instrument and acknowledged to me that he/ f executed the same in hisZhef5t*f& authorized capacity( , and that by his � signatures on the instrument the person(, or the entity upon behalf of which the personK acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. `. c.VIZN�ARRA ry�/ Commission U :ram NOTARY PUBLIC-CALIFORNIAn U ORANGE COUNTY ppy Comm.Expires OCTOBER 30,2016 Signature �G �U Signatui' of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of {Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Saniiary sewer lift stations of similar size, project work within public streets, an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."}. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: Name d Address of Public Agency Name and Telephone No. of Project Manager: l/ciye- Pefdl�e- 711/— 3 75-- Contract Amount Type of Work Date Completed Provide additional project description.to show similar work: Fy /TeAgh , 2. Di 4ric+ 315`)- W - Si, goy-k 04 i.265/ Name and Address of Public Agency Name and Telephone No. of Project Manager: z f ie- Ga✓�i�� ���- ��—U%3 7 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Gei, sewer llha /����;rs -�20 U "k /6E` �I x o2 6U;' 3. Zryin, gang S 7200 Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work' Date Completed Provide additional project description to show similar work: 1�2UM% G zPP q"X 1. 6,2 7' 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 6f proposed Project Manager Telephone No. of proposed Project Manager: 71 q' qJ,2,— 3'1yK /l-C(✓1A wer" /7Ci11112 ��JDi /2 / c G /-5- / `7,y' J51_2,!�116 Project Name & Contract Amount Type of Work Date Completed 7 Project Name & Contract Amount Type of Work Date Completed Project Name & Contrac Amount Type of Work Date Completed 2. T 14)if Name of proposed "uperintendent Telephone No. of proposed Superintendent: 71y._ y 7G 06 y hcc /,V/rev Z 50-,y,f/ 1 L.Zlo-G /F � Project Name & Contract Amount Type of Work Date Completed 16-1, 3-70 Project Name & Contract Amount Type of Work Date Completed Fy 8 x I 7I3, /0 Project Name & Contract Amount Type of Work /-�O` 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://efi ling.dir.ca.gov/P WCR/ActionS ervlet?action=di spl ayP W CRegi strationForm DIR's Contractor Registration searchable database: littps://efiling.dir.ca.gov/PWCP,/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.l(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, 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. T Contractor By _ Date: 7 1-2-_16 Title DIR#: 37,2-3 C-12 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER NE for FY 2015/16 SEWER LINING PROJECT C.C. No. 1533 July 13, 2016 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1. Replace Sewer Rehab Map CC-1533 Sht. 2 of 3 in Appendix G as the lineal feet and laterals have been corrected in the Line table. This is to acknowledge receipt and review of Addendum Number One, dated July 13, 2016. JCt 116 0/9 er'%)l C', )1(I Company Name By H Date All bidders must acknowledge the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please call Joseph Fuentes at (714) 536-5431. LEGEND Underground sere Alert FLOW DIRECTION SEWER TO BE REHABILITATED Oak TOLL FFi� S S Lge 811jMANHOLE EXISTING B# LINE ID No. WORKNG DAYS SUORE YOU DIG NORTHPORT DR. (LEGNTH OF PIPE RUN) f B02 I cj�� � . I Bo`' , MILLBRIDGE CAR. ; —0—— ( ' LINE SIZE LINEAL FEET LATERALS z f I z -�-- -`- BOl 8" 221 9 f I 1 B02 8" 227 -7 $ t B03 8" 254 4 0 3 I 805 B06 ' B04 8" 256 4 m f c� z I (218) (2307 w f w B05 8" 218 6 a NORFOLK DR. L B07 8" 224 10 I I o yI B08 8" 227 6 I a T B09 8" 246 5 -908 B10 8" 228 7 I (227) (224) Bil 8" 216 6 8. " - f CARE NEWBURY DR, 813 8" 240 4 B14 8" 181 L 8 B15 8" 241 4 _ B16 8" 183 6 -- -t-- —i B17 8" 120 2, SOUTHPORT DR, 1 ' w i p S cr, u c� cr z SEALROCK DR. U mom, mom- a mti rna � � o N w B15 LJ B13 i B11 610 `0 (241') (240) (216) (228) 877 120'. Sf-APORT DR. RD 443 SEWER TO BE LINED TOTAL 8" SEWER — -------- EXISTING SEWER LINEAL FEET = 3,794' SO EXISTING SEWER MANHOLE TOTAL LATERALS — 103 N.T.S ADDENDUM NO. 1 July 13,2016 SEWER REHAB MAP CC - 1533 >>f CITY OF HUNTINGTON BEACH DEPARTMENT OF PUBLIC WORKS SHT. 2 OF 3 CIPP Corporation Pipe Wall Thickness Design ASTM F1216-07b-FULLY DETERIORATED GRAVITY FLOW Using the Marston Formula and the Boussinesq Formula Copyright October 3,2001,PEC Inc,Helena,Montana PROJECT: City of HB/CC1533 12-Inch Sewer Dead Load(W.)=(Cd)(W)(BJ(Bd) [Marston's formula,trench condition,flexible pipe,Equation 9 5,G.S.S D C,p 171] Cd= loading coefficient= 1-e^[(-2)(ku')(H)/(Bd)] (2)(ku') H= Height of soil above crown of pipe(ft)= 10 feet Ed= Trench width(it)= 1.00 feet ku'= Negative settlement ratio product= 0 13 [Ku'=0.13 ditch condition,0.19 projection condition] W= Soil Density(Ib/ft)= 120 Ib/ft3 [W-use 120 to 125 Ib/cf if no data available] B�= Diameter of Pipe(in)= 8 inches Cd= 3.56 Dead Load(WJ= 284.8 Ib/ft Live Load (W,)=(C,)(P)(F)/L [Boussinesq's Formula,integrated by Holl] W,= Live Load on Conduit(/If) [G S.S.D.0] C,= Live Load Coefficient = 001 [G S S D C] P= Wheel Load(lb)= 16.000 pounds F= Impact Factor 10 see table Hi hwa s Railroads L= Effective Length(assume 3') 3 Fill Ht impact Factor Fill Ht Impact Factor Live Load(W,)= 53.3 �Ioifft b/ft 0'-1' 1 3 0'cover 1 4 Y-2' 1 2 10,cover 10 Total Load(W,o,=W�+W,)= 338.1 2'-3' 1 1 (Prorate for fill 0'to 1U) over 3' 1 0 External Pressure on Pipe %= External Pressure on Pipe = (Yµ,)(H„,)+(Rw)(WJ/D+W,/D [Hydraulic,Sod,and Live Load Pressures] W�= Vertical Soil Load (G S S D C -Gravity Sanitary Sewer Design =(Y,)(H)(D)/144= 556 pounds and Construction-ASCE Manuals and Yw= Specific Weight of Water(lb/in3)= 00361 Ib/m3 Reports on Engineering Practice No 60 Hw= Height of Water above top of pipe(it)= 10 0-1 feet WPCF Manual of Practice No FD-5, Rw= Water Buoyancy Factor Copyright 1982) =1-(0.33)(Hw/H)= 067 Y,= Sod Density(lb/ft')= 120 Ib/ft' (F,P P -AWWA Standard for Fiberglass Pressure Pipe,American National Sid. External Pressure on Pipe(qa)= 10.47 lb/in' ANSI/AWWA C950-88,Copyright 1989) Thickness Required for Buckling Pressure q,= (1/n)'[(32)(Rw)(B')(E')(EI)(C)/D'](112) [ASTM F1216-07b eqn X1 3,Fully Deteriorated Gravity Pipe Conditions] [Sets Marston load equal to buckling strength of constrained,flexible pipe,using modified Timoshenko,factored for ovality,buoyancy,and El= Pipe Wall Stiffness Factor elasticity,and assuming noncompressible pipe bedding(v=0 5)] =(E,)(t3)/12 I= [(D')((qa N))2]/[32'(Rw)(B')(E')(E,)(C)] t= (0.721)(D) [(q;N)'/(R.)(B')(E')(E,)(C)](va) N= Safety Factor= O= Oval Deformation= 2 0% [0=(Mean Diameter-Min Diameter)/Mean Diameter] C= Ovality Factor =[(1-O)/(1+0)2)3 0 836 Rw= Water Buoyance Factor= 0.67 B'= Coefficient of elastic support =1/[1+(4)(e^(-065H))]= 0 324 EL= Long-Term Modulus of Elasticity= 125.000 psi [EL- 50%of Short Tenn Modulus] E= Modulus of Sod Reaction(psi)= 1,000 psi E'=1,000 for sod meeting conditions in table Sod Class %Compaction or as specified SC1 Dumped Minimum Wall Thickness(t)= 0.155 inches or 3.94 mm SC2 85% Recommended Wall Thickness(t)= 0.177 inches or 45 mm SC3 90% SC4 95% Note See ASTM 3839-94a Check Proposed Thickness for Allowable Deflection of Flexible Pipe y= [(D1)(K)(W.+Ws)(r3)]/[EI+(0.061)(E')(r')] [Modified Iowa Formula,Equation 9 17,G S S D C,p 210] r=(D/2) SDR=D/t E 1=EL(t3)/12 W,ot=W�+W, y= (D1)(K)(WmJ)/[E1/(15)(SDR')+(0.061)(E')] D1= deflection lag factor= 1 50 K= bedding factor= Oil W,o,= load on unit x-section of pipe= 2818 Ib/m EL= Long-Term Modulus of Elasticity= 125,000 psi SDR= calculated with Min Wall Thickness= 51 6 SDR=proposed= 45.2 (used for deflection check) y= deflection (riches) 00751 inches y(%)=deflection divided by diameter= 0.94% Typically DK if less than 5% Check Proposed Thickness for Minimum Thickness Requirement (ASTM 1216 Eqn X1 4 pp6) E= Initial modulus of elasticity= 250 000 E/12(SDR3)> 093 in-lbs. 0.226 Okay if greater than 0 093 CIPP Corporation Pipe Wall Thickness Design ASTM F1216-07b-FULLY DETERIORATED GRAVITY FLOW Using the Marston Formula and the Boussinesq Formula Copyright October 3,2001,PEC Inc,Helena,Montana PROJECT: City of HB/CC1533 8-Inch Sewer Dead Load(W.)=(Cd)(W)(BJ(Bd) [Marston's formula,trench condition,flexible pipe,Equation 9 5,G S S D C,p 171] Cd= loading coefficient= 1-e"[(`2)(ku')(HABd)1 (2)(ku') H= Height of sail above crown of pipe(ft)= 10 feet Bd= Trench width(ft)= 0 67 feet ku'= Negative settlement ratio product= 0 13 [Ku'=0 13 ditch condition,0 19 projection condition] W= Sail Density(Ib/ft)= 120 Ib/ft3 [W-use 120 to 125 Ib/cf if no data available] B.= Diameter of Pipe(in)= 8 inches Cd= 3 768 Dead Load(W,)= 201.0 Wit Live Load (WJ=(CJ(P)(F)/L [Boussmesq's Formula,integrated by Holl] A= Live Load on Conduit(/If) [G S S D C.] Cs= Live Load Coefficient = 001 [G.S S D C] P= Wheel Load(Ib)= 16.000 pounds F= Impact Factor 1 0 see table Hi hwa s Railroads L= Effective Length(assume 3') 3 Fill Ht I Impact Factor Fill Ht impact Factor Live Load(WJ= 53.3 �btft b/ft 0'-1' 1.3 0'cover 1 4 l'-2' 1 2 'cover 10 Total Load(W,,=W�+Ws)= 254.3 2'-3' 1 1 (Prorate for fill 0'to 10') over 3' 1 0 External Pressure on Pipe %= External Pressure on Pipe = (Yw)(Hw)+(Rw)(WJ/D+Ws/D [Hydraulic,Soil,and Live Load Pressures] W�= Vertical Sail Load (G S S D C -Gravity Sanitary Sewer Design =(YJ(H)(D)/l44= 556 pounds and Construction-ASCE Manuals and Yw= Specific Weight of Water(Ibhn3)= 00361 Ib/m3 Reports on Engineering Practice No 60 Hw= Height of Water above tap of pipe(ff)= 7 0 feet WPCF Manual of Practice No FD-5, Rw= Water Buoyancy Factor Copyright 1982) =1-(0.33)(H,./H)= 077 Y:= Soil Density(lb/ft')= 120 Ib/ft' (F P P, - AWWA Standard for Fiberglass Pressure Pipe,American National Sid, External Pressure on Pipe(qa)= 10 Ib/in2 ANSI/AWWA C950-88,Copyright 1989) Thickness Required for Buckling Pressure qe= (1/n)'[(32)(Rw)(B')(E')(Et)(C)/D']r112' [ASTM F1216-07b eqn X1 3,Fully Deteriorated Gravity Pipe Conditions] [Sets Marston load equal to buckling strength of constrained,flexible pipe,using modified Timoshenko,factored for ovality,buoyancy,and El= Pipe Wall Stiffness Factor elasticity,and assuming noncompressible pipe bedding(v=0.5)] =(EL)(t)/12 I= [(D3)((ge'N))21/[32'(RV,)(B')(E')(EJ(C)1 t= (0 721)(D) [(ge'N)2/(Rw)(B')(E')(EL)(C)1w3i N= Safety Factor= O= Oval Deformation= 2 0% [0=(Mean Diameter-Min Diameter)/Mean Diameter] C= Ovality Factor =[(1-O)/(1+0)313 0 836 Rw= Water Buoyance Factor= 077 B'= Coefficient of elastic support =1/[1+(4)(e^(-065H))]= 0 324 EL= Long-Term Modulus of Elasticity= 125.000 psi [EL- 50%of Short Term Modulus] E'= Modulus of Soil Reaction(psi)= 1,000 psi E'=1,000 for soil meeting conditions in table Sod Class %Compaction or as specified SC1 Dumped Minimum Wall Thickness(t)= 0.143 inches or 3.63 mm SC2 85% Recommended Wall Thickness(t)= 0.177 inches or 45 mm SC3 90% SC4 95% Note. See ASTM 3839-94a Check Proposed Thickness for Allowable Deflection of Flexible Pipe y= [(D1)(K)(Wc+W,)(r')1/[EI+(0 061)(E')(r')] [Modified Iowa Formula,Equation 9.17,G.S S D C,p 210] r=(D/2) SDR=D/t E 1=EL(t')/12 W,a WC+W, y= [D1)(K)(W,m)1/[E1/(1.5)(SDR')+(0061)(E')] D1= deflection lag factor= 1 50 K= bedding factor= oil W,a,= load on unit x-section of pipe= 21 19 Ibhn EL= Long-Term Modulus of Elasticity= 125,000 psi SDR= calculated with Min.Wall Thickness= 559 SDR=proposed= 45 2 (used for deflection check) y= deflection (inches) 00565 inches y(%)=deflection divided by diameter= 0.71% Typically OK if less than 5% Check Proposed Thickness for Minimum Thickness Requirement (ASTM 1216 Eqn X1 4 pp6) E= Initial modulus of elasticity= 250 000 E/12(SDR3)> 093 in-lbs. 0.226 Okay if greater than 0 093 ALLMERICA FI\ANCIAI_ The Hanover Insurance Company Citizens Insurance Company CITIZENS INSURANCE Massachusetts Bay Insurance Company of America ItAN,'OVER INSURANCE 440 Lincoln Street 645 West Grand River Worcester, MA 01653 Howell, MI 48843 BID BOND KNOW ALL MEN BY THESE PRESENTS, that we, the undersigned, SANCON ENGINEERING INC. hereinafter called Principal, and THE HANOVER INSURANCE COMPANY, a corporation established under the laws of the State of New Hampshire, and/or MASSACHUSETTS BAY INSURANCE COMPANY, a corporation established under the laws of the State of New Hampshire and having their principal office in Worcester, Massachusetts, as Surety, hereinafter called Surety, are held and firmly bound unto_ City of HUNTINGTON BEACH CA as Obligee, in the penal sum of TEN PERCENT (10%) OF THE TOTAL AMOUNT OF THE BID IN Dollars for the payment of which, well and truly to be made, we hereby jointly and severally bind ourselves, our heirs, executors, administrators, successors and assigns. The condition of the above obligation is such that whereas the Principal has submitted to the City of HUNTINGTON BEACH, CA a certain Bid, attached hereto and hereby made a part hereof, to enter into a contract in writing for SEWER LINING PROJECT- FY 2015/2016 NOW, THEREFORE, (a) If said Bid shall be rejected, or in the alternate (b) If said Bid shall be accepted and the Principal shall execute and deliver a contract in the Form of Contract attached hereto (properly completed in accordance with said Bid) and shall furnish a bond for his faithful performance of said contract, and for the payment of all persons performing labor or furnishing materials in connection therewith, and shall in all other respects perform the agreement created by the acceptance of said Bid, Then this obligation shall be void, otherwise the same shall remain in force and effect; it being expressly understood and agreed that the liability of the Surety for any and all claims hereunder shall, in no event, exceed the penal amount of this obligation as herein stated. The Surety, for value received, hereby stipulates and agrees that the obligations of said Surety and its bond shall be in no way impaired or affected by an extension of the time within which the Owner may accept such Bid; and Surety does hereby waive notice of any such extension. SIGNED, SEALED AND DATED this 13TH day of JULY, 2016 SANCON ENGINEERING, INC. 5841.Engineer Drive Huntington Beach CA 92649 (Principal) BY �<� ,' (Seal) 0 THE HANOVER INSURANCE COMPANY 5 Hutton Center Drive Suite 0 Santa Ana CA 92707 BY (Seal) Michael . Langan Attorney ct) 141-0787(10/04) NA&C-K OWLEDGMENT 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 ( b before me, 0 1 (insert name and title of the officer) personally appeared Michael R. Langan who proved to me on the basis of satisfactory evidence to be the person( whose name(4) ls/ subscribed to the within instrument and acknowledged tome that he{sliFERWexecuted the sanTe in his authorized capacity( , and that by hi ignature($)on the instrument the person*, or the entity upon behalf of which the person-)acted, executed the instrument I certify under PENALTY OF PERJURY under the laws 7of the State of California that the foregoing paragraph is true and correct ,.„. RAQUEL 1101AS WITNESS my hand and official seal_ COMM. #1980954 z Notary Public.California Z Los Angeles County My Comm. ues kale 27,2016 Signature (Seal) THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWERS OF ATTORNEY CERTIFIED COPY KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being corporations organized and existing under the laws of the State of New Hampshire,and CITIZENS INSURANCE COMPANY OF AMERICA,a corporation organized and existing under the laws of the State of Michigan,do hereby constitute and appoint Michael R. Langan of Pasadena,CA and each is a true and lawful Attorney(s)-in-fact to sign,execute,seal,acknowledge and deliver for, and on its behalf,and as its act and deed any place within the United States,or,if the following line be filled in,only within the area therein designated any and all bonds, recognizances, undertakings,contracts of indemnity or other writings obligatory in the nature thereof,as follows: Any such obligations in the United States,not to exceed Ten Million and No/100($10,000,000)in any single instance and said companies hereby ratify and confirm all and whatsoever said Attorney(s)-in-fact may lawfully do in the premises by virtue of these presents. These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Companies which resolutions are still in effect: "RESOLVED,That the President or any Vice President,in conjunction with any Vice President,be and they are hereby authorized and empowered to appoint Attorneys-in-fact of the Company,in its name and as its acts,to execute and acknowledge for and on its behalf as Surety any and all bonds,recognizances, contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with power to attach thereto the seal of the Company. Any such writings so executed by such Attorneys-in-fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons"(Adopted October 7, 1981 -The Hanover Insurance Company,Adopted April 14, 1982- Massachusetts Bay Insurance Company,Adopted September 7,2001-Citizens Insurance Company of America) IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents, this 23rd day of January 2013. THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS,,#4SURANCE POMPANY OF AMERICA 19�'l eW Aga kP 11974L RoI 17homas. Vice�Pre,,ident THE COMMONWEALTH OF MASSACHUSETTS COUNTY OF WORCESTER )ss. hot grcnstrom. Vice Pre5ideg1 On this 23rd day of January 2013 before me came the above named Vice Presidents of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein,and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of said Corporations. mow;. BARBARA A.GARUCK Epp Notary Public�j;i :Crr(Irc��w2atth of MasiathuSeq$ „ .!!�_ FEZ w / ` ! _�7 ��. My Gmmssao i,''PvITS Sept.2l,a^.i8 { T cry!'-!f t .f�.� Barbara A.Garlick,Notary Public My Commission Expires September 21,2018 I,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America, hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies,and do herebyfurther certify that the said Powers of Attorney are still in force and effect. This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America. "RESOLVED,That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted and executed by the President or any Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile." (Adopted October 7, 1981 -The Hanover Insurance Company,Adopted April 14,1982-Massachusetts Bay Insurance Company;Adopted September 7,2001-Citizens Insurance Company of America) GIVEN under my hand and the seals of said Companies,at Worcester,Massachusetts,this 13 th day of July 2016. THE HANOVER INSURANCE COMPANY MA Vete, TleRANCE COMPANY OF AMERICA J. h ✓� � �t � � i ,� , r Fes'. �� t! XF �Zx� :x t �`� � S - 1 yk�, � ems.~-z-- •n �1.0:�aH of y �na�' _,'`.t -�"t,°` �„r•�v rs f �.y� �tI -� h a,' d�c >w+� � '�" f fit .. e y'��!,,w,�,'Ft�. � V- r`"�� rtz ��,#,���y�',°4z `-£,��'tr�,%'"�,'J7'' '��5x�"'�E��sa •1 �„�x Igg ,;�' -�aS �vF �d.. iE. na a�r.�`�st#*51 ,�i�s Cr "'" .r.34 '-'`„�`"s?s�F4. u.sa ''•�`�; a `�-.. � e � ,r+'Pz �� + 4t ,:;3}t �"-F �.'} • # mot ir'; F�;. a -gr" .,.�`a;'^°'j3'r., .i"i%'� 'v�f. �- - kti t � t ., ova. q ' c,`�.3 z�,hey, y��'�,y �# -,� "7��f,. �x.� fi +ao• `�'F�,t � ���'•t�a +n�"�' '� ..t Tva-��+�.• • — vy M. ¢a�t4f�..ir +' vF °k,.a�.- �;;~#1�"y_ff .';�>rJ �h t ;`y + ""„"` h ? �4����7��*�`� f R .�: � #�� �-��J��' L"^'�yak�r:3:Y�'�,�.,'i't #a,+� s�v. ` ti�#d; 'y�.,;..�`� �r"ea i-.4 •`h`.3°i3°��,{ Olt a ^' WAS s �zkaAF�Ss,y i xt .,s \ U C/\ tSAt1.4 A PO, ITVgR rVs� � 14 N OW AMA"3 t gr v . m # s �5 MIX U "\ V r- �`��'•�� �,+ �"'�C �` '°'fib �..� � ° N alYT�7dct3 It Li In . q,u, � MW Nam sw ` F d�vlF.hk`a7�itfa.°p'y`#a„�O,r Una- Id°cu �s'kwv�n € vrY M fiv a3s \ T7 ir �, f- -�,.ur . - R y- K y 2k ,�rCs"Gi' , VA AN, two ab'-a ` Ael fi`�` � 3 Fx yep.^.�iw'Taix r✓ra; y d#r �. k j ss'x{ 4�'r'az£�,,,` .t-S�fi.' �'h,� rl„'y � .0 r c e .tS- s kv `. '�i at utkF• a° a�{ � r r trr v't'S ;x`", "'y"S, zr r f r8 -2.'' #,<s.'( s=<i a ,t`td'Pxw °'�i 4tYrw -: .,try`"•"'b.da>v..�., ',A ycf d f 4 ., .srsb .r a � i a r.�d •,r ,t x 'Y3 �^� � a k "fia.= 'f •,s+�kdf'� ^ramw a'eMwa,l�` t"t {' t yiaA� v6� 7+�'' "r ,�' '' c�5t h`�'rk .x ^L 'as, 4r.a at'� > '� Cr .xr tE k SCC#- f �F€t� .�, 'x � ✓t �p '3 '# A# ,x. i F r,,°� rl � <, rx 3�skA�N.x a� � �I .a4 i + r„r:�,+rxf � �''�� 'u�f� �t�; ��r�� �e .J� 8 r�y� S- ���jls r� f rt'43• •- i T A <<",-,F e A'�` L IN W. ., ?�i, aw .,�za a�'�.��� do� ,,'�"_ :��i�g '�vd� '�Cr ay_?��pF, v'ygar ^��`� •�71 +iE�s,)�� _ r,� '��x >ta.` �C��.&-,"sv� ` "rr'C*iP'Cv y 'kt+kr;kY��'j' ',h .y -'` fn YK � e a`s a a':P Y, bx'{.i -`x r '§, 9 s +••'d rf" + araK +' -$F �` ,�lr s + r a wa "5 ++' �+t ' ',r s �`,} �r. �`; �� } 't �fm'Y��"'�� ?y .. r ° � �,�ys_� qpt:' Io a�vyya t�{Y`� ��"' �%N'+� ' xrsx gat sin t x^ � � Fr�p m �� ;..Ei;'�r� x,3j"'$ 1 ',."'n9�• ' r�5 .�, a 'tea F+ S�2�re � >r+i-'�=h 1 `' ..4 t ,� a t�� �•w �,�7?k�'�+����" �', ',$�.-- n � A� � ,c d- y�r f`s�n�s r $s*r"��- RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk / DATE: SUBJECT: Bond Acceptance I have received the bonds for \ a- (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved jj (Council proval Date) /CC No. -:0 Agenda Item No. MSC No. City Clerk Vault No. r� -5 Other No. SIRE System ID No. g:/forms/bond transmittal to treasurer P ':iGIIND NUMBER 1053344 DD R A I D M A P`P,1A i -:NO'Vv AL.-PF=�-S0i\lS e-Y-.H ESE- :DESE.-Q'T,& 6k M& hi caf;er'ererred to as has av,,ardel to ��51 �_��, MNGTUN BEACH,CA92649 and address cf Coni 3ctor 'he-eiratter referreH M Tor le--ol-k described ac'ol jvs: FY 15/16 SEW8R (Projed Title.) WHERE Principal is Te(-ju4',-ec under the terms Ythe Contact and the California Civil Code to furnish a bard to secure the'r)2y.-neni o�ciairns of laLorers,mechanics,mater-iaiman,and other persons as PFOV'Jed by b,,,, a duly admitte-d SL;r&hl insure- under the laves of the State of California re?'--wed to a- 'eI "): and - -y Surety is ce-R*;*6eu- a-id nslieu in the U.S Depariment of the Trra.-,Ljn,,Circular 57'0, Eire Ipas provided prod of 0 .ufficiei t ton 'no lin-iraton, as shovwr, in said circular L� provide bonds izl the amoun-, -equi-ed by aric Surety nas provided !-.nancilal st-e,-.gt`.rtinys from reputable companies,such as frorr,A.Ml Best, M-on-dy's,or Sta;-,daro 1, Poi-,rs, i',at Sur,,tv has;positive ratings of being secuF 7 c. ',able n e s C Surely:s rE..glsle.-ed and iis[ediv,ith Ll-jt Caffomia Deparimeri of Iris LiFarlCc. NOVVT�EREFORE v,,a the L-ndeFs'u-cd Priocir-4.and HANOVER INSURANCE COMAPNY HLJ I I UN C I RE DRfVE-,9TU60, A,CA 92/0 (narne ar-sc,address of Surety) a�Sliret,.!-a!e-iePi and fiFm:vbour,,d'-'1 Ci�'i the D-e nal sun)of iWO HUNDRED FORTY FOUR"T0116Ur,SAND,FOUR HUNDRED SEVENTY SIX DOLLARS dollars(�244,476.00 '!pis amount being not less one .nuriji-ej--aic=nt of the fete price set forrh it-,the Contract,in lawfui money c.."the Unitea Stares of for the payment Of v.,hich sum,well and trul,,,to be M,2de.we bind ourselves,and each o','cur heirs, executors,adminisli-ators,suc,-.esso,s, and assigns,jointly and seve,aflv,firmly by these presents, THE CONDITION OF THIS OBE IGA.TI,,),N IS SUCH THAT,d the Principal, r,is,her,or its heirs,executors, admin..--tratcrs, ,,jccessD.,-s or assigns,o.-sub,ontra,-tors shall fail io pay any rf the persons narned;r.Sectjor, 318-. cl-he California Civi,Ccoe(1Ci@Vnant3`)for all labor,rnater!ais or servicesused or reas-)nab1v,,-,qjirc-! use ailljefforfriwiGe of the .,ork dc.scribed in the C.ont-aGt,or any amounts due under the Uneinpjovnner.; nsurance Code with reseed?O w.c.-V OF labor performed oy any su--h Claimant.Or prevailing,wages due and penalties incurred pursuant to Sections '774, 1775, 1813 or 1815 Of the LaDor C-i'lle,or any amounts required to be deducted,withheld s-no Paid over to the Enyp':oymenf Deve;oprne Depar'lnertfrom the ,rL,nCS of employees Of the Principal and Su)oontractor7 pursuant to Section 302,01 CA the,Unemployment insurance 1-c-D--Mth,es�;ect io trlev�cr'or labor p--FFo-,med inde, Contract, S ray For V-ie sa-re it a�amount not exceedmo the penal En:i-,specified in this bond,otherwise,this obligat on shall be hull and voic. !-his borld shalt inure to the benefit of an,,!of the Pe!sOhS named 0 Section 3';81 of1he Califormal CMI Code In case any action is brought upon this bond, jr--tv further ge=s'o pay all couiLCoss and a reasonable artorriF.',"s lae in an amount fixed bv the court. PAY10t 171`1TB 01111 of Surat.,;stiptsi and agre--s,'jo:val.e-e--eived,tha`nc C;,anqe,e""er'slon of fine, a!terai;or., -rdi-JcF-cr rnooific3tiorl L%th---i=-is of the Contract,or any contac'documeW or anv tc mada a;'(er mice or not,shall in any way affect,inip aif or fele?se the cbiigabons cf Surety u.,icier:his lboi,,d. Surety her-by%Aiaives notice of any suer,chance, ekjensian of tirnE,alteration,adldition,of modification to the terms of the Contract,the contract cc)c,lmmenLz DF the vvo,h'hereunder Surety also waives the prcvislc is of Cailiforr,:a C:iV,l Cod-c 284-`ano 2842, N"!"21THESS V,'!�.EREOF,3acr party repieo-cnts and warr-an"S that, riszrcmerit has executed L,, F:inc;pal and Surety,&c he cafe set forth L)aimv,thai the name of each zorperale p,-,,-tv bei-to of `.ereto:s sucin p:-;r,y's prover!ega:113Me and that the individuals 519,11111� finis i,71,-,"'UrnrIllt ,)ave beer d0y aurho,,-,zer pursLiant:o the aullhoritj of its governing body. Surety,by axpouz cn of this bond, .!valves any defense'which SLtreiy has or 7,iay have by reason of any failure of the Principal to execute o! property execute this bond. Dated: 9/20/2016 A TTEST SANCON ENGINEERING,INC. or.porate Sea:,) B S T HANOVER INSURANCE COMPANY (CorpDrsle Seat; Surazv une, "'a'i&�g—y�,n.)�,_S�haeljRL n an,A or Fat (Signature of/mtorhe,y-h-Fact for Surely! 'At 714 415-3808 ,Area Cade!,Telephone Wrrber to;Eu.etv) APPROVH)AS TO,F rr Mi it,hael E.G2ics,"CryA' Ttornev -e: 1!7,;s ho-,,tJ r- i be o,,ialcarc and dated,al,'s;gnatures must be nollai—i-ed,and 2vloen,.a ofL'he F Ut"'rwm,Of a:-,I"pe �fgOl'I'l-S a be alfached B:01<TD Pa-,->2 of'? ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On September 20, 2016 before me, C.Vizcarra, A Notary Public (insert name and title of the officer) personally appeared Michael R. Langan who proved to me on the basis of satisfactory evidence to be the person(s) whose name(.&) is/aFe subscribed to the within instrument and acknowledged to me that he/sheAhey executed the same in his'h,,,e;i„e;F-authorized capacity(+-_&), and that by his'hef4he;F signature(&)on the instrument the person(&), or the entity upon behalf of which the person(&) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. C. VIZCARRA+ hfR: Commission No. 1996629 Z NOTARY PUBLIC-CALIFORNIA ORANGE COUNTY �� My Comm.Expires OCTOBER 30,2016 Signature / G-� (Seal) THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWERS OF ATTORNEY CERTIFIED COPY KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being corporations organized and existing under the laws of the State of New Hampshire,and CITIZENS INSURANCE COMPANY OF AMERICA,a corporation organized and existing under the laws of the State of Michigan,do hereby constitute and appoint Michael R. Langan of Pasadena,CA and each is a true and lawful Attorney(s)-in-fact to sign,execute,seal,acknowledge and deliver for,and on its behalf,and as its act and deed any place within the United States,or,if the following line be filled in,only within the area therein designated any and all bonds, recognizances, undertakings,contracts of indemnity or other writings obligatory in the nature thereof,as follows: Any such obligations in the United States, not to exceed Ten Million and No/100($10,000,000)in any single instance and said companies hereby ratify and confirm all and whatsoever said Attorney(s)-in-fact may lawfully do in the premises by virtue of these presents. These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Companies which resolutions are still in effect: "RESOLVED,That the President or any Vice President,in conjunction with any Vice President,be"and they are hereby authorized and empowered to appoint Attorneys-in-fact of the Company,in its name and as its acts,to execute and acknowledge for and on its behalf as Surety any and all bonds,recognizances, contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with power to attach thereto the seal of the Company.Any such writings so executed by such Attorneys-in-fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons."(Adopted October 7, 1981 -The Hanover Insurance Company;Adopted April 14, 1982- Massachusetts Bay Insurance Company,Adopted September 7,2001 -Citizens Insurance Company of America) IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents, this 23rd day of January 2013. THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENStNSURANCE OMPANY OF AMERICA 1pB3 t9� Robert Thrum ts.V'icc President THE COMMONWEALTH OF MASSACHUSETTS COUNTY OF WORCESTER ))ss. Joe grcnstrom, ice President On this 23rd day of January 2013 before me came the above named Vice Presidents of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein,and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of said Corporations. CF i�w• BARBARAA.GARUCK Notary Public s� f ;, ��yti Cernmnnaearn of Massadtiuseris �t.(f'-��.�-f�} t lMv"v�nrnsi!Y+CYPirgsSep;21,2 6 , Barbara A.Garlick, Notary Public My Commission Expires September 21,2018 I,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America, hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies,and do hereby further certify that the said Powers of Attorney are still in force and effect. This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America. "RESOLVED,That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respectthereto,granted and executed by the President or any Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile." (Adopted October 7, 1981 -The Hanover Insurance Company;Adopted April 14,1982-Massachusetts Bay Insurance Company;Adopted September 7,2001-Citizens Insurance Company of America) GIVEN under my hand and the seals of said Companies,at Worcester,Massachusetts,this 20 TH day of September 2016. THE HANOVER INSURANCE COMPANY MA SA HUSETT BAY I RA CE COMPANY CIT EN I SUR CE OF AMERICA J. h I ete,Vice es ent 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 20, 2016 before me, C.Vizcarra, A Notary Public (insert name and title of the officer) personally appeared Nick DiBenedetto who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/afe subscribed to the within instrument and acknowledged to me that he/sheAhey executed the same in his'h>T, ' F authorized capacity(�es), and that by hisl"e i signature(&) 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. C.VIZCARRA WITNESS my hand and official seal. `'+ °`. Commission No. ,ss6szs 0 .,_., _� U NOTARY PUBLIC CALIFORNIA ORANGE COUNTY / •My Comm Expires OCTOBER 3086 Signature i NUMBER: 1053344 K C, L E:SO; S 3 V H E S E PRESENTS: 'y iLd FIR EAS Cxv o, llurti-)gton Bead-,h ereafte. referred to as it, h-1 b\,yvr:tten aq reement dal ad .'§/15/2016 ,20 into a contract v)ith SA4CON 0N6&rUNG,INC.. 5841 ENGINEER DRIVE,HUNTrNGTON BEACH,CA 92649 (name anri,address 01 l'_'0ntaC10F) ornance of he wcn,described as foll'ovvs: Sz��'�diffin_g roject',WiRV (Project Title.) WHEREAS, saia :oritract, and all docurr.aws isferenced therein ;hereinafter collectively "'crilr3o"), of irlC0r00ra_,ed herein by:his reference Made a Part h Feof a---,-'Lh-.)ughf set forth hereir,in full;andl Said P,_iFIC pEI;2 feql-j[Fer-' inde-FIl-e terms of the Contract to fijimsh a bond guaranteeingthe prornipt, full and 'aithfui Perforrnance of sato Contract, by a duly adrnittei surs'y inswrei u._,oler the lay.,s of the Siaic -"f California he einafief referrec to as"S,�,-eTy and Surety is, -erffie,�� and isted in 'Fle U.S. Department of the T-eaSUFV OF-CUla, c70' a,r%iCl ITas provided proofof su­;cieri-. bonding iinni-*.26,Dns as sh,.-),o/n in said zitcu!ar in Provide bonds in ,he amount by said &zm,7ia ;and Surety has provi6eld fi;ancial strength ra-JFiQs from reputable companies.such as fiom kfv, Res:,r•,Ioody's, Standard& Poor's.to val;da-e that Surety has positive ravings of being secure or Stable,- and Surety is registe-ed and listed,'J';the California Depaftmeril of Insurance, NOVV,­THERFFORE \we the uncersioned,as P&cip�_I,and Hanover Insurance Company - —7-HUTTONCENTRE-DRWE,ttlO% L)AIN 1A AINA,UA V2/U/ 'name and address of Surety) as Surety are need and - 1 bound I — - 11 HUNDRED FORTY FOUR THOUSAND, TlFm"!0ouno un,qdr6jfn'�j&enaI sun-,of TWO- FOUR DRED SEVENY SIX Doila-s (S:14:�4,47 .00 __).rni=--mount being not less than one hundred Percent of the price sat forth in the Contract,in iawfu'money of the'United States,for the payr.-Fertcf which sum moil and truly 10 be mace, %k,e bind ourselves,our heirs, administrators and successors,ioinfly and se%eiaVy,fiFml,,,by These pfe-sents. THE CONDI Tii(D'N OF T,-,;S -OBLIGATION IS SUCH THAT if the Principal shalt promWL!y, ful!y and f3r[ht_jIi\ perform ea and all of the covenants,oblig2tions and things tobe dote d pe,I ormea by the Principal ii strict accordance vvith.he terms of the Contract as said contract may be al-'ered,amended or modified from time to tirne:-afic F the Drincipal shall Indemnify and save harmless City and all ol­Cily's offic-_rs,agenis and ernplo;,ees coliecti-51-re,1'eFFe14 to from-sny snd all osses, habihfy and damages, claims, lodgments,stop notices,fees and costs of every bescription,whether imposed btr law or in equity, C-d!D�,,the0bligee,,;byre2sor.ofth Or default on the part of the Principal in 7 vvhict-i ri-iay be in�Urr e IajjUre -he perforrriance of ary or at'of the ierms--FLf;e obligations of the Contact,inctudinci all alterations,amendments and modifications Thereto,and any warranties or guarantees required thereunder.then this obligation stiali be void; othervv;Se. 't shall be and shah remain in full force and affect. Surety stipulates ant:agrees,for Value naceived,that no adjustment of the tune or Brice in the Contract o, any alteration,change,deletion.addition or other modification to the Contract,or the\vo,'K to be perfon'ned 1hereurder.sIla!!4 any way affeC",limit, restrict,impair or release the ob!;ga1io,­,s oFthe Su-etvundei th'c Bond Surety\,!kres not -of am,2djustment of contract OF con-Tact price,and any ofh-,-F altemflon,change, deleiicFi,acdi ion or ether M0d'fi--31'0P to the COnil 2ci, or the work to be pe-forr-ned thereurldcr,arid acees Band No. 1053344 to auWattm!"ejusi me penal suiz o;:ais Bond to Yhct Stich li strait M,8itei","'.Uow imam, de]etons_additions o-otf-_;r rni odlficatbns. SUrety agrees to provide vv1 itten confi,-ma-Lio i of-,uch a,2jusuments in the penal sLm t-)C:i; on not ie", `hats a quarterly basis. Sure;y ato wAves Me previsions of CK Code§F 284E and 2845. he shyaticris of this Sond szhall s;' i4e the completion of the:fork,described in the Comas as to all .;biigations and liabilities o;the P.incbai which sjrvive completicn of the,Mork id ,'JI_NESS `iJHEREOF,each party repmsen.s and warrants that this instrurr,ent has been duly execded by Principal and SJre'y,on_he dare set fxth.below,that the name of each corpo;a[s part}' being aWed umb is such part�'s proper legal;game and that the indi::!rluais signing,this:nstrime rat have been duly authorzed u rsuarn to the mWor'y of irs govemirg body Surety by execAon of :his bond wawes any defense oich Surety has or may have by reason of arty`allure of the P'riapal is execute or properly execute Ws bond. Cated SEPT.20,2016 ATTEST SANCON ENGINEERING,INC. fl,o'_ii otE sea:,; (Prinnai Name Name: l be. !� / ,,EST HANOVER INSURANCE COMPANY !Conpo-ate Sealj ( �; Iv-mej iv Nam_ i del ngan,AtKQgjtY in Fact S,nnanire o ,=.dcrney-ir-Fad for Surety! .ro-n"mT t �,714 415-3808 (Ai%ea Cade&Telephone Ni—ter fcT Su:e`y) APP=OVED AS TO FORME - I`Aic'na�l E G=_tcts.City Ait:;ire} NNY i -hrs W nd o be vec_'ed in dupftcrte and o red,all signatur_s r rust be rota izad. and ov d,,ice of the scd,hoWa gap mom Qm,,g as attcr,,cy_ir,_'act mur;be af7acn;d. PERFORMA JCE UOND Nge 2 o,_ 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 20, 2016 before me, C.Vizcarra, A Notary Public (insert name and title of the officer) personally appeared Michael R. Langan 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/sue executed the same in his'heFAheiF authorized capacity(+es), and that by his'hegthe; signature(6)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. C.VIZCARRA 7vw7_; �: Commission No. 1996629 0 WITNESS my hand and official seal. . NOTARY PUBLIC-CALIFORNIA Z s� ORANGE COUNTY My Comm.Expires OCTOBER 30,2016 Signature �� �` / C (Seal) THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWERS OF ATTORNEY CERTIFIED COPY KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being corporations organized and existing under the laws of the State of New Hampshire,and CITIZENS INSURANCE COMPANY OF AMERICA,a corporation organized and existing under the laws of the State of Michigan, do hereby constitute and appoint Michael R. Langan of Pasadena,CA and each is a true and lawful Attorney(s)-in-fact to sign,execute,seal,acknowledge and deliver for,and on its behalf,and as its act and deed any place within the United States,or,if the following line be filled in,only within the area therein designated any and all bonds, recognizances, undertakings, contracts of indemnity or other writings obligatory in the nature thereof,as follows: Any such obligations in the United States,not to exceed Ten Million and No/100($10,000,000)in any single instance and said companies hereby ratify and confirm all and whatsoever said Attorney(s)-in-fact may lawfully do in the premises by virtue of these presents. These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Companies which resolutions are still in effect: "RESOLVED,That the President or any Vice President,in conjunction with any Vice President,be and they are hereby authorized and empowered to appoint Attorneys-in-fact of the Company,in its name and as its acts,to execute and acknowledge for and on its behalf as Surety any and all bonds,recognizances, contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with power to attach thereto the seal of the Company.Any such writings so executed by such Attorneys-in-fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons."(Adopted October 7, 1981 -The Hanover Insurance Company,Adopted April 14, 1982- Massachusetts Bay Insurance Company,Adopted September 7,2001 -Citizens Insurance Company of America) IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents, this 23rd day of January 2013. THE HANOVER INSURANCE COMPANY `� MASSACHUSETTS BAY INSURANCE COMPANY a�'cr`�j� CITIZENS SURANCEPOMPANY OF AMERICA ° BEALf 1 r� 4l94 7 1994 1974 +` f 17 ._ _ ...,,,,,,..-.... ....-._ Robert Thomas.Vice President THE COMMONWEALTH OF MASSACHUSETTS COUNTY OF WORCESTER )ss. l"8rettstrom. Vice President On this 23rd day of January 2013 before me came the above named Vice Presidents of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein,and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of said Corporations. BARBARA A.GARUCK Notary Public ;✓� _ Cemmoa»�atts+oiidassaCtiuseus ��f���fS� ' b1y"vommzsx cx�r�z S8(,.21.23l6 Barbara A.Garlick, Notary Public My Commission Expires September 21,2018 I,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America, hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies,and do hereby further certify that the said Powers of Attorney are still in force and effect. This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America. "RESOLVED,That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted and executed by the President or any Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile." (Adopted October 7, 1981 -The Hanover Insurance Company;Adopted April 14,1982-Massachusetts Bay Insurance Company;Adopted September 7,2001-Citizens Insurance Company of America) GIVEN under my hand and the seals of said Companies,at Worcester,Massachusetts,this 20 TH day of September 2016, THE HANOVER INSURANCE COMPANY MA SA HUSETT BAY I RA CE COMPANY ClT EN f SU CE OF AMERICA J. h I ate,Vice as ant 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 20, 2016 before me, C.Vizcarra, A Notary Public (insert name and title of the officer) personally appeared Nick DiBenecletto who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/afe subscribed to the within instrument and acknowledged to me that he/sheAhey executed the same in hiSiheFAheiF authorized capacity(+es), and that by his'"�re 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. _ C.VIZCAR��� ' commission No. 1996629 0 WITNESS my hand and official seal.:. _- _— NOTARY PUBLIC-CALIFORNIA Z ORANGE COUNTY f `1 My Comm.Expires OCTOBER 30.2016 Signature ��� v ��ll C�`J (Seal) CERTIFICA 6 E ®F LIABILITY INSURANCE D / YYY) 9/21/21/201 6 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Pamela De Guzman NAME: Poms & Associates Insurance Brokers, Inc. PHONE (800)578-8802 A/CFAX No:(818)949-9321 CA License #0814733 E-MAIL g ADDRESS: P unman pDe@ omsassoc.com 5700 Canoga Ave. #400 INSURERS AFFORDING COVERAGE NAIC# Woodland Hills CA 91367 INSURERA:Travelers Indemnity Co of Ame 25674 INSURED INSURERB:Travelers Indemnity Co of CT 25682 Sancon Engineering, Inc. INSURERC: 5841 Engineer Drive INSURERD: INSURER E, Huntington Beach CA 92649 INSURER F: COVERAGES CERTIFICATE NUMBER:15-16 - MASTER NO POLL 2 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence S 300,000 A CLAIMS-MADE OCCUR X T22-CO-9181R93A-TCT-15 10/1/2015 10/1/2016 MED EXP(Any one person) $ 5,000 EDUCTIBLE:$5,000 Per Occ PERSONAL&ADV INJURY $ 1,000,000 rop Dmge Liability I GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG S 2,000,000 POLICY X PRO LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1 000 000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED A9181R93A-15-CNS 10/1/2015 10/1/2016 BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident X Comp$1000 X Coll $1000 S X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE S 4,000,000 DED I X I RETENTIONS 10,00C DTSM-CUP-91BIR93A-TIL-15 10/1/2015 10/1/2016 $ j WORKERS COMPENSATION y X WC ST TORY ATUS GTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED NIA (Mandatory in NH) TJ-UB-9181R93A-TIL-15 10/1/2015 10/1/2016 E L DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT S 1,000,000 APPROVED DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) MICHAEL E. GATES RE: FY 15/16 Sewer Lining Project, Project No. 1533 CITY ATTORNEY CITY OF HUNTINGTON BEACH The City of Huntington Beach, its officers, elected and appointed officials, employees, agents and volunteers are Included as Additional Insured. Said Insurance is Primary Non-Contributory. Waiver of Subrogation for the Workers Comp applies in favor of same entities. Endorsements per attached. (30) Day Notice of Cancellation, (10) Day Notice of Non-Pay of Premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Huntington Beach ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street P.O. BOX 190 AUTHORIZED REPRESENTATIVE Huntington Beach, CA 92648 P De Guzman/CJORDA7"— ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INR025 r?ninn,�rn The A((,)Pn name and Inn^am ranicfnrarl marlrc of A(.(,)Pn COMMERCIAL GENERAL LIABILITY POLICY NUMBER: DT22-CO-9181R93A-TCT-15 ISSUE DATE:09 -2 1- 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANIZATION(S): The City of Huntington Beach, its officers, elected and appointed officials , employees, agents and volunteers PROJECT/LOCATION OF COVERED OPERATIONS: RE:FY 15/16 Sewer Lining Project, Project No. 1533 1. WHO IS AN INSURED — (Section II) is amended b) The insurance provided to the additional in- to include the person or organization shown in the sured does not apply to "bodily injury", "prop- Schedule above, but: erty damage" or "personal injury" arising out a) Only with respect to liability for"bodily injury", of the rendering of, or failure to render, any "property damage" or"personal injury'; and proles sera) architectural, engineering or sur- b) If, and only to the extent that, the injury or veyingI. The preparing, approving, or failing to damage is caused by acts or omissions of you or your subcontractor in the performance prepare or approve, maps, shop draw- of "your work" on or for the project, or at the ings, opinions, reports, surveys, field or- location, shown in the Schedule. The person ders or change orders, or the preparing, or organization does not qualify as an addi- approving, or failing to prepare or ap- tional insured with respect to the independent prove, drawings and specifications; and acts or omissions of such person or organiza- ii. Supervisory, inspection, architectural or tion. engineering activities. 2. The insurance provided to the additional insured c) The insurance provided to the additional in- by this endorsement is limited as follows: sured does not apply to "bodily injury" or a) In the event that the Limits of Insurance of "property damage" caused by "your work" this Coverage Part shown in the Declarations and included in the "products-completed op- exceed the limits of liability required by a erations hazard" unless a "written contract "written contract requiring insurance" for that requiring insurance" specifically requires you additional insured, the insurance provided to to provide such coverage for that additional the additional insured shall be limited to the insured, and then the insurance provided to limits of liability required by that "written con- the additional insured applies only to such tract requiring insurance". This endorsement "bodily injury" or "property damage" that oc- shall not increase the limits of insurance de- curs before the end of the period of time for scribed in Section III—Limits Of Insurance. which the "written contract requiring insur- ance" requires you to provide such coverage CG D2 47 08 05 0 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY • or the end of the policy period, whichever is I. Immediately record the specifics of the earlier. claim or"suit'and the date received; and 3. The insurance provided to the additional insured ii. Notify us as soon as practicable. by this endorsement is excess over any valid and The additional insured must see to it that we collectible 'other insurance", whether primary, receive written notice of the claim or"suit' as excess, contingent or on any other basis, that is soon as practicable. available to the additional insured for a loss we cover under this endorsement. However, if a c) The additional insured must immediately "written contract requiring insurance" for that ad- send us copies of all legal papers received in ditional insured specifically requires that this in- connection with the claim or "suit', cooperate surance apply on a primary basis or a primary with us in the investigation or settlement of and non-contributory basis, this insurance is pri- the claim or defense against the "suit', and mary to 'other insurance" available to the addi- otherwise comply with all policy conditions. tional insured which covers that person or organi- d) The additional insured must tender the de- zation as a named insured for such loss, and we fense and indemnity of any claim or "suit' to will not share with that 'other insurance". But the any provider of'other insurance"which would insurance provided to the additional insured by cover the additional insured for a loss we this endorsement still is excess over any valid cover under this endorsement. However, this and collectible 'other insurance", whether pri- condition does not affect whether the insur- mary, excess, contingent or on any other basis, ance provided to the additional insured by that is available to the additional insured when this endorsement is primary to 'other insur- that person or organization is an additional in- ance" available to the additional insured sured under such 'other insurance". which covers that person or organization as a 4. As a condition of coverage provided to the named insured as described in paragraph 3. additional insured by this endorsement: above. a) The additional insured must give us written 5. The following definition is added to SECTION V. • notice as soon as practicable of an 'occur- —DEFINITIONS: rence" or an offense which may result in a "Written contract requiring insurance" means claim. To the extent possible, such notice that part of any written contract or agreement should include: under which you are required to include a i. How, when and where the 'occurrence" person or organization as an additional in- or offense took place; sured on this Coverage Part, provided that ii. The names and addresses of any injured the "bodily injury" and "property damage" oc- persons and witnesses; and curs and the "personal injury" is caused by an offense committed: Ill. The nature and location of any injury or a. After the signing and execution of the damage arising out of the occurrence or contract or agreement by you; offense. „ i b. While that part of the contract or b) If a claim is made or suit s brought against the additional insured, the additional insured agreement is in effect; and must: c. Before the end of the policy period. • Page 2 of 2 0 2005 The St. Paul Travelers Companies, Inc. CG D2 47 08 05 COMMERCIAL GENERAL LIABILITY • b. "Bodily Injury" or "property damage" in- insured under any other policy, cluded in the "products-completed opera- including any umbrella or excess tions hazard". policy. I. OTHER INSURANCE CONDITION When this insurance is excess, we A. COMMERCIAL GENERAL LIABILITY CON- will have no duty under Coverages A DITIONS (Section IV), paragraph 4. (Other or B to defend the insured against Insurance) "suit" if any provider of "other In- Insurance) is deleted and replaced by the fol- surance" has a duty to defend the in- lowing: sured against that "suit". If no pro- 4. Other Insurance vider of "other insurance" defends, If valid and collectible "other insurance" Is we will undertake to do so, but we will available to the insured for a loss we be entitled to the insureds rights cover under Coverages A or B of this against all those providers of other Coverage Part, our obligations are limited insurance". as follows: When this insurance Is excess over "other insurance", we will pay only a, Primary Insurance: our share of the amount of the loss, if This insurance is primary except any,that exceeds the sum of: when b. below applies. If this insur- (1) The total amount that all such ance is primary, our obligations are "other insurance" would pay for not affected unless any of the "other the loss in the absence of this in- insurance" is also primary. Then, we surance;and will share with all that "other insur- ance" by the method described in c. (2) The total of all deductible and below. self-insured amounts under that b. Excess Insurance "other insurance". This insurance is excess over any of We will share the remaining loss, if the "other insurance", whether pri- any,with any"other insurance"that is mary, excess, contingent or on any not described in this Excess Insur- other basis: ance provision. c. Method Of Sharing (1) That is Fire, Extended Coverage, If all of the "other insurance" permits Builder's Risk, Installation Risk, contribution by equal shares, we will e or similar coverage for your work"; follow this method also. Under this (2) That is Fire insurance for prem- approach each provider of insurance contributes equal amounts until it has ises rented to you or temporarily paid its applicable limit of insurance occupied by you with permission or none of the loss remains, which- ever comes owner; ever comes first. (3) That Is Insurance purchased by If any of the "other insurance" does you to cover your liability as a not permit contribution by equal tenant for "property damage" to shares, we will contribute by limits. premises rented to you or tempo- Under this method, the share of each rarily occupied by you with per- provider of insurance is based on the mission of the owner; or ratio of its applicable limit of insur- (4) If the loss arises out of the main- ance to the total applicable limits of tenance or use of aircraft, insurance of all providers of insur- "autos", or watercraft to the ex- ance. tent not subject to Exclusion g. of B. The following definition is added to DEFINITIONS Section I — Coverage A — Bodily (Section V): Injury And Property Damage Li- ability; or "Other insurance": (5) That is available to the insured a. Means insurance, or the funding of losses, when the insured is an additional that is provided by,through or on behalf of: Page 4 of 6 Copyright,The Travelers Indemnity Company, 2004 CG D316 07 04 • TRAVELERS ���� ^ WORKERS COMPENSATION Fnb J AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD, CT 06183 ENDORSEMENT WC 99 03 76( A)— 001 POLICY NUMBER: (DTJUB-9181R93-A-15) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) 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. The additional premium for this endorsement shall be 2 .00 % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below Is required only when this endorsement is issued subsequent to preparation of the policy.) • Endorsement Effective: 10/01/2015 Policy No. UB9181R93A15 Endorsement No. Insured Premium Insurance Company:Travelers Property Countersigned by Casualty Insurance DATE OF ISSUE: 10-09-1 5 ST ASSIGN- Panes 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CALIFORNIA CHANGES ® CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following: CAPITAL ASSETS PROGRAM (OUTPUT POLICY)COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT-RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A. Paragraphs 2. and 3. of the Cancellation Com- currence, after the effective date of the policy, mon Policy Condition are replaced by the follow of one or more of the following: ing: (1) Nonpayment of premium, including pay- 2. All Policies In Effect For 60 Days Or Less ment due on a prior policy we issued and If this policy has been in effect for 60 days or due during the current policy term cover- less, and is not a renewal of a policy we have ing the same risks. previously issued, we may cancel this policy (2) Discovery of fraud or material misrepre- ® by mailing or delivering to the first Named In- sentation by: sured, at the mailing address shown in the (a) Any insured or his or her representa- policy, and to the producer of record, advance `- tive in obtaining this insurance; or written notice of cancellation, stating the rea- "— son for cancellation, at least: (b) You or your representative in pursu- ing a claim under this policy. a. 10 days before the effective date of can- cellation if we cancel for: (3) A judgment by a court or an administra- -_ (1) Nonpayment of premium; or tive tribunal that you have violated a Cali- fornia or Federal law, having as one of its �= (2) Discovery of fraud by: necessary elements an act which materi- (a) Any insured or his or her repre- ally increases any of the risks insured �— sentative in obtaining this insur- against. ance; or (4) Discovery of willful or grossly negligent (b) You or your representative in acts or omissions, or of any violations of pursuing a claim under this pol- state laws or regulations establishing icy. safety standards, by you or your repre- b. 30 days before the effective date of can- sentative, which materially increase any cellation if we cancel for any other rea- of the risks insured against. son. (6) Failure by you or your representative to 3. All Policies In Effect For More Than 60 Days implement reasonable loss control re- quirements, agreed to by you as a condi- a. If this policy has been in effect for more than tion of policy issuance, or which were 60 days, or is a renewal of a policy we issued, conditions precedent to our use of a par- we may cancel this policy only upon the oc- ticular rate or rating plan, if that failure IL 02 70 09 12 ©Insurance Services Office, Inc.,2012 Page 1 of 3 004291 materially increases any of the risks in- b. We may not cancel this policy solely be- sured against. cause the first Named Insured has: (6) A determination by the Commissioner of (1) Accepted an offer of earthquake cov- Insurance that the: erage; or (a) Loss of, or changes in, our reinsur- (2) Cancelled or did not renew a policy ance covering all or part of the risk issued by the California Earthquake would threaten our financial integrity Authority (CEA) that included an or solvency; or earthquake policy premium sur- (b) Continuation of the policy coverage charge. would: However, we shall cancel this policy if the (i) Place us in violation of California first Named Insured has accepted a new law or the laws of the state where or renewal policy issued by the CEA that we are domiciled; or includes an earthquake policy premium (ii) Threaten our solvency. surcharge but fails to pay the earthquake policy premium surcharge authorized by (7) A change by you or your representative in the CEA. the activities or property of the commer- c. We may not cancel such coverage solely cial or industrial enterprise, which results because corrosive soil conditions exist on in a materially added, increased or the premises. This restriction (c.) applies changed risk, unless the added, in- only if coverage is subject to one of the creased or changed risk is included in the following, which exclude loss or damage policy. caused by or resulting from corrosive soil b. We will mail or deliver advance written notice conditions: of cancellation, stating the reason for cancel- (1) Commercial Property Coverage Part lation, to the first Named Insured, at the mail- —Causes Of Loss—Special Form; or ing address shown in the policy, and to the {2) Farm Coverage Part — Causes Of producer of record, at least: Form — Farm Property, Para- (1) 10 days before the effective date of can- graph Loss D. Covered Causes Property, Loss — cellation if we cancel for nonpayment of Special. premium or discovery of fraud; or (2) 30 days before the effective date of can- C. The following is added and supersedes any pro- cellation if we cancel for any other reason visions to the contrary: listed in Paragraph 3.a. Nonrenewal B. The following provision is added to the Cancella- 1. Subject to the provisions of Paragraphs C.2. tion Common Policy Condition: and C.3. below, if we elect not to renew this policy, we will mail or deliver written notice, 7. Residential Property stating the reason for nonrenewal, to the first This provision applies to coverage on real Named Insured shown in the Declarations, property which is used predominantly for and to the producer of record, at least 60 residential purposes and consisting of not days, but not more than 120 days, before the more than four dwelling units, and to cover- expiration or anniversary date. age on tenants' household personal property We will mail or deliver our notice to the first in a residential unit, if such coverage is writ- Named Insured, and to the producer of re- ten under one of the following: cord, at the mailing address shown in the pol- Commercial Property Coverage Part icy. Farm Coverage Part—Farm Property—Farm 2. Residential Property Dwellings, Appurtenant Structures And This provision applies to coverage on real Household Personal Property Coverage Form property used predominantly for residential a. If such coverage has been in effect for 60 purposes and consisting of not more than four days or less, and is not a renewal of cov- dwelling units, and to coverage on tenants' erage we previously issued, we may can- household property contained in a residential cel this coverage for any reason, except unit, if such coverage is written under one of as provided in b. and c. below. the following: Page 2 of 3 0 Insurance Services Office, Inc., 2012 IL 02 70 09 12 Commercial Property Coverage Part to the changes in our reinsurance po- Farm Coverage Part—Farm Property—Farm sition. Dwellings, Appurtenant Structures And c. We will not refuse to renew such cover- Household Personal Property Coverage Form age solely because the first Named In- a. We may elect not to renew such cover- sured has cancelled or did not renew a age for any reason, except as provided in policy, issued by the California Earth- b., c. and d. below. quake Authority, that included an earth- b. We will not refuse to renew such cover- quake policy premium surcharge. age solely because the first Named In- d. We will not refuse to renew such cover- sured has accepted an offer of earth- age solely because corrosive soil condi- quake coverage. tions exist on the premises. This restric- tion (d.) applies only if coverage is sub- However, the following applies only to in- ject to one of the following, which exclude surers who are associate participating in- loss or damage caused by or resulting surers as established by Cal. Ins. Code from corrosive soil conditions: Section 10089.16. We may elect not to renew such coverage after the first (1) Commercial Property Coverage Part Named Insured has accepted an offer of —Causes Of Loss—Special Form; or earthquake coverage, if one or more of (2) Farm Coverage Part — Causes Of the following reasons applies: Loss Form — Farm Property, Para- (1) The nonrenewal is based on sound graph D. Covered Causes Of Loss — underwriting principles that relate to Special. the coverages provided by this policy 3. We are not required to send notice of nonre- and that are consistent with the ap- newal in the following situations: proved rating plan and related docu- a. If the transfer or renewal of a policy, with- ments filed with the Department of out any changes in terms, conditions or Insurance as required by existing law; rates, is between us and a member of our (2) The Commissioner of Insurance finds insurance group. that the exposure to potential losses = b. If the policy has been extended for 90 � _ will threaten our solvency or place us days or less, provided that notice has in a hazardous condition. A hazard- been given in accordance with Paragraph ous condition includes, but is not lim- C.I. ited to, a condition in which we make claims payments for losses resulting c. If you have obtained replacement cover- from an earthquake that occurred age, or if the first Named Insured has within the preceding two years and agreed, in writing, within 60 days of the that required a reduction in policy- termination of the policy, to obtain that holder surplus of at least 25% for coverage. payment of those claims; or d. If the policy is for a period of no more "= (3) We have: than 60 days and you are notified at the (a) Lost or experienced a substantial time of issuance that it will not be re- newed. reduction in the availability or scope of reinsurance coverage; e. If the first Named Insured requests a or change in the terms or conditions or risks (b) Experienced a substantial in- covered by the policy within 60 days of crease in the premium charged the end of the policy period. for reinsurance coverage of our f. If we have made a written offer to the first residential property insurance Named Insured, in accordance with the policies; and timeframes shown in Paragraph C.1., to renew the policy under changed terms or the Commissioner has approved a conditions or at an increased premium plan for the nonrenewals that is fair rate, when the increase exceeds 25%. and equitable, and that is responsive IL 02 70 09 12 ©Insurance Services Office, Inc.,2012 Page 3 of 3 004292 Company Profile Page 1 of 2 COMPANY PROFILE Company Profile Company Search Company Information Company Search Results HANOVER INSURANCE COMPANY(THE) Company 440 LINCOLN STREET Information WORCHESTER, MA 016S3 Old Company 800-9ss-8850 Names Agent for Service Old Company Names Effective Date Reference Information NAIC Group List Agent For Service Lines of Business Vivian Imperial Workers' 818 WEST SEVENTH STREET Compensation SUITE 930 Complaint and LOS ANGELES CA 90017 Request for Action/Appeals Contact Information Reference Information Financial Statements PDF's NAIC#: 22292 Annual Statements California Company ID #: 2097-4 Quarterly Statements Date Authorized in California: 01/01/1973 Company Complaint Company License Status: UNLIMITED-NORMAL Performance& Company Type: Property&Casualty Comparison Data Company State of Domicile: NEW HAMPSHIRE Enforcement Action 771 Composite Complaints Studies back to top Additional Info Find A Company NAIC Group List Representative In Your Area View Financial NAIC Group #: 0088 The Hanover Ins Grp Disclaimer Lines Of Business The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. AIRCRAFT AUTOMOBILE BOILER AND MACHINERY BURGLARY COMMON CARRIER LIABILITY CREDIT DISABILITY FIRE LIABILITY MARINE MISCELLANEOUS PLATE GLASS SPRINKLER https:Hinteractive.web.insurance.ca.gov/c ompanyprofile/c ompanyprofile?event=c ompanyP... 9/26/2016 Company Profile Page 2 of 2 SURETY TEAM AND VEHICLE WORKERS'COMPENSATION back to top © 2008 California Department of Insurance https://interactive.web.insurance.ca.gov/companyprofile/companyprofile?event=companyP... 9/26/2016 Surety Bonds - Certified Companies Page 1 of 23 Introduction to Fiscal Careers A-Z Index Glossary Training&Events Related Websltes Search Q FiscalService Nome About Us Our Programs Reports&Publications Our Services News Contact Us �%A �... Reports&Publications .x Reports&Statements , .. �• y + Reference 8 Guidance k•, "� ,:. Annual Fiscal Service Letters (► FAST Book Department of the Treasury's Listing of Certified Financial Management and Standardization Companies Fiscal Service Data Registry Certified Companies ------------ ------,-- Certified Reinsurer Companies Forms Footnotes - — — • Notes Gold Book States Insurance Departments • Supplemental Chances to Circular 570 Green Book Download the complete listing of Certified Companies Z(150 KB) Index of Programs&Services 619IQ1121EIEIQILi1111IKIIIMINIQIPIQIRI-aIIIQIYIWIXIYI? Links for Government Agencies and Financial A Institutions Updated July 1,2016 Links for Individuals ACCREDITED SURETY AND CASUALTY COMPANY,INC.(NAIC#26379) BUSINESS ADDRESS:PO Box 140855,Orlando,FL 32814-0855.PHONE:(407)629-2131. Navigating Our Site UNDERWRITING LIMITATION b/:$2,164,000.SURETY LICENSES c,f/: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, Regulations and Guidance OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VT,VA,WA,WV,WI,WY.INCORPORATED IN:Florida. Surety Bonds ACE American Insurance Company(NAIC#22667) BUSINESS ADDRESS:436 Walnut Street P.O.Box 1000,Philadelphia,PA 19106.PHONE:(215)640-1000. Background UNDERWRITING LIMITATION b/:$257,882,000.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,VI,WA,WV,WI,WY.INCORPORATED IN: Getting Started Pennsylvania. Certified Companies ACE Property and Casualty Insurance Company(NAIC#20699) BUSINESS ADDRESS:436 WALNUT STREET,P.O.Box 1000,Philadelphia,PA 19106.PHONE:(215)640- Admitted Reinsurers 1000.UNDERWRITING LIMITATION b/:$199,590,000.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: Sureties Listing Pennsylvania. Forms ACSTAR INSURANCE COMPANY(NAIC#22950) BUSINESS ADDRESS:30 SOUTH ROAD,FARMINGTON,CT 06032.PHONE:(860)415-8400. Regulations&Guidance UNDERWRITING LIMITATION b/:$2,634,000.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,Ml,MN,MS,MO,MT,NE,NV,NH,NJ,NM,NY,NC, Correspondence ND,OH,OK,OR,PA,PR,RI,SC,SD,TN,TX,UT,VT,VA,WA,WV,WI,WY.INCORPORATED IN: Illinois. — Aegis Security Insurance Company(NAIC#33898) Contacts BUSINESS ADDRESS:P.O.Box 3153,Harrisburg,PA 17105.PHONE:(717)657-9671.UNDERWRITING LIMITATION b/:$5,644,000.SURETY LICENSES c,f/:AL,AK,AZ,AR,CA,CO,CT,DE,DC,FL,GA,HI,ID, Systems Access 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:Pennsylvania. Taxpayer Identification Number(TIN)Policy ALL AMERICA INSURANCE COMPANY(NAIC#20222) BUSINESS ADDRESS:P.O.BOX 351,VAN WERT,OH 45891 -0351.PHONE:(419)238-1010. US Standard General Ledger UNDERWRITING LIMITATION b/:$14,597,000.SURETY LICENSES C,f/:AZ,CA,CT,GA,IL,IN,IA,KY,MD, (USSGL) MA,MI,NV,NJ,NY,NC,OH,OK,TN,TX,VA.INCORPORATED IN:Ohio. Publications https://www.fiscal.treasury.gov/fsreports/ref/suretyBnd/c570_a-z.htm 9/26/2016 Surety Bonds - Certified Companies Page 10 of 23 GRAY INSURANCE COMPANY(THE)(NAIC#36307) BUSINESS ADDRESS:P.O.BOX 6202,METAIRIE,LA 70009-6202.PHONE:(504)888-7790. UNDERWRITING LIMITATION b/:$9,076,000.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:Louisiana. Great American Alliance Insurance Company(NAIC#26832) BUSINESS ADDRESS:301 E Fourth Street,Cincinnati,OH 45202. PHONE:(513)369-5000. UNDERWRITING LIMITATION b/:$2,981,000.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:Ohio. Great American Insurance Company(NAIC#16691) BUSINESS ADDRESS:301 E Fourth Street,Cincinnati,OH 45202.PHONE:(513)369-5000. UNDERWRITING LIMITATION b/:$152,110,000.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,WA,WV,WI,WY. INCORPORATED IN:Ohio. GREAT AMERICAN INSURANCE COMPANY OF NEW YORK(NAIC#22136) BUSINESS ADDRESS:301 E Fourth Street,Cincinnati,OH 45202. PHONE:(513)369-5000. UNDERWRITING LIMITATION b/:$4,827,000.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 York. Great Northern Insurance Company(NAIC#20303) BUSINESS ADDRESS: 15 Mountain View Road,Warren,NJ 07059.PHONE:(908)903-2000. UNDERWRITING LIMITATION b/:$46,923,000.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:Indiana. Greenwich Insurance Company(NAIC#22322)= Guarantee Company of North America USA(The)(NAIC#36650) BUSINESS ADDRESS:One Towne Square,Suite 1470,Southfield,MI 48076-3725.PHONE:(248)281-0281 x-66012.UNDERWRITING LIMITATION b/:$16,955,000.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,VI,WA,WV,W,WY.INCORPORATED IN:Michigan. t Back To Top H Hanover Insurance Company(The)(NAIC#22292) BUSINESS ADDRESS:440 LINCOLN STREET,WORCESTER,MA 01653-0002.PHONE:(508)853-7200. UNDERWRITING LIMITATION b/:$143,592,000.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. HARCO NATIONAL INSURANCE COMPANY(NAIC#26433) BUSINESS ADDRESS:702 OBERLIN ROAD,RALEIGH,NC 27605-0800.PHONE:(919)833-1600. UNDERWRITING LIMITATION b/:$16,466,000.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,MP,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. Hartford Accident and Indemnity Company(NAIC#22357) BUSINESS ADDRESS:One Hartford Plaza,Hartford,CT 06155-0001.PHONE:(860)547-5000. UNDERWRITING LIMITATION b/:$237,223,000.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: Connecticut. Hartford Casualty Insurance Company(NAIC#29424) BUSINESS ADDRESS:One Hartford Plaza,Hartford,CT 06155-0001.PHONE:(860)547-5000. UNDERWRITING LIMITATION b/:$90,439,000.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: Indiana. Hartford Fire Insurance Company(NAIC#19682) BUSINESS ADDRESS:One Hartford Plaza,Hartford,CT 06155-0001.PHONE:(860)547-5000. UNDERWRITING LIMITATION b/:$1,344,052,000.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,WA,WV,WI,WY.INCORPORATED IN: Connecticut. Hartford Insurance Company of Illinois(NAIC#38288) BUSINESS ADDRESS:One Hartford Plaza,Hartford,CT 06155-0001.PHONE:(860)547-5000. UNDERWRITING LIMITATION b/:$128,932,000.SURETY LICENSES c,f/:CT,HI, IL,MI,NY,PA. INCORPORATED IN:Illinois. https://www.fiscal.treasury.gov/fsreports/ref/suretyBnd/c570_a-z.htm 9/26/2016 J City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ xv",",.huntingtonbeachca.gov 909 : Office of the City Clerk 17,1 � Robin Estanislau, City Clerk September 29, 2016 Sancon Engineering Attn: Chris Dibenedetto 5841 Engineer Drive Huntington Beach CA 92649 Re: CC-1533 — FY 2015/16 Sewer Lining Enclosed for your records is a fully executed copy of the "City Funded Construction Contract between the City of Huntington Beach and Sancon Engineering for FY 2015/16 Sewer Lining approved by the Huntington Beach City Council on August 15, 2016. Sincerely, Robin Estanislau, CIVIC l City Clerk RE:pe Enclosure Sister Cities: An'o, Japan ♦ Waitakere, New Zealand J P Dept. ID PW 16-047 Page 1 of 2 Meeting Date:8/15/2016 7 -o CITY OF HUNTINGTON BEACH REQUEST FOR. CITY COUNCIL ACTION MEETING DATE: 8/15/2016 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 SUBJECT: Accept the lowest responsive and responsible bid and authorize execution of a construction contract with Sancon Engineering, Inc. in the amount of $244,476 for the FY 2015/16 Sewer Rehabilitation Project, CC-1533 Statement of Issue: On July 21, 2016, bids were opened for the FY 2015/16 Sewer Rehabilitation Project, CC-1533. City Council action is requested to award the construction contract to Sancon Engineering Inc., the lowest responsive and responsible bidder. Financial Impact: Funds in the amount of $310,000 are available in the Sewer Fund Account No. 51189002.82600 Recommended Action: A) Accept the lowest responsive and responsible bid submitted by Sancon Engineering, Inc. in the amount of $244,476; 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 provide staff with an alternative direction. Analysis: The Engineering and Utilities Division coordinates the need for rehabilitation of existing sewer pipes based on maintenance history and video inspection. The scope of work for the project includes lining approximately 11,000 lineal feet of eight-inch and twelve-inch diameter, aged sewer main lines identified as a priority this year. The locations will benefit from lining as the existing pipes are either lined with calcium deposits from groundwater seepage through minor cracks and joints or have joints offset by tree roots from adjacent mature trees located on parkways. These deposits and roots, which inhibit flow, will be removed prior to lining. Lining of the pipes is a trenchless operation performed by inserting a felt tube inside the existing pipe and curing the liner to form a replacement pipe. The bids were publically opened on July 21, 2016. The verified bid amounts are listed below: Bidding Contractor Submitted Bid Verified Bid SANCON ENGINEERING INC. $244,476.00 $244,476.00 NU-LINE TECHNOLOGIES $290,219.60 $290,219.60 INSTIUFORM TECHHNOLOGIES $323 474.40 $323 474.40 Item 5. - 1 HB -56- Dept. ID PW 16-047 Page 2 of 2 Meeting Date: 8/15/2016 Staff recommends award of the contract to Sancon Engineering Inc., the lowest responsive and responsible bidder, in the amount of $244,476. The company has successfully completed similar sewer lining projects in the past, the most recent finishing in 2015. The total estimated project cost is estimated to be $310,000 which includes the construction contract, project management, construction contingency, and supplemental expenses (inspection services and additional engineering support). Public Works Commission Action: The Public Works Commission reviewed and approved the project on June 15, 2016, with a vote of 6-0-1 (Lake Absent). Environmental Status: The project is categorically exempt pursuant to Class 1, Section 15301 (c) of California Environmental Quality Act. Strategic Plan Goal: Enhance and maintain infrastructure Attachment(s): 1. Location Map HB -57- Item 5. - 2 �o �G�� s9ti c~n BOLS AVE FC NTS Q McF DDEN AVE. U Z. V)—in- EDI GER A J z p p a HEIL WE. N N Ncn o z m J o � 0° (nn Q WAR N R A E. Q _ w m W 00 SLATER AVE. 405 9 TA BERT AVE.rj EL IS AVE. GARFIELD AVE. N o bi w V) Lo L Q YORKTOWN AVE. 3 �0,0s �� 6/0gw v~i RD �A o A AMS AVE. 436 RD RD Lo IN S 443 4" AVE. Q = PROJECT LOCATION �L Y o Q V) 0 z SEWER LINING LOCATIONS INCLUDE REPORTING AlLANTA O MAVE. DISTRICTS (RD) 242, 436, 443 AND 444 0, w Q RD 436 Fu 1,000 8" SEWER z HAM ILTON A . RD 443 Fu 4,000 8" SEWER RD 444 is 6,500 8"&12" SEWER y�- BANNING AVE. LEGEND RD BOUNDARY FY 2015/16 SEWER LINING PROJECT CC-1533 PROJECT LOCATION MAP ,ft CITY OF HUNTINGTON BEACH DEPARTMENT OF PUBLIC WORKS 1 OF 1 Item 5. - 3 HB -58- SECTION A NOTICE_11,111Y NO SEALED BIDS for the cvis1ruclion of FY 2015116 SEWER LINING PROJECT CC Me.IS33 in the CITY Of HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HLJNTINGTON BACK as AGENCY, inviles sealed bidl for the above slaied projects and will rc3re;vp su'ah b`ds�-n the o9fce o,f the City Clerk, Second Roo., 20-30 Man Street, Pundrzottn Beach, California 92648, up io the hour of 2:0G R.K on Jully 21, 2M& biers vrif be opened in the CoL-m l Chambers uni'ess orberwise pCmo: Copies of the Plans, SpecAcations,andcontra,,!documents are ayafaul�a irn n LI&Ofsca of the Director of Public Works,20009 dain Street,Hunting',or5 Beach,CA 92648,Upon pay- ment of a S10.00 nonrefundable fee if picked up,or payment of a SW.00 nonrefundable fee iw sent lay UPS ground delivevy (bidder shaJ ay additional costs for special defiveryl. Plans, Specifications,and contfact docirnerts can be downloaded`ree on AGENCY web- site. rrtip:!k•wvr,ht•.ntinptonbtlae9�.g5v�govemm�nt'+'.ecsrtr:;entsfpuv�e_vrorlcs;8idsr Any o4r?raV entered rnt0 pursuart to iris notice will inca!porai8 1 1z pre rt5 ohs of the state Labor Code. Pursuant to the proyisions of the Labor Cove of tht Stilt cd Cwforra,ihe- minimurn Grevailingrwe of per diem:.gages for each craft,classification ar tv:-e of w'orltman. needed to execute tha iccnrract shelf be those de"crrn'ned by the Director Qf Industrial Re- fatiors of the State of California, which are tm fife at the Office of the L'•eetar of PL'btlC 1h14r1s,2000 Main Street. Hunt n:wton Beach.CA 82648E The AGENCY wilt deduct 5`b re;gnEion from V progress payreenfs, Thu Contractor r^Ay sub51huie an escrow ho.ldet surety of eauat value to Thal retention in pcZVclance with the provdsions of the public cnenracl Cade, Section r.0M, The Corlvactrar shall �a Ir-enefical owne.,of the surety and shall receive any irIerest theraon. The AGEANCY hereby aNrrmalJvely ensures that minority business arterprses will ne aftorC- ed tO Cr,,;mn rniN to 5amil bids in response to this notice and rvi:not to dischminaled egacr5t on the tasis of race,color,natlorwl origin,ancastrv,sex, pr ref.-;tier in any consio- araticn leading to the award of contract. ND bid shall be considered unlass it:s prepared.,n the approyod Prcposat forms in oGn- formance.wiih the tnstructions to E;dders as determined by the AGENCY,The Lnd must be accompanied by a certifsed wreck. c fisher's check,or bidder's bond made payable to the AGENCY for an amount no less than iC%of the 3.1nount bid_ The sucvassful bidder shall ne lic-ensed in accerdar.•ce with prt%isims of the Bus ness and Professions Code and snail possess StageContractcj's License Class A at the lime of the old rpering. The success- ful Can,rctor and Ms subcentr4ctc35 will ba required to ncssess bLline5s licenses troth the AGENCY,.All extension Cf unit prices will be subjeci!a verificalfan by the AGE{ CY. In case Of a v'anabcn between the unil price and tie extension,the unit price Niti gcvarr. Project Description: The project uonsism prlmar'y of 5ninq existing sewer pipes based on maintenance nistorl'ar.:d video inspeetan. The scope of work for a1re project in- cludes tiring apvoxkmately 12,,500 lineal feet of e(g111-iwh and sr+ei�a�nch dla3letof agatl sewer main Imes in iCccatigns in lne South area of i 4 City idenlifie� as a priori yr tnis year. These focapons would benehi from Iinir.7 as the emling pipes are ei'her lined with caltaurr deaosits, from srrounCwale,r s€evape through pipe and manor cracks and fonts. or have iolris intruded wi111 tied roots from adjacent mature Tree s;,eves locales sn par'.xways- The engineer's estiri=e of probaa:e construction LCst for the wcA included in the basis of award is S300,000. The contract shall alimy tn@ Contractor 45 wciKinq gays to c—,n)IDleete Ltc conlract. The AGENCY!eserves the right to reiect any or all bids, to waive any uregularit'y and 10 take all tids under ac+risernent for a enaxir rem period of aC da ys. BY ORDER of the CITY COUNCIL of the CITY OF HUrvTINGTON BEACH, ALIFORNU,'the 8th day of September 2015,by Resolution No.20tS-47. Attest s!`Rco'n Esianivau CITY CIEFK OF THE Ct T Y OF RLeNTINGTON BEACH PuNished:The Huntinolin Beach Wave 10177973 OTC REGISTER LEGAL ADVERTISING _ F. 719.34E 2724 art 2 AFFIDAVIT OF PUBLICATION Proof of Publication STATE OF CALIFORNIA, ) SS. SECTION A NOTICE INVITING SEALED BIDS. County Of Orange ) forthe'construction.of FY 2015/16 SEWER LINING PROJECT, CC No.1533in the - I am a citizen Of the United States and a resident CITY OF HUNTINGTON BEACH. PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH,as Of the County aforesaid; I am over the age Of AGENCY,invites sealed bids for the above stated projects and will receive such bids in the office of the City Clerk, Second Floor, 2000 Main Street, Huntington Beach, California 92648,up to the hour of 2.00 P.M.on July 21,2016.-Bids will be publicly,opened in eighteen years, and not a party to or interested in the Council Chambers unless,otherwise posted. Copies of the Plans,Specifications,and contract documents are available from theOffice the above entitled matter. I am the principal clerk of.the Director,of Public Works,-2000 Main Street,Huntington Beach,CA 92648,'upon pa- ment of a$10.00 nonrefundable fee if picked up,or payment of a$30.00 nonrefundable fee if sent by UPS ground delivery(bidder shall pa additional costs for special delivery). of the Huntington Beach Wave, a newspaper Plans,Specifications,and contract documents can be downloaded free on AGENCY web- site. that has been adjudge, to be a newspaper of htp://www.huntingtonbeachca.gov/government/departments/pubiic_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 general circulation by the Superior Court of 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 County of Orange, State Of California, On July 1, Works,2000 Main Street,Huntington Beach,CA 92648. " The AGENCY will deduct 5%retention from all progress payments. The Contractor may 1998, Case No. A-185906 in and for the City of 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. Huntington Beach, County of Orange, State of •;' The AGENCY hereby affirmatively ensures that minority,business enterprises will beafford- ed full opportunity to submit bids in response to this notice and will not be discriminated California; that the notice, of which the annexed against on the basis of race,color,.national origin;ancestry,sex,or religion.irr'any consid eration leading to the award of contract.. ; is a true printed copy,has been published in each No bid shall be considered unless it is prepared,on the approved Propposal forms in con- formance with the Instructions toBidders•as determined by the AGENCY.The bid'must be re ular and entire issue of said newspaper and accompanied by.a certified check,cashier's check,or bidder's bond made payable to the gAGENCY 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 not in an SU lement thereof On the f011OWin I possess a State Contractor's License Class A at the time of the bid opening. The success- y pp g Itul Contractor and his subcontractors will be required to possess business licenses from. the AGENCY.All extension of unit prices will be subject to verification by the AGENCY. In case of a variation between the unit price and the extension,the unit price will govern. dates, to wit: Project Deserlptlon: The'project consists Primarily:of liningg existing sewer pipes based on maintenance history and video inspection. The scope of work for the,project in- cludes lining approximately 11;500,lineal,feet of eight-inch and twelve-inch diameter aged sewer main lines in locations in the South area of the City identified as a priority this year., July 7> 14>2016 These locationswould benefit'from lining as t ie'existing pipes are:either lined with calcium deposits,from groundwater seepage through pipe and minor cracks and joints,or have joints intruded with tree roots from adjacent mature tree species located on parkways. The engineer's estimate of probable construction cost for the work included in.the basis of award is$300,000.• - "I certify (or declare) under the penalty Of The contract shall allow the Contractor 45 working days to complete the contract. The AGENCY reserves the right to reject_any or all bids,to waive any irregularity and to perjury under the laws Of the State Of California take,all bids under advisement for a maxiinum period of 60 days. BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH,ICALIFORNIA,the' that the foregoing is true and correct": Bth day of September 2015,by Resolution No.2015.47. Attest: - Executed at Santa Ana, Orange County, /s/Robin Estanislau -CITY CLERK OF THE CITY OF HUNTINGTON BEACH' California, On Published:The Huntington Beach Wave 10177979 _ July 114,2016 Signature Huntington Beach Wave 625 N.Grand Ave. Santa Ana,CA 92701 (714)796-2209 AFFIDAVIT OF PUBLICATION Proof of Publication STATE OF CALIFORNIA, ) ss. -- . SECTION A County Of Orange ) -NOTICE INVITING SEALED BIDS -for the construction of FY 20IS/16 SEWER LINING PROJECT'' I am a citizen of the United States and a resident cc No in hes33 CITY OF HUNTINGTON BEACH: Of the County aforesaid; I am Over the age Of PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH,as AGENCY,invites sealed bids for the above stated projects and will receive such bids in the: office of the City Clerk, Second Floor, 2000 Main Street, Huntington Beach, California eighteen years, and not a party to Or interested in 92648,up to the hour of 2:00 P.M.on July 21,2016. Bids will be publicly opened in the Council Chambers unless otherwise posted. the above entitled matter. I am the principal Clerk Copies of-the Plans,Specifications,and-oontract documents are_avaifable"from the Office of the'Director of Public Works,,2000 Main Street,'Huntington Beach,CA 92648,upon pay- ment of's$10.00 nonrefundable fee if picked up,or payment of,a$30.00 nonrefundable of the Huntington Beach Wave, a newspaper fee if sent by UPS ground delivery(bidder shall pay.additional costs for special delivery). Plans,Specifications,and contract documents can be downloaded free on AGENCY web- site, that has been adjudged to be a newspaper Of hftp://www.huntingtonbeachca.gov/government/departments/public-works/Bids/ Any contract entered into pursuant to this notice will incorporate the provisions of the State general circulation by the Superior Court Of the Labor Code. Pursuant to the provisions of the Labor,Code of the State of California,'the minimum prevailing rate of per them wages for each craft;classification ortype of workman needed to execute the contract:shall be those determined by the;Director.,of Industrial Re-, County Of Orange, State Of California,On July 1, 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 AGENCY will deduct 5%retention from all progress payments. ;The Contractor may substitute an escrow holder surety of equal value to the retention in accordance with the provisions of the Public Contract Code,Section 10263. The Contractor shall be beneficial' Huntington Beach, County of Orange, State of owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afford- California; that the notice, Of which the annexed ed full opponunity.to submit bids in response to this notice and will not be discriminated against on the basis of race,color,-national origin,ancestry,sex;orreligion in any consid- eration leading'"to the award,of contract. - r` is a true printed copy,has been published in each No bid shall be considered unless it is on the a prepared pproved Proposal-forms in con- formance with'ttie Instructions to Bidders as determined by the AGENCY.The bid must be. regular and entire issue Of said newspaper and accompanied by a certified check;cashier's:check,or bidder's bond made payable to the AGENCY for an amount no less than 10%of the.amount bid. The successful bidder shall, be licensed in accordance with provisions of the Business and Professions Code and shall not in any supplement thereof on the following possess a State Contractor's License Class A'at the time of the bid opening. The success- ful Contractor and his subcontractors will be required to possess business licenses from the AGENCY.All extension of unit prices will be subject to verification by the AGENCY. In dates,t0 wit: case of a variation between the unit price and the extension,-the unit price will govern. Project Description:`The project consists-primarily of_lining-existing.sewer pipes based on maintenance history and video inspection. The"scope of work for the project in- cludes lining approximately 11,500 lineal feet of eight-inch'and twelve=inch diameter aged sewer main lines in locations in the South area of the City identified asa priority this year. July 7, 14,2016 These locations would benefit from lining as the existing pipes are,either lined wdh calcium deposits,from groundwater seepage through pipe and minor cracks and joints„or have, joints intruded with tree roots from adjacent mature tree specieslocated-on,parkways. The engineer's estimate of probable construction cost for.the work included in.the.basis of award is$300,000. - "I certify (or declare) under the penalty of The contract shall allow the Contractor 4s working days to complete the contract. The AGENCY reserves the right to reject any or all bids,to waive any irregularity and to' perjury under the laws of the State of California take all bids under advisement for a maximum period'6f'60 days. BY ORDER of the CITY OF HUN that the foregoing is true and correct": 6 h day of Septe bier 2001s,1by R sCIL oftolut on No.2015.47GTON BEACH,CALIFORNIA,the Executed at Santa Ana Orange County, Attest . > ran g /s/�RobinEstanislau California On CITY CLERK OF THE CITY OF HUNTINGTON BEACH o Published:The Huntington Beach Wave:10177979 - July 14,2016 __-- Signature Huntington Beach Wave 625 N.Grand Ave. Santa Ana,CA 92701 (714)796-2209 Unsuccessful Bids CC- 1533 FY 2015/2016 Sewer Lining Project City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov f`e, i� yoy P° ♦ Office of the City Clerk Robin Estanislau, City Clerk October 26, 2016 Insituform Technologies, LLC 17988 Edison Avenue Chesterfield, MO 63005 RE: FY 2015/2016 Sewer Lining Project— CC-1533 Enclosed please find your original bid bond for CC-1533 Sincerely, �&4vdj4w Robin Estanislau, CIVIC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand c-� 0 T t Gq O r U w = O U w w w CL m O o Z Z a M O Z V M JJLO Z { W O ++ Z 3: •oz •_ � - w I- U 2 cn > U c cC m O N N U J Q ✓\ LO U U O ~ H Q N ww m >-• = IxOZ a W ~ cn JO O 0OZU- W Q Z Z U O LO vS tLoUZ o 0 0 C14 U) .J Q) O Z c �O yO V O V d (D N ~ _N a W 7 C.) d O � O N > O � C c Q W 0 o :2 o W M L U- y m O Q p V� = W m = W m p � N to m J w W p _p m �-T.r* "-`+-mr-^ .f - _{ g.k.{. ,' ed p�' ax -.y,$r 5..��.h'�9+, »H ., f �.:c�,>:;„�` ;.zSa,a ,_',�3', t '�. �* 5� �..�';'.�8",�,�.. aiF`r .✓.@ .,,.xt t�i. <�S ,�x...�;.�. a �,;� ,g i� t-e ;',5i �`. �;;,; :t�lr r : i`� f x:`t•` ,'��;,.v,�.v i'�,;h ,:_ ..1 .,,.xis� '�!, '`»s_�.`�'`vfi: z��' F;�'iS,.�4{S�'r.*"'��: �:�'. 'aF'R;s��- a� Cr p �� �'1�i..�.�,i:�.� ��-: ' ate..... SECTION C PROPOSAL for the construction of FY 2015/16 SEWER LINING PROJECT from VARIOUS LOCATIONS CC No. 1533 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 45 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find a Bid Bond in the amount of 10% of bid which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's$i nature Ursula J.Youngblood 1 13 Jul 2016 4 r$ Q C 4 COOt Contractin &Attesting Officer C-2 INSITUFORM TECHNOLOGT_CS,LLC Assistant Secretary's Certificate The undersigned, being the Assistant Secretary of Insitufonn Technologies,LLC,a Delaware limited liability company(the"Company"),hereby certifies that: 1. The following is a true and correct excerpt from the Limited Liability Company Agreement of the Company: Appointment by the President. The president of the Company may from time to tune appoint officers of the Company's operating divisions, and such contracting and attesting officers of the Company as the President may deem proper,who shall have such authority,subject to the control of the Board of Managers,as the President may from time to tune prescribe. 2. The President of the Company has,pursuant to the above authority, duly appointed Debra Jasper, Jana Lause,Ursula Youngblood,Diane Partridge,Laura M.Andreski and Whittney Schulte as Contracting and Attesting Officers of the Company. Each of the foregoing have been fully authorized and empowered by the President of the Company(i)to certify and to attest the signature of any officer of the Company, (ii)to enter into and to bind the Company to.perform pipeline rehabilitation activities of the Company and all matters related thereto, including the maintenance of one or more offices and facilities of the Company, (iii)to execute and to deliver documents on behalf of the Company, and(iv)to take such other action as is or may be necessary and appropriate to carry out the project,activities and work of the Company. IN WITNESS WHEREOF,I have hereunto affixed my naive as Assistant Secretary this 23rd day of October,2015. INSITUFORM TECHNOLOGIES,LLC By Daniel P. Schoenekase Assistant Secretary SECTION C PROJECT BID SCHEDULE A FY 15/16 SEWER LINING, CC 1533 BID ITEMS Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 1 Mobilization/Demobilization 1 LS $1,000.00 $ 1,000.00 2 Furnish Traffic Control 1 LS $ 4,750.00 $ 4,750.00 3 Cleaning and preliminary video inspection of 8"and 12"sewer main including tree roots and calcium removal 11,276 LF $2.90 $ 32,700.00 4 Install liner and post video inspection of 8"and 12"sewer main 11,276 LF $ 24.00 $270,264.00 5 Grind and re-open sewer service lateral 278 EA $ 50.00 $ 13,900.00 6 Prepare Storm Water and Sewer Pollution Prevention Plan 1 LS $250.00 $ 250.00 7 Install&Maintain Construction BMP's 1 LS $ zso.00 $ 250.00 TOTAL BID AMOUNT (BASIS OF AWARD)—SCHEDULE A $ 323 , 474 .40 TOTAL BID AMOUNT IN WORDS: Three hundred twenty three thousand four hundred seventy four dollars and forty cents. Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.1 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 Tunnelworks Services Inc. 13502-H Whittier Blvd. 963734 A 1000020031 $33, 828 10 .46% 3 Ste 165 Whittier, CA 90605 By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 21 July 20;Fat Chesterfield , MO Date City State Ursula J. Youngblood , being first duly sworn, deposes and says that he or she is Contracting &Attesting Officer of INSITUFORM TECHNOLOGIES, LLC.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. INSITUFORM TECHNOLOGIES, LLC. Name of Bidder Signa re of d 17988 Edison Avenue, Chesterfield, MO 63005 Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the FY 2015/16 SEWER LINING 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. INSITUFORM TECHNOLOGIES, LL_C. Contractor drsubt OICJ By Ur ula J. o0 Contracting &Attesting Officer Title Date: 21 July 2016 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 U No If the answer is yes, explain the circumstances in the space provided. N/A Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. INSITUFORM TECHNOLOGIES, LLC. Contractor J,� G7_ By Urs J. Yo g d Contracting &Attesting Officer Title Date: 21 July 2016 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: INSITUFORM TECHNOLOGIES, LLC. Bidder Name 17988 Edison Avenue Business Address Chesterfield, MO 63005 City, State Zip ( 636 ) 530-8000 Telephone Number 758411A State Contractor's License No. and Class 01/26/1999 Original Date Issued 07/31/2016 Expiration Date The work site was inspected by I *,Z 6k)-�C)c5of our office on J�1�� , 2016. The following are persons, firms, and corporations having a principal interest in this proposal: See Attached "Officers List" C-8 Insitu/or Shielding the World S g s 17988 Edson Avenue Tech olopias; LLC h?frastruclure Chesterfield,MO 63005 Tel: (636)530-8000 www.aegion.com Fax: (636)898-5078 INSITUFORM TECHNOLOGIES,LLCr OFFICERS AS OF JANUARY 2016 OFFICERS David F. Morris President, Chief Administrative Officer and Secretary Phone: (636)530-8607 17988 Edison Avenue Chesterfield,MO 63005 David A.Martin Executive Vice President and Chief Financial Officer Phone: (636)530-8607 17988 Edison Avenue Chesterfield,MO 63005 Kenneth L. Young Senior Vice President and Treasurer 17988 Edison Avenue Phone: (636)530-8607 Chesterfield,MO 63005 Daniel P. Schoenekase Vice President, General Counsel and Assistant Secretary 17988 Edison Avenue Phone: (636)530-8607 Chesterfield,MO 63005 Business Address for Officers: 17988 Edison Avenue Chesterfield,MO 63005 *A wholly owned subsidiary of Aegion Corporation The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. INSIT IFORnn TECHNOLOGIES, i i C Company Name L 's Vj a 4 1. cvd Signa re of d Ursula J. Youngblood, Contracting &Attesting Officer Printed or Typed Signature Subscribed and sworn to before me this 21st day of July 12016 . 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 Missouri ) County of St. Louis ) On July, 21, 2016 before me, Debra K. Jasper, Notary Public Month, Day, and Year Insert Name and Title of Notary personally appeared Ursula J. Youngblood Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. DEBRA K. JASPER Notary Public-Notary Seal STATE OF MilS5^URI St.Ct+aaes County My Commission Expire: Nov. 17,2W,ry Commission# Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets, an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."}. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1 Montecito Sanitary District, 1042 Monte Cristo Lane, Santa Barbara, CA 93108 Name and Address of Public Agency Name and Telephone No. of Project Manager: Diane Gabriel (805) 969-4200 $1, 588, 140.00 30, 000 LF x 8" CIPP 12/15/15 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Installed CIPP lining throughout the City of Montecito and Santa Barbara 2 City of Culver City, 9770 Culver City Blvd. , Culver City 90232 Name and Address of Public Agency Name and Telephone No. of Project Manager: Hong Wang (310) 2 5 3-5 6 0 0 $4, 089, 777 80, 000 LF x 8" CIPP 6/12/13 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Installed gravity and pressure pipe CIPP 3 City of Vista, 600 Eucalyptus Ave. , Vista, CA 92085 Name and Address of Public Agency Name and Telephone No. of Project Manager: Tony white (760) 726-1340 $3, 072, 167.90 57,311 LF x 8" CIPP 2/8/14 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Installed CIPP, Top Hats, and Manhole Rehab 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. David Bibyan, PE Name of proposed Project Manager Telephone No. of proposed Project Manager: (94 9) 9 3 9-2 9 7 9 City of Costa Mesa Indus Sewer & Manhole Rehab 12" x 1,500LF & Manhole Rehab 5/13/16 $212,458 Project Name & Contract Amount Type of Work Date Completed NAVFAC Marine Recruit Depot Depot Sewer Rehab 6/25/16 $714,410.59 Project Name & Contract Amount Type of Work Date Completed City of Colton FY 15-16 Sewer Rehab $175,000 4,700 LF x 8" CIPP 4/22/16 Project Name & Contract Amount Type of Work Date Completed 2. Raul Ruiz Name of proposed Superintendent Telephone No. of proposed Superintendent: (5 6 2) 413-1617 City of Costa Mesa Indus Sewer & Manhole Rehab 5/13/16 12" x 1,500LF & Manhole Rehab $212,458 Project Name & Contract Amount Type of Work Date Completed NAVFAC Marine Recruit Depot Depot Sewer Rehab $714,410.59 8" x 4,800 LF; 12" x 2,000 CIPP 6/25/16 Project Name & Contract Amount Type of Work Date Completed City of Colton FY 15-16 Sewer Rehab 4,700 LF x 8" CIPP 4/22/16 $175,000 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:Hefiling.dir.ca.gov/P WCR/ActionServlet?action=di splayP WCRegi strationForm 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. INSITUFORM TECHNOLOGIES, LLC. Contractor 1 r3 u-I a- L oaAi q00 0( _ By Ursula J. Youngblood Contracting &Attesting Officer Title Date: 21 1111V 2 Z16 DIR#: 1000009689 C-12 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE for FY 2015/16 SEWER LINING PROJECT C.C. No. 1533 July 13, 2016 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1. Replace Sewer Rehab Map CC-1533 Sht. 2 of 3 in Appendix G as the lineal feet and laterals have been corrected in the Line table. This is to acknowledge receipt and review of Addendum Number One, dated July 13, 2016. INSUTUFORM TECHNOLOGIES, LLC. I L. a 4 d'Jz Company Name By suia J. o ld"odJ Contracting &Attesting Officer 21 July 2016 Date All bidders must acknowledge the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please call Joseph Fuentes at (714) 536-5431. LEGEND Underground Service Abrt FLOW DIRECTION SEWER TO BE REHABILITATED Cob TOLL FFEE S S 811 EXISTING \ B# (#') MANHOLE YOU DIG `LINE ID No. _ �.,,,� . - 4 , (LEGNTH OF PIPE RUN) r e try -NORTFIPORTDi2e �� N' y ��MILLtBf21DG�E�'GIR LINE SIZE LINEAL FEET LATERALS B01 8" 221 9 B02 8" 227 7 B03 8" 254 4 � � o iT} � . �Bp � BlJ6f' I B04 8" 256 4 - �tf�(218r'}i t (130J W 4 I B05 8" 218 6 a NORFOL+KDl� i ' , 230 10 B07 8" 224 10 BOB 8" 227 6 B09 8" 246 5 B10 8" 228 7 ' t�(227 (2, Bi l 8" 216 6 B12 8" 283 5 �'" CAPEKNEWB�IRY � `' °� B13 8" 240 4 a B15 8" 1 241 4 `. B16 8" 183 6 t flz:iOuTHPORT'DR SEALR©CIED B^d APART D. � w RD 443 SEWER TO BE LINED TOTAL 8" SEWER N - -------- EXISTING SEWER LINEAL FEET-3,794' SQ EXISTING SEWER MANHOLE TOTAL LATERALS — 103 N.T.S SEWER REHAB MAP CC - 1533 CITY OF HUNTINGTON BEACH DEPARTMENT OF PUBLIC WORKS SHT. 2 OF 3 • 1400 E.Orangethorpe Ave Phone:(714)278-1900 /1S tlA� Fullerton,Ca 92831 Fax:(714)278-1911 rI11 Technologies, Inc. Third Party Testing Labs Ramtech Laboratories Inc. 14104 Orange Avenue, Paramount, CA 90723 562-633-4824 Anamet, Inc. 26102 Eden Landing Rd Suit 3 Hayward, CA 94545 (510) 887-8427 ACT Lab, LLC 119 Eucalyptus Drive El Segundo, CA 90245 (310) 607-0186 Insituform Technologies,Inc. Client:Huntington Beach,CA 07/20116 Htaecomo,eoc Project:FY 2015/16 Sewer Lining Project " ""' Location: CA showcomn,onc COMPOSITE PHYSICAL PROPERTIES onlyceusinthiacolor require entry �?ROFESS� RESIN ([I�Q.� � �!y � Flexural Modulus: 400,000.pal \�OR Flexural Strength: 4,500 psi r '� Flexural Modulus Retention to Account for Long-term Effects: 50% 258 M 9z Safety factor 2 E '\ XP fTt K-enhancement factor= 7 v-Poisson's Ratio= 0.3 4P: �r 1� (0.3 typical for Insituform ClPP) 9�F CyAN�CN �P a 1 Soil Density 120'Ibsift' Or CALIF FIELD INPUT CALIF r Manhole Diameter Existing Ovality Length Depth Groundwater Soil Live Load Minimum Live Loa Pipe invert invert Modulus Design DR Condition Thickness Upsteam Downstream Street or RR PD or FD % H 1t 1t psi HVVI' mm PSI Bid Thickness 7719 7784 8 FD 2 226 10 7.50 1000 16000 0 3.8 53.2 1.6 7.5 7784 7783 8 FD 2 290 10 1 7.50 1000 16000 0 1 3.8 532 1.6 7.5 7868 7867 8 FD 1 2 283 10 7.50 1000 16000 0 3.8 53.2 1 1.6 7.5 7973 7971 8 FD 2 281 10 7.50 1000 16000 0 3.8 532 1.6 7.5 8382 8381 8 FD 2 221 10 7.50 1000 16000 0 3.8 53.2 1.6 7.5 8381 8376 8 FD 2 227 10 7.50 1000 16000 0 3.8 53.2 1.6 7.5 8522 8453 8 FD 2 256 10 T50 1000 16000 0 3.8 53.2 1.6 7.5 8453 8376 8 FD 2 254 10 7.50 1000 16000 0 3.8 532 1.6 7.5 8604 8600 8 FD 2 230 10 7.50 1000 16000 0 3.8 532 1.6 7.5 8600 8598 8 1 FD 1 2 218 10 1 7.50 1000 16000 0 3.8 1 53.2 1.6 T5 8672. 8672 8 FD 2 224 10 7.50 1000 16000 0 3.8 532 1.6 7.5 8672 8668 8 FD 2 227 10 T50 1000 16000 0 3.8 53.2 1.6 7.5 8794 8858 8 FD 2 246 10 7.50 1000 16000 0 3.8 532 1.6 7.5 8858 8856 8 FD 2 228 10 7.50 1000 16000 0 3.8 53.2 1.6 7.5 8856 1 8855 8 FD 2 216 10 7.50 1000 1 16000 0 3.8 53.2 1.6 7.5 8855 8782 8 FD 2 283 10 7.50 1000 16000 0 3.8 53.2 1.6 7.5 8851 8852 8 FD 2 120 10 7.50 1000 16000 0 3.8 53.2 1.6 7.5 8852 8853 8 FD 2 241 10 7.50 1000 16000 0 3.8 53.2 1.6 7.5 8851 8852 8 FD 2 120 10 7.50 1000 16000 0 3.8 532 1.6 7.5 8852 8853 8 FD 2 241 10 7.50 1000 16000 0 3.8 53.2 1.6 T5 8853 8855 8 FD 2 240 10 7.50 1000 16000 0 3.8 532 1.6 7.5 8812 8853 8 FD 2 181 10 7.50 1 1000 16000 0 3.8 53.2 1.6 7.5 8806 8852 8 FD 2 183 10 7.50 1000 16000 0 3.8 532 1.6 7.5 9008 8944 8 FD 2 210 10 7.50 1000 16000 0 3.8 53.2 1.6 7.5 8798 8797 8 FD 2 247 10 T50 1000 16000 0 3.8 532 1.6 7.5 8366 8451 8 1 FD 2 291 10 7.50 1000 16000 0 3.8 532 1.6 7.5 8451 8545 8 FD 2 330 10 7.50 1000 16000 0 3.8 532 1.6 T5 8545 8630 8 FD 2 324 10 7.50 1000 16000 0 3.8 53.2 1.6 7.5 8630 8632 8 FD 2 224 10 7.50 1000 16000 0 3.8 532 1.6 7.5 8415 8414 8 FD 2 184 10 7.50 1000 16000 0 3.8 53.2 1.6 7.5 8414 8478 8 FD 2 263 10 7.50 1000 16000 0 3.8 532 1.6 7.5 8478 8558 8 FD 2 273 10 7.50 1000 16000 0 3.8 532 1.6 7.5 8557 8558 8 FD 2 104 10 7.50 1000 16000 0 3.8 53.2 1.6 7.5 8558 8559 8 1 FD 2 246 10 7.50 1000 16000 0 3.8 532 1S 7.5 8559 8560 8 FD 2 253 10 7.50 1000 16000 0 3.8 53.2 1.6 7.5 8560 8561 8 FD 2 250 10 7.50 1000 16000 0 3.8 53.2 1,6 T5 8634 8633 8 FD 2 235 10 7.50 1000 16000 0 3.8 53.2 1,6 7.5 8633 8632 8 FD 2 240 10 7.50 1000 16000 0 3.8 53.2 1.6 7.5 8561 8562 8 FD 2 254 10 7.50 1 1000 16000 0 3.8 532 1,6 7.5 8363 8424 8 FD 2 220 10 7.50 1000 16000 0 3.8 53.2 1,6 7.5 8424 8482 8 FD 2 248 10 7.50 1000 16000 0 3.8 53.2 1.6 7.5 8481 8482 8 1 FD 1 2 136 10 7.50 1000 16000 0 3.8 532 1.6 7.5 8482 8484 8 FD 2 252 10 7.50 1000 16000 0 3.8 532 1.6 7.5 8484 8485 8 FD 2 251 10 7.50 1000 16000 0 3.8 53.2 1.6 7.5 8425 8484 8 FD 2 249 10 7.50 1000 16000 0 3.8 532 1.6 7.5 8430 8485 8 FD 2 235 10 7.50 1000 16000 0 3.8 53.2 1.6 7.5 8485 8486 8 FD 2 257 10 7.50 1000 16000 0 3.8 532 1.6 7.5 8486 8562 8 FD 2 246 10 7.50 1000 16000 0 3.8 53.5 1.6 7.5 8562 8705 8 FD 2 228 10 T50 1000 16000 0 3.8 53.5 1.6 7.5 8705 8720 12 FD 2 151 15 11.25 1000 16000 0 6.5 46.5 08 10.5 Document A310 TM11- 2010 Bid Bond CONTRACTOR: SURETY: (Name,legal status and address) (Name, legal status and principal place ofbusiness) This document has important INSITUFORM TECHNOLOGIES, LLC Travelers Casualty And Surety Company Of legal consequences. 17988 Edison Avenue America Consultation with an Chesterfield, MO 63005 One Tower Square attorney is encouraged with Hartford,CT 06183 respect to its completion or OWNER: modification.(Name,legal status and address) Mail Notices To: Any singular reference to Travelers Contractor, Surety, Owner, Cityy Of Huntington Beach Attn:Surety Claim Dept. or other party shall be 2000 Main Street One Tower Square 2S1A considered plural where Huntington Beach,CA 92648 Hartford, CT 06183 applicable. BOND AMOUNT: Ten Percent of the Amount Bid................ .dollars($ 10% of Amount Bid) PROJECT: FY 2015/16 Sewer Lining Project,CC No. 1533 (Name,location or address, and Project number,ifany) 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 of 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 Contracts'shall obtain the Surety's consent for an extension beyond sixty(60) days. If this B 11d is issued in connection with a subcontractor's bid to a Contractor, the term Contrac to be Subontractor and the term Owner shall be deemed to be Contractor. for in this Bond shall be deemed i When this3ond has been furnished to comply with a statutory or other legal requirement in the location of the Project, an in this Bod conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such J y provision statutory r other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed a statutoryg h bond and not as a common law bond. Signed anealed this 21st day of July,2016. INSITUFORM ECHNOLO G ES LLC (Witness- (Principal) Hebra Iasper (Se(Seal)Contra &A r a LLO y i ttK Office. (Title)Ursula oungb/oo ,Con tin A testing Officer Travee�Casuaf "And re Com an Of America (Witness) " a McCarth , —(Sure Y es !/r ) /' (Seal) (117 e)Barbara Buchho/d,-Attorney-In-Fact S i / Init AIA Document —2p10.Copyri ht n / protected by U.S. Cott Law g 01963, 1970 and 2010 by The American Institute of Architects.All rights re�d.WARNING:This AIA Document is severe civil and crinitnaltiesa adndnwillnbelprosecutedeto he ntaxiinu nd extentt possibleduction rudnlderfbtheolaw fPurchasers Document. permitted to reproduce ten(10)copies of this document when comP16 report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,cooyright(a�aia.�lay result;un p i Il City of Huntington Beach 2000 Main Street o Huntington Beach, CA 92648 (714) 536-5227 ® www.huntingtonbeachca.gov �ffB77_1999 Po-_<> Office of the City Clerk Robin Estanislau, City Clerk October 26, 2016 Nu Line Technologies, LLC 102 Second Street Encinitas, CA 92024 RE: FY 2015/2016 Sewer Lining Project— CC-1533 Enclosed please find your original bid bond for CC-1533 Sincerely, �&4vdjltj Robin\Estanislau, CIVIC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan e Waitakere, New Zealand U ao a � E--lZ � Z W OUC W F Z W Z W �D cq y a owZZ w O y., OE o F F � z � A Z UFo � � A z�� A � J Q t SECTION C PROPOSAL for the construction of FY 2015/16 SEWER LINING PROJECT from VARIOUS LOCATIONS CC No. 1533 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 45 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. / Accompanying this proposal of bid, find�t ID S �q in the amount of O°o 4L:4ich said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature 1 � 13 2oi� �✓ d C-2 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE for FY 2015/16 SEWER LINING PROJECT C.C. No. 1533 July 13, 2016 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1. Replace Sewer Rehab Map CC-1533 Sht. 2 of 3 in Appendix G as the lineal feet and laterals have been corrected in the Line table. This is to acknowledge receipt and review of Addendum Number One, dated July 13, 2016. Company Name ffy Date All bidders must acknowledge the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please call Joseph Fuentes at (714) 536-5431. LEGEND Underground Service Alert FLOW DIRECTION SEWER TO BE REHABILITATED 04 TOLL F F=E S S 811 EXISTING B#(#') MANHOLE TWO WORKING DAYS BEFORE YOU DIG LINE ID No. „ (LEGNTH OF PIPE RUN) I r �BOOTHBAYClRsb of s gar �tx Axe LINE SIZE LINEAL FEET LATERALS 801 8" 221 9 B02 8" 227 7 zsa 1t h _ 't rhs � B03 8" 254 4 C+*�y 4"3� Ir B05krO6+a s �r *, B04 8" 256 4 NORFOLK DRasar s� � B05 8" 218 6 I T B06 8" 230 10 r B07 8" 224 10 �2n r t a B08 8" 227 6 la rx � A B09 8" 246 5 B07 Y 4 q?.t� B10 8" 228 7 PA :xl�rz27t) rzzati � Z B11 8" 216 6 B12 8" 283 5 `trytgqi s 3�1 ° CAPEsNEWBURY�hDRq` sr � W, B13 8 240 4 z R d n �`aE*4rw�[.?ar ¢x,'t -w�t'�j t'1�. s z1 €'� � T, t' f r r a+� B14 8" 181 8 M r.. i B15 8'" 241 4 E��' B16 8" 183 6 B17 8" 120 2 ROU(HPORT,pR ��. wit ��} t"�} E N x�h x3 ` ti d sag v¢¢s I��9 � Ir ,�,r �ti+tS-S 5-w�+ Ufi''" ^ at"s3GSEA �ra��� ss$f++p �"B r� ' # La 81 sa 1 r s yB11 mJ Bs10 E� ' '� 17r '�„a+y, st cesr^ia asp. � wd"3�xws. a T a "tat" ass 4v120i '; SAPOf2T1DR' � 4�4 �` "; RD 443 SEWER TO BE LINED TOTAL 8" SEWER - ►------- EXISTING SEWER LINEAL FEET=3,794' (D EXISTING SEWER MANHOLE TOTAL LATERALS = 103 N.T.S ADDENDUM NO. 1 July 13,2016 SEWER REHAB MAP CC - 1533 CITY OF HUNTINGTON BEACH DEPARTMENT OF PUBLIC WORKS SHT, 2 OF 3 SECTION C PROJECT BID SCHEDULE A FY 15/16 SEWER LINING, CC 1533 BID ITEMS gq "g R ,V scri 3 ibn wo I Mobilization/Demobilization 1 LS $_a,0�0 $5,000.00 2 Furnish Traffic Control 1 LS $ 1210.00 $ 1,210.00 3 Cleaning and preliminary video inspection of 8"and 12"sewer main including tree roots and calcium removal 11,276 LF $2.60 $29,317.60 4 Install liner and post video inspection of 8"and 12"sewer main 11,276 LF $22.00 $248,072.00 5 Grind and re-open sewer service lateral 278 EA $ 15.00 $ 4,170.00 6 Prepare Storm Water and Sewer Pollution Prevention Plan 1 LS $950.00 $950.00 7 Install&Maintain Construction BMP's 1 LS $ 1,500.00 $1,500.00 TOTAL BID AMOUNT(BASIS OF AWARD)—SCHEDULE A $ 290,219.60 TOTAL BID AMOUNT IN WORDS: Two-Hundred Ninety Thousand Two Hundred Nineteen Dollars and Sixty cents. Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.1 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 Performance Pipeline 825824 C-42 100001432 $28,190.00 9.71% 3 5305 Industrial Drive Huntington Beach, CA 92649 By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the StatF of California that the foregoing is true and correct and that this declaration is executed on , at E,NG/IV(T*5 C,1l- Date City State M►r)l u�Afc�l-, , being first uJVlduly s worn, deposes and says that he or she is of i3U"-L2 d1ol0 uSL..LLCthe party making the foregoing bid that the bid is not made in the interest of, or on t e behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any 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. ��1�✓�olog�es,LLL Name of Bidder zl-- 41, Signature of Bidder in 1b2. Si s q 2024 Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the FY 2015/16 SEWER LINING 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. M u- l--�n��e_cl�n bI yes LLL..L Contractor By—DO(YI el i Title Date: —7 1(a ) (o C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes M/No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self: insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. nL Contractor Title Date: —7 �2-01�o C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Nu- -e. 0 O I o les C.l_L Bidder Name 102 Sec on l-"�) 'ST B Business Address etV C.I,�rn4S C q20 2-4- City, State Zip (-7L> fo3� • 51 SZ Telephone Number q°r752U 0-�ctss A State Contractor's License No. and Class ic)I 10)1 Wi+ Original Date Issued lob5l 1",ol r, Expiration Date The work site was inspected by_�D�C-�—EP f our office on � (1J , 201L�o �The following are persons, firms, and corporations having a principal interest in this proposal: r in 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. MLk-LL4v— 1<-Cj')ln010 a I 9s' u- L Company Name Signature of-Bidder lDbryll►1l ,b B)i�—'T M— t�//Zz/ Printed or Typed Signature ZIX Subscribed and sworn to before me this day of Ju , 201�_ . f 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. 142 State ofLZ ) County of ) On Arthur P.Arqu�a,Notary Public � Z before me,� Nlon-Day, an ear I ns e rt Name and Title of Notary personally appeared �L✓ �1 1 G /��`'��PG�� Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s is/ re subscribed to the within instrument and acknowledged tome that(gehe/they executed the same i 'his er/their authorized capacity(ies), and that b is r/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. ARTHUR P.ARQUILLA WITNESS my hand and official seal. CommistionN.O 2AT1358 v NOTARY PUBI IC CALIFOF2NIA !; SAN DIEGO COUNTY Commission Expires Jsnusry 7,2018 Signature Signature of ota Public (PLACE NOTARY SEAL ABOVE) C-9 NU UNE now— RESOLUTION OF NU LINE TECHNOLOGIES,LLC RESOLVED BY THE MEMBERS/PARTNERS of Nu-Line Technologies, LLC, a California Corporation as follows: Appointment of Dominic J. Burtech Jr. as the official signatories for: - Bidding Purposes - Contract Award - Change Orders - Dispute Resolutions - Project Completion Documents The resolution was adopted by the MEMBERS/PARTNERS of the LLC on this 21It day of July, 2015 at 102 Second Street SUITE B, Encinitas, CA 92024. CERTIFICATE OF MEMBERS/PARTNERS Dominic J. B eli,Jr.; embe artner Juy' J. Burt h,Member/Partner rarZ J.Durazo,Mcrnber/Partner C\�/ /-' Salvador SA Jr., crnber/Partner c9 z® a c owlFlU g ent Form EAnoLary pablic or other.officer completing this cer[i6cate verities only the identity of the individual who signed the ument to wi�ich this certificate is attached,and not the truthfulness, accut�c ,orvalidity of that document. State of CaIdjor'nia I ss. County 0f Axthur R Arqu fla,NotkU Public On .-� '�� .� before me, (h e ins�iertnamJ and title of the officer) , personally appearec��nlrprc., ��Tr 1. -7'��; who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s)i4.are ubscribedj T to the within instrument and acknowledged to me that'he/sh_ ey xecuted the same in his/her heir u- thorized capacity(ies), and that by his/h� el cs gndatthure nsstrument instrument the person(s), or the entity upon behalf of which the person(s) acte , „e I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct Seal WITNE S my hand an Icial seal. ' ARTHUR P. ARQUILLA I Signature of Notary Commission No.2051358 r- - � NOTARY PUBLIC-CALIFORNIA ` SAN DIEGO COUNTY Commission Expires January 7,2Di8 Optional information To help prevent fraud,it is recommended that you provide information about the attached document below. ***This is riot required under Califontia State notary public law.' # of Pages: Document Title: Notes ------------ r»ni.rnw,i Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets, an area containing high ground water and pipeline construction in huh ground water regions with trench depths of 8-feet to the invert."}. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: Name and Address of Public Agency -�,, " / (� Name and Telephone No. of Project Manager: L ��e(1 (.1�1q�'te� 5�•2 2�J "6� 51 cO CI CCV I 0-1 L. Contract Amount Type of Work Date CYmpletVd Provide additional prof ct description to show similar work: C t P� L�►n t,10 12,+�LF o-�' (o", 0 " !0" � 12" SQn l-Mrf 2. 2. C -� h +► 2ooa M0:�� �7 11.6. cil g2G*8 Name and Address of Public Wgency yy-- Name and Telephone No. of Project Manager: J05C' :Zte-4 ,S -71-f -5'36.6-31 t 26D,UCQou 0-11010 LY11 ✓ia Contract Amount Type of Work Date Completed Provide ad itional prole description to show imilar work: Ct ►,,In g 11,E 8 `' S a g rlry,- Sej)i2 3. �i—T 1 9 �.Y)lJ�►FL-sc� EaG S , cat 92101 Name and Address of Public Agency Name and Telephone No. of Project Manager: Had a-m L i 2Q 6--T (atq �33.51Q 2 214651NS. 1� C1�PIP -�yt�y�� 3��q'2oiL Contract Amount Type of Work Date Completed Provide ad itional projec description to show sim' ar work: a F I-r"r'," SaA-I !2 c-10 NU LINE Technologies.LLC Nu-Line 'technologies, LLC Project References - CIPP/SPR 11MM, D . 2014 Wing Ave Flood Control Flatiron/City of El Cajon Clean/CCTV &CIPP lining of 159 LF of 18-inch & 24- 1770 La Costa Meadows Drive Completion inch Storm Drain, Flow Diversion. San Marcos, Ca 92708 33,030.00 5/28/2014 Ruben Claudio 760-916-9100 2014 Pipeline Rehabilitation Phase W-1 City of San Diego CIPP lining of 21,754 LF of 8-inch diameter sanitary 525 B Street, Ste. 750 6/16/2014 Start sewer. Point Repairs, Manhole Rehabilitation, 425 San Diego, CA 92101 2,465,095.10 mpl Coompletidoo n Top Hats (SLC's) and 425 Lateral Launch Video,425 Maryam Liaghat, P.E. 3/19/2015 4-inch CIPP Lateral Installation. 619-533-5192 2014 Sewer Rehabilitation Proiect No. 9 Los Angeles Dept. of Public Works CIPP lining of 9,166 LF of 8" & 10" diameter sanitary 900 South Fremont Ave Start sewer. Clean &CCTV, Bypass Pumping Alhambra, CA 90014 232,000.00 9 Attn:Jose POu Completion 4 10/31/2014 626-458-2191 2014 Pipeline Rehabilitation Phase X-1 City of San Diego CIPP lining of 4,092 LF of 6", 8", 10" & 15" diameter 9485 Aero Drive Start 14 sanitary sewer. Point Repairs, Manhole San Diego, CA 92101 513,000.00 Completion Completion Rehabilitation, 44 Service Lateral Connections and Jericho Gallardo, R.E. 3/16/2015 44 Lateral Launch Video, 44 CIPP Lateral Installation. 619-533-7523 2014 Sewer Pipeline and Storm Drain Repairs City of Solana Beach CIPP lining of 3,367 LF of 6", 8" & 18" diameter 9485 Aero Drive Start 014 sanitary sewer&Storm Drain. Point Repairs, Solana Beach , CA 92075 455,414.50 Completion n Manhole Rehabilitation, Taryn Kjolsing 11/26/2014 858-720-2470 2014 Sewer&Water Group 833 City of San Diego CIPP lining of 3,876 LF of 6", 8" and 10" Sanitary 525 B Street, MS 908A Start 014 Sewer Main Replacement. Point Repairs, Manhole San Diego, CA 92101 513,000.00 Completion n Rehabilitation, Service Lateral Connections, Bypass Bijan Shakiba, R.E. 1/26/2015 Pumping. 619-533-5191 2013 Sewer&Water Group 720 City of San Diego 14 CIPP lining of 621 LF of 6-inch, Sanitary Sewer Main 525 B Street, MS 908A Start 014 Replacement. Point Repairs, Manhole Rehabilitation, San Diego, CA 92101 21,735.00 Completion n Service Lateral Connections, Bypass Pumping Bijan Sh,akiba, R.E. 11/8/2014 619-533-5191 2013 Sewer&Water Group 758 City of San Diego CIPP lining of 2,612 LF of 8-irich and 10,135 LF 1200 Third Avenue., Ste. 200 Start 014 sanitary sewer replacement. Point Repairs, Manhole San Diego, CA 92101 81,518.80 Completion n Rehabilitation, 30 (SLC's), CIPP Lateral Installation, Luis Schaar, R.E. 12/16/2014 Bypass Pumping. 619-533-4641 Nu-Line Tech nolo ies, LLCs NU LINE 102 Second Street Suite Bf r z • • + , T�m,oes.ue Encinitas,CA 92024r www.nulinetech.net Sy ` " i {sr n �3 tau 4 5� ;tea NU LINE Technologies,H C Nu-Line Technologies, LLC Project References - CIPP/SPR 2015 Sewer&Water Group 815 City of San Diego CIPP lining of 545 LF of 8-inch sanitary sewer. Point 525 B Street, MS 908A Repairs, Manhole Rehabilitation, 5 (SLC's), Bypass San Diego, CA 92101 29,975.00 Completion 2/17/2015 Pumping. Bijan Shakiba, R.E. 619-533-5191 City of San Diego Skylark Canyon Rehabilitation Weir Construction Corporation Start CIPP lining of 1,417 LF of 8-inch sanitary sewer. 2255 Barham Drive 014 Bypass Pumping. Escondido, Ca 92029 95,215.00 Completion Completion (760) 743-6776 1/9/2015 Back Bay Drive Storm Drain Rehabilitation City of Newport Beach CIPP/SPR lining of 1,892 LF of 12-inch to 42-Inch 100 Civic Center Drive Start 015 storm Drain. Bypass Pumping/Dewatering. Newport Beach, CA 92660 297,208.80 Completion n Peter Tauscher, P.E. 4/8/2015 949-644-3309 Sewer Capital Improvements Project-Lemon Grove City of Lemon Grove Start CIPP Lining of 3,480 LF of 6-Inch and 8-Inch sanitary 3232 Main Street 015 Sewer, manhole installations, cleanout installations, Lemon Grove, Ca 91945 189,946 Completion n bypass pumping. Scott Adamson P.E 10/15/2015 Bataquitos Force Main (B1/B2) Force Main Leucadia Wastewater District City of Leucadia 1960 La Costa Ave Start Installation of 383 LF of 21-Inch Force Main Carlsbad Ca, 92009 76,500 5/5/2015 Carlsbad Blvd from Proto Drive Completion 3/6/2015 Annual Sewer Rehabilitation Program CIP. 15701 City of San Juan Capistrano Start CIPP Lining of 7,702 LF of 6-Inch, 8-Inch, 21-inch and 32400 Paseo Adelanto • $ 1,074,061.00 8/17/2015 36-Inch sanitary Sewer and storm drain, manhole San Juan Capistrano CA, 92675 Completion installations, cleanout installations, bypass pumping. 12/28/2015 Pipeline Rehab F-2 (Laterals) City of San Diego Clean &CCTV of 93,955 LF of sanitary sewer. 525 B Street, MS 908A Start $ 101,471.00 2/15/2015 San Diego, CA 92101 Completion Ryan Reed, R.E. 8/25/2015 619-533-5191 Sewer and AC Water Group 752 Public Utilities Department CIPP Lining of 5,182 LF of 8-Inch sanitary Sewer and 9150 Topaz Way, MOC 1 Start bypass pumping. Clean & CCTV,Top Hats San Diego, CA 92123 7/9/2015 (585) 614-4564 $ 281,411.00 Completion Ed M. Cartas 7/17/2015 Nu-Line Technologies, LLC , Yr ' � � 9r � � y s,DGk�kn°.' �; _�i '#' � >�' -'Y w� �"yt` a i"*� t�..4 � $'r• NU LINE 102 Second Street Suite B rem"oes.u.e Encinitas,CA 92024 �, t xx „s•,<:' x/�'",,;'`^yti"ae,`, '>� .,�, r'` n �, 9y .r ,, ¢ , www.nulinetech:net "j 3,z,r3� - �..+.r.�...�. ,.��t,n��.�`3'�#�'>Y.•� ��fiA.#a�<.,? " n'?x•;t'��;" -��5� ... ,��: NU LINE Technologies,LLC Nu-Line Technologies, LLC Project References - CIPP/SPR Sewer and AC Water Group 1004 City of San Diego CIPP Lining of 948 LF of 8-Inch sanitary Sewer and 9485 Aero Drive, bypass pumping. Clean& CCTV, 14 Top Hats San Diego, CA 92123 Completion (858) 997-7989 $ 70,159.00 9/15/2015 Armin Asadyari South Oceanside Waterline Replacement City of Oceanside Clean & CCTV, Post Video of 5,887 LF 8-Inch New 300 North Coast Highway, Installation, Manhole Rehabilitation Oceanside, CA 92054 $ 90,092.75 Completion 2015 (760)435-5913 Greg Keppler Gravity Pipeline Rehabilitation Leucadia Wastewater District Clean & CCTV, Post Video of 1,887 LF 6-Inch, 8-Inch 1960 La Costa Avenue, Start and 12-Inch sanitary sewer. Sectional Lining Carlsbad, CA 92009 $137,987.00 7/9/2015Completion (760) 753-0155 9/16/2015 Robin Morishita Pipeline Rehab Z-1 City of San Diego Clean & CCTV, Post Video of 13,500 LF 8-Inch 9485 Aero Drive, Start sanitary sewer, SPR/CIPP Lining of 13,500 LF of 8- San Diego, CA 92123 10/6/2015 Inch sanitary sewer and installation of 300 Top Hats (619) 549-5451 $ 507,079.50 Completion Dave Engel 12/11/2015 Los Angeles County Dept of Public Work—Proiect#11 LACDPW SPR/CIPP Lining of 13,842 LF of 8-Inch sanitary 900 South Fremont Avenue Start Sewer and bypass pumping. Alhambra, California 91803 1/18/2016 $435,233.50 (626)458-4951 Completion Tim Bazinet 2/29/2016 Industry Rd Sewer @ Ha-Nana Rd. Just Construction CIPP Lining of 748 LF of 24-Inch sanitary Sewer and 3103 Market Street bypass pumping. San Diego, CA 92102 $ 136,127.00 Awaiting NTP (619) 702-4002 CULVERT REPAIR AND REPLACEMENT FISCAL YEAR 2014-15 Tri-Group Construction CIPP/SPR Lining of 499LF of 18-Inch to 42-Inch storm 9580 Black Mountain Rd Ste. L Start 015 drain culvert. San Diego, CA 92126 $ 159,239.00 Completion n (858) 583-1846 11/30/2015 Huntington Beach FY 201415 Sewer Lining Proiect City of Huntington Beach Start CIPP Lining of 11,189 LF of 8-Inch sanitary Sewer and 2000 Main Street, V Floor 3/1/2016 bypass pumping. Huntington Beach, CA 92648 $250,000.00 Completion Jose Fuentes 4/14/2016 (714) 536-5431 Nu-Line Technologies" LLC. 2, t u r r i a NU LINE 102 Second Street Suite B 5 u s rCaF r 5 -LLC Encinitas CA,92024 www.nulinetech.net � NU LINE Technobgles.LLC , Nu-Line Technologies, LLC Project References - CIPP/SPR City of Encinitas Encinitas 2014-2015 Annual Storm Drain Rehabilitation 505 S.Vulcan Start 10/5/2015 CIPP Lining of 2,322LF of 12-Inch to 36-Inch storm Encinitas, CA 92024 $ 558,399.00 Completion drain culvert. Kipp Heffner 3/30/2016 (760) 633-2775 Sewer and AC Water Group 840 City of San Diego Final main video of 2,098 LF, 8-Inch sewer 9485 Aero Drive, San Diego, CA 92123 Completion (858) 573-5084 $3,147.00 9/21/2015 Avram Yu Sewer Group 798 City of San Diego Clean &Video, SPR/CIPP Lining of 11,894LF of 8-Inch 9485 Aero Drive, Start sanitary sewer, 164 Service Lateral Connections San Diego, CA 92123 12/15/2015 (858) 573-5084 $ 410,114.30 Completion Avram Yu 2/10/2016 2015 Sewer Repair Protect-Rossmoor/Los Alamitos Vasilj Inc. Clean &Video, CIPP Lining 2,545 LF of 8-Inch, Point 15531 Arrow Hwy, Start repairs, Top Hats Irwindale, CA 91706 3/3/2016 John Gavigan $123,124.00 Completion (626) 480-1442 4/1/2016 2015 GRAVITY SEWER REHABILITATION Leucadia Wastewater Division Clean &Video, CIPP Lining 2,237 LF of 6-Inch, 8-Inch 1960 La Costa Avenue, Start 8/26/2015 and 12-Inch sanitary sewer, 29 Service Lateral Carlsbad, CA 92009 $161,524.50 Completion Connections, Bypass Pumping Robin Morishita 12/23/2015 (760) 753-0155 CIPP Lining of 15" & 18" CMP Storm Drain City of Buena Park Clean &Video, CIPP Lining 360 LF of 15-Inch and 18- 6650 Beach Blvd, Start 16 Inch storm drains. Buena Park, Ca 90622 $ 51,991.00 Completion Francisco Gutierrez 3/4/2016 (714) 562-3687 Storm Drain Lining of 21" to 54" City of Chula Vista Clean &Video, CIPP Lining 2,415 LF of 18-Inch, 21- 1800 Maxwell Road, Start 1/4/2016 Inch, 24-Inch, 30-Inch and 36-Inch storm drains, Chula Vista, CA 91911 $433,391.00 Completion Sectional Repairs, Invert Grouting of storm drains Kalani Camacho 4/21/2016 prior to rehabilitation. (619) 921-2922 Storm Drain Lining 2014-15; Proiect No. 52716 City of Fullerton PWD—Engineering Clean &Video, CIPP Lining 2,420 LF of 8-Inch, 10- 303 West Commonwealth Avenue, Start Inch sanitary sewer, 12-Inch and 18-Inch storm Fullerton, CA 92832 2/ $117,973.00 Commpletipleti 6 on drains, Sectional Repairs, Invert Grouting of storm Vince Oseguera 4/25/2016 drains prior to rehabilitation. (714) 738-6845 Nu-Line Technologies, LLC. NU LINE 102 Second Street Suite B'' .� r °P�.?a °x", k"�'`�r r' Encinitas,CA 92024 &i 4z � a Xs $ e�k www.nulinetech.net NU LINE Technclogles,LLC Nu-Line Technologies, LLC Project References - CIPP/SPR The Oaks-CIPP Lining of 36-Inch Storm Drain Davidson Communities Clean & CCTV 100 LF of 36-Inch storm Drain, 1302 Camino Del Mar, Start Easement access installation of 100 LF of 36-Inch Del Mar, CA 92014 $ 32,000.00 4/29/2016n Compl etion storm Drain, Post Video Tim O'Grady do 4/29/2016 (858) 259-8500 Eastern Municipal Water District 12-Inch Sanitary Sewer Eastern Municipal Water District Start Clean & CCTV, Rehabilitate 413 LF of 12-Inch 2270 Trumble Road, 2/26/2016 Sanitary Sewer, Reinstate 5 Lateral Connections, Perris, CA 92572-8300 $ 22,715.00 Completion Bypass Pumping Mark Chamberlin 2/26/2016 (951) 928-3777 Ext 6290 City of Los Angeles—Sewers 5 Program Mathew&Stewart Co Inc. Clean &CCTV, Rehabilitate 7,147 LF of 8-Inch, 10- 2841 Gardena Ave, Start Inch, 16-Inch Sanitary Sewer, Reinstate 160 Lateral Signal Hill, CA 90755 $ 304,603.00 6/17/2015 Completion Connections, Bypass Pumping, Post Video Bruce Flowers On Call (562) 595-5471 Rancho Palos Verdes Storm Drain Grfco Inc Clean &CCTV 134 LF of 18-Inch storm Drain, Po Box 1747 Start Easement access installation of 134 LF of 18-Inch Brea, CA 92822 $ 21,942.50 12/30/2015Completion storm Drain, Post Video Jim Jackson 12/30/2015 (714)412-4712 City of San Diego Group 703A Weir Construction Corporation Clean &CCTV 627 LF of 8-Inch sanitary sewer, 2255 Barham Drive, Start 3/8/2016 Easement access installation of 627 LF of 8-Inch Escondido, Ca 92029 $ 30,347.50 Completion sanitary sewer, Post Video Allan Weir 3/9/2016 (760) 743-6776 La Costa Golf Course Leucadia Wastewater Division Clean &CCTV 360 LF of 10-Inch sanitary sewer, 1960 La Costa Avenue, Start Easement access installation of 360 LF of 10-Inch Carlsbad, CA 92009 $ 18,720.00 11/20/2015 Completion sanitary sewer, Post Video Robin Morishita Completion 11/20/2015 (760) 753-0155 Manning Canyon Sewer and Water Replacement Burtech Pipeline Inc. Clean &CCTV 15,508 LF of 8-Inch sanitary sewer, 102 Second Street, Start Rehabilitate 2,582 LF of 8-Inch sanitary sewer Encinitas, CA 92024 3/22/2016 w/SPR, 56 Sewer Lateral Connections, Post CCTV Buddy Aquino $ 212,865.00 Completion Video of 15,508 LF, Bypass Pumping (760) 634-2822 T.B.D. Nu-Line Technologies LLC: s ' 4x NU LINE 102 Second Street Suite TecWwayes.uc Encinitas,CA92024Ott � - z t WWW.nUllnetech.ne NU LINE Technobgies,LLC Nu-Line 'Technologies, LLC Project References - CIPP/SPR Pipeline Rehabilitation AC-1 Burtech Pipeline Inc. Clean &CCTV, Post Video of 40,279 LF 8-Inch 102 Second Street, Start 16 sanitary sewer, 889 Lateral Launch Video, SPR/CIPP Encinitas, CA 92024 $1,040,214.00 Completion Lining of 40,279 LF of 6", 8" and 10-Inch sanitary Buddy Aquino On Going sewer and installation of 889 Top Hats (760) 634-2822 Sewer Rehabilitation Project No. 13 Los Angeles Dept. of Public Works Start SPR/CIPP lining of 19,943 LF of 8-Inch diameter 900 South Fremont Ave 4/7/2016 sanitary sewer, reinstate 459 House connections, Alhambra, CA 90014 $ 476,649.00 Completion Clean &CCTV, Bypass Pumping Attn:Joel Zaragoza 8/1/2016 (626) 458-4973 (TBD) Sewer&Water Group 834 Burtech Pipeline Inc. Clean &CCTV, Post Video of 8,996 LF 8-Inch sanitary 102 Second Street, Start 016 sewer, Lateral Launch Video, SPR Lining of 975 LF of Encinitas, CA 92024 $ 109,284.50 Completion n 10", 12" and 14-Inch sanitary sewer and installation Buddy Aquino T.B.D. Top Hats (760) 634-2822 SPR Lining of 36-Inch Storm Drain SKANSKA Clean &CCTV 140 LF of 36-Inch Storm Drain under 5196 Governor Drive, Start 805 Freeway Southbound Lane, Post Video San Diego, California 92122 5/12/2016 Keith Jackson $ 85,089.00 Completion (858) 646-0921 T.B.D. LACDPW CRR. 436 Los Angeles Dept. of Public Works CIPP lining of 598 LF of 18", 36" and 60-Inch 900 South Fremont Ave Start 5/27/2016 diameter storm drain, Clean & CCTV, Spot Repairs, Alhambra, CA 90014 $ 297,203.50 Completion Frame and Cover Installations Attn: Fred Kheradvar (TBD) (626)458-4973 2016 SEWER MAIN CIPP REHABILITATION Yorba Linda Water District Clean &CCTV, Post Video of 3,700 LF 6", 8" and 10- 1717 E. Miraloma Avenue, Start Inch sanitary sewer, Traffic Control, Bypass Placentia, CA 92870 4/14/2016 Pumping. Alex Thomas $ 189,823.00 Completion (714) 701-3115 (TBD) SSRP P08 Daly Street&Avenue 26 Vasilj Inc. Clean &CCTV, Rehabilitate 5,405 LF of 8-Inch 15531 Arrow Hwy, Start Sanitary Sewer, Reinstate 163 Lateral Connections, Irwindale, CA 91706 (TBD) Bypass Pumping, Post Video John Gavigan $ 258,160.00 Completion (626) 480-1442 (TBD) Nu-Line Technologies, LLC NU LINE 102 Second Street Suite B Ted 0 gT LLC Encinitas,CA 92024 r , www.nulinetech.net NU LINE Technologles,LLC Nu-Line Technologies, LLC Project References - CIPP/SPR SANITARY SEWER MASTER PLAN PHASE 1 City of South El Monte Clean &CCTV, Post Video of 2,230 LF 8", 10" & 12- 1415 Santa Anita Avenue, Start 6/7/2016 Inch sanitary sewer, Traffic Control, Bypass South El Monte, CA 91733 $163,798.00 Completion Pumping, Point Repairs. Aidan Mousavi TBD (626) 652-3110 2016 GRAVITY PIPELINE REHABILITATION PROJECT Leucadia Wastewater Division Clean &CCTV, CIPP Lining of 1,280 LF 8" & 15-Inch 1960 La Costa Avenue, Start sanitary sewer, Traffic Control, Bypass Pumping, Carlsbad, CA 92009 $ 240,000.00 TBD Point Repairs. Robin Morishita CompletionTBD (760) 753-0155 Caltrans No. 08-OJ8104 Dreambuilder Clean &CCTV, SPR& CIPP Lining of 1,160 LF of 18", 1324 E. Lawson Ln, Start 24", 30", 36" and 42-Inch Storm Drain, Pipe Repairs, Placentia, CA 92870 $311,540.00 TBD Completion Post Video TBD (714) 646-3697 HillTop Area Sewer Lining Project City of Redding Clean &CCTV, CIPP Lining of 12,956 LF 6", 8", 10" & 777 Cypress Avenue, Start TBD 12-Inch sanitary sewer, Traffic Control, Bypass Redding, CA 96001 $519,330.00 Completion Pumping, Point Repairs. Darren Langfield TBD (530) 225-4469 Sewer&Water Group 701 City of San Diego Clean &CCTV, CIPP Lining of 1,280 LF 8" & 15-Inch 1200 Third Avenue., Ste. 200 Start TBD sanitary sewer, Traffic Control, Bypass Pumping, San Diego, CA 92101 $27,864.75 Completion Point Repairs. Luis Schaar, R.E. TBD 619-533-4641 Tyrian St and Soledad Ave and AC Water Main City of San Diego Clean & CCTV, CIPP Lining of 6-Inch sanitary sewer, 1200 Third Avenue., Ste. 200 Start TBD Traffic Control, Bypass Pumping, Point Repairs. San Diego, CA 92101 $13,164.00 Completion Luis Schaar, R.E. TBD 619-533-4641 Nu-Line Technologies,LLC: NU LINE 102 Second Street Suite B �To h-�,s,LLC Encinitas,CA 92024 w r us r 4 rs ;� m34 f �s�r # WWW.nUIlneteCh:net NU LINE Technologles,LLC Nu-Line Technologies, LLC Project References -. CIPP/SPR Experience by Diameter wa h y?t 6" 1,668 4,523 6,191 8" 38,410 44,062 47,825 130,297 10" 516 773 2,231 3,520 12" 1,779 1,245 3,044 14" 102 102 15" 330 1,222 180 1,732 16" 285 285 18" 327 962 903 2,192 21" 5,478 309 5,787 24" 95 952 863 1,910 27" 30" 656 779 1,435 33" 144 144 36" 40 666 706 39" 42" 61 61 48„ 54" Total 41,346 61,059 55,001 157,406 Nu-Line Technologies, LLC: NU LINE 102 Second Street Suite6' ru ,� Al. ���,�� � � r • � � ' sff ,aa esuc r . Encinitas,CA 92024 WWW.nuli Ietech.net 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. �Y L/ —DU,etZO Name of proposed Project Manager —7l- Telephone No. of proposed Project Manager:(l bD�44 3 --74 6 Z �A4913 ��l _ I"r37S•CO C l l°lo Ll N t y,� • 8•!5 Project Name & Contract Amount Type of Work Date Completed - �2 !�6 35�. 55 L.c Yi,vt � s 3 •t G •l�Pr ectName & ContractAmountType of Work Date Compled -�" o f �b.9 - - L, * - q •2A •l4- Project Name & Contract Amount Type of Work Date Completed 2. �, r)r&E Name of proposed Superintendent Telephone No. of proposed Superintendent: bu') :?—q •DE'Z f� gS570 0,t Lr„ `7 • l 6• !6 Project Name & ontract Amount Type of Work Date Completed �t�✓ie� ��a� � �2 (ol 11(v,0 3 �Ss , �h�h ! •2D•15 Project Name & Contract Amount Type of Work ate Completed Project Name & Contract Amount Type of Work ate 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 $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT S14EET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/P WCR/ActionServlet9action=displayPWCRegistrationFonn DIR's Contractor Registration searchable database: https://efilinla.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. /Q u-LA, Contractor 1VAl Title Date: ? ( 1WI(o DIR#: [ 0CQ00-jECR C-12 AA$ NAS SURETY GROUP BID BOND CONTRACTOR: SURETY: (Name,legal status and address) North American Specialty Insurance Company NU LINE TECHNOLOGIES,LLC - 475 N.Martingale Road,Suite 850 102 SECOND STREET Schaumburg,IL 60173 ENCINITAS,CA 92024 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 2000 MAIN STREET modification. HUNTINGTON BEACH,CA 92648 BOND AMOUNT:TEN PERCENT OF GREATER AMOUNT BID ------ Any singular reference to Contractor,Surety,Owner or other parry shall be considered PROJECT: plural where applicable. (Name,location or address,and Project number,if any) FY 2015/16 SEWER LINING PROJECT,CC NO.1533 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 11te 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 this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 18TH day of JULY,2016 NU LINE TECHNOLOGIES,LLC (Witness) (Principal) (Seal) BY: (Title)DOLMIMC J.BURTEC P T North American S Insur e Co m an (Witness) (Surety) (Seal) BY: (Title) MICHELLE M. SIJIL,ATTORNEY-IN-FACT This Document conforms to the AIA Document A310'—2010 ] California Acknowledgm ent Form 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 validityof that document. Statc of Calif SS. County of On 7 /Z 1 /; 6 before me, Arthur P.Ar uilla NotaLry Public / (here in rt name and title of the officer) personally appeared j�i� Y 1 �— who proved to me on the basis of satisfactory evidence to be the person(s)whose name( is re subscribed to the within instrument and acknowledged to me tha� he/they executed the same in i5 e0their au- thorized capacity(ies), and that b , is er/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. / Seal WITNs my/hand n official seal. @ARTHUR P..,ARQUILLAI L Commission No.2051358 NOTARYPUBLIC-CALI.O NIA Signature of Nota SAN DIEGO COUNTY Commission E*p es Jenuery T,2018 Optional Information To hclp prcvent fraud,it is rccommcnded drat you providc information about dic allachcd documcnt bclow. `"`This is nof rcyuircd undcr California Slalc notary public law.— Document Title: # of.Pages: Notes 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 DIEGO ) On 07/18/2016 before me, JISSELLE MARIE SANCHEZ, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared MICHELLE M. BASUIL Name(&) of Signer(&) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(a) is/tee subscribed to the within instrument and acknowledged to me that +ge/she%they executed the same in 4is/her/their authorized capacity4es), and that by h4s/hei fA+� it signature(s)on the instrument the person(s), or the entity upon behalf of which the person() acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. SSEL E 9ARIE SAN HEZ WITNESS my hand and official seal. COMM # 2129586 b SAN DIEGO COUi\1TY c tit �,� NTr1RY PUBLIC-CAI.IFOR�IiA G Signature w My Cc- MISSION /�EXP!RES V igna r of No Public OCT, 09, 201 y 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: MICHELLE M. BASUIL Signer's Name: ❑Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑General ❑ Individual ®Attorney in Fact ❑Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: ©2014 National Notary Association-www.NationalNotary.org- 1-800-US NOTARY(1-800-876-6827) Item#5907 NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Manchester,New Hampshire,and Washington International Insurance Company,a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg,Illinois,each does hereby make,constitute and appoint: JOHN G.MALONEY,HELEN MALONEY,MICHELLE M.BASUIL, and MARK D.IATAROLA JOINTLY OR SEVERALLY Its true and lawful Attomey(s)-i n-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: FIFTY MILLION($50,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 91h of May,2012: "RESOLVED,that any two of the Presidents,any Managing Director,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." //,/) \\f\141111111illltlll/I4/i// By till 5+���RPO�9l IG..pyyp% ` '. SEAL :O= Steven P.Anderson,Senior Vice President of Washington International Insurance Company ?' SCP,L ";Z e 1973 «rfn &Senior Vice President of North American Specialty Insurance Company 'L �Q'•'O� 3 c7: r[��5 11111111111\\ By /�i\4."-. Michael A.Ito,Senior Vice Presl�Gam- ngthon Ins- &Senior Vice President of North American Specialty Insurance Company IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this 17th day of September 2015 North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook ss: On this 17th day of September ,20 15 before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Michael A.Ito, Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company,personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFICIAL SEAL AIYCAMMISSION EXPIRES 12/04/2017 M.Kenny,Nutaty f>uL Gc i I, Jeffrey Goldberg , the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company,which is still in full force and effect. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this 18th day of JULY ,20 16 'C. j .: r .. ... may...,. Jeffrey Goldberg,Vice President&Assistant Secretary of Wuhington Imemational Insurance Company&North American Specialty Insurance Company