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Aid Builders, Inc. - 2019-06-03
Batch 5150583 Confirmation Page 1 of 1 PLEASE COMPLETE THIS INFORMATION s RECORDING REQUESTED BY: Recorded in Official Records,Orange County Hugh Nguyen,Clerk-Recorder NO FEE * $ R 0 0 1 1 1 3 5 4 8 1 $ 2019000357502 2:05 pm 09/18119 WHEN RECORDED MAIL TO: 9 401A N12 1 CITY OF HUNTINGTON BEACH 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 PUBLIC WORKS DEPARTMENT Attn:Joseph Dale P.O.Box 190-2000 Main Street d Huntington Beach,CA 92648 f i THIS SPACE FOR RECORDER'S USE ONLY t TITLE OF DOCUMENT NOTICE OF COMPLETION E NOTICE IS HEREBY GIVEN by the City of Huntington Beach,owner in fee,2000 Main Street,Huntington Beach,CA 92648,that i the contract heretofore awarded to Aid Builders,who was the company thereon for doing the following work to-wit: FY 2018/19 Alley Rehabilitation,Project#1569 That said work was completed 09/06/2019 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 09/06/2019,per City i Council Resolution No.2003-70 adopted October 6,2003, That upon said contract Philidelphia Indemnity Insurance Company,was surety for the bond given by the said company as required This document is solely for the official business of the City of Huntington Beach,as contemplated under Government Code Section 27383 and should be recorded free of charge. f -✓pia 9lb A7 Director bf Pu ' o or City Engineer Date City of Huntington Beach,California STATE OF CALIFORNIA) County of Orange )ss: City of Huntington Beach ) I,the undersigned,say:I am an Agent of the City of Huntington Beach,owner in fee,in the foregoing NOTICE OF COMPLETION. I have read said NOTICE OF COMPLETION and know the contents thereof;the same is true of my knowledge. 1 declare under penalty of perjury that the foregoing is true and correct,and that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the County Recorder of Orange County. This document is solely the official business of n Xz-�2 the City of Huntington Beach,as contemplated Direof Pdbfi orks or City Engineer Dale under Government code section 27383 and City of Huntington Beach,California should be recorded free of chang THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) https:Hgs.secure-recording.com/Batch/Confirmation/5150583 9/18/2019 .1 V RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name)V after signing/dating (Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: 11,2 SUBJECT: Bond Acceptance I have received the bonds for Amb &.tl (Company'Name) CAPITAL PROJECTS (includes CC's and MSC's) Performance Bond No. -7 0 0_3 (,,57 Payment Bond (Labor and Materials) Bond No. P6 03 0 3 17 0 03 3&9 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. 4�Franchise Bond No.. Letter of Credit Bond No. Other Re- Tract No. Approved F (Council Approval Date) CC No. Agenda-Item No. 5-&41 MSC No. City Clerk Vault No. �Uy DSO Other No. SIRE System ID No. g:/forms/bond transmittal to treasurer RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) 0..J, CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: SUBJECT: Bond Acceptance I have received the bonds for AGE/ jd7.[1 d-e- S Inn' . (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. P8030 3170D3<3(y Payment Bond (Labor and Materials) Bond No. R6 0 3 U 9 17603 3(.0 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 (Council Approval Date) CC No. �J`�0� No. MSC No. City Clerk Vault No. W6. SO Other No. SIRE System ID No. �- g1forms/bond transmittal to treasurer • City of Huntington Beach �: . . 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov fB,„'�'9'4gjA� ♦ Office of the City Clerk Robin Estanislau, City Clerk July 16, 2019 Aid Builders, Inc. Attn: Ed H Albadry 10605 Bloomfield Street Los Alamitos, CA 91720 Re: Alley Rehabilitation from Graham Street to Heil Avenue— CC-1569 The City Council awarded the bid to your company for the above referenced project. Enclosed is a copy of the executed contract with the City of Huntington Beach. A Certification of Compliance with Title VII of the Civil Rights Act, Certification of Compliance with Prevailing Wage Laws and Contractor's Certificate form must be returned to this office after the project is completed but prior to the release of retention funds. In addition, the following item must also be on file, with this office before the City can release any retention funds: A warranty bond guaranteeing the final amount of work and materials for one year. If your performance bond does not include specific wording for a one-year warranty, then a rider or separate bond must be submitted. Should you have any questions or concerns regarding the enclosures or items that must be on file in this office prior to release of retention funds, please call the Public Works Department at 536-5517. Sincerely, eq4ru 7i61 4wdjlw Robin Estanislau, CIVIC City Clerk RE:ds Enclosures: Copy of Contract including Proposal Copies of insurance/bonds Bid Bond (original) Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND AID BUILDERS,INC. FOR Alley Rehabilitation, CC No. 1569 THIS AGREEMENT ("Agreement") is made and entered into by and between the City of Huntington Beach, a municipal corporation of the State of California, hereinafter referred to as "CITY," and AID BUILDERS,INC. a California corporation, hereinafter referred to as "CONTRACTOR." WHEREAS, CITY has solicited bids for a public works project, hereinafter referred to as "PROJECT," more fully described as alley rehabilitation from Graham Street to Heil Avenue,CC No. 1569 in the City of Huntington Beach; and CONTRACTOR has been selected to perform said services, NOW, THEREFORE, in consideration of the promises and agreements hereinafter made and exchanged the parties covenant and agree as follows: 1. STATEMENT OF WORK; ACCEPTANCE OF RISK CONTRACTOR shall complete and construct the PROJECT pursuant to this Agreement and the Contract Documents (as hereinafter defined) and furnish, at its own cost and expense, all labor, plans, tools, equipment, supplies, transportation, utilities and all other items, services and facilities necessary to complete and construct the PROJECT in a good and workmanlike manner. CONTRACTOR agrees to fully assume the risk of all loss or damage arising out of the nature of the PROJECT, during its progress or prior to acceptance by CITY, from the action of the elements, from any unforeseen difficulties which may arise or be encountered in the 1 16-5195/City Funded Construction Contract.docx—revised 04/2016 prosecution of work, and for all other risks of any description in connection with the work, including, but not limited to, all expenses incurred by or in consequence of the suspension or discontinuance of work, except such as are herein expressly stipulated to be borne by CITY, and for well and faithfully completing the work within the stipulated time and in the manner shown and described in this Agreement, and in accordance with the requirements of CITY for the compensation set forth in the accepted bid proposal. 2. ACCEPTANCE OF CONDITIONS OF WORK; PLANS AND SPECIFICATIONS CONTRACTOR acknowledges that it is fully familiar with all the terms,conditions and obligations of this Agreement and the Contract Documents (as defined below in this Section), has inspected the location of the job site, and the conditions under which the work is to be performed, and that it enters into this Agreement based upon its thorough investigation of all such matters and is relying in no way upon any opinions or representations of CITY. It is agreed that the Contract Documents are incorporated into this Agreement by this reference, with the same force and effect as if the same were set forth at length herein, and that CONTRACTOR and its subcontractors, if any, shall be bound by the Contract Documents insofar as they relate in part or in any way, directly or indirectly, to the work covered by this Agreement. "Contract Documents" as defined herein mean and include: A. This Agreement; B. Bonds covering the work herein agreed upon; C. The CITY's standard Plans and Specifications and special contractual provisions, including those on file in the office of the Department of Public Works of CITY, and any revisions, amendments or addenda thereto; 2 16-5195/City Funded Construction Contract.docx—revised 04/2016 D. The edition of Standard Specifications for Public Works Construction, published by Builders'News, Inc., 10801 National Boulevard,Los Angeles, CA 90064, and all amendments thereto, written and promulgated by the Southern California chapter of the American Public Works Association and the Southern California District Associated General Contractors of the California Joint Cooperative Committee 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.docx—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 Four Hundred Ninety Thousand Fifty Dollars ($ 490,050.00 ), as set forth in the Contract Documents, to be paid as provided in this Agreement. 4. COMMENCEMENT OF PROJECT CONTRACTOR agrees to commence the PROJECT within ten (10)working days after the Notice To Proceed is issued and diligently prosecute the PROJECT to completion within forty five ( 45 ) 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.docx—revised 04/2016 subcontractors and CITY forces and, in general, all matters concerning the timely and orderly conduct of the work of CONTRACTOR on the premises. 6. CHANGES CONTRACTOR shall adhere strictly to the plans and specifications set forth in the Contract Documents unless a change therefrom is authorized in writing by DPW. CONTRACTOR agrees to make any and all changes, furnish materials and perform all work necessary within the scope of the PROJECT.as DPW may require in writing. Under no condition shall CONTRACTOR make any changes without the prior written order or acceptance of DPW, and CITY shall not pay any extra charges made by CONTRACTOR that have not been agreed upon in writing by DPW. When directed to change the work, CONTRACTOR shall submit immediately to DPW a written cost proposal reflecting the effect of the change. Should DPW not agree to such cost proposal, the work shall be performed according to the changes ordered in writing by DPW and the proper cost thereof shall be negotiated by the parties upon cost and pricing data submitted by CONTRACTOR; thereupon, CITY will promptly issue an adjusted change order to CONTRACTOR and the contract price will be adjusted upward or downward accordingly. 7. NOTICE TO PROCEED No work, services, material, or equipment shall be performed or furnished under this Agreement unless and until a Notice to Proceed has been given to CONTRACTOR by CITY. CITY does not warrant that the work will be available on the date the Notice to Proceed is issued. In the event of a delay in commencement of the work due to unavailability of the job site, for any reason,relief to CONTRACTOR shall be limited to a time extension equal to the delay due to such unavailability. 5 16-5195/City Funded Construction Contract.docx—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. In addition, CONTRACTOR shall submit to CITY a bond in the amount of one hundred percent (100%) of the final contract price, including all change orders, to warrant such performance for a period of one (1) year after CITY's acceptance thereof within ten (10) days of filing of the Notice of Completion. 9. WARRANTIES CONTRACTOR unconditionally guarantees all work done under this Agreement including, but not limited to, any workmanship, installation, fabrication, material or structural facilities constructed. CONTRACTOR, within ten (10) days after notice by CITY of any defect in the work, shall have the option to make appropriate repairs or replace the defective item or items. Upon expiration of such ten (10) day period, CITY may then make appropriate repair or replacement at CONTRACTOR's risk and own cost and expense. 10. INDEPENDENT CONTRACTOR It is understood and agreed that CONTRACTOR is,and shall be,acting at all times hereunder as an independent contractor and not an employee of CITY. CONTRACTOR shall secure at its own cost and expense, and be responsible for any and all payment of all taxes, social security, state disability insurance compensation, unemployment compensation and other payroll 6 16-5195/City Funded Construction Contract.docx—revised 04/2016 deductions for CONTRACTOR and its officers, agents and employees and all business licenses, if any, in connection with the PROJECT and/or the services performed hereunder. 11. LIQUIDATED DAMAGES/DELAYS It is agreed by the parties hereto that in case the total work called for hereunder is not in all parts and requirements finished or completed within the number of calendar days as set forth herein, damage will be sustained by CITY; and that it is, and would be, impractical and extremely difficult to ascertain and determine the actual damage which CITY would sustain in the event of and by reason of such delay. It is, therefore, agreed that CONTRACTOR will pay to CITY, as liquidated damages and not as a penalty, the sum of five hundred ($ 500 ) per each calendar day's delay in completing the work in excess of the number of working/calendar days set forth herein, which represents a reasonable endeavor by the parties hereto to estimate a fair compensation for the foreseeable damages CITY would sustain in the event of and by reason of such delay; and CONTRACTOR agrees to pay these damages herein provided, and further agrees that CITY may deduct the amount thereof from any monies due or that may become due to CONTRACTOR hereunder. CONTRACTOR will be granted an extension of time and will not be assessed damages for any portion of the delay in the completion of the work due to unforeseeable causes beyond the control and without the fault or negligence of CONTRACTOR, including, but not limited to, acts of God or of the public enemy, fire, floods, epidemics, quarantine restrictions, strikes, unsuitable weather, or delays of subcontractors due to such causes. CONTRACTOR shall, within fifteen (15) days from the beginning of any such delay (unless DPW shall grant a further period of time),notify DPW in writing of the cause of the 7 16-5195/City Funded Construction Contract.docx—revised 04/2016 delay and CITY shall extend the time for completing the work if, in its judgment, the findings of fact thereon justify the delay; and the decision of DPW shall be conclusive on the parties hereto. Should CONTRACTOR be delayed in the prosecution or completion of the work by the act, neglect or default of CITY, or should CONTRACTOR be delayed by waiting for materials required by this Agreement to be furnished by CITY, or by damage caused by fire or other casualty at the job site for which CONTRACTOR is not responsible, or by the combined action of the workers, in no way caused by or resulting from default or collusion on the part of CONTRACTOR, or in the event of a lockout by CITY, then the time herein fixed for the completion of the work shall be extended by the number of days CONTRACTOR has thus been delayed,but no allowance or extension shall be made unless a claim 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 Funded Construction Contract.docx—revised 04/2016 (b) Payment of money or damages arising from work done by, or on behalf of, the CONTRACTOR pursuant to this Agreement and payment of which is not expressly permitted pursuant to Section 3 of this Agreement; (c) Payment of an amount the CITY disputes; (d) Any disputes and other matters relating to the acceptability of the work performed or the interpretation of the Contract Documents; (e) A request for a time extension or additional payment based upon differing site conditions, such as subsurface or latent physical conditions at the job site differing materially from those indicated in this Agreement or the Contract Documents, or unknown physical conditions at the job site, of an unusual nature, differing materially from those ordinarily encountered and generally recognized as inherent to work of the PROJECT; or (f) A request for a time extension or additional payment based upon acts of neglect by CITY or due to fires, floods, labor disputes,epidemics, abnormal weather conditions or acts of God. B. A Demand for a time extension or payment of money or damages may only be granted by a Change Order. C. No Change Order may be granted except where the Contractor has submitted a Demand to the DPW (or his or her written designee). All Demands shall be submitted promptly, but in no event later than thirty(30)days after the occurrence of the event giving rise to the Demand. The Demand shall be in writing and include all documents necessary to substantiate the Demand. The DPW shall act on the Demand within fifteen (15) days after receipt, including by requesting additional information from the CONTRACTOR to determine whether to approve the Change Order the Demand seeks. The DPW shall act on the Demand within fifteen (15) days 9 16-5195/City Funded Construction Contract.docx—revised 04/2016 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 CONTRACTOR submits his 10 16-5195/City Funded Construction Contract.docx—revised 04/2016 or her Demand until the Demand is denied as a result of the meet and confer process, including any period of time utilized by the meet and confer process. 13. VARIATIONS IN ESTIMATED QUANTITIES The quantities listed in the bid schedule will not govern final payment. Payment to CONTRACTOR will be made only for the actual quantities of contract items used in construction of the PROJECT, in accordance with the plans and specifications. Upon completion of the PROJECT, if the actual quantities used are either more than or less than the quantities listed in the bid schedule, the bid price shall prevail subject to the provisions of this Section. DPW may, at its sole discretion, when warranted by the facts and circumstances, order an equitable adjustment, upwards or downwards, in payment to CONTRACTOR where the actual quantities used in construction of the PROJECT are in variation to the quantities listed in the bid schedule. No claim by CONTRACTOR for an equitable adjustment in price or time for completion shall be allowed if asserted after final payment under this Agreement. If the quantity variation is such as to cause an increase in the time necessary for completion,DPW shall ascertain the facts and circumstances and make such adjustment for extending the completion date as in its sole judgment the findings warrant. 14. PROGRESS PAYMENTS Each month DPW will make an estimate in writing of the work performed by CONTRACTOR and the value thereof. From each progress estimate, five percent (5%) will be deducted and retained by CITY and the remainder of the progress estimate, less the amount of all previous payments since commencement of the work, will be paid to CONTRACTOR. When CONTRACTOR has, in the judgment of DPW, faithfully executed fifty percent(50%) or more of the value of the work as determined from the bid schedule, and if DPW finds that satisfactory progress has been and is being made, CONTRACTOR may be paid such 11 16-5195/City Funded Construction Contract.docx—revised 04/2016 sum as will bring the payments of each month up to one hundred percent (100%) of the value of the work completed since the commencement of the PROJECT,as determined in its sole discretion by DPW, less all previous payments and less all previous retained amounts. CITY's final payment to CONTRACTOR, if unencumbered,or any part thereof unencumbered, shall be made thirty-five (35) days after the acceptance of the work and the filing of a Notice of Completion by CITY. Provided, however,that in the event of a dispute between CITY and CONTRACTOR, CITY may withhold from the final payment an amount not to exceed 150 percent of the value of any disputed amount of work. Payments shall be made on demands drawn in the manner required by law,each payment to be accompanied by a certificate signed by DPW, affirming that the work for which payment is demanded has been performed in accordance with the terms of the Agreement and that the amount stated in the certificate is due under the terms of the Agreement. Partial payments on the contract price shall not be considered as an acceptance of any part of the work. 15. WITHHELD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES At the request and at the sole cost and expense of CONTRACTOR,who shall retain beneficial ownership and receive interest, if any thereon, CITY shall permit the substitution and deposit therewith of securities equivalent to the amount of any monies withheld by CITY to ensure performance under the terms of this Agreement. 16. AFFIDAVITS OF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall file with DPW its affidavit stating that all workers and persons employed, all firms supplying materials and all subcontractors working upon the PROJECT have been paid in full and that there are no claims outstanding against the PROJECT for either labor or material, except certain items, if any,to be set forth in CONTRACTOR's affidavit covering disputed claims, 12 16-5195/City Funded Construction Contract.docx—revised 04/2016 or items in connection with Notices to Withhold, which have been filed under the provisions of the statutes of the State of California. 17. WAIVER OF CLAIMS The acceptance by CONTRACTOR of the payment of the final certificate shall constitute a waiver of all claims against CITY under or arising out of this Agreement. A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code, CONTRACTOR shall, as penalty to CITY, forfeit twenty-five dollars ($25)for each calendar day or portion thereof for each worker paid (either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 18. CALIFORNIA PREVAILING WAGE LAW A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by 13 16-5195/City Funded Construction Contract.docx—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 one 14 16-5195/City Funded Construction Contract.docx—revised 04/2016 (1)calendar day or forty (40)hours in any one (1)calendar week in violation of California Labor Code Section 1815. 20. PAYMENT OF TRAVEL AND SUBSISTENCE ALLOWANCE Section 1773.8 of the California Labor Code, regarding the payment of travel and subsistence allowance is applicable to this PROJECT. 21. EMPLOYMENT OF APPRENTICES Section 1777.5 of the California Labor Code, regarding the employment of apprentices is applicable to this PROJECT. 22. PAYROLL RECORDS CONTRACTOR agrees to keep accurate payroll record showing the name, address, social security number, work classification, straight time and overtime hours worked each day and week, and the actual per diem wages paid to each journeyman, apprentice or worker employed by it in connection with the PROJECT and agrees to require each of its subcontractors to do the same. CONTRACTOR further agrees that its payroll records and those of its subcontractors, if any, shall be available at all reasonable times to the CITY, and the employee or his representative, and the Division of Labor Standards Enforcement and the Division of Apprenticeship Standards, and to comply with all of the provisions of California Labor Code Section 1776, in general. 23. INDEMNIFICATION, DEFENSE, HOLD HARMLESS CONTRACTOR hereby agrees to protect, defend, indemnify and hold harmless CITY, its officers, elected or appointed officials, employees, agents, and volunteers from and against any and all claims, damages, losses, expenses, judgments, demands, defense costs, and consequential damage or liability of any kind or nature, however caused, including those resulting from death or injury to CONTRACTOR's employees and damage to CONTRACTOR's property, 15 16-5195/City Funded Construction Contract.docx—revised 04/2016 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.docx—revised 04/20 l6 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 16-5195/City Funded Construction Contract.docx—revised 04/2016 26. CERTIFICATES OF INSURANCE; ADDITIONAL INSURED ENDORSEMENTS Prior to commencing performance of the work hereunder, CONTRACTOR shall furnish to CITY certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverages as required by this Agreement; the certificates shall: 1. Provide the name and policy number of each carrier and policy; 2. State that the policy is currently in force; and 3. Promise to provide that such policies will not be canceled or modified without thirty (30) days' prior written notice of CITY. CONTRACTOR shall maintain the foregoing insurance coverages in force until the work under this Agreement is fully completed and accepted by CITY. The requirement for carrying the foregoing insurance coverages shall not derogate from the CONTRACTOR's defense, hold harmless and indemnification obligations as set forth under this Agreement. CITY or its representative shall at all times have the right to demand the original or a copy of all the policies of insurance. CONTRACTOR shall pay, in a prompt and timely manner, the premiums on all insurance hereinabove required. CONTRACTOR shall provide a separate copy of the additional insured endorsement to each of CONTRACTOR's insurance policies, naming CITY, its officers, elected and appointed officials, employees, agents and volunteers as Additional Insureds, to the City Attorney for approval prior to any payment hereunder. 27. NOTICE OF THIRD PARTY CLAIM Pursuant to Public Contracts Code §9202, CITY shall provide notice to CONTRACTOR of receipt of any claim filed with CITY or a court of competent jurisdiction which arises out of performance of this agreement within ten (10)days of receipt of such claim or claims. 18 16-5195/City Funded Construction Contract.docx—revised 04/2016 28. DEFAULT AND TERMINATION If CONTRACTOR fails or refuses to prosecute the work hereunder with diligence, or fails to complete the work within the time specified, or is adjudged bankrupt or makes an assignment for the benefit of creditors or becomes insolvent, or violates any provision of this Agreement or the Contract Documents, CITY may give CONTRACTOR notice in writing of its intention to terminate this Agreement. Unless the violation is cured within ten(10)days after such Notice of Intention has been served on CONTRACTOR, CITY may, without prejudice to any other remedy it may have, terminate this Agreement upon the expiration of that time. Upon such default by CONTRACTOR, CITY may elect not to terminate this Agreement; in such event CITY may make good the deficiency in which the default consists and deduct the resulting costs from the progress payments then or to become due to CONTRACTOR. If it is subsequently determined by a court of competent jurisdiction that CITY's termination of this Agreement under this Section was wrongful, such termination shall be converted to a termination for convenience under Section 29 and any damages shall be assessed as set forth in Section 29. 29. TERMINATION FOR CONVENIENCE CITY may terminate this Agreement for convenience at any time with or without cause, and whether or not PROJECT is fully complete upon seven(7)calendar days written notice to CONTRACTOR. In the event of termination, under this Section CITY shall pay CONTRACTOR for value of work in place on the PROJECT through the termination period less all such payments already made. In case of such termination for convenience,the CONTRACTOR shall be entitled to receive payment for work executed, and costs incurred by 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 19 16-5195/City Funded Construction Contract.docx—revised 04/2016 sole and exclusive remedy for termination by CITY for its convenience and CITY shall have no further obligation to CONTRACTOR. 30. DISPOSITION OF PLANS, ESTIMATES AND OTHER DOCUMENTS CONTRACTOR agrees that upon completion of the work to be performed hereunder, or upon expiration or earlier termination of this Agreement, all original plans, specifications, drawings, reports, calculations, maps and other documents pertaining to this Agreement shall be delivered to CITY and become its sole property at no further cost. 31. NONASSIGNABILITY CONTRACTOR shall not sell, assign, transfer, convey or encumber this Agreement,or any part hereof,or any right or duty created herein,without the prior written consent of CITY and the surety. 32. CITY EMPLOYEES AND OFFICIALS CONTRACTOR shall employ no CITY official nor any regular CITY employee in the work performed pursuant to this Agreement. No officer or employee of CITY shall have any financial interest in this Agreement in violation of the California Government Code. 33. STOP NOTICES; RECOVERY OF ADMINISTRATIVE COSTS CITY shall be entitled to all reasonable administrative costs and necessary disbursements arising out of the processing of Stop Notices, Notices to Withho'.d, 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 expense so incurred against any sum or sums owed by CITY to CONTRACTOR under this Agreement. 20 16-5195/City Funded Construction Contract.docx—revised 04/2016 34. NOTICES Any notices, certificates, or other communications hereunder shall be given either by personal delivery to CONTRACTOR's agent (as designated in Section 1 hereinabove) or to CITY as the situation shall warrant,or by enclosing the same in a sealed envelope,postage prepaid, and depositing the same in the United States Postal Service, to the addresses specified below; provided that CITY and CONTRACTOR may designate different addresses to which subsequent notices, certificates or other communications will be sent by notifying the other party via personal delivery, reputable overnight carrier or U. S. certified mail-return receipt requested: TO CITY: TO CONTRACTOR: City of Huntington Beach AID BUILDERS,INC. ATTN:Joseph Dale , Public Works ATTN: Ed H Albadry 2000 Main Street 10605 Bloomfield St. Huntington Beach, CA 92648 Los Alamitos, CA 91720 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.docx—revised 04/2016 36. IMMIGRATION CONTRACTOR shall be responsible for full compliance with the immigration and naturalization laws of the United States and shall, in particular, comply with the provisions of United States Code Section 1324a regarding employment verification. 37. LEGAL SERVICES SUBCONTRACTING PROHIBITED CONTRACTOR and CITY agree that CITY is not liable for payment of any subcontractor work involving legal services, and that such legal services are expressly outside the scope of services contemplated hereunder. CONTRACTOR understands that pursuant to Huntington Beach City Charter Section 309, the City Attorney is the exclusive legal counsel for CITY; and CITY shall not be liable for payment of any legal services expenses incurred by CONTRACTOR. 38. ATTORNEY'S FEES In the event suit is brought by either party to construe, interpret and/or enforce the terms and/or provisions of this Agreement or to secure the performance hereof, each party shall bear its own attorney's fees, such that the prevailing party shall not be entitled to recover its attorney's fees from the non-prevailing party. 39. INTERPRETATION OF THIS AGREEMENT The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of the parties. If any provision of this Agreement is held by an arbitrator or court of competent jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the 22 16-5195/City Funded Construction Contract.docx—revised 04/2016 context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act contrary to law, and wherever there is any conflict between any provision contained herein and any present or future statute, law, ordinance or regulation contrary to which the parties have no right to contract, then the latter shall prevail, and the provision of this Agreement which is hereby affected shall be curtailed and limited only to the extent necessary to bring it within the requirements of the law. 40. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of California. 41. DUPLICATE ORIGINAL The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals, each of which so executed shall, irrespective of the date of its execution and delivery, be deemed an original. Each duplicate original shall be deemed an original instrument as against any party who has signed it. 42. CONSENT Where CITY's consent/approval is required under this Agreement, its consent/approval for one transaction or event shall not be deemed to be consent/approval to any subsequent occurrence of the same or any other transaction or event. 43. SURVIVAL Terms and conditions of this Agreement, which by their sense and context survive the expiration or termination of this Agreement shall so survive. 44. MODIFICATION No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties. 23 16-5195/City Funded Construction Contract.docx—revised 04/2016 45. SIGNATORIES Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify CITY fully for any injuries or damages to CITY in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. 46. ENTIRETY The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive arm's length negotiation,and that each has had the opportunity to consult with legal counsel prior to executing this Agreement. The parties also acknowledge and agree that no representations, inducements,promises, agreements or warranties,oral or otherwise, have been made by that party or anyone acting on that party's behalf, which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement, promise, agreement, warranty, fact or circumstance not expressly set forth in this Agreement. This Agreement, and the attached Exhibit "A", contain the entire agreement between the parties respecting the subject matter of this Agreement, and supersede all prior understandings and agreements whether oral or in writing between the parties respecting the subject matter hereof. 24 16-5195/City Funded Construction Contract.docx—revised 04/2016 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers on June 3rd , 20 19 -A APPRd✓ED 8y OdVNc4L rn ro/a/i9 CONTRACTOR: CITY OF HUNTINGTON BEACH,a municipal corporation of the State of California By: Ed H Albadry r Mayor (print name) l _ 4waw ITS: Chairman/President/Vice-President City Clerk 7//5/1 (circle one) INITIATED AND APPROVED: AND d By: D is Works Silvia J Virgen (print name) REVIEWED AND APPROVED: ITS: Secretary / Chief Financial Officer / Asst. 7/ Secretary/Treasurer rtt�l) (circle one) City Manag APPROVED A O 1"J2 City Attorney W/ 25 16-5195/City Funded Construction Contract.docx—revised 04/2016 ti&P Global (/en-US/web/guest/home) Rat ngs hiladelphia Indemnity Insurance Co. egulatory Disclosure Slobal Ratings' regulatory disclosures (PCRs)are published as of a point-in-time,which is current as of the date a Credit Rating Action was last publishe ;lobal Ratings updates the PCR for a given Credit Rating to include any changes to PCR disclosures only when a subsequent Credit Rating Action is ished.Thus, disclosure information in this PCR may not reflect changes to data within PCR disclosures that can occur over time subsequent to the ication of a PCR but that are not otherwise associated with a Credit Rating Action. ig Type: Local Currency LT cation Date: 17-May-2019 14:18 EDT Imbol, Number, or Score in the Rating Scale Used to Denote Credit Rating Categories id Notches as Required by Paragraph (a)(1)(ii)(A)of Rule 17g-7 ;sting Information ,ating Rating Date CreditWatch/Outlook CreditWatch/Outlook Date .+ 18-Sep-2015 Positive 17-Apr-2018 -ocedure or Methodology Used to Determine the Credit Rating as required by Paragraph )(1)(ii)(B)of Rule 17g-7 ie following criteria were used in determining this credit rating: iteria I Insurance I General: Enterprise Risk Management °n-US/web/guest/article/-/view/sourceld/7954499) meral Criteria: Methodology: Management And Governance Credit Factors For Corporate Entities And curers (/en-US/web/guest/article/-/view/sourceld/7629699) meral Criteria: Group Rating Methodology(/en-US/web/guest/article/-/view/sourceld/8336067) iteria I Insurance I General: Insurers: Rating Methodology �n-US/web/guest/article/-/view/sourceld/7916733) iteria I Insurance I General: Refined Methodology And Assumptions For Analyzing Insurer Capital 1equacy Using The Risk-Based Insurance Capital Model �n-US/web/guest/article/-/view/sourceld/5900264) !neral Criteria: Use Of CreditWatch And Outlooks �n_US/web/guest/article/-/view/sourceld/561 2636) ie following Models were used in preparing this rating surance Framework RSR-- RS-INS-GLB-R-000434-VO1 2 sk Based Capital for Insurers - US Statutory PC Reinsurance Model-- RS-INS-USA-R-000831-V002 sk Based Capital for Insurers- US Statutory PC Loss Reserve--RS-INS-USA-R-000832-V004 sk Based Capital for Insurers - US statutory PC RS-INS-USA-R-000792-V003 l r COMPANY PROFILE Company Profile Company Search Company Information Company Search Results PHILADELPHIA INDEMNITY INSURANCE COMPANY Company ONE BALA PLAZA SUITE 100 Information BALA CYNWYD, PA 19004 Old Company 877-438-7459 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 #: 18058 Annual Statements California Company ID #: 3576-6 Quarterly Statements Date Authorized in California: 01/27/1993 .-..._...__...._........_._._...._................................_._...__....._...--.._.............._................_.........1 ._._.__.._.......-._..........-..- Company Complaint License Status: UNLIMITED Company NORMAL Performance& Company Type: Property&Casualty Comparison Data Company State of Domicile: PENNSYLVANIA Enforcement Action Composite back to top Complaints Studies Additional Info Find A Company NAIC Group List Representative In Your Area View Financial NAIC Group #: 3098 Tokio Marine Holdings Inc 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. AUTOMOBILE BOILER AND MACHINERY BURGLARY DISABILITY FIRE LIABILITY MARINE MISCELLANEOUS PLATE GLASS SPRINKLER SURETY back to top 2008 California Department of Insurance CONTRACTOR'S SWORN STATEMENT AND WARRANTY REGARDING CONTINUING INSURANCE OBLIGATIONS FROM: A I C/t cUL�\1(��It�� �� PROJECT._ 'C-60LL 1i 4041 C4 (Contractor Same) L L No. 1 (Street Address) L-QS Np m► es, CA AO`12.0 (City,State and 'p) TO: CITY OF HUNTINGTON BEACH DECLARATION Attached hereto Is a true and correct copy of the current Certificate of Insurance and Additional Insured Endorsement CG 2010 1185, which Certt6cate complies with.the insurance requirements of the Contract try and between the City of Huntington Beach("City")and the above-named Contractor("Contractor')for the above-described project("Project"). I declare under penalty of perjury under the lawns of the State of Cahl'arnla that the above statement Is true and correct.. rec signed on� �� e- } Z0±3 at (Date) ty,State) (5 of In I Who h Making Dedaration) WARRANTY Contractor hereby warrants and agrees to main Products and Completed Operations Insurance in compkance with the Insurance requirements of the Contract for the Project. Said Insurance shall be maintained through and until the a q*atlon of all WarraMes provided by Contractor, Said insurance shall contain Additional Insured Endorsement CG Z010 1185,naming City as an additional Insured, Contractor shall supply to City,on at least an annual basis,a Certificate of Insurance and the aforementioned Endorsement evidencing continued coverage which meets the Contract requirements. �1 Signed on 3u► e- 3 20 at (Date) state) CONTRACrolk; ' Name: Y C. I�tame: Title: :Heats AIDBUIL-01 CNIOUNITZ .ACORO` CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DDPIYYY) 64 � 07/03/2019 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 have ADDITIONAL INSURED provisions or 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 endorsemen s. PRODUCER License#OC36861 CONTACT Christina M Mountz NAME: _ Alliant Insurance Services,Inc. pa/cNro,Ext: 909)886-9861 FAX 685 Carnegie Dr Ste 265 ( (A/c,No):(909)886-2013 San Bernardino,CA 92408 ADDRIE •cmountz@alllant.com - INSURER S AFFORDING COVERAGE _ NAIC N INSURERA:Kinsale Insurance Company 38920 INSURED INSURER B:Everest Premier Insurance Company 16045 Aid Builders Inc INSURERC: 10605 Bloomfield St INSURERD: Los Alamitos,CA 90720 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLiSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE XDAMAGE O RENTED 100,000 j� X PREMISES(EE o cu cerren $ X $2,500 BI/PD Ded/Occ 5,000 ' IVIED EXP{An one arson $ 1 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY X JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINEDISINGLE LIMIT $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS yyry BODILY INJURY Per accident) $ ��AUTOS ONLY AUTOS ONLDY pPef ecEcident DAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ OED T RETENTION$ B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY 7600020501191 06/03/2019 06/03/2020 I STATUTE 11000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE YIN X E.L.EACH ACCIDENT $ FICERIM%EREXCLUDED? ❑Y N/A andatory In NH) E.L.DISEASE-EA EMPLOYEE $__ 11000'000 K yes,describe under 1,D00,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: Project CC-1569-FY 2018/19 Alley Rehabilitation. City of Huntington Beach, its officers,elected or appointed officials,employees,agents and volunteers are additional insureds incll primary wording as respects general liability per endorsements attached. Waiver Cancels f suand brogation as respects sate toiou workers' a issued on 6/17/1g per the endorsement attached. PPPROVEQ4w __V�0% t4 P P y i 16PC.N a�P CERTIFICATE HOLDER CANCELLATION F NU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Huntington Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN y g ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street P.O. Box 190 Huntington Beach,CA 92648 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT Attached To and Forming Part of Policy Effective Date of Endorsement Named insured 01000889100 06/03/2019 12:01AM at the Named Insured Aid Builders Inc address shown on the Declarations Additional Premium: Return Premium: $0 1 $0 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE ENVIRONMENTAL CONTRACTING AND PROFESSIONAL SERVICES LIABILITY COVERAGE PRODUCTS POLLUTION LIABILITY COVERAGE PREMISES ENVIRONMENTAL LIABILITY INSURANCE COVERAGE The insurance provided to Additional Insureds shall be excess with respect to any other valid and collectible insurance available to the Additional Insured unless the written contract specifically requires that this insurance apply on a primary and non-contributory basis, in which case this insurance shall be primary and non-contributory. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. CASS003 0717 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. POLICY LIMITATION - AMENDED AGGREGATE PER PROJECT OR LOCATION Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 01000889100 06/03/2019 12:01AM at the Named Insured Aid Builders Inc address shown on the Declarations Additional Premium: Return Premium: $0 1 $0 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE General Aggregate applies to EACH LOCATION in the amount of: Total ALL LOCATIONS Aggregate Limit: General Aggregate applies to EACH PROJECT in the amount of: $2,000,000 Total ALL PROJECTS Aggregate Limit: $5,000,000 SECTION III—LIMITS OF INSURANCE—2, is amended by the addition of the following: d. The General Aggregate Limit applies separately to each "project" of the Named Insured or to each "location"of the Named Insured as indicated in the Schedule above. Notwithstanding the application of the General Aggregate Limit to each "project"or each "location"of the Named Insured, under no circumstances will we pay more than the TOTAL ALL LOCATIONS AGGREGATE LIMIT or the TOTAL ALL PROJECTS AGGREGATE LIMIT shown in the Schedule above for all claims arising out of all "locations"or all "projects" as applicable under this policy. The following are added to the DEFINITIONS section of this policy: "Project" means all work done by you or on your behalf,away from premises owned or rented to you,to complete an individual bid or negotiated contract to provide services for a specified period of time. Multiple jobs,work orders, purchase orders, change orders or work done at multiple locations under one contract are not separate"projects" within the meaning of this coverage. "Location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway,waterway or right-of-way of a railroad. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. CAS4005 0310 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - WRAP UPS Attached To and Forming Part of Policy Effective Date of Endorsement Named insured 01000889100 06/03/2019 12:01AM at the Named Insured Aid Builders Inc address shown on the Declarations Additional Premium: Return Premium: $0 1 $0 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE The following exclusion is added to this policy: This insurance does not apply to any claim or"suit"for"bodily injury", "property damage" or"personal and advertising injury"arising directly or indirectly out of, related to, or, in any way involving either your ongoing operations or operations included within the"products-completed operations hazard"at any location or project where a consolidated (wrap-up) insurance program,Owner Controlled Insurance Program (OCIP) or Contractor Controlled Insurance Program (CCIP) has been provided by the prime contractor/project manager or owner of the construction project and in which you are enrolled. This exclusion applies whether or not the consolidated(wrap-up) insurance program: 1. Provides coverage identical to that provided by this policy; 2. Has limits adequate to cover all claims; or 3. Remains in effect. This exclusion does not apply to"bodily injury","property damage" or"personal and advertising injury" arising directly or indirectly out of, related to, or,in any way involving your ongoing operations for a wrap-up project at locations other than the wrap-up site if coverage for these operations is not provided in the consolidated (wrap-up) insurance program,Owner Controlled Insurance Program (OCIP)or Contractor Controlled Insurance Program (CCIP). ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. CAS3062 0513 Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION City of Huntington Beach, its Project CC-1569-FY 2018/19 Alley officers, elected or appointed Rehabilitation. officials, employees, agents and volunteers 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 06-03-19 Policy No. 7600020501191 Endorsement No. 002 InsuredAID BUILDERS INC Premium $ INCL. Insurance Company EVEREST PREMIER INSURANCE COMPANY p , Countersigned By -1998 by the Workers'Compensation Insurance Rating Bureau of California. All rights reserved. From the WCIRB's California Workers' Compensation Insurance Forms Manual- 1999. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 01000889100 06/03/2019 12:01AM at the Named Insured Aid Builders Inc address shown on the Declarations Additional Premium: Return Premium: $0 1 $0 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional insured Person(s)or Organization(s) Location and Description of Completed Operations City of Huntington Beach, its officers, elected or appointed Project CC-1569-FY 2018/19 Alley Rehabilitation. officials,employees, agents and volunteers Information required to complete this Schedule,if not shown above,will be shown in the Declarations. Section II —Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location desig- nated and described in the schedule of this endorse- ment performed for that additional insured and in- cluded in the"products-completed operations hazard". ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 01000889100 06/03/2019 12:01AM at the Named Insured Aid Builders Inc address shown on the Declarations Additional Premium: Return Premium: $0 $0 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s)or Organization(s): Location(s)of Covered Operations City of Huntington Beach, its officers,elected or Project CC-1569-FY 2018/19 Alley Rehabilitation. appointed officials, employees, agents and volunteers Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II —Who Is An Insured is amended to include B. With respect to the insurance afforded to these as an additional insured the person(s) or additional insureds, the following additional exclusions organization(s) shown in the Schedule, but only with apply: respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" caused, "property damage"occurring after: in whole or in part, by: 1. All work, including materials, parts or equipment 1. Your acts or omissions; or furnished in connection with such work, on the 2. The acts or omissions of those acting on your project (other than service, maintenance or behalf; repairs) to be performed by or on behalf of the in the performance of your ongoing operations for the additional insured(s) at the location of the covered additional insured(s) at the location(s) designated operations has been completed; or above. 2. That portion of"your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 U.S. Specialty Insurance Company 601 S.Figueroa St., Suite 1600,Los Angeles,CA 90017 (310)649-0990 E: BOND NO. N/A PREMIUM N/A BID DATE: April 30, 2019 BID BOND KNOW ALL MEN BY THESE PRESENTS,That we, Aid Builders, Inc. (hereinafter called Principal), as Principal, and U.S. Specialty Insurance Company , a corporation, organized and existing under the laws of the State of Texas and authorized to transact a general surety business in the .> State of Texas (hereinafter called Surety), as Surety, are held and firmly bound unto City of Huntinqton Beach (hereinafter called Obligee) in the penal sum of Ten percent ( 10 %) of amount bid not to exceed Ten percent of amount bid Dollars($ 10% ) for the payment of which the Principal and the Surety bind themselves, their heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, That, whereas the Principal has submitted or is about to submit a proposal to the Obligee on a contract for Alley Rehabilitation from Graham Street to Heil Avenue CC No. 1568 NOW, THEREFORE, if the said contract be awarded to the Principal and the Principal shall, within such time as may be specified, enter into the contract in writing, then this obligation shall be void. If the Principal shall fail to do so, then the undersigned shall pay the obligee the damages which the obligee may suffer by reason of such failure up to and not exceeding the penal sum of the bond. SIGNED, SEALED AND DATED THIS 29th DAY OF April 2019 Aid Builders, Inc. PRINCIPAL, By: - U.S..,Specialty �Insurance Company By: '/'i�(,�1�1, C) Laurie B. Druck, Attorney-in-Fact s i urrevvo�nnnn n n CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California \ SS. County of San Bernardino / On 4/29/19 before me, -1,nnia Marion, Nr)tar)� Public Name and Title of Officer(e.g.,"Jane Doe,Notary Public") personally appeared Laurie B. Druck Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her authorized capacity, and that by her signature on the instrument the SONI TIN person, or the entity upon behalf of which the person Commission No. 2234263 X acted, executed the instrument. 3. . i � NOTARY PUBLIC-CALIFORNIA 2 _ � ` SAN BERNARDINO COUNTY I certify under PENALTY OF PERJURY under the laws of My Comm.Expires MARCH 15,2022 the State of California that the foregoing paragraph is true and correct. WITNESS my hand and offici I seal. 141 Signature of Notary Public OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Tile or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies)Claimed by Signer(s) Signer's Name: O Individual Top of thumb here O Corporate Officer Title O Partner -- O Limited O General O Attorney-in-Fact O Trustee O Guardian or Conservator Other: Signer is Representing: DEPARTMENT OF INSURANCE N4 07984 SAN FRANCISCO 1 Amended Certificate of Authofity 71us Is TO CEMYThAT,PurSuent to fhZ Irsttrence Cnde of the State of Califor:iq Specialty Insuranoe Company of Rous ton, Texas orga.nizl a4der the InWS cf Texas S-!j d to its Arfidcs of Jr corporctier.or otrerfur2ar,.Zr cl crganizatioral docu;rents,is hereby aulnorized to trensec fy thir,theStc[e,sJbjectI. aL ptoY;sFa of tn;s Cencate,t h2 fallats`irg cl sse s cFirs�rorce Fire, ifarine; Surety, Disability, Liability, Workers' Co pensation;'4ircraEE and Hiscellanzou� as a:ch classes arz now or roy h_°rec`erbe defire.d in t-e rruurence Lm s of tre State of Cclforria, THIS CERTIFICATE is ezprzss!y condhiar,ed upon tFe holder hereof ra,v o,,:d h--recr' be;ng ir. M!comY!crce with ell,cnd nor ifi vialctio,r ofa�ry,of the c�npliceble laws erd 14r�.tl ragr ireirsnts made un rev a uhariry oft e Icws cl c':e Steve of Califamia (erg as s;uh lows or reglir menu are in efect cr d cpp!ice5le,crd as Such Icw s cnd_recjuirerrQ tsT.ou'arz,orr,ay l:ereq erbe crarged or ctnende' ;• , IC7�TlrINESSWEMP,EOP,cffectirzasofthe 29th day or. Dece7b�z 2004 I hm e heiiunto set n:y hand erd cc[tstd r,-.y 0-,Tclal seal to be cffixed this 29 thsy bf Iiecembsr- 2004 0�1 Ga amendi By xcto _ - foi� d- rasr N4IIG'Ec D epu t" Qiufifia�e�F`` �:oun�a fo..rr-vo�t �teCa Se1e5c a ua �f ni�F"r�-Eaiu r-to is�drn m'T TE�c a7rnodl aLrytc ta.7 ro`fg Plad is 4u s ^p Irs+iT3ace Code Sc--�aa 7o t�aa cordittcsx cq B CcttlEca+a of Akt^mr Pant io 4ze ccmrn cl tniyc in thaS iScalToa tk Eor aad►hp ?smeh ficfevi . - •'' - ... _. �bar w xxi — � _ _ I IIIIII;(IIII'lll'�!''I'�' I�i Ilpull;ll I;I II�!II Ii,III�III! — — _ _ AR_INE III'( I! IIIIIV, - = T-�C C � II(III Jlllliul I I III i IlVuldll; �dl Itl — — — TEXAS BOND' ON NG COMPANY _ POWER OF ATTORNEY AMERICAN CONTRACTORS INDEMNITY COMPANY DI UNITED STATE Si�R�T _DMPM-NY U.S.SPECIALTY INSUIRII'•N IE COMPANY IIIIII 9 nI - - — (!IIIIII it IIIIII I III I I'I Ilf� II I� I��IIIIII;KNOWALPRESEf�1T ra€Zrt n�an Oontractors Ind ty omp1,,,gill ahfornia corporatro�SeXas Biz n III ! IINp,uV Company,an assumed name of Amen—can Contractors Indemnity Company, Unified States Surety Company, a M aid corporation and U.S. Specialty Insurance Company, a Texas corporation (collectively, the"Companies"), do by these presents make, constitute and appoint: Jay P. Freeman, Laurie B. ruck, Cynthia J.Young Cynthia Jean Russell C II lu!uuul — = II!il"(IIIIII IiIlhPl i(III Ill�ll�a Il�llllh�IIII�IIII'II{Il;�p,of San Bernartttno�at�ma - it ru an7law Altorney(s)-in-fac;!each it le r s p at�l gapacity if mor7trn�rae nanre� above, with full power and authority- = ��6f co»>�e�in its name, place'IVII!Ialli dill)!(steal!ildllllllllll'tolllllllexecute, acknowledg na—_--deriver 4ny and all bonds,_recogn¢ancea undertakings or other instruments or contracts of suretyship to include riders, amendments, and consents of surety, providing the bond penalty does not exceed *****Three Million***** Dollars (****$3,000,000.00****).This Power of Attorney shall expire without further action on April 23rd,2022.This Power of Attorney is granted under and authority of the following resoTutions_a_do�-d-- by the Boards of Direl tors ofl!!t, a Companies: IIIIIIIIIIIIIIIII IIuI 'Directors I�IIIIIIIVI,!III!IU411illlgi, _B Resolued @pale President,any VieeFP-e r-n�srstM Vice-President;(any,Sete etalll I,o�I,ua I�y Assistant Secretary_Ha11=Zje�WdJ ei� ve is ed_wlth full—over and authority to a ouao¢oore stfable persons aslAttorne s i -F,actltolre°plr'esent and act forrtd�n betratLo y = p dill))))lllll!IIIIIIIIIIIII1idlVlllt) IIIIIImrlumlo dlllulld Company su-blect to the following provisions= = — Attorney-in-Fact may be given full power and authority for and in the name of and on behalf of the Company,to execute,acknowledge and deliver,any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings, including any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts, and any and all notices and documents canceling aLermina i the Company's liability tlhereulilludrei�I all such instruments so executed-by.-any any such Attorney-in-Fact shall be binding upon _ zCompa_ya asif signed by the President'and sealed)and effected l by the Corporate=�?etaTY _ - _ esolwE d!II plUl'�I!IIIIIII !IlPillll!IIII•IIIII ull!u l IIIIII'dIIIIJI!II gull!h g yl au homed office and seall!,of the Compaeretor heaeater�fixed to any power of attorney or and g y qm Imimq umumu mgll pr•luu uliuuuul = - - - ce lfic e rertfn hereto b facsimile,and o,ueroflattor' or certificate bearin -facsimile si nafure or facsimile seal shall_be valid%and binding= aft ME na ure o an. _ - - •al?Y p: Y 9 _ g - upon the Company with respect to any bond or undertaking to which it is attached. IN WITNESS WHEREOF,The Companies have caused this instrument to be signed and their corporate seals to be hereto affixed,this 1S'day of June, 2018. _ -- - - � Y TEXAS B, NI,NG IIOIMPANY AMERICAN�GDN�RAG�ORS II�BFMNITY COMPAN,,,I„IIII��JI,, ,�;���;pi,�� ;!I 'OIIIIIII� - — — UNITED Rk 509 � SURE s CJPsNY� „$T`E I` UI N CE ICO ANY _tee a�5,...R�cP4 I! +,t�batlr /y ill! III i16 LD AP w ,ylr !!! II II!IIIIIIIVId Ilh IIIII State=of California =-- -� q Iil!Illi _ui rKOM0e4tm tY K: yEl.]e, Countyof Los Angeles "s„ y os s� `y r Z - ?.` S B Daniel P.Aguilar,Vice President anon!"` uuu„ata �tnnn,,,aa .Oa......ta ,kl1�n-_lary lic o-��ther officer compil11ti I thrlls it Ilei"IG�fllcllalt°ellverifies only the d� ty o�r��_ndculdual who signed the docun;iV _ 1i—frtlis camas attached, an,dl ndt .h:,e tfhfulhe�Ss�l�accurac , or vat ofadoenmEnt= s= = II;IIIII IIIII PI IIIIIGIIIII. 'till1°°°(IIIIj°Iiillllil'ill!IIIIIIIIIj 'illiiliiliil notary p =Y ppe _ — g — h VT- Wy June,2018, before i l Sonia O. Cameo, a nota ub6c,- on�I a - ared Daniel P.A uilar,-Vice P?resr e o American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the _persoq-or the entity upon behalf of which the=persom cted,executed the instrumentilllll �I!IIIIIIIIIp!I — III .III IIIIII lull,, I cert under-PENAL=TY OF PERJ�Ir�rye=wv-owe State of C'a'lifomia Iha the foregoing paragraph ircr a> i Corr — — _ — IIIIIIIIIIIIIdIIII IllllbII!IIIII. II!!I!III!!I!II!d I'!I!Idlll!III WITNESS my hand and official seal. SONIA 0.CARRE10 Nolery Public• — • L11—1a UriAnelesfy f, frill Commission oIpKCw�i. MVCnm m io z:Signature (seal) f - rs=LQ;@l%;;; st Secretary Arn'e'r'iicla°nil ,I,;Il gIhlll!tl`Illlia'etol�s('Indemnity Come Texas= 6 idmg=Company, United States-Sur - n nc J ecialt Insuran110c°e!°Il,ll to Ip lalld�ill I d!lo! i16.2 eb I!Il;certi that the bo sari r oin= r true and come--tc co of a Power y uummlq.Ill Il pp III!iill`Ildoollllllilugl III'!Ihdl ,!IIIII; ty — — — PY - t�--rney�exee�ted�y said Comparlti,es�l w .1ch'is,stir in ful`I force and effect h mor�fh�-=res7utions of the Boards of-Director set out in the Power of Attorney are in full force and effect. In Wi ness Whereof I have.i hereunto set may,hand and affixed the seals of said Companies at Los Angeles, California this COrpOrteSeS I � "G ?ryo .c.�v 41PR�ss.i11�JV�;��G�I;� %,; III (III Bond-No.— I P - � Agency No. 3501 ��� ;�,.,"' �'v, +P 'ry' Kio Lo, Assi' Secretary lFpPt,,,`a� ,f OF 14+,aa ryar,ouata '"�b�Mnu,nnaa•• (IIIIII SMANPOAOfi018/2 �Ipl l I I, t cd. IIN IIp;.Ill�l�l II IIIIIIIIIIIIIII II {n IIIII. _— HCC _ _ isi m co %surety for morwomrmatic� _ IIIIuIIIII�IIu'',Itll,llllllll' �IIIIIIudil6 C O C Ol U j� n+ U O v O N�v1 _Q IOU Y In . . . . . . . . Y uo) a c o c m Ercov � � m E¢ 4 � a�i o v o w ° o d o m .rm am� alLL� v r� a�31a`u-� w LL O N U U L m m an d CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of Los Are a On �P' - . ZUI q before me, Date yy Here Insert Name and Title of the Officer personally appeared �A +( ��C tC 1 r tlt Name(J of Signer(s) who proved to me on the basis of satisfactory evidence to be the person/ whose name(sl is/are subscribed to the within instrument and acknowledged to me that he/shy/they executed the same in his/her/their authorized capacity(iesy,and that by his/,herttheirsignatureo on the instrument the persono, or the entity upon behalf of which the personM 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 han iland M/ X SILVIAJANETVIRGEN NotaryPublic-California z - _ Los Angeles County > z s_ Commission 0 2203539 Signature My Comm.Expires Jul 1,2021 Signature of ry Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document t Title or Type of Document: (A Document Date: `t I �L) I I q Number of Pages: Signer(s) Other Than Named Above: C\C 0,o Capacity(ies) Clai ed by Signers) Signer's Name: rv� Signer's Name: Corporate Officer — ❑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: 'rl A v' 1nC - Signer Is Representing: ©2016 National Notary Association -www.Nationa[Notary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 �.��'nrsiir-e'S3 � 1tl W 61 AC Con kn CA CA x � � w Ex"Or A SECTION C PROPOSAL for the construction of ALLEY REHABILITATION from Graham St.to Heil Ave. CC No. 1569 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 re-advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts,and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY's notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY's option, be considered null and void. Accompanying this proposal of bid, find Bidder's Bond in the amount of for 10% which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond 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 ALLEY REHABILITATION, CC No. 1569 PROJECT BID SCHEDULE Item Contract Bid Item Description Unit Price Extended Amount No. Quantity 1 1 Mobilization LS $ 80.000.00 $ 80,000.00 per LS 2 1 Furnish Project Traffic Control LS $ 15,000.00 $ 15,000.00 per LS 3 2000 unclassified Excavation CY $ 50.00 $ 100,000.00 per CY 4 455 Construct Redwood Header LF $ 10.00 $ 4,450,00 4, 4 SSD,Da per LF 5 2250 Construct Concrete Alley Gutter LF $ 30.00 $ 67,500.00 per LF 6 1000 Construct Type III-C3-PG 64-10 Asphalt Concrete Pavement TN (Depth varies per Plan) $ 100.00 $ 100,000.00 per TN 7 700 Crushed Miscellaneous Base CY $ 60.00 $ 42 000.00 per CY 8 1300 Construct Concrete Alley Approach SF $ 20.00 $ 26,000.00 per SF 9 1 Prepare Storm Water Pollution Prevention Plan LS $ 25,000.00 $ 25,000.00 per LS 10 1 Water Pollution Control LS $ 30,000.00 $ 30,000.00 per LS [Total Amount Bid in Figures: $ 489,950.00 Total Amount Bid in Words: FOUR HUNDRED EIGHTY NINE THOUSAND NINE HUNDRED FIFTY AND 00/100 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 NONE By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 4/30/19, at Los Alamitos , CA Date City State Ed H Albadry being first duly sworn, deposes and says that he or she is President of Aid Builders, Inc the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Ed H Albad ,;President of Aid Builders, Inc Name of Bidder Sig na a tpder 10605 Bloomfield ST Los Alamitos CA 90720 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 ALLEY REHABILITATION, CC No. 1569, (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. Aid Builders, Inc. Contractor Ed H Albadry By President Title Date: 4/30/2019 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 3 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. Aid Builders, Inc Contractor Ed H Albadry /4 By President Title Date: 4/30/2019 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Aid Builders, Inc Bidder Name 10605 Bloomfield St Business Address Los Alamitos CA 91720 City, State Zip ( 562 ) 296-8773 aidbuildersincAgmail.com Telephone Number Email Address 800389 Class A& B State Contractor's License No. and Class 10/19/2001 Original Date Issued 5/31/2019 Expiration Date The work site was inspected by Ed H Albadry of our office on April 29 , 201 9. The following are persons, firms, and corporations having a principal interest in this proposal: Ed H Albadry Aid Builders, Inc 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. Aid Builders, Inc Company Name fZ4-1-y Signature of B'd er Ed H Albadry, President Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this 30 day of April , 201 9. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of Los Angeles ) On April 30, 2019 before me, Silvia J Virgen,Notary Public Month, Day, and Year Insert Name and Title of Notary personally appeared Ed H Albadry Name($*of Signer($) who proved to me on the basis of satisfactory evidence to be the personW whose name() is/gyp subscribed to the within instrument and acknowledged to me that he/AWAW executed the same in his/*ftft*/ authorized capacity0p), and that by his/N##Wjy/signature(0on the instrument the person(o, 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. SILVIAJANETviRGEN Notary Public-California f Los Angeles County z Commission es 103ul 139 ' My Comm.E,P Signature S gnature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 BIDDER'S PROJECT HISTORY AND PUBLIC AGENCY REFERENCES The bidder shall provide information to demonstrate his/her past work experience on projects of similar (or greater) size and scope of the ALLEY REHABILITATION, CC No. 1569. Bidders may submit additional sheets, using the format shown, to further demonstrate his/her history of similar work experience. 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. Inglewood USD 401 S Inglewood Ave, Inglewood CA 90301 Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Jazmin Khoe 213-895-0224 Kelso Perimeter Security Improvement 200,000.00 Nov 2017 Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: Removed the existing modular classroom and Renovation of Parking Lot 2. _City of South Gate, 8650 California AVenue, South Gate, CA 90280 Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Eric Charlonne, 949-585-0477 Seaborgh House Relocation 400,000.00 April 2019 Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: Relocation of the Seaborgh House and Parking lot renovation 3. Lennox USD, 10319 Firmona Avenue, LEnnox CA 90304 Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Marjani Builders, 949-305-0393 Moffette ES Additional Portables 120,000.00 August 2017 Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: Parking Lot renovation,excavation and compaction C-10 BIDDER'S CRITICAL STAFF The bidder shall provide information to demonstrate that both the Construction Project Manager (office staff) and Construction Superintendent (field staff) proposed for ALLEY REHABILITATION, CC No. 1569 have had similar work experience on at least 3 different projects within the past five years. The proposed critical staff members need not have been employed by the bidder at the time the referenced projects were completed. 1. Ed Hassan Albadry Name of proposed Construction Project Manager Phone# of proposed Construction Project Manager: 626-559-4827 Seaborgh House Relocation Parking lot renovation April 2019 Project Name & Contract Amount Type of Work Date Completed Moffette ES Additional Portables Parking lot renovation August 2017 Project Name & Contract Amount Type of Work Date Completed Kelso ES Perimeter security imp. Removing existing modular& Parking lot November 2017 Project Name & Contract Amount Type of Work Date Completed 2. Ed H Albadry Name of proposed Construction Superintendent Phone# of proposed Construction Superintendent: 626-559-4827 Seaborgh House Relocation ' PArking lot and renovation April 2019 Project Name & Contract Amount Type of Work Date Completed Moffette ES Additional Portables Parking lot Renovation August 2017 Project Name & Contract Amount Type of Work Date Completed Kelso ES Perimiter security Imp Removing existing modular&Parking lot November 2017 Project Name& Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 177 L I(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year)with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each Contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/PWCR/ActionServlet?action=displayPW CRegistrationForm DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary Contractor, as well as for ALL subcontractors at the time of submitting the bid. Aid Builders Inc Contractor Ed H Albad By Ai aidbuildersinc(c�gmail.com Email President Title Date: 4/30/2019 PWC Registration #: 1000049434 C-12 e Bond Number: PB03081700386 Executed in Duplicate Premium: $7,761.00 Premium is for the contract term and is subject to adjustment based on the final contract price PERFORMANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS,City of Huntington Beach(hereafter referred to as"City") has, by written agreement dated 20_, entered into a contract with Aid Builders.Inc. — — L0605�mfield St.,Los Alamitos,CA 90720 (name and address of Contractor) (hereinafter referred to as"Principal"),for performance of the work described as follows: Alley Rehabilitation... _ CCNo-1569_ ,_..-_ (Project Title) WHEREAS, said contract, and all documents referenced therein (hereinafter collectively "Contract"), are incorporated herein by this reference made a part hereof as though set forth herein in full;and Said Principal is required under the terms of the Contract to furnish a bond guaranteeing the prompt, full and faithful performance of said Contract, by a duly admitted surety insurer under the laws of the State of California(hereinafter referred to as"Surety");and Surety is certified and listed in the U.S. Department of the Treasury Circular 57D, and has provided proof of sufficient bonding limitations as shown in said circular to provide bonds in the amount required by said Contract;and Surety has provided financial strength ratings from reputable companies,such as from A.M. Best,Moody's,or Standard& Poor's,to validate that Surety has positive ratings of being secure or Stable;and Surety is registered and listed with the California Department of Insurance, NOW, THEREFORE, we, the undersiggned, as Principal, and Philadelphia Indemnity Insurance Company 251 S.LakeAve___Suite 360 Pasadena CA 91101 (name and address of Surety) as Surety,are held and firmly bound unto City in the penal sum of Four Hundred Eight Nine Thousand Nine Hundred Fifty Dollars ($489,950.00 ,this amount being not less than one hundred percent of the price set forth in the Contract, in lawful money of the United States,for the payment of which sum,well and truly to be made, we bind ourselves, our heirs,executors, administrators and successors,jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT if the Principal shall promptly,fully and faithfully perform each and all of the covenants, obligations and things to be done and performed by the Principal in strict accordance with the terms of the Contract as said contract may be altered, amended or modified from time to time;and if the Principal shall indemnify and save harmless City and all of City's officers,agents and employees (hereinafter collectively referred to as"Obligees")fromany and all losses, liability and damages, claims,judgments, stop notices,fees and costs of every description,whether imposed by law or in equity, which may be incurred by the Obligees by reason of the failure or default on the part of the Principal in the performance of any or all of the terms or the obligations of the Contract, including all alterations, amendments and modifications thereto,and any warranties or guarantees required thereunder, then this obligation shall be void; otherwise, it shall be and shall remain in full force and effect. Surety stipulates and agrees,for value received,that no adjustment of the time or price in the Contract or any alteration,change,deletion,addition or other modification to the Contract, or the work to be performed thereunder, shall in any way affect, limit, restrict, impair or release the obligations of the Surety under this Bond. Surety waives notice of any adjustment of contract or contract price, and any other alteration,change, deletion,addition or other modification to the Contract, or the work to be performed thereunder,and agrees 1 5-4584/1 1 7 1 74 R , Bond No. PB03081700386 to automatically adjust the penal sum of this Bond to reflect such adjustments,alterations,changes, deletions,additions or other modifications. Surety agrees to provide written confirmation of such adjustments in the penal sum to City on not less than a quarterly basis. Surety also waives the provisions of Civil Code§§2845 and 2849. The obligations of this Bond shall survive the completion of the work described in the Contract as to all obligations and liabilities of the Principal which survive completion of the work. IN WITNESS WHEREOF,each party represents and warrants that this instrument has been duly executed by Principal and Surety,on the date set forth below,that the name of each corporate party being affixed hereto is such party's proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body. Surety, by execution of this bond,waives any defense which Surety has or may have by reason of any failure of the Principal to execute or properly execute this bond. Dated:May 28, 2019 ATTEST Aid Builders, Inc. (Corporate Seal) rin I Name) By: Name: Title: t enA ATTEST Ph,1a�la�ln,hia TnrlFmnihr Tncin-an�a ('rnp��l11Y (Corporate Seal) (Surety Name B Name:,Zynthia . Youn Signature of Attorney-in-Fk- for Surety} (Attach Attorney-in-Fact Certificate) 6622C 639-1321 (Area Code&Telephone Number for Surety) APPROVED AS TO F By: ichael E.Gates,City Attorney 14 Note: This bond must be executed in duplicate and dated,all signatures must be notarized,and evidence of the authority of any person signing as attorney-in-fact must be attached. PERFORMANCE BOND Page 2 of 2 154584/117174 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of San Bernardino ss. On May 28, 2019 before me; Sonia Marton, Notary Pijhlmr. Name and Title of Officer(e.g.,"Jane Doe,Notary Public") personally appeared CynthiaJ.Young Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her authorized capacity, and that by her signature on the instrument the ,.• ° SONIA MARTIN person, or the entity upon behalf of which the person Commission No. 2234263 acted, executed the instrument. 89� NOTARY PUBLIC-CALIFORNIA sAN BERNARUINo COUNTY I certify under PENALTY OF PERJURY under the laws of ft"i My Comm.Expires MARCH 15,2022 the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. ►a; r fl M� v ignature of Notary Public OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: O Individual Top of thumb here O Corporate Officer Title O Partner -- O Limited O General O Attorney-in-Fact O Trustee O Guardian or Conservator Other: Sinnar is RPnracantinn- ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of /f' 7'l� �r SS. On (.( Y} `_, 1�E �,�U G� , before me, 1 — �� , Notary Public, DATE personally appeared �' �' � �? ,who proved to me on the basis of satisfactory evidence to be the personO whose name(S`i' /,are subscribed to the within instrument and acknowledged to me that lle, s�e/they executed the same inRs,.Or/theirk authorized capacitygs), and that by Ii Yller eir signaturefs) on the instrument the person(s), or the entity upon behalf of which the BAMBI R.STUBBE X person(s) acted, executed the instrument. `- COMM.#2129981 U a o NOTARY PUBLIC-CALIFORNIA n 0 � N ^ ORANGE COUNTY s I certify under PENALTY OF PERJURY under the My Comm.Expires Nov.8,2019 laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. PLACE NOTARY SEAL INABOVE SPACE NOTARY'S SIGNATURE OPTIONAL INFORMATION The information below is optional. However,it may prove valuable and could prevent fraudulent attachment of this form to an unauthorized document. CAPACITY CLAIMED BY SIGNER(PRINCIPAL) DESCRIPTION OF ATTACHED DOCUNIENT � INDIVIDUALc'-r � 1C��tc CORPORATE OFFICER TITLE OR TYPE OF DOCUMENT PARTNER(S) TITLE(S) 21 ATTORNEY-IN-FACT NUMBER OF PAGES GUARDIAN/CONSERVATOR L (q SUBSCRIBING WITNESS DA E OF DOCUMENT OTHER: OTHER v SIGNER(PRINCIPAL)IS REPRESENTING: RIGHT s NAME OF PERSON(S)OR ENTITY(IES) THUMBPRINT 41 OF t SIGNER G APA01/20I5 NOTARY BONDS,SUPPLIES AND FORMS AT HTTP:IAV�VW.VkLLEY-SIER -k.CO�I Z2005-2017VaLLEY-SIERRAINSURANCE STATE OF CALIFORNIA DEPARTMENT OF,INSURANCE N4 07927 SAN FRANCISCO Amended Certificate of Authority v THIS IS TO CERTIFY THAT, Pursuant to the Insurance Code of the State of California, Philadelphia Indemnity Insurance Company �f Of" Bala Cynwyd, Pennsylvania organized under the laws of Pennsylvania subject to its Articles of Incorporation or other fisndamentol organizational documents,is hereby authorized to transact within the State,subject to all provisions of this Certificate,the following classes of insurance: Fire, Marine, Surety, Plate Glass, Liability, Boiler and Machinery, Burglary, Sprinkler, Automobile, and Miscellaneous as such classes are now or may hereafter be defined in the Insurance Laws of the State of California. THIS CERTIFICATE is e;gpressly conditioned upon the holder hereof now and hereafter being in fill compliance with all,and not in violation of any,of the applicable laws and lawful requirements made under authority of the laws of the State of California as long as such laws or requirements are in effect and applicable,and as such laws and requirements now are, or may hereafter be changed or amended. IN WITNESS WHEREOF,effective as of the 14 th day of October 2004 I have hereunto set my hand and caused my official seal to be affixed this 14th day of October 2004 John G endi Irsuratt iissioner f By i i ur f for Ida Zodraw / Asst. Chief Depu NOTICE: Qualification with the Secretary of State must be accomplished as required by the Califo " o orations C omp after issuance of this Certificate of Authority.Failure to do so will be a violation of Insurance Code ection 701 and will be grounds for revoking this Certificate of Authority pursuant to the convenants made in the application therefor and the conditions contained herein. FORM CB3 • OSP 00 39391 ' 5070 PHILADELPHIA INDEMNITY INSURANCE COMPANY One Bala Plaza,Suite 100 Bala Cynwyd,PA 19004-0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS:That PHILADELPHIA INDEMNITY INSURANCE COMPANY(the Company),a corporation organized and existing under the laws of the Commonwealth of Pennsylvania,does hereby constitute and appoint Jay P.Freeman,Cynthia J.Young,Laurie B.Druck,Christina Mountz and Cynthia J. Russell of Alliant Insurance Services, Inc., its true and lawful Attomey-in-fact with full authority to execute on its behalf bonds, undertakings,recognizances and other contracts of indemnity and writings obligatory in the nature thereof,issued in the course of its business and to bind the Company thereby,in an amount not to exceed$50,000,000.00. This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY on the 14"of November,2016. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company: (1) Appoint Attomey(s) in Fact and authorize the Attomey(s) in Fact to execute on behalf of the Company bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto, and (2) to remove, at any time, any such Attomey-in-Fact and revoke the authority given. And,be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile,and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 27TH DAY OF OCTOBER,2017. 1927 (Seal) `•••^" Robert D.O'Leary Jr.,President&CEO Philadelphia Indemnity Insurance Company On this 27 h day of October,2017,before me came the individual who executed the preceding instrument,to me personally known,and being by me duly sworn said that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY,that the seal affixed to said instrument is the Corporate seal of said Company,that the said Corporate Seal and his signature were duly affixed. COMMONWEALTH OF PENNSYLVANI NOTARIAL SEALM/� Mnrgan Knapp.Notary PYClic Notary Public: LOWer Menon TWp..Monl_uomery County MyCammiasion Eapiree Sep1.75.2021 NEYIER.PEvvgYlV.1NNASgOCN110Y OFNOTARI residing at: Bala Cynwvd.PA (Notary Seal) My commission expires: September 25,2021 I,Edward Sayago,Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY,do hereby certify that the foregoing resolution of the Board of Directors and the Power of Attorney issued pursuant thereto on the 27'day of October,2017 are true and correct and are still in full force and effect.I do further certify that Robert D.O'Leary Jr.,who executed the Power of Attorney as President,was on the date of execution of the attached Power of Attorney the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY. In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company thi day of C 120�. 1927 = Edward Sayago,Corporate Secretary PHILADELPHIA INDEMNITY INSURANCE COMPANY Bond Number: PB03081700386 Executed in Duplicate Premium included in charge for Performance Bond PAYMENT BOND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS,City of Huntington Beach(hereafter referred to as"City")has awarded to Aid Builders, Inc. 10605 Bloomfield St.,Los Alamitos,CA 90720 (name and address of Contractor) (hereinafter referred to as"Principal"),a contract("Contract")for the work described as follows: Alley Rehahilitntinn (Project Title) WHEREAS, Principal is required under the tenns of the Contract and the California Civil Code to furnish a bond to secure the payment of claims of laborers,mechanics,materialmen,and other persons as provided by law, by a duly admitted surety insurer under the laws of the State of California (hereinafter referred to as "Surety"); and Surety is certified and listed in the U.S. Department of the Treasury Circular 570, and has provided proof of sufficient bonding limitation, as shown in said circular to provide bonds in the amount required by said Contract;and Surety has provided financial strength ratings from reputable companies,such as from A.M. Best, Moody's or Standard&Poor's,to validate that Surety has positive ratings of being secure or stable;and Surety is registered and listed with the California Department of Insurance. NOW THEREF05E,we the undersigned Principal,and Philadelphhia In emnity Insurance Company 251 S. Lake Ave., Suite 360, Pasadena, CA 91]01 (name and address of Surety) as Surety,are held and firmly bound unto City in the penal sum of Four Hundred Eighty Nine Thousand Nine Hundred Fifty dollars($_489,950.00 ),this amount being not less than one hundred percent(100%)of the total price set forth in the Contract,in lawful money of the United States of America,for the payment of which sum,well and truly to be made,we bind ourselves,and each of our heirs, executors, administrators,successors,and assigns,jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT,if the Principal,his,her,or its heirs,executors, administrators,successors or assigns, or subcontractors shall fail to pay any of the persons named in Section 3181 of the California Civil Code("Claimants")for all labor,materials or services used or reasonably required for use in performance of the work described in the Contract,or any amounts due under the Unemployment Insurance Code with respect to work or labor performed by any such Claimant,or prevailing wages due and penalties incurred pursuant to Sections 1774, 1775, 1813 or 1815 of the Labor Code,or any amounts required to be deducted,withheld and paid over to the Employment Development Department from the wages of employees of the Principal and Subcontractors pursuant to Section 13020 of the Unemployment Insurance Code with respect to the work or labor performed under the Contract;Surety will pay for the same, in an amount not exceeding the penal sum specified in this bond;otherwise,this obligation shall be null and void. This bond shall inure to the benefit of any of the persons named in Section 3181 of the California Civil Code so as to give a right of action to such persons or their assigns. In case any action is brought upon this bond, Surety further agrees to pay all court costs and a reasonable attorney's fee in an amount fixed by the court. PAY 4ENT BOND Page 1 of 2 15-4584/I 17357 Surety stipulates and agrees,for value received,that no change,extension of time,alteration, addition or modification to the terms of the Contract,or any contract document or any work to be performed thereunder,whether made after notice or not,shall in any way affect, impair or release the obligations of Surety under this bond. Surety hereby waives notice of any such change, extension of time,alteration,addition,or modification to the terms of the Contract,the contract documents or the work thereunder. Surety also waives the provisions of California Civil Code§§ 2845 and 2849. IN WITNESS WHEREOF,each party represents and warrants that this instrument has been duly executed by Principal and Surety,on the date set forth below,that the name of each corporate party being affixed hereto is such party's proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body. Surety, by execution of this bond,waives any defense which Surety has or may have by reason of any failure of the Principal to execute or properly execute this bond. Dated: Nlay 28, 2019 ATTEST Aid Builders,Inc. (Corporate Seal) ��n By: Name: Title: Q,S ic�e✓l� ATTEST Philadell)hia Indemnity Insurance Company (Corporate Seal) (Surety Name By: /� c Name: C nt is J.Youngj (Ugfiature of Attorney in-F or Sur ) (Attach Attorney-in-Fact Certificate) L26)639-1321 (Area Code&Telephone Number for Surety) APPROVED AST RM: By: hael E.Gates, ity ttorney n / Note: This bond must be executed in duplicate and dated,all signatures must be notarized,and evidence of the authority of any person signing as attorney-in-fact must be attached. PAYMENT BOND Page 2 of 2 15-4584/117357 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of San Bernardino SS. On .May 28, 2019 before me, Sonia Martin, NntqrV Public, Name and Title of Officer(e.g.,"Jane Doe,Notary Public") personally appeared CynthiaJ.Young Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her authorized capacity, and that by her signature on the instrument the ••'`°^^;;�, SONIA MARTIN person, or the entity upon behalf of which the person Commission No. 2234263 zacted, executed the instrument. _ = -� NOTARY PUBLIC-CALIFORNIA SAN BERNARGINO COUNTY COUN °,�.. My Comm.Expires MARCH TY I certify under PENALTY OF PERJURY under the laws of 022 the State of California that the foregoing paragraph is true and correct. WITNESSQm�yhand and official seal. Signature of Notary Public OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies)Claimed by Signer(s) Signer's Name: ❑ Individual Top of thumb here ❑ Corporate Officer Title ❑ Partner -- ❑ Limited ❑ General ❑ Attorney-in-Fact '❑ Trustee ❑ Guardian or Conservator Other: Signer is ReYrPSeLltinn- ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California SS. County of i pp On > �.( '�� �, �(� , before me, 61� I PJ f �' � 1 � ���- , Notary Public, DATE personally appeared K1 ,who proved to me on the basis of satisfactory evidence to be the person(A) whose nameO fjs #e subscribed to the within instrument and acknowledged to me tha �j�he/tley executed the same in i' �r/their authorized capacity(i�), and that by iry r/t0ir signature s) on the instrument the pers �, or the entity upon behalf of which the U u: B AMaBIMR.ST 9BBE X person(;) acted, executed the instrument. NOTARY PUBLIC-CALIFORNIA X '� i ORANGE COUNTY My Comm.Expires Nov.8,2019 -' I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. PLACE NOTARY SEAL IN ABOVE SPACE NOTARY'S SIGNATURE OPTIONAL INFORMATION The information below is optional. However,it may prove valuable and could prevent fraudulent attachment of this form to an unauthorized document. CAPACITY CLAINIED BY SIGNER(PRINCIPAL) DESCRIPTION OF ATTACHED DOCUMENT INDIVIDUAL CORPORATE OFFICER TITLE OR TYPE OF DOCUMENT PARTNER(S) TITLE(S) Z ❑ ATTORNEY-IN-FACT NUMBER OF PAGES GUARDIAN/CONSERVATOR � r e SUBSCRIBING WITNESS t DATE OF DOCUMENT OTHER: OTHER v SIGNER(PRINCIPAL)IS REPRESENTING: RIGHT N.ANIE OF PERSON(S)OR ENTITYI.IESj THUMBPRINT s OF s SIGNER 0 APAO U2015 NOTARY BONDS,SUPPLIES AND FORNIS AT HTTP://WWW.VALLEY-SIERR.A.CO�I �,1 2005-20I7 VALLEY-SIERR-A INSURANCE STATE OF CALIFORNIA DEPARTMENT OF INSURANCE NQ 07927 S AN FRANCISCO Amended Certificate of Authority v THIS IS TO CERTIFY THAT, Pursuant to the Insurance Code of the State of California, Philadelphia Indemnity Insurance Company Of Bala Cynwyd, Pennsylvania organized tinder the laws of Pennsylvania subject to its Articles oflncorporation or otber fitndamental organizational documents,is hereby authorized to transact within the State,subject to all provisions of this Certificate, the following classes of insurance: Fire, Marine, Surety, Plate Glass, Liability, Boiler and Machinery, Burglary, Sprinkl,-er, Automobile, and Miscellaneous as such classes are now or may hereafter be defined in the Insurance Laws of the State of California. THIS CERTIFICATE is e;cpressly conditioned upon the holder hereof now and hereafter being in fill compliance with all,and not in violation of any,of the applicable laws and lawful requirements made under authority of the laws of the State of California as long as such laws or requirements are in effect and applicable, and as such laws and requirements now are, or may hereafter be changed or amended. IN WITNESS WHEREOF,effective as of the 14 th day of October 2004 I have hereunto set my hand and caused my official seal to be affcxed this 14th day of October 2004 John G lendi IrsurcrrrC issioner r BY ! i ur for Ida Zodrow Asst. Chief Depu NOTICE: Qualification with the Secretary of State must be accomplished as required by the Califo ' o orations C omp after issuance of this Certificate of Authority.Failure to do so will be a violation of Insurance Code ection 701 and will be grounds for revoking this Certificate of Authority pursuant to the convenants made in the application therefor and the conditions contained herein. FORM CB-3 - OSP 00 39391 5073 PHILADELPHIA INDEMNITY INSURANCE COMPANY One Bala Plaza,Suite 100 Bala Cynwyd,PA 19004-0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS:That PHILADELPHIA INDEMNITY INSURANCE COMPANY(the Company),a corporation organized and existing under the laws of the Commonwealth of Pennsylvania,does hereby constitute and appoint Jay P.Freeman,Cynthia J.Young,Laurie B.Druck,Christina Mountz and Cynthia J. Russell of Alliant Insurance Services, Inc., its true and lawful Attorney-in-fact with full authority to execute on its behalf bonds, undertakings,recognizances and other contracts of indemnity and writings obligatory in the nature thereof,issued in the course of its business and to bind the Company thereby,in an amount not to exceed$50,000,000.00. This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY on the 14"of November,2016. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company: (1) Appoint Attomey(s) in Fact and authorize the Attomey(s) in Fact to execute on behalf of the Company bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto; and (2) to remove, at any time, any such Attomey-in-Fact and revoke the authority given. And,be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile,and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 27T"DAY OF OCTOBER,2017. 1927 s (Seal) ^^' Robert D.O'Leary Jr.,President&CEO Philadelphia Indemnity Insurance Company On this 27 h day of October,2017,before me came the individual who executed the preceding instrument,to me personally known,and being by me duly sworn said that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY;that the seal affixed to said instrument is the Corporate seal of said Company;that the said Corporate Seal and his signature were duly affixed. COMMONWEALT OF PENNSYLVANI NOTARIAL Alorgan KnapV NVlary puElic er Me6nn iwp..MonlcomeryCVunly Notary Public: Fly Cammissbn Explras Sepl.25.2021 VE�a R.PEvvgYlVaxNA550CNPDN OFaO ARI residing at: Bala Cynwyd.PA (Notary Seal) My commission expires: September 25,2021 I,Edward Sayago,Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY,do hereby certify that the foregoing resolution of the Board of Directors and the Power of Attorney issued pursuant thereto on the 27 h day of October,2017 are true and correct and are still in full force and effect.I do further certify that Robert D.O'Leary Jr.,who executed the Power of Attorney as President,was on the date of execution of the attached Power of Attomey the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY. In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this�� ' day of 20 ' . Edward Sayago,Corporate Secretary PHILADELPHIA INDEMNITY INSURANCE COMPANY Y ;7 2013 APR 30 Ph, L J,,n I I -0 G MT y ev CD cc 1sw will 1 2d � � z : v d �►� it C) GNJ os Wd of m -i CITY OF HUNTINGTON BEACH ALLEY REHABILITATION C.C. No. 1569 BID OPENING DATE: April 30, 2019 TIME: 2:00 P.M. ENGINEER'S ESTIMATE: $425,000 BIDS SUBMITTED (AS READ AT OPENING) BIDDER'S NAME APPPAArRENT APPARENT BID AMOUNT Aid Builders, Inc. ' Ltj� ®, �}() California Building Evaluation &Construction Inc. �j a ��C) EBS General Engineering, Inc. } 5,4 L4Z.j.(.90 Excel Paving Hardy&Harper, Inc. I E General Engineering Inc Onyx Paving Co. dL -z5- 004)_ 00 , Pavement Recycling Systems R.J. Noble Company 0 80®00 Sequel Contractors f l United Paving Co. 5 11 14. Vido Samarzich, Inc. S w �QA& 5 35o. 00 Bid Results CC-1569 CITY OF HUNTINGTON BEACH PROJECT: ALLEY REHABILITATION C.C. No. 1569 BID OPENING DATE: April 30,2019 TIME: 2:00 P.M. ENGINEER'S ESTIMATE: $425,000 FINAL BID RESULTS BIDDER'S NAME FINAL APPARENT BID AMOUNT VERIFIED BID AMOUNT CORRECTED DIFFERENCE RANK Aid Builders,Inc. 1 $ 489,950.00 $ 490,050.00 $100.00 California Building Evaluation&Construction Inc. 2 $ 580,458.00 $ 510,460.75 ($69,997.25) Excel Paving 3 $ 518,518.00 $ 518,518.00 $0.00 Shawnan 4 $ 519,350.00 $ 519,350.00 $0.00 Onyx Paving Co. 5 $ 525,000.00 $ 525,000.00 $0.00 United Paving Co. 6 $ 534,114.84 $ 534,101.30 ($13.54) Hardy&Harper, Inc. 7 $ 536,585.00 $ 536,585.00 $0.00 EBS General Engineering, Inc. 8 $ 575,425.00 $ 575,425.00 $0.00 All American Asphalt 9 $ 583,849.00 $ 583,849.00 $0.00 R.J. Noble Company 10 $ 591,980.00 $ 591,980.00 $0.00 Sequel Contractors 11 $ 681,160.00 $ 681,260,00 $100.00 y PPkoVeD 7-d h City of Huntington Beach File #: 19-564 MEETING DATE: 6/3/2019 REQUEST FOR CITY COUNCIL ACTION SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Lori Ann Farrell Harrison, Interim City Manager PREPARED BY: Travis K. Hopkins, PE, Director of Public Works Subject: Award and authorize execution of a construction contract in the amount of $490,050.00 to Aid Builders, Inc. for the Alley Rehabilitation Project, CC-1569 Statement of Issue: On April 30, 2019, bids were opened for the Alley Rehabilitation Project, CC-1569. Staff requests that the City Council award the contract to Aid Builders, Inc., the lowest responsive and responsible bidder. Financial Impact: Funds for the project are available in the Infrastructure Fund account 31440001.82000. The total estimated project cost is $580,000 which includes the construction contract, contingency, supplemental expenses, and inspection. Staff is also requesting that these funds be carried over into Fiscal Year 2019-20 in order to allow time to prepare and execute contract documents. Recommended Action: A) Accept the lowest responsive and responsible bid submitted by Aid Builders, Inc., in the amount of $490,050.00; 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 alternative direction. Analysis: The City hired a consultant to evaluate the condition of all publicly maintained alleys utilizing the same methodology in the City's adopted Pavement Management Program. The consultant determined that the subject alley, located north of Heil Avenue between Graham Street and Springdale Street, had the worst Pavement Condition Index (PCI=4) of the alleys surveyed. For reference purposes, PCI values ranging between 86 and 100 are considered to be in "Very Good" City of Huntington Beach Page 1 of 2 Printed on 5/30/2019 powered by LegistarTM File #: 19-564 MEETING DATE: 6/3/2019 condition; whereas PCI values between 0 and 40 are considered to be in "Very Poor" condition. The project's scope of work will be to remove and replace the existing asphalt concrete pavement and concrete v-gutter, with ancillary work as necessary. Bids were opened publicly on April 30, 2019. Staff reviewed the bid package received from Aid Builders, Inc. and mathematically verified the total amount bid. Staff found the documentation and references for Aid Builders, Inc. to be acceptable. Therefore, staff recommends award of the construction contract to Aid Builders, Inc. in the amount of $490,050.00. Unspent appropriations will be carried forward into Fiscal Year 2019/20. The verified bid amounts are listed below: Final Bidder Verified Bid Rank Amount 1 Aid Builder's, Inc. $490,050.00 2 California Building Evaluation & Construction, Inc. $510,460.75 3 Excel Paving $518,518.00 4 Shawnan $519,350.00 5 Onyx Paving Co. $525,000.00 6 United Paving Co. $534,101.30 7 Hardy & Harper, Inc. $536,585.00 8 EBS General Engineering, Inc. $575,425.00 9 All American Asphalt $583,849.00 10 R.J. Noble Company $591,980.00 11 Sequel Contractors $681,260.00 Public Works Commission Action: The Public Works Commission reviewed and approved CC-1569 on March 20, 2019, with a vote of 6 -0-1 (Nguyen absent). Environmental Status: This project is categorically exempt pursuant to Class 1, Section 15301(c) of CEQA. Strategic Plan Goal: Enhance and maintain infrastructure Attachment(s): 1. Location Map City of Huntington Beach Page 2 of 2 Printed on 5/30/2019 powered by LegistarT'" 1S ]�VGSNI&JS CL F w Q CY) I w p Q Z ui (Lo D J LLJ O o a4 = Q I Q Z w U U p U / J � 1S MHV?O U W 0 Q O O °1 aaV/ isanHAo Q LO ¢ >a ¢ z 'Is 0aVHsne . z<> J— UOJ m 'is L VIIONOVWZ �. o w '1S a ONVlM3NM WN o z ¢ ¢ L.L > '0h18 H0V39 p o z Q CL `} o ¢ ¢ ui ¢ ¢ ¢�s ¢ O¢ U Q / Q 1 OaV 00 is S3M N30100 a w w '1S¢ / �¢ S wvM03Q ism 31V00N1a p�P U ¢ ¢ � N 1 p m 'ls o z VHVa0 w z ��JY 1S V01HO 5109 3 �G 'is WON091V N HOOaekVS Z�w U U a SECTION A NOTICE INVITING SEALED BIDS for the construction of ALLEY REHABILITATION from Graham St. to Heil Ave. CC No. 1569 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as AGENCY, invites sealed bids for the above stated project 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 April 30, 2019. Bids will be publicly opened in the Council Chambers unless otherwise posted. Copies of the Plans, Specifications, and contract documents are available from the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648, upon payment of a $20.00 nonrefundable fee if picked up, or payment of a $40.00 nonrefundable fee if sent by UPS ground delivery (bidder shall pay additional costs for special delivery). Plans, Specifications, and contract documents can be downloaded free on AGENCY website: http://www.huntingtonbeachca.gov/government/departments/public works/Bids/ Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California, the minimum prevailing rate of per diem wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial Relations of the State of California, which are on file at the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. The AGENCY will deduct a 5% retention from all progress payments. The Contractor may. substitute an escrow holder surety of equal value to the retention in accordance with the provisions of the Public Contract Code, Section 10263. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race, color, national origin, ancestry, sex, or religion in any consideration leading to the award of contract. A- 1 No bid shall be considered unless it is prepared on the approved Proposal forms in conformance with the Instructions to Bidders as determined by the AGENCY. All extensions of unit prices will be subject to verification by the AGENCY. In the case of a discrepancy between the unit price and the extended amount, the unit price will govern. The bid must be accompanied by a certified check, cashier's check, or bidder's bond made payable to the AGENCY for an amount no less than 10% of the amount bid. The successful bidder shall be licensed in accordance with provisions of the Business and Professions Code and shall possess a State Contractor's License Class A at the time of the bid opening. The successful Contractor and his subcontractors will be required to possess business licenses from the AGENCY. Project Description: The project consists primarily of the removal and replacement of the existing asphalt concrete pavement and concrete alley gutter, with ancillary work as necessary. The contract shall allow the Contractor 45 working days to complete the contract. The engineer's estimate of probable construction cost for the Work included in the basis of award is $500,000. The AGENCY reserves the right to reject any or all bids, to waive any irregularity and to take all bids under advisement for a maximum period of 60 days. BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH, CALIFORNIA, the 4th day of June 2018,by Resolution No. 2018-29. Attest: /s/Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH A-2 Switzer, Donna From: David Ward <daward@scng.com> Sent: Friday, April 05, 2019 9:47 AM To: Switzer, Donna Cc: Claudio, Jonathan; , Robin; Esparza, Patty Subject: Re: NISB for CC Nbs. 1569 1580 Hello again Donna. Here are the other two notices. Have a great day! CC 1569 Ad#11256409 Run Dates 4/11, 4/18, 4/25 Cost $1080 PROOF SECTION A NOTICE INVITING SEALED BIDS for the construction of ALLEY REHABI LITATION from Graham St.to Heil Ave. CC No. 1569 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as AGENCY: invites sealed bids for the above stated project and will receive such bids in the of- fice of the City Clerk, Second Floor, 2000 Main Street, Huntington Beach. California 92648: up to the hour of 2:00 P.M.on April 30, 2019. Bids will be publicly opened in the Council Cham- bers unless otherwise posted. Copies of the Plans, Specifications, and contract documents are available from the Office of the Director of Public Works, 2000Ntain Street, Huntington Beach: CA92648, upon pavmentof a 0.00 nonrefundable fee if picked up. or payment of a S40. nonrefundable fee if sent by UPS 00 ground deliver (bidder shall pay additional costs for special delivery). Plans, Specifi- cations, and contract documents can be downloaded free on AGENCY-websife: http:;';`avwv, huntingtonbeachca.gov,.government;'departments;'Public works,�Bids Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Cade of the State of California: the mini- mum prevailing rate of per diem vfages for each craft, classification or type of workmanneeded to execute the contract shall be those determined by the Director of Industrial Rela- tions of the State of California, which are on file at the Office of the Director of PublicWorks, 2000 Main Street: Huntington Beach. CA926d8. The AGENCY will deduct a 5% retention from all progress payments. The Contractor may substitute an escrow holder surety of equal value to the retention in accordance with the pro- visions of the Public Contract Code, Section 10263. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afford- ed full opportunity, fo submit bids in response to this notice and will not be discriminated against on the basis of race, color. national origin, ancestry, sex, or religion in any considera- tion leading to the award of contract_ No bid shall be considered unless it is prepared on the approved Proposal forms in conform- ance with the Instructions to Bidders as determined by the AGENCY. All extensions of unit prices will be subJect to verification by the AGENCY. In the case of a discrepancy between the unit price and the extended amount, the unit price will govern. The bid must be accompanied by a certified check: cashier's check: or bidder's bond made pay able to the AGENCY for an amount no less than 10% of the amount bid. The successful bidder shall be licensed in accordance with provisions of the Business and Professions Code and shall possess a State Contractor's License Class Aat the time of the bid opening_ The suc- cessful Contractor and his subcontractors will be required to possess business licenses from the AGENCY. Project Description: The project consists primarily of the removal and replacement of the existing asphalt concrete pavement and concrete alley gutter: with ancillary work as neces- sary. The contract shall allow the Contractor4iworking days to complete the contract. The engineer's estimate of probable construction cost for the Work included in the basis of award is$500,000. The AGENCY reserves the right to reject any or all bids: to waive any irregularity and to take all bids under advisement for a maximum period of 60 days. BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH. CALI FORN IA, the4thday of June2018: by Resolution No.2010.29. Attest: rs' Robin Estanislau CITY CLERKOF THE CITY OF HUNTINGTON BEACH Published: The Huntington Beach Wave April 11. 18, 25., 2019 1125 6409 158 A 419 z Huntington Beach Wave PROOF OF PUBLICATION 2190 S.Towne Centre Place Suite 100 Anaheim, CA 92806 Legal No. 0011256409 714-796-2209 SECTION A NOTICE INVITING SEALED BIDS for the construction of ALLEY REHABILITATION from Graham St.to Heil Ave. CC No.1569 in the CITYOF HUNTINGTON BEACH 5190751 PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as AGENCY,invites sealed bids for the above stated project and will receive such bids in the of- fice of the City Clerk,Second Floor,2000 Main Street, Huntington Beach,California 92648,up HUNTINGTON BEACH, CITY OF to the hour of 2:00 P.M. on April 30,2019. Bids will be publicly opened in the Council Cham- bers unless otherwise posted. CITY CLERK DEPARTMENT Copies of the Plans,Specifications,and contract documents are available from the Office of 2000 MAIN ST the Director of Public Works,2000 Main Street,Huntington Beach,CA 92648,upon payment of a$20.00 nonrefundable fee if picked up,or payment of a$40.00 nonrefundable fee if sent by HUNTINGTON BEACH, CA 92648-2763 UPS ground delivery (bidder shall pay additional costs for special delivery). Plans,Specifi- cations,and contract documents can be downloaded free on AGENCY website: http://www.huntingtonbeachco.gov/government/departments/public works/Bids/ Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California,the mini- FILE NO. CC 1569 mum 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 Rela- tions OF PUBLICATION bons of the State of California,which are file at the Office of the Director of Public Works, 2000 Main Street,Huntington Beach,CA 92644 8. The AGENCY will deduct a 59/6 retention from all progress payments. The Contractor may substitute an escrow holder surety of equal value to the retention in accordance with the pro- STATE OF CALIFORNIA, visions of The Public Contract Code,Section 10263. The Contractor shall be beneficial owner SS. of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afford- County of Orange ed full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race,color,national origin,ancestry,sex,or religion in any considera- tion leading to the award of contract. No bid shall be considered unless it is prepared on the approved Proposal forms in conform- ance with the Instructions to Bidders as determined by the AGENCY. All extensions of unit Prices will be subject to verification by the AGENCY. In the case of a discrepancy between I am a citizen of the United States and a resident of the the unit price and the extended amount,the unit price will govern. The bid must be accompanied by a certified check, cashier's check,or bidder's bond made County aforesaid; I am over the age of eighteen years, and payable to the AGENCY for an amount no less than 10%of the amount bid. The successful not a party to or interested in the above entitled matter. I bidder shall be licensed in accordance with provisions of the Business and Professions Code and shall possess a State Contractor's License Class A at the time of the bid opening. The suc- am the principal clerk of the Huntington Beach Wave, a theAGENCYactor and his subcontractors will be required to possess business licenses from newspaper that has been adjudged to be a newspaper of Project Description: The project consists primarily of the removal and replacement of the general circulation by the Superior Court of the County of existing asphalt concrete pavement and concrete alley gutter,with ancillary work as neces- Orange, State of California, on July 1, 1998, Case No. sary. A-185906 in and for the City of Huntington Beach, County The contract shall allow the Contractor 45 working days to complete the contract. of Orange, State of California; that the notice, of which the awa engineer's, 00srimate of probable construction cost for the Work included in the basis of annexed Is a true printed copy, has been published In The AGENCY reserves the right to reject any or all bids,to waive any irregularity and to each regular and entire issue of said newspaper and not in takeall bids under advisement for a maximum periodof 60days. any supplement thereof on the following dates, to wit: BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH,CALIFORNIA, the 4th day of June 2018,by Resolution No.2018-29. 04111/2019, 04/18/2019,04/25/2019 Attest: /s/Robin Estanislau CITY CLERK OF THE CITY OF HUNTI NGTON BEACH Published:The Huntington Beach Wave April 11,18,25,201911256409 1 certify(or declare) under the penalty of perjury under the laws of the State of California that the foregoing is true and correct: Executed at Anaheim, Orange County, California, on Date: April 25, 2019. /IZ44 Signature cLPi-12/15n6 1 UNSUCCESSFUL BIDS CC — 1569 Alley Rehabilitation from Graham St. to Heil Ave. City of Huntington Beach 2000 Main Street ♦ Huntington Beach CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk September 25, 2019 All American Asphalt P.O. Box 2229 Corona, CA 92878-2229 RE: Alley Rehabilitation from Graham St. to Heil Ave—CC No. 1569 Enclosed please find your original bid bond for CC-1569. Sincerely, eqift) �&4� Robin Estanislau, CIVIC City Clerk RE:tm Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of ALLEY REHABILITATION from Graham St. to Heil Ave. CC No. 1569 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 re-advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY's notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY's option, be considered null and void. Accompanying this proposal of bid, find Bidder's Bond in the amount of 1 0 % which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 ALLEY REHABILITATION, CC No. 1569 PROJECT BID SCHEDULE Item Contract Bid Item Description Unit Price Extended Amount No. Quantity I 1 Mobilization LS $ $ -1 per LS 2 1 Furnish Project Traffic Control LS $ 515DD- $ 5515-V per LS 3 2000 Unclassified Excavation CY $ U4- $ IR&Doo— per CY 4 455 Construct Redwood Header M LF $--1-- $ V per LF 5 2250 Construct Concrete Alley Gutter LF $_10 $ 15f 5Q50_ per LF 6 1000 Construct Type III-C3-PG 64-10 Asphalt Concrete Pavement TN (Depth varies per Plan) $ D 5 — $ per TN 7 700 Crushed Miscellaneous Base CY $ $ QL��D�' per CY 8 1300 Construct Concrete Alley Approach SF $ $ 11050— per SF 9 1 Prepare Storm Water Pollution Prevention Plan LS Db $ 5DO per LS 10 1 Water Pollution Control 7� LS $ per LS Total Amount Bid in Figures: Total Amount Bid in Words:....VQ Il L�J.I�.L. ... ........ �.. ..... ...... .rpD'' 1 YL.�. ........................ ........,...................t Bid �l�....... ... �... .. W hued i Yli ni� a — 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 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 Y i& , at April 2j0 , 2019 Date City Corona State CA Edward J. Carlson being first duly sworn, deposes and says that he or she is Vice President of All American Asphalt 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. All American Asphalt Name of Bidder Signature-of Bidder Edward J. Carlson, Vice President 400 East Sixth Street, Corona, CA 92879 Address of Bidder C-4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached.and not the truthfulness.accuracv.or validitv of that document. State of California County of Riverside On 04/26/2019 before me, Rebecca Angela Parra, Notary Public Date Here Insert name and Title of the Officer personally appeared Edward J. Carlson Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/sheAhey executed the same in his/her/their authorized capacity(ies), and that by his/heflt✓& signature(s) on the instrument the person(s), or the entity upon behalf REBECCA ANGELA PARKA of which the person(s)acted,executed the instrument. a NotaryPublic-California z Riverside County >Commission 1 certify under PENALTY OF PERJURY under the laws of the State of s 8 My Comm.Expires May ay 17, /,2021 California that the forgoing paragraph is true and correct. WITNESS my han cial seal. Signature Place Notary Seal Above Signature of r ry Public OPTIONAL Though the information below is not required by law,it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Non-Collusion Affidavit Document Date: 04/26/2019 Number of Pages: One (1) Signer(s)Other Than Named Above: None Capacity(ies)Claimed by Signer(s) Signer's Name: Edward J. Carlson Signer's Name: ❑ Individual ❑ Individual X Corporate Officer—Title(s): Vice President ❑Corporate Officer—Title(s): ❑ Partner o ❑ Limited❑General RIGHT ❑ Partner❑ ❑ Limited ❑ General THUMBPRINT ❑Attorney in Fact OF SIGNER ❑Attorney in Fact OF SIGNER ❑Trustee Top of thumb here ❑Trustee Top of thumb here ❑Other: ❑Other: Signer is Representing: Signer is Representing: All American Asphalt 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 ALLEY REHABILITATION, CC No. 1569, (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. All American Asphalt Contractor By Edward J. Carlson, Vice President Title Date: Y Z—r. 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 XNo 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. All American Asphalt Contractor By Edward J. Carlson, Vice President Title Date: yXlo�q C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: All American Asphalt Bidder Name 400 East Sixth Street Business Address Corona CA 92879 City, State Zip ( 951 ) 736-7600 publicworks(cD_allamericanasphalt.com Telephone Number Email Address 267073 A, C-12 State Contractor's License No. and Class 01/19/71 Original Date Issued 01/31/2020 Expiration Date The work site was inspected by Maurice Ramirez, PM of our office on April 23 , 2019. The following are persons, firms, and corporations having a principal interest in this proposal: Corporation Mark Luer, President Edward J. Carlson, Vice President Michael Farkas, Secretary The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed Work and improvements in accordance with the plans and specifications set forth. All American Asphalt Company Name,, Signature of Bidder 01 Edward J. Carlson, Vice President Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this_day of , 201_ . A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of ) County of ) On 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(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached.and not the truthfulness_accuracy or validity of that document. State of California County of Riverside On 04/26/2019 before me, Rebecca Angela Parra,Notary Public Date Here Insert name and Title of the Officer personally appeared Edward J. Carlson Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/afe subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/herltheir authorized capacity(ies), and that by his/hegtheir REBECCA ANGELA PARRA signature(s) on the instrument the person(s), or the entity upon behalf NotaryPublic-California z of which the person(s)acted,executed the instrument. Riverside County n Commission#21924558 1 certifyunder PENALTY OF PERJURY under the laws of the State of My Comm.Expires May 17,2021 California that the forgoing paragraph is true and correct. WITNESS my hand seal. Signature Place Notary Seal Above Signature of N ry Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Bidder's Information Document Date: None Number of Pages: One (1) Signer(s) Other Than Named Above: None Capacity(ies)Claimed by Signer(s) Signer's Name: Edward J. Carlson Signer's Name: ❑ Individual ❑ Individual X Corporate Officer—Title(s): Vice President ❑ Corporate Officer—Title(s): ❑ Partner ❑ ❑ Limited ❑ General ❑ Partner ❑ o Part ❑ Limited General RIGHT THUMBPRINT�( RIGHT ❑Attorney in Fact ❑Attorney in Fact • ❑Trustee Top of thumb here ❑Trustee Top of thumb here ❑Other: ❑ Other: Signer is Representing: Signer is Representing: All American Asphalt BIDDER'S PROJECT HISTORY AND PUBLIC AGENCY REFERENCES The bidder shall provide information to demonstrate his/her past work experience on projects of similar (or greater) size and scope of the ALLEY REHABILITATION, CC No. 1569. Bidders may submit additional sheets, using the format shown, to further demonstrate his/her history of similar work experience. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: I. Town of Apple Valley 14955 Dale Evans Pkwy, Apple Valley, CA 92307 Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Rich Berger 760-240-7000 Ext 7530 Navaio Road Rehabilitation $849,142.00 12/2017 Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: The asphalt will be mill and fill with FRAC finish course in the limited failed areas- Re-.graded to eliminate existing cross gutters. 2. City of West Covina Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Hani Demitri 626-939-8445 Residential Street Rehab $469,960-70 09/2018 Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: Milling of existing AC pavement surface and replacing with conventional asphalt and remove and replace damaged curb and gutter, remove and replace access curb ramps, 3. City of Indian Wells 44-950 Eldorado Drive, Indian Wells, CA 92210 Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Ken A. Seumalo 760-346-2489 Cook Street Rubberized Pavement Overlay/Rehabilitation $599,599.59 09/2018 Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: Consist of removal of pavement failure sections, course grinding of existing asphalt , placement of asphalt overlay[.., loops, grade adadjustment and pavement markings. C-10 BIDDER'S CRITICAL STAFF The bidder shall provide information to demonstrate that both the Construction Project Manager (office staff) and Construction Superintendent (field staff) proposed for ALLEY REHABILITATION, CC No. 1569 have had similar work experience on at least 3 different projects within the past five years. The proposed critical staff members need not have been employed by the bidder at the time the referenced projects were completed. 1 Maurice Ramirez, Project Manager Name of proposed Construction Project Manager Phone # of proposed Construction Project Manager: 951-736-7600 Ext. 242 2016-2017 Pavement Rehab $1,037,700.00 12/2017 Program Pavement Rehabilitation Project Name & Contract Amount Type of Work Date Completed Van Buren Blvd Pavement Rehab PH 2 Rehabilitation 09/2018 Project Name & Contract Amount Type of Work Date Completed Baseline Rd.Pavement Rehab Rehabilitation 07/2017 Project Name & Contract Amount Type of Work Date Completed 2. Rick Selph, Superintendent Name of proposed Construction Superintendent Phone # of proposed Construction Superintendent: 951-453-4645 Pacific Park Rehab-Chase to 73 Fwy $633,633.00 Rehabilitation 12/2016 Project Name & Contract Amount Type of Work Date Completed Aliso Creek and Road Rehab $657,770.00 Rehabilitation 12/2018 Project Name & Contract Amount Type of Work Date Completed Grand Ave. Beautification Project $1,939,000.00 Beautification 05/2016 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/Public Works/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https:Hefiling.dir.ca.gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiIing.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. All American Asphalt Contractor By Edward J.Car son publicworks@allamericanasphalt.com. Email Vice President Title Date: y �-Lln 1n PWC Registration #: 1000001051 C-12 o D Fidelity and Deposit Company of Maryland BID BOND KNOW ALL MEN BY THESE PRESENTS: That we, ALL AMERICAN ASPHALT BOND NO. 085 97 423 as Principal,(hereinafter called the"Principal'),and FIDELITY AND DEPOSIT COMPANY OF MARYLAND ,a corporation duly organized under the laws of the State of Illinois ,as Surety,(hereinafter called the"Surety"),are held and firmly bound unto City of Huntington Beach as Obligee,(hereinafter called the"Obligee"),in the sum of Ten Percent of Total Amount Bid---- Dollars($ 10%of Bid ),for the payment of which sum well and truly to be made,the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. WHEREAS,the Principal has submitted a bid for Alley Rehabilitation from Graham St. to Heil Ave. CC No. 1569 Bid Date:April 30, 2019 NOW,THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a contract with the Obligee in accordance with the terns of such bid and give such bond or bonds as may be specified in the bidding or contract documents with good and sufficient surety for the faithful performance of such contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter into such contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect. Signed and sealed this 24th day of April A.D., 2019 ALL AMERICAN ASPHALT Prrincl Witness ��`-� L"''�� (SEAL) Scu- word S• �co.,�v�cG t'rtsot¢ti I' FIDELITY AND DEPOSIT COMPANY OF MARYLAND Surety By f�e Q A� O (SEAL) Rebecca Haas-Bates Attorney-in-Fact BID70000ZZ0701 f CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached.and not the truthfulness.accuracv.or validitv of that document. State of California County of Riverside on 04/26/2019 before me, Rebecca Angela Parra, Notary Public Date Here Insert name and Title of the Officer personally appeared Edward J. Carlson and Michael Farkas Names)of Signer(s) 7 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 h',;I+er/their authorized capacity(ies), and that by his!her/their REBECCA ANGELA PARRA signatures) on the instrument the person(s), or the entity upon behalf NotaryPublic-California of which the person(s) acted, executed the instrument. z 'r Riverside County z Commission 02192458 1 certify under PENALTY OF PERJURY under the laws of the State of My COMM,Expires May 17,2021 California that the forgoing paragraph is true and correct. WITNESS my hand official yt,�d / SignatureG�G«� Place Notary Seal Above Signature of i ry Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Bid Bond Document Date: 04/24/2019 Number of Pages: One (1) Signer(s) Other Than Named Above: Fidelity and Deposit Company of Maryland Capacity(ies) Claimed by Signer(s) Signer's Name: Edward J. Carlson Signer's Name: Michael Farkas ❑ Individual ❑ Individual X Corporate Officer—Title(s): Vice President X Corporate Officer—Title(s): Secretary ❑ Partner ❑ ❑ Limited ❑ General ❑ Partner ❑ ❑ Limited ❑ General RIGHT THUMBPRINT RIGHTTHUMBPRINT ❑Attorney in Fact OF SIGNER ❑Attorney in Fact OF ❑Trustee Top of thumb here ❑Trustee Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: All American Asphalt All American Asphalt I CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy,or validity of that document. State of California ) County of Orange ) On 04/24/2019 before me, Liliana Gomez,Notary Public Date Here Insert Name and Title of the Officer personally appeared Rebecca Haas-Bates NameKof Signeq* who proved to me on the basis of satisfactory evidence to be the person* whose name(} is/aye subscribed to the within instrument and acknowledged to me that he/she/they executed the same in Ns/her/their authorized capacity(ie.&),and that by his/her/their 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. E...o,.� LILIANAGOMEZ WITNESS my hand and official seal. 117 r Notary Public-California Orange County Commission✓*224332o My Comm,Expires May 20, 2022 Signature Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Bid Bond Document Date: 04/24/2019 Number of Pages: One 1 Signer(s) Other Than Named Above: All American Asphalt Capacity(ies) Claimed by Signer(s) Signer's Name: Rebecca Haas-Bates Signer's Name: ❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑General ❑ Individual 2Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: Fidelity and Deposit Company of Maryland ©2014 National Notary Association - www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V,Section 8,Attorneys-in-Fact. The Chief Executive Officer,the President,or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate;and I do further certify that Article V,Section 8,of the By-Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 1 Oth day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President, Secretary,or Assistant Secretary of the Company,whether made heretofore or hereafter,wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 24th_day of April 2019 . 0 d Michael C.Fay,Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND,PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE.BOND,THE BOND NUMBER,AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg,IL 60196-1056 www.rei)ortsfcla�'ns(iz�zurichna.com s(a?zurichn a.comaims(n?zurichn a.com 800-626-4577 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New York,the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D.Murray,Vice President,in pursuance of authority granted by Article V,Section 8,of the By-Laws of said Companies,which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint William SYRKIN, Rebecca HAAS-BATES, Sergio D. B.ECHARA and Richard ADAIR, all of Irvine, California„EACH its true and lawful agent and Attorney-in-Fact,to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Companies,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York,New York.,the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills,Maryland.,and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland.,in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V,Section 8,of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF,the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 29`"day of January,A.D.2019. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND BY: .Robert D.Murray Vice President By: Dawn E.Brown Secretary State of Maryland County of Baltimore On this 29th day of January, A.D.2019, before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified,Robert D. Murray,Vice President and Dawn E.Brown,Secretary of the Companies,to me personally known to be the individuals and officers described in and who executed the preceding instrument,and acknowledged the execution of same,and being by me duly sworn,deposeth and saith,that he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seat the day and year first above written. �., Ptt Constance A.Dunn,Notary Public My Commission Expires:July 9,2019 E f a b, A, a "SEALED BID" ' xh For a= ALLEY REHABILITATION,CC No. 1569 CITY OF HUNTINGTON BEACH-DO NOT OPEN WITH REGULAR MAIL ter; DELIVER TO THE OFFICE OF THE CIT CLERK,2000 MAIN STREET,SECOND FLOOR i'q I r ALL AMERICAN —ASPHALT- AN EQUAL OPPORTUNITY EMPLOYER .G "' P.O. Box 2229, CORONA, CA 92878-2229 *,r Ago— TO: RETURN REQUESTED 5'CJ31 E� 1 l'0e7) City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk September 25, 2019 California Building Evaluation & Const. Inc. 2115 W. Crescent Ave., Ste. #236 Anaheim, CA 92801 RE: Alley Rehabilitation from Graham St. to Heil Ave— CC No. 1569 Enclosed please find your original bid bond for CC-1569. Sincerely, *OLJ q4474j� Robin Estanislau, CIVIC City Clerk RE:tm Enclosure Sister Cities.- Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of ALLEY REHABILITATION from Graham St. to Heil Ave. CC No. 1569 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 +ward, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth i„ the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and irne 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 \, ill 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 re-advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 [f awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date- of the AGENCY's notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY's option, be considered null and void. Accompanying this proposal of bid, find 10% bid bond in the amount of10% 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 10/16 ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature i _._ C-2 ALLEY REHABILITATION,CC No. 1569 PROTECT BID SCHEDULE Item Contract Bid Item Description Unit Price Extended Amount No. Quantity, 1 I Mobilization LS $ i S a Ls u4 per LS 2 1 Furnish Project Traffic Control LS $ V� v u per LS i 3 2000 Unclassified Excavation CY per CY 4 455 Construct Redwood Header LF $ ZS $ 6 _7 L o per LF e 5 2250 Construct Concrete Alley Gutter 2 —7 LF $ w 3 per LF 6 1000 Construct Type III-C3-PG 64-10 Asphalt Concrete Pavement �. -rN (Depth varies per Plan) $ ' 50 $ per TN 7 7O0 Crushed Miscellaneous Base _ per CY 8 1300 Construct Concrete Alley Approach SF $ ( •S'a $ z7, /4 s per SF 4 l Prepare Storm Water Pollution Prevention Plan LS $ lD' S 00L2 T per LS 10 1 Water Pollution Control LS $ 1i $ t ? J �r per LS Total Amount Bid in Fi ores:$ C7 Dotal Amount Bid in Words: �l/LG� g .................................................................. .--, ., , 1 --................... t n.� 6 r C-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business :Iddress 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 $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR Dollar % of Iten:(.$) Subcontractor License Number Amount Contract Number VOLT EDGE SERVICES -7 C_20 � ��vt C. 509 W. LOCUST AVE ONTARIO, CA 91762 540858 10000446 2 Z16 I -- q�c0 i iv submission of this proposal, the Bidder certifies: 1. That he is able to and will perfonn the balance of all work which is not covered in the above subcontractors listing. 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 l declare under penalty of perjury under the lawF o the Pte of California that the foregoing is true and correct and that this declaration is executed on at Anaheim , CA Date City State Eddie Qader bein first duly sworn deposes and says that he or she is VP/Secretary of CalLmia Builduig Evaluation& the party making the foregoing bid that the bid is not made in the interest o , 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. CALIFORNIA BUILDING EVALUATION & CONSTRUCTION INC, Name f B' der Signature of idder EDDIE QADER 2115 W. CRESCENT AVE., STE. #236. ANAHEIM, CA 92801 Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: I'he undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the ALLEY REHABILITATION, CC No. 1569, (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, +s follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." ]'he 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. CALIFORNIA BUILDING EVALUATION & CONSTRUCTION INC Contractor y EDDIE QADER VP/SECRETARY "Title [)ate: C-s DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes C 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. CALIFORNIA BUILDING EVALUATION & CONSTRUCTION INC Contractor By VP/SECRETARY Title Date: C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: CALIFORNIA BUILDING EVALUATION &CONSTRUCTION INC 5%.N C %CENT AVE., STE. #236, Business Address ANAHEIM, CA 92801 City, State Zip ( 714 ) 609-7625 calbuilding@gmail.com Telephone Number Email Address 785685 A,B State Contractor's License No. and Class 10/11/2000 Ori inal Date Issued 1 /31/2020 Expirations Date The work site was inspected bu} f� of our office on -11-- 3 0 , 201 L The following are persons, firms, and corporations having a principal interest in this proposal: CALIFORNIA BUILDING EVALUATION & CONSTRUCTION INC, Elisa Gutierrez, President/Treasurer The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed Work and improvements in accordance with the plans and specifications set forth. CALIFORNIA BUI ING EVALUATION &CONSTRUCTION INC, Company Na Signa re of—BictlAder E DIE QADER VP/SECRETARY Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this day of Aov ,201°1 . 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 U e ) ()n `�� 3o before me, � —� �J�tV'r�—� Month, Day, and Year Insert Name and Title of Notary personally appeared Eddie oader Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(4whose name(,a f is/Am subscribed to the within instrument and acknowledged to me that he/ske/tlfy executed the same in his/herhhe[l'- authorized capacity(k1 j;and that by his/kTltki-r signature(s0-on the instrument the person(s}, or the entity upon behalf of which the person(A}acted, executed the instrument. 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS m hand and official seal. BRADT.PARKER JR y Notary Public-California Z Los Angeles County Commission C 2184148 My Comm.Expires feb 20,2021 Signature igna re of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 BIDDER'S PROJECT HISTORY AND PUBLIC AGENCY REFERENCES The bidder shall provide information to demonstrate his/her past work experience on projects of similar (or greater) size and scope of the ALLEY REHABILITATION, CC No. 1569. Bidders may submit .additional sheets,using the format shown,to further demonstrate his/her history of similar work experience. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: CITY OF HUNTINGTON BEACH, HUNTINGTON BEACH, CA Name and Address of Public Agency Name and Phone # of Agency's Project Manager: MR. JOE FUENTE 714)536-5269 PECK RESERVOIR PUMING STATION $1,825,000 4/2019 Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: Pumping station electrical upgrade, new related water well buldings and site impovements CRESCENT VALLEY WATER DISTRICT, GLENDALE, CA Name and Address of Public Agency Name and Phone # of Agency's Project Manager: MR. DAVID GOULD 818) 248-3925 WELL#2 PUMPING STATION $1,488,306 7/2018 Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: New pumping station, site improvement, sewer line, gas line,water line, etc. CITY OF ENCINITAS, ENCINITAS, CA Name and Address of Public Agency Name and Phone # of Agency's Project Manager: MR. MIKE MALONE 760)212-8700 CITY HALL PUBLIC RESTOROOMS & SITE IMPROVEMENT $1,346,603 8/2016 Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: C-10 BIDDER'S CRITICAL STAFF The bidder shall provide information to demonstrate that both the Construction Project Manager (office staff) and Construction Superintendent (field staff) proposed for ALLEY REHABILITATION, CC No. 1569 have had similar work experience on at least 3 different projects within the past five years. The proposed critical staff members need not have been employed by the bidder at the time the referenced projects were completed. 1. EDDIE QADER Name of proposed Construction Project Manager Phone#of proposed Construction Project Manager: 714)609-7625 Peck Reservoir-$1,825,000 Pumping Station &site improvement 4/2019 Project Name & Contract Amount Type of Work Date Completed Well#2 $1,488,306 Pumping station &site improvement 7/2018 Project Name & Contract Amount Type of Work Date Completed Encinitas Pumping Station $1,346,603 Pumping Station&site Improvement 8/2016 Project Name & Contract Amount Type of Work Date Completed 2. Vel Smith Name of proposed Construction Superintendent Phone#of proposed Construction Superintendent: 951)903-3172 Peck Reservoir $1,825,000 Reservoir upgrade&site improveent 4/2019 Project Name & Contract Amount Type of Work Date Completed Costa Mesa Water Dist Pumping station 8/2017 Project Name& Contract Amount Type of Work Date Completed City of Palm Desert $222,100 Generator&site improvement 2/2018 Project Name & Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and'subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year)with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each Contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/P WCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiIing.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. CALIFORNIA BUILDING EVALUATION & CONSTRUCTION INC, Contractor By EDDI QADE calbuilding@gmail.com Email VP/SECRETARY Z ` Title Date: / PWC Registration#: 1000005490 - C-12 ALLEY REHABILITATION, CC No. 1569 PROJECT BID SCHEDULE Item Contract Bid Item Description Unit Price Extended Aount No. Quantity 1 1 Mobilization LS $ $ per LS 2 1 Furnish Project Traffic Control LS $ $ per LS 3 2000 Unclassified Excavation CY $ $ per CY 4 455 Construct Redwood Header LF $ $ per LF F5 2250 Construct Concrete Alley Gutter LF $ $ per LF 6 1000 Construct Type III-C3-PG 64-10 Asphalt Concrete Pavement TN (Depth varies per Plan) $ $ per TN 7 700 Crushed Miscellaneous Base CY $ $ per CY 8 1300 Construct Concrete Alley Approach SF $ $ per SF 9 1 Prepare Storm Water Pollution Prevention Plan LS $ $ per LS 10 1 Water Pollution Control LS $ $ per LS Total Amount Bid in Figures:$ Total Amount Bid in Words: 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 oartion 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 VOLT EDGE SERVICES �7, -1u, 509 W. LOCUST AVE I -20 ONTARIO, CA 91762 540858 10000446 2 i I I I I 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 Bid Bond Bid Bond Number:CSBA-10621 CONTRACTOR: SURETY: (Name,legal status and address) (Name,legal status and prin-pal filace of business) California Building Evaluation and Construction,Inc. Old Republic Surety Company 2115 W.Crescent Avenue,Suite 236 14728 Pipeline Ave.,Suite E Anaheim,CA 92801 Chino,CA 91709 OWNER: This document has important legal (Name,legal status and address) consequences.Consultation with City of Huntington Beach An attorney is encouraged with respect 2000 Main Street its completion or modification. Huntington Beach,CA 92648 Any singular reference to Contractor,Surety,Owner or other party shall be considered Plural where applicable. BOND AMOUNT:Ten Percent(10%)of Amount Bid PROJECT:Alley Rehabilitation From Graham St.to Heil Ave. Project Number,if any:1569 The Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surety bind themselves,their heirs,executors,administrators,successors and assigns,jointly and severally,as provided herein.The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof;or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect.The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid.Waiver of notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time for acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty(60)days. If this Bond is issued in connection with a subcontractors bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project,any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted here from and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.When so furnished,the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 29th day of April_2019 California BuildinLy Evaluation and Construction-Inc. (Principal) eal) Bess) _ (Title) ddie ader, ice e Old Republic Surety Company (Surety) (Seal) (Flitness) Shaunna Rozelle Ostrom e)Arturo Ayala,Art orn -Fact By arrangement with the American Institute of Architects, the National Association of Surety Bond Producers(NASBP) (www.nasbp.o ) makes this form document available to its members,affiliates,and associates in Microsoft Word format for use in the regular course of surety business.NASBP vouches that t the original text of this document conforms exactly to the text in AIA Document A310-2010, Bid Bond. Subsequent modifications may be made to the original text of this document by users,so careful review of its wording and consultation with an attorney are encouraged before its completion, execution or acceptance. 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 4/29/2019 before me, Shaunna Rozelle Ostrom, Notary Public (insert name and title of the officer) personally appeared Arturo Ayala 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. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. SRAUNNA ROZELLE OSTROM WITNESS my hand and official seal. :'"� COMM.#2159617 co nz:w �Notary Public California LL ORANGE COUNTY LL < J/ MYCanm.ExpiresJul11,2020 Signature (Seal) aunna Rozelle strom --- —BzSndW6-G'SBA 1062 t = OLD REPUBLIC SURETN" CONIPANY - * POINER'OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That OLD REPUBLIC SURETY COMPANY,a Wisconsin stock insurance corporation,does make,constitute and appoint: 15ANIELK.HUCKABAY,ARTURO AYALA,SHAUNNA ROZELLE OSTROM,FRANK MORONES,OF ORANGE,CA :its,;true and lawful Attorhey(s)-in-Fact,with full power and authority,not exceeding$50,000,000,for and on behalf of the company as surety,to execute and deliver and affix the seal of the company thereto(if a seal is required),bonds,undertakings,recognizances or other written obligations in the nature thereof, (other than bail bonds,bank depository bonds,mortgage deficiency bonds,mortgage guaranty bonds,guarantees of installment paper and note guaranty bonds,self-insurance workers compensation bonds guaranteeing payment of benefits,asbestos abatement contract bonds,waste management bonds,hazardous waste.remediation bonds or black lung bonds), as follows: ALL WRITTEN INSTRUMENTS IN AN AMOUNT NOT TO EXCEED r TWENTY MILLION DOLLARS($20,000,000)---- —---------------FOR ANY SINGLE OBLIGATION and to bind OLD REPUBLIC SURETY COMPANY thereby,and all of the acts of said Attorneys-in-Fact,pursuant to these presents,are ratified and confirmed, This document is not valid unless printedon colored background and is multi-colored. Thus appointment is made under and by authority of the1. board of directors at,a special meeting held on February 18;;1982. This Power of Attorney is signed and sealed by facsimile under and by the authority of the folliwing resolutt+Dhs adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18,1982. RESOLVED that,the president,any vice-president,or assistant vice president,in-conjunction with the secretary or any assistant secretary,may appoint attorneys m fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case,for and on behalf of the company to execute and deliver and affix the seal of the company to bonds,undertakings,recognizances,and suretyship dbligations of all kinds;and said officers may remove liv any such attorney-in-fact or agent and revoke any Power Attorney previously granted to such person. RESOLVED FURTHER,that any bond,undertaking,recognizIMce,or suretyship obligation shall be valid and binding upon the Company (i)when signed by the president,any vice president or assistant vice president,and attested'and sealed(if a seal be required)by any secretary or assistant seoretary or (ii)whem._aigned by the president,any vice president or assistant vice president,secretary or assistant secretary,and countersigned and sealed(if.a seal be regwred)by a duly authorized attomey-in-fact or agent;or (iii)when duly executed and sealed(if a seal be required)by one or more attorneys-in-fact or agents pursuant to and within the limits of the authority_ evideneed;:by the Power of Attorney issued by company to such person or persons. RESOLVED FURTHER,that the signature of any authorized officer and the seal of the company may be affixed by facsimile to any Power of Attorney or certification thereof authorizing the execution and delivery of any bond,undertaking,recognizance,or other suretyship obligations of the company;and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF,OLD REPUBLIC'SURETY COMPANY has caused these presents to be signed by,its proper officer;and its corporate seal to be affixed this 14TH day of JANUARY,2019. ,;;OLD REPUBLIC SURETX COMPANY eanlie, r r■.� _ R SEAS, f /4'_s,Slafli St+. STATE OF WISCONSIN,COUNTY OF WAUKESHA-SS c'`^ .., ' President 14TH JANUARY,2019 On this day of personally came before me, Alan Pavlic and Jane E Cherney to me known to be the individuals and officers of the OLD REPUBLIC SURETY COMPANY who executed thealrove instrument,and they each acknowledged the execution of the same,and being by me duly sworn,did severally depose and say; that they areahe sand officers of the corporation aforesaid,and that the seal affixed to the above instrument is the seal of the corporation,and that said corporate seal and their signatures as such officers were duly affixed and subscribed to..the said instrument by the authority of:the board:of directors of said corporation. r axa� •.ti btaty Public _ My commission expires: 9/28/2022 CERTIFICATE (Expiration of notary commission does not invalidate this instrument) I,the undersigned,assistant secretary of the OLD REPUBLIC SURETY COMPANY,a Wisconsin corporation,CERTIFY that the foregoing and attached Power of Attorney remains in'full force and hna trot been revoked;and fuithcrmore,that the Resolutions of the board of directors set forth in the Power of Attorney,are now in force. 74-7242 $ c Signed.and sealed at the City of Brookfield,WI this 29th day of April 2019 7. _ p ;SEAL _ A3b5talnl Sec i CSBA �� s �• i � ■ a 1 1 ■ a• � a a s • • ■- s 285101OC 22262 t5aol CALIFORNIA BUILDING EVALUATION&CONST.INC 215 W.CRESCENT AVE STE#236 ANAHEIM,CA 92601 n#�n ern V. [[ i 1• . rt cF' le Il aV I v,D rl/ 4 5 I O'460,wS CVMRF p Syjc 41S.1m) S$O 1458-oo (As Fero Ar 13 tD OPT-ri) City of Huntington Beach k^ _ 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk September 25, 2019 EBS General Engineering, Inc. 1320 E. Sixth, Suite 100 Corona, CA 92879 RE: Alley Rehabilitation from Graham St. to Heil Ave—CC No. 1569 Enclosed please find your original bid bond for CC-1569. Sincerely, 4q4vl� Robin Estanislau, CIVIC City Clerk RE:tm Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of ALLEY REHABILITATION from Graham St. to Heil Ave. CC No. 1569 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 re-advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY's notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY's option,be considered null and void. Accompanying this proposal of bid, find bidder's bond in the amount of 10%bid amount 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 ALLEY REHABILITATION, CC No. 1569 PROJECT BID SCHEDULE Item Contract Item Quantity Bid Item Description Unit Price Extended Amount No. I1 1 Mobilization LS $ 000 per LSD 2 l Furnish Project Traffic Control LS $ �0� $ per LS 3 2000 Unclassified Excavation CY $ 8 . SC7 $ ow per CY 4 455 Construct Redwood Header LF $ S ` $ S per LF 5 2250 Construct Concrete Alley Gutter LF $ 3 $ (3 ' S'v per LF 6 1000 Construct Type 111-C3-PG 64-10 Asphalt Concrete Pavement TN (Depth varies per Plan) per TN 7 700 Crushed Miscellaneous Base CY $ $ C — per CY 8 1300 Construct Concrete Alley Approach SF $ 1 2 I $ J Q per SF 9 1 Prepare Storm Water Pollution Prevention Plan rye LS $ $ ,-u per LS 10 1 Water Pollution Control LS $ , ©� per LS Total Amount Bid in Figures:$ 5 Total Amount Bid in Words: Q ' ............... � S 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 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 25 , at April Corona CA Date City State Joseph A. Nand being first duly sworn, deposes and says that he or she is President of EBS General Engineering,Inc. the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. EBS General Engineering, Inc. Nam of Bidder Sign` tore of Bidder 132 ,E. Sixth St., Ste 100 Corona CA 92879 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 ALLEY REHABILITATION, CC No. 1569, (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. EBS General Engineering,Inc. Contractor By r i e n Title Date: 4/25/19 C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes No If the answer is yes, explain the circumstances in the space provided. 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. EBS General Engineering, Inc. Contra c r B re1entd Title Date: 4/25/19 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: EBS General Engineering, Inc. Bidder Name 1320 E. Sixth St., Ste 100 Business Address Corona CA 92879 City, State Zip (951 ) 279-6869 bids@ebsgeneral.com Telephone Number Email Address 720016 A State Contractor's License No. and Class 3/31/96 Original Date Issued 3/31/20 Expiration Date The work site was inspected by Joseph Nanci of our office on 4/22 , 2019. The following are persons, firms, and corporations having a principal interest in this proposal: Joseph A. Nanci, President The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed Work and improvements in accordance with the plans and specifications set forth. EBS General Engineering, Inc. Comp ny Name Sig a re o Bidder o e h A.Nand Printe ,or Typed Signature C-8 ACTION AND RESOLUTIONr BY THE BOARD OF DIRECTOR OF EBS GENER.0 ENG)NEERWG, INC A CALIFORNIA CORPORATION All of the Board of Directors of EBS General Engineering,Inc.,desiring to insure that all the proper and authorized individuals,who have corporate authority to bind the said corporation to any and contracts executed by such authorized individuals, have been approved by the board of directors of EBS General Engineering, held a meeting on January 3,2010. The Board, fbIIoodn-a review of the foregoing matter, and upon motion made and seconded.&�e Board of Directors hereby determines and votes unanimously as follows: BE IT THEREFORE RESOLVED that Joseph Nanci is hereby designated, authorized and empowered, to be duly authorized with all the attendant powers and authorizations related thereto, to bind,obligate and commit EBS General Engineering, Inc. to any and all contracts executed by and between EBS General Engineering, Inc. and any other contracting party. There being no further or pending business before the Board, the meeting was adjourned. BOARD OF DIRECTORS Date: January 3,2010 Josep/anci, Sole Direci,ector ATTESTATION 1,being the Secretary of the above referenced corporation,do hereby certify that the above resolution is the resolution of the corporation, Dated: I Jo ',anc -—�py.iajici Se, cretary -------------------- —----------------------------------------------------------- - California All-Purpose Acknowledgement State of California} County of Orange On �J� � ( �'i before me, William E. Ellis, Jr. a Notary Public personally appeared Joseph A. Nanci who proved to me on the basis of satisfactory evidence to be the person) whose nameXis/arrE subscribed to the within instrument and acknowledged to me that he/ -&,� executed the same in hisfhei4reir- authorized ---- capacity(%Q, and that by hislhurftheir signature on WILLIAM E. ELLIS JR the instrument the person(SsL or the entity upon behalf µ. — Commission#2127998 Notary Public-California z of which the person acted,executed the instrument. Orange County ' I certify under PENALTY OF PERJURY under the laws Comm.Expires Oct 23,2019 J of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. r NotaryPublic Seal Notary Public Signature OPTIONAL 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) ❑Individual ❑Individual ❑Corporate Officer: ❑Corporate Officer: ❑Partner- ❑Limited❑General ❑Partner- ❑Limited❑General ❑Attorney-in-Fact ❑Attorney-in-Fact ❑Trustee ❑Trustee ❑Guardian or Conservator ❑Guardian or Conservator ❑Other: ❑Other: Signer is Representing: Signer is Representing: NOTARY CERTIFICATE Subscribed and sworn to before me this_day of , 201_ . A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of ) County of ) On 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(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 BIDDER'S PROJECT HISTORY AND PUBLIC AGENCY REFERENCES The bidder shall provide information to demonstrate his/her past work experience on projects of similar (or greater) size and scope of the ALLEY REHABILITATION, CC No. 1569. Bidders may submit additional sheets, using the format shown, to further demonstrate his/her history of similar work experience. 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• See attached reference list Name and Address of Public Agency Name and Phone# of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: 2. Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: 3. Name and Address of Public Agency Name and Phone# of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: C-10 BIDDER'S CRITICAL STAFF The bidder shall provide information to demonstrate that both the Construction Project Manager (office staff) and Construction Superintendent (field staff) proposed for ALLEY REHABILITATION, CC No. 1569 have had similar work experience on at least 3 different projects within the past five years. The proposed critical staff members need not have been employed by the bidder at the time the referenced projects were completed. 1• See attached resumes Name of proposed Construction Project Manager Phone#of proposed Construction Project Manager: Project Name & Contract Amount Type of Work Date Completed Project Name &Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed 2. Name of proposed Construction Superintendent Phone# of proposed Construction Superintendent: Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each Contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublieWorks/SB 854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/P WCR/ActionServlet?action--displayPWCRegistrationFonn DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary Contractor, as well as for ALL subcontractors at the time of submitting the bid. EBS General Engineering, Inc. Contrac r By - bids@e s eneral.com Email President Title Date: 4/25/19 PWC Registration #: 1000005295 C-12 3 YEAR REFERENCES — PUBLIC WORKS 1. Proiect Name 2016/2017 Arterial and Minor Streets Maintenance Proiect Address Owner Various Locations City of Riverside Principal Contact Phone Steve Howard, Construction Project Manager (951)826-5708 Price of Contract Type of Work Dates $4,594,000 Streets Maintenance 9/2017—9/2018 2. Proiect Concrete Street Rehabilitation, FY 2015-16 Proiect Address Owner Various Locations City of Orange Contact Phone Matthew Lorenzen, Project Manager (714)744-5566 Price of Contract Type of Work Dates $574,850 Minor Concrete, Street Improvements 7/2016 to 10/2016 3. Proiect Washington Square Residential Street Improvements Proiect Address Owner Grand Ave.from First St.to Fourth St. City of Santa Ana Contact Phone Tyrone Chesanek, Principal Civil Engineer (714) 647-5074 Price of Contract Type of Work Dates $984,925 Minor Concrete, Street Improvements 4/2016 to 10/2016 4. Proiect ADA Access Improvements Del Cerro/Burma Rd Entrance to PV Nature Preserve Proiect Address Owner Del Cerro/Burma Rd. City of Rancho Palos Verdes Contact Phone James Flannigan,Asst Eng. (310) 544-5295 Price of Contract Type of Work Dates $99,470 Exposed Agg. Sidewalk, Ramps, Drive approach 1/2017 to 3/2017 k. 3 YEAR REFERENCES - PUBLIC WORKS S. Project FY 15/16 Curb Access Ramp Installation Project Address Owner Various Locations City of Huntington Beach Contact Phone Jim Escutia, Public Works 714) 536-5525 Price of Contract Type of Work Dates $327,200 Curb Ramps, Domes 5/2016 to 6/2016 6. Project Rancho Santa Fe Road ADA Curb Ramp Reconstruction Project Address Owner Rancho Santa Fe Rd City of San Marcos Contact Phone Duane Neyes, Construction Mgr. (760)744-1050 Price of Contract Type of Work Dates $290,100 Ramps,Sidewalk, Gutter, Domes 6/2016 to 7/2016 David Sulik 1320 E. Sixth Street Ste. 100 Corona, CA 92879 Cell: (714)448-0764 Current Position: EBS General Engineering, INC. Corona,CA July 2001—Present General (Lead)Superintendent 2008—Present Concrete Superintendent 2003—2008 Concrete Foreman July 2001—2003 Cement Masons Local#500 Santa Ana, CA 1980-Present Prior Experience: Pierce Concrete&Masonry Yorba Linda, CA Jan. 1999-July 2001 Concrete Foreman Brutoco Engineering Fontana, CA Jan. 1997—Jan. 1999 Concrete Foreman Self-Employed—Concrete& Masonry Corona, CA 1991-1997 Sullivan Concrete Co. Costa Mesa,CA 1978—1991 Concrete Foreman 1982—1991 Cement Mason 1980—Present Concrete Laborer 1978—1980 Field Capabilities/Background/Experience: • Forming and Fine Grading • Block/Brick Work • Pour/Finish Curb&Gutter • Laser Screed Work • Pour/Finish Sidewalk • High Early Mix Work • Pour/Finish Concrete Slab • Project Supervisor • Pour/Finish Retainer Curb • Project Cost Estimation • Pour/Finish Seat Wall • Communications • Pour/Finish Footing • Employee Liaison to Management • Pour/Finish Foundation • Project Safety Officer • Pour/Finish Keyway • Customer Satisfaction • Wet Set Block/Brick With David's(Dave) 35 years of experience in concrete work and managerial roles,there is really nothing he can not do. If he has a set of plans or blueprints, he and his crews can build it. Dave's leadership skills, results based orientation, work ethic,and relationship building skills are among the best in construction industry and make him key instrument in the functionality of EBS's field operations. t William E. Ellis, Jr. 1320 E. Sixth Street Ste 100 Corona, CA 92879 Cell: (714)448-1136 Current Position: EBS General Engineering, INC. Corona, CA July 2005—Present Project Manager 2005-Present Insurance Claims Liaison 2007-Present Safety Officer 2008-Present Prior Experience: Seal Black/Helmick Asphalt Garden Grove, CA April 1987—July 2005 Operations Manager Foreman Operator Bay Alarm Company Oakland, CA 1979—1987 Foreman Laborer Capabilities/Experience: • Customer Relations/Service • Project Safety Supervisor • Communications • Employee Safety Liaison • Project Supervisor • Change Order Execution • Project Cost Estimation • BIT Compliance • Project Comprehension • Traffic Control Planning • Project Management • SWPPP Planning/Compliance • Materials Submittals/Compliance • Railroad Safety Courses • Asphalt Paving Management • OSHA Compliance • Concrete Masonry Management • CPR Certified • Industrial Security Systems Installation • Tail-Gate Safety Meeting Organizer William (Willie) has 30 plus years experience in multiple areas of the construction industry. His experience with industrial and infrastructure construction has afforded him a skill-set of high productivity within the organization. As a project manager at EBS,Willie executes contract compliance, purchase orders and sub-contracts, project review, material submittals and compliance,and coordination with various agencies, contractors, developers and engineering firms. He also helps EBS to obtain the necessary encroachment and building permits,city standards and plans, and safety programs for all projects big and small. During Willie's 30 years in the industry, he has also been intermittently certified on various safety programs such as railroad safety programs,OSHA Certified Safety programs, and CPR certification classes. His extensive and comprehensive construction background makes Willie a pivotal component of EBS's organizational structure. A - Bond #3-B Premium Nil SureTec BID BOND KNOW ALL MEN BY THESE PRESENTS,that we EB_S General Engineering, Inc. as principal, hereinafter called the "Principal," and SVRETEC INSURANCE COMPANY, 9737 Great Hills Trail, Suite 320, Austin, Tx 78759, as surety, hereinafter called the "Surety," are held and firmly bound unto City of Huntington Beach as obligee, hereinafter called the Obligee, in the sum of ten percent of amount bid too ) of the Amount Bid by Principal for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. WHEREAS, the principal has submitted a bid for Alley Rehabilitation from Graham St. to Heil. Ave. Project No CC 1569 NOW, THEREFORE, if the contract be timely awarded to the Principal and the Principal shall within such time as specified in the bid, enter into a contract in writing or, in the event of the failure of the Principal to enter into such Contract, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. PROVIDED, HOWEVER, neither Principal nor Surety shall be bound hereunder unless Obligee prior to execution of the final contract shall furnish evidence of financing in a manner and form acceptable to Principal and Surety that financing has been firmly committed to cover the entire cost of the project; and PROVIDED, FURTHER, unless the bid documents require that bid security remain in effect for a longer period of time, Surety shall have no liability hereon if a contract for the bid amount is not awarded to Principal within 60 days of the date hereof. SIGNED, sealed and dated this 24th day of April , 20 19 EBS General Engineering, Inc. (Principal) BY: TITLE: Joseph A. Nand, President SureTec Insurance Company _ BY: 4::S±p_encer Flake, Attorney-in-Fact swetec bid bond file.doc Rev 1.1.06 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA County 9 of Orange On 4-24-19 before me, Lexie Sherwood Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Spencer Flake 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), LEXIE SHERWOOD and that by his/her/their signature(s) on the instrument the COMM.#2203287 ? person(s), or the entity upon behalf of which the person(s) 0 ` NOTARY PUBLIC•CALIFORNIA acted, executed the instrument. ORANGE COUNTY j Comm.Exp.JULY27,2021 1 certifyunder PENALTY OF PERJURY under the laws of the S o of California that the foregoing paragraph is true and correct. Witness my hand and o Icial seal. Signature dL_4�� - Place Notary Seal Above Signature of Notary 15ublic Lexie Sherwood OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer —Title(s): ❑ Partner ❑Limited ❑General ❑ Partner ❑Limited❑General ❑ Attorney in Fact El Attorney in Fact oil m. ❑ Trustee OF ❑ Trustee • ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: POA#: 510123 SureTec Insurance Company LIMITED POWER OF ATTORNEY Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents make,constitute and appoint Charles L. Flake, David L.Culbertson,Spencer Flake, Heather Willis its true and lawful Attomey-in-fact,with full power and authority hereby conferred in its name,place and stead,to execute, acknowledge and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the conditions of contracts and consents of surety for,providing the bond penalty does not exceed Ten Million and 00/100 Dollars($10,000,000.00) and to bind the Company thereby as fully and to the same extent as if such bond were signed by the CEO,sealed with the corporate seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney-in-Fact may do in the premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec Insurance Company: Be it Resolved, that the President, any Vice-President,any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: Attorney-in-Fact may be given full power and authority for and in the name of and of behalf of the Company,to execute, acknowledge and deliver,any and all bonds,recognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20'of April, 1999.) In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its CEO,and its corporate seal to be hereto affixed this 28th day of September, A.D.2018 . RIAN F SURETEC CE PANY )ZU� ,X...9 By w; w D1 John K cr% y :`2f State of Texas ss: 9 •.County of Harris � ........... ' � . On this 28th day of September, A.D.2018 before me personally came John Knox Jr.,to me known, who, being by me duly sworn, did depose and say, that he resides in Houston, Texas, that he is CEO of SURETEC INSURANCE COMPANY, the company described in and which executed the above instrument;that he knows the seal of said Company; that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the Board of Directors of said Company;and that he signed his name thereto by like order. ,,Jotar n�iblic�11'29117659 ate of Texas t u9-1(7-20?G ,NOi3(y ID Xe aVC7,Notary PnbIIC I commission expires September 1P2020, 1,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney,executed by said Company,which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set out in the Power of Attorney are in full force and effect. Given under my hand.and the seal of said Company at Houston, Texas this 24TH day of AP L . 2019� A.D,. _ 9V .Brdntd3eaty,Assi tant Secrete Any instrument issued in excess of the penalty stated above is totally void and without any validity. For verification of the authority of this power you may call(713)812-0800 any business day between 8:30 am and 6:00 pm CST. California All-Purpose Acknowledgement State of California} County of Orange On before me, William E. Ellis, Jr. a Notary Public personally appeared Joseph A. Nanci who proved to me on the basis of satisfactory evidence to be the personN) whose nameXis/are subscribed to the within instrument and acknowledged to me that he/ WILLIAMh 4' executed the same in hisffrcr4reir- authorized Commission E. EL 12 9, ca acit and that b histherftheif signature on Commission#2127998 p Yam° Y Z '� Notary Public-California Z the instrument the person, or the entity upon behalf Orange County ' of which the person acted,executed the instrument. Comm.Ex Tres Oct 23.2019 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Notary Public Seal Notary Public Signature OPTIONAL 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) Thumbprint of Signer 1 ❑Individual 0 Individual ❑Corporate Officer: ❑Corporate Officer: ❑Partner- ❑Limited❑General ❑Partner- ❑Limited❑General ❑Attorney-in-Fact ❑Attorney-in-Fact Cl Trustee a Trustee ❑Guardian or Conservator ❑Guardian or Conservator ❑Other: ❑Other: Signer is Representing: Signer is Representing: (ales general engineering,inc 1320 E.SIXTH,SUITE 100•CORONA,CA 92879-1700 Tel:(951)279-6869•FAX:(951)279-6832 City of Huntington Beach Office of City Clerk 2000 Main St; Second Floor Huntington Beach, CA 92648 April 30, 2019; 2 pm SEALED BID FOR: Alley Rehabilitation from Graham to Heil CC-1569 City of Huntington Beach 2000 Main Street ♦ Huntington Beach CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Fs. Office of the City Clerk Robin Estanislau, City Clerk September 25, 2019 Hardy & Harper, Inc. 32 Rancho Circle Lake Forest, CA 92630 RE: Alley Rehabilitation from Graham St. to Heil Ave— CC No. 1569 Enclosed please find your original bid bond for CC-1569. Sincerely, *ftU q44Vdj4V) Robin Estanislau, CIVIC City Clerk RE:tm Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand CONTRACT DOCUMENTS SPECIFICATIONS AND STANDARD DRAWINGS for the construction of ALLEY REHABILITATION from Graham St. to Heil Ave. CC No. 1569 in the CITY OF HUNTINGTON BEACH • 2000 MAIN STREET HUNTINGTON BEACH, CALIFORNIA 92648 (714) 536-5431 BIDS DUE: April 30, 2019 2:00 P.M.,2nd FLOOR City Clerk's Office TRAVIS K. HOPKINS, DIRECTOR DEPARTMENT OF PUBLIC WORKS CITY OF HUNTINGTON BEACH PLANS SPECIFICATIONS AND CONTRACT DOCUMENTS for the construction of ALLEY REHABILITATION from Graham St. to Heil Ave. CC No. 1569 Prepared Under the Supervision of: QRpFESS/O R CIF o No. 61999 po m k Exp. 30 1 CNI\- �P 9TF OF CA\-\F��r, .Jonathan R. Claudio, R.C.E.No. 61999 Date Approved by: Thomas M. Herbel,PE, City Engineer,R.C.E. No. 53300 Dae i i I! SECTION C PROPOSAL for the construction of ALLEY REHABILITATION from Graham St. to Heil Ave. CC No. 1569 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 re-advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY's notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY's option, be considered null and void. Accompanying this proposal of bid, find Bidders Bond in the amount of 10% which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond 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 N Steve Kirschner-Vice President C-2 ALLEY REHABILITATION, CC No. 1569 PROJECT BID SCHEDULE Item Contract Bid Item Description Unit Price Extended Amount No. Quantity 1 I Mobilization I'S $ (oloDo $ 101 000 per LS 2 1 Furnish Project Traffic Control I'S $ ` l000 $ ylDoo per LS 3 2000 Unclassified Excavation Cy $ CI (P•00 $ 2.3Z, 000 per CY 4 455 Construct Redwood Header LF $ 11.00 $ JI`�co per LF 22SO Construct Concrete Alley Gutter S•50 IT $ $ �02, 315 per LF 6 1000 Construct Type III-C3-PG 64-10 Asphalt Concrete Pavement IN (Depth varies per Plan) $ qso $ 104' suo per TN 7 700 Crushed Miscellaneous Base t.� �.00 $ 541 h o 0 8 1 100 Construct Concrete Alley Approach 51 $ $ 13, o per SF 9 1 Prepare Storm Water Pollution Prevention Plan _ I'S $ Cj1000 $ 15Id00 per LS 10 1 Water Pollution Control I'S $ 151000 $ �IbDD per LS Total Amount Bid in Fi ures: $ �3�• gS' o V Total Amount Bid in Words: v q� e-d �fl s()( I► I w1 � n o d 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 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 04/29/19 , at Lake Forest 9 CA Date City State Steve Kirschner being first duly sworn, deposes and says that he or she is Vice President of Hardy&Harper,Inc. the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Hardy&Harper,Inc. Name of Bidder Signature of Bidder Steve Kirschner-Vicla President 32 Rancho Circle.Lake Forest,CA 92630 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 ALLEY REHABILITATION, CC No. 1569, (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. Hardy&Harper, Inc. Contractor By .___-.—._._------- Steve Kirschner-Vice President Title Date: 04/29/19 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 10 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. Hardy&Harper,Inc. Contractor By Steve Kirschner-Vice President Title Date: 04/29/19 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Hardy&Harper, Inc. Bidder Name 32 Rancho Circle Business Address Lake Forest CA 92630 City, State Zip 714 ) 444-1851 ablanchard@hardyandharper.com Telephone Number Email Address 215952;A,C-8&C12 State Contractor's License No. and Class 03/13/63 Original Date Issued 12/31/19 Expiration Date The work site was inspected by Mike Amundson of our office on 04/19 , 201 s . The following are persons, firms, and corporations having a principal interest in this proposal: Fred T.Maas,Jr.-President/Treasurer Steve Kirschner-Vice President Kristen S.Paulino-Corporate Secretary Dan T.Maas-CEO 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. Hardy&Harper, Inc. Company Name % Signature of Bidder Steve Kirschner-Vice President Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this_day of , 201_ . A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of ) County of ) On 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(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE §8202 �:ac: _ - - ❑x See Attached Document (Notary to cross out lines 1-6 below) ❑ See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) x x \ x x x x Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy, or validity of that document. State of California Subscribed and sworn to (or affirmed) before me County of Orange on this 29 day of April 20 19 , by Date Month Year (1) c7t-o& Y,(r-0)n-e-� (and (2) ), Name of Signe< ASHLIE 13LANCHARD 4myComm. #2279550 Notarytart'PubliaCalifornia proved to me on the basis of satisfactory evidence �ORANGE COUNTY LL to be the person(a) who appeared before me. Expires March 3,2023 'I . Signature �/�/ Signature of Notary Public Seal Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Bidder's Information Document Date: N 0 n-f, Number of Pages:--1_-Signer(s)Other Than Named Above: None 02014 National Notary Association • www.National Notary,o rg • 1-800-US NOTARY(1-800-876-6827) Item #5910 BIDDER'S PROJECT HISTORY AND PUBLIC AGENCY REFERENCES The bidder shall provide information to demonstrate his/her past work experience on projects of similar (or greater) size and scope of the ALLEY REHABILITATION, CC No. 1569. Bidders may submit additional sheets, using the format shown, to further demonstrate his/her history of similar work experience. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: Please see attached references. 1. Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: 2. Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: 3. Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: C-10 PUBLIC WORKS REFERENCES Attachment A 2016/2017 Owner/Agency Contact Project (Amount & Completion Date) City of Jurupa Valley Mike Myers T.R.I.P Pavement Rehabilitation 8930 Limonite Ave (951) 332-6464 Phase I Jurupa Valley, CA 92509 mmyers .murupavalley.org $1,254,012.21 03/17 City of Newport Beach Frank Tran MacArthur Blvd Pavement 100 Civic Center Drive (949) 644-3340 Rehabilitation Newport Beach, CA 92660 ft[ga newportbeachca.gov $2,142,045.66 3/17 City of Rancho Cucamonga Romeo M. David Red Hill Park Pedestrian Trail 10500 Civic Center Drive (909) 477-2740 Renovation Project Rancho Cucamonga, CA 91730 Romeo.David@—cityofrc.us $171,888.70 3/17 City of Riverside Ben Hatheway 2015/2016 CDBG Street and 3900 Main Street (951) 826-5561 ADA Footpath Improvement Riverside,'CA 92522 BHathewayOriversideca.gov $980,681.29 5/17 City of Signal Hill Anthony Caraveo Willow Street Improvement 2175 Cherry Ave (562) 989-7352 Project Signal Hill, CA 90755 acaraveo( ityofsignalhill.orq $922,100.43 6/17 City of Laguna Hills Frank Tran Arterial Pavement Management 24035 El Toro Rd (949) 644-3340 Project Street Rehabiltation Laguna Hills ftran@newportbeachca.gov $1,375,406.90 6/17 City of Highland John Egan West Highland Bikeways 27215 Base Line (909) 890-1255 Infrastructure & Pavement Impr. Highland, CA 92346 jegan(a�erscinc.com $2,678,788.77 7/17 City of Irvine Brian Brown Yale Ave Rehabilitation Irvine One Civic Center Plaza (949) 724-6000 Center Drive Bid No. 17-1160 Irvine, CA 92623 bbrown(@cityofirvine.org $2,453,343.83 7/17 City of Pasadena Tony An Preventitive Maintenance of 100 N. Garfield Ave (626) 744-7403 Street 2016 Pasadena, CA 91109 tan(o)cityofpasadena.net $945,932.59 8/17 City of Ontario Miguel Sotomayor ATP Cycle I Safe Routes to 303 East B Street (909) 395-2108 School Sidewalk Improvements Ontario, CA 91764 msotomayor(Qontarioca.gov $824,850.88 10/17 City of Inglewood Hunter Nguyen Streets &Alleys Rehabilitation One Manchester Blvd (310) 412-5333 Project Inglewood, CA 90301 hhunter cityofinglewood.org $2,639,330.06 11/17 Owner/Agency Contact Project (Amount & Completion Date) City of Rancho Cucamonga Romeo David Archibald Ave from Hillside Rd PUBLIC WORKS REFERENCES Attachment 2016/2017 10500 Civic Center Drive (909)477-2740 to N. City Limit & Haven Ave Rancho Cucamonga, CA 91730 Romeo.David(a)cityofrc.us Wilson Ave $796,042.98 8/16 City of La Canada Flintridge Greg Kwolek 2016 Citywide Street 1327 Foothill Blvd (818) 790-8880 Resurfacing La Canada Flintridge, CA 91011 gkwolek(a)lcf.ca.gov $1,084,562.67 8/16 City of Huntington Beach Joseph Fuentes Nichols Lane Rehabilitation 2000 Main Street (714) 536-5431 from Slater Ave to Warner Ave Huntington Beach, CA 92648 jfuentes(cDsurfcity-hb.orq $644,000.00 9/16 City of Claremont Vincent Ramos Residental Slurry Preparation 207 Harvard Ave (909) 399-5396 CIP 2016-02 Claremont, CA 91711 vramosCaD-ci.claremont.ca.us $579,000.00 10/16 City of Rancho Palo Verdes Lea Reis Residential Street Rehabilitation 30940 Hawthorne Blvd LReisCcZrpvca.gov Project Phase I Rancho Cucamonga Palos Verdes (310) 544-5307 $2,639,962.68 11/16 City of Cathedral City Bill Simmons Date Palm Dr. & Cathedral 68-700 Avenida Lalo Guerrero (760) 770-0340 Canyon Pavement Rehab Cathedral City, CA 92234 bsimmonsaC)cathedralcity.gov $939,000.00 11/16 City of Moreno Valley Henry Ngo Edgemont Neighborhood 14177 Frederick St (951) 413-3100 Pavement Rehabilitation Moreno Valley, CA 92552 henryn .moval.org $383,000.00 12/16 City of Chino Hills Fe Rama FY 2016-2017 Street 14000 City Center Drive frama .chinohills.org Improvement Project Chino Hills, CA 91709 (909) 364-2600 $1,039,000.00 12/16 County of San Bernardino Melinda Barnes Slover Ave Phase II 825 East 3rd Street McQarnes(a)dpw.sbcounty.gov San Bernardino, CA 92415 (909) 387-7920 $2,405,020.32 1/17 City of Newport Beach Frank Tran MacArthur Blvd Pavement 100 Civic Center Drive ftran(aDnewportbeachca.aov Rehabilitation Newport Beach, CA 92660 (949) 644-3340 $2,142,045.66 3/17 Owner/Agency Contact Info Project Title,Amount& Completion Date City of Huntington Beach Joseph Fuentes Nichols Lane Rehabilitation 2000 Main Street 714-536-5431 From Slater Ave to Warner Ave Huntington Beach, CA 92648 ifuentes@surfcity-hb.org $644,000.00 9/2016 City of Cathedral City Bill Simmons Date Palm Dr& Cathedral Canyon 68-700 Avenida Lalo Guerrero 760-770-0340 Pavement Rehabilitation Cathedral City, CA 92234 bsimmons@cathedralcitv.gov $939,000.00 11/2016 City of Moreno Valley Henry Ngo Edgemont Neighborhood 14177 Federick Street 951-413-3100 Pavement Rehabilitation Moreno Valley, CA 92552 henrynCa@moval.org, $383,000 12/2016 City of Chino Hills Fe Rama FY 2016-2017 Street Improvement 14000 City Center Drive 909-364-2600 Project Chino Hills, CA 9.1709 frama@chinohills.org $1,039,000.00 12/2016 County of San Bernardino Melinda Barnes Slover Ave Phase II 825 East 3rd Street 909-387-7920 San Bernardino, CA 92415 mebarnes@dpw.sbcounty.Rov $2,405,020.32 1/2017 City of Newport Beach Frank Tran MacArthur Blvd Pavement 100 Civic Center Drive 949-644-3340 Rehabilitation Newport Beach, CA 92660 ftran@newportbeachca.gov $2,142,045.66 3/2017 County of Los Angeles Jose Pou 124th Street Et.Al 900 S Fremont Ave 626-458-2191 RDC0013372 Alhambra, CA 91803 jpou@dpw.lacounty.sov $4,304,600.00 12/2014 City of Palos Verdes Estates Jack Rydell FY 14/15 Street Resurfacing 340 Paloo Verdes Dr. West 310-378-0383 Project 14-07 Palos Verdes Estates, CA 90274 jackrydell@caaprofessionals.com $1,187,987.00 12/2014 City of Tustin Eddy Jan 2013-14 Roadway Rehabilitation 300 Centennial Way 714-573-3157 &Sidewalk Repair project Tustin, CA 92780 eian@andpen.com $1,491,543.00 12/2014 City of Pasadena Richard Yee Preventitive Maintenance Street 100 N. Garfield Ave 626-744-4643 Fed ID NO. STPL-5064(081) Pasadena, CA 92570 Richardvee@cityofoasadena.net $1,518,231.24 8/2015 City of Cypress Nick Mangkalakiri 2008/09 Overlay Project 5275 Orange Ave 714-229-6729 Cypress, CA 90630 nmangkalakiri@cypress� $1,366,000.00 6/2009 City of Huntington Beach Eric Charlonne Rehabilitation of Center 2000 Main Street 714-536-5430 Magnolia &Springdale Huntington Beach, CA 92648 echarlonne@surfcity-hb.orR $2,393,000.00 8/2012 City of Laguna Niguel Frank Borges 10-11 Overlay&sub Drain 27791 La Paz Road 949-362-4325 Improvement Laguna Niguel, CA 92677 fborges@ci.laguna-niguel.ca.us $1,573,000.00 4/2011 City of Desert Hot Springs Hal Goldenberg 2012 Street Rehabilitation 65-950 Pierson Blvd 760-329-6411 Program Phase 2 Desert Hot Springs, CA 92240 hgoldenberg@citvofdhs.org $1,212,000.00 11/2012 City of Perris Chris Sunde 2012 Grind &Overlay 101 N "D"Street 951-943-6504 Rehabilitation Perris,CA 92572 chris@trilakeconsultants.com 1$789,000.00 11/2012 City of Pasadena Elvin Jiang 2009 Resurfacing of Streets 100 N. Garfield Ave 626-744-6912 Pasadena, CA 92570 elviniiang@citvofpasadena.net $4,473,000.00 12/2010 City of Laguna Niguel Frank Borges Marina Hills Neighborhood 27791 La Paz Road 949-362-4325 Pavement Rehabilitation Project Laguna Niguel, CA 92677 fborges@ci.laguna-niguel.ca.us $3,738,000.00 5/2018 County of Riverside Trai Nguyen Murrieta Hot Springs Road 3525 14th Street 951-961-5363 Riverside, CA 92501 tnguyen@dpw.sbcountv.gov $1,305,000.00 4/2014 City of Westminster Tuan Pham Brookhurst Street 8200 Westminster Blvd 714-548-3456 Westminster,CA 92683 tpham@westminster-ca.gov $1,116,920.00 3/2014 City of Riverside Steve Howard Arterial Street Maintenance 3900 Main Street 951-826-5708 Riverside, CA 92501 showard@riversideca.gov $4,444,000.00 3/2014 City ofJurupa Valley Mike Myers TRIP Pavement Rehabilitation 8939 Limonite Ave 951-332-6464 Phase I Jurupa Valley, CA 92509 mmyers@iurupavalley.org $1,254,012.21 3/2017 City of Laguna Hills Kenneth H. Rosenfield Arterial Pavement Management 24035 El Toro Rd (949) 707-2655 Project Street Rehabilitation Laguna Hills, CA krosenfield@lagunahillsca.gov $1,275,406.90 5/2017 City of Highland John Egan West Highland Bikeways 27215 Base Line 909-890-1255 Infrastructure& Pavement Improv Highland, CA 92347 iegan@erscinc.com $2,678,788.77 7/2017 City of Irvine Brian Brown Yale Ave Rehabilitation Irvine One Civic Center Plaza 949-724-6000 Center Drive Irvine, CA 92623 bbrown(c@cityofirving.org $2,453,343.83 7/2017 City of Riverside Steve Howard Minor Street Maintenance 3900 Main Street 951-826-5708 Riverside, CA 92501 showard@riversideca.gov $1,543,000.00 4/2014 County of San Bernardino J.D Gayman San Bernardino Ave 825 East 3rd Street 909-387-7924 San Bernardino, CA 92415 LdEayman@dpw.sbcounty.gov $1,577,000.00 6/2014 City of Inglewood Hunter Nguyen Street&Alleys Rehabilitation One Manchester Blvd 310-412-5333 Project Inglewood, CA 90301 hhnter@cityofinglewood.org $2,639,330.06 11/2017 City of Laguna Niguel Frank Borges St. Christopher Neighborhoods 30111 Crown Valley Parkway 949-362-4325 &Via Vetti Pavement Rehabilitation Laguna Niguel, CA 92677 fborges@ci.laguna-niguel.ca.us $1.226.861.00 9/2015 City of Norco Bill Thomas FY 2015-16 Annual Minor Street 2870 Clark Ave 951-735-3900 Rehabilitation Phase I Norco, CA 92860 bthomas@ci.norco.ca.us $777,000.00 10/2015 City of Simi Valley Fuad Shamout FY 2015-16 Annual Minor Street 2929 Tapo Canyon Road 805-318-0661 Rehabilitation Simi Valley, CA 93063 fshamout@simivalley.org $1,213,960.50 11/2015 City of Walnut Natalie Avila Area 1& 2 Street Resurfacing 21201 La Puente Rd 909-594-9702 project (Walnut, CA 91789 Inavila@rkagroui .com I$1,076,200.00 11/2015 BIDDER'S CRITICAL. STAFF The bidder shall provide information to demonstrate that both the Construction Project Manager (office staff) and Construction Superintendent (field staff) proposed for ALLEY REHABILITATION, CC No. 1569 have had similar work experience on at least 3 different projects within the past five years. The proposed critical staff members need not have been employed by the bidder at the time the referenced projects were completed. Please see attached references. 1. Name of proposed Construction Project Manager Phone# of proposed Construction Project Manager: Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed 2. Name of proposed Construction Superintendent Phone # of proposed Construction Superintendent: Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed C-11 DENNIS BEYLE PROFESSIONAL EXPERIENCE Hardy & Harper, Santa Ana, CA 1999 to Present Construction Superintendent Supervise Construction sites for several communities. Establish and manage closing and production schedules for completion of projects. Organize contracts and coordinate with subcontractors to meet production deadlines. Adjust products to meet specific needs of customers. Adapt construction practices to meet the needs of harsh climate. Monitor work completed by subcontractors to ensure product quality. Collaborate with utility companies. Answer service calls and take corrective measures to resolve conflicts. Managed and directed overall construction of multi-million dollar projects. Organize scheduling of sub-contractors and monitored work efficiency, quality and performance. Directed and supervised projects from inception to completion. Track time comparison reports and construction production reports. Hired qualified personnel from designated union labor pool. Work effectively with architects, engineers, and developers. Maintain budgets and schedules. Responsible predominantly for phases of construction from ground breaking to final project. Schedule subcontractor work, material delivery, and material returns. Attend weekly meetings with Management of the customer relating to updates on construction of each individual phase. Organize and see through accelerated schedule to meet needs and deadlines of customers with tight closing dates. Ensure the construction project is completed on time and safely. Track project materials requisitions from the date they were ordered to delivery to construction site to ensure timely delivery. Daily inspections of all ongoing construction projects to ensure all work is being performed in a safe manner and adhere to QA and QC guidelines. Updates on projects such as reaching milestones and achieving customer satisfaction. Industrial Asphalt, Irwindale, CA 1994 to 1999 Procured and maintained necessary equipment and materials. Operated & Maintained equipment used on high volume paving ie., residential & arterial, highways & freeways Performed progress reports for city & state inspectors. Was responsible for safety on the job. Responsible for seeing that all work met job specifications and deadlines. Union Paving, Stanton, CA 1987 to 1994 Mechanics Assistant—achieved general knowledge of equipment used in grading and paving. General Laborer—Hands on training of field operations. Journeyman Asphalt Luteman—Advancement of specialized asphalt placement. Grade Checker—Understanding of slopes, elevations, percentage of active drainage. Operating Engineer—Roller— Subgrade and finish surface. Skiploader— Subgrade and finish surface. Paving Machine—Parking Lots and minor streets. Michael Amundson 246 Chaumont Circle Foothill Ranch, Ca 92610 Amundson29@hotmail.com Phone: (949)-305-4443 OBJECTIVE: To contribute my experience, education and motivation to a dynamic organization that is focused on excellence in the field of construction management. EDUCATION: University of San Diego B.A. Communications/Susiness Administration 6/2000 GPA: 3.3 Honor Roll: 1998, 1999, 2000 USD Men's Baseball team Lettered 1996-2000. All WCC 1"Team 1998/99, 1998/1999 season Team MVP EXPERIENCE: Sequel Contractors, Inc. Santa Fe Springs, Ca 4/2003 -Current Project Manager/ Project Estimator • Currently managing over 6 million dollars in roadway, concrete, electrical and landscape projects. • Estimating Jobs at 9%, Average returns of 12-14% per project for FY 2004-2005 • Estimated over 200 projects with extensive paving„grading, excavation, electrical, concrete, underground and landscaping. • Managed over 30 projects containing paving, grading, excavation, electrical, concrete, underground and landscape. • Manage all aspects of projects horizontally from inception to completion. • Responsibilities include: Negotiating change orders, Contracts, Bonds, Insurance, Scheduling, Coordinating sub-contractors, Gathering quantities, Billings and Quarterly closings. • Currently managing 5 teams of 6 to 15 employees. 3 Current Monthly estimating load of 10 million dollars approx. 5-10 bids per week Proficient using Primavera Project Manager, Microsoft Excel and Word Experience with Microsoft Project Cerdfied Advanced SWPPP training Have produced 10 fully-functional SINPPP/St,IP Plans this year Registered Notary Public in the state of California Current Projects: • City of Laguna Beach: PM, Pavement Rehabilitation Program; $710,000.00, Current • City of South Pasadena: PM, Orange Grove Avenue Improvements; $2,341,000.00 Job Status: Current • City of Palos Verdes Estates: PNI/Estimator, Annual Pavement Overlays Project; $210,000.00 10/0S —Job Status: Current • City of Diamond Bar: PM, Grand Avenue Beautification Project; $1,921,000.00 Job Status: Current • City of Fullerton: PM/Estimator, Residential Street Rehabilitation Project; $880,000.00 Job Status: Current • City of Seal Beach: PM/ Estimator, Annual Pavement Rehabilitation Project; $675,000.00 9/05 - 11/05 • Los Angeles County Public Wori<s Division: PNI/Estimator, Various Street Rehab; $1,375,000.00 3/05—8/05 • City of Pasadena: PNI/Estimator., Orange Grove Median Improvements; $150,000.00 8/OS—9/05 Recently Completed Projects: - • City of Cypress: PM/Estimator, Cypress Acres Street and Storm Orain Improvements 12/04 —3/05; $651,000.00 • City of Rancho Palos Verdes: PE, Residential Streets Overlay 9/04— 12/04; $2,150,000.00 • City of Pasadena: PM/ Estimator, Walnut Ave. Reconstruction Project.7/04— 10/04; $510,000.00 • City of Laguna Hills: PE, Reconstruction of Various Streets in Melly Gail Ranch 6/03 — 10/03; $2,350,000.00 • City of Fullerton: PM/Estimator, City Hall Parking Lot Construction 8/04-10/04; $350,000.00 • City of Anaheim: PNI/Estimator, Anaheim Resort Area Intersection Project 6/04-8/04; $200,000.00 • City of Irvine: PM/Estimator, 'Michaelson Dr. Rehabilitation 8/03-10//03; $350,000.00 • City of Fountain Valley: PNI, Harbor 61vd. Reconstruction 5/04—8/04; $500,000.00 TEAf, Inc. Santa Ana, Ca 9/2001 -4/2003 Sales:Manager, Existing and Developing Accounts Averaged 7.5,000. per mo. Sales, total company sales 110,000. • Responsible For driving sales in both San Diego and Orange Counties • Developed flagship etching design and fabrication for Orange County Drum and Percussion Acrylics division; Blink 182, No Doubt and New Found Glory designs. Private Project Included: Design/-'Build 3-Dime sional Chemical Compound display, AT&T Building: San Jose Ca $85,000.00 Designer: Confidential 7 Design;'Suild Main Class Laminate Displays Nordstrom's Fashion Show Mall, Las degas $120,000.00 Designer: Heartwood Construction Design5uild: Glass Countertops/Splashes for Montbiva Const:u'ion :;an Diego 65,000.00 Glass Showcaser,'Displays for Orleans Casino LV, T umLarr/ Towers LV, Wyiand art Galleries,.Pfizer Building San Diego CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each Contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in abid 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. Hardy&Harper, Inc. Contractor By — ablanchard@hardyandharper.com Email Steve Kirschner-Vice President Title Date: 04/29/19 PWC Registration #: 1000000076 C-12 d o 0 0 .% N m, \O .ELh W O N i0 O o � 12 N N N p � O N _7 C � d � U Q N N 7 Z N T W N N C m E C) J U Q Z Q ¢ H Z Q is t/7 W U C. Q O U O a E 7 Z c o n 0 O _ o N: O O O U Z w a E _ m Z ? — O m � O/ Q J 2 Bid Bond Bid Bond Number:CSBA-10606 CONTRACTOR: SURETY: (Name,legal status and address) (Name,legal status and principal place of business) Hardy&Harper,Inc. Fidelity and Deposit Company of Maryland 32 Rancho Circle 777 South Figueroa Street,Suite 3900 Lake Forest,CA 92630 Los Angeles,CA 90017 OWNER: This document has important legal (Name,legal status and address) consequences.Consultation with City of Huntington Beach An attorney is encouraged with respect 2000 Main Street its completion or modification." Huntington Beach,CA 92648 Any singular reference to Contractor,Surety,Owner or other party shall be considered Plural where applicable. BOND AMOUNT:Ten Percent(109/6)of Amount Bid PROJECT:Alley Rehabilitation from Graham St.to Heil Ave.,CC No. 1569 Project Number,if any: The Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surety bind themselves,their heirs,executors,administrators,successors and assigns,jointly and severally,as provided herein.The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof,or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect.The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid.Waiver of notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time for acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty(60)days. If this Bond is issued in connection with a subcontractors bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project,any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted here from and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.When so furnished,the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 26th day of April.2019 Hardy&Harper.Inc. (Principal) (Seal) (Title) Fidelity and Deposit Company of Maryland (Seal) (fitness) Melissa Ann Vaccaro (Title)Dwight Reilly,Attorney-in-Fact By arrangement with the American Institute of Architects, the National Association of Surety Bond Producers(NASBP) (www.nasbp.o ) makes this form document available to its members, affiliates,and associates in Microsoft Word format for use in the regular course of surety business.NASBP vouches that t the original text of this document conforms exactly to the text in AIA Document A310-2010, Bid Bond. Subsequent modifications may be made to the original text of this document by users,so careful review of its wording and consultation with an attorney are encouraged before its completion, execution or acceptance. 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 4/26/2019 before me, Melissa Ann Vaccaro, Notary Public (insert name and title of the officer) personally appeared Dwight Reilly 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. MELISSA ANN VACCARO WITNESS my hand and official seal. COMM.#2241394 =c g Notary Public-California ORANGE COUNTY LL (� oar" My Comm.Expires May 12,2022 Signature ' _3 �h1�, \CSC fi (Seal) Melissa Ann Vaccaro Bond No.CSBA-10606 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D.Murray,Vice President;in pursuance of authority granted by Article V,Section 8,of the By-Laws of said Companies,which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint, Daniel HUCKABAY, Dwight REILLY, Arturo AYALA, Shaunna ROZELLE OSTROM and Frank MORONES, all of Orange, California, EACH, its true and lawful agent and Attorney-in-Fact, to make, execute, seal and deliver,for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings,and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply,to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York,New York.,the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills,Maryland.,and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland.,in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V,Section 8,of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF,the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 6th day of February,A.D.2019. kr ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Robert D.Murray Vice President v By: Dawn E.Brown Secretary State of Maryland County of Baltimore On this 6th day of February, A.D.2019, before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified,Robert D. Murray,Vice President and Dawn E.Brown,Secretary of the Companies,to me personally known to be the individuals and officers described in and who executed the preceding instrument,and acknowledged the execution of same,and being by me duly swom,deposeth and saith,that he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written. C1. ,,x,1 Constance A.Dunn,Notary Public My Commission Expires:July 9,2019 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V,Section 8,Attomeys-in-Fact. The Chief Executive Officer,the President,or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies, recognizances, stipulations,,undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any such appointment or authority at any time.,, CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate-,and I do further certify that Article V,Section 8,of the By-Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by.facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 1 Oth day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President, Secretary,or Assistant Secretary of the Company,whether made heretofore or hereafter,wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 26th day of April 2019 4r Michael C.Fay,Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND,PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND,THE BOND NUMBER,AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg,IL 60196-1056 www.reportsfclaims(�D,zurichna.com 800-626-4577 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of Orange ) On April 26, 2019 before me, _ Ashlie Blanchard, Notary Public Date Here Insert Name and Title of the Officer personally appeared Steve Kirschner Name of Signerw who proved to me on the basis of satisfactory evidence to be the person(s) whose name(g) is/axe subscribed to the within .instrument and acknowledged to me that he/sKe/they executed the same in his/her/their authorized capacity(iQs), and that by his/hmr/their signature(g)on the instrument the person(sr), 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. ASHLIE BLANCHARD WITNESS my hand and official seal. COMM.#2279550 M Notary Public-Califomia ORANGE COUNTY a Signature Ayh ^ o•" My Comm.Expires March 3,2023 Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Bid Bond Document Date: April 26, 2019 Number of Pages: 1 Signer(s) Other Than Named Above: Dwight Reilly Capacity(ies) Claimed by Signer(s) Signer's Name: Steve Kirschner Signer's Name: ❑✓ Corporate Officer — Title(s): vice Pres'riPnt ❑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: Hardy&Harper, Inc. 02014 National Notary Association - www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 77=0r�-r, inc3trcl cG (,u,�ce�ar���, cft 9 ZlQ3D i1 2,000 Mcu�lStr�e� 57, Off/ CUe400V MY Jc �T R�ha,bi�ifiat�on, t,� Ko �� pity pF Not open With lJgkw Mail City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk September 25, 2019 Onyx Paving Company Inc. 2890 E. La Cresta Ave. Anaheim, CA 92806 RE: Alley Rehabilitation from Graham St. to Heil Ave— CC No. 1569 Enclosed please find your original bid bond for CC-1569. Sincerely, Robin Estanislau, CIVIC City Clerk RE:tm Enclosure Sister Cities. Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of ALLEY REHABILITATION from Graham St. to Heil Ave. CC No. 1569 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 re-advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. G1 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 5ivveW,5 Fz>R ID% in the amount of 10 of f5(D which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond foriO% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 ALLEY REHABILITATION, CC No. 1569 PROJECT BID SCHEDULE Item Contract Bid Item Description Unit Price Extended Amount No. Quantity 1 1 Mobilization ` LS $Z-_�;15� $ 2'711 T per LS 2 1 Furnish Project Traffic Control rr LS per LS 3 2000 Unclassified Excavation Z� CY $ 55_-5c' $ per CY 4 455 Construct Redwood Header I 7 r' 1 LF $ � $ ��q per LF 5 2250 Construct Concrete Alley Gutter LF $ S') $ IZA per LF 6 1000 Construct Type III-C3-PG 64-10 Asphalt Concrete Pavement TN (Depth varies per Plan) $ 'Z --) $ i Z 2j ©Oc) per TN 7 700 Crushed Miscellaneous Base J _ CY $ � $ �' U per CY 8 1300 Construct Concrete Alley Approach SF $ per SF 9 1 Prepare Storm Water Pollution Prevention Plan LS per LS 10 l Water Pollution Control LS $ 5.0Go $ S(Qt?`r per LS Total Amount Bid in Figures: $ Total Amount Bid in Words: 5"V e jV -T3•✓&q - T. ................. I..I.................................................................................................................... ..................... .... 1 ( .. Y S /Yv ��►'' 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 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 q-21-11 , at AKAWE7(M , CA Date City State �(LEy ��I�SGIi�E(Z being first duly sworn, deposes and says that he or she is CEo(Pg�t' w•P./SEC•hazes. of ONUX PAvwc, Coarpx►-uN INC. the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. ONyy PA'Qlioa C,-DM PA¢tJU 10C . Name of Bidder Signature of Bidder Copvv �4,P-Scwr o F-1Z 2ift e, LA � AQkftim , CR Address of Bidder g2gpc' 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 ALLEY REHABILITATION, CC No. 1569, (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. ONUX FAVIN 67 CoMQA&Nq Contractor By Cry kl2Sc#*_)E2 c67D Title Date: �l�R I L C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes �No If the answer is yes, explain the circumstances in the space provided. � l y , 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. O4X PA,VI 1)C GOM PA Qq II.-�C . Contractor By Cp,v P(z� Title Date: ikFP4 L 2`�� ZbN C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name 29go E. LA ClzEsrR Akt Business Address AkAit-e7rNl O A 9128-plo City, State Zip ( 7/' ) (932- (0(0g9 Telephone Number Email Address (0303(1-0 A-, C2 State Contractor's License No. and Class Ib- q- cct,7 Original Date Issued (p- 3( -II Expiration Date The work site was inspected by CoF:vy of our office on A-rP t- IS , 2011. The following are persons, firms, and corporations having a principal interest in this proposal: C�1✓y l��TzSc � C Eo I ates. /V. P. /sEC. /-irn-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. ONU X k?A�J b Cb N�A�t�l I iac r Company Name Signature of Bidder Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this A day of kl?941, , 2019. 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 CALAFoPufA ) County of OPPooC-,E ) On 4WL 21, W0 before me, MBE �IAtA. NOTA9j PuFUG Month, Day, and Year Insert Name and Title of Notary personally appeared C'p¢e�,I �LIfLSGI I�EfZ Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person whose name(} is/afe-subscribed to the within instrument and acknowledged to me that he/may executed the same in his/herftfie-ir authorized capacity(i�), and that by his/h#n4heir 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. MARIE AYALA WITNESS my hand and official seal. Commission #2142913 Z Notary Public-California z Z Los Angeles County MY Comm.Expires Feb 16,2020 Signature C✓tc,f Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 BIDDER'S PROJECT HISTORY AND PUBLIC AGENCY REFERENCES The bidder shall provide information to demonstrate his/her past work experience on projects of similar (or greater) size and scope of the ALLEY REHABILITATION, CC No. 1569. Bidders may submit additional sheets, using the format shown,to further demonstrate his/her history of similar work experience. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: l * Please sew c4ackeJ re��e�ces Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: 2. Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: 3. Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: C-10 BIDDER'S CRITICAL STAFF The bidder shall provide information to demonstrate that both the Construction Project Manager (office staff) and Construction Superintendent (field staff) proposed for OCEAN VIEW ESTATES PARKING LOT EXPANSION, CC No. 1580 have had similar work experience on at least 3 different projects within the past five years. The proposed critical staff members need not have been employed by the bidder at the time the referenced projects were completed. 1. )A\-1 JKi fzScl-NER. Name of proposed Construction Project Manager Phone#of proposed Construction Project Manager: -7 - 7 - 040o -FPS o,J-rkW0 PbuCC- Pr. ea LLL\JEc- 9W-V-WCJ l.oT A•C. PnviuG 2/27119 Project Name& Contract Amount Type of Work Date Completed C]21w(m-Va?-tous sTejem-s u4?i2ovemavr5 GTag5T IMnZOVEMQtYT5 Project Name & Contract Amount Type of Work Date Completed yoR�a Ave* LossErzR oS Cag y Cw�t%R. PAkvEnEA R��rpg►ur�?W 'JlZg/f9 Project Name& Contract Amount Type of Work Date Completed 2. -F -�N(Y U C"V E2 Name of proposed Construction Superintendent Phone#of proposed Construction Superintendent: -?1 y ` 34 S- 2840 T41�arrkwoPoucE�EPr.�tPcoyEE PaRwrxxtar AC PAoioa 2�27�1� Project Name& Contract Amount Type of Work Date Completed Project Name& Contract Amount Type of Work Date Completed �bRbA A%o�-g t.os,-SefaA*)os Couhm?W( Cov e,w. ?AvemD.1T VERAlNuTA1700 Ll sl19 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/PWCR/ActionServlet?action=displayP WCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." 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. ONMX FAVI-0G amfA,&� JNc• Contractor By ebp-o R-ey(@ r)"Ppw wG . IN CT_ Email Title Date: Ap R-1 L 2 99 0 20 l 1 PWC Registration #: (oocoog7-18 C-12 Municipalities & Contact: General Contractors & Project: Contract Amount: City of Ontario The Ontario Police Department $404,000.00 Contact: Christine Booker Employee Parking Lot Paving Management Analyst Date Performed: 1/14/19-2/27/19 Ph: (909)408-1774 City of Banning Citywide Various Streets Improvements $766,000.00 Contact: Kevin Sin Street Improvements Project Manager/Engineer Date Performed: 1/14/19-2/14/19 Ph: (951) 922-3113 City of Chino Hills Yorba Avenue & Los Serranos Country Club Dr. $353,000.00 Contact: Carl Hassel, P.E. Pavement Rehabilitation Senior Engineer Date Performed: 3/5/19-3/28/19 Ph: (909)364-2817 City of Chino Hills Twin Knolls Drive $165,000.00 Contact: Fe Rama, P.E. Pavement Rehabilitation Senior Engineer Date Performed: 2/26/19-4/3/19 Ph: (909)364-2776 City of Rancho Santa Margarita Avenida Epresa Pavement Rehabilitation $576,000.00 Contact: Wilson Levng Street Improvements Principal Engineer Date Performed: 3/19—4/19 City of Desert Hot Springs Desert View Avenue Street Improvements $696,000.00 Contact: Nicholas Haecker Street Improvements Public Works Manager Date Performed: 2/2019—4/2019 Ph: (661) 902-9987 County of Riverside Fullmer Construction $1,048,728.00 Contact: Alec Yzaguirre Optimus Logistics—Webster& Ramona Expressway Senior Engineering Technician Date Performed: 2/2018-11/2018 Ph: (951) 955-6790 1 CREDIT REFERENCES ONYX PAVING COMPANY, INC 2890 E.LA CRESTA AVE ANAHEIM,CA 92806 PHONE: (714)632-6699 DATE ESTABLISHED 1/4/90 CORP. TAX ID.#33-0394344 FAX: (714)632-1883 TYPE OF WORK-ASPHALT PAVING CONTRACTORS LIC. #630360-A SMALL BUSINESS ENTERPRISE#1753955 PRESIDENT: COREY R.KIRSCHNER 14029 SPRINGWATER LN.EASTVALE, CA 92880 BANK: BANK OF THE WEST 4501 E.LA PALMA AVENUE,ANAHEIM, CA 92807 PHONE: (714)777-9620 BRYAN PLOESSEL INSURANCE AGENT: WOOD GUTMANN&BOGART 15901 RED HILL AVE., STE. 100,TUSTIN,CA 92780 PHONE: (714)824-8384 MICHAEL TRAN SURETY AGENT: TURNER SURETY AND INSURANCE BROKERAGE,INC. 5 HUTTON CENTRE, STE. 730,SANTA ANA, CA 92707 PHONE: (714)915-4032 JEREMY PENDERGAST CREDIT REFERENCES: MATICH CORP. P.O.BOX 10,HIGHLAND, CA 92346 (909)382-7400 Steve Matich ALL AMERICAN P.O.BOX 2229,CORONA, CA 92878 (951)736-7600 Cari KELTERITE CORP. 12231 PANGBORN AVE.DOWNEY,CA (562)401-0011 Gladys VULCAN MATERIALS CO. 16013 E. FOOTHILL BLVD, IRWINDALE,CA 91702 (858)530-9414 Debbie GENERAL CONTRACTOR REFERENCES: FULLMER CONSTRUCTION 1725 S.GROVE AVE.,ONTARIO (909)947-9467 Casey Jones BYROM-DAVEY,INC. 13220 EVENING CREEK DR. SOUTH#103,SAN DIEGO (858)513-7199 Steve Davey PACIFIC CONST. GROUP 17895 SKY PARK CIR.,IRVINE,CA 92614 (949)748-1500 Mark Bundy ERICKSON-HALL CONST.CO. 500 CORPORATE DR.,ESCONDIDO,CA 92069 (760)796-7700 Justin Sinnott Printed on: 4/12/2018 1:27:49 PM To verify most current certification status go to: hftps://www.caleprocure.ca.gov CALIFORNIAOSS DEPARTMENT OF GENERAL SERVICES Office of Small Business & DVBE Services Certification ID: 1753955 Email Address: Legal Business Name: onyxpavingcoinc@sbcglobal.net ONYX PAVING CO INC Business Web Page: Doing Business As(DBA) Name 1: Business Phone Number: ONYX PAVING CO INC 714/632-6699 Doing Business As(DBA) Name 2: Business Fax Number: 714/632-1883 Address: Business Types: 2890 EAST LA CRESTA AVE Construction ANAHEIM CA 92806 Certification Type Status From To SB Approved 04/12/2018 04/30/2020 Stay informed! KEEP YOUR CERTIFICATION PROFILE UPDATED! -LOG IN at Cale P rocu re.CA.GOV Questions? Email: OSDSHELPC DGS.CA.GOV Call OSDS Main Number: 916-375-4940 707 3rd Street, 1-400, West Sacramento, CA 95605 State of California s .r r•,�f Secretary of State Statement of Information G076477 (Domestic Stock and Agricultural Cooperative Corporations) FEES (Filing and Disclosure): $26.00. FILED If this is an amendment,see instructions. IMPORTANT READ INSTRUCTIONS BEFORE COMPLETING THIS FORM In the office of the Secretary of State 1. CORPORATE NAME of the State of California ONYX PAVING COMPANY, INC. OCT-01 2018 2. CALIFORNIA CORPORATE NUMBER C1659076 This Space for Filing Use Only No Change Statement (Not applicable if agent address of record is a P.O.Box address. See instructions.) 3. If there have been any changes to the information contained in the last Statement of Information filed with the California Secretary of State,or no statement of information has been previously filed,this form must be completed in its entirety. If there has been no change in any of the information contained in the last Statement of Information filed with the California Secretary of State,check the box and proceed to Item 17. Complete Addresses for the Following (Do not abbreviate the name of the city. Items 4 and 5 cannot be P.O.Boxes.) 4. STREET ADDRESS OF PRINCIPAL EXECUTIVE OFFICE CITY STATE ZIP CODE 2890 E. LA CRESTA AVE.,ANAHEIM,CA 92806 5. STREET ADDRESS OF PRINCIPAL BUSINESS OFFICE IN CALIFORNIA,IF ANY CITY STATE ZIP CODE 2890 E. LA CRESTA AVE.,ANAHEIM,CA 92806 6. MAILING ADDRESS OF CORPORATION,IF DIFFERENT THAN ITEM 4 CITY STATE ZIP CODE Names and Complete Addresses of the Following Officers (The corporation must list these three officers. A comparable title for the specific officer may be added;however,the preprinted titles on this form must not be altered.) 7. CHIEF EXECUTIVE OFFICER/ ADDRESS CITY STATE ZIP CODE COREY KIRSCHNER 2890 E. LA CRESTA AVE.,ANAHEIM, CA 92806 8. SECRETARY ADDRESS CITY STATE ZIP CODE COREY KIRSCHNER 2890 E. LA CRESTA AVE.,ANAHEIM, CA 92806 9. CHIEF FINANCIAL OFFICER/ ADDRESS CITY STATE ZIP CODE COREY KIRSCHNER 2890 E. LA CRESTA AVE.,ANAHEIM, CA 92806 Names and Complete Addresses of All Directors, Including Directors Who are Also Officers (The corporation must have at least one director. Attach additional pages,if necessary.) 10. NAME ADDRESS CITY STATE ZIP CODE COREY KIRSCHNER 2890 E. LA CRESTA AVE.,ANAHEIM, CA 92806 11. NAME ADDRESS CITY STATE ZIP GODE 12. NAME ADDRESS CITY STATE ZIP CODE 13. NUMBER OF VACANCIES ON THE BOARD OF DIRECTORS,IF ANY: Agent for Service of Process If the agent is an individual,the agent must reside in California and Item 15 must be completed with a California street address, a P.O. Box address is not acceptable. If the agent is another corporation,the agent must have on file with the California Secretary of State a certificate pursuant to California Corporations Code section 1505 and Item 15 must be left blank, 14. NAME OF AGENT FOR SERVICE OF PROCESS COREY KIRSCHNER 15. STREET ADDRESS OF AGENT FOR SERVICE OF PROCESS IN CALIFORNIA,IF AN INDIVIDUAL CITY STATE ZIP CODE 2890 E. LA CRESTA AVE.,ANAHEIM,CA 92806 Type of Business 16. DESCRIBE THE TYPE OF BUSINESS OF THE CORPORATION ASPHALT PAVING SERVICES 17. BY SUBMITTING THIS STATEMENT OF INFORMATION TO THE CALIFORNIA SECRETARY OF STATE, THE CORPORATION CERTIFIES THE INFORMATION CONTAINED HEREIN,INCLUDING ANY ATTACHMENTS,IS TRUE AND CORRECT. 10/01/2018 AFSHIN HAKIM ATTORNEY DATE TYPE/PRINT NAME OF PERSON COMPLETING FORM TITLE SIGNATURE SI-200(REV 0112013) Page 1 of 1 APPROVED BY SECRETARY OF STATE Bid Bond No. TS01297 Document A310 TM - 2010 Conforms with The American Institute of Architects AIA Document 310 Bid Bond CONTRACTOR: SURETY: {.'Fame,legal,status and address) ('Wayne,legal slates antiprincipal place afhaviiie-cs) Onyx Paving Company, Inc. The Ohio Casualty Insurance Company 2890 E La Cresta Ave. 175 Berkeley St. This document has important Anaheim, CA 92806 Boston, CA 02116 legal consequences.Consultation with an attorney is encouraged with respect to Its completion or OWNER: modification. (Nmne,legal status and addr=) Any singular reference to City of Huntington Beach Contractor,Surety,Owner or 2000 Main Street other party shall be considered Huntington Beach, CA 92648 plural where applicable. BOND AMOUNT: $ Ten Percent(10%)of Amount Bid PROJECT: (Name.location or address and 14roJect member,itagi) CC No. 1569-Alley Rehabilitation 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 Contmctor,and the Contractor either(1)enters into a contract+rith 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 other►riso acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material famished in the prosecution thereof,or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perlbrm the work covered by said bid,then this obligation%hall be null and void,otherwise to remain in Pull three and ctfecl.The Surety hereby waives any notice of an agreement between the Oww»er and Contractor to extend the fime in which the Owner may accept the bid.Waiver of notice by ilia Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time ibr acceptance of*bids specified in the bid documents,and the O►ttiier and Contractor%hall obtain the Surely?s consent for an extension beyond sixty(60)days. If this Bond is issued in connection frith a subcontractor's bid to a Contractor.the terms Contractor in this Bond shall be dccnied to be Subcontractor and the torn Owner shall be deemed to be Contractor. Wien this Bond has been furnished to comply with a statutory or other legal requirement in the location ot'the project,any provision in this Mond conflicting wilh said statutory or legal requirement shall be deemed deleted herefrom and provisions conlumring to such statutory or other legal requirement shall be deemed incorporated herein.When so rumished,the intent is that this Bond%hull be constnred as a staturory band and not as a common law bond. Signed and scaled th' 25th day of April, 2019 Onyx Paving Company, Inc. (Principal) (Seal) (Jhlnness) gr,14R'"PON By (title) �ppr✓y wszsc eR,Cr IPPes. The Ohio Casualty Insurance Company (SurCq) 'ltrnec,) Joe D. Lowell By: __-- (rtle) Kerissa RicciaAlF,Attorney-in-Fact S-00541AS 8/10 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE $ 1189 A notary public or other officer completing this certificate verifies onlythe 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 l County of ORA-1�3ae J} On kFW t- Z(o, ZOl9 before me, MAT Pt jp�- � I tD)OTA" 'Poe uc- Date nI I/ Here Insert Name and Title of the Officer personally appeared A►» AiJA- E,±Y FofJ Names)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s)whose names),X/are subscribed to the within instrument and acknowledged to me that he/sihe/they executed the same in his/+eF/their authorized capacity(ies), and that by hls/ber/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 MARIE AYALA laws of the State of California that the foregoing Commission #2142913 Notary Public-California z paragraph is true and correct. Z ' Los Angeles County ' WITNESS my hand and official seal. My Comm,Expires Feb 16,2020 Signature Place Notary Seal and/or Stamp Above Signature of Notary Public 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: 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 of Conservator ❑ Trustee ❑ Guardian of Conservator ❑ Other: 0 Other: Signer is Representing: Signer is Representing: ©2017 National Notary Association ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies,only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On April 25, 2019 before me, Joe D. Lowell, Notary Public (insert name and title of the officer) personally appeared Kerissa Ricciardi 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. mISIMy JOE D. LOWELL ED / COMM...2166306 0 NOTARY PUBtJC-0 A AUFM --I toWS ANUS COUNTY W Tenn .October 26,2020 Signature (Seal) This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. Liberty Liberty Mutual Insurance Company Mutual. The Ohio Casualty Insurance Company Certificate No:8200724-986376 SURETY West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Jeremy Pendergast,Kerissa Ricciardi,Andrew Waterbury all of the city of Santa Ana state of California each individually if there be more than one named,its true and lawful attomey-in-fact to make, execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 14th day of March 2019 Liberty Mutual Insurance Company P�1NSU PV11 INS& a %NSIJ The Ohio Casualty Insurance Company �J ooa°o& !p yJ �oaPO�r�RCy \GQ�oaPO^4r'tp West American Insurance Company >. CU 1912 0 0 1919 n f 1991 C) to> s •s o c O rn � YdC*HU O ylAfA � D 'l IAP 3 r C By: David M.Carey,Assistant Secretary .,..r 0 State of PENNSYLVANIA ss c a) ca 0 County of MONTGOMERY ca 01 at On this 14th day of March 2019 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance o o Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes CU� o > therein contained by signing on behalf of the corporations by himself as a duly authorized officer. cr W IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. a) a N to St, PAST Cl) 0 NwF F< COMMONWEALTH OF PENNSYLVANIA ,®/-' Q Notarial Seal O �Q/�� OF Y Teresa Pastella,Notary Public 0 ` C O Upper MarionTwp.,Montgomery County By: N C t6 "�, �P My Commission Expires March 28,2021 E Ns,2vv pTeresa Pastella,Notary Public 0 W Member,Pennsylvania Association of Notaries a C:)(aCD N P� y O a) This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual o.� Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: o i ARTICLE IV-OFFICERS:Section 12.Power of Attorney. o [2 Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or the -0 > President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety >o M C any and all undertakings,bonds,recognizances and other surety obligations.Such attomeys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall r N > have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.When so executed,such—°D Zinstruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attomey-in-fact under the w cr i provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. o 0 ARTICLE XIII-Execution of Contracts:Section 5.Surety Bonds and Undertakings. 0— Any officer of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairman or the president may prescribe,H shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings, bonds,recognizances and other surety obligations.Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company.When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in- fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Authorization-By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed. I,Renee C.Llewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing'is a full,true and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 25th day of April 2019 1NSLR 11 INS 1NSH =4 aeo j o co 1912 �_ 1919 'u 1991 s O Q O B dJ1, 4CH%3 �a�T �O NAMPS D� Y �NDIANP a� y• � * �yt Via, Renee C.Llewellyn,Assistant Secretary LMS-12873 LMIC OCIC WAIC Multi Co 062018 q 3 ONYX PAVING COMPANY INC. 2890 E.LA CRESTA AVE ANAHEIM,CA 92806 CA LIC# 630360 A DIR# 1000004798 SBE# 1753955 "SEALED BID" for ALLEY REHABILITATION,CC No. 1569 in the CITY OF HUNTINGTON BEACH-DO NOT OPEN WITH REGULAR MAIL DELIVER TO THE OFFICE OF THE CITY CLERK,2000 MAIN STREET, SECOND FLOOR � rj 2s �� p� _e,rE-a.�F«y By ►�.413o(q) City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk September 25, 2019 Palp Inc. dba Excel Paving 2230 Lemon Ave. Long Beach, CA 90806 RE: Alley Rehabilitation from Graham St. to Heil Ave— CC No. 1569 Enclosed please find your original bid bond for CC-1569. Sincerely, 4q4OU Robin Estanislau, CIVIC City Clerk RE:tm Enclosure Sister Cities. Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of ALLEY REHABILITATION from Graham St. to Heil Ave. CC No. 1569 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 re-advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the 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. "TEN PERCENT OF AYOUNT BID' Accompanying this proposal of bid, find TI D bDID in the amount of which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for % ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: N we Addenda No. Date Received Bidder's Signature C-2 ALLEY REHABILITATION, CC No. 1569 PROJECT BID SCHEDULE Item Contract Bid Item Description Unit Price Extended Amount No. Quantity 1 1 Mobilization LS $ 'ADOM $ A00oo per LS 2 1 Furnish Project Traffic Control LS $yea $ 3801,E per LS 3 2000 Unclassified Excavation CY $ too — $ U-)0000 f per CY 4 455 Construct Redwood Header LF $ �p, , per LF 5 2250 Construct Concrete Alley Gutter LF $ L6, — $ Ot per LF 6 1000 Construct Type III-C3-PG 64-10 Asphalt Concrete Pavement TN (Depth varies per Plan) $ —1 - — $ -lot 000 per TN 7 700 Crushed Miscellaneous Base CY $ �, ' $ &5-ow ' per CY 8 1300 Construct Concrete Alley Approach SF $ �1. ' $ I, k00, per SF 9 1 Prepare Storm Water Pollution Prevention Plan LS $ low- $ 1000, per LS 10 1 Water Pollution Control LS $ 3000. - $ 3600 ' per LS FTotalAmount Bid in Figures:$ `j 0 J516. — �y�� Total Amount Bid in Words:..... ...14J..VfiQ..''o.... r. ? !..1�..!Ll......11ks .r' .................................. ... ............................................... .. v' ( ')6f CEO Ddfia 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 $1 0. whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR %of Item(s) Subcontractor License Number Contract Number t.1vP,Gs r ra4C (k 9Use 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 p is that the foregoing is true and correct and that this declaration is executed onAE 0 2 �81MTBEACH Q%LIFC;3X!A Date City State Curtis P. Brown III being �fApjb, ft)DWorn, deposes and says that he or she is President of t=X66-16 RA0NG COMPANY the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. FALP. ;NC DBA EXCEL PAVING COMPANY Name of Bidder S' ature of Bidder ourtis F. Brown III President 2230 LEMO.J AVENUE Address of Bidder C-4 CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of Los Angeles } On APR 02019 before me, R. Covington, Notary Public g rY , (Fiere insert name anf a o.Tie officer personally appeared Curtis P. Brown III who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/*6" executed the same in his/I ( ir authorized capacity(ies), and that by his/hext9midr 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. `'- R.COV11vGTON COMI M.#2157s07 Ell :w NOTARY PUBLIC CALIFORNIA LOS ANGELES COUNTY Niv Commission Expiros 06/24i2020 Notary lPublic Slgnat (Notary Public Seal) INSTRUCTIONS FOR COMPLETING THIS FORM ADDITIONAL OPTIONAL INFORMATION Thtsform complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT ifneeded,should be completed and attached to the document.Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to Wolate California notary law. (Title or description of attached document) • State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title(notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. he/she/they,-is/ere)or circling the correct forms.Failure to correctly indicate this ❑ Individual (s) information may lead to rejection of document recording. )0( CorDorate Officer • The notary seal impression must be clear and photographically reproducible. President Impression must not cover text or lines. If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. ❑ Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other Indicate title or type of attached document,number of pages and date. ❑ Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). 2015 Version www.NotaryClasses.com 800-873-9865 • Securely attach this document to the signed document with a staple. 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 ALLEY REHABILITATION, CC No. 1569, (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. PALP, INC DBA EXCEL PAINING COMPANY Contractor 41, By Curtis P. Brown III President Title Date: APR 3 0 1019 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 violaZN ion of law or a safety regulation? ❑ Yes o If the answer is yes, explain the circumstances in the space provided. 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. PALP. #,Nc DBA EXCEL PAVING COh1PANY Contractor By 74 Curtis P. Brown III President Title Date: APR 3 0 201q C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name PALP, INC DBA EXCEL PAVING Business Address LONG BEACH, CA 90806 City, State Zip ) (to 599-5241 estimating[excelpaving.net Telephone Number Email Address STATE U.C. 638651 A' State Contractor's License No. and Class h„►ay Original Date Issued Expiration Date 'I The work site was inspected by AN* P&MA . of our office on %A1j1q 2019. The following are persons, firms, and corporations having a principal interest in this proposal: BA VPNY EXCEL PAVING C Curtis P.Brown III President and Chief Executive Officer David A.Drukker Vice President and ChietFinancia roffim Marcia S.Miller Secretary The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed Work and improvements in accordance with the plans and specifications set forth. PAL.P: NC DBA EXCEL PAVING COh1PANY Company Name Signa a of Bidder Curtis P. Brown III President Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this_day of APR 3 n 901,9201_. 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 CAUFsri MA ) County of LOS ANGEL ES ) On APR 8 0 2019 before me, �,( in Month, Day, and Year Insert 111ame and Title of Notary personally appeared Curtis P. Brown III Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature L�21� Signatureo Notary Public (PLACE NOTARY SEAL ABOVE) R.COVINGTON CL COMM.#2157907 NOTARY PUBLIC-CALIFORNIA LOS ANGELES COUNTY 3es1siiitseeDalaiiIi1iiifii11121arsi C-9 BIDDER'S PROJECT HISTORY AND PUBLIC AGENCY REFERENCES The bidder shall provide information to demonstrate his/her past work experience on projects of similar (or greater) size and scope of the ALLEY REHABILITATION, CC No. 1569. Bidders may submit additional sheets, using the format shown,to further demonstrate his/her history of similar work experience. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: ;�E AT711CK�� 1. Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: 2. Name and Address of Public Agency Name and Phone# of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: 3. Name and Address of Public Agency Name and Phone# of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: C-10 BIDDER'S CRITICAL STAFF The bidder shall provide information to demonstrate that both the Construction Project Manager (office staff) and Construction Superintendent (field staff) proposed for ALLEY REHABILITATION, CC No. 1569 have had similar work experience on at least 3 different projects within the past five years. The proposed critical staff members need not have been employed by the bidder at the time the referenced projects were completed. 1. Name of proposed Construction Project Manager Phone# of proposed Construction Project Manager: Project Name& Contract Amount Type of Work Date Completed Project Name &Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed 2. Name of proposed Construction Superintendent Phone#of proposed Construction Superintendent: Project Name & Contract Amount Type of Work Date Completed Project Name& Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each Contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/P WCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary Contractor, as well as for ALL subcontractors at the time of submitting the bid. PALP. iNC- DBA EX0EL PAVING COWANY Contractor By Curtis P. Brown III President cstimatingoexceiaavina net Email Curtis P. Brown III President Title Date: APR 3 0 7019 PWC Registration#: C-12 Current Jobs-References (Mar- 2019) Cont# Agency/Location Job Name/location: Dates/Amount of Project #5614 C/O Baldwin Park Frazier St Impvts 11/18-Current(4/2019) WP 14403 E. Pacific Ave, Baldwin Park Ca 1,027,574- Chase Fidler 626-960-4011 ext 473 cfidler@baldwinpark.com #5432 City of Inglewood Century Blvd Mobility 7/18- Current(2/2020) DR One Manchester Blvd,lnlgewood Ca $18,422,376-Current Albert Mendoza 213-847-4776 amendoza@citvofinplewood.org M 0 #5432 City of Los Angeles Century Blvd Ext 6/17- 11/30/18 DR 1149 S.Broadway, Los Angeles Ca $12,866,081-13,351,236. Alvaro Prada 213-847-4776 aIyaro.prada@lacity.org #5572 City of Ontario OMSC Pavement Rehab 5/2/18- Current(4/2019) DR 303 E B St Ontario Ca $2,649,321- Steve Gratwick 909-395-2000 Sgratwick@Ontario.gov #5565 Burbank-Pasadena Airport Airport Parking Gates 4/12/18-12/18 Current DD 2627 Hollywood Wy Blg 9 Burbank Ca $3,147,872.- Karen Sepulveda 818-565-1305 ksepulveda@bur.org #5533 City of Compton Street Pvmnt Rehab 2/01/19-Current(5/2019) DL 205 S.Willowbrook Ave Compton $1,610,000- John Strickland 310-605-5500 'strickland@comptoncity.org #5566 C/O Glendale Kenneth Rd Rehab 14/20/18-11/2018 LF 613 E Broadway Glendale ca $1,228,619-1,302,975 Arthur Asaturyan 818-548-3945 aasaturvan@glendaleca.gov #5548 City of Whittier Uptown Surface Lot 2/16/18-8/2018 WP 13230 Penn St,Whittier Ca $929,734-$914,420. Alfredo Hernandez 562-567-9512 ahernandez@cityofwhittier.org #5545 City of Commerce Pavement Rehab 2/9/2018-7/2018 BJ 2535 Commerce Wy, Commerce Ca $3,736,161.- Ali Ca yir 323-722-4805 ali.cavir@transtech.org #5556 City of San Clemente Calle Miguel St Rehab 03/2018-7/2018 TC 910 Calle Negocia#100,San Clemente Ca $736.431-728,756 Gary Vaborsky 949-361-8200 vaborskvg@san-clemente.org 5469 City of Redondo Beach Res.Street Rehab 06/2017- 10/2017 BJ 415 Diamond St,Redondo Beach,Ca $2,283,063-1,739,861 Javier Urista 310-318-0661 iavier.urista@redondo.org 5469 City of Rancho Palos Verdes Miraleste Dr 05/2017- 12/2017 BJ 30940 Hawthorne Blvd,Rancho Palos Verdes $1,624,411-$1,725,586. Charles Eden 310-544-5282 charlese@rpvca.gov 5454 City of Glendale Ocean View Blvd Rehab 04/2017- 5/2018 DID 613 E Broadway,Glendale Ca $1,374,874-1,530,334. Armond Simonian 818-937-8250 asimonian@Glendaleca.gov 5443 City of Lynwood Long Beach Blvd 02/2017- Current DID 1130 Bullis Rd,Lynwood Ca $3,128,879-Current Nick Servin 310-603-0220 x832 nservin@Iynwood.ca.us 5453 City of Rancho Santa Margarita Annual Res.Overlay 04/2017- 5-31-17 DD 22112 El Paseo,Rancho Santa Margarita,ca $429,872-422,155 Wilson Levng 949-635-1800 lwlevn @cityofrsm.org 5456 Burbank Airport Runway 15-33 Rehab 04/2017- 1-12-18 DID 2627 Hollywood Wy Bldg 9, Burbank Ca $9,334,568-9,242,840. Karen Sepulveda 818-565-1305 ksepulveda@bur.org 5468 City of Walnut Amar Rd Rehab 05/2017- 10/2017 BJ 21201 La Puente Rd $3,120,020-3,105,532 Branden Chen 909-594-9702 bchen@rkagroup.com 5463 City of Lomita Narbonne Pave Rehab 05/2017- 11/2017 BJ 24300 Narbonne Ave, Lomita Ca.90717 $1,019,007-1,056,728 Monduer Saied 310-325-7110 ).saied@lomitacity.org 5387 City of Glendale Prop 84 Green Streets 05/2017- 1012017 TC 613 E. Broadway,Glendale,CA 91206 $2,223,985-2,419,868 Saarkis Oganesyan 818-548-3945 soganesyan@glendaleca.gov 5343 C/O Torrance N.Wells Field Impry 04/12/2016-10/2017 (Recycled ater&Domestic Water KC 3031 Torrance Blvd,Torrance,CA 90503 Imprv) 2.164,034-2,205,998 John Dettle 310-618-5990 jdettle@torranceCA.GOV 5331 C/O Whittier Palm Ave 02/18/2016-12/2016 JM/DD 13230 Penn St,Whittier,CA 90602 $1,063,434/$1,093,223 Kyle Cason 562-567-9511 kcason@cityofwhittier.ORG 5365 City of San Clemente Major St Maintenance 15/23/2016-12/2016 TC 100 Avenida Presidio,San Clemente,CA 92672 1$411,382/$323,646 Gary Voborsky 1949-361-6132 ivoborskyg@san-clemente.org 5359 C/O Laguna Niguel Citywide Pavement 05/10/2016-09/O1/2016 TC 30111 Crown Valley Pkwy,Laguna Niguel $2,863,000/$2,391,548 Frank Borges 949-362-4325 fborges@cityoflagunaniguel.org 5353 BNSF SB Auto Yard Track Expansion 04/22/2016-09/2016 ER 1685 Santa Fe Way,San Bernadino,CA 92410 $2,119,981/$1,907,995 Khy Lim 626-372-9504 khy.lim@wilsonco.com 5338 C/O Duarte Las Lomas Rd 03/15/2016-07/2016 BJ 1600 Huntington Dr,Duarte,CA 91010 $207,093/$260,277 Rafael Casillas 626-357-7931 rcasillas@accessduarte.com 5333 C/O Bellflower Parkig Dist No 1 02/29/2016-07/2016 DD 16600 Civic Center Dr,Bellflower,CA 90706 $222,962/$218,575 Jerry Stock 562-804-1424 jstock@bellflower.org 5314 C/O Bellflower Bellflower Blvd 12/22/2015-07/2016 DD 16600 Civic Center Dr,Bellflower,CA 90706 $1,164,847/$1,271,297.87 Philip Wang 562-804-1424 pwang@bellflower.org 5372 County of Orange Esplanade&Chapman 06/03/2016-07/2016 WP 300 N.Flower St,Santa Ana,CA 92703 $424407/$1,751,645(final) Bruce Poma 714-955-0214 bruce.poma@ocpw.ocgov.com 5326 C/O Pico Rivera Citywide Roadway Impvt 02/03/2016-06/03/2016 BJ 6615 Passons Blvd,Pico Rivera,CA 90660 $267,213/$303,815 Robert DelGadio 562-801-4364 rdelgadillo@pico-rivera.org 5288 C/O Lomita Oak St-Watermain/Pavement 10/05/2015-02/12/2016 P 24300 Narbonne Ave,Lomita,CA 90717 - $1,727,682/$1,717,692 ' Mark McAvoy 310-325-7110 im.mcavoy@lomitacity.com 5153 C/O Los Angeles Discovery of Science 05/2014-08/2015 JM 1149 S.Broadway,LA,CA 90015 $1,288,823/$1,252,853 Richard Campbell 213-847-4715 richard.campbell@lacity.org 5164 C/O Santa Ana Grand Ave 06/2014-08/2015 DD 20 Civic Center Plaza 92701 $3,179,058/$3,709,886 Tyrone Chesanek 714-647-5045 tchesanek@santa-ana.org 5139 C/O Glendale Glendale Ave 04/03/2014-06/30/2015 JM 613 E.Broadway,Glendale,CA 91206 $4,046,874/$4,311,174 Jasmina Zigic 818-937-8255 jzigic@glendaleca.gov 5184 C/O Inglewood Storm Drain Impvt 08/2014-06/2015 KC 1 W.Manchester Blvd,Inglewood,CA 90301 $582,267/$504,133 Boytrese Osias 310-412-5333 bosias@cityofinglewood.org 5171 C/O Torrance 190th 07/2014-06/2015 WP 3031 Torrance Blvd,Torrance,CA 90503 $448,887/$423,729 Davina Buenavista 310-618-3057 dbuenavista@torranceca.gov 5201 C/O Santa Monica Parking Lots 10&11 09/11/2014-05/2015 WP 1685 Main St,Santa Monica,CA 90401 $245,897/$203,084 Zubaid Mizan 310-458-8726 zubaid.mizan@smgov.net 5162 C/O Fullerton Berkley Ave 06/2014-02/2015 DR 303 W.Commonwealth Ave.,Fulerton,CA 92832 $558,584/$628,541 Kevin Kwak 714-738-6853 kevinkw@cityoffullerton.com 5197 C/O Laguna Beach 12/13 Street Rehab 09/2014-01/2015 TC 505 Forest Ave,Laguna Beach,CA 92651 $1,089,451/$1,133,470 Mark Trestik 949-863-0588 mtrestik@lagunabeachcity.net Bond No. Hid Bond BID BOND The American Institute of Architects, AIA Document No.A310(February, 1970 Edition) KNOW ALL MEN BY THESE PRESENTS,that we PALP Inc.dba Excel Paving Company as Principal herema$er Calf the Principal,and Federal Insurance Company a corporation duly organized wider the laws ofthe state of Indiana as Surety, hereinafter called the Surety, are held and fianly bound unto City of Huntington Beach as Obligee,hereinafter called the Obligee,in the sun of Ten percent of the total amount of the bid Dollars (S 10% ), for the payment of which sure well and truly to be made,the said Principal and the said Suety, bind ourselves,our heirs,executors,administrators,successors and assigns,jointly and severally, firmly by these presents. WHEREAS,the Principal has submitted a bid for Alley Rehab(CC1560) NOW,T WAUORE,if the Obligee shall accept the bid of the Princlipal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient suety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to eater such Contract and give such bond or bonds,if the Principal shall pay to the Obligee the dif crence not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good Faith contract with another party to perform the Work covered by said bid,then this obligation shall be mull and void,otherwise to remain in full force and effiect. Signed and sealed this 15th day of April , 2019 PALP Inc.dba Excel Paving Company Curtibrowl MARCIA S. MILLER, CORP. SECRETARY By. President NauneJritle Federal Insurance Company Surely (Seal) WltffiSS By: r�� Q, �" Douglas app weMoney-in-Fad ORSC 21328(5197) ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On _April 15, 2019 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp who proved to me on the basis of satisfactory evidence to be the person() whose name( is/afe subscribed to the within instrument and acknowledged to me that he/eheAl4ey executed the same in his/-h�f authorized capacity{t ), and that by his heh4hei signature(* on the instrument the person(e), 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. DEBRASWANSdN w COMM. #2170759 X —,d o NOTARY PUBLIC-CALIFORNIA CA ORANGE COUNTY N MY COMM.EXP.NOV 10.2C20 Signature 1� _ ����1�(�� (Seal) Chubb POWER Federal Insurance Company Attn: Surety Department OF Vigilant insurance Company 15 Mountain View Road Surety ATTORNEY Pacific Indemnity Company Warren,NJ 07059 tcNiues Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Douglas A. Rapp and Timothy D. Rapp of Aliso Viejo, each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise, bonds and undertakings and other writings obligatory in the nature thereof(other than Bail bonds)given or executed in the course of business,and any instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to in said bonds or obligations. In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seals on this 16th day of December,2011. Kenneth C.Wendel,Assistant Secretary .Norris,Jr.,Vice President STATE OF NEW JERSEY ss. County of Somerset On this 16th day of December, 2011 before me,a Notary Public of New Jersey,personally came Kenneth C.Wendel,to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Kenneth C. Wendel, being by me duly sworn, did depose and say that he Is Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of the By-Laws of said Companies;and that he signed said Power of Attorney as Assistant Secretary of said Companies by like authority;and that he is acquainted with David B.Norris,Jr.,and knows him to be Vice President of said Companies;and that the signature of David B.Norris,Jr.,subscribed to said Power of Attomey is in the genuine handwriting of David B.Norris,Jr.,and was thereto subscribed by authority of said By- Laws and in deponent's presence. ,Notarial Seal 3.AOF KATHERINE J.ADELAAR OZoy `9 NOTARY PUBUC OF NEW JFKSFI No.2316685 G�r LLCM/ CoMM41 ion Eirpil'es July 14,2014 V Notary Public CERTIFICATION Extract from the By-Laws of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY: "All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company,either by the Chairman or the President or a Vice President or an Assistant Vice President,jointly with the Secretary or an Assistant Secretary, under their respective designations. The signature of such officers may be engraved,printed or lithographed.The signature of each of the following officers:Chairman,President,any Vice President,any Assistant Vice President,any Secretary, any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.' I,Kenneth C.Wendel,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY (the'Companies'do hereby certify that (i) the foregoing extract of the By-Laws of the Companies Is true and correct, (i) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are authorized by the U.S.Treasury Department;further,Federal and Vigilant are licensed In Puerto Rico and the U.S.Virgin Islands,and Federal is licensed in American Samoa,Guam,and each of the Provinces of Canada except Prince Edward Island;and (iii) the foregoing Power of Attorney is true,correct and in full force and effect Given under my hand and seals of said Companies at Warren,NJ this 15th day of April,2019 +�OIAN� RN *~!W Kenneth C.We el,Assistant Secretary IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM,VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER,PLEASE CONTACT US AT ADDRESS LISTED ABOVE,OR BY Telephone(908)903-3493 Fax(908)903-3656 e-mail: suretyQchubb.corn Form 15-10-0225B-U (Ed.5-03.) CONSENT CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of Los Angeles } On APR 3 0 2019 before me, R. Covington, Notary Public , ere insert name ana Inte OT me a icer personally appeared Curtis P. Brown III and Marcia S. Miller , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) iWare subscribed to the within instrument and acknowledged to me that Wake/they executed the same in lksAwftheir authorized capacity(ies), and that by hcx herJtheir signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. �®�A&5'�C891i104EIia0Wd6829SQ6lCf6FB��E6 R.COVINGTON WITNESS my hand and official seal. B T' 1 COMM.#2157907 o NOTARY PUBLIC-CALIFORNIA LOS ANGELES COUNTY My Commission Expires 06/24/2020 I \ %reresss®saceIIseses�®�oEbs®sem®eae®cq� Notary Public Signature (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT if needed,should be completed and attached to the document.Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary law. (Title or description of attached document) • State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title(notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. he/she/dwy;is lire)or circling the correct forms.Failure to correctly indicate this ❑ Individual (s) information may lead to rejection of document recording. ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. ❑ Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other Indicate title or type of attached document,number of pages and date. ❑ w Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). 2015 Version www.NotaryClasses.com 800-873-9865 • Securely attach this document to the signed document with a staple. PALP.INC DBA EXCEL PAVING 2230 LEMON AVE LONG BEACH,CA 90806 !7 r) C"elt4r-IeV F3y-k-- 4-150t,9) r 0111 co City of Huntington Beach _ 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk September 25, 2019 R. J. Noble Company 15505 E. Lincoln Ave. P. O. Box 620 Orange, CA 92856 RE: Alley Rehabilitation from Graham St. to Heil Ave— CC No. 1569 Enclosed please find your original bid bond for CC-1569. Sincerely, *ouliGt� � Robin 5stanislau, CMC City Clerk RE:tm Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of i ALLEY REHABILITATION from Graham St. to Heil Ave. CC No. 1569 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 re-advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. f G1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY's notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY's option, be considered null and void. Accompanying this proposal of bid, find ------------------"-------------------- in the amount of I O%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 forgo% ", 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 ALLEY REHABILITATION, CC No. 1569 PROJECT BID SCHEDULE Item Contract Bid Item Description Unit Price Extended Amount No. Quantity 1 1 Mobilization LS per LS 2 1 Fumish Project Traffic Control UU LS $ 7( $ per LS 3 2000 Unclassified Excavation CY per CY 4 455 Construct Redwood Header LF $ ZB. $TqD, DD per LF 5 2250 Construct Concrete Alley Gutter LF $ yg,oo $ /o 600. oo per LF 6 1000 Construct Type III-C3-PG 64-10 Asphalt Concrete Pavement TN (Depth varies per an $ 9b. 7 $ 9�� 7`lj P, 00 per TN 7 700 Crushed Miscellaneous Base CY $ADO. 00 S per CY 8 1300 Construct Concrete Alley Approach SF $ fib. So $ per SF 9 1 Prepare Storm Water Pollution Prevention Plan LS S, per LS 10 1 Water Pollution Control Ls $S•SQo•od $ S d• ae per LS Total Amount Bid in Figures: S v Total Amount Bid in Words: ✓C U�d/�PGf_..,./�,I f �� Q .................... ................ ...ds:...f.....:............................................... n. . . ......o c..........................,s.... hahalreod t` h o ) fJ a o s 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 58 VU 339621 4 ia'oas2 /S 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 4i30i19 , at ORANGE CA Date City State STEVE MENDOZA being first duly sworn, deposes and says that he or she is SECRETARY of R.J.NOBLE COMPANY the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. R.J.NOBLE COMPANY Name of Bidder x &Iiya:lc� Signature,of Bider STEVE MENDOZA,SECRETARY 15505 E.LINCOLN AVENUE,ORANGE,CA 92865 Address of Bidder C4 CALIFORNIA 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 1 County of DRANGF J On 04/30/19 before me, J. DE IONGH, NOTARY PUBLIC Date Here Insert Nome and Title of the Officer personally appeared STEVE MENDOZA Nome(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s)is/afe subscribed to the within instrument and acknowledged to me that he/sbeA"executed the same in hisH9ef/their authorized capacity(ies),and that by his/her/their signature(&)on the instrument the person(s), or the entity upon behalf of which the person(Q acted, executed the instrument. I certify under PENALTY OF PERJURY under the ;.f • ------ ---- - ---- laws of the State of California that the foregoing J. DE IONGH paragraph is true and correct. Commission #2123504 Notary Public -California WITNESS my hand and o ial seal. p✓ _ Orange County My Comm. Expires Oct 28,2G "-1 Signature Place Notory Seal and/or Stomp Above Sign a of Notary Public 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: I Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer - Title(s): ❑ Corporate Officer- Title(s): ❑ Partner- ❑ Limited ❑ General ❑ Partner- ❑ Limited ❑ General ❑ Individual O Attorney in Fact ❑ Individual ❑ Attorney in Fact o Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: s �aeee 02018 National Notary Association 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 ALLEY REHABILITATION, CC No. 1569. (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. R.J.NOBLE COMPANY Contractor x By STEVE MENDOZA,SECRETARY Title 04/30/2019 Date: 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? 0 Yes )(3)10 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. R.J.NOBLE COMPANY Contractor x &24�2-- By Ir STEVE MENDOZA,SECRETARY Title 04/30/1-019 Date: C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: R.J.NOBLE COMPANY Bidder Name 15505 EAST LINCOLN AVENUE Business Address ORANGE CA 92865 City, State Zip (714 637-1550 STEVEMENDOZA@RJNOBLECOMPANY.COM Telephone Number Email Address 782908 CLASS A&C-12 State Contractor's License No. and Class 08/2000 Original Date Issued 08/31/2020 Expiration Date The work site was inspected by STEVE MENDOZA of our office on APRIL 20TH 12019 . The following are persons, firms, and corporations having a principal interest in this proposal: MICHAEL J. CARVER,PRESIDENT CRAIG PORTER,SR. VICE PRESIDENT STEVE MENDOZA,SECRETARY JAMES N.DUCOTE,CFO AUSTIN CARVER,VP OPERATIONS KASONDRA GONZALEZ,VP MARKETING The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed Work and improvements in accordance with the plans and specifications set forth. R.J.NOBLE COMPANY Company Name x 69!lzla� Signatur of BWer STEVE MENDOZA,SECRETARY Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this J0 APRIL day of , 2019 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 ) APRIL 30TH 2O19 J. DEIONGH,NOTARY PUBLIC On before me, Month, Day, and Year Insert Name and Title of Notary personally appeared STEVE MENDOZA Name of Signer who proved to me on the basis of satisfactory evidence to be the personVfwhose nameXis/aye subscribed to the within instrument and acknowledged to me that helshe.Wwy executed the same in hiss authorized capacity and that by his/1taaheis signatureofon 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. J. DE IONGH WITNESS my hand and official seal. commission #2123504 Notary Public California ' .• orange County My Comm.Expires Oct 28,20' X Signature J.DEIONGH,NOTARY PUBLIC a o Notary Public (PLACE NOTARY SEAL ABOVE) C-9 BIDDER'S PROJECT HISTORY AND PUBLIC AGENCY REFERENCES The bidder shall provide information to demonstrate his/her past work experience on projects of similar (or greater) size and scope of the ALLEY REHABILITATION, CC No. 1569. Bidders may submit additional sheets, using the format shown, to further demonstrate his/her history of similar work experience. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. CITY OF ORANGE-300 E.CHAPMAN AVE.,ORANGE,CA 92866 Name and Address of Public Agency Name and Phone# of Agency's Project Manager: RANDY NGYUEN 714-744-5525 PALMYRA AVENUE STREET REHABILITATION $2,084,093.50 NOVEMBER 2016 Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: ASPHALT PAVING,STRIPING,CONCRETE,ELECTRIC ?. CITY OF GARDEN GROVE- 11222 ACACIA PRKWY,GARDEN GROVE,CA 92840 Name and Address of Public Agency Name and Phone # of Agency's Project Manager: NICK HSIEH 714-741-5190 BROOKHURST STREET CITY PROJECT 7271 $2,628,490.00 FEB2016 Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: ASHALT PAVING,CONCRETE,ELECTRICAL,SURVEY, STRIPING 3. CITY OF HUNTINGTON BEACH-2000 MAIN ST., HUNTINGTON BEACH,CA 92648 Name and Address of Public Agency Name and Phone # of Agency's Project Manager: JOHN GRIFFIN 714-375-5011 GOTHARD STREET&CENTER AVENUE REHABILITATION $1,371,231.15 OCTOBER 2016 Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: ASPHALT PAVING,CONCRETE, SURVEY,STRIPING C-10 BIDDER'S CRITICAL STAFF The bidder shall provide information to demonstrate that both the Construction Project Manager (office staff) and Construction Superintendent (field staff) proposed for ALLEY REHABILITATION, CC No. 1569 have had similar work experience on at least 3 different projects within the past five years. The proposed critical staff members need not have been employed by the bidder at the time the referenced projects were completed. KORI PORTER,GENERAL MANAGER OF CONSTRUCTION 1. Name of proposed Construction Project Manager Phone#of proposed Construction Project Manager: 714-637-1550 EXT 359 C/O ORANGE-ANNUAL PAVEMENT MAINT-$2.8 MILLION-CLASS A 02/2014 Project Name & Contract Amount Type of Work Date Completed CIO COSTA MESA-2012-13 STREET REHAB CITY 13-01 -$3.6MIL.CLASS A 09/2015 Project Name & Contract Amount Type of Work Date Completed CIO IRVINE-JAMBOREE RD.PAVEMENT REHAB-$1.1 MIL.-CLASS A 02/2014 Project Name & Contract Amount Type of Work Date Completed 2. CHUCK SPIERS,GENERAL SUPERINTENDENT Name of proposed Construction Superintendent 714-743-1383 Phone# of proposed Construction Superintendent: C/O ORANGE-AC OVERLAY RESURFACE-$5 MILLION-CLASS A 03/2014 Project Name &Contract Amount Type of Work Date Completed CIO TUSTIN-ARMSTRONG AVE/WARNER AVE-$10 MILLION-CLASS A 09/2015 Project Name & Contract Amount Type of Work Date Completed CIO RIVERSIDE-MINOR ST.MAINT PHASE 1 -$2.6 MILLION-CLASS A 10/2015 Project Name &Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each Contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCR/Scarch.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. R.J.NOBLE COMPANY Contractor x By ST E MENDOZA STEVEMENDOZA@RJNOBLECOMPANY.COM Email. SECRETARY 04/30/2019 Title Date: PWC Registration #: 1000004235 C-12 ODf Western Surety Company BID BOND (Percentage) Bond Number: N/A KNOW ALL PERSONS BY THESE PRESENTS, That we R. J. Noble Company of Orange, California hereinafter referred to as the Principal, and Western Surety Company as Surety, are held and firmly bound unto City of Huntington Beach hereinafter referred to as the Obligee, in the sum of f ( 10 %) percent of the greatest amount bid, for the payment of which we bind ourselves, our legal representatives, successors and assigns,jointly and severally,firmly by these presents. WHEREAS, Principal has submitted or is about to submit a proposal to Obligee on a contract for Alley Rehabilitation from Graham Street to Heil Avenue-CC No. 1569 NOW, THEREFORE, if the said contract be awarded to Principal and Principal shall, within such time as may be specified, enter into the contract in writing and give such bond or bonds as may be specified in the bidding or contract documents with surety acceptable to Obligee; or if Principal shall fail to do so, pay to Obligee the damages which Obligee may suffer by reason of such failure not exceeding the penalty of this bond, then this obligation shall be void; otherwise to remain in full force and effect. SIGNED, SEALED AND DATED this 19th day of April 2019 R. J. Noble Company (Principal) By X (Seal) STEVE MVDOZ& SECRETARY Western Suret Com an (Sur ) By (Seal) ,�am.s-S a i Attorney-in-Fact Form F5876 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 »3@oI�E �e9effef�€ A notary public or other officer completing this certificate verifies.onlythe 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 1 County of ()RAN('F J7 On 04/22/19 before me, J. DE IONGH, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared STEVE MENDOZA Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the personH whose name( is/are subscribed to the within instrument and acknowledged to me that he/sheA"executed the same in hisilhefAheir authorized capacity(ies), and that by his/4e4t#e4 signature( on the instrument the person(s), or the entity upon behalf of which the person( acted, executed the instrument. J. DE IONGN I certify under PENALTY OF PERJURY under the Commission #212 ;:,04 laws of the State of California that the foregoing Notary Public -California paragraph is true and correct. Orange County My Comm. Expires Oct 28,201c':., WITNESS my hand and off7--- signature a�.(/ — Place Notary Seal and/or Stamp Above �4g nature of Notary Public OPTIONAL Completing this information can deter alteration 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: 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: ©2018 National Notary Association 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 APR 1 9 2019 before me, Michele A. Fedoruk, Notary Public (insert name and title of the officer) personally appeared James Scott Salandi, Attorney-in-Fact who proved to me on the basis of satisfactory evidence to be the person(s) whose name(A) is/aRX subscribed to the within instrument and acknowledged to me that he/gbcaMwy executed the same in his/heAhak authorized capacity(i*, and that by his/harAhak 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. MICHELE A.FEDORLIK WITNESS my hand and official seal. _ .� �4•`.: Notary Public-California Orange County Commission H 2238042 My Comm.Expires Apr 14,2022 Signature (Seal) Western 5ur+ety uompaw POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN FACT Knew AB Mm By Tbese Presents,That WESTERN SURETY COMPANY,it South Dakota corporation,is a dilly organised and eaistm8 corporation. having ita psiaaipal office in the City of Siomc Falls,and Stato of South Ddmta,and that it does by vittao of the dgmium and seal hmein nTmmd hereby mein,considute and appoint James Scott Salandi,Leonard Ziminsky,David Jacobson,Individnally of hvmc6 CA,its true and lawful AnoruirA@}in-Fact with f li power and authority hen y aonfizved to sign,seal and emmuto for and an its bahslf bonds, undatt kings and other obligatory instmments of aimiler mmue -In Unlimited Amounts- and to bind it Uiaeby as fully and to the sane extent as Nsuch ioat utnonts were signed by a duly authorized officer of the corporation and all the acts of said Aammmy.pu aaaot to The authority hs:eby given,am hady mtifted and couffimod. This Power of Attorney is made and awcuted pursuant to and by authority of the By 4aw printed an the nmrse bumf,duty adopted,as indicated,by the shaehokden of the corporsdam In Wttmm WFiar=K,WEMMM SURSIY COMPANY bas caused them pry to be signed by its Vice President and its corpmato seal to be hereto armed on dds 21st nay of hmq 2017. WESTERN SURETY COMPANY at•w� ,i T.Bmilat,Vino President State of South Dakota County ofMhmehalm u On this 21st day of June,2017,before me personally cane Paul T.Bntiak to me known,who,being by ne duly sworn.did depose and say. that he resides in the City of Sioux Falk State of South Dakota;that be is the Vice Fh=Wnt of WESnIRN SURNIV COMPANY described in and which rearmed the above iostr®eat;that he knows tho seal of said corponden;that the sad of thred to the mid inshunerm is such cogxn to sent that it was so affixed panoant to sty riven by the Board of Directors of said eorporatim and tint he signed his name thmem pmensod to like umhmity,and aelmnwledges sane to be the not and deed of said cagwation. MY ommmion eapoes I.111cm June 23,2021 s"d MUN0° J.Mohr,Notary Public CERTIFICATE 1,1. Nelson,Asmtant Seoretary of WESTERN SURETY COMPANY do hmeky ratify that the Power of Attorney heneinabove set forth is still in fmoq and fire-1 codify tlmt the By-Law of the eciporetim printed m tiro revs hereof is mQUa srpay whermf I have hmounto subscribed my name and awed the and of the sold corporottm this day of ApH + 9 vfr WESTERN SURETY COMPANY weA� j CDy. 2&za-zr� Form F4290-7 2012 I-Nelson,Assistant Secretary a , k, c ' e , 2D19 APR 30 1 52 t rs.hY,testa�,4 s TA' �; Jc 4(3o 119� . a x _ f f F fi \ a., t ENGINEERING CONTRACTORS 15505 E.LINCOLN AVENUE•P.O.BOX 620,ORANGE,CA 92856 (714)637-1550 TO: CITY OF HUNTINGTON BEACH CITY CLERK ; y 2ND FLOOR 2000 MAIN STREET } ¥ HUNTINGTON BEACH, CA 92648 �a y ALLEY REHABILITATION FROM GRAHAM ST TO HEIL AVE CCy � m rr� ea NO.1569,HUNTINGTON BEACH sr;- BID DATE:04 30 19 BID TIME:2:00PMaa Wr s, n City of Huntington Beach _ 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov f@ 194;;*. Office of the City Clerk Robin Estanislau, City Clerk September 25, 2019 Sequel Contractors, Inc. 13546 Imperial Hwy. Santa Fe Springs, CA 90670 RE: Alley Rehabilitation from Graham St. to Heil Ave—CC No. 1569 Enclosed please find your original bid bond for CC-1569. Sincerely, 4q4vl Robin Estanislau, CIVIC City Clerk RE:tm Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand Sequel Contractors, Inc. SECTION C PROPOSAL for the construction of ALLEY REHABILITATION from Graham St. to Heil Ave. CC No. 1569 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 re-advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. ��� C-1 Sequel Contractors, Inc. If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY's notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY's option,be considered null and void. Accompanying this proposal of bid, find Bidders Bond in the amount of 1 0% which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for % ", as the case may be) Any standard Surety Bid Bond form is acceptable.. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Si nature , C-2 Sequel Contractors, Inc. ALLEY REHABILITATION, CC No. 1569 PROJECT BID SCHEDULE Item Contract Bid Item Description Unit Price .Extended Amount No. Quantity 1 1 Mobilization op pt� LS $ 10,600. per LS 2 1 Fumish Project Traffic Control 00 QO LS $q coo• 000 per LS 3 2000 Unclassified Excavation CY $ �6Q.09 $ o©Qos per CY 4 455 Construct Redwood Header �J G� QO LF $ C� . � $ ✓, /(�(OL9. per LF 5 2250 Construct Concrete Alley Gutter " d LF $5N • — $ 2 i SOa. per LF 6 1000 Construct Type III-C3-PG 64-10 Asphalt Concrete Pavement D TN (Depth varies per Plan) $ � " $ per TN 7 700 Crushed Miscellaneous Base CY $ 123 a� $ $6,090 per CY 8 1300 Construct Concrete Alley Approach Qp 66 SF $ $ per SF 9 1 Prepare Storm Water Pollution Prevention Plan p Q(� LS $ Soo. $ . per LS 10 1 Water Pollution Control 00a0 LS $5� 00. $per LS [Total Amount Bid in Figures: $ - 681 6� •ED Total Amount Bid in Words: 5;.. �.... l��......... C-2.1 Sequel Contractors, Inc. 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 Items) Subcontractor License Number Amount Contract Number S, M P -�i CZ Cott-Y�F y4, A '°6° l oc o°o.°' ( CQ 04 By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 4/30/19 , at Santa Fe Springs , Ca Date City State Thomas S. Pack being first duly sworn, deposes and says that he or she is President of Sequel Contractors, Inc. the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Thomas S. P c President Name of 'd r I� ig ature of er 13546 Imperial Hwy. Santa Fe Springs California 90670 Address of Bidder C-4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 I 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 ) Count/y'of. — - ) On `I I��II9 before me, jDanlel Sus mantes Notary Public Date Here Insert Name and Title of the Officer personally appeared 1�omo,5 Rck Pfe5JdQ,4f Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the personK whose named is/.-iw subscribed to the within instrument and acknowledged to me that he/mac/theer executed the same in his/4erttjae;'r' authorized capacity(i�, and that by his/Leetl�&+ signaturet*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 +♦eeee++++e+++++++es♦++++eoese+eeee+ee+eao� is true and correct. DANIEL BUSTAMANTE • IM COMM. #2178467 WITNESS my hand and official seal. � W NOTARY PUBLIC•CALIFORNIA 0 �� LUS ANGELES COUNTY • r My com-nission Expires JANUARY 31,2021 g e♦e+e♦� eoaee♦eeeeeeieeeeeeeeeNee•NN•ee Si nature Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: _ Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: L. Corporate Officer — Title(s): _= Corporate Officer — Title(s): Partner — Limited D General Partner — Limited ❑General Individual ❑Attorney in Fact El Individual Attorney in Fact Trustee ❑ Guardian or Conservator Trustee ❑ Guardian or Conservator Other: Other: Signer is Representing: Signer Is Representing: 02016 National Notary Association •www.NationaiNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 Sequel Contractors, Inc. 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 ALLEY REHABILITATION, CC No. 1569, (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. Sequel Contractors, c *or r Thomas S. Pack President Title Date: 4/30/19 C-5 Sequel Contractors, Inc. 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 Sequel Contractors, Inc. 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. Sequel Contrac rs,;1c. Contractor v B y/( v v Thomas S. Pack President Title Date: 4/30/19 C-7 Sequel Contractors, Inc. BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Sequel Contractors, Inc. Bidder Name 13546 Imperial Hwy. Business Address Santa Fe Springs California 90670 City, State Zip (562 } 802-7227 Mike@sequelcontractors.com Telephone Number Email Address 610600A State Contractor's License No. and Class 1/31/91 Original Date Issued 1/31/21 Expiration Date The work site was inspected by Thomas S.Pack President of our office on 423 , 2019 The following are persons, firms, and corporations having a principal interest in this proposal: Sequel Contractors,Inc. Thomas S.Pack President Abel Magallanes Vice President Michael A.Mahler Secretary The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed Work and improvements in accordance with the plans and specifications set forth. Sequel Contract , Inc. Coma e t i o r Thomas S.Pack President Printed or Typed Signature C-8 SEQUEL CONTRACTORS, INC. ST.LIC#610600A 13546 IMPERIAL HWY SANTA FE SPRINGS, CA 90670 Fax (562) 802-7499 (562) 802-7227 Office ACTION BY UNANIMOUS WRITTEN CONSENT OF THE BOARD OF DIRECTORS OF SEQUEL CONTRACTORS, INC. The undersigned being all of the Directors of SEQUEL CONTRATORS, INC. a California Corporation, do hereby take the following action by this written consent at a meeting of the Board of Directors held on April 4, 2019 in accordance with the Bylaws of the Corporation and the California Corporation Code. WHEREAS, the Board of Directors deems it advisable to authorize the officers of the Corporation, Abel Magallanes, Thomas S. Pack and Michael A. Mahler, respectively, to execute bid bonds on behalf of the Corporation with any agency,person, company or municipality; RESOLVED FURTHER,that Abel Magallanes, Thomas S. Pack and Michael A. Mahler are authorized to execute labor, material, and faithful performance bonds in connection with contracts to be entered into with any agency, person,company or municipality; RESOLVED FURTHER, that Abel Magallanes, Thomas S. Pack and Michael A. Mahler are authorized and directed to execute and deliver street improvement contracts and related agreements with any agency, person, company or municipality on such terms conditions as they deem advisable in their sole discretion; RESOLVED FURTHER, that Abel Magallanes, Thomas S. Pack and Michael A. Mahler be, and they hereby are authorized by their sole signatures on any document to bind this corporation to contract,bids,bonds, etc.; RESOLVED FURTHER, that Abel Magallanes, Thomas S. Pack and Michael A. Mahler be, and they hereby are authorized and directed to take any and all such other actions and execute such other documents as may be necessary or appropriate to carry out the purposes of the foregoing authorizations. In witness thereof, the undersigned Directors have executed this unanimous written consent to indicate this adoption of the c t of the foregoing resolution and the action set forth therein. Da : A ,:_�S-19 4 Thomas a Abel Magallanes Director&President Director,Vice President&Assistant Secretary Mic ael A. Mahler Director&Secretary Sequel Contractors, Inc. NOTARY CERTIFICATE Subscribed and sworn to before me this_day of , 201_ A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of ) County of E E ATTACHED 0 On 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(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 asscs�.r�.cs.�r.�.n�:s,,src.,csr<c:rcrss�.�.c�c�.res,��crcccrcs�cxs.cccr.�rtirss�zcc�c�r�cc,�:esr�ctic�,�.c: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. State of Californiah ) County l of LoS Tlr eICS ) On y/34��9 before me, M (BUSta9,Notary PUbl)G Date Here Ins�rt ye and Title of the Officer personally appeared �nornas S, Tork �fo Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the personK whose name(O is/are subscribed to the within instrument and acknowledged to me that he/fie/tom executed the same in his/4ert 4eir authorized capacity(L&&), and that by his/beetl;i i signature(ej 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. DANIEL BUSTAMANTE WITNESS my hand and official seal. �~ COMM. #2178467 a ' R NOTARY?UREIC CALIFORNIAp (_1 LCS ANGELES COUNTY o Signature • •..,:.• IAy Ccm-iss6^"cxoires..AtiUARY jt.2C21 • •••••.••••e••••••••••••••••..••o••••.•••••• Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: _ Document Date: Number of Pages: _ Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: 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: .•C.Y%Z'L•-.�...ZiS�ZiCitiE:!�"C%Cr�C%tvzC�LL%L`(`�.C•CrY-:tX%c.'Z-C.'CXr'L.'G`Z`'ZX�L't%Z�%{.Y.C.'CZ.`t%lr`C�.'Z%LQ=�:Ch.`(�,`Ll.`C%G`LAC.`C`L`{+ZC,%(•`�%ti`t.Fi'.C:�C%LAC'.{.'L%(•C:C,'l�L.`CC.'L.[•v 02016 National Notary Association •www.NationaiNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 Sequel Contractors,Inc. BIDDER'S PROJECT HISTORY AND PUBLIC AGENCY REFERENCES The bidder shall provide information to demonstrate his/her past work experience on projects of similar (or greater) size and scope of the ALLEY REHABILITATION, CC No. 1569. Bidders may submit additional sheets, using the format shown, to further demonstrate his/her history of similar work experience. 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. Name and Address of Public Agency Name and Phone# of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: 2. Name and Address of Public Agency Name and Phone# of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: 3. Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: C-10 SEQUEL CONTRACTORS9 INC. ST.LIC Y610600A 113546 IMPERIAL, HNVY SANTA FE SPRINGS, CA 90670 Fax (562) 802-7499 (562) 802-7227 Office STATEMENT OF EXPERIENCE 1. OWNER: CITY OF HAWTHORNE ADDRESS: 4455 w 126TH STREET HAWTHORNE,CA 90250 PHONE NO.: (310)349-2997 CONTACT: AKBARFAROKHI PROJECT: HAWTHORNE BLVD PHASE 1 PROJECT AMOUNT: $5,117,078.05 COMPLETION DATE DECEMBER 2018 2. OWNER: CITY OF MONTEBELLO ADDRESS: 1600 WEST BEVERLY BLVD MONTEBELLO, CA 90640 PHONE NO.: (323)887-1200 CONTACT: HORMOZ VAHID PROJECT: MAPLE AVE PROJECT AMOUNT: $607,076.08 COMPLETION DATE JUNE 2018 3. OWNER: LOS ANGELES COUNTY ADDRESS: 900 FREMONT AVE ALH_aMBRA,CA 91803 PHONE NO.: (626)458-5100 CONTACT: JOEL ZARAGOZA PROJECT: BUDLONG AVE ET AL PROJECT AMOUNT: $1,069,220.00 COMPLETION DATE JUNE 2018 4. OWNER: CITY OF LONG BEACH ADDRESS: 333 OCEAN BLVD LONG BEACH, CA 90802 PHONE NO.: (760)272-4530 CONTACT: BUTCH BUTCHER PROJECT: BELLFLOWER BLVD PROJECT AMOUNT: $1,786,611.20 COMPLETION DATE MAY 2018 5. OWNER: CITY OF CERRITOS ADDRESS: 18125 BLOOMFIELD AVE CERRITOS,CA 90703 PHONE NO.: (562)916-1229 CONTACT: FREDY BONNILA PROJECT: DEL AVSO BLVD PROJECT ANIOUNT: $1,146,530.00 COMPLETION DATE DECEMBER 2017 SEQUELC , INCO ST.LIC 9610600A I3546IMPERIAL HWY SANTA FE SPRINGS, CA 90670 Fax (562) 802-7499 (562) 802-7227 Office STATEMENT OF EXPERIENCE 6. OWNER: CITY OF MORENO VALLEY ADDRESS: 14177 FREDERICK STREET MORENO VALLEY. CA 92552 PHONE NO.: (951)413-3106 CONTACT:ACT: HENRY NCO PROJECT: HEACOCK STREET PROJECT Al-,AOUNT: $1,627,240.00 COMPLETION DATE DECEMBER 2017 7. OWNER: CITY OF HAWTHORNE ADDRESS: 4455 w 126TN STREET HAWTI-IORNE, CA 90250 PHONE NO.: (310)349-2997 CONTACT: AIIBAR FAROKHI PROJECT: TVIARIiNE&AVIATION INTERSECTION R,IPROVEMNTS PROJECT AMOUNT: $2,6561,248.20 COMPLETION DATE MARCH 2O17 8. OWNER: CITY OF LONG BEACH ADDRESS: 333 OCEAN BLVD LONG BEACH, CA 90802 PHONE NO.: (760)272-4530 CONTACT: BUTCH BUTCHER PROJECT: 10"'STREET _ ATHERTON IMPROVEMENTS PROJECT AMOUNT: $1,795,620.00 COMPLETION DATE JULY 2016 9. OWNER: CITY OF TLC STIN ADDRESS: 300 CEN ENINIAL WAY T USTIN, CA 92780 PHONE NO.: (714)573-3157 CONTACT: EDDY JAN PROJECT: ANNUAL STREET F: SIDEWALK.IMPROVEMENTS PROJECT AMOUNT: $1,479,346.36 COMPLETION DATE NOVEMBER 2016 10. OWNER: CITY OF RIVERSIDE ADDRESS: 3900 MAIN STREET RIVERSIDE, CA 92522 PHONE NO.: (951)712-3904 CONTACT: STEVE HOWARD PROJECT: 1NDIANA STREET REHAB PROJECT AMOUNT: $3�094,046.80 COMPLETION DAIT 1v Y 2016 SEQUEL CONTRACTORS, INC. ST.LIC#610600A 13546 IMPERIAL HWY SANTA FE SPRINGS, CA 90670 Fax (562) 802-7499 (562) 802-7227 Office STATEMENT OF EXPERIENCE 11. OWNER: CITY OF INGLEWOOD ADDRESS: ONE MANCHESTER BLVD INGLEWOOD,CA 90301. PHONE NO.: (310)412-5333 CONTACT: HUNTER NGUYEN PROJECT: STREET IMPROVEMENTS FY 2014-2015 PROJECT AMOUNT: $3,028,886.41 COMPLETION DATE SEPTEMBER 2015 12. OWNER: CITY OF INGLEWOOD ADDRESS: ONE MANCHESTER BLVD INGLEWOOD, CA 90301 PHONE NO.: (310)412-5333 CONTACT: HUNTER NGUYEN PROJECT: STREET IMPROVENIENTITS FY 2014-2015 PROJECT AMOUNT: S3,028,886.41 COMPLETION DATE SEPTEMBER 2015 13. OWNER: CITY OF WESTMINSTER ADDRESS: 8200 WESTMINSTER BLVD WESTMINSTER,CA 92683 PHONE NO.: (714)548-3464 CONTACT: THERESA TRAIN PROJECT: CITY WIDE STREET IMPROVEMENTS PROJECT AMOUNT: $1,538,452.62 COMPLETION DATE AUGUST 2015 14. OWNER: CITY OF CERRITOS ADDRESS: 18125 BLOOMFIELD AVE CERRITOS,CA 90703 PHONE NO.: (562)916-1229 CONTACT: FREDY BONNILA PROJECT: RESIDENTIAL,STREET REHAB PROJECT AMOUNT: S544,627.80 COMPLETION DATE DECEMBER 2015 Sequel Contractors,Inc. BIDDER'S CRITICAL STAFF The bidder shall provide information to demonstrate that both the Construction Project Manager (office staff) and Construction Superintendent (field staff) proposed for ALLEY REHABILITATION, CC No. 1569 have had similar work experience on at least 3 different projects within the past five years. The proposed critical staff members need not have been employed by the bidder at the time the referenced projects were completed. l Michael A. Mahler Name of proposed Construction Project Manager Phone# of proposed Construction Project Manager: (562) 802-7227 Hawthorne Blvd Imrpovements Asphalt and Concrete Improvements 12/18 $5,117,078.05 Project Name& Contract Amount Type of Work Date Completed Maple Avenue Street Rehab Asphalt and Concrete Improvements $607,078.08 6/18 Project Name & Contract Amount Type of Work Date Completed Budlong Avenue and Various Streets Improvement Project Asphalt and Concrete Improvements 6/18 $1,069,220.00 Project Name & Contract Amount Type of Work Date Completed 2. Abel Magallanes Name of proposed Construction Superintendent Phone# of proposed Construction Superintendent: (562) 802-7227 Bellflower Blvd Ashpalt Resurfacing $1,786,611.00 Asphalt and Concrete Improvements 5/18 Project Name & Contract Amount Type of Work Date Completed Del Amo Boulevard Asphalt Imrpovements Asphalt and Concrete Improvements $1,146,530.00 12/17 Project Name & Contract Amount Type of Work Date Completed Heackock Street Rehabilitation$1,627,240.00 Asphalt and Concrete Improvements 12/17 Project Name & Contract Amount Type of Work Date Completed C-11 Sequel Contractors, Inc. 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, 201.4, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each Contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/P WCR/ActionS ervlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary Contractor, as well as for ALL subcontractors at the time of submitting the bid. Sequel Contr ,ctor , Inc. Contractor y Mike@sequelcontractors.com Email Thomas S. Pack President Title Date: 4/30/19 PWC Registration#: 1000003521 C-12 Band No. Bid Bond BID BOND The American Institute of Architects, AIA Document No.A310(February, 1970 Edition) KNOW ALL MEN BY THESE PRESENTS,that we Sequel Contractors, Inc. as Principal hereinafter calf the Principal,and Travelers Casualty and Surety Company of America a corporation duly organized under the laws of the state of Connecticut as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach as Obligee,hereinafter called the Obligee,in the Saab Of Ten percent of the total amount of the bid Dollars ($ 10% ), for the payment of which sum well and truly to be made,the said Pnnrcgmd and the said Surety,bind ourselves,our heirs,executors,administrafiws,successors and assigns,jointly and severally, firmly by these presents. WHEREAS,the Principal has submitted a bid for Alley Rehabilitation from Graham Street to Heil Avenue(CC1569) NOW,TIEREFORE,if the Obligee shall accept the bid of the Principal and the Principal shall enter ifn a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for time faithful perforims=of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds,if the Principal shall pay to the Obligee the difference not to exceed the penalty heiwf between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with mwther party to perform the Work covered by said bid,then this obfigaaon shall be mill and void,otherwise to remain in full force and effect. Signed and sealed this 22nd day of April Sequ tors,I c. Witness11 OP—M, rtSe3 By: �G �I���I, � „� xau�ertitle Travelers Casualty and Surety Company of America n s8XV � ) By: Witness Douglas Rapp Attorney-in-Fact ORSC 21328(5/97) 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 Californi�j l ) County of -os Mh(\ J-* ) On y122.119 before me, � Date Here Insert lName and Title of the Officer personally appeared 1"nq l a a eS SeCAe_7 C4'. Name(s) of Sign r(s) who proved to me on the basis of satisfactory evidence to be the person4 whose name(O is/Qre subscribed to the within instrument and acknowledged to me that he/�/tber executed the same in his/4ertt etr authorized capacity(Laa),and that by his/1�Atl;i ifsignature(aj on the instrument the persons , 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 ♦♦1001!l0144114l111l011/10111/10 0 1110 0l11l� is true and correct. ' DANIEL BUSTAMANTE 1 WITNESS my hand and official seal. COMM. #2178467 /J > _ NOTARY PUBLIC-CALIFORNIA C) LOS ANGELES COUNTY s Signature 1 My Commission Expires JANUARY 31 2021 1 0141111l11011110111/1♦0611111l001111111l101 Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: 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: ©2016 National Notary Association • www.NationaiNotary.org • 1-800-US NOTARY (1-800-876-6827) Item#5907 ACKNOWLEDGMENT- A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On April 22, 2019 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp who proved to me on the basis of satisfactory evidence to be the persona) whose name() is/afe subscribed to the within instrument and acknowledged to me that he/90&q44Ey executed the same in his/4eO#;�-_4 authorized capacity{i ), and that by his ei signature( on the instrument the person(-a), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. N . °`T COMM.OMM. VV4NSON#2170759 WI 20 Ste` NFd' N -� o NOTARY PUBLIC-CALIFORNIA ORANGE COUNTY N MY COMM.EXR NOV 10.2020 Signature ��_ _ R �\ (Seal) Travelers Casualty and Surety Company of America A01► Travelers Casualty and Surety Company TRAVELERS J St. Paul Fire and Marine Insurance Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That Travelers Casualty and Surety Company of America,Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the "Companies"),and that the Companies do hereby make,constitute and appoint Douglas A.Rapp,of Aliso Viejo,California,their true and lawful Attorney-in-Fact to sign, execute, seal and acknowledge any and all bonds, recognizances,conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF,the Companies have caused this instrument to be signed,and their corporate seals to be hereto affixed,this 3rd day of February, 2017. 00 i �*yiY Aryo .kpL' a 07CuT `t mCOW4. loe -Nil 0 SIX State of Connecticut By: City of Hartford ss. Robert L.Raney,Se for Vice President On this the 3rd day of February, 2017, before me personally appeared Robert L.Raney,who acknowledged himself to be the Senior Vice President of Travelers Casualty and Surety Company of America,Travelers Casualty and Surety Company,and St. Paul Fire and Marine Insurance Company, and that he,as such,being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. In Witness Whereof, I hereunto set my hand and official seal. a My Commission expires the 30th day of June,2021 t �etrp t Mane C.Tetreault,Notary Public This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casualty and Surety Company of America,Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company,which resolutions are now in full force and effect,reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President,the Treasurer, any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her;and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary;and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary;or(b) duly executed(under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority;and it is FURTHER RESOLVED,that the signature of each of the following officers:President,any Executive Vice President,any Senior Vice President,any Vice President, any Assistant Vice President, any Secretary,any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which remains in full force and effect. Dated this 22nd day of April,2019. k��Y oyY1.TY 4Mp wv c«aa WIL . �t r / Kevin E.Hughes,Assistant Secretary To verify the authenticity of this Power of Attorney,please call us at 1-800-421 3880. Please refer to the above-named Attorney-in-Fact and the details of the bond to which the power is attached, _CONTRACTORS, yam pµ l l iovv ijvi;-cil AL HWY- ("P NTA FE SPRINGS,CALIF,.9067fl ••Cv cv��4:���. CA 9 z6gs IOEJ I1 OO CAs Rew Lr&-lded^"%) 6 b i 260. o0 r1 • City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Fg 17.1969.A'0` � Office of the City Clerk Robin Estanislau, City Clerk September 25, 2019 Shawnan 12240 Woodruff Ave. Downey, CA 90241 RE: Alley Rehabilitation from Graham St. to Heil Ave—CC No. 1569 Enclosed please find your original bid bond for CC-1569. Sincerely, 4q4v �&4m"&j Robin Estanislau, CIVIC City Clerk RE:tm Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand Y 4 y 0""HAWNAN SECTION C PROPOSAL for the construction of ALLEY REHABILITATION from Graham St. to Heil Ave. CC No. 1569 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 re-advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 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 SIDDER'S 80 4o in the amount op%of Amount Hich 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 11 .I ALLEY REHABILITATION, CC No. 1569 PROJECT BID SCHEDULE Item Contract Bid Item Description Unit Price Extended Amount No. Quantity 1 1 Mobilization l25 000• 11.5'oa o . LS $ per LS 2 1 Fumish Project Traffic Control LS per LS 3 2000 Unclassified Excavation CY $ I I.% $ .Z� per CY 4 455 Construct Redwood Header LF per LF 5 2250 Construct Concrete Alley Gutter �., vp LF $� $ - per LF 6 1000 Construct Type III-C3-PG 64-10 Asphalt Concrete Pavement TN (Depth varies per Plan) $ b I p.;� $ La �Q per TN 7 700 Crushed Miscellaneous Base CY $--40-9 $ k2 300 100 i per CY 8 1300 Construct Concrete Alley Approach SF $ � $ 1 1 per SF 9 1 Prepare Storm Water Pollution Prevention Plan LS $ s per LS 10 1 Water Pollution Control LS $1 ° $ VZ 000. per LS 0 •°°A — Total Amount Bid in Figures:$ SS �• 1(��r�2�fC� ktipv5 �`n� Total Amount Bid in Words: rt.lT ....... h.lt.l�lCtO........ ..►. ...... .... ........ ......................................................... IIN C-2.1 r " LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR Dollar % of Item(s) Subcontractor License Number Amount Contract Number a►pltc�ter,,z. �.a c�.� By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 � r 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 onoy-11-t , at nowheu , CA Date 1JCity State SHAWN A.SMITH being first duly sworn, deposes and says that he or she is Pry of "WNM 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. SHAWNAN Name of Bidder Signatu i Shawn A Smith, pf,*Gid*nt 12240 Woodruff Ave. Downey, CA 90241 Address of Bidder C-4 i € If i CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT I A notary public or other officer completing this certificate verifies only the identity I of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. I State of California } i County of Los Angeles } I APR 2 2 2019 i On before me, Jose L. Medrano, Notary Public j (Here insert name and title of the officer } personally appeared Shawn A. Smith and nobody else who proved to me on the basis of satisfactory evidence to be the personXwhose name is subscribed to the within instrument and acknowledged to me that he she/they executed the same i his authorized capacity(je-ig), and that by his*er4„e4fsignatureXon the instrument the personX, or the entity upon behalf of which the personos acted, executed the instrument. j I I certify under PENALTY OF PERJURY under the laws of the State of California that I the foregoing paragraph is true and correct. WITNESS my hand and official seal. JOSE L. MEDRANO COMM. #2175742 z Notary Public -California o z4LOS An eles Courlt Lam- My Comm.Expires Dec.16,2020 -- f N a P bli Sign tukk2_ (Notary Public Seal) i -- -- - INSTRUCTIONS FOR COMPLETING THIS FORM ADDITIONAL OPTIONAL INFORMATION I This form complies wish current California statutes regarding notary ivording and, DESCRIPTION OF THE ATTACHED DOCUMENT ifneeded,should be completed and attached to the document.Acknowledgments Ifrom other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary l lav). (Title or description of attached document) • State and County information must be the State and County where the document 3 signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment is completed. i j • The notary public must print his or her name as it appears within his or her 1 Number of Pages Document Date commission followed by a comma and then your title(notary public). C • Print the name(s) of document signer(s) who personally appear at the time of I notarization. j CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. l ❑ Individual (s) Ire/she/they,-is/are)or circling the correct forms.Failure to correctly indicate this information may lead to rejection of document recording. ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible. l Impression must not cover text or lines. If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. • Signature of the notary public must match the signature on file with the office of ❑ Partner(s) the county clerk. ❑ Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. ❑ Other Indicate title or type of attached document,number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). l 2015 Version wv,,v.NotaryClasses.cwn&Ju-fi 7s-9&u_ Securely attach this document to the signed document with a staple. i 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 ALLEY REHABILITATION, CC No. 1569, (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. SHAWNAN Contractor 7 V y She"A Smith, Pfssident Title Date: APR 2 2 20119 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 r7l No If the answer is yes, explain the circumstances in the space provided. IV/t Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 � w 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. HAWNA Contractor Shawn A Smith, P€�sid�nt Title Date: APR 2 2 2019 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: c Corbactors CorporstW dba Sha~ Bidder Name iM40 Woodn,ff Ave. Business Address Dowrwy, CA 9W41 City, State Zip `562)M-9977 estimating@shawnan.com Telephone Number 679962 a&B Email Address State Contractor's License No. and Class November 4, 1903 Original Date Issued Nov 30.2019 Yd�'= Lpiration Date The work site was inspected by SHAWN A. of our office on APR 2 2 2019 201_. The following are persons, firms, and corporations having a principal interest in this proposal: ftft CoMrw"Corporation as ShM1rNo shmm A Smith, Prudent James Phillip P'endermist VICe President The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed Work and improvements in accordance with the plans and specifications set forth. SHAWNAN,,L Company Name i� Sign4ture af']3idder Shawn A Smite, pmeident Printed or Typed Signature C-8 i NOTARY CERTIFICATE Subscribed and sworn to before me this Triday of NQC"k , 201c, . 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 CgllfOf' is ) County of 10 S-AnQeles ) On APR 2 2 2019 before me, �OSC'.. L. Re-A 4\0 . Io'� J P(" iC Month, Day, and Year Insert Name and Title of Notary personally appeared CkN& no\-,ed\l eke Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the personKwhose nameksf is/subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/lW/Atr authorized capacityQW, and that by his/kV�hdr signatureKon the instrument the persorif, 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. Cp►AE(+/lL MEDRAN6#217571 z 0 Notary Public .California o 2 Los Angeles County M Comm.Expires Dec. 16,2020 Signature ighature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 BIDDER'S PROJECT HISTORY AND PUBLIC AGENCY REFERENCES The bidder shall provide information to demonstrate his/her past work experience on projects of similar (or greater) size and scope of the ALLEY REHABILITATION, CC No. 1569. Bidders may submit additional sheets, using the format shown,to further demonstrate his/her history of similar work experience. 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. Name and Address of Public Agency �Q C.� Name and Phone # of Agency's Project Manager: Q� Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: 2. Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Project Name ��- Contract Amount Date Completed Detailed description of bidder's scope of wclk�o demonstrate similar work experience: 3. Name and Address of Public Agency Name and Phone # of Agency's Project Manager: O Project Name G Contract Amount Date Completed Detailed description of bidder's scope of work to'demo ?ate similar work experience: C-10 a, o c n N v H cx: C� a7 C 0 !' 13) p' L 00 y iq r- aj�A L OC O m . ff N 3 a 3 a c c c a � a c c C C L d .0 d L c L L a) .0 a] s a] .c C L — fa N N N N to a N a N O O O a d f0 z O al C � lL 0 ++ ri C1-1 Oco 00 -10 00 O rt coO O O 0 c0 ti O•� ° Ln N N or-1 oc m o °° °°c , , OE \ \ \m o tf rl W -- N O O n ri ri O m I \I O N l\ n O V O n O u O u O u. O r u O u O u O a O u. O u N (a Y L. L. LL O mCC :f0 O om l O O O Q cli O O Ln M 0 mM ri L 0 ON � O o-It o kD •�. 0 Ql O N n V N N 0 k U M N m M M N •H-1 N t/) t/? t/? i? to Vi. inN -EniwA t/? tmn to O u. 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CL cu U N i'^1 CO CL c " Cl) " �, IL a i n- ci i L .0 20, C •tm co C J2 TJ a) C a) � E Q � O 3 a 3 a c a) cm C-) m cu cu C 3 n. r C z s t t t o a nz = 3 CL � [1 cu co a- co a. fL coiL r- -C CU (U .� cna za z ,5 A W A CD co w in u� M CIO C: CD CD C) C) r r Z- r CDC) r r r 9•2 N N N N N N O O N N O CD O O In lD r M N N r r a (�N N N �? a a N E o 00 ti OU o 0 0 C) a s o 0 0 0 0 0 o i� o i� o u o ii o ci O 6: w o o o o C) o E cow a) C Nr a� � O C; � O O 00 O N CD C N ti r (O O m O O ai M O Cl) G) t^- OMi tD CV N sT• co O V' M V •rl lNN0 �F c6 N CD a0 CD •� r r N CIO �- �- O N l j CD U) CO W N O U O� O ff3 E9 Ffl HJ E9 4} � e= e= u• O ll. O Q3 69 C O LL O ui C C C •2 N O ai O C Cn c O C O O cn AD 8.c c m c» !? > ai= m m d CD cm vets o 68 pc6 o � o— � o_ �U � ca) � arnrn,� n c� CL tr'�' c� a`) `c� c `� rnc� oho Umca`�i Ufa) .. (�•� a � Uc � arn�•c a � acp aan W U �c z U m c � C) .U>a � U'>a� U� aanw -iL:Dw ILCL�W V m c� U cU C C-) m c cl a.n.:Dw iLa:w aa� w Lo to tie- N ai to .0 N COD Li; N O 6 Oi cor V)a) CO f�0 Cl) < (CU D CDQr0 � N >�.V-t, LLI�e�-Om ON N C �' m (DUc� 1Q 30� -a 0)Vi �r4 Nm y CU ati� -cCZ) >O � Go co U 0)ci z(nUPM7 p Otlj Y Zca p C N m N to O�.'In N U Q 00 U Co <p a O C) s- vc a) m Ern`op _QNN `wU� �c �� ¢M ayQti y Z N O m.N .c L Q ro O ct E E 6, to a) uJ N O U O m U N F a' E O �. m p U_ N U O O E U O•_ a) .•-. 6 C 5 UW 0 C E p„ m a W U O N= c c0 C a) _M.'GO o O U � O � oQ O a) 8 V O UY oc) E 4 Z.�a W c = m a�0i �z O 2;,to"O'> r N U l0 E U o Z oCL) m e `�-m U Uv�� UNQa U(C)m UNUQ UNUC� UUUS UcC°Dm ) OC C ,D Q) z _ ca C �O C C C Q) (u .CZca (I) O o ._ r- = O aC) O ¢ + in O E a) cL' C N V" Q) as O ¢ S] U1 Crl - O (0 a) N t O O� O .0 �.N ww z � Q E Y � BIDDER'S CRITICAL STAFF The bidder shall provide information to demonstrate that both the Construction Project Manager (office staff) and Construction Superintendent (field staff) proposed for ALLEY REHABILITATION, CC No. 1569 have had similar work experience on at least 3 different projects within the past five years. The proposed critical staff members need not have been employed by the bidder at the time the referenced projects were completed. 1. Name of proposed Construction Project Manager Phone#of proposed Construction Project Manager: ,O Project Name& Contract Amount Type of Work �.� Date Completed Project Name& Contract Amount Type of Work 5 Date Completed Project Name& Contract Amount Type of Work Date Completed 2. Name of proposed Construction Superintendent Phone#of proposed Construction Superintendent: �O Project Name& Contract Amount Type of Work �Z` Date Completed Project Name& Contract Amount Type of Wo1w Date Completed Project Name& Contract Amount Type of Work Date Completed C-11 C� to G Y 0. 'm m m ,n ,n nV.' 'L1 C Y N aL. L .O, u 0 L �a L p`p L C (o �- ti o➢ Q/ .''' a '". 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(¢J Oti T Q N p O N C 'O p 0 u L 0 0 .0 cn ai .0`o LL o c E ^., z 03 a_3i ao -ro ` u o�LC > ¢ M�, u ~ ¢ _ ¢ Ln N Q M C a) U m E N .� Y Q 'a a w p m L ea c o 3 0 2 a a � Z a o u E = Y c � c Z u m o L p o Z 3 LL ° 3 0 J m U" 3 ai o m a o cu � o p Q 'a) m ,n E r ti C Y U c u �' O o` L o D 'n u = cr o Ln a s {' n. a Q �. al Z uQ ¢ v vpi ¢ u Z f0 ^ m c w J ` in c o n. L LL u c c o 0 0 o N is ai o0 ,", �' m c' to c i' u v m o ¢ a 11 ro a V + v N v 3 Ln v 0� Y � ¢ � � U (7 V ,n j-- = Q o 0 U N O i al 3 Y •O C .p C O E O E > _c ; a, C v Y 3 Q a .O z p a > c = u 3 aE o v v •o �c a ai u > � iT C O d ate+ � m H N H .O H O 3 Q a .0 1a a p_ _ c r0 to E Ncu v 3 c(au ai w r0 �D o Y U aE 'C3 al O a/ _ a/ a Y 3 aJ .tip. Y �' O Om a, K > to > m O m p N vI aaii a C Q) O Cl O m C NO O E 3 O C G Y a1 fD O C.1 m p O C E Ql NO O U` C1 z LL a u a ro 3 v E u m E O_ 3 cn li aaj 3 a O J w aj °1 0 ,n E m O N O N i m , - i w N N M O = M O p mm O "- m M w a) Q) a� CO U) CO (q CO Q a n a U) CO Z CL a n- a a n Or a' Cu cu ca m En CO C Cf) m (D al O cm O u o `o C Q) C O � Uj m E Q) n a) C O Q_ a U) O C U) (] cu = (�� - c a_ 3 a c a) a) z c s s c E cu 3 a_ a_ m cqa_ (� a_ a � (q a -c s cu :E o CO a_ Z a_ Z o A Q -wo^L] cD co m m O O O C r Or r zto LO �-. Or C) r r N N •_� _N N _N CD N N N N N N CDO O O O N cD cD ��"' r tr- a N N O O M (rj T- t� (� o U o C) a s C) C) o 0 r r r �_ O O u O LL O LL U LL O u O cL r O TO O O O O (2 o O to O O O O b E O O) O co C, Nr V' �j O O O O O O O O O N r i"' (D O r Q co O �rj �` ~ m P r 0) co N r� N r0 O 'V' CQ to n 0 V' N O OO co r ss-� .� ti r m � c0 N O U r r fn O Nc( to (D cD O N N O b9 ct? _ _ cL ffl to cR [f3 co r r O tL O LL � C C '� -Ql O C C (4 a > Qi > 07= > 01 m •� •!0 47 .2 ai xx � �o—O ` �c r m� Lc>`g eta,ia�= oo fu " ::3E tif2c=3 � ua o05o �U Z3 7� -30. — O co 0— C 0 U m c a_oi U > a U>a U c CL (L m Q m n-D-: W Umc� Ucac� Urocv .U>-0 o U '>ao cap aa-� V-:D w a a.n.nw U (u c T Ur_- m U m c a tLtl.Z:) W co m N o ti L o c (O to N r �O m (D c~17 �o a? cci rn n �- r c m m am Q � � Qr s N CUV, WUrO! to N m d U t� C 00 'OOa) V'4 NO o o 10to m m om U > m NN m� c3 a� c�ir ?o o co of zCoUm O oln o Z E o� (CU Cl)D (U E E rn o > o c" U 03� �v Z;iv Q� � aj Q ti a b 2— `QNN C. cD c7 � z a� om.� c =Q � om E E61 c-n o N rn U NcpU E o � moj `° mv� m�rnE oE `r� b0a0 ip'i� o6 cc.x � w opc _dcd�Ev 0 f° - ) � ` � mcu� cam cm � � Uo �� -0 �ULa, ooUY oinEm or`a wcaom ma)Wz U Uv� cu �o �o ) Cl) umioU ���� 62 °' c ooco UNQR' UCDm= U.NUQ UC\j UcLOWQ UcCOom� O C •o aJ (U .1- z co C O C > O z � cuu2 � p a) o p � � c o cw Q) L E to > a) O O � O a) (u � Q (U > a7 GO E a) (III a, U Q) p L a) a C S] O > L- O Q Q) N (0 + (a CO a] U) cv W � p > CL E co 6 Z Q' Q r L CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each Contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/P W CR/ActionServlet?action=displayPW CRegistrationForm DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary Contractor, as well as for ALL subcontractors at the time of submitting the bid. SHAWNAN Contractor y estimating@shawnan.com Email Shawn A Smith, Pf"kW nt Date: APR 2 2 2019 Title PWC Registration #: i000003377 C-12 Bond No. Bid Bond BID BOND The American Institute of Architects, AIA Document No.A310(February, 1970 Edition) KNOW ALL MIEN BY THESE PRESENTS,that we Sialic Contractors Corporation dba Shawnan as Principal hereinafter called the Principal,and Federal Insurance Company a corporation duly organized underthe laws ofthe state of Indiana as Surety, hereinafter called the Surety, are held and firmly bound auto City of Huntington Beach as Obligee,hereinafter Called the Obligee,in the sum of Ten percent of the total amount of the bid mums (S 10% ), for the payment of which sari well and wily to be made,the said Prr=i*and the said Surety,bind ourselves,our heirs,emxutors,admimstralrons,successors and assigns,Jointly and severally,firmly by these presents. WHEREAS.the Principal has submitted a bid for Alley Rehabilitation from Graham Street to Heil Avenue(CC1569) NOW,UMREFORE,if the Obligee shall accept the bid of the PrincipW and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety far the faithful performance of such Contract and for the prompt payment of labor and material famished in the prosecution thereof, or m the event of the failure of the Principal to enter such Contract and give such bond or bonds,if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid,then this obligation. shall be mill and void,otherwise to remain in full force and effect. Signed and Sealed this 22nd day of April , 2019 Sialic Contractors Corri_1 tion dba Shawnan Witness Principal (Sean By: Nazi&Title Federal Insurance Company Surety (Seat) Witness By: ` Douglas V Rapp Attomey-in-Fact ORSC 21328(5/97) ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of_ Orange On April 22, 2019 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp who proved to me on the basis of satisfactory evidence to be the person() whose name() is/aye subscribed to the within instrument and acknowledged to me that he/fey executed the same in his/4eAH4_4 authorized capacity{+ ), and that by his,'H&A-rei signature( on the instrument the person(e), 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. "°`' DEBRA SWgNSON WITNESS my hand and official seal. to 'm COMM. #2170759 X s g NOTARY PUBLIC•CAUFORNIA X ORANGE COUNTY MY COMM,EXP,NOV 10,2020 Signature (Seal) Chubb POWER Federal Insurance Company Attn: Surety Department OF Vigilant Insurance Company 15 Mountain View Road Surety ATTORNEY Pacific Indemnity Company Warren, NJ 07059 Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Douglas A. Rapp and Timothy D. Rapp of Aliso Viejo, California—_-___________��_�_�__�_ each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise,bonds and undertakings and other writings obligatory in the nature thereof(other than bail bonds)given or executed in the course of business,and any instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to in said bonds or obligations. In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seals on this 16th day of December,2011, Kenneth C.Wendel,Assistant Secretary .Norris,Jr.,Vice President STATE OF NEW JERSEY ss. County of Somerset On this 16th day of December,2011 before me,a Notary Public of New Jersey,personally came Kenneth C.Wendel,to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Kenneth C. Wendel, being by me duly swom, did depose and say that he is Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of the By-Laws of said Companies;and that he signed said Power of Attorney as Assistant Secretary of said Companies by like authority,and that he is acquainted with David B.Norris,Jr.,and knows him to be Vice President of said Companies;and that the signature of David B.Norris,Jr.,subscribed to said Power of Attorney is in the genuine handwriting of David B,Norris,Jr.,and was thereto subscribed by authority of said By- Laws and in deponent's presence. .Notarial Seal ADF KATHERINE J.ADELAAR NOTARY PUBLIC OF NEW JFRSM OZpRY �� Nei.2316685 i g��6 Comm"ion EXOr"July 14,2014 PU �4i Notary Public CERTIFICATION Extract from the By-Laws of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY: 'All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company,either by the Chairman or the President or a Vice President or an Assistant Vice President,jointly with the Secretary or an Assistant Secretary, under their respective designations. The signature of such officers may be engraved,printed or lithographed.The signature of each of the following officers:Chairman,President,any Vice President,any Assistant Vice President,any Secretary, any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory In the nature thereof,and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.' I,Kenneth C.Wendel,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY (the"Companies'do hereby certify that (1) the foregoing extract of the By-Laws of the Companies Is true and correct, (ii) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are authorized by the U.S.Treasury Department;further,Federal and Vigilant are licensed in Puerto Rico and the U.S.Virgin Islands,and Federal is licensed in American Samoa,Guam,and each of the Provinces of Canada except Prince Edward Island;and (ii) the foregoing Power of Attorney is true,correct and in full force and effect Given under rmmyhand and seals of said Companies at Warren,NJ this 22nd day of April,2019 S eZo1A10-r •raR .y fw pA�} Kenneth C.We el,Assistant Secretary IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM,VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER,PLEASE CONTACT US AT ADDRESS LISTED ABOVE,OR BY Telephone(908)903-3493 Fax(908)903-3656 e-mail: surety@chubb.com Form 15-10-022513-U (Ed.5-03) CONSENT CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. iState of California } County of Los Angeles } On APR 2 2 2019 before me, Jose L. Medrano, Notary Public (Mere insert name and u(le of the ofLcer) personally appeared Shawn A. Smith and nobody else who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he &he4I+ey executed the same i his ' authorized capacityW), and that by his `t�- signature>ron the instrument the personX, 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. EDRAN WITNESS my han and official seal. DOSE L. 21757O ' COMM. #2175742 z Notary Public•California o Z Los Angeles County - My omm. xplres ec. , a is S' ture (Notary Public Seal) A ITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM - This form complies ivith current California statutes regarding notap,wording and, DESCRIPTION OF THE ATTACHED DOCUMENT if needed,should be completed and attached to the document.Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary Imv. (Title or description of attached document) - State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment. (Title or description of attached document continued) - Date of notarization must be the date that the shmer(s)personally appeared which must also be the same date the acknowledgment is completed. - The notary public must print his or her name.as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title(notary public). - Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER - Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. ❑ Individual (s) I3e/she/thee is/are)or circling the correct forms.Failure to correctly indicate this information may lead to rejection of document recording. ❑ Corporate Officer - The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) - Signature of the notary public must match the signature on file with the office of the county clerk. El Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. ❑ Other Indicate title or type of attached document,number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO;Secretary). 2015 Version�www.NotaryClasses.eon.800-873-980"5 - Securely attach this document to the signed document with a staple. I 4/22/20 9 https://cadir.secure.force.com/ContractorSearch/PrintRegDetails Contractor Information Registration History Legal Entity Name Effective Date Expiration Date SIADC CONTRACTORS CORPORATION Legal Entity Type 06/18/18 06/30/19 Corporation Status 05131/17 06/30/18 Active ......... ...._... __.-. Registration Number 06/01/16 06/30/17 1000003377 Registration effective date 06/29/15 06/30/16 06118118 Registration expiration date 12/03/14 06/30/15 06/30119 Mailing Address 12240 WOODRUFF AVE DOWNEY 90241 CA United States of America Physical Address 12240 WOODRUFF AVE DOWNEY 90241 CA United States of America Email Address Shawn@shawnan.com Trade Name/DBA 5HAWNAN Uceme Number(s) CSU3:679962 Legal Entity Information Corporation Number: 1724856 Federal Employment Identification Number. President Name: SHAWN SMITH Vice President Name: JAMES PHILLIP PENDERGIST Treasurer Name: JOHN SMITH Secretary Name: JOHN SMITH _ CEO Name: SHAWN SMITH Agent of Service Name: Agent of Service Mailing Address: CA United States of America Worker's Compensation Do you lease employees through Professional Employer Organization(PEO)?: Please provide your current worker's compensation insurance information below: PEO PEO PEO PEO lnformationName Phone Email Insured by Carrier Policy Holder Name: SIALIC CONTRACTORS CORPORATION Insurance Carrier: ZURICH AMERICAN INSURANCE COMPANY Policy Number: WC106297400 - Inception date: 06/01/18 Expiration Date: 10/01/18 Contractor Information Registration History Legal Entity Name Effective Date Expiration Date $IAUC CONTRACTORS CORPORATION Legal Entity Type 06/18/18 06/30/19 Corporation Status 05/31/17 06/30/18 Expired Registration Number 06/01/16 06/30/17 1000003377 Registration effective.date 06/29/15 06/30/16 05131/17 Registration expiration date 12/03/14 06/30/15 06/30118 Mailing Address 12240 WOODRUFF AVE DOWNEY 90241 CA United States of America Physical Address 12240 WOODRUFF AVE DOWNEY 90241 CA United States of America Email Address shawn@shawnan.com Trade Name/DBA 'SHAWNAN License Number(s) CSLB:679962 Legal Entity Information Corporation Number: 1724856 Federal Employment Identification Number: President Name: SHAWN SMITH Vice President Name: JAMES PHILLIP PENDERGIST Treasurer Name: JOHN SMITH Secretary Name: JOHN SMITH CEO Name: SHAWN SMITH Agent of Service Name: https://cadir.secure.force.com/ContractorSearch/PrintRegDetails 1/4 1 CONTRACTORS STATE LICENSE BOARD Contractor's License Detail for License#679962 IISCLAIMER:A license status check provides Information taken from the CSLB license database.Before relying on this Information,you should be aware of the following limitations. CSUI w-kint4iecloapmt,ne ds,!bylaw(S&P 7124.6)1f IN,entityissubledio pubH compalntdedueun,armkW—oplaint,b,,J awn appear beor.Clickun eieinkordnlpn toabein mnplanRaritllor legal eceon Infoimalion. Per B4P 1011.17,only wmbuoeon raleNd cM1 Laments rep—la Ire CSLB are kt.clwetl. FTitrallons are not low unbse 1M—olor fait,to wmp"M the tarma aloe-iwtion. oue le wodeaetl,Ihare may tie relavenl Infamueon tnal nss ml Y.been enleeed onto Ne BoaN'a li—OalaWsa. Data current as of 4/30/2019 11,20:55 AM Business Information SIALIC CONTRACTORS CORPORATION dba SHAWNAN 12240 WOODRUFF AVE DOWNEY,CA 90241 Business Phone Number.(562)e03-9977 Entity Corporation Issue Date 11/04/1993 Expire B.I. 1113 012 01 9 License Status his license is current and active. /di Information below should be reviewed. Classi0eations A-GENERAL ENGINEERING CONTRACTOR B-GENERAL BUILDING CONTRACTOR J Bonding information Contractors Bond Is Ilcense filed a Contractors Bond with FEDERAL INSURANCE COMPANY. Bond Number.61400214 Iaond Amount:$15,000 Effective Date:Ot/01/2016 goo...,,.Bond History Bond of Qualifying Individual e Qualifying indMldual JOHN ALLEN SMITH certlfietl that he/she awns 10 percent a more of the voting stock membership inbrest of this mmpany,therefore,the Bond of Qualifying Individual Is not W ulred. lEffecive Dab:03/01/1999 BQI's Bond History Workers'Compensation This license has-.it—cvrnpensation insurance with the ZURICH AMERICAN INSURANCE COMPANY 1 policy Numbar.WC106297401 :Eftofiva Dab:10/012018 Ecpin Dab:/0/D12019 ;Workers Compensation History to 1 Personnel listed on this license(current or disassociated)are listed on other licenses. From: SHAWNAN 12240 Woodruff Avenue P„ r, 1 , Downey,CA 90241 r _�.. TO: 20I3 r:r •jv ('If 1.41 City of Huntington Beach Attn:City Clerk 2000 Main Street Huntington Beach,CA 92648 SEALED BID FOR: Bid No.1569 Alley Rehabilitation "DO NOT OPEN WITH REGULAR MAIL" Bid Opening:2:00 PM,TUESDAY,APRIL 30,2019 City of Huntington Beach 4 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227,♦ www.huntingtonbeachca.gov Office of the City Clerk 17,1999 Robin Estanislau, City Clerk September 25, 2019 United Paving Co. 1880 N. Delilah St. Corona, CA 92879 RE: Alley Rehabilitation from Graham St. to Heil Ave— CC No. 1569 Enclosed please find your original bid bond for CC-1569. Sincerely, Robin Estanislau, CIVIC City Clerk RE:tm Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand ■ SECTION C PROPOSAL for the construction of ALLEY REHABILITATION ' from Graham St. to Heil Ave. CC No. 1569 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 re-advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. ' C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the ' required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the 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 &; c� R on d in the amount of SAIAJ4 which said amount is not less than 10% of the aggregate of the total bid price, as required by the otice 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 , i 1 1 ! i 1 1 1 1 1 C_2 1 ALLEY REHABILITATION, CC No. 1569 PROJECT BID SCHEDULE Item Contract Bid Item Description Unit Price Extended Amount No. Quantity ' 1 1 Mobilization LS $` + $ y��a,�z c� ' per LS 2 1 Furnish Project Traffic Control 'A I ' LS $� $ Iy to 8� , "'-1 per LS ' 3 2000 Unclassified Excavation `� �+ Cl to S.O CY $ `-4. $ I per CY 4 455 Construct Redwood Header q 1 LF $ l2.c L T $ ' per LF 5 2250 Construct Concrete Alley Gutter 2 q tt per LF 6 1000 Construct Type III-C3-PG 64-10 Asphalt Concrete Pavement TN (Depth varies per Plan) $ per TN 7 700 Crushed Miscellaneous Base CY $ .T32'o $ 61,`, gl . �� per CY 8 1300 Construct Concrete Alley Approach ' SF $ to• 81 $ per SF ' 9 1 Prepare Storm Water Pollution Prevention Plan LS $ O.6 $ ' per LS 10 1 Water Pollution Control ' LS $ $ 3�`I�. 1 per LS Total Amount Bid in Figures: $ Total Amount Bid in Words:....... 1 .....�.4 ........f�!. ..- {M/..... !oh 4!✓.1.:...Oh.e-.....kfjm—A...�c ..... 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 U► INVX OM g 64481 S�StA e.;Ae'a. 002 13� .ate �,,x.rs i�e , t4 `{z sa 1' ' 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 1 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on � lq, at broth , OA Date City State being first duly worn, deposes and says that he or she is u of 0.1fthirIAthe party making the foregoing bid that the bid is not made in the interestof, r on tl e bellalf f, 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. ri i VI Cm QU ' i 1 0 Nalne of Bidder Signature of Bidder 1920 not1h WA rona CA qQ2�Q Address of Bidder 1 ' 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 ALLEY REHABILITATION, CC No. 1569, (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. LDEPiR 6'111n NRICURU IU &L U i h C'6 ' Co tractor By v Title Date: 4% (q t C-5 DISQUALIFICATION QUESTIONNAIRE ' In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. ' QUESTIONNAIRE ' Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes �No If the answer is yes, explain the circumstances in the space provided. 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. 1 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. HMO f POL Jd %V 06 Co actor 414 ' By U0 Title Date: ' C-7 ' BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: 2 1) 1 Ild PoLviga Bider Nam N r h Business Address 0 Oro no, Ca ' City, State Zip 9 DO r16880, UnIWin com Tele hone Number Email Address R5S QS ' St tea Contractor's License No. and Class NI Original Date Issued to 11g 1 IN Expiration Date ' The work site was inspected b�� W-63,tlof our office on L , 201_. The following are persons, firms, and corporations having a principal interest in this proposal: ' The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability; financially or otherwise, to perform the contract for the proposed Work and improvements in accordance with the plans and specifications set forth. r` v' a ,1W Pavi' ' Com any Na J-zl Signature of Bidder ,t al Printed or Type Signature ' C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this 2q day of Ar 1 , 2011 . i A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. Stateof 0aillorni'a ) r County of Q1 ypl(8 11 ) On 11q . 'd, I q before me, i6afiflia 91i an fla (Yl T r �f�0 CIS ' Month, Day, and Year Insert Name and Title of Nota personally appeared f ;�eodore I Vev) - - ' Na e( of SignerO who proved to me on the basis of satisfactory evidence to be the person( ) whose name(k) is/me subscribed to the within instrument and acknowledged to me that he/s)e/tkZy executed the same in his/her/tkir ' authorized capacity(j&), and that by his/Wr/tWr signatureios) on the instrument the person(V), or the entity upon behalf of which the person(r) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS m hand d official seal. SAMANTHA BRIANNA ROMO my an Notary Public-California Riverside County Commission N 2216223 My Comm.Expires Sep 29,2021 Signature ' ature of Notary Public (PLACE NOTARY SEAL ABOVE) ' C-9 BIDDER'S PROJECT HISTORY AND PUBLIC AGENCY REFERENCES The bidder shall provide information to demonstrate his/her past work experience on projects of similar (or ' greater) size and scope of the ALLEY REHABILITATION, CC No. 1569. Bidders may submit additional sheets, using the format shown, to further demonstrate his/her history of similar work experience. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: l f AnUello, 10 gey rhi, �Id MWAdn OA qMq Nam and Address of Public Agency Name and Phone # of Agency's Project Manager: LASau McCain) 1 1q 0 Nmne Ihik IA,g -75 0 JJ ZIS II g ' Project Name Contract Amount Date Completed Detailed descripti n of bidder's scope of ork to demonstrate similar work experience: tin 2. nt of Ike Armu q15 Wl��ace 9W los Anoe Qs rA qOO17 1,;ailie and Address of Public 4ency Name and Phone # of Agency's Project Manager: A41 Win hbo) 7v- ocloo - u 34. 00 1 I /Ito Project Name Contract Amount Date Completed ' et I le descri do obi de�'s scope f wor Ito de onsrate similar work experience: OC A I lJ ' 3. q2311 -.6056 Name and Address of Public Agenc Name and Phone # of Agency's Project Manager: Tpyp F e (� 7��,a 7�- Q g q b , (trine Aage &rsldw ' Project Name Contract Amount Date Completed D tail d escript on fd%s,scope of work to demonstrate similar work experience: ' c-io BIDDER'S CRITICAL STAFF The bidder shall provide information to demonstrate that both the Construction Project Manager (office staff) and Construction Superintendent (field staff) proposed for ALLEY REHABILITATION, CC No. 1569 have had similar work experience on at least 3 different projects within the past five years. The proposed critical staff members need not have been employed by the bidder at the time the referenced projects were completed. ' Name of proposed Construction Project Manager Phone#of proposed Construction Project Manager: 014) '14 Q -3 q6 D Project Name & Co act Alnount Type of Work Date Completed ' XL�- oo c En 1 t 8do o � Project Name & Contract Amount Type of Work Date Completed OMA k200000 2 8 Project Name & Contract Amount Type of Work Date Completed 2. lriu)66 2 Name of p posed Construction Superintendent Phone #of proposed Construction Superintendent: (-714 ) —791- Home Q hiteg kPoi k 9 Project Name & Contract Amount Type of V6k Date Completed BCA 6D PEE 5. q5 AsAall Pavinq 1910 Project Name & Contraoi Amount Type of Work I Date Completed Lvnwoo NS 'IraclMel 199, 59. 1-7 AqWl Payinoo ( g Pr ject Name & Contract Amount Type of Work J Date Completed ' G11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF ' INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis ' (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each Contractor to whom a public works contract has been awarded shall sign the following certificate. ' DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/P WCR/ActionServlet?action--displayPWCRegistrationForm DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 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 1 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. e i r avi m no i� vi nq � Con actor v By HS e ' a ' ail U8 ' Title Date: � ;�, ' PWC Registration #: C-12 Developers Surety and Indemnity Company Indemnity Company of California ® CorePointe Insurance Company AmTrust Surety 17771 Cowan Suite 100•Irvine,California 92614•(949)263-3300 An AmTrust Financial Carnpany www.AmTrustSurety.com BID BOND BOND NO. N/A KNOW ALL MEN BY THESE PRESENTS, That we Superior Paving Company, Inc.dba United Paving Co. as Principal,and Developers Surety and Indemnity Company a corporation authorized to transact a general surety business in the State of California as Surety, are held and firmly bound unto City of Huntington Beach (hereinafter called the Obligee) in the full and just sum of ten percent of amount bid------------------------------------------------------------------------------------- Dollars, ($ 10% _)for the payment whereof in lawful money of the United States,we bind ourselves, our heirs, administrators,executors, successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the said PRINCIPAL has submitted the accompanying bid for Alley Rehabilitation from Graham Street to Heil Avenue CC#1569 NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid,or in the event of the failure of the Principal to enter such Contract, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect. Signed and Sealed this 25th day of April 12019 YEAR Superior Paving Company, Inc. 1 Develo Ers-Sure ar�d-fndemnit Company dba United Pavi Co. SurA// Z) y By: , Principal SGO t Sf? di,, Attorney-in-Fact ID-1198(Bid Bond)(REV 7/15) �� 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 APR 2 5 2019 before me, Kelly A. Vincent, a Notary Public (insert name and title of the officer) personally appeared Scott Salandi, Attorney-in-Fact who proved to me on the basis of satisfactory evidence to be the person(s) whose name(%) is/aNx subscribed to the within instrument and acknowledged to me that he/sue" executed the same in his/ker tak authorized capacity(ie*, and that by his/kerAkek signature(g) 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. ��w OF TNF KELLY A.VINCENT WITNESS my hand and official seal. ea P ,,'A COMM.#2201248 to W-® r NOTARY PUBLIC-CAUFORNIA r � ORANGE COUNTY N �4LIF * MY COMM,EXP,JUNE 21,2021 Signature Seal) POWER OF ATTORNEY FOR DEVELOPERS SURETY AND INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA PO Box 19725,IRVINE,CA 92623 (949)263-3300 KNOW ALL BY THESE PRESENTS that except as expressly limited,DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,do each hereby make,constitute and appoint: ***David S.Jacobson, Leonard E..Ziminsky, Scott Salandi,jointly or severally*** as their true and lawful Attomey(s)-in-Fact,to make,execute,deliver and acknowledge,for and on behalf of said corporations,as sureties,bonds,undertakings and contracts of suretyship giving and granting unto said Attomey(s)-in-Fact full power and authority to do and to perform every act necessary,requisite or proper to be done in connection therewith as each of said corporations could do,but reserving to each of said corporations full power of substitution and revocation,and all of the ads of said Attomey(s)-in-Fact,pursuant to these presents,are hereby ratified and confirmed. This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,effective as of January 1st,2008. RESOLVED,that a combination of any two of the Chairman of the Board,the President,Executive Vice-President,Senior Vice-President or any Vice President of the corporations be,and that each of them hereby is,authorized to execute this Power of Attorney,qualifying the attomey(s)named in the Power of Attorney to execute,on behalf of the corporations,bonds,undertakings and contracts of suretyship;and that the Secretary or any Assistant Secretary of either of the corporations be,and each of them hereby is,authorized to attest the execution of any such Power of Attorney; RESOLVED,FURTHER,that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond,undertaking or contract of suretyship to which it is attached. IN WITNESS WHEREOF,DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by their respective officers and attested by their respective Secretary or Assistant Secretary this 4th day of October,2018. By. of tynNo�y'•.,�, V?ANY a Daniel Young,Senior Vice President yJ`?2GOaaoa�T�oF�y i opPOgy q9 W 1936 OCT.6 �Q o 7 By: L OJT%CgCIFORfP DOS o86 t4 b Mark Lansdon,Vice President ,�,�o•*• � �,•�� rQFOAk 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 October 4,2018 before me, Lucille Raymond,Notary Public Data Here Insert Name and Tge of the Officer personally appeared Daniel Young and Mark Lansdon Name(s)of 9gner(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 n his/h r/their authorized capacity(ies),and that by hislher/their signature(s)on the instrument the person(s),or the entity upon behalf of aMy LUCILLE RAYMOND which the person(s)acted,executed the instrument. Notary Public-California : Orange County 9 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is Commission 12258185 true and correct. Comm.F-moires Oct 13,2022 11 WITNESS my hand and official seal. Place Notary Seal Above Signature Lucille y ond,Notary Public CERTIFICATE The undersigned,as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA,does hereby certify that the foregoing Power of Attorney remains in full force and has not been revoked and,furthermore,that the provisions of the resolutions of the respective Boards of Directors of said corporations set forth in the Power of Attorney are in force as of the date of this Certificate. This Certificate is executed in the City of Irvine,California,this day of APR.2 5 2099 ���ANo.tio.,,. Q PANYO� yJ oapp�T�o�c�2: `V ¢PoR C,OCT,5 By: 44�� Cassie J nisford,Assistant Se tary CA �d7°quFoar'�� a �GrFaP���3` ATS-1002(10/18) �� * �•,;- +t CALIFORNIA 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 1-.lId9Ci(�P On 1 gd Q,j . �f.D V'1 before me, &1anna60, WuqPWIC , Date I' Here Insert Name and Title of the Offl r personally appeared Ic r I I ame(V of SignerN who proved to me on the basis of satisfactory evidence to be the person(§]whose name(4 is/aW subscribed to the within instrument and acknowledged to me that he/size/they executed the same in his/Hdr/toeiir authorized capacity(iofl, and that by his/Ur/t�ieir signature(t) on the instrument the person64, or the entity upon behalf of which the persono;) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing SAMANTHABRIANNAROMO paragraph is true and correct. Notary Public-California Riverside County WITNESS my hand and official seal. Commission k 2216223 My Comm.Expires Sep 29,2021 / Signature Place Notary Seal and/or Stamp Above ignature of Notary Public 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: 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: ©2018 National Notary Association UNITED ;PAVING CO. "When Integrity Counts" 1880 N.Delilah St.,Corona,CA 92879 O C asnnyJc rn 0K , r cn "SEALED BID" r `* ALLEY REHABILIATION,CC No.1569 " In the City of Huntington Beach x; DO NOT OPEN WITH REGULAR MAIL