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Nobest, Inc. - 2019-12-16 (2)
RECEIVED BY:- j CITY CLERK RECEIPT COPY Return DUPLICATE to / City Clerk's Office (Name) V after signing/dating 1 ; 7/,) (Date) f CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: SUBJECT: Bond Acceptance I have received the bonds for Ny .,zk, M/—,-- ` (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. / *� Warranty or Maintenance Bond No. C/7J � 0 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 G� (Council Approval Date) CC No. /, !S / Agenda Item No. '" �1 �-1 MSC No. City Clerk Vault No. 6-0 Other No. SIRE System ID No. L53 /,999 g:/forms/bond transmittal to treasurer F , 0 CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION DATE: 6/15/2020 TO: THOSE LISTED HEREON FROM: John Martin PW Contract Administrator SUBJECT: Retention Release Payment- PO#25604 OJ Supplier#39492 Co. #239 Residential Curb Ramp Project, Project#CC1589 Contractor's Name: Nobest, Inc. Address: PO Box 874 City, State and Zip Code: Westminster, CA 92684 Phone Number: (714) 892-5583 City Business License Number: A186848 Notice of Completion (Date by City Clerk): 4/6/2020 The conformed copy of the Notice of Completion for the above contract has been filed. The thirty-five (35) day waiting period has elapsed or will elapse before payment is made. Processing of the retention payment is recommended so long as no stop notices or outstanding invoices are on file with the City. I certify that no stop notices are on file. ate erbe , ector of Public Works I certify that there are no outstanding invoices on file. Date Joy e Zack eputy City Treasurer I certify that no stop notices are on file, and that a guaranty bond has been filed with the City Clerk's Office. '� ? q W61L/ Da e Robin Estanislau, City Clerk Attachments 1. Notice of Completion 2. Maintenance Bond 3. Certificate of Compliance with Prevailing Wage Laws 4. Contractor's Certificate 5. Certificate of Compliance with Title VI of the Civil Rights Act and Equal Employment Opportunity Act of 1972 6. Consent for Release letter from the Surety Company RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: SUBJECT: Bond Acceptance I have received the bonds for /V lw (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. ��11� Warranty or Maintenance Bond No. C/�G' -;7"7'/A4 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 c� (Council Approval Date) CC No. I Agenda Item No. 1'/ MSC No. City Clerk Vault No. 6--4)Z? %50 Other No. SIRE System ID No. tS, g:/forms/bond transmittal to treasurer Issued in two (2)original Counterparts Bond No. CAC716977M MAINTENANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: That Nobest Incorporated (contractor's name) 7600 Acacia Aye, Garden Grove CA 92841 (contractor's street address,city and state and zip code) as Principal (hereinafter called Contractor),and Merchants Bonding Company (Mutual) (surety's name) 6700 Westown Parkway, West Des Moines, IA 56266 (surety's street address, city and state and zip code) a corporation organized and existing under the laws of the State of Iowa with its principal office in the City of Des Moines as Surety(hereinafter called Surety), are held firmly bound unto CITY OF HUNTINGTON BEACH as Obligee (hereinafter called Owner), in the amount of Eight Hundred Eighty Thousand Six Hundred Eighty Two and 001100 Dollars ($880 682.00 - ), equivalent to the entire contract amount including all orders, for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators,successors, and assigns,jointly and severally;firmly by these presents, WHEREAS,Surety is a duly admitted surety insurer under the laws of the State of California;and Surety is certified and listed in the U.S. Department of the Treasury Circular 570,and able to provide proof of bonding limitation shown in said circular is sufficient to provide.bonds in the amount required by said Contract; and Surety has provided financial strength ratings from reputable companies, such as from A.M. Best, Moody's, Standard & Poor's,to validate that Surety has positive ratings of being secure or stable; and Surety is registered and listed with the California Department of Insurance;and Contractor has by written agreement dated January 15,202Q entered into a contract with Owner for the Residential Curb Ramp Project. CC No. 1589 in accordance. with drawings and specifications prepared by N/A which contract is by reference made a part hereof(hereinafter referred to as the Contract);and The Contract provides that the principal will guarantee, for a period of one year, the work performed as part of the Contract from and against all defects in materials and workmanship;and The Contract also provides that the Contractor shall secure.Contractor's obligations during the one-year period with a bond executed by a surety duly admitted in the state of California;and The Contract has been completed,and the Owner,Contractor and Surety agree that the commencement date for this Guarantee and Bond shall be April 30 2020, NOW, THEREFORE,THE CONDITION OF THIS OBLIGATION is such that if Contractor shall, for a period of one year from and after the date of completion and acceptance of the Contract by Owner, repair and/or replace any and all defects ,arising in the Work, whether resulting from defective materials or defective workmanship, then this obligation shall be null and void;.otherwise it will remain in full force and effect. The Surety hereby waives notice of any alteration or extension of time made by the Owner. Whenever Contractor shall be, and declared by Owner to be in default under the Contract, the Surety shall, within thirty (30) days following Owner's written notice of default, either: (a) remedy the default, or (b) shall promptly complete the Contract in accordance with its terms and conditions. Surety shall save the Owner harmless from any claims,judgments, liens or losses arising from the Surety's failure to either remedy the default or to complete the Contract in accordance with its terms and conditions in a timely manner: 15-4584/118138 1 Whenever the Principal shall be, and declared by the Owner to be in default under the Contract, which shall include without limitation, any breach or default of the Contract, then, after written notice from the Owner to the Surety, as provided for below,the Surety shall either: (a)remedy the default or breach by the Principal;or(b)shall promptly and faithfully take charge of the Work and complete the Work in accordance with the requirements of the Contract with a contractor other than the Principal,at its own expense, and make available as work progresses sufficient funds to pay the cost of completion less the unpaid balance of the Contract including other costs and damages for which the surety may be liable hereunder, provided, however, that the procedure by which the Surety undertakes to discharge its obligations under this Bond shall be subject to the advance written approval of the Owner. Within thirty (30) days after Surety's receipt of a written notice.from Owner of the failure of performance of the Contract by the Principal, it shall be the duty of the Surety to give to the Owner a notice, in writing, of the Surety's election to (a) remedy the default(s)of the Principal promptly,or(b)arrange for performance of the Contract promptly by a contractor other than the Principal, time being of essence to this Bond. In said Notice of Election, the Surety shall state the date of commencement of its cure or remedy of the Principal's default(s) or its performance of the Contract. The Surety's obligations for cure or remedy, include but are not limited to: correction of defective work and completion of the Contract, additional legal, design professional and delay costs arising from Surety's actions or failure to act; and liquidated damages (or if no liquidated damages are specified in the Contract, actual damages caused by delayed performance or non-performance by the Principal). The Surety shall give prompt written notice to the Owner upon completion of the cure or remedy of the Principal's default(s)of its performance of the Contract. If the Surety does issue its Notice of Election and does not proceed to cure or remedy the Principal's default(s) of its performance of the Work within thirty(30) days after receipt of a written notice from Owner, Surety shall be deemed to be in default on this bond,and:the Owner shall be entitled to enforce any remedy available to Owner. No right of action shall accrue on this bond to or for the use of any person or corporation other than the owner named herein or the successors of Owner. Signed and sealed this 11th day of May 12020 Principal Raised Corporate Seal Nobest Incorporated [MUST BE (Contractor Name) y: I Principal Raised Corporate Seal LAtj�> [MUST BE AFFIXED] (Title) Merchants Bonding Company (Mutual) (Surety Name) By: eal) Dwight Reilly, Attorney-in-Fact APPROVED AS FRM ✓ r NOTES: ,Michael E. Gates, City Attorney 1. Acknowledgments must be completed and returned as part of the bond. rtf psi 2, Raised Corporate Seals are mandatory.. 3. Please attach Power of Attorney. I5-4584/118138 2. 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 Q— 2G70 before me, Kay E. Anderson/Notary Public Date Here Insert Name and Title of the Officer personally appeared Larry Nodland Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(K whose names) is/V4 subscribed to the within instrument and acknowledged to me that he/sx/tbey executed the same in his/4elltl�fr authorized capacity(14, and that by his/h9wAWr signature(raj'on the instrument the persons' or the entity upon behalf of which the personXacted, 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. KAY E.ANDERSON Notary Public-California z Z _ Orange County > Commission;.2205144 Signature , AA 1(ayjk� My Comm.Expires Jul t 5,2021 S na e 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: Larry Nodland Signer's Name: A Corporate Officer — Title(s): President ❑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.NationalNotary.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 May 11, 2020 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. WITNESS my hand and official seal. `. MELISSA ANN VACCARO W, r COMM.#2241394 Notary Public-California c ORANGE COUNTY LL My Comm.Expires May 12,2022 �Y (Seal) Melissa Ann Vaccaro ME RC HANT Bond No.CAC716977M BONDING COMPANY- POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa(herein collectively called the"Companies")do hereby make,constitute and appoint,individually, Arturo Ayala;Ben Stong;Daniel Huckabay; Dwight Reilly;Frank Morones;Michael D Stong;R Nappi;Shaunna Rozelle Ostrom their true and lawful Attorneys)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments 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. This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 16,2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and aut hority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is.agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 11th day of February 2020 �''�PRp R<•6'0•: •p�`�p p d�yA4•• MERCHANTS BONDING COMPANY.(MUTUAL) �Z i2G0 4>� Rqy�: MERCHANTS NATIONAL BONDING,INC. _s 2003 !�,Z '6' 1933 �.c: By :iy� :;��.` �•,��3W•......-Lac President ..............{� �. .• it STATE OF IOWA � ••" COUNTY OF DALLAS ss. On this 11th day of February 2020 before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. AQ'Ft1A4s POLLY MASON o y Commission Number 750576a ' Z °°°° My Commission Expires at ' • �owP • January 07, 2023 Notary Public (Expiration of notary's commission does not invalidate this instrument) I,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this I Ith day of May ,2020 rim v' 2003 0 10 a 1933 �'c Secretary yJ. POA0018 (V20) �''••........•••. .••...••• Certification of Compliance with Prevailing Wage Laws To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach,CA 92648 Re: Certification of Compliance with Prevailing Wage Laws Contract: lt, 13$q Project: ,e51d Q�'1�},¢�1u gGt m p Tau The undersigned contractor on the above-referenced project("Project")hereby certifies that all laborers, mechanics, apprentices,trainees,watchmen and guards employed by him or by any subcontractor performing work under the contract for the Project have been paid pursuant to the minimum wage and bona fide fringe benefit requirements specified for each particular classification of work, as set forth in the wage-rate determinations of the State of California, Department of Industrial Relations, and/or the United States Department of Labor. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this Z.$Th day of � ,202 ,atGetrAen California. (Contras or Na- e) APPROVED O FORM By: MjoKael E. Gates Attorney 1 CONTRACTOR'S CERTIFICATE i, 1-- NvA&M , state and certify that: (N me of Declarant) is the general contractor to the City of Huntington Beach("City")on Contract No. )j J (the "Contract") for the construction of the public work of improvement entitled: es id�n-�-►a1 Cwr� ccm a 'Pr cz I%J —��r4 Ir GC 15� (the"Project"). 2. All work to be performed pursuant to the Contract has been completed in accordance with the Contract Documents(as such term is defined in the Contract). 3. Except for the claims listed below and the disputed claims listed in paragraph five (5), all persons supplying labor, services, materials and equipment to the Project,including all claims against the contractor arising from the performance of the Contract,have been paid and satisfied(list unpaid debts and claims; if none, write "NONE"): �V onP_ 4. Attached hereto are the lien waivers required by the Contract Documents,which lien waivers have been executed by all persons who performed work on or supplied labor, services, materials, and/or equipment for use at the Project. 5. Set forth below is a list of disputed claims or claims that are the subject of a Notice to Withhold filed pursuant to the Civil Code of the State of California(list all disputed claiA�; if none, write "NONE"). Iy ori e, I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at Gets-d1.en -G roV c on this $ day of NPYI` , 20 20 . rgnatroe De•larant) APPROVED AS - ORM Michae . Gates City ttorney 1 Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 Contract: Project: Ka NJ The undersigned contractor on the above-referenced project("Project") hereby certifies that it has complied with title VII of the Civil Rights Act,the Equal Opportunity Act of 1972 and Executive Order It 246,and has not discriminated against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity,national origin, age or disability. The undersigned contractor also certifies that it has not maintained any segregated facilities at its establishments on the basis of race,color,religion, sex,sexual orientation, gender identity,national origin,age or disability(with the exception of access for the disabled). I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this 2$Th day of r ,20 20 , at( d�n CLL alifornia. c ( e) APPROVED F By: Mic el E. Gates Ci Attorney 1 Issued in two (2)original counterparts ' CONSENT OF SURETY OWNER TO FINAL PAYMENT ARCHITECT ALA Document G707 CONTRACTOR: SURETY OTHER Bond No.CAC716977 TO(OWNER) ARCHITECTS PROJECT NO : (Name and address) CONTRACT FOR $803,850.00 City of Huntington Beach 2000 Main Street Huntington Beach,CA 92648 CONTRACT DATE: January 15,2020 PROJECT: (Name and address) FINAL CONTRACT AMOUNT: $880,682.00 Residential Curb Ramp Project,CC No.1589 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Here insert name and address of Surety) Merchants Bonding Company(.Mutual) 6700 Westown Parkway West Des Moines,IA 50266 SURETY On bond of (Here insert name and address of Contractor) Nobest Incorporated 7600 Acacia Ave. Garden Grove,CA 92841 CONTRACTOR Hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to (Here insert name and address of Owner) City of Huntington Beach 2000 Main Street Huntington Beach,CA 92648 OWNER As set forth in the said Surety Company's bond IN WITNESS WHEREOF,the Surety Company has hereunto set its hand this 11 th day of May,2020 (Insert in writing the month following by the numeric date andyear) Merchants Bonding Company(Mutual) Surety Company 1 Attest Signature of Authorized Representative Seal Title Dwight Reilly ,Attorney-In-Fact ALA DOCUI4a?N'. G707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT 1994 EDITION AIA® One Page ©THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,NW 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 May 11, 2020 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. WITNESS m hand and official seal. MELT M .#2 41394VACCA O y @my COMM.#2241394Notary Public-California ORANGE COUNTY LL Comm.Expires May 12,2022 Signature\1-111�&Zol�N'�)M� ,(Seal) Melissa Ann Vaccaro MERCHANT� Bond No.CAC716977 BONDING COMPANY-. POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC., both being corporations of the State of Iowa(herein collectively called the"Companies")do hereby make,constitute and appoint,individually, Arturo Ayala; Ben Stong;Daniel Huckabay;Dwight Reilly;Frank Morones;Michael D Stong;R Nappi;Shaunna Rozelle Ostrom their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments 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. This Power-of-Attomey is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 16,2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attomeys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attomey-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attomey-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 11th day of February 2020 • 1oNq�e• ••�O\NG C��fA•• y :O tPop'.• .• p ;�O,•0(1PUq' .9 MERCHANTS BONDING COMPANY(MUTUAL) 4�,.y� MERCHANTS NATIONAL BONDING,INC. v`. 2003 a' 1933 c' By ' d•' '`• .yid• 'O:• 11 %'•,�ltj" ;��•:' •••`�lfi•.fir••L1a; President STATE OF IOWA COUNTY OF DALLAS ss. On this 11th day of February 2020 before me appeared Larry Taylor, to me personally known, who being by me duly swom did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. el 4 s POLLY MASON o q Commission Number 750576 My Commission Expires /CNuP January 07, 2023 Notary Public (Expiration of notary's commission does not invalidate this instrument) 1,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 1 lth day of May 2020 'x' 2003 :a 1933 'c: Secretary ?,dui'• .••'���� �•,6�i�....:.••`1'a•: POA 0018 (i/20) �"""" /.^+JI y��.s1, f• -.n7,,: . :4 . ..'�y '... .W"• ... .a .. 4 4A. .. .y.. A •,t . RECEIVEAY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating C, (Date) i, CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION h TO: City Treasurer FROM: City Clerk ll DATE: //11 SUBJECT: Bond Acceptance I have received the bonds for I "(Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) , —7 Q Performance Bond No. ��l_ . 7 Z� / -7 7 A Payment Bond (Labor and Materials) Bond No. :7 l)(:57 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 A, ��� � (Council Approval Date)� CC No. Agenda Item No. 19 1174,1 MSC No. City Clerk Vault No. Other No. SIRE System ID No. 6 9d)0 g1forms/bond transmittal to treasurer Document-9859908-Page-1 Page 1 of 1 Recorded in Official Records,Orange County Hugh Nguyen,Clerk-Recorder NO FEE PLEASE COMPLETE THIS INFORMATION }II$ IR) II I)(1 II1 III(I1 114IiI I I$ II RECORDING REQUESTED BY: 2020000158049 9:18 am 04/08/20 93 410A N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 WHEN RECORDED MAIL TO: CITY OF HUNTINGTON BEACH PUBLIC WORKS DEPARTMENT Attn:John Martin P.O.Box 190—2000 Main Street Huntington Beach,CA 92648 THIS SPACE FOR RECORDER'S USE ONLY TITLE OF DOCUMENT NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN by the City of Huntington Beach,owner in fee,2000 Main Street,Huntington Beach,CA 92648,that the contract heretofore awarded to Nobest,Inc.,who was the company thereon for doing the following work to-wit: Residential Curb Ramp Project,Project#CC1689 That said work was completed 04/06/2020 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 0410612020,per City Council Resolution No.2003-70 adopted October 6,2003. That upon said contract Merchant Bonding Company(Mutual),was surety for the bond given by the said company as required by 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. Zw Direct r ofPublitl VftYks 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. I declare under penalty of perjury that the foregoing is true and correct,and that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the County Recorder of Orange County. This document is solely the official business of ¢I' the City of Huntington Beach,as contemplated �„� j L .1. under Government code section 27383 and Dire&er of r City Engineer 'Date should be recorded free of charge. City of Huntington Beach,California THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) about:blank 4/8/2020 CDBG FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND NOBEST INC. FOR RESIDENTIAL CURB RAMP PROJECT THIS AGREEMENT ("Agreement") made and entered into by and between the City of Huntington Beach, a municipal corporation of the State of California, hereinafter referred to as "CITY," and NOBEST INC. a hereinafter referred to as "CONTRACTOR." WHEREAS, the Federal Department of Housing and Urban Development is providing partial funding for this Contract to CITY through a Community Development Block Grant; WHEREAS, CITY has solicited bids for a public works project, hereinafter referred to as "PROJECT," more fully described as RESIDENTIAL CURB RAMP PROJECT (CC-1589) 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. SF:16-5215-142605.doc/rev 12/2016 ] CONTRACTOR agrees to fully assume the risk of all loss or damage arising out of the nature of the PROJECT, during its progress or prior to acceptance by CITY, from the action of the elements, from any unforeseen difficulties which may arise or be encountered in the prosecution of work, and for all other risks of any description in connection with the work, including, but not limited to, all expenses incurred by or in consequence of the suspension or discontinuance of work, except such as are herein expressly stipulated to be borne by CITY, and for well and faithfully completing the work within the stipulated time and in the manner shown and described in this Agreement, and in accordance with the requirements of CITY for the compensation set forth in the accepted bid proposal. 2. ACCEPTANCE OF CONDITIONS OF WORK; PLANS AND SPECIFICATIONS CONTRACTOR acknowledges that it is fully familiar with all the terms, conditions and obligations of this Agreement and the Contract Documents (as defined below in this Section), the location of the job site, and the conditions under which the work is to be performed, and that it enters into this Agreement based upon its thorough investigation of all such matters and is relying in no way upon any opinions or representations of CITY. It is agreed that the Contract Documents are incorporated into this Agreement by this reference, with the same force and effect as if the same were set forth at length herein, and that CONTRACTOR and its subcontractors, if any, shall be bound by the Contract Documents insofar as they relate in part or in any way, directly or indirectly, to the work covered by this Agreement. "Contract Documents" as defined herein mean and include: A. This Agreement; SF:16-5215-142605.doc/rev 12/2016 2 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 Director of Public Works of CITY and adopted by the City Council, and any revisions, amendments or addenda thereto; D. The edition of Standard Specifications for Public Works Construction, published by Builders' News, Inc., 10801 National Boulevard, Los 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 Addenda applicable to the Project; E. All bid documents, including the Notice Inviting Bids, the Special Instructions to Bidders, CONTRACTOR'S proposal, (attached as Exhibit "A"), "Form HUD-4010," the Federal Labor Standards Provision of the United States (attached as Exhibit "B"), and "Standard Federal Equal Employment Opportunity Construction Contract Specifications," as established by Federal Executive Order 11246 (attached as Exhibit"C"). 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 SF:16-5215-142605.doc/rev 12/2016 3 in both. In case of a discrepancy between any Plans, Specifications, Special provisions, or Addenda, the matter shall be immediately submitted by CONTRACTOR to the Department of Public Works of CITY (hereinafter referred to as "DPW"), and CONTRACTOR shall not attempt to resolve or adjust the discrepancy without the decision of DPW, save only at its own risk and expense. Should there be any conflict between the terms of this Agreement and the bid or proposal of CONTRACTOR, then this Agreement shall control and nothing herein shall be considered as an acceptance of the terms of the bid or proposal which is in conflict herewith. 3. COMPENSATION CITY agrees to pay and CONTRACTOR agrees to accept as full compensation for the faithful performance of this Agreement, subject to any additions or deductions made under the provisions of this Agreement or the Contract Documents, a sum not to exceed Eight Hundred Three Thousand Eight Hundred Fifty Dollars ($ 803,850 ), 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 sixty ( 60 ) 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 SF:16-5215-142605.doc/rev 12/2016 4 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, 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 SF:16-5215-142605.doc/rev 12/2016 5 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 Agreement price will be adjusted upward or downward accordingly. 7. NOTICE TO PROCEED No work, services, material, or equipment shall be performed or furnished under this Agreement unless and until a Notice to Proceed has been given to CONTRACTOR by CITY. CITY does not warrant that the work will be available on the date the Notice to Proceed is issued. In the event of a delay in commencement of the work due to unavailability of the job site, for any reason, relief to CONTRACTOR shall be limited to a time extension equal to the delay due to such unavailability. 8. BONDS Only bonds issued by California admitted sureties will be accepted. CONTRACTOR shall, prior to its performance of this Agreement, furnish the following two (2) bonds approved by the City Attorney: 1. A bond in the amount of one hundred percent (100%) of the Agreement price to guarantee CONTRACTOR's faithful performance of the work; and 2. A bond in the amount of one hundred percent of the Agreement 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 Agreement 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. SF:16-5215-142605.doc/rev 12/2016 6 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 deductions for CONTRACTOR and its officers, agents and employees and all business licenses, if any, in connection with the PROJECT and/or the services performed hereunder. 11. LIQUIDATED DAMAGES/DELAYS It is agreed by the parties hereto that in case the total work called for hereunder is not in all parts and requirements finished or completed within the number of calendar days as set forth herein, damage will be sustained by CITY; and that it is, and would be, impractical and extremely difficult to ascertain and determine the actual damage which CITY would sustain in the event of and by reason of such delay. It is, therefore, agreed that CONTRACTOR will pay to CITY, as liquidated damages and not as a penalty, the sum of Five Hundred Dollars ($ 500 ) per each calendar day's delay in completing the work in excess of the number of working/calendar days SF:16-5215-142605.doc/rev 12/2016 7 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. For projects on the National Highway System (NHS), the local formula for liquidated damages will be provided. CONTRACTOR will be granted an extension of time and will not be assessed damages for any portion of the delay in the completion of the work due to unforeseeable causes beyond the control and without the fault or negligence of CONTRACTOR, including, but not limited to, acts of God or of the public enemy, fire, floods, epidemics, quarantine restrictions, strikes, unsuitable weather, or delays of subcontractors due to such causes. CONTRACTOR shall, within fifteen (15) days from the beginning of any such delay (unless DPW shall grant a further period of time), notify DPW in writing of the cause of the delay and CITY shall extend the time for completing the work if, in its judgment, the findings of fact thereon justify the delay; and the decision of DPW shall be conclusive on the parties hereto. Should CONTRACTOR be delayed in the prosecution or completion of the work by the act, neglect or default of CITY, or should CONTRACTOR be delayed by waiting for materials required by this Agreement to be furnished by CITY, or by damage caused by fire or other casualty at the job site for which CONTRACTOR is not responsible, or by the combined action of the workers, in no way caused by or resulting from default or collusion on the part of CONTRACTOR, or in the event of a lockout by CITY, then the time herein fixed for the SF:16-5215-142605.doe/rev 12/2016 8 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 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 CONTRACTOR for any of the following: (a) A time extension; (b) Payment of money or damages arising from work done by, or on behalf of, 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 SF:16-5215-142605.doc/rev 12/2016 9 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 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 CONTRACTOR to determine whether to approve the Change Order the Demand seeks. The DPW shall act on the Demand within fifteen (15) days after receipt of the additional information or within a period of time no greater than the time 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. SF:16-5215-142605.doc/rev 12/2016 10 E. If CONTRACTOR disputes the DPW's written response on the Demand, or the CITY fails to respond within the time prescribed, 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 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, CONTRACTOR may file a claim with the City as provided in Chapter 1 (commencing with Section 900) and Chapter 2 (commencing with Section 910) of Part 3 of Division 3.6 of Title 1 of the Government Code. For purposes of those provisions, the running of the period of time within which a claim must be filed shall be tolled from the time the time CONTRACTOR submits his or her Demand until the Demand is denied as a result of the meet and confer process, including any period of time utilized by the meet and confer process. 13. VARIATIONS IN ESTIMATED QUANTITIES The quantities listed in the bid schedule will not govern final payment. Payment to CONTRACTOR will be made only for the actual quantities of Agreement 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 SF:16-5215-142605.doc/rev 12/2016 11 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 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 (30) 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 SF:16-5215-142605.doc/rev 12/2016 12 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, or items in connection with Notices to Withhold, which have been filed under the provisions of the statutes of the State of California. SF:16-5215-142605.doc/rev 12/2016 13 17. WAIVER OF CLAIMS The acceptance by CONTRACTOR of the payment of the final certificate shall constitute a waiver of all claims against CITY under or arising out of this Agreement. 18. INDEMNIFICATION, DEFENSE, HOLD HARMLESS CONTRACTOR hereby agrees to protect, defend, indemnify and hold harmless CITY, its officers, elected or appointed officials, employees, agents, and volunteers from and against any and all claims, damages, losses, expenses, judgments, demands, defense costs, and consequential damage or liability of any kind or nature, however caused, including those resulting from death or injury to CONTRACTOR's employees and damage to CONTRACTOR's property, arising directly or indirectly out of the obligations or operations herein undertaken by CONTRACTOR, caused in whole or in part by any negligent act or omission of 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. 19. WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE Pursuant to California Labor Code Section 1861, CONTRACTOR acknowledges awareness of Section 3700 et seq. of this Code, which requires every employer to be insured SF:16-5215-142605.doe/rev 12/2016 14 against liability for workers' compensation; CONTRACTOR covenants that it will comply with such provisions prior to commencing performance of the work hereunder. CONTRACTOR shall maintain workers' compensation and employer's liability insurance in an amount of not less than the State statutory limits. CONTRACTOR shall require all subcontractors to provide such workers' compensation and employer's liability insurance for all of the subcontractors' employees. CONTRACTOR shall furnish to CITY a certificate of waiver of subrogation under the terms of the workers' compensation and employer's liability insurance and CONTRACTOR shall similarly require all subcontractors to waive subrogation. 20. INSURANCE In addition to the workers' compensation and employer's liability insurance and CONTRACTOR's covenant to defend, hold harmless and indemnify CITY, CONTRACTOR shall obtain and furnish to CITY, a policy of general public liability insurance, including motor vehicle coverage covering the PROJECT. This policy shall indemnify CONTRACTOR, its officers, employees and agents while acting within the scope of their duties, against any and all claims arising out or in connection with the PROJECT, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including products/completed operations liability and blanket contractual liability, of One Million Dollars ($1,000,000) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit, the aggregate limit must be no less than One Million Dollars ($1,000,000) for this PROJECT. This policy shall name CITY, its officers, elected or appointed officials, employees, agents, and volunteers as (the "Additionally Insured Parties") as Additional Insureds, and shall specifically provide that any other insurance coverage which may be SF:16-5215-142605.doc/rev 12/2016 15 applicable to the PROJECT shall be deemed excess coverage and that CONTRACTOR's insurance shall be primary and non-contributory with any other valid and collectible insurance or self-insurance available to the Additionally Insured Parties. Any available insurance proceeds in excess of the minimum coverage amount specified herein shall be available to the Additionally Insured Parties. All coverage available to CONTRACTOR shall also be available to the Additionally Insured Parties. Under no circumstances shall said above-mentioned insurance contain a self-insured retention without the express written consent of CITY; however, an insurance policy "deductible" of$5,000.00 is permitted. CONTRACTOR shall be responsible for causing all Subcontractors to maintain the same types and limits of insurance coverage as that required of CONTRACTOR by this Agreement. 21. CERTIFICATES OF INSURANCE• ADDITIONAL INSURED ENDORSEMENTS Prior to commencing performance of the work hereunder, CONTRACTOR shall furnish to CITY certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverages as required by this Agreement; the certificates shall: I. 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. SF:16-5215-142605.doe/rev 12/2016 16 The requirement for carrying the foregoing insurance coverages shall not derogate from the provisions for indemnification of CITY by CONTRACTOR under the Agreement. CITY or its representative shall at all times have the right to demand the original or a copy of all the policies of insurance. CONTRACTOR shall pay, in a prompt and timely manner, the premiums on all insurance hereinabove required. CONTRACTOR shall provide a separate copy of the additional insured endorsement to each of CONTRACTOR's insurance policies, naming CITY, its officers, elected and appointed officials, employees, agents and volunteers as Additional Insureds, to the City Attorney for approval prior to any payment hereunder. 22. 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. CALIFORNIA PREVAILING WAGE LAW AND FEDERAL DAVIS- BACON ACT. 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 SF:16-5215-142605.doc/rev 12/2016 17 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. C. This Agreement also is subject to the Federal Davis-Bacon Act. The minimum rate of wages for each craft or type of worker needed to execute the PROJECT shall be those as determined by the United States Secretary of Labor. If there is a difference between the minimum wage rates predetermined by the Secretary of Labor and the general prevailing wage rates determined by the Director of the California Department of Industrial Relations for similar classifications of labor, CONTRACTOR and subcontractors shall pay not less than the higher wage rate. 24. 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 SF:16-5215-142605.doe/rev 12/2016 18 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 (1) calendar day or forty (40) hours in any one (1) calendar week in violation of California Labor Code Section 1815. 25. 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. 26. EMPLOYMENT OF APPRENTICES Section 1777.5 of the California Labor Code, regarding the employment of apprentices is applicable to this PROJECT. 27. EQUAL EMPLOYMENT OPPORTUNITY During the performance of this Agreement, CONTRACTOR agrees as follows: A. CONTRACTOR will not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, or national origin. CONTRACTOR will take affirmative action to ensure that applicants are SF:16-5215-142605.doc/rev 12/2016 19 employed, and that employees are treated during employment, without regard to their race, color, religion, sex, sexual orientation, gender identity, or national origin. Such action shall include, but not be limited to the following: Employment, upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. CONTRACTOR agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the contracting officer setting forth the provisions of this nondiscrimination clause. B. CONTRACTOR will, in all solicitations or advertisements for employees placed by or on behalf of CONTRACTOR, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin. C. CONTRACTOR will not discharge or in any other manner discriminate against any employee or applicant for employment because such employee or applicant has inquired about, discussed, or disclosed the compensation of the employee or applicant or another employee or applicant. This provision shall not apply to instances in which an employee who has access to the compensation information of other employees or applicants as a part of such employee's essential job functions discloses the compensation of such other employees or applicants to individuals who do not otherwise have access to such information, unless such disclosure is in response to a formal complaint or charge, in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or is consistent with CONTRACTOR's legal duty to furnish information. SF:16-5215-142605.doc/rev 12/2016 20 D. CONTRACTOR will send to each labor union or representative of workers with which it has a collective bargaining agreement or other contract or understanding, a notice to be provided by the agency contracting officer, advising the labor union or workers' representative of CONTRACTOR's commitments under Section 202 of Executive Order 11246 of September 24, 1965, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. E. CONTRACTOR will comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the United States Secretary of Labor. A copy of Executive Order 11246, as amended, is attached as Exhibit C. F. CONTRACTOR will furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by the rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by the contracting agency and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations, and orders. G. In the event of CONTRACTOR's non-compliance with the nondiscrimination clauses of this contract or with any of such rules, regulations, or orders, this contract may be canceled, terminated or suspended in whole or in part and CONTRACTOR may be declared ineligible for further Government contracts in accordance with procedures authorized in Executive Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulation, or order of the Secretary of Labor, or as otherwise provided by law. SF:16-5215-142605.doc/rev 12/2016 21 H. CONTRACTOR will include the provisions of sub-paragraphs A through G in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each sub-contractor or vendor. CONTRACTOR will take such action with respect to any subcontract or purchase order as may be directed by the Secretary of Labor as a means of enforcing such provisions including sanctions for noncompliance: Provided, however, that in the event CONTRACTOR becomes involved in, or is threatened with, litigation with a sub-contractor or vendor as a result of such direction, CONTRACTOR may request the United States to enter into such litigation to protect the interests of the United States. 28. RECORD RETENTION Financial records, supporting documents, statistical records, and all other CONTRACTOR records pertinent shall be retained for a period of three years from the date of the City filing the Notice of Completion of the PROJECT. The only exceptions are the following: A. If any litigation, claim, or audit is started before the expiration of the 3- year period, the records must be retained until all litigation, claims, or audit findings involving the records have been resolved and final action taken. B. When the non-Federal entity is notified in writing by the Federal awarding agency, cognizant agency for audit, oversight agency for audit, cognizant agency for indirect costs, or pass-through entity to extend the retention period. C. Records for real property and equipment acquired with Federal funds must be retained for 3 years after final disposition. SF:16-5215-142605.doe/rev 12/2016 22 D. When records are transferred to or maintained by the Federal awarding agency or pass-through entity, the 3-year retention requirement is not applicable to the non- Federal entity. E. Records for program income transactions after the period of performance. In some cases recipients must report program income after the period of performance. Where there is such a requirement, the retention period for the records pertaining to the earning of the program income starts from the end of the non-Federal entity's fiscal year in which the program income is earned. F. Indirect cost rate proposals and cost allocations plans. This paragraph applies to the following types of documents and their supporting records: indirect cost rate computations or proposals, cost allocation plans, and any similar accounting computations of the rate at which a particular group of costs is chargeable (such as computer usage chargeback rates or composite fringe benefit rates). (1) If submitted for negotiation. If the proposal, plan, or other computation is required to be submitted to the Federal government (or to the pass- through entity) to form the basis for negotiation of the rate, then the 3-year retention period for its supporting records starts from the date of such submission. (2) If not submitted for negotiation. If the proposal, plan, or other computation is not required to be submitted to the Federal government (or to the pass- through entity) for negotiation purposes, then the 3-year retention period for the proposal, plan, or computation and its supporting records starts from the end of the fiscal year (or other accounting period) covered by the proposal, plan, or other computation. SF:16-5215-142605.doe/rev 12/2016 23 29. NOTICE OF THIRD-PARTY CLAIM Pursuant to Public Contracts Code Section 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. 30. 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. 31. TERMINATION FOR CONVENIENCE CITY may terminate this Agreement for convenience at any time with or without cause, and whether or not PROJECT is frilly complete upon seven (7) calendar days written SF:16-5215-142605.doc/rev 12/2016 24 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, CONTRACTOR shall be entitled to receive payment for work executed, and costs incurred by reason of such termination. In no event shall CONTRACTOR be entitled to recover overhead, profit or CONTRACTOR's fee on work not performed. Such payment by CITY shall be CONTRACTOR's sole and exclusive remedy for termination by CITY for its convenience and CITY shall have no further obligation to CONTRACTOR. 32. 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. 33. 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. 34. 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. SF:16-5215-142605.doe/rev 12/2016 25 35. STOP NOTICES; RECOVERY OF ADMINISTRATIVE COSTS CITY shall be entitled to all reasonable administrative costs and necessary disbursements arising out of the processing of Stop Notices, Notices to Withhold, or any similar legal document. This obligation shall be provided for in the labor and materials payment bond required of CONTRACTOR. CITY may charge an administrative fee of One Hundred Dollars ($100) for every Stop Notice filed in excess of two (2), regardless of whether or not CITY is named in an action to enforce such stop notices. CITY may set off any unreimbursed cost or expense so incurred against any sum or sums owed by CITY to CONTRACTOR under this Agreement. 36. 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, by notice given hereunder, may designate different addresses to which subsequent notices, certificates or other communications will be sent: TO CITY: TO CONTRACTOR: City of Huntington Beach NOBEST INC. ATTN: John Martin , Public Works ATTN: Mikey Lewis 2000 Main Street 7600 Acacia Ave Huntington Beach, CA 92648 Garden Grove, CA 92841 SF:1 6-52 1 5-1 42605.doc/rev 12/2016 26 37. 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. 38. IMMIGRATION CONTRACTOR shall be responsible for frill compliance with the immigration and naturalization laws of the United States and shall, in particular, comply with the provisions of the Immigration Reform and Control Act of 1978 (8 USC Section 1324a) regarding employment verification. 39. 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. 40. 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 SF:16-5215-142605.doc/rev 12/2016 27 bear its own attorney's fees and the prevailing party shall not be entitled to recover its attorney's fees from the nonprevailing party. 41. 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 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. 42. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of California. 43. 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 SF:16-5215-142605.doc/rev 12/2016 28 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. 44. 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. 45. SIGNATORIES Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify CITY frilly for any injuries or damages to CITY in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. 46. ENTIRETY The foregoing, and Exhibits "A" and "B" attached hereto, set forth the entire Agreement between the parties. No waiver or modification of this Agreement shall be valid unless in writing duly executed by both parties. The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive arm's length negotiations, 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. SF:1 6-52 1 5-1 42605.doc/rev 12/2016 29 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers on �E�j,� o , 20_4. KCS ii.�L CONTRACTOR: CITY OF HUNTINGTON BEACH, a municipal corpo ion of the State of California By: LAXX—ilSi b ayor (print na e) ITS: Chairman(i� ice-President City Clerk (circle one INITIATED AND APPROVED: AND na'A Z� Be ���� �. 'rector o ublic Works e IE A APP VED: IT hief Financial Officer / Asst. Sec etary/Treasurer (circle one) City Manager APPROVED A City Attorney I&V SF:16-5215-142605.doe/rev 12/2016 30 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 1�� '"?,Vf� before me, Kay E. Anderson/Notary Public Date Here Insert Name and Title of the Officer personally appeared Larry Nodland and Robert Nodland II Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s)X/are subscribed to the within instrument and acknowledged to me that kOl e they executed the same in o�/their authorized capacity(ies), and that by,�i<*/their signature(s)on the instrument the person(s), t' e 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. KAY E.ANDERSON Notary Public-California z z _ Orange County > z Commission=2205144 Signatur My Comm.Expires Jul 15.2021 Sigpureofry 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: Larry Nodland Signer's Name: Robert Nodland II A Corporate Officer — Title(s):President X Corporate Officer — Title(s): Secretary [] 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.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 EXHIBIT A (Contractor's Proposal) SF:16-5215-142605.doc/rev 12/2016 31 SECTION C PROPOSAL for the construction of RESIDENTIAL CURB RAMP PROJECT CC No. 1589 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 60 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 fora 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 I,5ibDc 50-70-in the amount of t0 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 Bidd ' natur C-2 SECTION C PROJECT BID SCHEDULE, SCHEDULE A CURB RAMP PROJECT, CC 1589 BID ITEMS Item yy Description jQuantity mt UmtCost Total Cost No x { (Ext n 1 Mobilization 1 LS $ 28�0M. $ 2$,om w 2 Prepare Storm Water Pollution Prevention Plan(SWPPP) 1 LS $ Z3,csL4�.- $ 23r� 3 Install&Maintain Construction BMPs 1 LS $ 10'a—a $ )D,OW.0•0 Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 4 Curb Ramp Detail 1 in Appendix H of Specifications (Item 31 includes all appurtenances,curb&gutter, depressed curb, C6 sawcut,sidewalk,domes, retaining curb, etc.) EA $ 70 $ 99, 35-0. Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 5 Curb Ramp Detail 2 in Appendix H of Specifications (Item 17 includes all appurtenances, curb&gutter,depressed curb, GG sawcut, sidewalk,domes, retaining curb, etc.) EA $ Z,gSD' $ Construct Curb Access Ramp per Caltrans Std. Plan A88A as 6 shown on Curb Ramp Detail 2 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter, depressed curb, sawcut, sidewalk,domes, retaining curb, slot pave,etc.) 3 EA $ $ Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 7 Curb Ramp Detail 3 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter, depressed curb, Q' sawcut, sidewalk,domes, retaining curb, etc.) 93 EA $ 5L $ 05• Construct Curb Access Ramp per Caltrans Std. Plan A88A as 8 shown on Curb Ramp Detail 3 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter,depressed cv curb,sawcut, sidewalk,domes, retaining curb, slot pave, etc.) 10 EA $ J/7oo' $ s-7 m. Construct Case CM Curb Access Ramp per Caltrans Std. Plan 9 A88A/A88B(Item includes all appurtenances,curb&gutter, depressed curb,sidewalk,domes, retaining curb,slot pave, 4 etc.) 2 EA $ (2L(pGl3, — 10 Install truncated domes to existing Curb Ramp 68 EA $ rn $ 3y cam- Install 4"PVC Sleeve for Street Assembly Sign per City of HB co ev 11 Std. Plan 401 14 EA $ 1 DU. $ 12 Remove and replace existing sidewalk per City of HB Std. CV cr Plan 207. (Allowance) 1,000 SF $ �• $ �i — Remove and replaces existing 6"or 8"Curb and Gutter per 13 HB Std. Plan 205(Item includes all appurtenances,slot pave, ca etc.). (Allowance) 300 LF $ S0• $ Sao. — C-2.1 SECTION C PROJECT BID SCHEDULE, SCHEDULE A CURB RAMP PROJECT, CC 1589 a , FItem Desepptzan / Quantity; Unit Unit Gist Tatal Cost NY 01 o i i {Eaten ion TOTAL BID AMOUNT—SCHEDULE A TOTAL BID /AMOUNT IN WORDS: Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.2 SECTION C PROJECT BID SCHEDULE,ADDITIVE BID SCHEDULE CURB RAMP PROJECT, CC 1589 BID ITEMS Ytem Description Quantity Unit Unit Cost r Total Cost \ f yNoaa14.,xtension cd �•� ...._=-, .,. �� :'� - weir ...., �i�rr�,., 1 Mobilization 1 LS $ G O1 cm $ 2 UWP � Prepare Storm Water Pollution Prevention Plan(SWPPP) 1 LS $ S $ S- co 3 Install&Maintain Construction BMPs 1 LS $ Z �.c* $ `z,acy. — Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 4 Curb Ramp Detail 1 in Appendix H of Specifications (Item 10 includes all appurtenances,curb&gutter, depressed curb, CO sawcut, sidewalk,domes, retaining curb, etc.) EA $2,$So• $ 29,5X• Construct Curb Access Ramp per Caltrans Std. Plan A88A as 5 shown on Curb Ramp Detail 1 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter,depressed a' curb,sawcut, sidewalk,domes, retaining curb, etc.) 2 EA $ 1 ,CEV• $ Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 6 Curb Ramp Detail 2 in Appendix H of Specifications (Item 4 Vo includes all appurtenances, curb&gutter,depressed curb, q� sawcut, sidewalk,domes, retaining curb, etc.) EA $2,$SD. $ I t i �} Construct Curb Access Ramp per Caltrans Std. Plan A88A as 7 shown on Curb Ramp Detail 2 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter,depressed w cv curb, sawcut,sidewalk,domes, retaining curb, slot pave,etc.) 2 EA $ 517CO• $ 11, II16V• — Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 8 Curb Ramp Detail 3 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter,depressed curb, -0 Cb sawcut,sidewalk,domes, retaining curb,etc.) 26 EA $ : S $ 7 11, joro• " Construct Case CM Curb Access Ramp per Caltrans Std. Plan 9 A88A/A88B(Item includes all appurtenances, curb&gutter, depressed curb, sidewalk,domes, retaining curb,slot pave, a CG etc.) 6 EA $ (f,3cv $ R 86v- 10 Install truncated domes to existing Curb Ramp 7 EA $ $ 3, S?"V- 11 Install 4" PVC Sleeve for Street Assembly Sign per City of HB cd q� $ ���Std. Plan 401 4 EA $ 100, CZTOTAL BID AMOUNT—ADDITIVE BID SCHEDULE $ �S, ��' TOTAL BID AMOUNT IN WORDS: C-2.3 1 SECTION C PROJECT BID SCHEDULE,ADDITIVE BID SCHEDULE CURB RAMP PROJECT, CC 1589 Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.4 SECTION C PROJECT BID SCHEDULE TOTALS RESIDENTIAL OVERLAY CC 1589 a Sub-Total Bid Schedule A Sub-Total Additive Bid Schedule /qZ ow. w TOTAL BID AMOUNT, BASIS OF AWARD (Schedules A+ADDITIVE) TOTAL BID AMOUNT IN WORDS: 4 P-d Zc o-o C'-e�c- Notes: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. In addition, the City reserves the right to include or remove Additive Bid Schedule in the award of contract. C-2.5 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 PWC Dollar % of Item(s) Subcontractor License Registration# 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 it Z,.--/,Iat <,At;>%PVJ C11*,— , C A— / Date City State L k// N00� `�i�'! , being first duly sworn, deposes and says that he or she is PI- 5% Bart of V( bes� Z`cc, 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. 'Vjuesf Name of Bidder Si6ahze,A Bi de �c ra,, Ave Address of Bidder 6glo)e�7 C-4 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 / —Z6 ( � before me, Ray E. Anderson/Notary Public Date Here Insert Name and Title of the Officer personally appeared Larry Nodland Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(K whose nameJ,a'j is/W4 subscribed to the within instrument and acknowledged to me that he/sx/tj e69 executed the same in his/he tl}etr authorized capacityW, and that by his/horAWr signatureXon the instrument the persons)' or the entity upon behalf of which the persongacted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph KAY E.ANDERSON is true and correct. is NotaryPublic-California t WITNESS my hand and official seal. Orange County z Commission#2205144 My Comm.Expires Jul 15,2021 Signature Si nat re 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: Larry Nodland Signer's Name: IN Corporate Officer — Title(s): President ❑ 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.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the RESIDENTIAL CURB RAMP PROJECT, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Contractor By Pfes.'olenf Title Date: 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 dNo 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. No c Contractor By P(c9 ,le A Title Date: C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Ndbe5� � . Bidder Name Business Address GQrd,�� 6�rovc , Cg City, State Zip 71Y $qa-S S g3 ea y Q Adhest, n P Telephone Number Email Address 3 SI6 as State Contractor's License No. and Class �-78 Original Date Issued 7- N-ao Expiration Date The work site was inspected by `k� Lew S of our office on ��� a( , 201 q. The following are persons, firms, and corporations having a principal interest in this proposal: L al' Noa(l,�n 1�dbe�t lUa l� !'z 9ecl�e-aru 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. LAay- Company Name Signature er Printed or Typed Signature C-8 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 /I` --17 before me, Kay E. Anderson/Notary Public Date Here Insert Name and Title of the Officer personally appeared Larry Nodland Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(K whose named'is/W4 subscribed to the within instrument and acknowledged to me that he/sx/tb� executed the same in his/4e6tWr authorized capacity(j4, and that by his/hxAper signatureo)'on the instrument the persons' or the entity upon behalf of which the personXacted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph KAY E.ANDERSON is true and correct. Notary Public-California z z , orange county WITNESS my hand and official seal. Commission#2205144 My Comm.Expires Jul 15,2021 Signature S7nati 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: Larry Nodland Signer's Name: A Corporate Officer — Title(s): President ❑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.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 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 CC Insert Name and Title of Notary 5 personally appeared "E A 14'---o � 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 For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project. For example, "Demolition of existing concrete ADA ramps and construction of new ADA compliant curb ramps. Work included additional curb and gutter construction to ensure surface water flow around corner. All ramps met Caltrans requirements set forth in Standard Plans A88A." Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: . 1. See C&O Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-10 NOBEST INC ORPORA'TED REFERENCE LIST Page 1 No. 1 Project Name/Number: Concrete Replacement Program Project Description: Remove & Replace Curb & Gutter, Sidewalk, Driveway, and Ramp Approximate Construction Dates: From: 3/2018 To: 8/2018 Agency Name: City of Newport Beach Contact Person: Mike Sinacori Telephone: (949) 644-3342 Original Contract Amount: $784,000 Final Contract Amount: $ 855,000 No. 2 Project Name/Number: Heil Avenue & Indianapolis Street rehabilitation Project Description: Remove&Replace Curb&Gutter, Sidewalks,Driveways,and Cross Gutter Approximate Construction Dates: From: 7/2018 To: 1/2019 Agency Name: City of Huntington Beach Contact Person: John P. Telephone: (714) 536-5431 Original Contract Amount: $476,832 Final Contract Amount: $ 539,000 NOBEST REFERENCE LIST Page 2 No. 3 Project Name/Number: Annual Concrete Maintenance Program Project Description: R&R Concrete Sidewalks Curb&Gutter Drive Approaches and Curb Ramps Approximate Construction Dates: From: 2/2013 To: Present Agency Name: City of Huntington Beach Contact Person: Dereck Livermore Telephone: 714) 960-8861 Original Contract Amount: $500,000 Final Contract Amount: $ In Progress No. 4 Project Name/Number: Replacement of Alley, ADA Ramps & Sidewalk Project Description: Remove&Replace Sidewalks,Alley Pavement,Curb Ramps and Curb& Gutter Approximate Construction Dates: From: 8/2019 To: 9/2019 Agency Name: Ci1y of Los Alamitos Contact Person: Dave Hunt Telephone: (714) 296-5836 Original Contract Amount: $121,050 Final Contract Amount: $ 123,000 NOBEST REFERENCE MST Page 3 No. 5 Project Name/Number: CIP Project Phase 5 Residential Street Rehabilitation Project Description: Remove&Replace Sidewalk, Curb Ramps, Curb& Gutter,and Cross Gutter Approximate Construction Dates: From: 7/2019 To: Present Agency Name: Cily of La Mirada Contact Person: Eric Villa arcia Telephone: 562) 902-2373 Original Contract Amount: $1,734,839 Final Contract Amount: $ In Progress No. 6 Project Name/Number: Street Preservations Local Citywide Project Description: Remove and Replace Sidewalk,Curb&Gutter,Driveways.Curb Ramps, and Alleys Approximate Construction Dates: From: 10/2018 To: 1/2019 Agency Name: City of Pomona Contact Person: Matt Pilarz Telephone: (909) 620-3652 Original Contract Amount: $603,406 Final Contract Amount: $ 486,000 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions,please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project.Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. Name of proposed Project Manager Telephone No. of proposed Project Manager: 7/ - 9`71--.5 SJ6 3 �c���(-6 6 S % 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 Name of proposed Superintendent Telephone No. of proposed Superintendent: '77) v 'RIZ-- `iS& 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 WCRJActionServlet?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. lNe Si n�, Contractor C By z �a , �? . �t. Email Title Date: PWC Registration #: I 1N2 q C-12 BIDDER'S CERTIFICATION* HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992, SECTION 3 TITLE 24, Code of Federal Regulations, Part 135* Economic Opportunities for Low and Very Low-Income Persons The bidder, under penalty of perjury, certifies that except as noted below, any person associated therewith in the capacity of owner,partner, director, officer, or manager(initial the applicable selections): XWill ensure that 10%of all new hires as a result of this project shall meet all requirements of Section 3 of CFR Part 135 of the HUD Act of 1968; or Will hire no new employees in conjunction with this project. Will award 10%of its sub-contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub-contracts related to this project. Contractor: NheC,-)' Tit (. Contact Person: _�,qV 14t71Ja1'5,1n Contact Phone: L71q) Signed: Date: *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 135 and Subtitle A et al) and must be submitted by the bidders and proposed sub- contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act, as amended in 1992 (HUD). Previous non-compliance with Section 3 could result in disqualification. C-13 EXHIBIT A DISADVANTAGED BUSINESS ENTERPRISE (DBE) This Project is subject to Part 200.321, Title 2, Code of Federal Regulations entitled "Contracting with Small and Minority Businesses, Women's Business Enterprises, and Labor Surplus Area Firms." The Regulations in their entirety are incorporated herein by this reference. It is the policy of the City that disadvantaged business enterprises (DBEs), as defined in Part 200.321, Title 2 CFR, shall be encouraged to participate in the performance of Contracts financed in whole or in part with federal funds.The Contractor should ensure that DBEs,as defined in Part 200.321, Title 2 CFR, have the opportunity to participate in the performance of this Contract and shall take all necessary and reasonable steps,as set forth in Part 200.321,Title 2 CFR, for this assurance.The Contractor shall not discriminate on the basis of race,color,national origin, or sex in the award and performance of subcontracts. Failure to carry out the requirements of this paragraph shall constitute a breach of Contract and may result in termination of this Contract or other remedy the City may deem appropriate. Bidders shall be fully informed respecting the requirements of the Regulations and are urged to obtain DBE participation in this project, although there is no specific goal for DBE participation. C-14 EXHIBIT B DBE INFORMATION—GOOD FAITH EFFORTS Federal-aid Project No. C 'Ram ip py �CC- 15 5q Bid Opening Date 11 2- o-rq The City of Huntington Beach-established a Disadvantaged Business Enterprise(DBE) goal of 9% for this Project. The information provided herein shows that a good faith effort was made. Lowest,second lowest and third lowest bidders shall submit the following information to document adequate good faith efforts. Bidders should submit the following information even if the "Local Agency Bidder DBE Commitment" form indicates that the bidder has met the DBE goal. This will protect the bidder's eligibility for award of the contract if the administering agency determines that the bidder failed to meet the goal for various reasons, e.g., a DBE firm was not certified at bid opening, or the bidder made a mathematical error. Submittal of only the "Local Agency Bidder DBE Commitment" form may not provide sufficient documentation to demonstrate that adequate good faith efforts were made. The following items are listed in the Section entitled "Submission of DBE Commitment" of the Special Provisions: A. The names and dates of each publication in which a request for DBE participation for this project was placed by the bidder (please attach copies of advertisements or proofs of publication): Publications Dates of Advertisement Sov4-fef✓1 C,41 '�rr;►a C ekACAADrS F Exxi B. The names and dates of written notices sent to certified DBEs soliciting bids for this Project and the dates and methods used for following up initial solicitations to determine with certainty whether the DBEs were interested(please attach copies of solicitations,telephone records, fax confirmations, etc.): Names of DBEs Solicited Date of Initial Follow Up Methods Solicitation and Dates 2 S 11 e— o eIC u 2_ uJQfL 01-� 4+0e- p' C-is C. The items of work which the bidder made available to DBE firms including, where appropriate,any breaking down of the contract work items(including those items normally performed by the bidder with its own forces) into economically feasible units to facilitate DBE participation. It is the bidder's responsibility to demonstrate that sufficient work to facilitate DBE participation was made available to DBE firms. Items of Work Bidder Normally Breakdown of Amount Percentage Performs Item Items M of (Y/N) Contract �['r�c� ono► Y 12 . 13 W,= r eX an D. The names, addresses and phone numbers of rejected DBE firms, the reasons for the bidder's rejection of the DBEs, the firms selected for that work (please attach copies of quotes from the firms involved),and the price difference for each DBE if the selected firm is not a DBE: Names, addresses and phone numbers of rejected DBEs and the reasons for the bidder's rejection of the DBEs: ) J Names, addresses and phone numbers of firms selected for the work above: M45 �r�1c rlo� 7ar,rA Are E. Efforts made to assist interested DBEs in obtaining bonding, lines of credit or insurance, and any technical assistance or information related to the plans, specifications and requirements for the work which was provided to DBEs: WZA C-16 F. Efforts made to assist interested DBEs in obtaining necessary equipment, supplies, materials or related assistance or services, excluding supplies and equipment the DBE subcontractor purchases or leases from the prime contractor or its affiliate: G. The names of agencies, organizations or groups contacted to provide assistance in contacting, recruiting and using DBE firms (please attach copies of requests to agencies and any responses received, i.e., lists, Internet page download, etc.): Name of Agency/Organization Method/Date of Contact Results H. Any additional data to support a demonstration of good faith efforts (use additional sheets if necessary): NOTE: USE ADDITIONAL SHEETS OF PAPER IF NECESSARY. C-17 IF A SOLE OWNER OR SOLE CONTRACTOR SIGN HERE: (1) Name under which business is conducted (2) Signature (given and surname) of proprietor (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail IF A PARTNERSHIP, SIGN HERE: (1) Name under which business is conducted (2) Signature (given and surname and character of partner) (Note: Signature must be made by a general partner) (3) Place of Business (Street and Number) Cily and State (4) Zip Code Telephone No. (5) E-Mail C-18 IF A CORPORATION, SIGN HERE: (1) Name under which business is conducted (2) (Signature) (Title) Impress Corporate Seal here (3) Incorporated under the laws of the State of Z_ (4) Place of Business 7,00 �c /-t yP. ��,,,// (Street and Number) City and State ��Idell G/Ove Crt (5) Zip Code q o�g�� Telephone No. 1q) gCl�'S'Sg3 (6) E-Mail K qL ���ICSt.n2Y- NOTARIAL ACKNOWLEDGMENT OF EXECUTION BY ALL SIGNATORIES MUST BE ATTACHED C-19 List below names of president,vice president, secretary and assistant secretary, if a corporation; if a partnership, list names of all general partners and managing partners: C-20 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 6 "2-6-> —[ 1 before me, Kay E. Anderson/Notary Public Date Here Insert Name and Title of the Officer personally appeared Larry Nodland Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(a'j whose namew is/V4 subscribed to the within instrument and acknowledged to me that he/qX/tJ;lo&_ji executed the same in his/4e'f7tt er authorized capacity(, and that by his/horllpfr signatureXon the instrument the persons' or the entity upon behalf of which the personXacted, executed the instrument. I certify under PENALTY OF PERJURY under the laws o�® of the State of California that the foregoing paragraph KAY E.ANDERSON is true and correct. Notary Public-California Z z _ Orange County WITNESS my hand and official seal. Commission#2205144 My Comm.Expires Jul 15,2021 Signature S nat re 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: Larry Nodland Signer's Name: A Corporate Officer — Title(s): President ❑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.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 EXHIBIT C LOCAL AGENCY BIDDER DBE COMMITMENT (CONSTRUCTION CONTRACTS) NOTE: PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE O^F�THIS FORM (� LOCALAGENCY: C11 0X � Yk UhY1�I\V0-- LOCATION:CA\t 0�- PROJECT DESCRIPTION: ���71 e�GG�1�l l.Ka b E-a✓A Pr, TOTAL CONTRACT AMOUNT:$ 3 O SC3• C!L i BID DATE: h` �l- ')q 1 BIDDER'S NAME: 1 y Ob-ee5�-o CONTRACT DBE GOAL: 9 � CONTRACT ITEM OF WORK AND DESCRIPTION BE CERT NO. NAME OF EACH DBE DOLLAR AMOUNT ITEM NO. OR SERVICES TO BE AND EXPIRATION (Must be certified on the date bids DBE SUBCONTRACTED OR MATERIALS DATE are opened- include DBE address O BE PROVIDED(or contracted if the d phone number) bidder is a DBE) 2 m f 2.0 I 40 T"P vp 2ox 55 In CA p5o 310 3 -11 19CL For Local Agency to Complete: Total Claimed DBE $ 7() 000 Local Agency Contract Number: Participation Federal-aid Project Number: 5 % Federal Share: Contract Award Date: Local Agency certifies that all DBE certifications have been verified and information is complete and accurate. Signature of Bi er Date aA� (Area Code)Tel.No. Print Name Signature Date VdAA NM� r✓� Local Agency Representative Persofi to Contact (Please Type or Print) (Area Code)Telephone Number: Local Agency Bidder DBE Commitment(Construction Contracts) (Rev 6/26/09) C-21 PLEASE NOTE: This information may be submitted with your bid. If it is not,and you are the apparent low bidder or the second or third low bidder,it must be submitted and received as specified in the Special Provisions. Failure to submit the required DBE commitment will be grounds for finding the bid nonresponsive The form requires specific information regarding the construction contract: Local Agency, Location, Project Description, Total Contract Amount, Bid Date, Bidder's Name, and Contract DBE Goal. The form has a column for the Contract Item Number and Item of Work and Description or Services to be Subcontracted or Materials to be provided by DBEs.Prime contractors shall indicate all work to be performed by DBEs including, if the prime is a DBE, work performed by its own forces, if a DBE. The DBE shall provide a certification number to the Contractor and expiration date. Enter the DBE prime's and subcontractors' certification numbers.The form has a column for the Names of DBE contractors to perform the work (who must be certified on the date bids are opened and include the DBE address and phone number). IMPORTANT: Identify all DBE firms participating in the project regardless of tier.Names of the First-Tier DBE Subcontractors and their respective item(s) of work listed should be consistent, where applicable,with the names and items of work in the "List of Subcontractors" submitted with your bid. There is a column for the DBE participation dollar amount. Enter the Total Claimed DBE Participation dollars and percentage amount of items of work submitted with your bid pursuant to the Special Provisions. (If 100%of item is not to be performed or furnished by the DBE, describe exact portion of time to be performed or furnished by the DBE.) See Section "Disadvantaged Business Enterprise (DBE)," of the Special Provisions (construction contracts), to determine how to count the participation of DBE firms. Exhibit 15-G must be signed and dated by the person bidding. Also list a phone number in the space provided and print the name of the person to contact. Local agencies should complete the Local Agency Contract Award, Federal-aid Project Number, Federal Share,Contract Award Date fields and verify that all information is complete and accurate before signing and filing. C-22 EXHIBIT D EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder �J l3L'S N =O c— , [proposed subcontractor J hereby certifies that he/she/it has as not ,participated in a previous contract or subcontract subject to the Equal Opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he/she/it has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of$10,000 or under are exempt.) Currently, Standard Form 100(EEO-1)is the only report required by the Executive Orders or their implementing regulations. (eeoc.gov/employers/eeo 1 survey/index.cfm) Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Signature: Date: 0- 7 -) fl Print Name: A lUo vt Title: Pre 5-,dej47' C-23 EXHIBIT E NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) [NAME OF CONTRACTS To the City of Huntington Beach In conformance with Title 23 United States Code Section 112 and California Public Contract Code 7106 the bidder declares that the bid is not made in the interest of,or on 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 of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of 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, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Noncollusion Affidavit is part of the Bidder's Proposal. By signing the Proposal,the Bidder has also signed this Noncollusion Affidavit. Bidders are cautioned that making a false Certification may subject the Bidder to criminal prosecution. Signature: Date: / Print Name: 1r vlQ�2pr Title: er? t eiy-t C-24 EXHIBIT F DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49, CODE OF FEDERAL REGULATIONS,PART 29 The Bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated with Bidder in the capacity of owner,partner, director, officer, manager: • is not currently under suspension, debarment,voluntary exclusion, or determination of ineligibility by any Federal agency; • has not been suspended, debarred,voluntarily excluded or determined ineligible by any Federal agency within the past 3 years; • does not have a proposed debarment pending; and • has not been indicted, convicted, or had a civil judgment rendered against him/her by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility.For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. Signature: ate: » `Z6 Print Name: LvP !fin Title: �re° deii¢ C-25 EXHIBIT G NONLOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief,that: 1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract,the making of any Federal grant,the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment,or modification of any Federal contract,grant,loan,or cooperative agreement. 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. Signature: Date: Print Name: ! �� Title: EXHIBIT H C-26 DISCLOSURE OF LOBBYING ACTIVITIES COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: F]a.contract ❑a.bid/offer/application El . initial b.grant b.initial award b.material change c.cooperative agreement c.post-award d.loan For Material Change Only: e.loan guarantee year quarter f.loan insurance date of last report 4. Name and Address of Reporting Entity 5. If Reporting Entity in No.4 is Subawardee, nl_ Enter Name and Address of Prime: Prime � Subawardee Tier ,if known Congressional District,if known , Congressional District,if known 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number,if applicable 8. Federal Action Number,if known: 9. Award Amount,if known: 10. a.Name and Address of Lobby Entity b. Individuals Performing Services (including (If individual,last name,first name,MI) address if different from No. I Oa) (I t name,first name,MI) (attach Continuation Sheet(s)if necessary) 11. Amount of Payment(check all that apply) 13. Type of Payment(check all that apply) $ ❑ Actual planned a.retainer b.one-time fee 12. Form of Payment(check all that apply): C.commission ea.cash d.contingent fee b.in-kind; specify: nature e deferred value f.other,specify 14. Brief Description of Services Performed or to be performed and Date(s)of Service,including officer(s),employee(s),or member(s)contacted,for Payment Indicated in Item 11: (attach Continuation Sheet(s)if necessary) 15. Continuation Sheet(s)attached: Yes 11 No ❑ 16. Information requested through this form is authorized by Title 31 U.S.C. Section 1352. This disclosure of lobbying reliance , Signature: was placed by the tier above when his transaction was made or entered into.This disclosure is required pursuant to 31 U.S.C. Print Name: 1352. This information will be reported to Congress semiannually and will be available for public inspection.Any Title: person who fails to file the required disclosure shall be subject g� to a civil penalty of not less than$10,000 and not more than Telephone No.: $100,000 for each such failure. Authorized for Local Reproduction Federal Use Only: Standard Form-LLL Standard Form LLL Rev.09-12-97 C-27 INSTRUCTIONS FOR COMPLETION OF EXHIBIT H, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity,whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1) Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2) Identify the status of the covered Federal action. 3) Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4) Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g.,the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5) If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address,city, state and zip code of the prime Federal recipient.Include Congressional District, if known. 6) Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7) Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8) Enter the most appropriate Federal identifying number available for the Federal action identification in item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9) For a covered Federal action where there has been an award or loan commitment by the Federal agency,enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10)(a)Enter the full name, address,city, state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name,First Name and Middle Initial (MI). 11)Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. C-28 12)Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13)Check the appropriate box(es). Check all boxes that apply. If other, specify nature. 14)Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15)Check whether or not a continuation sheet(s) is attached. 16)The certifying official shall sign and date the form,print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project(0348-0046), Washington,D.C. 20503. By my signature on this proposal I certify, under penalty of perjury under the laws of the State of California, that the foregoing questionnaire and statements of Public Contract Code Sections 10162, 10232 and 10285.1 are true and correct and that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission Regulations (Chapter 5, Title 2 of the California Administrative Code). C-29 EXHIBIT I FEDERAL LOBBYING RESTRICTIONS Section 1352, Title 31, United States Code prohibits Federal funds from being expended by the recipient or any lower tier subrecipient of a Federal-aid contract to pay for any person for influencing or attempting to influence a Federal agency or Congress in connection with the awarding of any Federal-aid contract,the making of any Federal grant or loan,or the entering into of any cooperative agreement. If any funds other than Federal funds have been paid for the same purposes in connection with this Federal-aid contract,the recipient shall submit an executed certification and, if required, submit a completed disclosure form as part of the bid documents. A certification for Federal-aid contracts regarding payment of funds to lobby Congress or a Federal agency is included in the Proposal. Standard Form - LLL, "Disclosure of Lobbying Activities," with instructions for completion of the Standard Form is also included in the Proposal. Signing the Proposal shall constitute signature of the Certification. The above referenced certification and disclosure of lobbying activities shall be included in each subcontract and any lower-tier contracts exceeding $100,000. All disclosure forms, but not certifications, shall be forwarded from tier to tier until received by the Engineer. The Contractor, subcontractors and any lower-tier contractors shall file a disclosure form at the end of each calendar quarter in which there occurs any event that requires disclosure or that materially affects the accuracy of the information contained in any disclosure form previously filed by the Contractor, subcontractors and any lower-tier contractors. An event that materially affects the accuracy of the information reported includes: 1) A cumulative increase if$25,000 or more in the amount paid or expected to be paid for influencing or attempting to influence a covered Federal action; or 2) A change in the person(s)or individual(s) influencing or attempting to influence a covered Federal action; or 3) A change in the officer(s), employees(s), or Member(s) contacted to influence or attempt to influence a covered Federal Action. C-30 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For RESIDENTIAL CURB RAMP PROJECT,CC1589 in the CITY OF HUNTINGTON BEACH NOVEMBER 5, 2019 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Cover sheet and Notice Inviting Sealed Bids sheet A-1 Bid opening will be delayed until Tuesday November 26'h at 2:00 PM. Bids are now due at that time. 2) Section 6-3.1 on page E-14 of Section E The contract will be for 60 working days not 70. This is to acknowledge receipt and review of Addendum Number One, dated November 5, 2019 1V6be5-t Sn n Company Name ByZ Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For RESIDENTIAL CURB RAMP PROJECT, CC1589 in the CITY OF HUNTINGTON BEACH NOVEMBER 19,2019 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Appendix L-Prevailing Wage Schedule The prevailing wage schedule has been updated as of 11/15/2019. The attached prevailing wage schedule shall supersede the prevailing wage schedule in the original specifications updated on 7/26/2019. This is to acknowledge receipt and review of Addendum Number Two, dated November 19, 2019 Company Name By lam, 0- Ig`11 Date ��✓�' All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. Bid'Bond Bid Bond Number:CSBA-12185 CONTRACTOR: SURETY: (Name,legal status and address) (Name,legal status and principal place of business) Nobest Incorporated Merchants Bonding Company(Mutual) 7600 Acacia Ave. 6700 Westown Parkway Garden Grove,CA 92841 West Des Moines,IA 50266 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:Residential Curb Ramp Project,CC No. 1589 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 subcontractor's bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project,any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted 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 20th day of November.2019 Nobest Incorporated (Principal) (Seal) Witness) (Title) i1Z.E2f/ r7 7, S I ' Merchants Bonding Companv,(Mutuall o �,c ^ (Suret}) (Seal) (Witness) Melissa Ann Vaccaro �/�+ L/ _�2--- ztle)Arturo Ayala,Atto - - act By arrangement with the American Institute of Architects, the National Association of Surety Bond Producers(NASBP) (www.nasbp.org) 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 tti 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 11/20/2019 before me, Melissa Ann Vaccaro, 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. 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. MELISSA ANN VACCARO Omy COMM.#2241394 wNotary Public-California X ORANGE COUNTY LL Comm.Expires May 12,202z Signaturem► , \ �o,. )O'.,c�o (Seal) Melissa Ann Vaccaro MER.CHANT� Bond No.CSBA-12185 BONDING COMPANY, POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa(herein collectively called the"Companies")do hereby make,constitute and appoint,individually, Arturo Ayala; Daniel Huckabay; Dwight Reilly;Frank Morones;Shaunna Rozelle Ostrom their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments 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. This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 16,2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attomeys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and aut hority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State.of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making paymnt of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 21st day of November 2018 may.GO�pO�q� 0 ' �•�C�.QRpO y , MERCHANTS BONDING COMPANY(MUTUAL) MERCHANTS NATIONAL BONDING,INC. v 2003 s� •. 1933 C; By � ���� �a`� •••d� � la�: President STATE OF IOWA ••`'""""`� •"' COUNTY OF DALLAS ss. On this this 21st day of November 2018 before me appeared Larry Taylor, to me personally known, who being by me duly swom did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies;and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. ��RtAt s ALICIA K.GRAM o v Commission Number 767430 My Commission Expires forma April 1,2020 Notary Public (Expiration of notary's commission does not invalidate this instrument) I,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 20th day of November 2019 �y Go�iP oR4 y9gri��.c v 2003 1933 Secretary •� P0A 0018 (3/17) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of Orange ) On before me, Kay E. Anderson/Notary Public , Date Here Insert Name and Title of the Officer personally appeared Larry Nodland and Robert Nodland II Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s)X/are subscribed to the within instrument and acknowledged to me that bel�they executed the same in t /their authorized capacity(ies), and that by�*/their signature(s)on the instrument the person(s),o 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. KAY E.ANDERSON ` NotaryPublic-California Z z _ Orange County n Commission#2205144 Signature 440,4 _48��� My Comm.Expires Jul 15,2021 SigVN 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: Larry Nodland Signer's Name: Robert Nodland II 99 Corporate Officer — Title(s):President IX Corporate Officer — Title(s): Secretary ❑ 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.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 . w ►n � � s o 4-0 W cc O � o < ~ v ODQ O x v �' V mrr O Z o � ,� az � W Z �� � m Cl) q � EXHIBIT B (Form HUD-4010, the Federal Labor Standards Provision of the United States) Federal Labor Standards Provisions U.S.Doparhnent of Housing and Uitan Development Office of Laktor.Relations Applicability (1) The work to be performed by the classification the Project or Program to which the construction work requested is not performed by a classification in the wage covered by this contract.pertains is being assisted`.by 1.the determination;and United States of America and the following Federal Labor (2) The classification is utilized In the area by the Standards Provisions are included in this Contract construction industry; and pursuant to the provisions applicable to such Federal (3) The proposed stage rate, including any bona fide assistance. fringe benefits, bears a seasonable relationship to the A. 1. 11) Minimum Wages. All laborers and mechanics wage rates contained in the wage determination. employed or working upon the site of the work,will be paid (b) If the contractor and the labo�ers..and mechanics to be unconditionally and eot,less often than once a weak, and employed in the classification (if known), or their without subsequent deduction or rebate on any account representatives, and HUD or its designee agree on the (except such payroll deductions as are permitted by classification and wage rate (including the amount regulations issued by the Secretary of Labor under the designated for fringe benefits where appropriate),a report Copeland Act (29 CFR Part 3), the fait amount of wages of the action taken shall be sent by HUD or its designee to and bona fide fringe benefits(or cash equivalents thereof) the. Administrator of the Wage and Hour Division, due at time,of payment.computed at rates. not less-than Employment-Standards Administration,U_S.,Department of those contained in the wage determination of the Labor, Washington, D.C. 20210_ The Administrator, or an Secretary of Labor which Is attached hereto and made a authorized representative, will approve, modify, or part hereof, regardless of any contractual relationship disapprove every additional classification action within 30 which may be alleged to exist between the contractor and days of receipt and so advise HUD or its designee or will such laborers and mechanics. Contributions made or notify HUD or its designee within the 30-day period that costs reasonably anticipated for bona fide fringe be additional time is necessary; (Approved by the Office of under Section t(b)(2) of the Davis-Bacon Act on behalf of Management and Budget under OMB control number 1215- laborers or mechanics are considered wages paid to such 0140.) laborers or mechanics, subject to the provisions of 29 CFR (c) In the event the contractor, the laborers of mechanics 5.5(a)(1)(iv): also. regular contributions made or costs to be employed in the classification or their incurred for more than a weekly period (but not less often than quarterly) under plans, funds, or programs, which representatives, and HUD or its designee do not agree on cover the particular weekly period, are deemed to be the proposed classification and wage rate (including the constructively made or in during such weekly period_ amount designated for fringe benefits,where appropriate), HUD or its designee shall refer the.questions. including Such laborers and mechanics shall be paid the appropriate the views of all interested parties and the recommendation wage rate and fringe benefits on the wage determination of HUD or its designee, to, the Administrator for for the classification of work actually performed, without determination. The Administrator, or an authorized regard to skill, except as provided in 29 CFR 5.5(a)(4). representative, will issue a determination within 30 days of Cabarets or mechanics performing work in more than one receipt and so advise HUD or its designee or will notify classification may be compensated at the rate specified for HUD or its designee within the 30-day period coat each classification for the lime actually worked therein: additional time is necessary. (Approved by the Office of Provided, That the employer's payroll records accurately Management and Budget under OMB Control Number set forth the time spent in each classification in which 1215-0140.) work Is Performed. The wage determination (including any (d) The wage rate (including fringe benefits where additional classification and wage rates conformed under 29 CFR 5.5(a)(1)(ii) and the Davis-Bacon poster (WH- appropriate) determined pursuant to subparagraphs 1321)shall be posted at all limes by the contractor and its (1)(ii)(b) or (c) of this paragraph, shall be paid to all subcontractors at the site of the work in a prominent and workers performing work in the classification under this accessible, place where it can be easily seen by the contract from the first day on which work is performed in workers. the classification. (1l) (a) Any class of laborers or mechanics which Is not Ili!) Whenever the minimum wage rate prescribed in the listed in the wage determination and which is to be contract for a class of laborers or mechanics includes a employed under the contract shall be classified in fringe benefit which is not expressed as an hourly rate,the conformance with the wage determination. HUD shall contractor shall either pay the benefit as stated In the approve an additional classification and wage rate and wage determination or shall pay another bona fide fringe fringe benefits therefor only when the following criteria benefit or an hourly cash equivalent thereof. have been met: Illy) If the contractor does not make payments to a trustee or other third person, the contractor may consider as part form HUW4010(0012009) Previous editions are obsolete Page 1 of 5 ref.Handbook 1344_1 SF:16-5215-142605.doe/rev 12/2016 32 of the wages of any,laborer or mechanic the amount of any communicated In writing to the laborers or mechanics costs.reasonably anticipated in providing bona fide fringe affected. and records which show the costs anticipated or benefits under a plan or program, Providedi That the the .actual cost Incurred in providing such benefits: Secretary of Labor tias-found, upon the written request of Contractors employing apprentices or trainees under. the'contractor, that the appllcable standards of the Davis- approved programs shall maintain written evidence of the Bacon'Act,have been met, The Secretary of Labor may registration.of.apprenticeship programs,and certification of require the contractor to set aside in a separate account_ trainee programs, the'r®gistration of the. apprentices and assets for the.meeting of obligations under the plan or trainees, and the ratios and wage rates prescribed in the. program. (Approved by the Office of Management and applicable programs. (Approved by :the office of Budget under OB Control Number 12i5-0140.) Management and Budget under OMB Control Numbers M 2. Withholding. HUD or its designee shall ti Pon Its'own 1215-0140 and 1215-0017.) action or .upon written fequesi of an authorized (tf) (a) The contractor shall submit weekly for Bach week representative of the department of Labor withhold or in which any contract work is performed a copy of all cause to be withheld from the contractor under this payrolls to HUD or Its'designee if the agency is a party to contract or any other Federal contract with the same prime the contract, but if the agency is not such a party, the contractor, or any other Federally-assisted contract contractor will submit the payrolls to the applicant subject to Davis-Bacon prevailing wage requirements, sponsor,or owner,as the case may be,for transmission to which is held by the same prime contractor.sd much of the HUD or its designee. The payrolls submitted shall set out accrued payments or advances as-may'tie considered accurately and completely all of the information required necessary to pay laborers and mechanics, including to be maintained under 29 CFR 5,5(a)(3)(i)except that full apprentices, trainees and helpers, employed ;by the social security numbers and home addresses shall not be contractor or any subcontractor the full amount of wages included on weekly transmittals. instead the payrolla shall regyireQ by the contract in the event of failure to pay any only need to include an individually Identifying number for laborer or mechanic, including any apprentice, trainee or each employee (e.g.;the last four digits cf the employee's helper,employed or working on the site of the work, all or social security number). The required weekly payroll Pak of-the wages.required by the contract, HUD or its information may be submitted In any form desired. designee may, after written notice to the contractor, Optional Form WH-347 is available for this purpose from sponsor, applicant, or'owner, take such action as may be the Wage and Hour Division Web site at necessary to cause the suspension of arty further hfta-11www.dot.00v/esa/vvhdlformslwb347instr.htm or its payment, advance, or guarantee of funds until such successor site. The prime contractor is responsible for violations have ceased. HUD or its designee may. after the submission of copies of payrolls by all subcontractors. written notice to the contractor, disburse such amounts Contractors and subcontractors shall maintain the full withheld for and on account of the contractor or social security number and current address of each subcontractor to the respective employees to whom they covered worker, and shall provide them upon request to are due. The Comptrolier General shall make such HUD or its designee if the agency is a party to the disbursements in the case of direct Davis-Bacon Act contract, but if the agency is not such a party, the contracts. contractor will submit the payrolls to the applicant 3. (1) Payrolls and basic records. Payrolls and basic sponsor, or owner,as the case may be,for transmission to records relating thereto shall be maintained by the HUD.or its designee,the contractor, or the Wage and Hour contractor during the course of the work preserved for a Division of the Department of Labor for purposes of an period of three years thereafter for all laborers and investigation or audit of compliance with prevailing wage mechanics working at the site of the work, Such records requirements. It is not a violation of this subparagraph for shalt contain the name, address, and social security a prime contractor to require a subcontractor to provide number of each such worker, his or her correct addresses and social security numbers to the prime classification, hourly rates of wages paid (including rates contractor for its own records. without weekly submission of contributions or costs anticipated for bona fide fringe to HUD or its designee. (Approved by the Office of benefits or cash equivalents thereof of the types described Management and Budget under OMB Control Number In Section i(b)(2)(B) of the Davis-bacon Act), daily and 1215-0149.) weekly number of hours worked, deductions made and (b) Each payroll submitted shall be accompanied by a actual wages paid. Whenever the Secretary of Labor has 'Statement of Compliance,' signed by the contractor or found under 29 CFR 5.5 (aj(1)(iv) that the wages of any subcontractor or his or her agent who pays or supervises laborer or mechanic Include the amount of any costs the payment of the persons employed under the contract reasonably anticipated in providing benefits under a plan and shall certify the following: or program described in Section I(b)(2)(B) of the Davis- (1) That the payroll for the payroll period contains the Bacon Act, the contractor shalt maintain records which information required to be provided under 29 CFR 5.5 show that the commitment to provide such benefits is (a)(3)(II), the appropriate Information Is being maintained enforceable, that the plan or program Is financially under 29 CFR 5.5(a)(3)(1), and that such information is responsible, and that the plan or program has been correct and complete; Previous,editors are obsolete form HUD-4010(0612009) page 2 of 5 ref.Handbook 1344.1 SF:16-5215-142605.doc/rev 12/2016 33 (2) That,each.laborer or mechanic(including each helper'; is not registered'or otherwise employed as stated above, apprentice, and trainee) employed on the contract during shall be paid not less than the applicable wage rate on the the payroll period has-been paid the full weekly'-wages wage determination for the,classification of work-actually. earned, without rebate, either directly or lndlrectly,, and performed. In addition, any apprentice performing work on that no deductions have been made-either directly or the'job site In excess of the ratio permitted under the indirectly frem the. full wages earned, other than, registered program shalt be: paid not less than the permissible deductions as set forth in 29 CFR Part-3; applicable wage rate on the wage determination for.the (3) That each laborer or mechanic has been paid no,less work actuaily'performed. Where a contractor is performing than the applicable wage rates and fringe'benefits.orcash construction on a project In'a locality other than that in equivalents for the classification of work performed; as Which its program is registered, the ratios and wage,rates specified in the applicable wage determination (expressed inpeme itages .of the joumeyman's, hourly incorpOraled into the contract. rate) -specified in the contractor's' or :suhcontractor's registered program,shall be observed. Every apprentice` (c) The weekly submission of a, properly. executed must De paid of not less than the rate specified in the certification set forth on the reverse side of Optional Form registered program for the apprentice's level of progress, WH4347.shall satisfy qhe requirement for submission of the `Statement of Compliance* required by subparagraph expressed as a percentage:of the journeymeir hourly rate A.3:(ii)(b), specified in the applicable wage determination. Apprentices shall be paid fringe benefits in accordance (it) The falsification of any of the above,certifications may with the provisions of the apprenticeship program. If the subject the contractor or subcontractor to civil or erntnal apprenticeship program does not specify tringe benefits, prosecution under Section tool of Tina 18 and Section apprentices must be paid the full amount of fringe benefits 231 of Title 31 of the United States Code. listed on. the wage determination for the applicable (ill) The contractor or subcontractor shall make the classification. If the Administrator determines that a records required. under subparagraph A.3..(i) available for different practice prevails for the applicable apprentice inspection, copying, or transcription by author€fed classification, fringes shall be paid in accordance with that representatives o€HUD or its designee or the Department determination: In the event the Office of Apprenticeship of Labor, and shall permit such representatives to Training. Employer and Labor Services, or a State interview employees during working hours on the job. If Apprenticeship Agency 'recognized by the Office, the contractor or subcontractor fails to submit the required withdraws approval of an apprenticeship program, the records or to make them available, HUD or its designee contractor will no Monger be permitted to utilize may, after written notice to the contractor, sponsor, apprentices at less than the applicable predetermined rate applicant or owner,take such action as may be.necessary for the work performed until an acceptable program is to cause the suspension of any further payment, advance, approved. or guarantee of funds. Furthermore, failure to submit the (fi) Trainees. Except as provided in 29 CFR 5.16, required records upon request.or to make such records trainees will not be permitted to work at less than the available may be grounds for debarment action pursuant to predetermined rate for the work performed unless they are 29 CFR 5:12: employed pursuant ',to and individually registered in a 4. Apprentices and Trainees. program which has received prior approval, evidenced by (1) ApprenUces. Apprentices will be permitted to work at formal certification by the U-S. Department of Labor, less than the predetermined rate for the work they Employment .and Training Administration, The ratio of performed when they are employed pursuant to and trainees to journeymen on the job site shall not be greater Individually registered in a bons tide apprenticeship than permitted under the plan approved by the program registered with the U.S. Department of Labor, Employment and Training Administration. Every trainee Employment and Training Administration. Office of must be paid at not less than the rate specified in the Apprenticeship Training. Employer and Labor Services, or approved program for the trainee's level of progress, with a State Apprenticeship Agency recognized by the expressed as a percentage of the journeyman hourly rate Office, or if a person is employed In his or her first 90 specified In the applicable wage determination. Trainees dayd of probationary'employment as an apprentice in such shall be paid fringe benefits in accordance with the an apprenticeship program, who is not individually provisions of the trainee program: it the trainee program registered in the program, but who has been certified by 'does not mention fringe benefits, trainees shalt be paid the Office of Apprenticeship Training, Employer and Labor the full .amount of fringe benefits listed on the wage Services or a State Apprenticeship Agency (where determination unless the Administrator of the Wage and appropriate) to be eligible for probationary employment as Hour Division determines that there is an apprenticeship an apprent€ce. The allowable ratio of apprentices to program associated with the corresponding journeyman journeymen on the job site in any craft classification shall wage rate on the wage determination which provides for not be greater than the ratio permitted to the contractor as less than full fringe benefits for apprentices. Any to the entire work force under the registered program. Any employee listed on,the payroll at a trainee rate who is not worker listed on a payroll at an apprentice wage rate; who registered and participating in a training plan approved by Previous editions are obsolete forth HUD4010(0802009) Page 3 of 5 ref.Handbook 1344.1 SF:16-5215-142605.doc/rev 12/2016 34 the Employment and Training Administration shall be paid awarded HUD contracts' or participate In HUD programs riot le titan I"t tits applicable wage rate on the. wage pursriant'to 24.CF.R Part 24. determination for the work actually performed In addition; (11) No part of this contract shall be subcontracted to any any trainee performing work.on the job site in excess of person or firm ineligible for award of a Government the ratio permitted under the registered program shall be contraet.bq virtue of Section 3(a) of the Davis-Bacon Act paid not less than,the applicable wage rate on the wage or 29 CFR 5.12(a)(1) or.to be awarded HUD contracts or determination for the work actually performed: In the participate in HUD programs pursuant to 24 CFR Part 24. event the Employment and Training Administration withdraws.approval of a training program, the contractor lilt) The penalty for making false statements is prescribed Will no longer be' permitted to utilize trainees at.less than In the U-S. Criminal Code, 18,U.S.C. 1601. Additionally; the applicable;predetermined rate for the work performed 11.5. Criminal Code; Section 1 Oa 0, Title 18, U.S.C.. until an acceptable program is approved. "Federal Housing Administration transactions', provides in E ern to merit o part: 'Whoever,for the purpose of. : . influencing in any (Ill.) Equal p_ y opportunity. The utilization of way the action of such Administration..... snakes, utters or apprentices trainees and journeymen under 29 CFR Part_5 publishes any statement knowing the same to be false..... shall be I conformity with rite equal employment shall be fined not more than $5,000 or.imprisoned not opportunity requirements of Executive Order 11245, as more than tv o pears;or both:' amended.and 28 CFR Part 30. 11. Complaints, Proceedings, or Testlmony by 5. Compliance with Copeland Act requirements. The Employees. No laborer or mechanic to whom the wage, contractor shall comply with the requirements of 29 CFR salary,ovother labor standards provisions of this Contract Part 3 which are incorporated by reference In this contract are applicable shalt be discharged or in any other manner S. Subcontracts. The contractor or subcontractor will discriminated against by the Contractor or any insert in any :subcontracts the clauses contained in subcontractor because such employee has filed any subparagraphs 1 through 11 in thia.paragraph A and such complaint or instituted or caused to be instituted any other clauses as HUD or its designee may by appropriate proceeding or has testified or is about to testify in .any instructions require, and a copy of the applicable proceeding under or re fall ng to the labor standards prevailing wage decision, and also a.clause requiring the appiieatae under this Contract to his employer. subcontractors to include these'clauses in any lower tier g; Contract Work Hours and Safety Sfamlards Act The subcontracts. The prime contractor shall be responsible pmislons of this paragraphB are.applicabtewhere the amount of.the for the compliance by any subcontractor or tower tier prime contract exceeds $100,0u4 As used in this paragraph,the subcontractor with all the contract clauses in this terms'taimmre and'med%ardceinclude,watchmen and guards'. paragraph. (1) Overtime requirements- No contractor or subcontractor 7. Contract termination; debarment. A breach of the contracting for any pad of the contract work whichmay require or contract clauses in 29 CFR 5.5 may be grounds for involve emp loyment of laborers or mechanics strap require or termination of the contract and for debarment as a peong any such laborer or medanic in any workweek in wrhich tie contractor and a subcontractor as provided in 29 CFR Individual Is employed on such work to work in excess of 40 hours in 5.12. such workweek unless such laborer or mechanic receives & Compliance with Davis-Bacon and Related Act Requtnainents. canpersation of a rate not less than one and brie-Half times the basic All rulings and interpretations of the Davis-Bacon and rate of pay for as hours worked In excess of 40 hours in such Related Acts contained in 29 CFR Parts 1, 3, and 5 are workweek. herein incorporated by reference in this contract (2) Violation; liability for unpaid wages; liquidated S. Dlsputes concerning labor standards. Disputes damages. In the event of any violation of the clause set arising out of the labor standards provisions of this forth in subparagraph (1)of this paragraph, the.cantractor contract shall not be subject to the general disputes and any subcontractor responsible therefor shall be liable clause of this contract. Such disputes shall be resolved.in for the unpaid wages. to addition, such contractor and accordance with the procedures of the Department of subcontractor shall be liable to the United States (in the Labor set forth In 29 CFR Parts 5, 6, and 7. Disputes case of work done under contract for the District of within the meaning of this clause include disputes between Columbia or a territory, to such District or to such the contractor (or any of its subcontractors) and HUD or territory), for liquidated damages. Such liquidated its designee; the U.S. Department of Labor, or the damages shall be computed with respect to each Individual employees or their representatives. laborer or mechanic, including watchmen and guards, 10. (1) Certification of Eligibility. By entering into this employed in violation of the clause set forth in contract the contractor certifies that neither it (nor he or subparagraph(1)of this paragraph, in the suni of S10 for each she) nor any person of firm who has an interest in the calendar day on which such individual was required or permitted to contractor's firm is a person or firm ineligible to be work in excess of the standard workweek of 40 hours without payment awarded Government contracts by virtue of Section 3(a)of of the overtime wages required by the clause set forth in sub the Davis-Bacon Act or 29 CFR 5.12(a)(1) or to be paragraph(1)of this paragraph. Previous editions are obsolete form HUD-4010(Oe12009) Page 4 of 5 ref.Handbook 1344.1 SF:16-5215-142605.doc/rev 12/2016 35 (3) Withholding for unpaid wages and liquidated damages. HUD or its designee shall upon its own action or upon written request of an authorized- representative of the Department of Labor withhold or cause to be withheld, from any moneys payable on account of work performed by the contractor or subcontractor unifier any such contract or any other Federal contract-with the same prime contract; or any other Federally-assisted contract subije'cl to the Contract Work Hours and Safety Standards Act which is held by the same prime contractor such sums as may be determined to he necessary to-satisfy any.liabilities of such contractor or subcontractor for unpaid wages and liquidated damages as provided in the clause set forth in subparagraph(2) of this paragraph. (4) Subcontracts. The contractor or subcontractor shall insert In any subcontracts the clauses set forth. in subparagraph(1)through (4) or this paragraph and als-o a clause requiring the subcontractors to include these clauses in any lower tier subcontracts. The .prime contractor shall be responsible for compliance by Any subcontractor or lower tier subcontractor with the clauses set Forth in subparagraphs (1) 'through (4) of this paragraph. C. Health and Safety. The provisions of this paragraph C are applicable where the amount of the prime c nfract exceeds$100;000. (1) No taborer or mechanic shall he.required to work in surroundings or under working conditions which are unsanitary, hazardous, or dangerous to his health and safety as determined under construction safety and health standards promulgated by the Secretary of Labor by regulation. (2) The Contractor shall comply with all regulations issued by the Secretary of Labor pursuant to Title 29 Part 1928 and failure to comply may result in imposition of sanctions pursuant to.the Contract Work Hours and Safety Standards Act, (Public Law 91-54. 83 $tat 96). 40 Usc 3701 of M. (3) The contractor shall include the provisions of this paragraph to every subcontract so that such provisions will be binding on each subcontractor. The contractor shall take such action with respect to.any subcontractor as the Secretary of Housing and Urban Development or the Secretary of Labor shall direct as a means of enforcing such provisions. Previous editions are obsolete form HUD-4010(1 VIM) Page 5 of 5 ref.Handbook 1344.1 SF:16-5215-142605.doc/rev 12/2016 36 EXHIBIT C United States Department of Labor Office of Federal Contract Compliance Programs Mice.of Rkleral Contract Comollance.Proglranis(OFCCP) Executive Order 11246,As Amended —DISCLAIMER— Executive Order 11246.—Equal Employment Opportuti�fy SOURCE:The provisions of Executive Order 11246 of 5ept..24,1965,appear at 30 FR 12319,12935 3 M,1964- 1965 Comp.,p.339,unless otherwise noted. Under and by Virtue of the authority vested in,me ad President of the United States by the Constitutionand statutes of the United States,it is ordered as follows: Part I—Nondiscrimination in Government Employment (Part I superseded by EO 11478 of Aug.8,1969,34 FR 12985,3 CFR,1966-1970 Comp.,p.803] Part II-Nondiscrimination in Employment by Government Contractors and Subcontractors Subpart A—Duties of the Secretary of Labor SEC.201 The Secretary of tabor shall be responsible for the administration and enforcement of Parts II and III of this Order.The Secretary shall adopt such rules and regulations and issue such orders as are deemed necessary and appropriate to achieve the purposes of Parts II and HI of this Order. (See.201 amended by EO 12086 of Oct.5,1978,43 FR 46501,3 CFR,1078 Comp.,p.230] Subpart 8—Contractors'Agreements SEC.202 Except in contracts exempted in accordance with Section 204 of this Order,all Government contracting agencies shall include in every Government contract hereafter entered into the following provilons: During the performance of this contract,the contractor agrees as follows: 1.The contractor will not discriminate against.any employee or applicant for employment because of race,color, religion,sex,sexual orientation,gender identity,or national origin.The contractor will take affirmative action to ensure that applicants are employed,and that employees are treated during employment,without regard to their race,color,religion,sex,sexual orientation,gender identity,or national origin.Such action shall include, but not be limited to the following:employment,upgrading,demotion,or transfer;recruitment or recruitment advertising;layoff or termination;rates of pay or other forms of compensation;and selection for training, including apprenticeship.The contractor agrees to post in conspicuous places,available to employees and applicants for employment,notices to be provided by the contracting officer setting forth the provisions of this nondiscrimination clause SF:16-5215-142605.doe/rev 12/2016 37 2.The contractor will,in all solicitations or advancements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to race,color, religion,sex,sexual orientation,gender identity,or national origin. 3.The contractor will not discharge or in any other manner discriminate against any employee or applicant for employment because such employee or applicant has inquired about,discussed,or disclosed the compensation of the employee or applicant or another employee or applicant.This provision shall not apply to Instances In which an employee who has access to the compensation information of other employees or applicants as a part of such employee's essential job functions discloses the compensation of such other employees or applicants to individuals who do not otherwise have access to such information,unless such disclosure is in response to a fonYnal complaint or charge,in furtherance of an investigation,proceeding,hearing,or action,including an investigation conducted by the employer,or is consistent with the contractor's legal duty to furnish information. 4.The contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or understanding,a notice,to be provided by the agency contracting officer,advising the labor union or workers'representative of the contractor's commitments under Section 202 of Executive Order No.11246 of September 24,1965,and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 5.The contractor will comply with all provisions of Executive Order No.11246 of Sept.24,1965,and of the rules, regulations,and relevant orders of the Secretary of Labor. 6.The contractor will fumish all information and reports required by Executive Order No.11246 of September 24, 1965,and by the rules,regulations,and orders of the Secretary of Labor,or pursuant thereto,and will permit access to his books,records,and accounts by the contracting agency and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules,regulations,and orders. 7.In the event of the contractor's noncompliance with the nondiscrimination clauses of this contract or with any of such rules,regulations,or orders,this contract may be cancelled,terminated,or suspended in whole or in part and the contractor may be declared ineligible for further Government contracts in accordance with procedures authorized in Executive Order No.11246 of Sept.24,1965,and such other sanctions may be imposed and remedies invoked as provided in Executive Order No.11246 of September 24,1965,or by rule,regulation,or order of the Secretary of Labor,or as otherwise provided by law. 8.The contractor will include the provisions of paragraphs(1)through(8)in every subcontract or purchase order unless exempted by rules,regulations,or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order No.11246 of September 24,1965,so that such provisions will be binding upon each subcontractor or vendor.The contractor will take such action with respect to any subcontract or purchase order as may be directed by the Secretary of Labor as a means of enforaing such provisions including sanctions for noncompliance: Provided,however,that in the event the contractor becomes involved in,or is threatened with, litigation with a subcontractor or vendor as a result of such direction,the contractor may request the United States to enter into such litigation to protect the interests of the United States.[Sec 202 amended by EO 11375 of Oct.13,1967,32 FR 14303,3 CFR,1966-1970 Comp.,p.684,EO 12086 of Oct.5,1978,43 FR 46501,3 CFR,1978 Comp.,p.230,EO 13665 of April 8,2014,79 FR 20749,EO 13672 of July 21,2014,79 FR 42971) SEC. 203 a.Each contractor having a contract containing the provisions prescribed in Section 202 shall file,and shall cause each of his subcontractors to file,Compliance Reports with the contracting agency or the Secretary of Labor as may be directed.Compliance Reports shall be filed within such times and shall contain such information as to the practices,policies,programs,and employment polices,programs,and employment statistics of the contractor and each subcontractor,and shall be in such form,as the Secretary of Labor may prescribe. b.Bidders or prospective contractors or subcontractors may be required to state whether they have participated in any previous contract subject to the provisions of this Order,or any preceding similar Executive order,and in SF:16-5215-142605.doc/rev 12/2016 38 that event to submit,on behalf of themselves and their proposed subcontractors,Compliance Reports prior to or as an initial part of their bid or negotiation of a contract. c.Whenever the contractor or subcontractor has a collective bargaining agreement or other contract or understanding with a labor union or an agency referring workers or providing or supervising apprenticeship or training for such workers,the Compliance Report shall include such information as to such labor union's or agency's practices and policies affecting compliance as the Secretary of Labor may prescribe:Provided,that to the extent such information is within the exclusive possession of a labor union or an agency referring workers or providing or supervising apprenticeship or training and such labor union or agency shall refuse to furnish such information to the contractor,the contractor wall so certify to the Secretary of Labor as part of its Compliance Report and shall set forth what efforts he has made to obtain such information. d.The Secretary of Labor may direct that any bidder or prospective contractor or subcontractor shall submit,as part of his Compliance Report,a statement in writing,signed by an authorized officer or agent on behalf of any labor union or any agency referring workers or providing or supervising apprenticeship or other training,with Mich the bidder or prospective contractor deals,with supporting information,to the effect that the signer's practices and policies do not discriminate on the grounds of race,color,religion,sex,sexual orientation,gender identity,or national origin,and that the signer either will affirmatively cooperate in the implementation of the policy and provisions of this Order or that it consents and agrees that recruitment,employment,and the terms and conditions of employment under the proposed contract shall be in accordance with the purposes and provisions of the order.In the event that the union,or the agency shall refuse to execute such a statement,the Compliance Report shall so certify and set forth what efforts have been made to secure such a statement and such additional factual material as the Secretary of Labor may require. [Sec 203 amended by EO 11375 of Oct.13,1967,32 FR 14303,3 CFR,1966-1970 Comp.,p.684,EO 12086 of Oct. 5,1978,43 FR 46501,3 CFR,1978 Comp.,p.230,EO 13672 of July 21,2104,79 FR 42971] SEC.204 a.The Secretary of Labor may,when the Secretary deems that special circumstances in the national interest so require,exempt a contracting agency from the requirement of including any or all of the provisions of Section 202 of this Order in any specific contract,subcontract,or purchase order. b.The Secretary of labor may,by rule or regulation,exempt certain classes of contracts,subcontracts,or purchase orders(1)whenever work is to be or has been performed outside the United States and no recruitment of workers within the limits of the United States is involved;(2)for standard commercial supplies or raw materials;(3)involving less than specified amounts of money or specified number of workers;or(4)to the extent that they involve subcontracts below a specified tier. c.Section 202 of this Order shall not apply to a Government contractor or subcontractor that is a religious corporation,association,educational institution,or society,with respect to the employment of individuals of a particular religion to perform work connected with the carrying on by such corporation,association,educational institution,or society of its activities.Such contractors and subcontractors are not exempted or excused from complying with the other requirements contained in this Order. d.The Secretary of Labor may also provide,by rule,regulation,or order,for the exemption of facilities of a contractor that are in all respects separate and distinct from activities of the contractor related to the performance of the contract:provided,that such an exemption will not interfere with or impede the effectuation of the purposes of this Order:and provided further,that in the absence of such an exemption all facilities shall be covered by the provisions of this Order. [Sec 204 amended by EO 13279 of Dec.16,2002,67 FR 77141,3 CFR,2002 Comp.,p.77141—77144] Subpart C—Powers and Duties of the Secretary of Labor and the Contracting Agencies SF:16-5215-142605.doc/rev 12/2016 39 SEC. 205 The Secretary of Labor shall be responsible for securing ompliance by all Government contractors and subcontrafors with this Order and any implementing rules or regulations.All contracting agencies shag comply with the terms of this Order and any implementing rules,regulations,or orders of the Secretary of Labor.Contracting agencies shall cooperate with the Secretary of Labor and shall furnish such information and assistance as the Secretary may require. [Sec.205 amended by EO 12086 of Oct.5,1978,43 FR 46501,3 CFR,1978 Comp.,p.230] SEC. 206 a.The Secretary of Labor may investigate the employment practices of any Government contractor or subcontractor to determine whether or not the contractual provisions specified in Section 202 of this Order have been violated.Such investigation shall be conducted in accordance with the procedures dished by the Secretary of Labor. b.The Secretary of Labor may receive and investigate complaints by employees or prospective employees of a Government contractor or subcontractor which allege discrimination contrary to the contractual provisions speafied in Section 202 of this Order. [Sec 206 amended by EO 12086 of Oct.5,1978,43 FR 46501,3 CFR,1978 Comp.,p.230] SEC.207 The Secretary of Labor shall use his/her best efforts,directly and through interested Federal,State,and local agencies, contractors,and all other available instrumentalities to cause any labor union engaged in work under Government conhacts or any agency referring workers or providing or supervising apprenticeship or training for or in the course of such work to cooperate in the implementation of the purposes of this Order.The Secretary of Labor shall,in appropriate cases,notify the Equal Employment Opportunity Commission,the Department of Justice,or other appropriate Federal agencies whenever it has reason to believe that the practices of any such labor organization or agency violate Title VI or Title VII of the Civil Rights Act of 1964 or other provision of Federal law. [Sec 207 amended by EO 12086 of Oct.5,1978,43 FR 46501,3 CFR,1978 Comp.,p.230] SEC.208 a.The Seaetary of Labor,or any agency,officer,or employee in the executive branch of the Government designated by rule,regulation,or order of the Secretary,may hold such hearings,public or private,as the Secretary may deers advisable for compliance,enforcement,or educational purposes. b.The Secretary of Labor may hold,or cause to be held,hearings in accordance with Subsection ofthis Section prior to imposing,ordering,or recommending the imposition of penalties and sanctions under this Order.No order fordebarment of any contractor from further Government contracts under Section 209(6)shall be made without affording the contractor an opportunity for a hearing. Subpart D—Sanctions and Penalties SEC. 209 In accordance with such rules,regulations,or orders as the Secretary of Labor may issue or adopt,the Secretary may: 1.Publish,or cause to be published,the names of contractors or unions which it has conduded have compiled or have failed to comply with the provisions of this Order or of the rules,regulations,and orders of the Secretary of Labor. 2.Recommend to the Department of Justice that,in cases in which there is substantial or material:violation or the threat of substantial or material violation of the contractual provisions set forth in Section 202 of this Order, appropriate proceedings be brought to enforce those provisions,induding the enjoining,within the limitations SF:16-5215-142605.doc/rev 12/2016 40 of applicable law,of organizations,individuals,or groups who prevent directly or indirectly,or seek to prevent directly or indirectly,compliance with the provisions of this Order. 3.Recommend to the Equal Employment Opportunity Commission or the Department of Justice that appropriate proceedings be instituted under Title VII of the Civil Rights Act of 1964. 4.Recommend to the Department of Justice that criminal proceedings be brought for the furnishing of false information to any contracting agency or to the Secretary of Labor as the case may be. 5.After consulting with the contracting agency,direct the contracting agency to cancel,terminate,suspend,or cause to be cancelled,terminated,or suspended,any contract,or any portion or portions thereof,for failure of the contractor or subcontractor to comply with equal employment opportunity provisions of the contract. Contracts may be cancelled,terminated,or suspended absolutely or continuance of contracts may be conditioned upon a program for future compliance approved by the Secretary of Labor. 6.Provide that any contracting agency shall refrain from entering Into further contracts,or extensions or other modifications of existing contracts,with any noncomplying contractor,until such contractor has satisfied the Secretary of Labor that such contractor has established and will carry out personnel and employment policies in compliance with the provisions of this Order. (b)Pursuant to rules and regulations prescribed by the Secretary of Labor,the Secretary shall make reasonable efforts, within a reasonable time limitation,to secure compliance with the contract provisions of this Order by methods of conference,conciliation,mediation,and persuasion before proceedings shall be instituted under subsection(ax2)of this Section,or before a contract shall be cancelled or terminated in whole or in part under subsection(a)(5)of this Section. [Sec 209 amended by EO 12086 of Oct.5, 1978,43 FR 46501,3 CFR,1978 Comp.,p.230] SEC. 210 Whenever the Secretary of Labor makes a determination under Section 209,the Secretary shall promptly notify the appropriate agency.The agency shall take the action directed by the Secretary and shall report the results of the action it has taken to the Secretary of Labor within such time as the Secretary shall specify.If the contracting agency fails to take the action directed within thirty days,the Secretary may take the action directly. [Sec.210 amended by EO 12086 of Oct.5,1978,43 FR 46501,3 CFR,1978 Comp.,p 230] SEC. 211 If the Secretary shall so direct,contracting agencies shall not enter into contracts with any bidder or prospective contractor unless the bidder or prospective contractor has satisfactorily compiled with the provisions of this Order or submits a program for compliance acceptable to the Secretary of Labor. [Sec.211 amended by EO 12086 of Oct.5, 1978,43 FR 46501,3 CFR,1978 Comp.,p.230] SEC. 212 When a contract has been cancelled or terminated under Section 209(aXS)or a contractor has been debarred from further Government contracts under Section 209(a)(6)of this Order,because of noncompliance with the contract provisions specified in Section 202 of this Order,the Secretary of Labor shall promptly notify the Comptroller General of the United States. [Sec.212 amended by EO 12086 of Oct.5,1978,43 FR 46501,3 CFR,1978 Comp.,p.230) Subpart E—Certificates of Merit SEC. 213 SF:16-5215-142605.doc/rev 12/2016 41 The Secretary of Labor may provide for issuance of a United States Government Certificate of Merit to employers or labor unions,or other agencies whkth are or may hereafter be engaged in work under Government contracts,if the Secretary is satisfied that the personnel and employment practices of the employer,or that the personnel,training,apprenticeship, membership,grievance and representation,upgrading,and other practices and policies of the labor union or other agency conform to the purposes and provisions of this Order. SEC. 214 Any Certificate of Merit may at any time be suspended or revoked by the Secretary of Labor if the holder thereof,in the judgment of the Secretary,has failed to comply with the provisions of this Order. SEC. 215 The Secretary of Labor may provide for the exemption of any employer,labor union,or other agency from any reporting requirements imposed under or pursuant to this Order if such employer,labor union,or other agency has been awarded a Certificate of Merit which has not been suspended or revoked. Part III—Nondiscrimination Provisions in Federally Assisted Consbvction Contracts SEC. 301 Each executive department and agency,which administers a program involving Federal financial assistance shall require as a condition for the approval of any grant,contract,loan,insurance,or guarantee thereunder,which may involve a construction contract,that the applicant for Federal assistance undertake and agree to incorporate,or cause to be incorporated,into all construction contracts paid for in whole or in part with funds obtained from the Federal Government or borrowed on the credit of the Federal Government pursuant to such grant,contract,loan,insurance,or guarantee,or undertaken pursuant to any Federal program involving such grant,contract,ban,insurance,or guarantee,the provisions prescribed for Government contracts by Section 202 of this Order or such modification theneof,preserving in substance the contractor's obligations thereunder,as may be approved by the Secretary of Labor, together with such additional provisions as the Secretary deems appropriate to establish and protect the interest of the United States in the enforcement of those obligations.Each such applicant shall also undertake and agree(1)to assist and cooperate actively with the Secretary of Labor in obtaining the compliance of contractors and subcontractors with those contract provisions and with the rules,regulations and relevant orders of the Secretary,(2)to obtain and to furnish to the Secretary of Labor such information as the Secretary may require for the supervision of such compliance, (3)to carry out sanctions and penalties for violation of such obligations imposed upon contractors and subcontractors by the Secretary of Labor pursuant to Part II,Subpart D,of this Order,and(4)to refrain from entering into any contract subject to this Order,or extension or other modification of such a contract with a contractor debarred from Government contracts under Part II,Subpart D,of this Order. [Sec.301 amended by EO 12086 of Oct.5, 1978,43 FIR 46501,3 CFR,1978 Comp.,p.230] SEC. 302 a."Construction contract"as used in this Order means any contract for the construction,rehabilitation,alteration, conversion,extension,or repair of buildings,highways,or other improvements to real property. b.The provisions of Part II ofthis Order shag apply to such construction contracts,and for purposes of such application the administering department or agency shall be considered the contracting agency referred to therein. c.The term"applicant"as used in this Order means an applicant for Federal assistance or,as determined by agency regulation,other program participant,with respect to whom an application for any grant,contract,loan, insurance,or guarantee is not finally acted upon prior to the effective date of this Part,and it includes such an applicant after he/she becomes a recipient of such Federal assistance. SEC. 303 SF:16-5215-142605.doc/rev 12/2016 42 a.The Secretary of Labor shall be responsible for obtaining the compliance of such applicants with their undertakings under this Order.Each administering department and agency Is directed to cooperate with the Secretary of Labor and to furnish the Secretary such information and assistance as the Secretary may require in the performance of the Secretary's functions under this Order. b.In the event an applicant fails and refuses to comply with the applicant's undertakings pursuant to this Order, the Secretary of Labor may,after consulting with the administering department or agency,take any or all of the following actions:(1)direct any administering department or agency to cancel,terminate,or suspend in whole or in part the agreement,contract or other arrangement with such applicant with respect to which the failure or refusal occurred;(2)direct any administering department or agency to refrain from extending any further assistance to the applicant under the program with respect to which the failure or refusal occurred until satisfactory assurance of future compliance has been received by the Secretary of Labor from such applicant; and(3)refer the case to the Department of Justice or the Equal Employment Opportunity Commission far appropriate law enforoement or other proceedings. c.In no case shall action be taken with respect to an applicant pursuant to clause(1)or(2)of subsection(b) without notice and opportunity for hearing. [Sec.303 amended by EO 12086 of Oct.5,1978,43 FR 46501,3 CFR,1978 Camp.,p.230] SEC. 304 Any executive department or agency which imposes by rule,regulation,or order requirements of nondiscrimination in employment,other than requirements imposed pursuant to this Order,may delegate to the Secretary of Labor by agreement such responsibilities with respect to compliance standards,reports,and procedures as would tend to bring the administration of such requirements into conformity with the administration of requirements imposed under this Order:Provided,That actions to effect compliance by recipients of Federal financial assistance with requirements imposed pursuant to Title VI of the Civil Rights Act of 1964 shall be taken in conformity with the procedures and limitations prescribed in Section 602 thereof and the regulations of the administering department or agency issued thereunder. Part IN—Miscellaneous SEC.401 The Secretary of Labor may debate to any officer,agency,or employee in the Executive branch of the Government, any function or duty of the Secretary under Parts II and III of this Order. [Sec.401 amended by EO 12086 of Oct.5,1978,43 FR 46501,3 CFR,1978 Comp.,p.230] SEC.402 The Secretary of Labor shall provide administrative support for the execution of the program known as the"Plans for Progress." SEC.403 a.Executive Orders Nos.10590(January 19,1955),10722(August 5,1957),10925(March 6,1961),11114 (June 22, 1963),and 11162(July 28,1964),are hereby superseded and the President's Committee on Equal Employment Opportunity established by Executive Order No.10925 is hereby abolished.All records and property in the custody of the Committee shall be transferred to the Office of Personnel Management and the Secretary of Labor,as appropriate. b.Nothing in this Order shall be deemed to relieve any person of any obligation assumed or imposed under or pursuant to any Executive Order superseded by this Order.All rules,regulations,orders,instructions, designations,and other directives issued by the President's Committee on Equal Employment Opportunity and those issued by the heads of various departments or agencies under or pursuant to any of the Executive orders superseded by this Order,shall,to the extent that they are not inconsistent with this Order,remain in full force SF:16-5215-142605.doc/rev 12/2016 43 and effect unless and until revoked or superseded by appropriate authority.References in such directives to provisions of the superseded orders shall be deemed to be references to the comparable provisions of this Order. [Sec 403 amended by EO 12107 of Dec.28,1978,44 FR 1055,3 CFR,1978 Comp.,p,2641 SEC.404 The General Services Administration shall take appropriate action to revise the standard Government contract forms to accord with the provisions of this Order and of the rules and regulations of the Secretary of Labor. SEC,405 This Order shall become effective thirty days after the date of this Order. SF:1 6-52 1 5-142605.doc/rev 12/2016 44 �'►co CERTIFICATE OF LIABILITY INSURANCE DATE(MNIDI)NYYY) 01111012020 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 ORALTER 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 endorsement(s). PRODUCER CONTACT Catherine Montoya NAME: Milestone Risk Management&Insurance Services PHONE No Ert: (949)852-0909 FAX No): (949)852-1131 License No.OB72766 E-MAIL cmontoya@milestonepromise.com ADDRESS: 8 Corporate Park,Suite 130 INSURER(S)AFFORDING COVERAGE NAIC B Irvine CA 92606 INSURERA: Great American Assurance Co. 26344 INSURED INSURER e: The Travelers Indemnity Company of CT 025682 Nobest,Inc. INSURERC: RSUI Indemnity Co. 22314 P,O,Box 874 INSURER D: The Travelers Property Casualty Company of America 025674 INSURER E: Hartford Fire Ins.Co. 019682 Westminster CA 92684 INSURERF: COVERAGES CERTIFICATE NUMBER: 19/20 Master 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 AUUL bUtJH1 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER MM/DD MMIDDIYYYY LIMITS X COMMERCIALGENERALLIABILITY EACH OCCURRENCE S 1,000,000 A A N 50,000 CLAIMS-MADE �OCCUR PREMISES Ea occurrence S MED EXP(Any one person) s Excluded A GLP2969623 10/01/2019 10/01/2020 PERSONAL&ADV INJURY S 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE S 2,000,000, PRO- LOC 2,000,000POLICY JECT HOTHER: Employee Benefits $ 1,000,000 AUTOMOBILELIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (E,, ANY AUTO F1�pg BODILY INJURY(Per person) $ BIX OWNED SCHEDULED 81 O�awfQ13C�"TO FORM 0/01/2019 10/01/2020 BODILY INJURY(Per accident) 9 AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOSONLY H AUTOS ONLY Per accident By: Comp/Coll Ded. s 1,000 UMBRELLALIAB OCCUR 4,OOD,000 C �4 ATTORNEY EACH OCCURRENCE S X EXCESS LIAB CLAIMS-MADE t HUNTINGTON BEA tdi101/2019 10/01/2020 AGGREGATE S 4.000,000 DED I I RETEN7 F S WORKERS COMPENSATION _ PER OTH- AND EMPLOYERS'LIABILITY TY X STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT S 1.000,000 D OFFiCERrMEMBEREXCLUDED? NIA UB-6J424142-19-26 10/0112019 1010i12020 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ 1,000,000 Rented/Leased Equipment Limit $100,000 E 72MSZN3454 10/01/2019 10/01/2020 Deductible $1,00D DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schadude,may be attached If more space is required) RE:Residential Curb Ramp Project,Project*CC1589.Nobest Job 01925 City of Huntington Beach,its officers,elected or appointed officials,employees,agents and volunteers are included as Additional Insured on a Primary Non Contributory basis with respect to General Liability&Additional insured as respects Auto Ltability per the attached endorsements. CERTIFICATE HOLDER CANCELLATION SHOULDANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Huntington Beach ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main St. AUTHORIZED REPRESENTATIVE Huntington Beach CA 92648 .p} O 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD Great American Assurance Company CG 20 10 (Ed.07/04) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Schedule Name of Additional Insured Person(s)or Organization(s): Location(s)of Covered Operations The City of Huntington Beach, But only for work performed by the insured during this it's elected or appointed/officials, agents, policy period for the following project: officers, employees and Volunteers Residential Curb Ramp Project#CC1589 Nobest Job#1-1925 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 as an Additional Insured the person(s)or organization(s) shown in the Schedule, but only with respect to liability for"bodily injury,""property damage"or"personal and advertising injury"caused, in whole or in part, by: 1. your acts or omissions; or 2. the acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the Additional Insured(s)at the location(s)designated above. B. With respect to the insurance afforded to these Additional Insureds, the following additional exclusions apply: This insurance does not apply to"bodily injury"or"property damage"occurring after: 1, all work, including materials, parts or equipment furnished in connection with such work, on the project(other than service, maintenance or repairs)to be performed by or on behalf of the Additional Insured(s)at the location of the covered operations has been completed; or 2. that portion of"your work"out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. Copyright, ISO Properties, Inc., 2004 CG 20 10 (Ed. 07104) (Page 1 of 1) r Great American Assurance Company CG 20 10 (Ed. 07/04) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Schedule Name of Additional Insured Person(s) or Organization(s): Location(s) of Covered Operations The City of Huntington Beach, But only for work performed by the insured during this it's elected or appointed / officials, agents, policy period for the following project: officers, employees and Volunteers Residential Curb Ramp Project#CC1589 Nobest Job#1-1925 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. SECTION 11 -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," "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. your acts or omissions; or 2. the acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the Additional Insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these Additional Insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or"property damage" occurring after: 1, all work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the Additional Insured(s) at the location of the covered operations has been completed; or 2. that portion of"your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. Copyright, ISO Properties, Inc., 2004 CG 20 10 (Ed. 07/04) (Page 1 of 1) Great American Assurance Company CG 20 37 (Ed. 07/04) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Schedule Name of Additional Insured Person(s) or Location and Description of Completed Operations: Organ ization(s): The City of Huntington Beach, But only for work performed by the insured during this it's elected or appointed /officials, agents, policy period for the following project: officers, employees and Volunteers Residential Curb Ramp Project#CC 1589 Nobest Job#1-1925 Additional Premium: Included Information required to complete this Schedule, if not shown above, will be shown in the Declarations. SECTION Il -WHO IS AN INSURED is amended to include as an Additional Insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for"bodily injury" or"property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that Additional Insured and included in the "products-completed operations hazard." Copyright, ISO Properties, Inc., 2004 CG 20 37 (Ed. 07/04) (Page 1 of 1) Great American Assurance Company GAC 3649CG Policy Number GLP2969623 (Ed. 11 06) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY NON-CONTRIBUTORY INSURANCE ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM This insurance is primary to any other insurance held by third parties with respect to work performed by you under written contractual agreements with such third parties and any other insurance which may be available to such third parties shall be non-contributory. GAC 3649CG (Ed. 1 1/06) XS Great American Assurance Company Policy Number GLP2969623 CG 24 04 (Ed. 05/09) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART Schedule Name of Person or Organization: Any person or organization for whom or on whose behalf"you" are performing operations when "you" and such person or organization have agreed in writing in a contract or agreement to waive any right of recovery"we" may have against such person or organization. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to paragraph 8. Transfer of Rights of Recovery Against Others to Us of SECTION IV- CONDITIONS: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or"your work" done under a contract with that person or organization and included in the "products-completed operations hazard."This waiver applies only to the person or organization shown in the Schedule above. ©Insurance Services Office, Inc., 2008 CG 24 04 (Ed. 05/09) (Page 1 of 1) NAMED INSURED: Nobest, Inc. POLICY NUMBER:DT-810-0782P771-TCT-18 EFFECTIVE DATE: 10/1/2018 to 10/1/2019 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE—This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAMED INSURED H. HIRED AUTO PHYSICAL DAMAGE— LOSS OF B ;BL,�ANKETi4DDI�fIO1dAL1[�ISURED% USE—INCREASED LIMIT C. EMPLOYEE HIRED AUTO I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES—INCREASED LIMIT D. EMPLOYEES AS INSURED J. PERSONAL PROPERTY E. SUPPLEMENTARY PAYMENTS — INCREASED K. AIRBAGS LIMITS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR F. HIRED AUTO — LIMITED WORLDWIDE COW LOSS ERAGE—INDEMNITY BASIS M „°BLANKETAii1/EROF�1SUBftG�C;ATIOI G. WAIVER OF DEDUCTIBLE—GLASS N. UNINTENTIONAL ERRORS OR OMISSIONS PROVISIONS A. BROAD FORM NAMED INSURED this insurance applies and only to the extent that The following is added to Paragraph A.1., Who Is person or organization qualifies as an "insured" An Insured, of SECTION II —COVERED AUTOS under the Who Is An Insured provision contained LIABILITY COVERAGE: in Section II. Any organization you newly acquire or form dur- C. EMPLOYEE HIRED AUTO ing the policy period over which you maintain 1. The following is added to Paragraph A.1., 50% or more ownership interest and that is not Who Is An Insured, of SECTION II — COV- separately insured for Business Auto Coverage. ERED AUTOS LIABILITY COVERAGE: Coverage under this provision is afforded only un- An "employee" of yours is an "insured" while til the 180th day after you acquire or form the or- operating an "auto" hired or rented under a ganization or the end of the policy period, which- contract or agreement in an "employee's" ever is earlier. name, with your permission, while performing duties related to the conduct of your busi- ness. The following is added to Paragraph c. in A.1., 2. The following replaces Paragraph b. in B.S., Who Is An Insured, of SECTION II —COVERED Other Insurance, of SECTION IV — BUSI- AUTOS LIABILITY COVERAGE: NESS AUTO CONDITIONS: Any person or organization who is required under b. For Hired Auto Physical Damage Cover- a written contract or agreement between you and age, the following are deemed to be cov- that person or organization, that is signed and ered "autos"you own: executed by you before the "bodily injury" or (1) Any covered "auto" you lease, hire, "property damage" occurs and that is in effect rent or borrow; and during the policy period, to be named as an addi- (2) Any covered "auto" hired or rented by tional insured is an "insured" for Covered Autos your "employee" under a contract in Liability Coverage, but only for damages to which an "employee's" name, with your CA T3 53 02 15 ©2015 The Travelers Indemnity Company.All rights reserved. Page 1 of 4 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL AUTO permission, while performing duties (a) With respect to any claim made or "suit" related to the conduct of your busi- brought outside the United States of ness. America, the territories and possessions However, any "auto"that is leased, hired, of the United States of America, Puerto rented or borrowed with a driver is not a Rico and Canada: covered"auto". (i) You must arrange to defend the "in- D. EMPLOYEES AS INSURED sured"against, and investigate or set- tie any such claim or "suit" and keep The following is added to Paragraph A.1., Who Is us advised of all proceedings and ac- An Insured, of SECTION II —COVERED AUTOS tions. LIABILITY COVERAGE: (ii) Neither you nor any other involved Any "employee" of yours is an "insured"while us- "insured" will make any settlement ing a covered "auto"you don't own, hire or borrow without our consent. in your business or your personal affairs. (iii) We may, at our discretion, participate E. SUPPLEMENTARY PAYMENTS — INCREASED in defending the "insured" against, or LIMITS in the settlement of, any claim or 1. The following replaces Paragraph A.2.a.(2), "suit". of SECTION 11—COVERED AUTOS LIABIL- (iv) We will reimburse the "insured" for ITY COVERAGE: sums that the "insured" legally must (2) Up to $3,000 for cost of bail bonds (in- pay as damages because of "bodily cluding bonds for related traffic law viola- injury" or"property damage" to which tions) required because of an "accident" this insurance applies, that the "in- we cover. We do not have to furnish sured" pays with our consent, but these bonds. only up to the limit described in Para- 2. The following replaces Paragraph A.2.a.(4), graph C., Limits Of Insurance, of of SECTION II —COVERED AUTOS LIABIL- SECTION 11 — COVERED AUTOS ITY COVERAGE: LIABILITY COVERAGE. (4) All reasonable expenses incurred by the (v) We will reimburse the "insured" for "insured" at our request, including actual the reasonable expenses incurred loss of earnings up to $500 a day be- with our consent for your investiga- cause of time off from work. tion of such claims and your defense of the "insured" against any such F. HIRED AUTO — LIMITED WORLDWIDE COV- "suit", but only up to and included ERAGE—INDEMNITY BASIS within the limit described in Para- The following replaces Subparagraph (5) in Para- graph C., Limits Of Insurance, of graph B.7., Policy Period, Coverage Territory, SECTION II — COVERED AUTOS of SECTION IV — BUSINESS AUTO CONDI- LIABILITY COVERAGE, and not in TIONS: addition to such limit. Our duty to (5) Anywhere in the world, except any country or make such payments ends when we jurisdiction while any trade sanction, em- have used up the applicable limit of bargo, or similar regulation imposed by the insurance in payments for damages, United States of America applies to and pro- settlements or defense expenses. hibits the transaction of business with or (b) This insurance is excess over any valid within such country or jurisdiction, for Cov- and collectible other insurance available ered Autos Liability Coverage for any covered to the "insured" whether primary, excess, "auto" that you lease, hire, rent or borrow contingent or on any other basis. without a driver for a period of 30 days or less (c) This insurance is not a substitute for re- and that is not an "auto" you lease, hire, rent quired or compulsory insurance in any or borrow from any of your "employees", partners (if you are a partnership), members country outside the United States, its ter- (if you are a limited liability company) or ritories and possessions, Puerto Rico and Canada. members of their households. Page 2 of 4 ©2015 The Travelers Indemnity Company.All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL AUTO You agree to maintain all required or (2) In or on your covered "auto". compulsory insurance in any such coun- This coverage applies only in the event of a total try up to the minimum limits required by theft of your covered "auto". local law. Your failure to comply with No deductibles apply to this Personal Property compulsory insurance requirements will coverage. not invalidate the coverage afforded by this policy, but we will only be liable to the K. AIRBAGS same extent we would have been liable The following is added to Paragraph B.3., Exclu- had you complied with the compulsory in- sions, of SECTION III — PHYSICAL DAMAGE surance requirements. COVERAGE: (d) It is understood that we are not an admit- Exclusion 3.a. does not apply to "loss" to one or ted or authorized insurer outside the more airbags in a covered "auto" you own that in- United States of America, its territories flate due to a cause other than a cause of "loss" and possessions, Puerto Rico and Can- set forth in Paragraphs A.1.b. and A.1.c., but ada. We assume no responsibility for the only: furnishing of certificates of insurance, or a. If that "auto" is a covered "auto" for Compre- for compliance in any way with the laws hensive Coverage under this policy; of other countries relating to insurance. b. The airbags are not covered under any war- G. WAIVER OF DEDUCTIBLE—GLASS ranty; and The following is added to Paragraph D., Deducti- c. The airbags were not intentionally inflated. ble, of SECTION III — PHYSICAL DAMAGE We will pay up to a maximum of $1,000 for any COVERAGE: one"loss". No deductible for a covered "auto" will apply to L. NOTICE AND KNOWLEDGE OF ACCIDENT OR glass damage if the glass is repaired rather than LOSS replaced. The following is added to Paragraph A.2.a., of H. HIRED AUTO PHYSICAL DAMAGE— LOSS OF SECTION IV—BUSINESS AUTO CONDITIONS: USE—INCREASED LIMIT Your duty to give us or our authorized representa- The following replaces the last sentence of Para- tive prompt notice of the "accident" or "loss" ap- graph AA.b., Loss Of Use Expenses, of SEC- plies only when the "accident" or "loss" is known TION III—PHYSICAL DAMAGE COVERAGE: to: However, the most we will pay for any expenses (a) You (if you are an individual); for loss of use is $65 per day, to a maximum of (b) A partner(if you are a partnership); $750 for any one"accident". (c) A member (if you are a limited liability com- I. PHYSICAL DAMAGE — TRANSPORTATION pany); EXPENSES—INCREASED LIMIT (d) An executive officer, director or insurance The following replaces the first sentence in Para- manager(if you are a corporation or other or- graph A.4.a., Transportation Expenses, of ganization); or SECTION III — PHYSICAL DAMAGE COVER- e "employee" authorized b ( ) An Y y you to give no- AGE: tice of the"accident"or"loss". We will pay up to $50 per day to a maximum of M ; B_LANKETWAIVEI3!QFSUBROGAT1ON= $1,500 for temporary transportation expense in- The following replaces Paragraph A.5., Transfer curred by you because of the total theft of a cov- Of Rights Of Recovery Against Others To Us, ered "auto" of the private passenger type. of SECTION IV — BUSINESS AUTO CONDI- J. PERSONAL PROPERTY TIONS: The following is added to Paragraph A.4., Cover- 5. Transfer Of Rights Of Recovery Against age Extensions, of SECTION III — PHYSICAL Others To Us DAMAGE COVERAGE: We waive any right of recovery we may have Personal Property against any person or organization to the ex- We will a u to $400 for "loss" to wearing a - tent required of you by a written contract pay P 9 P signed and executed prior to any "accident" parel and other personal property which is: or"loss", provided that the"accident"or"loss" (1) Owned by an "insured"; and arises out of operations contemplated by CA T3 53 02 15 ©2015 The Travelers Indemnity Company.All rights reserved. Page 3 of 4 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL AUTO such contract. The waiver applies only to the The unintentional omission of, or unintentional person or organization designated in such error in, any information given by you shall not contract. prejudice your rights under this insurance. How- N. UNINTENTIONAL ERRORS OR OMISSIONS ever this provision does not affect our right to col- The following is added to Paragraph B.2., Con- lect additional premium or exercise our right of cealment, Misrepresentation, Or Fraud, of cancellation or non-renewal. SECTION IV—BUSINESS AUTO CONDITIONS: Page 4 of 4 ©2015 The Travelers Indemnity Company.All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office, Inc.with its permission. T L .1 WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 99 03 76 ( A) POLICY NUMBER: UB-6J424142-19-26-G WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. The additional premium for this endorsement shall be 1.00 % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR HIGHWAY, STREET, AND BRIDGE CO WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium Insurance Company Countersigned by DATE OF ISSUE: 09-07-18 ST ASSIGN: Page 1 of 1 CONTRACTOR'S SWORN srATEl4 w AND WAlatANTY REGARDING CONTENUING INSURANC9 QBLIGATIONS FROM `' 6/3 t 57— (ConbreharName) _S .•• (Crew 1Nata aaa rta) TOt MY OF 1 KFERBIlDt+!BEAM DECIAMT10M A l—1 o is o bw and carted ooPy#�e owrpnt t fnd+rarw�e aM Addifpnel leaved thldor rt C6 MO 1184 Mkh GMatc OMPUes wtth the kw um mwAwaft of Me Cw*ad by OV"mom do CHV of Hunttatpm heath Cif aid the a6arcnamea Gard( acts for theabewrd�ribed pla)ect{'Y+rojed'"� I ttemre Miff FKG"atp4w www thetaws of Unsuft#CwoTdalot to own stab�ra In*and C.1 On �..•t Lj 1�3 at rAiz i)e—,j ra L17 t -9— (ON*) (CR.SW4 WARRAM Co*acw ftKft-nun aee agpds to Momin Rndum M�d Ciperatlory Lautwm In cat+pkm wit the kw a=malts of(fie Co*ad fW the Papjem Sam tt umm Amu ha UWftMvM it m ah and Mda the eapgaUpn of am wasrvau P hY ta0n1tedw- Sato t "r o M ur AddaWO Ilafed RUNsawant 06 2010 I18S,MWFIg CRY M en ad2koW hawed. Coahathor shall SUPPly b Cfly,00 at kMst an WMW bkft s Offlfkat,of BMMM and Use dommWdoned 1aTtc4&rdhgcmgmod whldimeetStlaeC Mgvke"ft � C� tom) Mom") CofmN : HAMM Y17SlLY This form to be turned in with Payment Bond RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: SUBJECT: Bond Acceptance I have received the bonds for / — f (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) / Performance Bond No. � � � Payment Bond (Labor and Materials) Bond No. C14( 7 �l� / 7- 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 Q (Council Approval Date) CC No. Agenda Item No. Iq — 117`1- MSC No. City Clerk Vault No. /�c��• � Other No. SIRE System ID No. QIUU g:/forms/bond transmittal to treasurer THE FINAL PREMIUM IS This bond was issued in two(2) PREDICATED ON THE original CONTRACT AMOUNT counterparts Bond No. CAC716977 Premium: $11,539.00 PERFORMANCE BOND KNOW ALL PERSONS BY THESE PRESENTS; VVHER1 AS,.City of Huntington Beach(hereafter referred to;as'Cko has,by,written agreement dated Decamhar 16.201R.entered into a contract With Nobest Incorporated 7600 Acacia Ave:. Garden Grove.CA 92841 (name and Address of Contractor). (hereinafter referredtoas`Prindpal'),.for performance,.ofthewortsdescribed'asfollows: Residential Curb Ramp Proiect, CC No. 1589 (Project Tide) WHEREAS, said contract, and all documents referenced therein (hereinafter collectively'Contracr), are incorporated herein by this reference made a part hereof as though set forth hemin in full;and Said Principal,is required underthe.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'ftie State of. California(hereinafter referred to as"Surety"};:and Surety is certified and listed in the Ul S.Department of the Treasury.Circular 670,and has provided proof of sufficient bonding limitations as shown in said circular to provide bonds in the amount requited 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 reg%tomd and listed with the California Deparment of tnsurance, NOW,THEREFORE,we.the undersigned,as Prindpal,;and Merchants Bonding Company (Mutual) 6700 Westown Parkway West Des Moines IA.50266 (narne and address of Surety) as Surety;are held and firmly bound unto City in the penal sum of Emaht Hundred Three Thousand Eight Hundred Fifty and 00L00 Dollars($803 850.00 1,this amount being not less than one hundred percent of the price set.forth in the Contract,in lawful money of the United Steles,for the payment of which.sure,well and truly to he rnade; we bind ourselves,our heirs,executors,administrators,and successors,jointly and severalty,fiimty by these presents. THE.CONDITION OFTHIS.OBLIGATtON IS SUCH THATifthe 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 Corrtract as said contract may be altered,amended:or modified.fiom. time to tine,and if the.Pdhcfpal shalt indemnify and save harrnlass City,and all of City's officers,agents and empfoyees.(hereinafter collectively referred to as'Obrtgees`)fromany and all losses.llabifity.and damagesi. claims:judgments,stop;notices,fees and costs of every description,whether imposed by la+ti or in.equity; which may be incurred bythe 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'aiterations,amendiments and modifications thereto,and any warranties or guarantees required thereunder,ther i this obligation shall be void;otherwise,it shall be and shall remain in full force and effect. Surety siipuiates and agrees,for Value received;that no adjustment of the time or price in.1he Contractor any alteration,change,deletion,addition or:other.modficat on to the Contract;or the work to be performed thereunder,shall in any way affect,limit,restrict,irYilpair.or release the obligations of the Surety,under.this Bond. Surety waives notice of any adjustment of contractor contract price,and anyother alteration,change, deletion,addition or other modification to the Contract;or the work to be perfonned thereunder;and.agrees 15-45941117174 Bond No.CAC716977 to automatically.adjust the penal sum of this Sono to reflect such adjustments,alterations,changes, deletions,additions or oRw modifications, Surety agrees to provide written confirmation of such adjustments in the penal sum.to City on not iess.than.a quarterly basis. Surety also waives the provisions of Civil Code§§,284.5 and 2849. Tile obligations of this Botxf shall survive the completion of the work described.in the Contract as to all obligations and'liabilities of the Principel which suNive completion of the work.. IN WITNESSWHEREOF,cacti pa[fy represents and.warrants that this instrument has been duty executed by Principal and Surety.on the date set forth below;that the naitte of each corporate party being a3rxed hereto is such party's.proper 694.name and that the individualssigning this instrument have been duty authorized pursuant4o1he authority of its gaveming 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 exe6vte or property exec ute•this bond_ Dated:January 9th, 2020 ATTEST Nobest Incorporated (Corporate Seal) (Prirrcip&I ht a By: Nam ATTEST Merchants Bonding C pany(Mutual) (Corporate Seal). (gu By: Name: strom Attorney-in-Fact (Signature of Attontey4ti-Fact to(Surety) (AtachAttomey-in-FactCerfrficate) 00 78-8171 (Area Code&Uephorie Number for Surety) APPROVEDAS TO By: lE Gates;City Attorney ram. If t Note: This bond must be executed in dtp&*e and dated,as s*wrums must be notarized,and evidence of the aAO*of any person sWng as attoareY-in-fact must be aftwhed. PERFORMANCrE BOND 1.1,45941117174 Page 2 oft CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 t,ct�t��.c'�.Ft.cY.� .��.ct,c—<�:�r.Fi^.i�7,ct�,r��.t,Frc'��o.�(�,�t':�Cz�,c�.c�C'.c�.c,<r.�R',c,P'.�(`.cKLc-�.clt,-t�.��-n;Flyc�h'-.�<•`�-�7,�Cr-.F�.�'=.c,P'_� A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness, accuracy,or validity of that document. State of California ) County of Orange ) On i 1 L-t— 2.Z77a') before me, Ray E. Anderson/Notary Public , Date Here Insert Name and Title of the Officer personally appeared Larry Nodland Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(K whose nameW is/V6 subscribed to the within instrument and acknowledged to me that he/sx/tle� executed the same in his/hef/t,Wr authorized capacityW, and that by his/horAWr signatureoron the instrument the persons' or the entity upon behalf of which the personXacted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph KAY E.ANDERSON is true and correct. NotaryPublic-California z WITNESS my hand and official seal. Orange County Commission#2205144 My Comm.Expires Jul 15,2021 Signature Si natu e 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: Larry Nodland Signer's Name: IN Corporate Officer — Title(s): President ❑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.NationalNotary.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 1/9/2020 before me, Melissa Ann Vaccaro, Notary Public (insert name and title of the officer) personally appeared Shaunna Rozelle Ostrom 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. F MELlSSA ANN VACCARO WITNESS my hand and official seal. %s` COMM.#2241394 u^ "- , Notary Public-California ?a' ORANGE COUNTY LL H' My Comm.Expires May 12,2022 Signature (Seal) Melissa Ann Vaccaro MERCHANT BONDING COMPANY. Bond No.CAC716977 POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC., both being corporations of the State of Iowa(herein collectively called the"Companies")do hereby make,constitute and appoint,individually, Arturo Ayala;Ben Stong;Daniel Huckabay;Dwight Reilly;Frank Morones;Michael D Stong;R Nappi;Shaunna Rozelle Ostrom their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments 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. This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 16,2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and aut hority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 9th day of January 2020 PO MERCHANTS BONDING COMPANY(MUTUAL) �OcJQ(�PQg4gy MERCHANTS NATIONAL BONDING, INC. 2003 :��; :=•r 1933 'c: By •:d. :N : �' r:• :,�� •... ...:��'�J .•d'�jk. ,r `\��• President STATE OF IOWA COUNTY OF DALLAS ss. On this this 9th day of January 2020 before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. t4 ALICIA K.GRAM 0 ` Commission Number 767430 My Commission Expires April 1,2020 Notary Public (Expiration of notary's commission does not invalidate this instrument) I,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 9th day of January 2020 •.• -•.• 0N4 C��FjA. �pOR qj:•. r;° :p`c�. RPa 4• sue/ tom✓ :tiy:GO ,.y+ m•�� 94..�•y.,�± Liz• =2r� -o- v:o. :►"-; _o_ -bra 'z' 2003 1933 Secretary POA 001 A (3/1?) ""' THE FINAL PREMIUM IS This bond was issued in two (2) PREDICATED ON THE original counterparts FINAL CONTRACT AMOUNT Bond No. CAC716977 PAYMENT BOND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS;City of Huntington Beach(hereafter referred to as"Ciitn has awarded.to Nobest Incorporated,- 7&M Acacia Ave.. Garden Grove. CA 92841 (name and address of Gontractor) (hereinafter referred to as"Principal"),a contract(`Conti acY)for the.work described as follows: Residential Curb Ramp Project: CC No. 1589 (Project Title) WHEREAS,Principal_is required under tare terms of.the Contract.and the California Civil Code:to furnish:a bond to secure the payment of'claims of iatwreis;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 io 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 fromAAf;Best,Moody`s or Standard$Pobes,to validate that Surety has positive ratings of being secure or stable;and Surety is registered and fisted with the California Department of Insurance_ NOW THEREFORE,we,the undersigned Principal,and Merchants Bonding Company (Mutual) 6700 Westown Parkway;West Des Moines, IA 50266 (name and address of Surety) as Surety,are held and firmly Bound unto City in the penal sum of Eight Hundred Three Thousand Eight Hundred Fifty and 00/100 dollars($803,8 0.00 ),this amount being.not less than one hundred rcent 10"i of the total percent( ) _.price set forth in the Contract,in lawful°money of the United&fates of. America,for the payment of which sum,well and truly to be made;we bind ourselves,and eachof our heirs; executors,administrators,successors;and assigns,jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT,.1f 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 318'(of the California Civil Code("Claimants")for all tabor,materials orservices used or reasonably required foruse in perfam�ance of the work described in the Contract,or arty 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 17.74,1775,1813:or 1815 of the.Labor Code,or any amounts required to be deducted,writhheld and paid overta the Employment Developthent Department from the wages of employees of the Principal and:Subcontractors pursuant to Section 13020 of the Unemployment insurance Code yvith:respect to the work or labor performed under the Contract,,Suretywilt pay for the same, in an amount not exceeding the penal suet 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 Califomia 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:. PAYi4lENT BOND Page 1 of 2 15-45M 17357 Surety stipulates and.agreesJor value received,.that.no change,extension of time,alteration; addition or modification to the terms of the Contract,or any contract document orany 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;here waives notice of any such change; extension.of time,atteration,.addition,or modification to the terms of the Contract.the contract docurnents.or the work1hereunder. Surety also wairies the provisions of California Civic Code§§ 2845 and:284% IN WrrNESS WHEREOF,,each party represents and warrants that this instrument hag been duly executed by Principal and Surety.on the,date set forth below,thatthe rrame of each corporate party being sifuced hereto is.such party's proper legal name and that the individuals signing:thisinstrument have been duly authorized.pursuant.to the authority of its governing.body.. Surety,i,byexecution,of this bond,waives arty defense which Surety has or gray have by reason of any failure of the Principal to execute or properly execute this bond. Dated.-January 9th 2020 ATTEST Nobest Incorporated (Corporate Seal) (Principal Clam By: Name•- L I��,,,yS.�`� Title: ATTEST Merchants Bonding Company(Mutual) (Corporate Seat) '� N ay:L `^ tvame: aunna oz le Ostrom,Attorney-in-Fact (Signature of Affamey-iq-F;24for Surety) (Alta&Adamey-in+aat Ceriftate) 8(_00)678-8171 (Area Code&Telephone Numberfor Surety) APPROVED ASTfd /Y . By . aet E::Gates, icy ttoiney Note. This bond must be executed lrr duplicate arut dated all stgnatufes must be rnotafized and evidence ofthe authority of any person signing as attomey-kr=fact must be of ached. PAYN=BOND Page 2 of 2 15-45MI17357 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 1 -124 -ZZ2-t before me, Kay E. Anderson/Notary Public , Date Here Insert Name and Title of the Officer personally appeared Larry Nodland Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person($f whose namew is/V6 subscribed to the within instrument and acknowledged to me that he/sx/t) e i executed the same in his/4etWr authorized capacityW, and that by his/hw-AWr signature>rs)'on the instrument the person or the entity upon behalf of which the personS,sr)'acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph KAY E.ANDERSON is true and correct. NotaryPublic-California Z z _ `.r.. Orange County D WITNESS my hand and official seal. Commission#2205144 My Comm.Expires Jul 15,2021 Signature 'gna ure 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: Larry Nodland Signer's Name: IN Corporate Officer — Title(s): President ❑ 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.NationalNotary.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 1/9/2020 before me, Melissa Ann Vaccaro, Notary Public (insert name and title of the officer) personally appeared Shaunna Rozelle Ostrom 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 Notary Public-California ORANGE COUNTY LL My comm.Expires May 12,2022 Signature -V ULO.r-c-)(Seal) Melissa Ann Vaccaro MERCHANTS BONDING C O M PA NY,U Bond No.CAC716977 POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa(herein collectively called the"Companies")do hereby make,constitute and appoint,individually, Arturo Ayala;Ben Stong;.Daniel Huckabay;Dwight Reilly; Frank Morones;Michael D Stong; R Nappi;Shaunna Rozelle Ostrom their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds; undertakings, contracts and other written instruments 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. This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc.,on October 16,2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and aut hority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 9th day of January 2020 +�P�10Nq�'e •.•SANG Cpl•. RPop O •O� RPOq'`'�Q'• MERCHANTS BONDING COMPANY(MUTUAL) Cj 4�'.y. co 9�,_yam; MERCHANTS NATIONAL BONDING,INC. Z:2 _o- O:�' •ice:' -o- 2003 ; : 1933 "c: By d•. .�.. '=mod• =r`': '•' LJI'`ii: l�b•+ President 401 STATE OF IOWA ,•• `"�"'�?'''• •'••'••' COUNTY OF DALLAS ss. On this this 9th day of January 2020 before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies;and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. 110 ALICIA K.GRAM Commission Number767430 My Commission Expires April 1,2020 ' Notary Public (Expiration of notary's commission does not invalidate this instrument) I,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 9th day of January 2020 's 2003 �� =a 1933 Secretary 1/16/2020 Company Profile COMPANY PROFILE Company Profile Company Search Company Information Company Search Results MERCHANTS BONDING COMPANY (MUTUAL) Company 6700 WESTOWN PARKWAY Information WEST DES MOINES, IA 50266 Old Company Names Old Company Names Effective Date Agent for Service Reference Information Agent For Service NAIC Group List KARISSA LOWRY Lines of Business 2710 GATEWAY OAKS DRIVE Workers' SUITE 15ON Compensation SACRAMENTO CA 95833 Complaint and Request for Reference Information Action/Appeals Contact Information Financial Statements NAIC #: 14494 Annual Statements California Company ID #: 2482-8 _._._.__._..._...._._..............._......._..._.------....._......................_...... --........-... -- --...._.__............._...__........_._._.. -...__. Quarterly Date Authorized in California: OS/27/198Z Statements Company Complaint License Status: UNLIMITED-NORMAL Company Company Type: Property&Casualty Performance& Comparison Data State of Domicile: IOWA Company Enforcement Action Composite back to top Complaints Studies Additional Info NAIC Group List Find A Company Representative In Your Area NAIC Group#: 3479 Merchants Bonding Co Grp View Financial 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. LIABILITY MISCELLANEOUS SURETY back to top © 2008 California Department of Insurance https://interactive.web.insurance.ca.gov/companyprofile/companyprofile?event=companyProfile&doFunction=getCompanyProfile&eid=6220 1/1 1/16/2020 Surety Bonds-List of Certified Companies I Y I N.7JI:Iu I I MJ Ylj 11 I.7MI Nl II.1L. %.V/I lt,LI/lr (NAIC#22306) BUSINESS ADDRESS: 440 LINCOLN STREET, WORCESTER, MA 01653 - 0002. PHONE: (508) 853-7200. UNDERWRITING LIMITATION b/: $6,577,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN,TX, VT,VA, WA, WV, WI, WY. INCORPORATED IN: New Hampshire. Merchants Bonding Company (Mutual) (NAIC#14494) BUSINESS ADDRESS: P.O BOX 14498, DES MOINES, IA 50306-3498. PHONE: (515) 243-8171. UNDERWRITING LIMITATION b/: $12,476,000. SURETY LICENSES C,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD,TN, TX, UT,VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa. Merchants National Bonding, Inc. (NAIC#11595) BUSINESS ADDRESS: P.O. Box 14498, DES MOINES, IA 50306- 3498. PHONE: (515) 243-8171. UNDERWRITING LIMITATION b/: $1,722,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Iowa. Michigan Millers Mutual Insurance Company (NAIC#14508) https:/twww.fiscal.treasury.gov/surety-bonds/list-certified-companies.html#m 49/91 1/16/2020 Merchants Bonding Company(Mutual)-Company Profile-Best's Credit Rating Center Merchants Bonding Company (Mutual) AMB#: 000594 NAIC#:14494 FEIN#:420410010 Mailing Address P.O. Box 14498 Des Moines, IA 50306-3498 United States Web: www.merchantsbonding.com Phone: 515-243-8171 Fax: 515-243-3854 View Additional Address Information AM Best Rating Unit: AMB#: 018618-Merchants Bonding Co (Mutual) Group Assigned to insurance companies that have, in our opinion, an excellent ability to meet their ,FinanctalSwiftth a$v"9 srzsiM. ongoing insurance obligations. Ekietlent View additional news, reports and products for this company. Based on AM Best's analysis, 000594- Merchants Bonding Company (Mutual) is the AMB Ultimate Parent and identifies the topmost entity of the corporate structure.View a list of operating insurance entities in this structure. Best's Credit Ratings Financial Strength Rating View Definition Rating: A (Excellent) Financial Size Category: Vlll ($100 Million to $250 Million) Outlook: Stable Action: Affirmed Effective Date: March 12, 2019 Initial Rating Date: June 30, 1953 ........ . ......... ......... Long-Term Issuer Credit Rating View Definition _.....__ ......... __ ... ratings.am best.com/CompanyProfile.aspx?ambnum=594&URatingld=2985602&bl=0&AltSrc=9&PPP=&AltNum=0&Ext_User=&Ext_Misc=&Portal=0&... 1/4 1/16/2020 Merchants Bonding Company(Mutual)-Company Profile-Best's Credit Rating Center Long-Term: a Outlook: Stable Action: Affirmed Effective Date: March 12, 2019 Initial Rating Date: May 30, 2007 u Denotes Under Review Best's Rating Best's Credit Rating Analyst Rating Office: A.M. Best Rating Services, Inc. Senior Financial Analyst: Maurice Thomas Director: Michelle Baurkot Note: See the Disclosure information Form or Press Release below for the office and analyst at the time of the rating event. ......... _ . ....... ............. ......._. .......... _. Disclosure Information Disclosure Information Form View AM Best's Rating Disclosure Form Rating History AM Best has provided ratings &analysis on this company since 1953. Financial Strength Rating ......... ............................. .................................. .. _ . ...... ......... __.. Effective Date Rating 3/12/2019 A 2/23/2018 A 1/6/2017 A 1/7/2016 A 11/21/2014 A ........... .............. __.. ......... ......... Long-Term Issuer Credit Rating __.... _. _ ......... _ ._... Effective Date Rating ratings.am best.com/CompanyProfile.aspx?ambnum=594&U Rating Id=2985602&b1=0&AltSrc=9&PPP=&AltNum=0&Ext_User=&Ext_Misc=&Portal=0&... 2/4 ' 1n6o020 Merchants Bonding Company VwumoV'Company Profile'aont's Credit Rating Center Related Financial and Analytical Data The following links provide access to related data records that AM Best utilizes to provide financial and analytical data on a consolidated or branch basis. AMB# Company Name Company Description 019129 Merchants Bonding Cc Represents the"as filed" Company Consolidated financials for the (Mutual) Group (C) P rope rty/Casu alty business of this legal entity. 018618 Merchants Bonding Co Represents the AM Best Consolidated financials for the (Mutual) Group (G) Property/Casualty business of this legal entity. Rating Unit Best's Credit & Financial Reports Best's Credit Report-financial data included in Best's Credit Report reflects the data used in determining 1�i the current credit r2ting(s) for AM Best Rating Unit: AMB#: 018618 - Merchants Bonding Cc (Mutual) Best's Credit Report-Archive- reports which were released prior to the current Best's Credit Report. Best's Financial Report-financial data included in Best's Financial Report reflects the most current data ,!,-. ,available to AM Best, including updated financial exhibits and additional company information, and is available to subscribers of Best's Insurance Reports. View additional newo, reports and products for this compony. Find 8BeSt'sCredit Rating � Enter o Company wame Go � / Advanced Search . Rating ratings. ' nw 1/16/2020 Merchants Bonding Company(Mutual)-Company Profile-Best's Credit Rating Center BesVs Credit Ratings Nubile App European Union Disclosures A.M. Best-Europe Rating Services Limited(AMBERS), a subsidiary of A.M. Best Rating Services, Inc., is an External Credit Assessment Institution(ECAI) in the European Union(EU).Therefore, Credit Ratings issued and endorsed by AMBERS may be used for regulatory purposes in the EU as per Directive 2006/48/EC.A.M. Best(EU) Rating Services B.V. (AMB-EU), a subsidiary of A.M. Best Rating Services, Inc., is an External Credit Assessment(ECAI)in the EU.Therefore, credit ratings issued and endorsed by AMB- EU may be used for regulatory purposes in the EU as per Directive 2006/48/EC. Australian Disclosures A.M. 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For additional information regarding the use and limitations of credit rating opinions,as well as the rating process, information requirements and other rating related terms and definitions, please view Guide to Best's Credit Ratings. About Us I Careers I Contact I Events I Offices I Press Releases I Social Media I Legal&Licensing I Privacy I Security I Site Map I Terms of Use Regulatory Affairs-Form NRSRO-Code of Conduct-Rating Methodology-Historical Performance Data Copyright©2020 A.M. Best Company, Inc. and/or its affiliates ALL RIGHTS RESERVED. ratings.am best.com/CompanyProfile.aspx?ambnum=594&U Rating Id=2985602&bl=0&AltSrc=9&PPP=&AltNum=O&Ext_User=&Ext_Misc=&Portal=0&... 4/4 City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov FB Office of the City Clerk •77,1909 Robin Estanislau, City Clerk January 24, 2020 NOBEST, INC. Attn: Mikey Lewis 7600 Acacia Ave. Garden Grove, CA 92841 Re: Residential Curb Ramp Project—CC 1589 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, r ��dn4,w 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 „_ ' �-y v„. .S...r l �ram.., f-M,••t ?y 4' z 1..d_`�l V' ....:. .";q..y .. _ 1 .n v',... .3 ti RECEIVEAY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) ht CITY OF HUNTINGTON BEACH B INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk ll DATE: / 54�/ SUBJECT: Bond Acceptance have received the bonds for A/�C�% /;j (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. ( "�(_ , -7 16 -j Payment Bond (Labor and Materials) Bond No. 01� 7 �� � 7 7- 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 ZJ � � (Council Approval Date)� CC No. Agenda Item No. 19 -” 11 7 V MSC No. City Clerk Vault No. I,1-)a ICJ/ Other No. SIRE System ID No. �d g:/forms/bond transmittal to treasurer "6-2- �3PPROJ�D �o- a- I City of Huntington Beach File #: 19-1174 MEETING DATE: 12/16/2019 REQUEST FOR CITY COUNCIL ACTION SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Oliver Chi, City Manager PREPARED BY: Travis K. Hopkins, PE, Director of Public Works Subject: Accept the lowest responsive and responsible bid and authorize execution of a construction contract with Nobest, Inc. in the amount of $803,850 for the Residential Curb Ramp Project, CC-1589 Statement of Issue: On November 26, 2019, bids were publicly opened for the Residential Curb Ramp project. City Council action is requested to award the construction contract to Nobest, Inc., the lowest responsive and responsible bidder. Financial Impact: The total cost of the project, including contingency and supplemental expenses, is $941,200. Funds for this project are available in the current fiscal year budget in the CDBG Account 23985962.82200 ($329,195), Rehabilitation Loan Account 21580309.82800 ($228,102) and Measure "M" Account 21390004.82300 ($302,000). An additional appropriation of $82,000 is requested from the Measure M undesignated fund balance. Recommended Action: A) Accept the lowest responsive and responsible bid submitted by Nobest, Inc. in the amount of $803,850; and, B) Appropriate an additional $82,000 from the Measure "M" undesignated fund balance to Account 21390004.82300 and, C) 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, or provide staff with an alternative action. City of Huntington Beach Page 1 of 2 Printed on 12/11/2019 File #: 19-1174 MEETING DATE: 12/16/2019 Analysis: The Americans with Disabilities Act (ADA) statues require the City to provide facilities and programs that are accessible to individuals with disabilities. Many of our street intersections and crossings lack the curb access ramps necessary to comply with ADA requirements. The project consists of installing ADA curb ramps throughout the City, but predominately in Maintenance Zone 9 (Attachment 1), where the City's annual pavement maintenance project has identified streets to overlay with new asphalt. Bids were publicly opened on November 26, 2019, with the following results: BIDDER'S NAME BID AMOUNT Nobest, Inc. 803,850 Vido Samarzich, Inc. 919,800 S&H Civilworks 1$1,045,000 Hardy and Harper, Inc. P1,074,180 Nobest, Inc. has provided acceptable experience on similar City projects in the past. Therefore, staff recommends awarding a contract to Nobest, Inc. in the amount of $803,850. The total cost of the project is $941,200. This total includes the construction contract of $803,850 plus ten-percent (10%) construction contingency of $80,385. In addition, supplemental expenses of $56,964 for labor compliance and inspection. The engineer's estimate for this project was $936,000 Environmental Status: The project is categorically exempt pursuant to Class 1, Section 15301(c) of the California Environmental Quality Act. Strategic Plan Goal: Enhance and maintain infrastructure Attachment(s): 1. Vicinity Map City of Huntington Beach Page 2 of 2 Printed on 12/11/2019 poweredaa`y LegistarTM �o• 0 V) O BOLSA AVE. CO NTS McFADDEN V) AVE. z O � RD cy ED1 ER AVE. 242 O J 00] RD RD D aCD Q HEIL 251 VE RD RD RD RD RD WARNER AVE. 169 261 ;262 ?263 264 w RD 273 I CD =SLATER AVE. 405 [ifw o � w z TAL ERT E. RD J 292 O ELL AVE. GARFIELD AVE. w m Li � F- \ �Qly- "' �' "' `n Q < YOR TOWN AVE. � g ADAM S AVE. O � �� CF INDIANAPOLIS AVE. _ PROJECT LOCATION �`'Y �z Q fy- o CURB RAMP INSTALLATIONS INCLUDE A LANTA g Oz_= AVE. REPORTING DISTRICT'S (RD) 169, 232, 242, O w O � 251, 252, 253, 261, 262, 263, 264, 273, CF` z � m 292, 475 IV AVE. RD 475 G LEGEND PROJECT BOUNDARY ______ RD BOUNDARY RESIDENTIAL CURB RAMP PROJECT PROJECT LOCATION MAP CITY OF HUNTINGTON BEACH DEPARTMENT OF PUBLIC WORKS 1 OF 1 ,EmGtil, /o/hp/l�j Po 8- 10/zu/lq SECTION A NOTICE INVITING SEALED BIDS for the construction of RESIDENTIAL CURB RAMP PROJECT CC No. 1589 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as AGENCY, invites sealed bids for the above stated projects and will receive such bids in the office of the City Clerk, Second Floor, 2000 Main Street, Huntington Beach, California 92648, up to the hour of 2:00 PM on November 12,2019. 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 $10.00 nonrefundable fee if picked up, or payment of a $30.00 nonrefundable fee if sent by UPS ground delivery (bidder shall pay additional costs for special delivery). Plans, Specifications, and contract documents can be downloaded free on AGENCY website at: http://www.huntingtonbeachca.gov/govermuent/ epartments/public works/Bids/ Open website,then click on"Current Advertised Projects"tab. This is a Davis-Bacon project and the Federal Regulatio will be enforced. Any contract entered into pursuant to this notice will incorporate the provisio of the Federal Labor Standards, which are on file at the office of the Director of Public Works, 00 Main Street, Huntington Beach, CA 92648. The AGENCY will deduct 5% retention from all pr ess payments. The Contractor may substitute an escrow holder surety of equal value to the r ntion in accordance with the provisions of the Public Contract Code, Section 10263. The Contra r shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race, color, national origin, ancestry, sex, or religion in any consideration leading to the award of contract. No bid shall be considered unless it is prepared on the approved Proposal forms in conformance with the Instructions to Bidders as determined by the AGENCY. The bid must be accompanied by a certified check, cashier's check, or bidder's bond made payable to the AGENCY for an amount no less than 10% of the amount bid. The successful bidder shall be licensed in accordance with provisions of the Business and Professions Code and shall possess a State Contractor's License Class A at the time of award. The successful Contractor and his subcontractors will be required to possess business licenses from the AGENCY. All extension of unit prices will be subject to verification by the AGENCY. In case of a variation between the unit price and the extension, the unit price will govern. Project Description: This project will provide the construction of curb access ramps and truncated domes to existing ramps throughout the city. These locations are prioritized from a list compiled by Public Works staff, based on requirements for the upcoming residential pavement management project and public requests. The proposed locations are listed in the Appendix along with Contractor guidelines and provisions to meet all Federal requirements. The contract shall allow the Contractor 60 working days to complete the contract. The Project Disadvantage Business Enterprises (DBE) goal is 9% 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 3rd day of June 2019,by Resolution No. 2019-28. Attest: /s/Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH '.. CITY OF HUNTINGTON BEACH PUBLIC WORKS DEPARTMENT 2000 Main Street P . O Box 1 90 Huntington Beach , CA 92648 LETTER OF TRANSMITTAL Fax (714) 374-1573 Attention: Robin Estanislau Date: October 16, 2019 To: City Clerk ProjecVC,C. No.: CC No. 1589 2000 Main Street Huntington Beach, CA 92648 Regarding: RESIDENTIAL CURB RAMP PROJECT ® We are sending you: ❑ By Mall ❑ By Fax Mail(Number of pages including this sheet:) ❑ We are hand delivering: ❑ Attached ❑ Under a separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change Order ❑ Other: Item# I Copies Pages I Description 1 1 2 NOTICE INVITING SEALED BIDS FOR CC NO. 1589 RESIDENTIAL CURB RAMP PROJECT These are transmitted as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ® For your action ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review/comment ❑ Other: Remarks: Per Resolution 2019-28 (adopted on 6/3/19), the City Council authorized the advertisement of the above listed residential overlay project, Please find the attached Notice Inviting Sealed Bids for advertisement on 10/24/19, 10/31/19, and 11/7/19. The bid opening is scheduled for November 12, 2019 at 2:00 PM in the City Council Chambers, If you have any questions regarding the enclosed attachrnent, fre to contact me at gabriel.munozmorris ansurfcity-hb.org or(714) 375-8444, cc: file By: Ga I Mu z-Morris,PE,Civil Engineering Assistant Switzer, Donna From: David Ward <daward@scng.com> Sent: Thursday, October 17, 2019 4:33 PM To: Switzer, Donna Cc: Munoz Morris, Gabriel; Moore,Tania Subject: Re: NSIB CC-1589 Hello again Donna. Your notice is all set and ready to go. Have a great weekend!!! Ad#11326450 Run Dates 10/24, 10/31 & 11/7 Cost $1056 PROOF i SECTION A NOTICE INVITING SEALED BIDS for the construction of RESIDENTIAL CURB RAMP PROJECT CC No. 1589 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN thatthe CITY OF HUNTINGTON BEACH, as AGENCY, invites sealed bids for the above stated projects acid will receive such bids in the office of the City Clerk, Second Floor, 2000 Main Street, Huntington Beach, California 92648, up to the hour of 2:00 PM on November 12,2019. Bids will be publicly opened in the Council Chambers unless otherwise posted. Copies of the Plaits, Specifications, and contract documents are available from the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA92648, upon payment of a $10.00 nonrefundable fee if picked up, or payment of a S30.00 nonrefundable fee if sent by U PS ground delivery (bidder shall pay additional costs for special delivery,,. Plaits, Specifi- cations, and contract documents can be downloaded f ree on AGENCY website at: littp:,�f,,,)�r.i.huntingtonbeachco.gov,government/departrnents,publ�c works;Bids,� Open website, then click on "Current Advertised Projects"tab. This is a Davis-Bacon project and the Federal Regulations will be enforced. Any contract en- tered into pursuant to this notice will incorporate the provisions of the Federal Labor Stand- ards, which are on file of the office of the Director of Public Works, 2000 Ntain Street, Hun- tington Beach, CA 92648. The AGENCY will deduct 5% retention from all progress payments. The Contractor may substitute an escrow holder surety of equal value to the retention in accordance with the 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 wilI be afford- 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 ally 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 wills the Instructions to Bidders as determined by the AGENCY. The bid must be ac- companied by a certified check, cashier's check, or bidders bond madepayable to the AGEN- CY for an amount no less than 10% of the amount bid. The successful bidder shall be licensed In accordance witli provisions of the Business and Professions Code and shall possess a State Contractor's Li cense C lass A at the time of award. The successful Contractor and his subcontractors will be required to possess business licens- es from theAGENCY.All extension of unit prices will be subject to verification by the AGEN- CY. In case of a varialion between the unit price and the extension, the unit price will gov- ern. Project Description: This project will provide the construction of curb access ramps and truncated domes to existing ramps throughout the city. These locations are prioritized from a list compiled by Public Works staff, based on requirements for the upcoming residential pavement management project and public requests. The proposed locations are listed in the Appendix along with Contractor guidelines and provisions to meet all Federal requirements. The conlracl sha I I a I Iow the Contractor 60 working days to complete the contract. The Project Disadvantage Business Enterprises ;DBE} goal is9% The AGENCY reserves the right to reject any or all bids, to ;;naive 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 3rd day of J une 2019. by Resolution No.2019-28. Attest: ;,s,,. Robin Eslanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH Published: The Huntington Beach Wave October 24, 31, November 7, 201911326450 David Ward 2 Legal Advertising Rep 2190 S. Towne Centre PI. Anaheim, CA 92806 714-796-6764 daward@scng.com PLEASE NOTE THE E-MAIL ADDRESS HAS CHANGED SHUTHEnn CALIFORnIH NEWS GROUP On Wed, Oct 16, 2019 at 2:46 PM Switzer, Donna<Donna.Switzer&surfcity-hb.org>wrote: Hi David, Please publish the attached NSIB for CC-1589 on October 24th, 31St and December 7th, 2019. Thank you! D&n ia1SivXW Deputy City Clerk City of Huntington Beach 2000 Main Street Huntington Beach, CA 92648 (714)374-1649 Donna.Switzerksurfcity-hb.org 3 Huntington Beach Wave PROOF OF PUBLICATION 2190 S.Towne Centre Place Suite 100 Anaheim. CA 92806 Legal No. 0011326450 714-796-2209 SECTION A NOTICE INVITING SEALED BIDS for the construction of RESIDENTIAL CURB RAMP PROJECT CC No.1589 In the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as 5190751 AGENCY, invites sealed bids for the above stated projects and will receive such bids in the office of the City Clerk,Second Floor,2000 Main Street, Huntington Beach,California 92648, up to the hour of 2:00 PM on November 12,2019. Bids will be publicly opened in the Council HUNTINGTON BEACH, CITY OF Chambers unless otherwise posted. CITY CLERK DEPARTMENT 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 2000 MAIN ST a$10.00 nonrefundable fee if picked up,or payment of a$30.00 nonrefundable fee if sent by UPS ground delivery (bidder shall pay additional costs for special delivery). Plans,Specifi- HUNTINGTON BEACH, CA 92648-2763 caat�ions,anP ocumentscanbedownloadedfree0 t u'N�Ywebsie,q htt huntm tonbeach__ v/governmentdepa ment public wor i pen website,t— hen click on" urrent Advertised Proi s fob. This i§a Davis-Bacon project pnd the Federal Regulations will be enforced. Any contract en- tered into pursuant to this notice will incorporate the provisions of the Federal Labor Stand- ards,FILE NO. CC 1589 an which Bea re oo CA 92�8at the office of the Director of Public Works,2000 Main Street, Hun- The AGENCY will deduct 5% retention from all progress payments. The Contractor may AFFIDAVIT OF PUBLICATION 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. STATE OF CALIFORNIA, I The AGENCY hereby affirmatively ensures that minority business enterprises will beafford- ed full opportunity to submit bids in response to this notice and will not be discriminated SS. against on the basis of race,color,national origin,ancestry,sex,or religion in any considera- County of Orange 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. The bid must be ac- companied by a certified check,cashier's check,or bidder's bond made payable to the AGEN- CY 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 I am a citizen of the United States and a resident of the Contractor's License Class A at the time of award. County aforesaid; I am over the age of eighteen years, and The successful Contractor and his subcontractors will be required to Possess business licens- es from the AGENCY.All extension of unit prices will be subject to verification by the AGEN- not a party to or interested in the above entitled matter. I ern. Incase of a variation between the unit price and the extension,the unit price will gov- am the principal clerk of the Huntington Beach Wave, a ProiectDescription: This project will provide the construction of curb access ramps and newspaper that has been adjudged to be a newspaper of truncated domes to existing ramps throughout the city.These locations are prioritized from a list compiled by Public Works staff, based on requirements for the upcoming residential general circulation by the Superior Court of the County of Pavement management project and public requests.The proposed locations are listed in the Orange, State of California, on July 1, 1998, Case NO. Appendix along with Contractor guidelines and provisions to meet all Federal requirements.A-185906 in and for the City of Huntington Beach, County The contract shall allow the Contractor 6D working days to complete the contract. of Orange. State of California; that the notice, of which the The Project Disadvantage Business Enterprises(DBE)goal is 9% annexed is a true printed co has been published In The AGENCY reserves the right to reject any or all bids,to waive any irregularity and to P Py, p take all bids under advisement for a maximum Period of 60 days. each regular and entire issue of said newspaper and not in BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH,CALIFORNIA, any supplement thereof on the following dates, to wit: the 3rd day of June 2019, by Resolution No.2019-48 Attest: Estani 10/24/2019, 10/3112019, 11/07/2019 CITRYobin CLFRKOFTHE CITY OF HUNTINGTON REACH Published:The Huntington Beach Wave October 24,31,November 7,201911326450 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: November 07, 2019. X% Signature CITY OF HUNTINGTON BEACH PROJECT NAME: Residential Curb Ramp Project CC#: CC1589 BID OPENING DATE: 11/'t,/2019 TIME& LOCATION: 2:00:00 PM Council Chambers ENGINEER'S ESTIMATE: $675,000.00 BIDS SUBMITTED (AS READ AT OPENING) BIDDER'S NAME FINAL APPARENT BID RANK AMOUNT Alfaro Communications Construction Inc. All American Asphalt Golden Stale Constructors Hardy& Harper, Inc. LC) `1 -7-General Engineering Inc. Kalban, Inc. Nobest Inc. Onyx Paving Co. Vido Samarzich, Inc. Z �� S f Ci PTS 12062018 Version 15 CC1589.xlsx ry ca eis _ (7 ry:. C f G��1�1G1 Nr�? Cc KJo. i53q �.... } ,.h ..f t„. UNSUCCESSFUL BIDS CC - 1589 Residential Curb Ramp Project City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachea.gov fFB �'1AU9P� . Office of the City Clerk Robin Estanislau, City Clerk February 19, 2020 Hardy and Harper, Inc. 32 Rancho Cir. Lake Forest, CA 92630 RE: Residential Curb Ramp Project— CC No. 1589 Enclosed please find your original bid bond for CC-1589. Sincerely, Q 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 RESIDENTIAL CURB RAMP PROJECT CC No. 1589 in the CITY OF HUNTINGTON BEACH • J 2000 MAIN STREET HUNTINGTON BEACH, CALIFORNIA 92648 (714) 536-5431 BIDS DUE: November, 12, 2019 2:00 PM, 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 RESIDENTIAL CURB RAMP PROJECT CC No. 1589 Prepared Under the Supervision of: L- j j Gabriel Munoz-Morris, P.E., No. 87574 Date Approved by: Thomas M. Herbel, P.E., City Engineer, No. 53300 Date SECTION C PROPOSAL for the construction of RESIDENTIAL CURB RAMP PROJECT CC No. 1589 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 60 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 arnounts, 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% which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature u� Loki 50 00-1 2 Steve Kirschner-Vice President C-2 SECTION C PROJECT BID SCHEDULE, SCHEDULE A CURB RAMP PROJECT, CC 1589 BID ITEMS Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 1 Mobilization 1 LS fOi � $ 10 2 Prepare Storm Water Pollution Prevention Plan(SWPPP) 1 LS $ J'265 $ I soo 3 Install&Maintain Construction BMPs 1 LS $ZG �`�� $ l 3� Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 4 Curb Ramp Detail 1 in Appendix H of Specifications (Item 31 3t l����s includes all appurtenances, curb&gutter, depressed curb, sawcut,sidewalk,domes, retaining curb,etc.) EA $ $ Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 5 Curb Ramp Detail 2 in Appendix H of Specifications (Item 17 includes all appurtenances, curb&gutter, depressed curb, 2J�(Q�� �'i 200 sawcut, sidewalk, domes, retaining curb,etc.) EA $ $ Construct Curb Access Ramp per Caltrans Std. Plan A88A as 6 shown on Curb Ramp Detail 2 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter, depressed 2 3 curb, sawcut, sidewalk, domes, retaining curb, slot pave, etc.) 3 EA $�� �`� $ Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 7 Curb Ramp Detail 3 in Appendix H of Specifications (Item 200 includes all appurtenances,curb&gutter, depressed curb, 7 �� sawcut, sidewalk, domes, retaining curb, etc.) 93 EA $31 C) $ Construct Curb Access Ramp per Caltrans Std. Plan A88A as 8 shown on Curb Ramp Detail 3 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter, depressed ��[[ GD0 �GJI QDO curb, sawcut, sidewalk, domes, retaining curb, slot pave, etc.) 10 EA $ $ Construct Case CM Curb Access Ramp per Caltrans Std. Plan 9 A88A/A88B (Item includes all appurtenances, curb&gutter, depressed curb, sidewalk,domes, retaining curb, slot pave, �(p0 etc.) 2 EA $91 co $ �� v 10 Install truncated domes to existing Curb Ramp 68 EA $ �;l()- $ LP 0 11 Install 4"PVC Sleeve for Street Assembly Sign per City of HB 3�Z . GJi 3�4 O Std. Plan 401 14 EA $ O $ O 12 Remove and replace existing sidewalk per City of HB Std. p C/ Plan 207. (Allowance) 1,000 SF $ 10 $ O I O0 Remove and replaces existing 6"or 8"Curb and Gutter per 13 HB Std. Plan 205(Item includes all appurtenances,slot pave, 0c)( etc.). (Allowance) 300 LF $ $ C-2.1 SECTION C PROJECT BID SCHEDULE, SCHEDULE A CURB RAMP PROJECT, CC 1589 Item Description Quantity Unit Unit Cost Total Cost No. (Extension) TOTAL BID AMOUNT—SCHEDULE A $ 2-2s 1 052 •W TOTAL BID AMOUNT IN WORDS: E Wr►'d AM tj eJ aY\4 U +A10 &))1ard CT NCO ctatS Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-z.z SECTION C PROJECT BID SCHEDULE, ADDITIVE BID SCHEDULE CURB RAMP PROJECT, CC 1589 BID ITEMS Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 1 Mobilization 1 LS �'�T $hlqW-- 2 Prepare Storm Water Pollution Prevention Plan(SWPPP) 1 LS $31 1)DD $ 3t UDD 3 Install&Maintain Construction BMPs 1 LS $k1l q l $ ttl q l D Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 4 Curb Ramp Detail 1 in Appendix H of Specifications (Item 10 includes all appurtenances, curb&gutter, depressed curb, 31�� 3�1��� sawcut, sidewalk, domes, retaining curb, etc.) EA $ $ Construct Curb Access Ramp per Caltrans Std. Plan A88A as 5 shown on Curb Ramp Detail 1 in Appendix H of Specifications G �� (Item includes all appurtenances, curb&gutter, depressed I �Q -I1 p curb, sawcut, sidewalk,domes, retaining curb, etc.) 2 EA $� $ t Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 6 Curb Ramp Detail 2 in Appendix H of Specifications (Item 4 includes all appurtenances, curb&gutter, depressed curb, 31 -Do sawcut, sidewalk, domes, retaining curb, etc.) EA $ $ o Construct Curb Access Ramp per Caltrans Std. Plan A88A as 7 shown on Curb Ramp Detail 2 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter, depressed p0 curb, sawcut, sidewalk, domes, retaining curb, slot pave, etc.) 2 EA �O $ ��I g Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 8 Curb Ramp Detail 3 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter,depressed curb, 3((PUD g3iUoo sawcut, sidewalk, domes, retaining curb,etc.) 26 EA $ $ Construct Case CM Curb Access Ramp per Caltrans Std. Plan 9 A88A/A88B (Item includes all appurtenances, curb&gutter, depressed curb, sidewalk, domes, retaining curb, slot pave, I p etc.) 6 EA $411 I-t DO $ u 0 10 Install truncated domes to existing Curb Ramp 7 EA $3 D r $ 21 tJq 0 Install 4" PVC Sleeve for Street Assembly Sign per City of HB g C t7 11 Std. Plan 401 4 EA $ $ 2g TOTAL BID AMOUNT-ADDITIVE BID SCHEDULE $28`.2 , IZg co TOTAL BID AMOUNT IN WORDS: C-2.3 SECTION C PROJECT BID SCHEDULE, ADDITIVE BID SCHEDULE CURB RAMP PROJECT, CC 1589 -fWo huh& Y ±USftM ON- WIMfel +,k)W Gill Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.4 SECTION C PROJECT BID SCHEDULE TOTALS RESIDENTIAL OVERLAY CC 1589 Sub-Total Bid Schedule A Sub-Total Additive Bid Schedule kD 2$ . TOTAL BID AMOUNT, BASIS OF AWARD (Schedules A+ADDITIVE) �?' � 0' Q_� TOTAL BID AMOUNT IN WORDS: ane. *"Wi OY) IAA��A �cur Aym kSa on*. byodred �l Notes: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. In addition, the City reserves the right to include or remove Additive Bid Schedule in the award of contract. C-2.5 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 PWC Dollar % of Item(s) Subcontractor License Registration# Amount Contract Number tjwwa dx-(M (,Or)(X-P -/ IO 0000 ZS tci �( � ►ray �t1c� 5toS�o� p� �°B,�a ti�'� �Ul g ff)braonQ Son JT��rq yZtoko �00044DIZ sotcd sUn/ �L1SuIVI l,S t 0000011(00 (A)CON. CA $2 31 �M,Doc 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 11/21/201,9at Lake Forest CA Date City State Steve Kirschner , being first duly sworn, deposes and says that he or she is Vice President of HarrJV Harper inn 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- Vice 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 RESIDENTIAL CURB RAMP PROJECT, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Hardy& Harper, Inc. Contractor By Steve Kirschner- Vice President Title Date: 11/21/2019 G5 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. 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: 11/21/2.419 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 11/21 12019 . The following are persons, firms, and corporations having a principal interest in this proposal: Dan T. Maas- President/Treasurer Steve Kirschner-Vice President Kristen S. Paulino- Comorate 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. Hardy & Harper, Inc. Compa 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 ©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 21 day of November 20 19 by Date Month Year (1) q -& � (-sCA) A, (and (2) ), Name ) of Signer ) ASHLIE BLANCHARD proved to me on the basis of satisfactory evidence COMM.#2279550 Notary Public-California to be the person(a) who appeared before me. r` ORANGE COUNTY LL r My Comm.Expires March 3,2023 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: Document Date: Number of Pages: Signer(s)Other Than Named Above: 02014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5910 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of {Describe specific work and experience necessary for project. For example, "Demolition of existing concrete ADA ramps and construction of new ADA compliant curb ramps. Work included additional curb and gutter construction to ensure surface water flow around corner. All ramps met Caltrans requirements set forth in Standard Plans A88A." Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: l. r�CAS e, S-ee catvayk . Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-l 0 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 jfuentes@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@cathedralcity.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 henryn@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 91709 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.goy $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.goy $2,142,045.66 3/2017 County of Los Angeles Jose Pou 124th Street Et. AI 900 S Fremont Ave 626-458-2191 RDC0013372 Alhambra, CA 91803 ]pou@dpw:lacounty.gov $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 elan@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 Richardyee@cityofpasadena.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@cypressca.org' $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 echarlonrie surf $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@cityofdhs.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@cityofPasadena.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.sbcounty.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@cityofirvine.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 jdgayman(c@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@citvofinglewood.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@rkagroup.com I$1,076,200.00 11/2015 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 cDourupavallev.orq $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 ftran .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(cDcityofrc.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 BHatheway(o rivers ideca.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@cityofsignalhill.org $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 ftranaa-)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 0eganna 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@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 msotomavorQontarioca.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 PUBLIC WORKS REFERENCES Attachment A 2016/2017 Owner/Agency Contact Project (Amount & Completion Date) City of Rancho Cucamonga Romeo David Archibald Ave from Hillside Rd 10500 Civic Center Drive (909)477-2740 to N. City Limit & Haven Ave Rancho Cucamonga, CA 91730 Romeo.DavidCga 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(a.surfcity-Wong $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 vramosna ci.claremont.ca.us $579,000.00 10/16 City of Rancho Palo Verdes Lea Reis Residential Street Rehabilitation 30940 Hawthorne Blvd LReis65rpvca.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 bsimmons(cDcathedralcity.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 henrynCa7moval.org $383,000.00 12/16 City of Chino Hills Fe Rama FY 2016-2017 Street 14000 City Center Drive frama anchinohills.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 McBarnesCa�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 ftranQnewportbeachca.gov Rehabilitation Newport Beach, CA 92660 (949) 644-3340 $2,142,045.66 3/17 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. Please see attached resumes. Name of proposed Project Manager Telephone No. of proposed 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 Superintendent Telephone No. of proposed 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 OBIECTIVE: 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/Business Administration 6/2000 GPA: 3.3 Honor Roll: 1998, 1999, 2000 USD Men's Baseball team Lettered 1996-2000. All WCC VT Team 1998/99, 1998/1999 season Team MVP EXPERIENCE: Segue!Con;~ractOrs, 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. • Current Monthly estimating load of 10 million dollars approx. 5-10 bids per week • Proficient using Primavera Project Manager, Microsoft Excel and Word 4 Experience with Microsoft Project Certified Advanced SWPPP training Have ?reducad 10 fully-functional SiNPPP/SMP 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: PNI, Orange Grove Avenue Improvements; $2,341,000.00 Job Status: Current • Clt/of Palos Verdes Estates: PM/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: Phi/Estimator, Residential Street Rehabilitation Project; $880,000.00 Job Status: Current • City of Seal Beach: PM/ Estimator, Annual Pavement Rehabilitation Project; $675,000.00 9105 - 11/05 • Los Angeles County Public Works Division: PNl/Estimator, Various Street Rehab; $1,375,000.00 3/05— 8/05 City of Pasadena: PM/Estimator., Orange Grove Median Improvements; $150,000.00 8/05—9/05 Recently Completed Projects: - City of Cypress: PM/Estimator, Cypress Acres Street and Storm Drain Improvements 12/04 —3/O5; $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 Nelly Gail Ranch 6/03 — 10/03; $2,350,000.00 • City of Fullerton: PNl/Estimator, City Hall Parking Lot Construction 8/04-10/04; $350,000.00 • Cite of Anaheim: PM/Estimator, Anaheim Resort Area Intersection Project 6/04-8/04; $200,000.00 • City of Irvine: PM/Estimator, Michaelson Dr. Rehabilitation 8;03-117j03; $350,000.00 • City of Fountain Valley: PM, Harbor Blvd. Reconstruction 5/04— 8/04; $500,000.00 TEAT, Inc. Santa Ana, Ca 9/2001 -4/2003 Salesc19anager, 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 Projects Included: Design/Build 3-Dirnesional Chemical Compound display, AT&T Building: San Jose Ca $85,000.00 Designer: Confidential Design/Build Main Glass Laminate Displays Nordstrom's Fashion Shoe Mall, Las Vegas $120,000.00 Designer: Heartwood Construction V Design/Build: Glass Countertops/Splashes For Montbiva Ccnst:ua- icn San Diego 65,000.00 Glass Showcases;'Displays for Orleans Casino LV, T umberry Towers L%/, Wyiand Art Galleries, Pnzer 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://efi I ing.dir.ca.gov/P WCR/ActionSery let?action=disp layP WCRegistrationForm DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Hardy& Harper, Inc. Contractor By ablanchard@hardyandharper.com Email Steve Kirschner-Vice President Title Date: 11/21/2019 PWC Registration #: O o D 0 0 0 0 �Q C-12 BIDDER'S CERTIFICATION* HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992, SECTION 3 TITLE 24, Code of Federal Regulations, Part 135* Economic Opportunities for Low and Very Low-Income Persons The bidder, under penalty of perjury, certifies that except as noted below, any person associated therewith in the capacity of owner, partner, director, officer, or manager(initial the applicable selections): Will ensure that 10% of all new hires as a result of this project shall meet all requirements of Section 3 of CFR Part 135 of the HUD Act of 1968; or Will hire no new employees in conjunction with this project. X Will award 10% of its sub-contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub-contracts related to this project. Contractor: Hardy & Harper, Inc. Contact Person: Steve Kirschner - Vice President Contact Phone: 714-444-1851 Signed: Date: 11/21/2019 *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 135 and Subtitle A et al) and must be submitted by the bidders and proposed sub- contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act, as amended in 1992 (HUD). Previous non-compliance with Section 3 could result in disqualification. G13 EXHIBIT A DISADVANTAGED BUSINESS ENTERPRISE (DBE) This Project is subject to Part 200.321, Title 2, Code of Federal Regulations entitled "Contracting with Small and Minority Businesses, Women's Business Enterprises, and Labor Surplus Area Firms." The Regulations in their entirety are incorporated herein by this reference. It is the policy of the City that disadvantaged business enterprises (DBEs), as defined in Part 200.321, Title 2 CFR, shall be encouraged to participate in the performance of Contracts financed in whole or in part with federal funds.The Contractor should ensure that DBEs,as defined in Part 200.321, Title 2 CFR, have the opportunity to participate in the performance of this Contract and shall take all necessary and reasonable steps,as set forth in Part 200.321,Title 2 CFR, for this assurance.The Contractor shall not discriminate on the basis of race, color, national origin, or sex in the award and performance of subcontracts. Failure to carry out the requirements of this paragraph shall constitute a breach of Contract and may result in termination of this Contract or other remedy the City may deem appropriate. Bidders shall be fully informed respecting the requirements of the Regulations and are urged to obtain DBE participation in this project, although there is no specific goal for DBE participation. C-14 EXHIBIT B DBE INFORMATION—GOOD FAITH EFFORTS Federal-aid Project No. Residential Curb Ramp Project Bid Opening Date 11/?R/?n1.9 The City of Huntington Beach-established a Disadvantaged Business Enterprise (DBE) goal of 9% for this Project. The information provided herein shows that a good faith effort was made. Lowest, second lowest and third lowest bidders shall submit the following information to document adequate good faith efforts. Bidders should submit the following information even if the "Local Agency Bidder DBE Commitment" form indicates that the bidder has met the DBE goal. This will protect the bidder's eligibility for award of the contract if the administering agency determines that the bidder failed to meet the goal for various reasons, e.g., a DBE firm was not certified at bid opening, or the bidder made a mathematical error. Submittal of only the "Local Agency Bidder DBE Commitment" form may not provide sufficient documentation to demonstrate that adequate good faith efforts were made. The following items are listed in the Section entitled "Submission of DBE Commitment" of the Special Provisions: A. The names and dates of each publication in which a request for DBE participation for this project was placed by the bidder (please attach copies of advertisements or proofs of publication): Publications Dates of Advertisement PLEASE SEE ATTACHED B. The names and dates of written notices sent to certified DBEs soliciting bids for this Project and the dates and methods used for following up initial solicitations to determine with certainty whether the DBEs were interested (please attach copies of solicitations,telephone records, fax confirmations, etc.): Names of DBEs Solicited Date of Initial Follow Up Methods Solicitation and Dates PLEASE SEE ATTACHED C-15 C. The items of work which the bidder made available to DBE firms including, where appropriate, any breaking down of the contract work items(including those items normally performed by the bidder with its own forces) into economically feasible units to facilitate DBE participation. It is the bidder's responsibility to demonstrate that sufficient work to facilitate DBE participation was made available to DBE firms. Items of Work Bidder Normally Breakdown of Amount Percentage Performs Item Items N of (Y/N) Contract PLEASE SEE ATTACHED D. The names, addresses and phone numbers of rejected DBE firms, the reasons for the bidder's rejection of the DBEs, the firms selected for that work (please attach copies of quotes from the firms involved), and the price difference for each DBE if the selected firm is not a DBE: Names, addresses and phone numbers of rejected DBEs and the reasons for the bidder's rejection of the DBEs: PLEASE SEE ATTACHED Names, addresses and phone numbers of firms selected for the work above: PLEASE SEE ATTACHED E. Efforts made to assist interested DBEs in obtaining bonding, lines of credit or insurance, and any technical assistance or information related to the plans, specifications and requirements for the work which was provided to DBEs: PLEASE SEE ATTACHED C-16 F. Efforts made to assist interested DBEs in obtaining necessary equipment, supplies, materials or related assistance or services, excluding supplies and equipment the DBE subcontractor purchases or leases from the prime contractor or its affiliate: PLEASE SEE ATTACHED G. The names of agencies, organizations or groups contacted to provide assistance in contacting, recruiting and using DBE firms (please attach copies of requests to agencies and any responses received, i.e., lists, Internet page download, etc.): Name of Agency/Organization Method/Date of Contact Results PLEASE SEE ATTACHED H. Any additional data to support a demonstration of good faith efforts (use additional sheets if necessary): PLEASE SEE ATTACHED NOTE: USE ADDITIONAL SHEETS OF PAPER IF NECESSARY. C-17 IF A SOLE OWNER OR SOLE CONTRACTOR SIGN HERE: (1) Name under which business is conducted N/A (2) Signature (given and surname) of proprietor (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail IF A PARTNERSHIP, SIGN HERE: (1) Name under which business is conducted N/A (2) Signature (given and surname and character of partner) (Note: Signature must be made by a general partner) (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail C-18 IF A CORPORATION, SIGN HERE: (1) Name under which business is conducted Hard;& Harper, Inc (2) (Signature) Steve Kirschner - Vice President (Title) Impress Corporate Sep:! here (3) Incorporated under the laws of the State of Califernia ----- (4) Place of Business 32 Rancho Circle (Street and Number) City and State Lake Forest_ CA (5) Zip Code 92630 Telephone No. 714-444-1851 (6) E-Mail ahlanchard&hardyandharper.com NOTARIAL ACKNOWLEDGMENT OF EXECUTION BY ALL SIGNATORIES MUST BE ATTACHED C-19 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 November 21. 2019 before me, Ashlie Blanchard, Notary Public Date Here Insert Name and Title of the Officer personally appeared Steve Kirschner Name )of Signer( who proved to me on the basis of satisfactory evidence to be the person(s) whose name( is/a4e subscribed to the within instrument and acknowledged to me that he/sKe/they executed the same in his/hoer/their authorized capacity(iQG),and that by his/h:er/their signature(g)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. WITNESS my hand and official seal. QNCHARD COMM.#2279550 -California ` an OUNTY LL Signature Mnrch 3,zo2a 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: 02014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 List below names of president, vice president, secretary and assistant secretary, if a corporation; if a partnership, list names of all general partners and managing partners: Dan T. Maas - President/Treasurer Steve Kirschner- Vice President Kristen S. Paulino - Corporate Secretary C-20 EXHIBIT C LOCAL AGENCY BIDDER DBE COMMITMENT (CONSTRUCTION CONTRACTS) NOTE: PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM LOCAL AGENCY: HUNTINGTON BEACH LOCATION: HUNTINGTON BEACH PROJECT DESCRIPTION: RESIDENTIAL CURB RAMP PROJECT TOTAL CONTRACT AMOUNT:$ BID DATE: 1 1/26/2019 BIDDER'S NAME: HARDY& HARPER, INC. CONTRACT DBE GOAL: 9% CONTRACT ITEM OF WORK AND DESCRIPTION DBE CERT NO. NAME OF EACH DBEDOLLARAMOUNT ITEM NO. OR SERVICES TO BE AND EXPIRATION (Must be certified on the date bid DBE SUBCONTRACTED OR MATERIALS DATE are opened- include DBE address O BE PROVIDED(or contracted if the and phone number) bidder is a DBE) F o m 4so 42214DO 1. SOD . 00 For Local Agency to Complete: Total Claimed DBE $ I Local Agency Contract Number: Participation Federal-aid Project Number: Federal Share: 1 1Q I Contract Award Date: Local Agency certifies that all DBE certifications have been verified and information is complete and accurate. Signature of Bidder 11/21l2019 714-444-1851 Date (Area Code)'Fel.No. Print Name Signature n,t Steve Kirschner- Vice President Local Agency Representative Person to Contact (Please Type or Print) (Area Code)Telephone Number: Local Agency Bidder DBE Cornmi;;nen;(Construction Contracts) (R?.- 6i26/0 C-21 PLEASE NOTE: This information may be submitted with your bid. If it is not,and you are the apparent low bidder or the second or third low bidder,it must be submitted and received as specified in the Special Provisions. Failure to submit the required DBE commitment will be grounds for finding the bid nonresponsive The form requires specific information regarding the construction contract: Local Agency, Location, Project Description, Total Contract Amount, Bid Date, Bidder's Name, and Contract DBE Goal. The form has a column for the Contract Item Number and Item of Work and Description or Services to be Subcontracted or Materials to be provided by DBEs. Prime contractors shall indicate all work to be performed by DBEs including, if the prime is a DBE, work performed by its own forces, if a DBE. The DBE shall provide a certification number to the Contractor and expiration date. Enter the DBE prime's and subcontractors' certification numbers.The form has a column for the Names of DBE contractors to perform the work (who must be certified on the date bids are opened and include the DBE address and phone number). IMPORTANT: Identify all DBE firms participating in the project regardless of tier. Names of the First-Tier DBE Subcontractors and their respective item(s) of work listed should be consistent, where applicable,with the names and items of work in the "List of Subcontractors" submitted with your bid. There is a column for the DBE participation dollar amount. Enter the Total Claimed DBE Participation dollars and percentage amount of items of work submitted with your bid pursuant to the Special Provisions. (If 100%of item is not to be performed or furnished by the DBE, describe exact portion of time to be performed or furnished by the DBE.) See Section "Disadvantaged Business Enterprise (DBE)," of the Special Provisions (construction contracts), to determine how to count the participation of DBE firms. Exhibit 15-G must be signed and dated by the person bidding. Also list a phone number in the space provided and print the name of the person to contact. Local agencies should complete the Local Agency Contract Award, Federal-aid Project Number, Federal Share, Contract Award Date fields and verify that all information is complete and accurate before signing and filing. C-22 EXHIBIT D EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder Hardy & Harper, Inc. , [proposed subcontractor J hereby certifies that he/she/it has X , has not , participated in a previous contract or subcontract subject to the Equal Opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he/she/it has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100(EEO-1)is the only report required by the Executive Orders or their implementing regulations. (eeoc.gov/employers/eeo 1 survey/index.cfm) Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Signature: Date: 11/21/2019 Print Name: Steve Kirschner Title: Vice President C-23 EXHIBIT E NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) [NAME OF CONTRACT] To the City of Huntington Beach In conformance with Title 23 United States Code Section 112 and California Public Contract Code 7106 the bidder declares that the bid is not made in the interest of,or on 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 of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of 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, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Noncollusion Affidavit is part of the Bidder's Proposal. By signing the Proposal, the Bidder has also signed this Noncollusion Affidavit. Bidders are cautioned that making a false Certification may subject the Bidder to criminal prosecution. Signature: Date: 11/21/2019 Print Name: Steve Kirschner Title: Vice President C-24 EXHIBIT F DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 The Bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated with Bidder in the capacity of owner, partner, director, officer, manager: • is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any Federal agency; • has not been suspended, debarred, voluntarily excluded or determined ineligible by any Federal agency within the past 3 years; • does not have a proposed debarment pending; and • has not been indicted, convicted, or had a civil judgment rendered against him/her by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. Signature: Date: 1'/21/2019 Print Name: Steve Kirschner Title: Vice President C-25 EXHIBIT G NONLOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: l) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment,or modification of any Federal contract,grant, loan,or cooperative agreement. 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. Signature: Date: 11/21/2019 Print Name: Steve Kirschner Title: Vice President EXHIBIT H C-26 DISCLOSURE OF LOBBYING ACTIVITIES COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: ®a.contract El a.bid/offer/application ® a.initial b.grant b.initial award b.material change c.cooperative agreement c,post-award d.loan For Material Change Only: e.loan guarantee year quarter f.loan insurance date of last report 4. Name and Address of Reporting Entity 5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime: ®Prime ❑Subawardee Tier if known Congressional District,if known Congressional District,if known G. Federal Department/Agency: 7. Federal Program Name/Description: N/A CFDA Number,ifapplicable 8. Federal Action Number,if known: 9. Award Amount,if known: N/A 10. a.Name and Address of Lobby Entity b. Individuals Performing Services (including (If individual,last name,first name,MI) address if different from No. 10a) (last name,first name,MI) N/A (attach Continuation Sheet(s)if necessary) I I. amount of Payment(check all that apply) 13. Type of Payment(check all that apph) S Actual planned a.retainer b.one-time fee 12. Form of Payment(check all that apply): c.commission Ba.cash d.contingent fee N/A b.in-kind; specify: nature NIA a deferred value f other,specify 14. Brief Description of Services Performed or to be performed and Date(s)of Service,including officer(s),employee(s),or member(s)contacted,for Payment Indicated in Item 11: (attach Continuation Sheet(s)if necessary) 15. Continuation Sheet(s)attached: Yes ❑ No 11 16. Information requested through this form is authorized by Title 31 U.S.C. Section 1352. This disclosure of lobbying reliance Signatu was placed by the tier above when his transaction was made or entered into.This disclosure is required pursuant to 31 U.S.C. Print Name: Steve Kirschner 1352. This information will be reported to Congress semiannually and will be available for public inspection.Any Title: Vice President person who fails to file the required disclosure shall be subject to a civil penalty of not less than$10,000 and not more than Telephone No.: 714-444.1 Rri� Date: 11/21/20 9 $100,000 for each such failure. Authorized for Local Reproduction Federal Use Only: Standard Form-LLL Standard Form LLL Rev.09-12-97 C-27 INSTRUCTIONS FOR COMPLETION OF EXHIBIT H. DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1) Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2) Identify the status of the covered Federal action. 3) Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4) Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5) If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address, city, state and zip code of the prime Federal recipient. Include Congressional District, if known. 6) Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7) Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8) Enter the most appropriate Federal identifying number available for the Federal action identification in item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9) For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10)(a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name, First Name and Middle Initial (MI). 11)Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. C-28 12)Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13)Check the appropriate box(es). Check all boxes that apply. If other, specify nature. 14)Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15)Check whether or not a continuation sheet(s) is attached. 16)The certifying official shall sign and date the form, print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503. By my signature on this proposal I certify, under penalty of perjury under the laws of the State of California, that the foregoing questionnaire and statements of Public Contract Code Sections 10162, 10232 and 10285.1 are true and correct and that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission Regulations (Chapter 5, Title 2 of the California Administrative Code). C-29 EXHIBIT I FEDERAL LOBBYING RESTRICTIONS Section 1352, Title 31, United States Code prohibits Federal funds from being expended by the recipient or any lower tier subrecipient of a Federal-aid contract to pay for any person for influencing or attempting to influence a Federal agency or Congress in connection with the awarding of any Federal-aid contract, the making of any Federal grant or loan, or the entering into of any cooperative agreement. If any funds other than Federal funds have been paid for the same purposes in connection with this Federal-aid contract, the recipient shall submit an executed certification and, if required, submit a completed disclosure form as part of the bid documents. A certification for Federal-aid contracts regarding payment of funds to lobby Congress or a Federal agency is included in the Proposal. Standard Form - LLL, "Disclosure of Lobbying Activities," with instructions for completion of the Standard Form is also included in the Proposal. Signing the Proposal shall constitute signature of the Certification. The above referenced certification and disclosure of lobbying activities shall be included in each subcontract and any lower-tier contracts exceeding $100,000. All disclosure forms, but not certifications, shall be forwarded from tier to tier until received by the Engineer. The Contractor, subcontractors and any lower-tier contractors shall file a disclosure form at the end of each calendar quarter in which there occurs any event that requires disclosure or that materially affects the accuracy of the information contained in any disclosure form previously filed by the Contractor, subcontractors and any lower-tier contractors. An event that materially affects the accuracy of the information reported includes: 1) A cumulative increase if$25,000 or more in the amount paid or expected to be paid for influencing or attempting to influence a covered Federal action; or 2) A change in the person(s)or individual(s) influencing or attempting to influence a covered Federal action; or 3) A change in the officer(s), employees(s), or Member(s) contacted to influence or attempt to influence a covered Federal Action. C-30 Hardy&Harper, Inc. 32 RANCHO CIRCLE LAKE FOREST, CA 92630 Tel: (714)444-1851 Fax: (714)444-2801 Ad Proofs Project Name: RESIDENTIAL CURB RAMP PROJECT Contract/Bid #: CC No. 1589 AwardingAgency: CITYOFHUNTINGTONBEA CH Focus Journal Ad Publication: DBE GoodFaith (DBEGoodFaith.com) Published On: 11/25/2019 @ 10:38:21 AM PST Expired On: 11/27/2019 @ 11:59:59 PM PST Messages Notifications Sent To: ablanchard@hardyandharper.com Published At: https://www.dbegoodfaith.com/good-faith-ad.php?ad_adid=46162&co_name=Hardy+%26+Harper%2C+Inc. i IlFu�dy& rper,tnc ° — t Hardy.&„Harper, lnc. seekingIs qualified DBEs RESIDENTIAL CURB RAMP PROJECT Get in Touch CC No. 1589 rtc ASHLIE BLANCHARD CITYOFHUNTINGTONBEACH (714) 444-1851 HUNTINGTON BEACH, ORANGE County, CA =x Sid D t, (714) 444-2801 11/27/2019 at 02:00 32 RANCHO CIRCLE TRUCKING / HAULING LAKE FOREST, CA 92630 MOBILIZATION We are an equal opportunity employer. The plans and specs p are available for your review at our office or we can fax you w the proposal schedule. Bonds will not be required from qualified subcontractors. Trade Journal Ad Publication: DBE Journal (DBEJournal.com) Published On: 11/25/2019 @ 10:38:21 AM PST Expired On: 11/27/2019 @ 11:59:59 PM PST Published At: http://dbejournal.com/index.php?show_ad=46162&ad_project_name=RESIDENTIAL+CURB+RAM P+PROJ ECT&co_name=Hardy+ %26+Harper%2C+Inc. w....... m. __.... _ . 11afq,&r "Hammmc' 44A,4Hardy & Harper, Inc. r i�aet.s is seeking qualified DBEs Outreach Coordinator ASHLIE BLANCHARD Project Name Contact Information RESIDENTIAL CURB RAMP PROJECT 32 RANCHO CIRCLE LAKE FOREST, CA 92630 Bid/Contract# CC No. 1589 Telephone (714)444-1851 Awarding Agency Fax C I T Y 0 F H U N T I N G T 0 N B E A C H (714)444-2801 Project Location HUNTINGTON BEACH, ORANGE County, CA Bid Date 11/27/2019 at 02:00 I Project Details TRUCKING/HAULING MOBILIZATION i F We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. i E Tweet Published On: 11/25/2019 @ 10:38:21 AM PST Published At: https://twitter.com/dbegoodfaith LS DBEGooffaithxom (3 oxFxt-,Inc Fez dbegoodfaith Hardy & Harper, Inc. is seeking DBEs in HUNTINGTON BEACH - e fait .com/ O i _ . . . . 1"r"38 AM 25 Nov 201'1') ................. ........... 11/26/2019 Email&Fax Proofs I RESIDENTIAL CURB RAMP PROJECT Hardy & Harper, Inc. 32 RANCHO CIRCLE LAKE FOREST, CA 92630 EMAIL & FAX PROOFS Project Name: RESIDENTIAL CURB RAMP PROJECT Contract/Bid #: CC No. 1589 Awarding Agency: CITYOFHUNTINGTONBEACH Log details • This document contains a copy of the email notice sent and a copy of each fax notice sent to solicited companies. https://www.dbegoodfaith.com/my-account/order/docs/email_fax_log_new_sy§tem.php?adid=46162 1/26 11/26/2019 Email&Fax Proofs I RESIDENTIAL CURB RAMP PROJECT EMAIL PROOF Hardy & Harper, Inc. is seeking qualified DBEs and invites you to bid on the following contract. PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT BID#: CC No. 1589 BID DUE DATE: 2019-11-27 at 02:00 AWARDING AGENCY/OWNER: CITYOFHUNTINGTONBEACH PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. If interested please contact: ASHLIE BLANCHARD 32 RANCHO CIRCLE LAKE FOREST, CA, 92630 Tel: 7144441851 Fax: 7144442801 Email: ablanchard@hardyandharper.com https://www.dbegoodfaith.com/my-account/order/docs/email_fax_log_new_system.php?adid=46162 2/26 11/26/2019 Email&Fax Proofs i RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy & Harper, Inc. TO: A CONE ZONE, INC 32 RANCHO CIRCLE Tel: (951) 734-9535 LAKE FOREST, CA, 92630 Fax: (951) 734-2887 Tel: (714)444-1851 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy& Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCY NAME: C I T Y 0 F H U N T I N G T 0 N B E A C H PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327035-46162 - OR - Fax back this invitation with your response to: (714)444-2801 [ ]Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 11:02:25 am PST on behalf of Hardy& Harper, Inc. For additional information about DBE, M/WBE, DVBE, SBE and other diversity participation projects, visit www.dbegoodfaith.com https://www.dbegoodfaith.com/my-account/order/docs/email_fax_log_new_system.php?adid=46162 3/26 11/26/2019 Email&Fax Proofs I RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy& Harper, Inc. TO: AC-DC ELECTRIC 32 RANCHO CIRCLE Tel: (562) 926-5737 LAKE FOREST, CA, 92630 Fax: (562) 926-4311 Tel: (714)444-1851 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy & Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCY NAME: C I T Y 0 F H U N T I N G T 0 N B E A C H PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327036-46162 - OR - Fax back this invitation with your response to: (714)444-2801 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 11:01:00 am PST on behalf of Hardy & Harper, Inc. For additional information about DBE, M/WBE, DVBE, SBE and other diversity participation projects, visit www.dbegoodfaith.com https://www.dbegoodfaith.com/my-accounUorder/does/email_fax_log_new_system.php?adid=46162 4/26 11/26/2019 Email&Fax Proofs I RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy & Harper, Inc. TO: ACME SAFETY& SUPPLY CORP 32 RANCHO CIRCLE Tel: (619) 299-5100 LAKE FOREST, CA, 92630 Fax: (619) 542-0763 Tel: (714)444-1851 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy& Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCY NAME: C I T Y 0 F H U N T I N G T 0 N B E A C H PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327037-46162 - OR - Fax back this invitation with your response to: (714)444-2801 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 11:01:17 am PST on behalf of Hardy& Harper, Inc. For additional information about DBE, M/WBE, DVBE, SBE and other diversity participation projects, visit www.dbegoodfaith.com https://www.dbegoodfaith.com/my-account/order/docs/email_fax_log_new_system.php?adid=46162 5/26 11/26/2019 Email&Fax Proofs I RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy& Harper, Inc. TO: ALBERT WILSON &ASSOCIATES 32 RANCHO CIRCLE Tel: (909) 346-0848 LAKE FOREST, CA, 92630 Fax: (909) 346-0844 Tel: (714)444-1851 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy& Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCY NAME: C I T Y 0 F H U N T I N G T 0 N B E A C H PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327038-46162 - OR - Fax back this invitation with your response to: (714)444-2801 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 11:01:16 am PST on behalf of Hardy& Harper, Inc. For additional information about DBE, M/WBE, DVBE, SBE and other diversity participation projects, visit www.dbegoodfaith.com https://www.dbegoodfaith.com/my-account/order/docs/email_fax_log_new_system.php?adid=46162 6/2E 11/26/2019 Email&Fax Proofs I RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy& Harper, Inc. TO: BLANCO CONSTRUCTION 32 RANCHO CIRCLE Tel: (951) 250-6692 LAKE FOREST, CA, 92630 Fax: (951) 602-2050 Tel: (714)444-1851 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy& Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCYNAME: CITYOFHUNTINGTONBEACH PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327039-46162 - OR - Fax back this invitation with your response to: (714)444-2801 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 11:01:43 am PST on behalf of Hardy & Harper, Inc. For additional information about DBE, M/WBE, DVBE, SBE and other diversity participation projects, visit www.dbegoodfaith.com https://www.dbegoodfaith.com/my-account/order/docs/email_fax_log_new_system.php?adid=46162 7/2E 11/26/2019 Email&Fax Proofs I RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy & Harper, Inc. TO: BUTLER & SON TRUCKING 32 RANCHO CIRCLE Tel: (714) 871-1356 LAKE FOREST, CA, 92630 Fax: (714) 871-1834 Tel: (714)444-1851 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy & Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCY NAME: C I T Y 0 F H U N T I N G T 0 N B E A C H PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327064-46162 - OR - Fax back this invitation with your response to: (714)444-2801 [ ]Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 12:07:45 pm PST on behalf of Hardy& Harper, Inc. For additional information about DBE, M/WBE, DVBE, SBE and other diversity participation projects, visit www.dbegoodfaith.com https://www.dbegoodfaith.com/my-account/order/docs/email_fax_log_new_system.php?adid=46162 8/2E 11/26/2019 Email&Fax Proofs i RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy & Harper, Inc. TO: CECILIA'S SAFETY SERVICE, INC. 32 RANCHO CIRCLE Tel: (858) 793-4465 LAKE FOREST, CA, 92630 Fax: (858) 793-4495 Tel: (714)444-1851 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy& Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCYNAME: CITYOFHUNTINGTONBEACH PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer.,The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327041-46162 - OR - Fax back this invitation with your response to: (714)444-2801 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 11:00:47 am PST on behalf of Hardy & Harper, Inc. For additional information about DBE, M/WBE, DVBE, SBE and other diversity participation projects, visit www.dbegoodfaith.com https://www.dbegoodfaith.com/my-account/order/docs/email_fax_log_new_system.php?adid=46162 9/2E 11/26/2019 Email&Fax Proofs I RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy& Harper, Inc. TO: CINDY BALES ENGINEERING, INC. 32 RANCHO CIRCLE Tel: (909) 585-1557 LAKE FOREST, CA, 92630 Fax: (909) 752-7090 Tel: (714)444-1851 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy& Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCYNAME: CITYOFHUNTINGTONBEACH PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327042-46162 - OR - Fax back this invitation with your response to: (714)444-2801 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 11:01:07 am PST on behalf of Hardy & Harper, Inc. For additional information about DBE, M/WBE, DVBE, SBE and other diversity participation projects, visit www.dbegoodfaith.com https://www.dbegoodfaith.com/my-account/order/docs/email_fax_log_new_system.php?adid=46162 10/26 11/26/2019 Email&Fax Proofs I RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy& Harper, Inc. TO: DM TRUCKING 32 RANCHO CIRCLE Tel: (714) 392-8688 LAKE FOREST, CA, 92630 Fax: (714) 821-7860 Tel: (714)444-1851 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy& Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCYNAME: CITYOFHUNTINGTONBEACH PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327065-46162 - OR - Fax back this invitation with your response to: (714)444-2801 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 11:05:23 am PST on behalf of Hardy & Harper, Inc. For additional information about DBE, M/WBE, DVBE, SBE and other diversity participation projects, visit www.dbegoodfaith.com https://www.dbegoodfaith.com/my-account/order/docs/email_fax_iog_new_system.php?adid=46162 11/26 11/26/2019 Email&Fax Proofs I RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy & Harper, Inc. TO: E-NOR INNOVATIONS INC. 32 RANCHO CIRCLE Tel: (310) 513-6209 LAKE FOREST, CA, 92630 Fax: (310) 513-6299 Tel: (714)444-1851 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy & Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCYNAME: CITYOFHUNTINGTONBEACH PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327044-46162 --OR - Fax back this invitation with your response to: (714)444-2801 [ ]Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 11:01:44 am PST on behalf of Hardy & Harper, Inc. For additional information about DBE, M/WBE, DVBE, SBE and other diversity participation projects, visit www.dbegoodfaith.com https://www.dbegoodfaith.com/my-account/order/docs/email_fax_log_new_system.php?adid=46162 12/26 11/26/2019 Email&Fax Proofs i RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy& Harper, Inc. TO: FFKM ENGINEERING CONSTRUCTION, 32 RANCHO CIRCLE INC. LAKE FOREST, CA, 92630 Tel: (626) 345-4225 Tel: (714)444-1851 Fax: (661) 554-0114 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy & Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCY NAME: C I T Y 0 F H U N T I N G T 0 N B E A C H PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327045-46162 - OR - Fax back this invitation with your response to: (714)444-2801 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 11:01:32 am PST on behalf of Hardy& Harper, Inc. For additional information about DBE, M/WBE, DVBE, SBE and other diversity participation projects, visit www.dbegoodfaith.com https://www.dbegoodfaith.com/my-account/order/does/email_fax_log_new_System.php?adid=46162 13/26 11/26/2019 Email&Fax Proofs I RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy& Harper, Inc. TO: FLASH TRAFFIC, INC. 32 RANCHO CIRCLE Tel: (661) 262-6003 LAKE FOREST, CA, 92630 Fax: (661) 262-6099 Tel: (714)444-1851 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy& Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCY NAME: C I T Y 0 F H U N T I N G T 0 N B E A C H PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327046-46162 - OR - Fax back this invitation with your response to: (714)444-2801 [ ]Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 11:02:28 am PST on behalf of Hardy& Harper, Inc. For additional information about DBE, M/WBE, DVBE, SBE and other diversity participation projects, visit www.dbegoodfaith.com https://www.dbegoodfaith.com/my-account/order/docs/email_fax_log_new_system.php?adid=46162 14/26 11/26/2019 Email&Fax Proofs I RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy & Harper, Inc. TO: FULL TRAFFIC MAINTENANCE, INC. 32 RANCHO CIRCLE Tel: (951) 520-9990 LAKE FOREST, CA, 92630 Fax: (951) 520-9980 Tel: (714)444-1851 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy& Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCYNAME: CITYOFHUNTINGTONBEACH PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327047-46162 - OR - Fax back this invitation with your response to: (714)444-2801 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 11:06:07 am PST on behalf of Hardy & Harper, Inc. For additional information about DBE, M/WBE, DVBE, SBE and other diversity participation projects, visit www.dbegoodfaith.com https://www.dbegoodfaith.com/my-account/order/docs/email_fax_log_new_system.php?adid=46162 15/26 11/26/2019 Email&Fax Proofs I RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy& Harper, Inc. TO: GLOBAL ROAD SEALING, INC 32 RANCHO CIRCLE Tel: (714) 893-0845 LAKE FOREST, CA, 92630 Fax: (714) 893-0945 Tel: (714)444-1851 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy & Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCYNAME: CITYOFHUNTINGTONBEACH PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327048-46162 - OR - Fax back this invitation with your response to: (714)444-2801 [ ]Yes, we will send a fax quote by the bid date. [ J No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 11:01:21 am PST on behalf of Hardy& Harper, Inc. For additional information about DBE, M/WBE, DVBE, SBE and other diversity participation projects, visit www.dbegoodfaith.com https://www.dbegoodfaith.com/my-account/order/docs/email_fax_log_new_system.php?adid=46162 16/26 11/26/2019 Email&Fax Proofs I RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy & Harper, Inc. TO: MANERI TRAFFIC CONTROL 32 RANCHO CIRCLE Tel: (951) 695-5104 LAKE FOREST, CA, 92630 Fax: (951) 695-5105 Tel: (714)444-1851 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy& Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCY NAME: C I T Y 0 F H U N T I N G T 0 N B E A C H PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327050-46162 --OR-- Fax back this invitation with your response to: (714)444-2801 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 11:01:19 am PST on behalf of Hardy & Harper, Inc. For additional information about DBE, M/WBE, DVBE, SBE and other diversity participation projects, visit www.dbegoodfaith.com https://www.dbegoodfaith.com/my-account/order/docs/email_fax_log_new_system.php?adid=46162 17/26 11/26/2019 Email&Fax Proofs I RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy & Harper, Inc. TO: ONE STOP DUMPING 32 RANCHO CIRCLE Tel: (213) 216-8273 LAKE FOREST, CA, 92630 Fax: (562)431-6216 Tel: (714)444-1851 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy& Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCYNAME: CITYOFHUNTINGTONBEACH PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327070-46162 - OR - Fax back this invitation with your response to: (714)444-2801 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 11:14:29 am PST on behalf of Hardy& Harper, Inc. For additional information about DBE, M/WBE, DVBE, SBE and other diversity participation projects, visit www,dbegoodfaith.com https://www.dbegoodfaith.com/my-account/order/docs/email_fax_log_new_system.php?adid=46162 18/26 11/26/2019 Email&Fax Proofs i RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy& Harper, Inc. TO: PAYCO SPECIALTIES, INCORPORATED 32 RANCHO CIRCLE Tel: (619)422-9204 LAKE FOREST, CA, 92630 Fax: (619)427-1620 Tel: (714)444-1851 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy& Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCY NAME: C I T Y 0 F H U N T I N G T 0 N B E A C H PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327055-46162 - OR - Fax back this invitation with your response to: (714)444-2801 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 11:02:05 am PST on behalf of Hardy& Harper, Inc. For additional information about DBE, M/WBE, DVBE, SBE and other diversity participation projects, visit www.dbegoodfaith.com https://www.dbegoodfaith.com/my-account/order/docs/email_fax_log_new_system.php?adid=46162 19/26 11/26/2019 Email&Fax Proofs I RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy & Harper, Inc. TO: QUALITY TRAFFIC CONTROL 32 RANCHO CIRCLE Tel: (909) 276-5582 LAKE FOREST, CA, 92630 Fax: (888) 839-9857 Tel: (714)444-1851 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy& Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCY NAME: C I T Y 0 F H U N T I N G T 0 N B E A C H PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327056-46162 - OR - Fax back this invitation with your response to: (714)444-2801 [ ]Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 11:02:35 am PST on behalf of Hardy& Harper, Inc. For additional information about DBE, M/WBE, DVBE, SBE and other diversity participation projects, visit www.dbegoodfaith.com https://www.dbegoodfaith.com/my-account/order/docs/email_fax_log_new_System.php?adid=46162 20/26 11/26/2019 Email&Fax Proofs I RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy & Harper, Inc. TO: REYNA'S ENGINEERING INC 32 RANCHO CIRCLE Tel: (951) 616-4332 LAKE FOREST, CA, 92630 Fax: (951) 824-7504 Tel: (714)444-1851 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy& Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCY NAME: C I T Y 0 F H U N T I N G T 0 N B E A C H PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327057-46162 - OR - Fax back this invitation with your response to: (714)444-2801 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 12:07:03 pm PST on behalf of Hardy& Harper, Inc. For additional information about DBE, M/WBE, DVBE, SBE and other diversity participation projects, visit www.dbegoodfaith.com https://www.dbegoodfaith.com/my-account/order/docs/email_fax_log_new_system.php?adid=46162 21/26 11/26/2019 Email&Fax Proofs I RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy & Harper, Inc. TO: SO. CAL TRAFFIC INC 32 RANCHO CIRCLE Tel: (858) 720-0179 LAKE FOREST, CA, 92630 Fax: (858) 793-4495 Tel: (714)444-1851 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy & Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCYNAME: CITYOFHUNTINGTONBEACH PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327059-46162 - OR - Fax back this invitation with your response to: (714)444-2801 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 11:02:29 am PST on behalf of Hardy& Harper, Inc. For additional information about DBE, M/WBE, DVBE, SBE and other diversity participation projects, visit www.dbegoodfaith.com https://www.dbegoodfaith.com/my-account/order/docs/email_fax_log_new_system.php?adid=46162 2212E 11/26/2019 Email&Fax Proofs I RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy & Harper, Inc. TO: TRAFFIC LOOPS CRACKFILLING, INC 32 RANCHO CIRCLE Tel: (714) 520-4026 LAKE FOREST, CA, 92630 Fax: (714) 520-4027 Tel: (714)444-1851 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy& Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCYNAME: CITYOFHUNTINGTONBEACH PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327060-46162 - OR - Fax back this invitation with your response to: (714)444-2801 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 11:01:55 am PST on behalf of Hardy& Harper, Inc. For additional information about DBE, M/WBE, DVBE, SBE and other diversity participation projects, visit www.dbegoodfaith.com https://www.dbegoodfaith.com/my-account/order/docs/email_fax_log_new_system.php?adid=46162 23/26 11/26/2019 Email&Fax Proofs I RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy & Harper, Inc. TO: V A P CONSTRUCTION INC. 32 RANCHO CIRCLE Tel: (714) 253-3270 LAKE FOREST, CA, 92630 Fax: (714) 551-9420 Tel: (714)444-1851 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy& Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCYNAME: CITYOFHUNTINGTONBEACH PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327061-46162 - OR - Fax back this invitation with your response to: (714)444-2801 [ ]Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 11:01:40 am PST on behalf of Hardy & Harper, Inc. For additional information about DBE, M/WBE, DVBE, SBE and other diversity participation projects, visit www.dbegoodfaith.com https://www.dbegoodfaith.com/my-accounUorder/docs/email_fax_log_new_system.php?adid=46162 24/2 11/26/2019 Email&Fax Proofs I RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy& Harper, Inc. TO: VELARDE CONCRETE CONSTRUCTION 32 RANCHO CIRCLE INC LAKE FOREST, CA, 92630 Tel: (818) 898-2300 Tel: (714)444-1851 Fax: (818) 898-2330 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy& Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCYNAME: CITYOFHUNTINGTONBEACH PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327062-46162 --OR - Fax back this invitation with your response to: (714)444-2801 [ ] Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 11:02:01 am PST on behalf of Hardy & Harper, Inc. For additional information about DBE, M/WBE, DVBE, SBE and other diversity participation projects, visit www.dbegoodfaith.com https://www.dbegoodfaith.com/my-account/order/docs/email_fax_log_new_system.php?adid=46162 25/2E 11/26/2019 Email& Fax Proofs I RESIDENTIAL CURB RAMP PROJECT INVITATION TO BID FROM: Hardy & Harper, Inc. TO: VT ELECTRIC, INC. 32 RANCHO CIRCLE Tel: (909) 985-1755 LAKE FOREST, CA, 92630 Fax: (909) 985-8186 Tel: (714)444-1851 Fax: (714)444-2801 ablanchard@hardyandharper.com CONTACT NAME: ASHLIE BLANCHARD Hardy& Harper, Inc. is Seeking Qualified DBEs BID DUE DATE: 2019-11-27 at 02:00 BID No.: CC No. 1589 PROJECT NAME: RESIDENTIAL CURB RAMP PROJECT AGENCY NAME: C I T Y 0 F H U N T I N G T 0 N B E A C H PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA TRAFFIC CONTROL MOBILIZATION We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. RETURN SECTION Visit www.dbegoodfaith.com/respond to reply with the Solicitation ID below. 1327063-46162 - OR - Fax back this invitation with your response to: (714)444-2801 [ J Yes, we will send a fax quote by the bid date. [ ] No, we are not interested. [ ] Interested, but we would like more information. Please contact us at This solicitation was sent by DBE GoodFaith Inc. at 11/25/2019 11:02:16 am PST on behalf of Hardy & Harper, Inc. 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(714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For RESIDENTIAL CURB RAMP PROJECT, CC1589 in the CITY OF HUNTINGTON BEACH NOVEMBER 5, 2019 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Cover sheet and Notice Inviting Sealed Bids sheet A-1 Bid opening will be delayed until Tuesday November 2611 at 2:00 PM. Bids are now due at that time. 2) Section 6-3.1 on page E-14 of Section E The contract will be for 60 working days not 70. This is to acknowledge receipt and review of Addendum Number One, dated November 5, 2019 Hardy & Harper, Inc. / Company Name By Steve Kirschner-Vice President 11/05/2019 Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For RESIDENTIAL CURB RAMP PROJECT, CC1589 in the CITY OF HUNTINGTON BEACH NOVEMBER 19, 2019 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Appendix L— Prevailing Wage Schedule The prevailing wage schedule has been updated as of 11/15/2019. The attached prevailing wage schedule shall supersede the prevailing wage schedule in the original specifications updated on 7/26/2019. This is to acknowledge receipt and review of Addendum Number Two, dated November 19, 2019 Hardy & Harper, Inc. Company Name By Steve Kirschner-Vice President 11/19/2019 Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. Bid Bond Bid Bond Number:CSBA-12228 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(101/o)of Amount Bid PROJECT:Residential Curb Ramp Project,CC No. 1589 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 subcontractor's bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project,any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted 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 constraed as a statutory bond and not as a common law bond. Signed and sealed this 251h day of November.2019 VaA /,fHardy&Harper.Inc. A,.J� v'VlM 4' (Principal) (Seal) (Witness) (Title) Fidelity and Deposit Company of Maryland (Surety) (Seal) (Witness) Melissa Ann VVa�ccaro (Title)Dwight Reilly,Attorney-in-Fact By arrangement with the American Institute of Architects, the National Association of Surety Bond Producers (NASBP) (www.nasbo.org) 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 11/25/2019 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 N Notary Public-California @my ORANGE COUNTY a Comm.Expires May 12,2022 Signature D (Seal) Melissa Ann Vaccaro Bond No.CSBA-.I2228 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 Attomey-in-Fact, to make, execute, seal and deliver,for, and on its behalf as surety,and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply,to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY of 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 24th day of June,A.D.2019. w,,D 7fJp�� 0' 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 24th day of June, 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 Seal the day and year first above written. �? 7 Constance A.Dunn,Notary Public <,ft,,+�t'`�`' My Commission Expires:July 9,2023 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 25th day of November 2019 UAL � 5 I= 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)ortsfelainisa,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 November 25. 2019 before me, Ashlie Blanchard, Notary Public Date Here Insert Name and Title of the Officer personally appeared Steve Kirschner Name) of Signer( who proved to me on the basis of satisfactory evidence to be the person(s) whose name($5) is/aye subscribed to the within instrument and acknowledged to me that he/shoe/they executed the same in his/1-Der/their authorized capacity(ie5),and that by his/hRr/their signature(z)on the instrument the persona), or the entity upon behalf of which the person(x) 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 1f WITNESS my hand and official seal. COMM.#2279550 N ' /,n %J Notary Public-California a ORANGE COUNTY SI A� —MAX) 4 - V , .. nature_ My Comm.Expires March 3,2023 9 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: 02014 National Notary Association -www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 t f� " ands Harp-r, -inc. 32 pa"o Gir La VbYesk, CA , g2c430 p{-Fi c e c IA�Q CA bp-c � CA , cam 8 Sealed �a r d2X�t1W Curb VaW Pr(5)ecA in -flt Ctt� o�C \Auntkoc�()'1 eeac1) --1 o loot MO�i1 iiver'-o 6R1o2 c� -{iiQ- C;A-y C,12fV- , 2omoo) S\-fetA , Secoind floor City of Huntington Beach z re 2000 Main Street ♦ Huntington Beach, CA92648 (714) 536-5227 • www.huntingtonbeachca.gov Office of the City Clerk fFe•l7.1909P�•. ♦ Robin Estanislau, City Clerk February 19, 2020 S&H Civilworks 1801 Hilltop Dr. Colton, CA 92324 RE: Residential Curb Ramp Project—CC No. 1589 Enclosed please find your original bid bond for CC-1589. Sincerely, Oo in Estanislau, CIVIC City Clerk RE:tm Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of RESIDENTIAL CURB RAMP PROJECT CC No. 1589 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 60 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. Q� Accompanying this proposal of bid, find in the amount of U�� g 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 11 4 1 °I C-2 SECTION C PROJECT BID SCHEDULE, SCHEDULE A CURB RAMP PROJECT, CC 1589 BID ITEMS Item` ri Descr�pt�on _ } Quantity UnitUn t Cost �svTotal Cost¢ r No { . z -RtenSlon� t r,.R a ap �. , U" fl.6.°#c.¢.3 Wr d,.G d. x✓,� 1 Mobilization 1 LS $ LO, yu c, $ 2 Prepare Storm Water Pollution Prevention Plan (SWPPP) 1 LS $ i . o0 0 $ I Sy oU o 3 Install &Maintain Construction BMPs 1 LS $ L!�,vo0 $ Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 4 Curb Ramp Detail 1 in Appendix H of Specifications (Item 31 includes all appurtenances,curb&gutter, depressed curb, sawcut, sidewalk,domes, retaining curb, etc.) EA 12 of Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 5 Curb Ramp Detail 2 in Appendix H of Specifications (Item 17 includes all appurtenances,curb&gutter, depressed curb, sawcut, sidewalk, domes, retaining curb, etc.) EA $ o vu $ (O S 0 00 Construct Curb Access Ramp per Caltrans Std. Plan A88A as 6 shown on Curb Ramp Detail 2 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter, depressed curb, sawcut, sidewalk, domes, retaining curb, slot pave, etc.) 3 EA $ c $ i5, Doo.:�o Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 7 Curb Ramp Detail 3 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter, depressed curb, sawcut, sidewalk, domes, retaining curb, etc.) 93 EA $ `I,o $ S-1"L ao r Construct Curb Access Ramp per Caltrans Std. Plan A88A as 8 shown on Curb Ramp Detail 3 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter, depressed curb, sawcut, sidewalk, domes, retaining curb, slot pave, etc.) 10 EA $ $ l01 0cca.v Construct Case CM Curb Access Ramp per Caltrans Std. Plan 9 A88A/A88B (Item includes all appurtenances, curb&gutter, depressed curb, sidewalk, domes, retaining curb, slot pave, etc.) 2 EA $ yiuc".,,2;> $ 10 Install truncated domes to existing Curb Ramp 68 EA $`3:%v.o $ w..o 11 Install 4" PVC Sleeve for Street Assembly Sign per City of HB Std. Plan401 14 EA $ Dou. e::, $ 12 Remove and replace existing sidewalk per City of HB Std. Plan 207. (Allowance) 1,000 SF $ $ Remove and replaces existing 6"or 8" Curb and Gutter per 13 HB Std. Plan 205(Item includes all appurtenances, slot pave, etc.). (Allowance) 300 LF $ eo $ C-2.1 SECTION C PROJECT BID SCHEDULE, SCHEDULE A CURB RAMP PROJECT, CC 1589 t ems' 3 , f W z ...d", . Item „r v Descriptions iJ ' ,�� fity, Unit , `Umt Cost� Total�Cost ; ;No Z � �� t f � {Extension)* suJr_3. caY,r*z !`Yd: ;V.'t+'..m.. TOTAL BID AMOUNT— SCHEDULE A TOTAL BID AMOUNT IN WORDS: S@veA ,JrJ SLAI2.n�! -�r6fCA— c Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.2 SECTION C PROJECT BID SCHEDULE, ADDITIVE BID SCHEDULE CURB RAMP PROJECT, CC 1589 BID ITEMS , Item xx Description ' Quantity UnitUmt Cost TotalSCost G 1 Mobilization 1 LS $ t. ove,.,. $LS c 2 Prepare Storm Water Pollution Prevention Plan (SWPPP) 1 LS $ ov4.,,,, $ tS. ... 3 Install&Maintain Construction BMPs 1 LS $ vim:. - $ Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 4 Curb Ramp Detail 1 in Appendix H of Specifications (Item 10 includes all appurtenances, curb&gutter, depressed curb, sawcut, sidewalk,domes, retaining curb, etc.) EA $ `I,cv''' $ 41D, Construct Curb Access Ramp per Caltrans Std. Plan A88A as 5 shown on Curb Ramp Detail 1 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter, depressed curb, sawcut, sidewalk, domes, retaining curb, etc.) 2 EA $ `i_ 5 $ , Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 6 Curb Ramp Detail 2 in Appendix H of Specifications (Item 4 includes all appurtenances, curb&gutter, depressed curb, sawcut, sidewalk, domes, retaining curb, etc.) EA $ `i $ Construct Curb Access Ramp per Caltrans Std. Plan A88A as 7 shown on Curb Ramp Detail 2 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter, depressed curb, sawcut, sidewalk, domes, retaining curb, slot pave,etc.) 2 EA $y, Sco. $ Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 8 Curb Ramp Detail 3 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter, depressed curb, sawcut, sidewalk, domes, retaining curb, etc.) 26 EA $ vo w;: $ ID i Construct Case CM Curb Access Ramp per Caltrans Std. Plan 9 A88A/A8813 (Item includes all appurtenances, curb&gutter, depressed curb, sidewalk, domes, retaining curb, slot pave, etc.) 6 EA $ 'I,TUC%c $ 'L-1 vVv,ry 10 Install truncated domes to existing Curb Ramp 7 EA $ $ 5� bUy.v;, 11 Install 4" PVC Sleeve for Street Assembly Sign per City of HB Std. Plan 401 4 EA $ 1 SO C.o O $ &,c cc. TOTAL BID AMOUNT-ADDITIVE BID SCHEDULE $ 2-11. TOTAL BID AMOUNT IN WORDS: C-2.3 SECTION C PROJECT BID SCHEDULE, ADDITIVE BID SCHEDULE II CURB RAMP PROJECT, CC 1589 ��.✓v h0.Adr Sf:.tz„n oak Ina �.a� S(x ��•�,.i�e�,I ctk&j �cs� Cs.N•-1'� Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.4 SECTION C PROJECT BID SCHEDULE TOTALS RESIDENTIAL OVERLAY CC 1589 Sub-Total Bid Schedule A � 1'l3, Ham .n> Sub-Total Additive Bid Schedule � 77 1 , bay. TOTAL BID AMOUNT, BASIS OF AWARD (Schedules A+ADDITIVE) TOTAL BID AMOUNT IN WORDS: V �l 1' A'� yVl.�1\ bh.- '�U V i{'./ �l J Q... N�A C/`'f Ll �.�-✓�'TS Notes: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. In addition, the City reserves the right to include or remove Additive Bid Schedule in the award of contract. C-2.5 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 PWC Dollar % of Item(s) Subcontractor License Registration# 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 S to pf California that the forego inGs true and correct and that this declaration is executed on 11 Vlat 6� Date City State ,J-e 55 C .S� , being first duly sworn, deposes and says that or she is la S t Cie y-t't" of S.9 t+-C4 V t bw g4c 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. SAJ+ Name of Bidder Signa ire of Bidder Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the RESIDENTIAL CURB RAMP PROJECT, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Contractor By Title 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? ❑ Yes VN0 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. �e, �- lit V1 tAJa2,' Contractor By B?j?� Title Date: HA Ll C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name Business Address City, State Zip I - 2-0(0 - //,7/ n�� �,�fworf�s Telephone Number Email Address C, L1z2f6l Y() State Contractor's License No. and Class :=o I Origmal Date Issued it'Z26/2�Z I Expiration Date q The work site was inspected by )rr$,S67-2;�11 of our office on 6 1 , 201_. The following are persons, firms, and corporations having a principal interest in this proposal: J 0551a SOT O I?Pam! 16 gz.. 4 V. 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. Com Tvw--Eg� Signa u e of Bidder Jos � ►ID Printed or Typed Signature C-8 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 On October 29, 2019, before me, Gurpal Bawa, Notary Public, personally appeared Jess Sotto who proved to me on the basis of satisfactory evidence to be the person whose name' i0re subscribed to the within instrument and acknowledged to me that he/shefthe"xecuted the same in his/he44 rir authorized capacity ( ), and that by his/hen4heift.�ignature fi,§) on the instrument the persor;vfs), 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. GURPAL BAWA COMM. #2225859 1 NOTARY PUBLIC-CALIFORNIA m SAN BERNARDINO COUNTY aly Comm.Expires lan.15,2022 (Signature) (seal) Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of {Describe specific work and experience necessary for project. For example, "Demolition of existing concrete ADA ramps and construction of new ADA compliant curb ramps. Work included additional curb and gutter construction to ensure surface water flow around corner. All ramps met Caltrans requirements set forth in Standard Plans A88A." Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. J9"e*e Name of proposed Project Manager Telephone No. of proposed Project Manager: C7 ( CO $ 55; Del O i i yc�cD� P K�AY �3. lit C���- sr 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 Superintendent Telephone No. of proposed Superintendent: Project Name & Contract Amount Type of Work Date Completed M t2FAsv OC- A& Cyctt b �I-M ( L / 101 Project Name & Contract Amount Type of Work Date Completed AyJ fvA(, CA-1-c4VI-e �/- ," C)0 VII Project Name & Contract Amount Type of Work Date Completed C-t 1 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations(DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https:Hefiling.dir.ca.gov/P WCR/ActionServlet?action=displayP WCRegistrationForm DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Contractor r By Sal n C4 ul �_ ICS- c. E it r ?N S Date: Title PWC Registration C-12 BIDDER'S CERTIFICATION* HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992, SECTION 3 TITLE 24, Code of Federal Regulations, Part 135* Economic Opportunities for Low and Very Low-Income Persons The bidder, under penalty of perjury, certifies that except as noted below, any person associated therewith in the capacity of owner, partner, director, officer, or manager(initial the applicable selections): ` / y Will ensure that 10% of all new hires as a result of this project shall meet all requirements of Section 3 of CFR Part 135 of the HUD Act of 1968; or Will hire no new employees in conjunction with this project. Will award 10% of its sub-contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub-contracts related to this project. Contractor: '�; Ic--k C4 V(Lt4_)0 re_�S Contact Person: !;0T-1V Contact Phone: Dc I1 81 Signed: Date: *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 135 and Subtitle A et al) and must be submitted by the bidders and proposed sub- contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act, as amended in 1992 (HUD). Previous non-compliance with Section 3 could result in disqualification. C-13 EXHIBIT A DISADVANTAGED BUSINESS ENTERPRISE (DBE) This Project is subject to Part 200.321, Title 2, Code of Federal Regulations entitled "Contracting with Small and Minority Businesses, Women's Business Enterprises, and Labor Surplus Area Firms." The Regulations in their entirety are incorporated herein by this reference. It is the policy of the City that disadvantaged business enterprises (DBEs), as defined in Part 200.321, Title 2 CFR, shall be encouraged to participate in the performance of Contracts financed in whole or in part with federal funds.The Contractor should ensure that DBEs,as defined in Part 200.321, Title 2 CFR, have the opportunity to participate in the performance of this Contract and shall take all necessary and reasonable steps,as set forth in Part 200.321,Title 2 CFR, for this assurance. The Contractor shall not discriminate on the basis of race,color,national origin, or sex in the award and performance of subcontracts. Failure to carry out the requirements of this paragraph shall constitute a breach of Contract and may result in termination of this Contract or other remedy the City may deem appropriate. Bidders shall be fully informed respecting the requirements of the Regulations and are urged to obtain DBE participation in this project, although there is no specific goal for DBE participation. C-14 EXHIBIT B DBE INFORMATION—GOOD FAITH EFFORTS Federal-aid Project No. Bid Opening Date The City of Huntington Beach established a Disadvantaged Business Enterprise (DBE)goal of 9% for this Project. The information provided herein shows that a good faith effort was made. Lowest,second lowest and third lowest bidders shall submit the following information to document adequate good faith efforts. Bidders should submit the following information even if the "Local Agency Bidder DBE Commitment"form indicates that the bidder has met the DBE goal. This will protect the bidder's eligibility for award of the contract if the administering agency determines that the bidder failed to meet the goal for various reasons, e.g., a DBE firm was not certified at bid opening, or the bidder made a mathematical error. Submittal of only the "Local Agency Bidder DBE Commitment" form may not provide sufficient documentation to demonstrate that adequate good faith efforts were made. The following items are listed in the Section entitled "Submission of DBE Commitment" of the Special Provisions: A. The names and dates of each publication in which a request for DBE participation for this project was placed by the bidder (please attach copies of advertisements or proofs of publication): Publications Dates of Advertisement B. The names and dates of written notices sent to certified DBEs soliciting bids for this Project and the dates and methods used for following up initial solicitations to determine with certainty whether the DBEs were interested(please attach copies of solicitations,telephone records, fax confirmations, etc.): Names of DBEs Solicited Date of Initial Follow Up Methods Solicitation and Dates , 1-e5U5 5o ✓1 V 14 Etc Ail C-15 C. The items of work which the bidder made available to DBE firms including, where appropriate,any breaking down of the contract work items(including those items normally performed by the bidder with its own forces) into economically feasible units to facilitate DBE participation. It is the bidder's responsibility to demonstrate that sufficient work to facilitate DBE participation was made available to DBE firms. Items of Work Bidder Normally Breakdown of Amount Percentage P forms Item Items M of (Y),4) Contract � v o D. The names, addresses and phone numbers of rejected DBE firms, the reasons for the bidder's rejection of the DBEs, the firms selected for that work (please attach copies of quotes from the firms involved), and the price difference for each DBE if the selected firm is not a DBE: Names, addresses and phone numbers of rejected DBEs and the reasons for the bidder's rejection of the DBEs: Names, addresses and phone numbers of firms selected for the work above: SAN i—bYK-:> �,l CC I N L—, E. Efforts made to assist interested DBEs in obtaining bonding, lines of credit or insurance, and any technical assistance or information related to the plans, specifications and requirements for the work which was provided to DBEs: C-16 F. Efforts made to assist interested DBEs in obtaining necessary equipment, supplies, materials or related assistance or services, excluding supplies and equipment the DBE subcontractor purchases or leases from the prime contractor or its affiliate: X�� G. The names of agencies, organizations or groups contacted to provide assistance in contacting, recruiting and using DBE firms (please attach copies of requests to agencies and any responses received, i.e., lists, Internet page download, etc.): Name of Agency/Organization Method/Date of Contact Results H. Any additional data to support a demonstration of good faith efforts (use additional sheets if necessary): NOTE: USE ADDITIONAL SHEETS OF PAPER IF NECESSARY. C-17 IF A SOLE OWNER OR SOLE CONTRACTOR SIGN HERE: I� (1) Name under which business is conducted (2) Signature (given and surname) of proprietor (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail IF A PARTNERSHIP, SIGN HERE: I (1) Name under which business is conducted (2) Signature (given and surname and character of partner) (Note: Signature must be made by a general partner) (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail C-18 IF A CORPORATION, SIGN HERE: (1) Name under which business is conducted Sk�+ 64 yk ll C,Qi�_s (2) (Signature) (Title) Impress Corporate Seal here (3) Incorporated under the laws of the State of (� (4) Place of Business (Street and Number) City and State p (5) Zip Code Telephone No. [Or'1 - (6) E-Mail C� 'Ga kid �q Gj V/1 ti w/eS NOTARIAL ACKNOWLEDGMENT OF EXECUTION BY ALL SIGNATORIES MUST BE ATTACHED C-19 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of San Bernardino ) On No o 19 before me, Jaspreet Kaur,Notary Public (insert name and title of the officer) personally appeared �r'SS S0 TTO who proved to me on the basis of satisfactory evidence to be the person(z) whose namew is/ace subscribed to the within instrument and acknowledged to me that he/&he4+ executed the same in his/lie4#�;;-authorized capacity(ies), and that by his/4e4the r signature,(45) 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. JASPREET KAUR COMM. #2250547 WITNESS my hand and official seal. w NOTARyPUBUC-CAUFORN►Atn SAN BERNARDINO COUNTY °C My Comm.Expo tes Aug.16,2022 Signature � katq (Seal) List below names of president, vice president, secretary and assistant secretary, if a corporation; if a partnership, list names of all general partners and managing partners: J 15 5s y, Sari t� , mwmsi-- JOSC ASi OgoSl ccA . 5E;.Y'I lA2y 14 01� POO1060� C-20 EXHIBIT C LOCAL AGENCY BIDDER DBE COMMITMENT (CONSTRUCTION CONTRACTS) NOTE: PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM LOCAL AGENCY: LOCATION: PROJECT DESCRIPTION: TOTAL CONTRACT AMOUNT:$ BID DATE: BIDDER'S NAME: CONTRACT DBE GOAL: CONTRACT ITEM OF WORK AND DESCRIPTION DBE CERT NO. NAME OF EACH DBEDOLLARAMOUNT ITEM NO. OR SERVICES TO BE AND EXPIRATION (Must be certified on the date bids DBE SUBCONTRACTED OR MATERIALS DATE are opened- include DBE address O BE PROVIDED(or contracted if the and phone number) bidder is a DBE) For Local Agency to Complete: Total Claimed DBE $ Local Agency Contract Number: Participation Federal-aid Project Number: % Federal Share: Contract Award Date: Local Agency certifies that all DBE certifications have been verified and information is complete and accurate. Signature of Bidder Date (Area Code)Tel.No. Print Name Signature Date Local Agency Representative Person to Contact (Please Type or Print) (Area Code)Telephone Number: Local Agency Bidder DBE Commitment(Construction Contracts) (Rev 6/26/09) C-21 PLEASE NOTE: This information may be submitted with your bid. If it is not, and you are the apparent low bidder or the second or third low bidder,it must be submitted and received as specified in the Special Provisions. Failure to submit the required DBE commitment will be grounds for finding the bid nonresponsive The form requires specific information regarding the construction contract: Local Agency, Location, Project Description, Total Contract Amount, Bid Date, Bidder's Name, and Contract DBE Goal. The form has a column for the Contract Item Number and Item of Work and Description or Services to be Subcontracted or Materials to be provided by DBEs. Prime contractors shall indicate all work to be performed by DBEs including, if the prime is a DBE, work performed by its own forces, if a DBE. The DBE shall provide a certification number to the Contractor and expiration date. Enter the DBE prime's and subcontractors' certification numbers.The form has a column for the Names of DBE contractors to perform the work (who must be certified on the date bids are opened and include the DBE address and phone number). IMPORTANT: Identify all DBE firms participating in the project regardless of tier.Names of the First-Tier DBE Subcontractors and their respective item(s) of work listed should be consistent, where applicable,with the names and items of work in the "List of Subcontractors" submitted with your bid. There is a column for the DBE participation dollar amount. Enter the Total Claimed DBE Participation dollars and percentage amount of items of work submitted with your bid pursuant to the Special Provisions. (If 100% of item is not to be performed or furnished by the DBE, describe exact portion of time to be performed or furnished by the DBE.) See Section "Disadvantaged Business Enterprise (DBE)," of the Special Provisions (construction contracts), to determine how to count the participation of DBE firms. Exhibit 15-G must be signed and dated by the person bidding. Also list a phone number in the space provided and print the name of the person to contact. Local agencies should complete the Local Agency Contract Award, Federal-aid Project Number, Federal Share, Contract Award Date fields and verify that all information is complete and accurate before signing and filing. C-22 EXHIBIT D EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder Ste} [proposed subcontractor J hereby certifies that he/she/it has , has not , participated in a previous contract or subcontract subject to the Equal Opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he/she/it has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of$10,000 or under are exempt.) Currently,Standard Form 100(EEO-1)is the only report required by the Executive Orders or their implementing regulations. (eeoc.gov/employers/eeolsurvey/index.cfm) Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Signature: u - Date: Print Name: SU Title: C-23 EXHIBIT E NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) [NAME OF CONTRACT] To the City of Huntington Beach In conformance with Title 23 United States Code Section 112 and California Public Contract Code 7106 the bidder declares that the bid is not made in the interest of, or on 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 of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of 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, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Noncollusion Affidavit is part of the Bidder's Proposal. By signing the Proposal, the Bidder has also signed this Noncollusion Affidavit. Bidders are cautioned that making a false Certification may subject the Bidder to criminal prosecution. Signature: Date: Print Name: J1� Title: C-24 EXHIBIT F DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 The Bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated with Bidder in the capacity of owner, partner, director, officer, manager: �etermination is not currently under suspension, debarment, voluntary exclusion, or of ineligibility by any Federal agency; • has not been suspended, debarred, voluntarily excluded or determined ineligible by any Federal agency within the past 3 years; • does not have a proposed debarment pending; and • has not been indicted, convicted, or had a civil judgment rendered against him/her by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. Signature: �I V Date: 1 b Print Name: \ Title: C-25 EXHIBIT G NONLOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: 1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant,the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment,or modification of any Federal contract,grant, loan,or cooperative agreement. 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. Signature: Date: Print Name: �) S &�)!W Title: EXHIBIT H C-26 DISCLOSURE OF LOBBYING ACTIVITIES COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: a.contract Fla.bid/offer/application El a.initial b.grant b.initial award b.material change c.cooperative agreement c.post-award d.loan For Material Change Only: e.loan guarantee year quarter f.loan insurance date of last report 4. Name and Address of Reporting Entity 5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime: Prime Subawardee Tier if known Congressional District,ifknown Congressional District,ifknown 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number,ifapplicable 8. Federal Action Number,ifknown: 9. Award Amount,ifknown: 10. a.Name and Address of Lobby Entity b. Individuals Performing Services (including (If individual,last name,first name,MI) address if different from No. I Oa) (last name,first name,MI) (attach Continuation Sheet(s)if necessary) 11. Amount of Payment(check all that apply) 13. Type of Payment(check all that apply) $ Actual planned a.retainer b.one-time fee 12. Form of Payment(check all that apply): c.commission ea.cash d.contingent fee b.in-kind; specify: nature a deferred value f.other,specify 14. Brief Description of Services Performed or to be performed and Date(s)of Service,including officer(s),employce(s),or member(s)contacted,for Payment Indicated in Item 11: (attach Continuation Sheet(s)if necessary) 15. Continuation Sheet(s)attached: Yes ❑ No ❑ 16. Information requested through this form is authorized by Title 31 U.S.C. Section 1352. This disclosure of lobbying reliance Signature: was placed by the tier above when his transaction was made or entered into.This disclosure is required pursuant to 31 U.S.C. Print Name: 1352. This information will be reported to Congress semiannually and will be available for public inspection.Any Title: person who fails to file the required disclosure shall be subject to a civil penalty of not less than$10,000 and not more than Telephone No.: Date: $100,000 for each such failure. Authorized for Local Reproduction Federal Use Only: Standard Form-LLL Standard Form LLL Rev.09-12-97 C-27 INSTRUCTIONS FOR COMPLETION OF EXHIBIT H, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity,whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1) Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2) Identify the status of the covered Federal action. 3) Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4) Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5) If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address,city, state and zip code of the prime Federal recipient.Include Congressional District, if known. 6) Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7) Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8) Enter the most appropriate Federal identifying number available for the Federal action identification in item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9) For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10)(a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name, First Name and Middle Initial (MI). 11)Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. C-28 12)Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13)Check the appropriate box(es). Check all boxes that apply. If other, specify nature. 14)Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15)Check whether or not a continuation sheet(s) is attached. 16)The certifying official shall sign and date the form, print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503. By my signature on this proposal I certify, under penalty of perjury under the laws of the State of California, that the foregoing questionnaire and statements of Public Contract Code Sections 10162, 10232 and 10285.1 are true and correct and that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission Regulations (Chapter 5, Title 2 of the California Administrative Code). C-29 EXHIBIT I FEDERAL LOBBYING RESTRICTIONS Section 1352, Title 31, United States Code prohibits Federal funds from being expended by the recipient or any lower tier subrecipient of a Federal-aid contract to pay for any person for influencing or attempting to influence a Federal agency or Congress in connection with the awarding of any Federal-aid contract,the making of any Federal grant or loan,or the entering into of any cooperative agreement. If any funds other than Federal funds have been paid for the same purposes in connection with this Federal-aid contract, the recipient shall submit an executed certification and, if required, submit a completed disclosure form as part of the bid documents. A certification for Federal-aid contracts regarding payment of funds to lobby Congress or a Federal agency is included in the Proposal. Standard Form - LLL, "Disclosure of Lobbying Activities," with instructions for completion of the Standard Form is also included in the Proposal. Signing the Proposal shall constitute signature of the Certification. The above referenced certification and disclosure of lobbying activities shall be included in each subcontract and any lower-tier contracts exceeding $100,000. All disclosure forms, but not certifications, shall be forwarded from tier to tier until received by the Engineer. The Contractor, subcontractors and any lower-tier contractors shall file a disclosure form at the end of each calendar quarter in which there occurs any event that requires disclosure or that materially affects the accuracy of the information contained in any disclosure form previously filed by the Contractor, subcontractors and any lower-tier contractors. An event that materially affects the accuracy of the information reported includes: 1) A cumulative increase if$25,000 or more in the amount paid or expected to be paid for influencing or attempting to influence a covered Federal action; or 2) A change in the person(s) or individual(s) influencing or attempting to influence a covered Federal action; or 3) A change in the officer(s), employees(s), or Member(s) contacted to influence or attempt to influence a covered Federal Action. C-30 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For RESIDENTIAL CURB RAMP PROJECT, CC1589 in the CITY OF HUNTINGTON BEACH NOVEMBER 5, 2019 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Cover sheet and Notice Inviting Sealed Bids sheet A-1 Bid opening will be delayed until Tuesday November 2611'at 2:00 PM. Bids are now due at that time. 2) Section 6-3.1 on page E-14 of Section E The contract will be for 60 working days not 70. This is to acknowledge receipt and review of Addendum Number One, dated November 5, 2019 cle_� Company Name By 1 i/C4/1 n Date el I All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. COMPLETED PROJECT REFERENCES PAST(3)YEARS Project Owner Project Scope of Work_ : Contact Contract Completion Amount Date Chuck Collette— City of Yucaipa 13"Street Final Grading and Concrete Construction $45,810 February 2016 34272 Yucaipa Blvd, Concrete works Manager/Inspector Yucaipa,CA (909)841-0336 City of Duarte Bus Pad Rafael Casillas PE— $18,336 February 2016 1600 E Huntington Dr, Construction at Concrete&Asphalt Engineering Manager Duarte,CA Huntington Drive (626)357-7931 City of Palm Desert 2016 Curb Ramps ADA ramps,Curb, Mike Brown—Public 73510 Fred Waring Dr, Modification Gutter,Cross gutter and Works Inspector $99,350 May 2016 Palm Desert,CA Project Asphalt (760)396-6826 92260 City of Jurupa Valley 2015-16 Chase Keys—Project June 2016 8930 Limonite Pedestrian Access Concrete works Manager $104,000 Avenue,Jurupa Project (951)332-6464 x235 Valley,CA 92509 City of Arcadia Jan Balanay—Project 11800 Goldring Road, 2015/2016 Annual ,$58570 Arcadia,CA Concrete Repair Concrete&Asphalt Manager(626)256- July 2016 6582 Citywide Leticia Ortiz—Project City of South Gate Grading,Demo,Curb, Sidewalk Manager September 8650 California Ave, Improvement— Gutter,Sidewalk,Cross Contact Number:(323) $272,600 2016 South Gate,CA Phase III gutter&Asphalt 563-9576 City of Dinuba ADA Joe Aguirre—Project September 1088 Kamm Ave. Improvements Concrete works Manager $132,014 p Dinuba,CA 93618 Project (559)591-5906 2016 City of Hesperia ADA David Burkett— 9700 Seventh Ave, Improvements Grading,concrete and sphalt Paving Project Manager $522,500 October 2016 Hesperia,CA 92345 Year 1&2 A (760)947-1202 City of Lompoc ATP Cycle 1 Craig Dierling,PE— 100 Civic Center Plaza Sidewalk/Curb Grading,Roadway Project Manager $389,292 January 2017 Lompoc,CA 93436 Ramp Project concrete and Asphalt (805)875-8224 County of Riverside Grand AvenueSidewalk Road widening Grading, Trai Nguyen— 2950 Washington St, Curb,Sidewalk,and Principal Inspector $185,240.30 January 2017 Riverside,CA 92504 Improvement Asphalt Paving (951)961-5363 Project Street City of Bakersfield Improvement Grading,concrete and Mike De la Cruz— March 2017 900 Truxtun Ave, Brundage Lane Construction Inspector $508,623 Bakersfiled,CA 93301 and West Union Asphalt Paving (661)304-2950 Project City of Santa Roadway concrete,storm La Cumbre Ken Young — Barbara drainage,retaining wall, Sidewalk Project Manager $360,995 July 2017 630 Garden Street, Infill Project ADA,Ramps&Asphalt (805)560-7568 Santa Barbara CA Paving City of Newport Concrete and Demo,Curb,Gutter, Ben Davis— 100 Civic Center Pavement Sidewalk,ADA Ramps, Project Manager $809,638 August 2017 Drive,Newport Beach, Replacement Cross gutter&Asphalt (949)644-3317 CA 92660 Project Page 1 of 2 COMPLETED PROJECT REFERENCES PAST (3)YEARS Project Owner Project Scope of Work Contact Contract Completion Amount Date County of Riverside Troth StreetSidewalk Road widening Grading, Trai Nguyen— 2950 Washington St Curb,Gutter,Sidewalk, Principal Inspector $738,960 Sept 2017 Riverside,CA 92504 Improvement and Asphalt Paving (951)961-5363 Project City of La Puente Citywide Grading,Curb,Gutter, Gregory W.Lindsay- 15900 East Main Concrete Repair Sidewalk,and Asphalt Deputy City Engineer $280,066 November Street,La Puente CA FY 2016-17 Paving (626)855-1540 2017 91744 Project City of Walnut Walnut Ranch Grading,Curb,Gutter, Cody Howing— December 21201 La Puente Rd, Park ADA Access Sidewalk and Retaining Project Manager $286,972 2017 Walnut,CA 91789 &Citywide wall (909)594-9702 Repair Mission Road Pe n White City of San Marcos ADA Demo,sidewalk and � Mata Road,San Construction ADA Ramps City Inspector $182,700 April 2018 Marcos,CA (619)850-3851 Project City of Riverside Street Widening Widening,Concrete and Kevin Goodwin 3900 Main Street of Quite lane asphalt Project Manager $60,000 June 2018 Riverside CA 92522 (951)318-3134 OMNITrans ATP safe Route to Demo,sidewalk,ADA Thomas Dahlin 1700 West 5m St Transit Project Ramps&Asphalt Paving Capital Project $2.1M December San Bernardino,CA Manager/Inspector 2018 92411 (951)358-9322 OMNITrans Corona Avenue Demo,sidewalk,ADA Thomas Dahlin 1700 West 5th St ATP safe Route to Ramps&Asphalt Paving Capital Project $308,000 April 2019 San Bernardino,CA Transit Project Manager/Inspector 92411 (951)358-9322 City of San Annual Concrete Demo,sidewalk, Nathan Toczek Bernardino Repair&ADA driveway,ADA Ramps& City Inspector $2.OM April 2019 201 N"E"Street,san Access Ramp cross gutter (909)648-2089 Bernardino CA Project City of Costa Mesa City Parkway Citywide concrete repair Cristina Oquendo 77 Fair Drive Maintenance curb,gutter,sidewalk, $3.OM September Costa Mesa CA Project driveway and ADA Project Manager 2019 Ramps (714)754-5015 City of Santa Roadway Improvement, Measure A Cycle Ken Young — Barbara storm drainage, , On-going 3 Sidewalk Infill Project Manager $1.OM u 630 Garden Street, Project retaining walls,Ramps& (805)560-7568 95/o complete Santa Barbara CA Asphalt Paving Page 2 of 2 PHILADELPHIA INSURANCE COMPANIES A Member of lhe.Tokio Marine Group BID BOND KNOW ALL MEN BY THESE PRESENTS: That We, S&H Civilworks as Principal,and Philadelphia Indemnity Insurance Company, a corporation organized and existing under the laws of the State of Pennsylvania, and authorized to do business in the State of California as Surety, are held and firmly bound unto the City of Huntington Beach, as Obligee, in the sum of Ten percent of amount bid DOLLARS 10% lawful money of the United States of America,to the payment of which sum well and truly to be made,the said Principal and Surety bind themselves,their and each of their heirs, executors, administrators, successors and assigns,jointly and severally by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that, if the Obligee shall make any award to the Principal for: CC1589 -Residential Curb Ramp Proiect according to the terms of the proposal or bid made by the Principal therefor, and the Principal shall duly make and enter into a contract with the Obligee in accordance with the terms of said proposal or bid and award and shall give bond for the faithful performance thereof, with the Philadelphia Indemnity Insurance Company as Surety or with other Surety or Sureties approved by the Obligee, or if the Principal shall, in case of failure so to do, pay to the Obligee the damages which the Obligee may suffer by reason of such failure not exceeding the penalty of this bond, then this obligation shall be null and void; otherwise it shall be and remain in full force and effect. Signed, sealed and dated this 5th day of November, 2019. S&H Civilworks (Principal) (Seal) By: Philadelphia Indemnity Insurance Company (Surety) (Seal) By: Laurie B. Druck,Attorney-in-Fact 67 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 November 5, 2019 before me, Cynthia J. Youn% Notary Public Name and Title of Officer(e.g.,"Jane Doe,Notary Public") personally appeared Laurie B. Druck Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence Y� C`!NTHLA J. YOUNG to be the person whose name is subscribed to the � Notary Public - California within instrument and acknowledged to me that she z�,« � ' San Bernardino County - executed the same in her authorized capacity, mow' y;' commission # 2157044 and that by her signature on the instrument the P/y Comm. Expires Jul 15, 2020 ' 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. WITNE:crl�s/ my hand and official seal. Signa rk of No 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: FIT THUMBPRINT OF SIGNER 0 Individual Top of thumb here O Corporate Officer Title O Partner -- O Limited C3 General O Attorney-in-Fact O Trustee O Guardian or Conservator Other: Signer is Representing: 5655 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 ofthe Commonwealth of Pennsylvania,does hereby constitute and appoint Jay P.Freeman,Cynthia J.Young,Laurie B.Druck and Christina Mountz 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 Attorney(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. 192� =_ (Seal) Robert D.O'Leary Jr.,President&CEO Philadelphia Indemnity Insurance Company On this 27'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. COUMQNWEALT O PEN — NQrAftWLSEAL AMnynNnepp,Ablary P�bte Notary Public. towel ueranlwp..Momgomory0ounly AI,Commission EnWrns SeOL I5,YJ1t r[ui[ Ntv'RRvx� NrO�iAtgny... 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'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 this day ofNO e— ,20 Edward Sayago,Corporate Secretary PHILADELPHIA INDEMNITY INSURANCE COMPANY .... r,, S &�j U vl Lwv�2�S Go L fvv 32C f Cc ,moo issj G -kj Uelrlz— Mai ' � City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov °FB : Office of the City Clerk !7.1909 Robin Estanislau, City Clerk February 19, 2020 Vido Samarzich, Inc. 6829 Billings Place Rancho Cucamongo, CA 91701 RE: Residential Curb Ramp Project—CC No. 1589 Enclosed please find your original bid bond for CC-1589. Sincerely, R anislau, CIVIC City Clerk RE:tm Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of RESIDENTIAL CURB RAMP PROJECT CC No. 1589 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 60 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%of totalUd 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 idd r' Signature 1 11/22/2019 2 11/22/2019 C-z SECTION C PROJECT BID SCHEDULE, SCHEDULE A CURB RAMP PROJECT, CC 1589 BID ITEMS Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 1 Mobilization 1 LS "10 W0100 + �� 2 Prepare Storm Water Pollution Prevention Plan(SWPPP) 1 LS $ D oDD.00 $ I0.0V9>,00 3 Install& Maintain Construction BMPs 1 LS $ l0 $ IO,aoO.00 Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 4 Curb Ramp Detail 1 in Appendix H of Specifications (Item 31 includes all appurtenances,curb&gutter,depressed curb, sawcut, sidewalk,domes, retaining curb,etc.) EA $ 3,Soo,oe $ 108�.or' Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 17 5 Curb Ramp Detail 2 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter, depressed curb, sawcut, sidewalk,domes, retaining curb, etc.) EA $ 3,Sav,ep $ S11,5o,o.co Construct Curb Access Ramp per Caltrans Std. Plan A88A as 6 shown on Curb Ramp Detail 2 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter,depressed curb, sawcut, sidewalk, domes, retaining curb, slot pave,etc.) 3 EA $ $ 15,C00.40 Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 7 Curb Ramp Detail 3 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter, depressed curb, sawcut, sidewalk,domes, retaining curb, etc.) 93 EA $ 3,SoO.oO $ 3a5,Soab.Do Construct Curb Access Ramp per Caltrans Std. Plan A88A as 8 shown on Curb Ramp Detail 3 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter, depressed curb,sawcut,sidewalk, domes, retaining curb, slot pave,etc.) 10 EA $ y,000.0G $ ` c"92a o. o0 Construct Case CM Curb Access Ramp per Caltrans Std. Plan 9 A88A/A886(Item includes all appurtenances, curb&gutter, depressed curb,sidewalk, domes, retaining curb,slot pave, etc.) 2 EA $ '5,6CO..00 $ 10�ax,.� 10 Install truncated domes to existing Curb Ramp 68 EA $ 3 SO.Oo $ 0,900.0o 11 Install 4"PVC Sleeve for Street Assembly Sign per City of HB Std. Plan 401 14 EA $ 100.0D $ I'(DO.ao 12 Remove and replace existing sidewalk per City of HB Std. Plan 207. (Allowance) 1,000 SF $ 13.co $ 3,-00.do Remove and replaces existing 6"or 8"Curb and Gutter per 13 HB Std. Plan 205(Item includes all appurtenances,slot pave, etc.). (Allowance) 300 LF $ al'600.oO C-2.1 SECTION C PROJECT BID SCHEDULE, SCHEDULE A CURB RAMP PROJECT, CC 1589 Item Description Quantity Unit Unit Cost Total Cost No. (Extension) TOTAL BID AMOUNT—SCHEDULE A $ 0 Oi Too• DO TOTAL BID AMOUNT IN WORDS: (-f1--1A1 b6Ea tDOuqPIS . Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.2 SECTION C PROJECT BID SCHEDULE,ADDITIVE BID SCHEDULE CURB RAMP PROJECT, CC 1589 BID ITEMS Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 1 Mobilization 1 LS 00 2 Prepare Storm Water Pollution Prevention Plan (SWPPP) 1 LS $s,500.00 $ off,500.00 3 Install&Maintain Construction BMPs 1 LS $ 500. 500.00 Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 10 4 Curb Ramp Detail 1 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter, depressed curb, sawcut, sidewalk,domes, retaining curb, etc.) EA $ 35,lh0,110 Construct Curb Access Ramp per Caltrans Std. Plan A88A as 5 shown on Curb Ramp Detail 1 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter, depressed curb, sawcut, sidewalk, domes, retaining curb, etc.) 2 EA $ 4i°00.00 $ 8,coo•00 Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 6 Curb Ramp Detail 2 in Appendix H of Specifications (Item 4 includes all appurtenances, curb&gutter, depressed curb, sawcut, sidewalk,domes, retaining curb, etc.) EA $ 3,Sab 0o $ /11000.00 Construct Curb Access Ramp per Caltrans Std. Plan A88A as 7 shown on Curb Ramp Detail 2 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter, depressed curb, sawcut,sidewalk,domes, retaining curb,slot pave, etc.) 2 EA $ `I,MV,00 $ 316W-00 Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A using horizontal curb cutting machine as shown on 8 Curb Ramp Detail 3 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter, depressed curb, Q sawcut, sidewalk,domes, retaining curb, etc.) 26 EA $ 3,Sa0.oo $ 11,000,as Construct Case CM Curb Access Ramp per Caltrans Std. Plan 9 A88A/A8813(Item includes all appurtenances, curb&gutter, depressed curb, sidewalk, domes, retaining curb, slot pave, etc.) 6 EA $ K,000,DO- $2 (,000. zo 10 Install truncated domes to existing Curb Ramp 7 EA $ 500 $ 3, Spb,"C 11 Install 4"PVC Sleeve for Street Assembly Sign per City of HB Std. Plan 401 4 EA $ I649.00 $ �(A0,417 TOTAL BID AMOUNT—ADDITIVE BID SCHEDULE $ o� I �� 100.00 TOTAL BID AMOUNT IN WORDS: C-2.3 SECTION C PROJECT BID SCHEDULE, ADDITIVE BID SCHEDULE CURB RAMP PROJECT, CC 1589 C) E JUAW b ! 0 t4-4 R S . Note. All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.4 SECTION C PROJECT BID SCHEDULE TOTALS RESIDENTIAL OVERLAY CC 1589 Sub-Total Bid Schedule A 707 700_ UO Sub-Total Additive Bid Schedule Z, 100 . 00 TOTAL BID AMOUNT, BASIS OF AWARD (Schedules A+ADDITIVE) 9 f 91 goo -00 TOTAL BID AMOUNT IN WORDS: duk&jD R ED 'L>bLLA R5. Notes: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. In addition, the City reserves the right to include or remove Additive Bid Schedule in the award of contract. C-2.5 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 PWC Dollar % of Item(s) Subcontractor License Registration# 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 oni1/22/2019, at Covina , CA Date City State Vido L. Samarzich , being first duly sworn, deposes and says that he or she is Vice President of Vido Samarzich, 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. Vido Samarzich, Inc. N7ZG/J er Signature of B der 6829 Billings Place, Rancho Cucamonga, CA 91701 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 RESIDENTIAL CURB RAMP PROJECT, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Vido Samarzich, Inc. Contractor By Vice President Title Date: 11/22/2019 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 N(No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code,each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Vido Samarzich, Inc. Contractor v By Vice President Title Date: 11/22/2019 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Vido Samarzich, Inc. Bidder Name 6829 Billings Place Business Address Rancho Cucamonga CA 91701 City, State Zip ( 909 ) 987-6377 vidosam@yahoo.com Telephone Number Email Address 433210 Class A State Contractor's License No. and Class 12/31/1982 Original Date Issued 12/31/2020 Expiration Date The work site was inspected by Vido L. Samarzich of our office on November 22 , 2019 . The following are persons, firms, and corporations having a principal interest in this proposal: Vido Samarzich, Inc. Vido Samarzich- 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. Vido Saawzich, Inc. Company e al Signature of Bidery Vido L. Samarzich Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this22ndday of November , 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 Los Angeles ) On November 22, 2019 before me, Desmond G. Warren, Notary Public Month, Day, and Year Insert Name and Title of Notary personally appeared Vido L. Samarzich NameW of Signers} who proved to me on the basis of satisfactory evidence to be the personw whose namew is/ape, subscribed to the within instrument and acknowledged to me that he/S>C/Oley executed the same in his/ber/tben'authorized capacity(�es),and that by his/bier/ttletr signature(aj on the instrument the personjs), or the entity upon behalf of which the persons acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. sauen Owl DEBMOND G.WARREN = WITNESS my hand and official seal. COMM.#2190511 Notary Public-California 'o Riverside County My Comm.Expires Apr.9,2021 , wwrwwws Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project. For example, "Demolition of existing concrete ADA ramps and construction of new ADA compliant curb ramps. Work included additional curb and gutter construction to ensure surface water flow around corner. All ramps met Caltrans requirements set forth in Standard Plans A88A." Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: l. SEE ATTACHED INFORMATION Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. SEE ATTACHED INFORMATION Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. SEE ATTACHED INFORMATION Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-10 VIDO SAMARZICH, INC. General Engineering Contractor No.433210 A 6829 BILLINGS PLACE, RANCHO CUCAMONGA, CALIFORNIA 91701 TELEPHONE 909-987-6377 FAX 909-987-8988 COMPLETED CONSTRUCTION PROJECT REFERENCES 1. Project Name: La Palma Ave Sidewalk Improvements Owner: City of Anaheim Phone Number: (714) 765-5052 Engineer/Contact: Mr. Joel Jordan Contract Amount: $479,000.00 Date of Completion: 2019 2. Project Name: Wilshire Avenue Bicycle Blvd Improvements Owner: City of Fullerton Phone Number: (714) 738-6853 Engineer/Contact: Mr. David Grantham Contract Amount: $2,100,000.00 Date of Completion: 2019 3. Project Name: FY 17-18 ADA Access Ramp Improvements at Various Locations Owner: City of Rancho Cucamonga Phone Number: (909) 774-4070 Engineer/Contact: Mr. Romeo David Contract Amount: $975,000.00 Date of Completion: 2018 4. Project Name: Wilshire Avenue Water and Sewer Improvement Project Owner: City of Fullerton Phone Number: (714) 738-6895 Engineer/Contact: Mr. Gar Huang Contract Amount: $550,000.00 Date of Completion: 2018 5. Project Name: Elm/Malden Area Street, Sewer and Water Improvements Owner: City of Fullerton Phone Number: (714) 773-0049 Engineer/Contact: Mr. Joseph Hernandez Contract Amount: $2,200,000.00 Date of Completion: 2018 Page 1 of 6 VIDO SAMARZICH, INC. General Engineering Contractor No.433210 A 6829 BILLINGS PLACE, RANCHO CUCAMONGA, CALIFORNIA 91701 TELEPHONE 909-987-6377 FAX 909-987-8988 6. Project Name: Anaheim Hills Road Water Main Replacement Owner: City of Anaheim Phone Number: (714) 863-8020 Engineer/Contact: Mr. Luis Tapia Contract Amount: $600,000.00 Date of Completion: 2018 7. Project Name: CDBG ADA Wheelchair Access Ramp Replacement at Various Locations Owner: City of Orange Phone Number: (714) 744-5566 Engineer/Contact: Mr. Matthew Lorenzen Contract Amount: $204,300.00 Date of Completion: 2018 8. Project Name: 2017 Citywide Curb Ramp Improvements Owner: City of Laguna Beach Phone Number: (949) 497-0741 Engineer/Contact: Mr. Tri Nguyen Contract Amount: $285,000.00 Completion Date: 2017 9. Project Name: Safe Routes to School Improvements, Phase 3 Owner: City of Glendale Phone Number: (818) 402-0225 Engineer/Contact: Mr. Gary Edsall Contract Amount: $908,000.00 Date of Completion: 2017 10. Project Name: Heim Ave at Canal St Storm Drain Improvements Owner: City of Orange Phone Number: (714) 744-5566 Engineer/Contact: Mr. Matthew Lorenzen Contract Amount: $99,000.00 Date of Completion: 2017 11. Project Name: Citywide Sidewalk Repair Project FY 15-16 Owner: City of Santa Monica Phone Number: (951) 522-4505 Engineer/Contact: Mr. Craig Wheeler Contract Amount: $878,000.00 Date of Completion: 2017 Page 2 of 6 VIDO SAMARZICH, INC. General Engineering Contractor No.433210 A 6829 BILLINGS PLACE, RANCHO CUCAMONGA, CALIFORNIA 91701 TELEPHONE 909-987-6377 FAX 909-987-8988 12. Project Name: FY 16/17 Curb Access Ramp Installation Project Owner: City of Huntington Beach Phone Number: (714) 536-5259 Engineer/Contact: Mr. Joe Fuentes Contract Amount: $679,000.00 Date of Completion: 2017 13. Project Name: Comstock Avenue Water Main Improvements Owner: City of Whittier Phone Number: (562) 567-9302 Engineer/Contact: Mr. Carl Hassel Contract Amount: $578,000.00 Date of Completion: 2017 14. Project Name: Monterey Road Street Improvements Owner: City of South Pasadena Phone Number: (626) 590-0570 Engineer/Contact: Mr. Alex Chou Contract Amount: $1,550,000.00 Date of Completion: 2017 15. Project Name: Fletcher Avenue Reconstruction Owner: City of South Pasadena Phone Number: (702) 204-4025 Engineer/Contact: Mr. Mark Peterson Contract Amount: $878,000.00 Date of Completion: 2016 16. Project Name: Patterson Street Reconstruction Owner: City of Fullerton Phone Number: (714) 732-9060 Engineer/Contact: Mr. Pete Acosta Contract Amount: $675,000.00 Date of Completion: 2016 17. Project Name: Magnolia/Bolsa Intersection Widening Owner: City of Westminster Phone Number: (714) 548-3464 Engineer/Contact: Ms. Theresa Tran Contract Amount: $975,000.00 Date of Completion: 2016 Page 3 of 6 VIDO SAMARZICH, INC. General Engineering Contractor No.433210 A 6829 BILLINGS PLACE, RANCHO CUCAMONGA, CALIFORNIA 91701 TELEPHONE 909-987-6377 FAX 909-987-8988 18. Project Name: 2015 Water Main Improvements Owner: City of Westminster Phone Number: (714) 548-3456 Engineer/Contact: Mr. Tuan Pham Contract Amount: $1,100,000.00 Date of Completion: 2016 19. Project Name: Red Hill Lake Modernization Owner: City of Rancho Cucamonga Phone Number: (909) 477-2740 Engineer/Contact: Mr. Romeo David Contract Amount: $300,000.00 Date of Completion: 2016 20. Project Name: 2015 Concrete Improvements Owner: City of Inglewood Phone Number: (714) 468-7319 Engineer/Contact: Mr. Hunter Nguyen Contract Amount: $425,000.00 Date of Completion: 2015 21. Project Name: El Centro Avenue Rehabilitation Owner: City of South Pasadena Phone Number: (626) 590-0570 Engineer/Contact: Mr. Alex Chou Contract Amount: $1,100,000.00 Date of Completion: 2015 22. Project Name: Concrete Bus Pads Owner: City of Rancho Cucamonga Phone Number: (714) 548-3456 Engineer/Contact: Curt Billings Contract Amount: $175,000.00 Date of Completion: 2015 23. Project Name: ADA Wheelchair Ramps Owner: City of Orange Phone Number: (714) 744-5566 Engineer/Contact: Mr. Matthew Lorenzen Contract Amount: $275,000.00 Date of Completion: 2015 Page 4 of 6 VIDO SAMARZICH, INC. General Engineering Contractor No.433210 A 6829 BILLINGS PLACE, RANCHO CUCAMONGA, CALIFORNIA 91701 TELEPHONE 909-987-6377 FAX 909-987-8988 24. Project Name: 2014 Water Improvement Owner: City of Westminster Phone Number: (714) 548-3456 Engineer/Contact: Mr. Tuan Pham Contract Amount: $1,100,000.00 Date of Completion: 2015 25. Project Name: ADA Sidewalk Improvement Owner: City of Artesia Phone Number: (951) 314-6984 Engineer/Contact: Mr. Chuck Burkhardt Contract Amount: $200,000.00 Date of Completion: 2014 26. Project Name: YLHS Park Bryant Cross Feeder Pipeline Owner: Yorba Linda Water District Phone Number: (714) 701-3104 Engineer/Contact: Mr. Joe Polimino Contract Amount: $675,000.00 Date of Completion: 2013 27. Project Name: County Road Storm Drain Owner: City of Pomona Phone Number: (909) 322-7471 Engineer/Contact: Mr. Dave Barron Contract Amount: $570,000.00 Date of Completion: 2013 28. Project Name: Adams Square Park Owner: City of Glendale Phone Number: (818) 548-2864 Engineer/Contact: Mr. Hagop Kassabian Contract Amount: $1,100,000.00 Date of Completion: 2010 29. Project Name: Various Public Work Purchase Orders and Contracts 2000-2013 Owner: City of Pasadena Phone Number: (626) 484-5640 Engineer/Contact: Mr. Dale Torstenbo - dtorstenbo@cityofpasadena.net Contract Amount: $2,500,000.00 Date of Completion: 2000-2013 Page 5 of 6 VIDO SAMARZICH, INC. General Engineering Contractor No.433210 A 6829 BILLINGS PLACE, RANCHO CUCAMONGA, CALIFORNIA 91701 TELEPHONE 909-987-6377 FAX 909-987-8988 30. Project Name: Misc Park Improvements From 2000-2010 Owner: City of Glendale Engineer/Contact: George Balteria—(951) 201-2710 Peter Vierheilig—pvierheilig@ci.glendale.ca.us Contract Amount: $3,500,000.00 Date of Completion: 2000-2010 Page 6 of 6 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. Vido L. Samarzich Name of proposed Project Manager Telephone No. of proposed Project Manager: (626) 926-2216 ADA Access Ramp Improvements-$975,000- Concrete 2018 Project Name & Contract Amount Type of Work Date Completed Curb Access Ramp Installation Project-$679,000- Concrete 2017 Project Name & Contract Amount Type of Work Date Completed CDBG ADA Wheelchair Access Ramp Replacement- $205,000- Concrete 2018 Project Name & Contract Amount Type of Work Date Completed 2. Joe Hewko Name of proposed Superintendent Telephone No. of proposed Superintendent: (951) 258-5137 ADA Access Ramp Improvements- $975,000- Concrete 2018 Project Name & Contract Amount Type of Work Date Completed Curb Access Ramp Installation Project-$679,000-Concrete 2017 Project Name & Contract Amount Type of Work Date Completed CDBG ADA Wheelchair Access Ramp Replacement-$205,000-Concrete 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/DL SE/Publ is W orks/S B 854FactSheet_6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Vido Samarzich, Inc. Contractor,. By vidosam@yahoo.com Email Vice President Title Date: 11/22/2019 PWC Registration #: 1000013213 C-12 BIDDER'S CERTIFICATION* HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992, SECTION 3 TITLE 24, Code of Federal Regulations, Part 135* Economic Opportunities for Low and Very Low-Income Persons The bidder, under penalty of perjury, certifies that except as noted below, any person associated therewith in the capacity of owner, partner, director, officer, or manager(initial the applicable selections): Will ensure that 10%of all new hires as a result of this project shall meet all requirements of Section 3 of CFR Part 135 of the HUD Act of / 1968; or V•S- Will hire no new employees in conjunction with this project. Will award 10%of its sub-contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub-contracts related to this project. Contractor: Vido Samarzich, Inc. Contact Person: Vido L. Samarzich Contact Phone: (909) 9 63 Signed: VJ Date: 11/22/2019 *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 135 and Subtitle A et al) and must be submitted by the bidders and proposed sub- contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act, as amended in 1992 (HUD). Previous non-compliance with Section 3 could result in disqualification. C-13 EXHIBIT A DISADVANTAGED BUSINESS ENTERPRISE (DBE) This Project is subject to Part 200.321, Title 2, Code of Federal Regulations entitled "Contracting with Small and Minority Businesses, Women's Business Enterprises, and Labor Surplus Area Firms." The Regulations in their entirety are incorporated herein by this reference. It is the policy of the City that disadvantaged business enterprises (DBEs), as defined in Part 200.321, Title 2 CFR, shall be encouraged to participate in the performance of Contracts financed in whole or in part with federal funds.The Contractor should ensure that DBEs,as defined in Part 200.321, Title 2 CFR, have the opportunity to participate in the performance of this Contract and shall take all necessary and reasonable steps,as set forth in Part 200.321,Title 2 CFR, for this assurance. The Contractor shall not discriminate on the basis of race,color, national origin, or sex in the award and performance of subcontracts. Failure to carry out the requirements of this paragraph shall constitute a breach of Contract and may result in termination of this Contract or other remedy the City may deem appropriate. Bidders shall be fully informed respecting the requirements of the Regulations and are urged to obtain DBE participation in this project, although there is no specific goal for DBE participation. C-14 EXHIBIT B DBE INFORMATION—GOOD FAITH EFFORTS Federal-aid Project No. Bid Opening Date I t f Ai/dv M The City of Huntington Beach established a Disadvantaged Business Enterprise(DBE)goal of 9% for this Project. The information provided herein shows that a good faith effort was made. Lowest,second lowest and third lowest bidders shall submit the following information to document adequate good faith efforts. Bidders should submit the following information even if the "Local Agency Bidder DBE Commitment"form indicates that the bidder has met the DBE goal. This will protect the bidder's eligibility for award of the contract if the administering agency determines that the bidder failed to meet the goal for various reasons, e.g., a DBE firm was not certified at bid opening, or the bidder made a mathematical error. Submittal of only the"Local Agency Bidder DBE Commitment" form may not provide sufficient documentation to demonstrate that adequate good faith efforts were made. The following items are listed in the Section entitled "Submission of DBE Commitment" of the Special Provisions: A. The names and dates of each publication in which a request for DBE participation for this project was placed by the bidder (please attach copies of advertisements or proofs of publication): Publications Dates of Advertisement WE VJt4 /LiCCT W 644L . B. The names and dates of written notices sent to certified DBEs soliciting bids for this Project and the dates and methods used for following up initial solicitations to determine with certainty whether the DBEs were interested(please attach copies of solicitations,telephone records, fax confirmations,etc.): Names of DBEs Solicited Date of Initial Follow Up Methods Solicitation and Dates c._l cal ILL M EF T- 6 E &o4 L C-15 C. The items of work which the bidder made available to DBE firms including, where appropriate,any breaking down of the contract work items(including those items normally performed by the bidder with its own forces) into economically feasible units to facilitate DBE participation. It is the bidder's responsibility to demonstrate that sufficient work to facilitate DBE participation was made available to DBE firms. Items of Work Bidder Normally Breakdown of Amount Percentage Performs Item Items M of (Y/N) Contract D. The names, addresses and phone numbers of rejected DBE firms, the reasons for the bidder's rejection of the DBEs, the firms selected for that work (please attach copies of quotes from the firms involved), and the price difference for each DBE if the selected firm is not a DBE: Names, addresses and phone numbers of rejected DBEs and the reasons for the bidder's rejection of the DBEs: WE Wla-(. MEET b$E Goq L Names, addresses and phone numbers of firms selected for the work above: E. Efforts made to assist interested DBEs in obtaining bonding, lines of credit or insurance, and any technical assistance or information related to the plans, specifications and requirements for the work which was provided to DBEs: W.0 W(LL, /,-if61-T 1 BF Goo C-16 F. Efforts made to assist interested DBEs in obtaining necessary equipment, supplies, materials or related assistance or services, excluding supplies and equipment the DBE subcontractor purchases or leases from the prime contractor or its affiliate: G. The names of agencies, organizations or groups contacted to provide assistance in contacting, recruiting and using DBE firms (please attach copies of requests to agencies and any responses received, i.e., lists, Internet page download, etc.): Name of Agency/Organization Method/Date of Contact Results lnlcuL- /'ifF— b o c L - H. Any additional data to support a demonstration of good faith efforts (use additional sheets if necessary): NOTE: USE ADDITIONAL SHEETS OF PAPER IF NECESSARY. C-17 IF A SOLE OWNER OR SOLE CONTRACTOR SIGN HERE: (1) Name under which business is conducted AJ /,A (2) Signature (given and surname) of proprietor (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail IF A PARTNERSHIP, SIGN HERE: (1) Name under which business is conducted M (2) Signature (given and surname and character of partner) (Note: Signature must be made by a general partner) (3) Place of Business (Street and mber) City and State (4) Zip Code Telephone No. (5) E-Mail C-18 IF A CORPORATION, SIGN HERE: (1) Name under which business is conducted Vido Samarzich, Inc. (2) (Signs r Vice President (Title) Impress Corporate Seal here (3) Incorporated under the laws of the State of California (4) Place of Business 6829 Billings Place (Street and Number) City and State Rancho Cucamonga, CA (5) Zip Code 91701 'I elephone No. (909) 987-6377 (6) E-Mail vidosam@yahoo.com NOTARIAL ACKNOWLEDGMENT OF EXECUTION BY ALL SIGNATORIES MUST BE ATTACHED C-19 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 NOVEMBER 22, 2019 before me, DESMOND G. WARREN, NOTARY PUBLIC (insert name and title of the officer) personally appeared VIDO L. SAMARZICH who proved to me on the basis of satisfactory evidence to be the person(s) whose name(S) is/� subscribed to the within instrument and acknowledged to me that he/>s /they executed the same in his/�e A/t r authorized capacity(, and that by his/W/ttietr"signatureLaB on the instrument the person(, Y, or the entity upon behalf of which the personA 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. �uHunuuuuunuuuuluululmmlxuuununuumunuunuc DESMOND G.WARREN WITNESS my hand and official seal. = COMM.#21sos3 /s Notary Public-California u 5 . Riverside County -_ My Comm Expires Apr.9,2021 �INIINNR NIINNNHxmmpxpNRlmHI/IIIIIIIIImINi111N1� Signature �''` (Seal) List below names of president, vice president, secretary and assistant secretary, if a corporation; if a partnership, list names of all general partners and managing partners: Vido Samarzich- President Vido L. Samarzich-Vice President Monika Samarzich - Secretary C-20 EXHIBIT C LOCAL AGENCY BIDDER DBE COMMITMENT (CONSTRUCTION CONTRACTS) NOTE: PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM LOCAL AGENCY: LOCATION: PROJECT DESCRIPTION: TOTAL CONTRACT AMOUNT:$ BID DATE: BIDDER'S NAME: CONTRACT DBE GOAL: 'ON I RACT ITEM OF WORK AND DESCRIPTION BE CERT NO. NAME OF EACH DBEDOLLAR AMOUNT ITEM NO. DR SERVICES TO BE AND EXPIRATION (Must be certified on the date bid BE SUBCONTRACTED OR MATERIALS DATE are opened-include DBE address O BE PROVIDED(or contracted if the and phone number) idder is a DBE) WILL SUBMIT INFORMATION WITHIN DAYS AFTER BID OPENING IF LOW BIDDER AS PER SPECIFICATIONS For Local Agency to Complete: Total Claimed DBE Local Agency Contract Number: Participation Federal-aid Project Number: % Federal Share: Contract Award Date: Local Agency certifies that all DBE certifications have been verified and information is complete and accurate. t/ Signature of Bidder 11/22/2019 Date (Area Code)Tel.No. Print Name Signature Latr Local Agency Representative Person to Contact (Please Type or Print) (Area Code)Telephone Number: Local Agency Bidder DBE Commitment(Construction Contracts) (Rev 6/26/09) C-21 PLEASE NOTE: This information may be submitted with your bid. If it is not, and you are the apparent low bidder or the second or third low bidder,it must be submitted and received as specified in the Special Provisions. Failure to submit the required DBE commitment will be grounds for finding the bid nonresponsive The form requires specific information regarding the construction contract: Local Agency, Location, Project Description, Total Contract Amount, Bid Date, Bidder's Name, and Contract DBE Goal. The form has a column for the Contract Item Number and Item of Work and Description or Services to be Subcontracted or Materials to be provided by DBEs. Prime contractors shall indicate all work to be performed by DBEs including, if the prime is a DBE, work performed by its own forces, if a DBE. The DBE shall provide a certification number to the Contractor and expiration date. Enter the DBE prime's and subcontractors' certification numbers.The form has a column for the Names of DBE contractors to perform the work (who must be certified on the date bids are opened and include the DBE address and phone number). IMPORTANT: Identify all DBE firms participating in the project regardless of tier.Names of the First-Tier DBE Subcontractors and their respective item(s) of work listed should be consistent, where applicable,with the names and items of work in the "List of Subcontractors" submitted with your bid. There is a column for the DBE participation dollar amount. Enter the Total Claimed DBE Participation dollars and percentage amount of items of work submitted with your bid pursuant to the Special Provisions. (If 100%of item is not to be performed or furnished by the DBE, describe exact portion of time to be performed or furnished by the DBE.) See Section "Disadvantaged Business Enterprise (DBE)," of the Special Provisions (construction contracts), to determine how to count the participation of DBE firms. Exhibit 15-G must be signed and dated by the person bidding. Also list a phone number in the space provided and print the name of the person to contact. Local agencies should complete the Local Agency Contract Award, Federal-aid Project Number, Federal Share, Contract Award Date fields and verify that all information is complete and accurate before signing and filing. C-22 EXHIBIT D EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder Vido Samarzich, Inc. , [proposed subcontractor J hereby certifies that he/she/it has , has not , participated in a previous contract or subcontract subject to the Equal Opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he/she/it has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance,a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of$10,000 or under are exempt.) Currently, Standard Form 100(EEO-1)is the only report required by the Executive Orders or their implementing regulations. (eeoc.gov/employers/eeo I survey/index.cfm) Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labo/XJV/J, Signature: Date: 11/22/2019 Print Name: Vido L. Samarzich Title: Vice President C-23 EXHIBIT E NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) [NAME OF CONTRACT] -Residential Curb Ramp Project, CC1589 To the City of Huntington Beach In conformance with Title 23 United States Code Section 112 and California Public Contract Code 7106 the bidder declares that the bid is not made in the interest of,or on 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 of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of 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, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Noncollusion Affidavit is part of the Bidder's Proposal. By signing the Proposal, the Bidder has also signed this Noncollusion Affidavit. Bidders are cautioned that making a false Certification may subject the Bidder to criminal prosecution. Signature: I/ Date: 11/22/2019 Print Name: Vido L. Samarzich Title: Vice President C-24 EXHIBIT F DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 The Bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated with Bidder in the capacity of owner, partner, director, officer, manager: • is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any Federal agency; • has not been suspended, debarred, voluntarily excluded or determined ineligible by any Federal agency within the past 3 years; • does not have a proposed debarment pending; and • has not been indicted, convicted, or had a civil judgment rendered against him/her by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. Signature: Date: 11/22/2019 Print Name: Vido L. Samarzich Title: Vice President C-25 EXHIBIT G NONLOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS The prospective participant certifies,by signing and submitting this bid or proposal,to the best of his or her knowledge and belief,that: 1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant,the making of any Federal loan,the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment,or modification of any Federal contract,grant, loan,or cooperative agreement. 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. Signature: Date: 11/22/2019 Print Name: Vido L. Samarzich Title: Vice President EXHIBIT H C-26 DISCLOSURE OF LOBBYING ACTIVITIES COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: Fla-contract ❑a.bid/offer/application El a.initial b.grant b.initial award b.material change c.cooperative agreement c.post-award d.loan For Material C nge Only: e.loan guarantee year er f.loan insurance date last report a. Name and Address of Reporting Entity 5. If Reporting Entity in .4 is Subawardee, Enter Name and A ess of Prime: Prime Subawardee Tier if known Congressional District,if known Con sional District,if known 6. Federal Department/Agency: Federal Program Name/Description: CFDA Number,ifapplicable 8. Federal Actio/eb own: 9. Award Amount,if known: 10. a.Name anb Entity b. Individuals Performing Services (including (If indivrst name,MI) address if different from No. IOa) (last name,first name,MI) (attach Continuation Sheets)if necessary) 11. Amountof all that apply) 13. Type ofPayment(check all that apply) $ ctual ❑planned a.retainer b.one-time fee 12. Form Payment(check all that apply): c.commission a.cash d.contingent fee b.m-kind; specify: nature a deferred value f.other,specify 14. Brief Description of Services Performed or to be performed and Date(s)of Service,including officer(s),employee(s),or member(s)contacted,for Payment Indicated in Item 11: (attach Continuation Sheet(s)if necessary) 15. Continuation Sheet(s)attached: Yes11 No ❑ 16. Information requested through this form is authorized by Title 31 U.S.C. Section 1352.This disclosure of lobbying reliance Signature: was placed by the tier above when his transaction was made or V L. Sa a ICh entered into.This disclosure is required pursuant to 31 U.S.C. Print Name: 1352. This information will be reported to Congress semiannually and will be available for public inspection.Any Title: Vice President person who fails to file the required disclosure shall be subject (909) 987-6377 Date 11/22/2019 to a civil penalty of not less than$10,000 and not more than Telephone No.: $100,000 for each such failure. Authorized for Local Reproduction Federal Use Only: Standard Form-LLL Standard Form LLL Rev.09-12-97 C-27 INSTRUCTIONS FOR COMPLETION OF EXHIBIT H, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity,whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1) Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2) Identify the status of the covered Federal action. 3) Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4) Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5) If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address,city, state and zip code of the prime Federal recipient. Include Congressional District, if known. 6) Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7) Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8) Enter the most appropriate Federal identifying number available for the Federal action identification in item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9) For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10)(a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name, First Name and Middle Initial (MI). 11)Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. C-28 12)Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13)Check the appropriate box(es). Check all boxes that apply. If other, specify nature. 14)Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15)Check whether or not a continuation sheet(s) is attached. 16)The certifying official shall sign and date the form, print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503. By my signature on this proposal I certify, under penalty of perjury under the laws of the State of California, that the foregoing questionnaire and statements of Public Contract Code Sections 10162, 10232 and 10285.1 are true and correct and that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission Regulations (Chapter 5, Title 2 of the California Administrative Code). C-29 EXHIBIT I FEDERAL LOBBYING RESTRICTIONS Section 1352, Title 31, United States Code prohibits Federal funds from being expended by the recipient or any lower tier subrecipient of a Federal-aid contract to pay for any person for influencing or attempting to influence a Federal agency or Congress in connection with the awarding of any Federal-aid contract,the making of any Federal grant or loan, or the entering into of any cooperative agreement. If any funds other than Federal funds have been paid for the same purposes in connection with this Federal-aid contract, the recipient shall submit an executed certification and, if required, submit a completed disclosure form as part of the bid documents. A certification for Federal-aid contracts regarding payment of funds to lobby Congress or a Federal agency is included in the Proposal. Standard Form - LLL, "Disclosure of Lobbying Activities," with instructions for completion of the Standard Form is also included in the Proposal. Signing the Proposal shall constitute signature of the Certification. The above referenced certification and disclosure of lobbying activities shall be included in each subcontract and any lower-tier contracts exceeding $100,000. All disclosure forms, but not certifications, shall be forwarded from tier to tier until received by the Engineer. The Contractor, subcontractors and any lower-tier contractors shall file a disclosure form at the end of each calendar quarter in which there occurs any event that requires disclosure or that materially affects the accuracy of the information contained in any disclosure form previously filed by the Contractor, subcontractors and any lower-tier contractors. An event that materially affects the accuracy of the information reported includes: 1) A cumulative increase if$25,000 or more in the amount paid or expected to be paid for influencing or attempting to influence a covered Federal action; or 2) A change in the person(s)or individual(s) influencing or attempting to influence a covered Federal action; or 3) A change in the officer(s), employees(s), or Member(s) contacted to influence or attempt to influence a covered Federal Action. C-30 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For RESIDENTIAL CURB RAMP PROJECT, CC1589 in the CITY OF HUNTINGTON BEACH NOVEMBER 5, 2019 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Cover sheet and Notice Inviting Sealed Bids sheet A-1 Bid opening will be delayed until Tuesday November 26th at Z00 PM. Bids are now due at that time. 2) Section 6-3.1 on page E-14 of Section E The contract will be for 60 working days not 70. This is to acknowledge receipt and review of Addendum Number One, dated November 5, 2019 Vido Samarzich, Inc. Company Name By Vido L. Sama ich-Vice President 11/22/2019 Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For RESIDENTIAL CURB RAMP PROJECT, CC1589 in the CITY OF HUNTINGTON BEACH NOVEMBER 19, 2019 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) Appendix L— Prevailing Wage Schedule The prevailing wage schedule has been updated as of 11/15/2019. The attached prevailing wage schedule shall supersede the prevailing wage schedule in the original specifications updated on 7/26/2019. This is to acknowledge receipt and review of Addendum Number Two, dated November 19, 2019 Vido Samarzich, Inc. Company Name By Vido L. Samgrzich -Vice President 11/22/2019 Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. FIDELITY AND DEPOSIT COMPANY OF MARYLAND BOND NO: VIDSA-2066 BID BOND KNOW ALL MEN BY THESE PRESENTS: That we, VIDO SAMARZICH, INC., (hereinafter called the Principal), and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corporation organized and doing business under and by virtue of the laws of the State of ILLINOIS, and duly licensed for the purpose of making, guaranteeing or becoming sole surety upon bonds or undertakings required or authorized by the laws of the State of CALIFORNIA, as Surety, are held and firmly bound unto CITY OF HUNTINGTON BEACH, hereinafter called the obligee) in the sum equal to 10% of the accompanying bid of the Principal, not, however, in excess of TEN PERCENT OF THE TOTAL AMOUNT OF THE BID Dollars (10% OF THE BID AMOUNT), for the payment of which, well and truly to be made, we hereby bind ourselves and our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT WHEREAS, the above bounden Principal as aforesaid, is about to hand in and submit to the obligee a bid for the RESIDENTIAL CURB RAMP PROJECT, PROJECT NO. CC 1589, in accordance with the plans and specifications filed in the office of the obligee and under the notice inviting proposals therefore. NOW, THEREFORE, if the bid or proposal of said principal shall be accepted, and the contract for such work be awarded to the principal thereupon by the said obligee, and said principal shall enter into a contract and bond for the completion of said work as required by law, then this obligation to be null and void, otherwise to be and remain in full force and effect. IN WITNESS WHEREOF, said principal and said Surety have caused these presents to be duly signed and sealed this 20TH day of NOVEMBER, 2019. VIDO S ARZ H INC. BY: IV 1A) Vix FIDELITY AND DEPOSIT COMPANY OF MARYLAND BY: MATTHEW R. DOBYNS, Attorney-in-Fact 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 Randy SPOHN,Ashley M.SPOHN,Matthew R.DOBYNS and Hamilton KENNEY,all of Santa Ana,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,-n.._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 20th day of September,A.D.2019. t o f o 811AL 44tiw we , 6r.w � �n•� 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 Secretory State of Maryland County of Baltimore On this 20th day of September, 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 one 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 Seal the day and year first above written. CL. ;�c:...... .y .� Constance A.Dunn,Notary Public My Commission Expires:July 9,2023 4n O EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V,Section 8,Attornevs-in-Fact. The Chief Executive Officer,the President,or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies, recognizances, stipulations,undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE 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 Attomey...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May,1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President, Secretary,or Assistant Secretary of the Company,whether made heretofore or hereafter,wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 20th day of November �'�2-019 . V 9LIOf .#.. y'.�,s lei. SiAL Brian M.Hodges,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.repoi-tsfclaims(a�zurichna.com fcl ai m sna,zurichn a.c omfcl ai m sna,zurichn a.c om 800-626-4577 i CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of CALIFORNIA County of ORANGE On November 20th, 2019 before me, ASHLEY MARIE SPOHN, NOTARY PUBLIC, personally appeared MATTHEW R. DOBYNS , Z. who proved to me on the basis of satisfactory evidence to be the person{) 1 whose named) is/aye subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity Pies.), and that by his/her/their signatures) on the instrument the person{s), or the entity upon behalf of which the person(s) ASHLEY MARIE SPOHN acted, executed the instrument. a COMM.#2188665 g NOTARY PUBLIC CALIFORNIA o I certify under PENALTY OF PERJURY under the laws of the State of 3 ORANGE COUNTY N California that the foregoing paragraph is true and correct. �I My comm.expires Mar.27,2021 It WITNESS my hand and official seal. Si a ure of Notary MINION RON ' a Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL ❑ CORPORATE OFFICER ❑ PARTNER(S) ❑ LIMITED ® ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) 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 NOVEMBER 22, 2019 before me, DESMOND G. WARREN, NOTARY PUBLIC (insert name and title of the officer) personally appeared VIDO L. SAMARZICH who proved to me on the basis of satisfactory evidence to be the persowwhose name(p)-is/arm subscribed to the within instrument and acknowledged to me that h e/5h5/tW executed the same in his/b,er/tb&k authorized capacityUes`j, and that by his/PerltbeiT'signatureLWon the instrument the persoro�' or the entity upon behalf of which the personfs�-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. ulggqqu nxggqrqqqqqqaM"Imisqquqqqnqqqql WITNESS my hand and official seal. DEsc NM.al9 G.wARaEN = ¢ Notary public-California Riverside County tlty Comm.EW-m Apr.9,2021 ;legq ggqqqqqlq1111q1I11q1 Signature (Seal) VIDO SAMARZICH, INC. General Engineering Contractor No.433210 n 6829 BILLINGS PLACE I r, RANCHO CUCAMONGA,CALIFORNIA 91701 TELEPHONE 909-987-6377 FAX 909-987-8988 StAL�� 1\ESt1�t/�l7-tf}L T6f F- ��T7 OF He vJTw(sTbN Ji�Aci{ — [� "-f- OPT of T EfE T 7 U-r`�K a�0 /Mffld 5T cEF T- �EcaNJ,) Q, 2013PTt' 2 2. 00 :n nJ _ fV r--t pes Gum p CC KJo. IsRL)°I 2CPI'll Z o 1 Z .foo