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R. J. Noble Company - 2020-03-02 (2)
RECEIVED BY- CITY CLERK RECEIPT COPY Return DUPLICATE to ! City Clerk's Office (Name) after signing/dating (Date) / 0 , CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: SUBJECT: Bond Acceptance 5 I have received the bonds for (Company Name)/f CAPITAL PROJECTS (Includes CC's and MSC's) (� Performance Bond No. Payment Bond (Labor and Materials) Bond No. ,�I !Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved (Council Approval Date) CC No. �,S�I(d' Agenda.-Item No. 1yz/1 MSC No. City Clerk Vault No. &40. 50 Other No. SIRE System ID No. g:/forms/bond transmittal to treasurer i, CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION DATE: 1/4/2021 TO: THOSE LISTED HEREON FROM: Joseph Fuentes, Contract Administrator -'� SUBJECT: Retention Release Payment PO#25823 OJ Supplier#18195 Co.#207 Residential Overlay Zone 9, Project#1596 Contractor's Name: R.J. Noble Company Address: 15505 E. Lincoln Avenue City, State and Zip Code: Orange,CA, 92865 Phone Number: *714)637-1550 City Business License Number: A016726 Notice of Completion (Date by City Clerk): 11/12/2020 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. Date Sean , it or of PublicWorks/ I certify that there are no outstanding invoices on file. Date Joyc Za ks, Deputy City Treasurer I certify that no stop notices are on file, and that a guaranty bond has been filed with the City Clerk's Office. zg Date 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 VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 6. Consent for Release letter from the Surety Company 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: CC 1596 Project: RESIDENTIAL OVERLAY OF MAINTENANCE ZONE 9 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 16TH _day of NOVEMBER 2020 at ORANGE , California. x (Contra fo 1V STEVE MENDOZA, SECRETARY J.NOBLE COMPANY APPROVED 5JO FORU By: ��ty;Alttorriey el E. Gates 1 CONTRACTOR'S CERTIFICATE STEVE MENDOZA I, state and certify that: (Name of Declarant) R.J.NOBLE COMPANY l. _ is the general contractor to the City of Huntington Beach ("City") on Contract No. CC 1596 (the "Contract") for the construction of the public work of improvement entitled: RESIDENTIAL OVERLAY ON MAINTENANCE ZONE 9 CC 1596 _ (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"): NONE 4. Attached hereto are the lien waivers required by the Contract Documents,which lien waivers have been executed by all persons who performed work on or supplied labor, services, materials, and/or equipment for use at the Project. 5. Set forth below is a list of disputed claims or claims that are the subject of a Notice to Withhold filed pursuant to the Civil Code of the State of California(list all disputed claims; if none, write "NONE"). NONE: I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at 15505 E.LINCOLN AVE.,ORANGE,CA on this 16111 day of NOVEMBER � 2020 x j (Si tur of Declarant) APPROVED AS TO"6ORM — STEVE ME:NDOZA,SECRETARY Michael E. Gates City Attorney 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: R.J.NOBLE COMPANY Project: RESIDENTIAL OVERLAY OF MAINTENANCE ZONE 9 CC 1596 The undersigned contractor on the above-referenced project ("Project") hereby certifies that it has complied with title VII of the Civil Rights Act,the Equal Opportunity Act of 1972 and Executive Order 1]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 16111 _day of_ NOVEMBER , 2020 at ORANGE , California. x Contract aM STEVE MENDOZA,SECRETARY R.J.NOBLE COMPANY APPROVED AS TO FORM By: Michael E. Gates City Attorney 1 Bond No. 30096772-M MAINTENANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: That R.J.NOBLE COMPANY (contractor's name) 15505 E.LINCOLN AVE.,ORANGE,CA 92865 (contractor's street address,city and state and zip code) as Principal (hereinafter called Contractor),and: Western Surety Company (surety's name) 2 Park Plaza,Suite 400, Irvine, CA 92614 (surety's street address,city and state and zip code) a corporation organized and existing under the laws of the State of South Dakota with its principal office in the City of Sioux Falls as (hereinafter called Surety),are held firmly bound unto CITY OF HUNTINGTON BEACH as Obligee (hereinafter called Owner), in the amount of two million seven hundred ninety four thousand four hundred .,�.,..n,m..Pmr1ea1n0 Dollars ($ 2,794,493.49 ), 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 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 ,20 ,entered into a contract with Owner for the Residential Overlay Zone 9. Project#CC-1595 in accordance with drawings and specifications prepared by 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 Califomia;and The Contract has been completed,and the Owner,Contractor and Surety agree that the commencement date for this Guarantee and Bond shall be December 1 ,20 20 NOW, THEREFORE,THE CONDITION OF THIS OBLIGATION is such that if Contractor shall, for a period of one year from and after the date of completion and acceptance of the Contract by Owner, repair and/or replace any and all defects arising in the Work, whether resulting from defective materials or defective workmanship, then this 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 Suretys 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 defauft(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 1st day of December ,20 20 Principal Raised Corporate Seal R.J.NOBLE COMPANY [MUST BE AFFIXED] (Contractor Name) By: x % (Seal) STEVE M D07_ ,SECRETARY Principal Raised Corporate Seal [MUST BE AFFIXED] (Title) Western Surety Company am ) By: (Seal) Cott-Salandi,Attorney-in-fact APPROVED AS.TOfORM:�--� BY' � �i ' NOTES: v Michael E. Gates, City Attorney 1. Acknowledgments must be completed and returned vs!y as part of the bond. 2. Raised Corporate Seals are mandatory. 3. Please attach Power of Attorney. 154584/118138 2 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 [ A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of nRAN(,F 12/02/2020 J.DEIONGH,NOTARY PUBLIC On before me, Date STEVE MENDOZA Here Insert Name and Title of the Officer 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/afe subscribed to the within instrument and acknowledged to me that he/she"executed the same in his""l7,cfAheir authorized capacity(ies),and that by his/hadtheir signature(&)on the instrument the person(s), or the entity upon behalf of which the person( acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing J.DEIONGH *my paragraph is true and correct. Notary Public-California Orange County Commission H 2307441 WITNESS my hand and official seal. Comm.Expires Oct 28,2023 Signature Place Notory Seal and/or Stomp Above nature of Notary Public OPTIONAL — t 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: 02018 National Notary Association ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On DEC 0 1 2020 before me, Annette Lisa Romero, A Notary Public (insert name and title of the officer) personally appeared lames Scott Salandi who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/axx subscribed to the within instrument and acknowledged to me that he/OuOdwy executed the same in his/hexkkek authorized capacity(ie*, and that by hislMaY hak signatures) 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. - _ ANNE77E LISA ROMERO WITNESS my hand and official seal. o COMM.#2244076 g NOTARY PUBLIC CALIFORNIA o ORANGE COUNTY N My comm.expires May.26,2022 Ir Signatur J (Seal) . Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents,That WESTERN SURETY COMPANY,a South Dakota corporation,is a duly organized and existing corporation having its principal office in the City of Sioux Falls,and State of South Dakota,and that it does by virtue of the signature and seal herein affixed hereby make,constitute and appoint James Scott Salandi, Leonard Ziminsky,David Jacobson,Individually of Irvine,CA,its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign,seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature -In Unlimited Amounts- and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney,pursuant to the authority hereby given,are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By-Law printed on the reverse hereof,duly adopted,as indicated,by the shareholders of the corporation. In Witness Whereor,WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 18th day of June,2015. WESTERN SURETY COMPANY �E�ycO iz? NTH a ail T.Bruflat,Vice President State of South Dakota ss County of Minnehaha On this 18th day of June,2015,before me personally came Paul T.Bnrflat,to me known,who,being by me duly sworn,did depose and say: that he resides in the City of Sioux Falls,State of South Dakota;that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument;that he knows the seal of said corporation;that the seal affixed to the said instrument is such corporate seal;that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority,and acknowledges same to be the act and deed of said corporation. My commission expires ++w'�tiw+�►+w««�,,.�..........� S.EICH February 12,2021 ' NOTARY t KOTA t SOUTH DAKJC �4wwVtitiM,tiYVtiMtiVY�titi4ti S.Eich,Notary Public CERTIFICATE I,L.Nelson,Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force,and further certify that the By-Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this_ day of DEC Q 1 2002P , E�°c WESTERN SURETY COMPANY poq 0 S• L.Nelson,Assistant Secretary Form F4280.7-2012 Authorizing By-Law .ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY This Power of Attorney is made and executed pursuant to and by authority of the following By-Law duly adopted by the shareholders of the Company. Section 7. All bonds,policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, and Assistant Secretary,Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President,any Vice President, Secretary,any Assistant Secretary,or the Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds,policies, or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds,policies,undertakings,Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. 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 d Gf n (Compa y Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. Warranty or Maintenance Bond No. 306--7z 7-72, —/1 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 3 (Council Approval Date) CC No. /S�(O � No. MSC No. City Clerk Vault No. Other No. SIRE System ID No. 53 / 5.sS o g:/forms/bond transmittal to treasurer Recorded in Official Records, Orange County Hugh Nguyen, Clerk-Recorder PLEASE COMPLETE THIS INFORMATION II I I II II I I( I I;III II I I I I I I II NO FEE * $ R 0 0 1 2 2 3 4 9 9 4 $ RECORDING REQUESTED BY: 2020000651605 11:07 am 11/12/20 93 RW10A NI 1 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 3 WHEN RECORDED MAIL TO: CITY OF HUNTINGTON BEACH PUBLIC WORKS DEPARTMENT Attn:Joseph Fuentes P.O. Box 190—2000 Main Street Huntington Beach,CA 92648 I I 1 i 1 } t THIS SPACE FOR RECORDER'S USE ONLY TITLE OF DOCUMENT ` l NOTICE OF COMPLETION i i NOTICE IS HEREBY GIVEN by the City of Huntington Beach,owner in fee,2000 Main Street,Huntington Beach,CA 92648,that i the contract heretofore awarded to R.J. Noble Company,who was the company thereon for doing the following work to-wit: j J Residential Overlay Zone 9,Project#1596 That said work was completed 11/05/2020 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 11/05/2020,per City Council Resolution No.2003-70 adopted October 6,2003, That upon said contract Western Surety Company,was surety for the bond given by the said company as required by law. This document is solely for the official business of the City of Huntington Beach,as contemplated under Government Code Section 27383 and should be recorded free of charge. 4 / 57 �� y2o Dire or of Public Works 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. F 1 declare under penalty of perjury that the foregoing is true and correct,and that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the County Recorder of Orange County. Y i This document is solely the official business of the City of Huntington Beach,as contemplated under Government code section 27383 and Direct r of PuE i Works or City Engineer Dtfte should be recorded free of charge. City of Huntington Beach,California i i f THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION i t (Additional recording fee applies) 3 f RECEIVED BY , CITY CLERK RECEIPT COPY �yac Return DUPLICATE to City Clerk's Office (Name) after signing/dating �r d 1, (Date) FBCITY OF HUNTINGTON BEACHINTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk o DATE: cs -�v ! SUBJECT: Bond Acceptance rn I have received the bonds for k2,1 AIM111 J l '/M ✓"?,c. (Company Nay me)l ' s- CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. t3O oc)v Payment Bond (Labor and Materials) Bond No. fG 4 Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved 1-2/7 L-) (Council Approval Date) CC No. �1(D Age da Item No. —101 - /L/Z4 MSC No. City Clerk Vault No. )0. 5C Other No. SIRE System ID No. g:/forms/bond transmittal to treasurer CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND RJ NOBLE COMPANY FOR RESIDENTIAL OVERLAY OF MAINTENANCE ZONE 9,CC-1596 THIS AGREEMENT("Agreement")is made and entered into by and between the City of Huntington Beach, a municipal corporation of the State of California,hereinafter referred to as "CITY," and RJ NOBLE COMPANY ,a California corporation,hereinafter referred to as "CONTRACTOR." WHEREAS,CITY has solicited bids for a public works project,hereinafter referred to as "PROJECT,"more fully described as RESIDENTIAL OVERLAY OF MAITE NANCE ZONE 9,CC-1596 in the City of Huntington Beach;and CONTRACTOR has been selected to perform said services, NOW, THEREFORE, in consideration of the promises and agreements hereinafter made and exchanged the parties covenant and agree as follows; 1. STATEMENT OF WORK,ACCEPTANCE OF RISK CONTRACTOR shall complete and construct the PROJECT pursuant to this Agreement and the Contract Documents (as hereinafter defined)and furnish, at its own cost and expense, all labor, plans,tools, equipment, supplies, transportation, utilities and all other items, services and facilities necessary to complete and construct the PROJECT in a good and workmanlike manner. CONTRACTOR agrees to fully assume the risk of all loss or damage arising out of the nature of the PROJECT, during its progress or prior to acceptance by CITY, from the action of the elements, from any unforeseen difficulties which may arise or be encountered in the 1 16-5195/City Funded Construction Contract.docx—revised 04/2016 prosecution of work, and for all other risks of any description in connection with the work, including, but not limited to, all expenses incurred by or in consequence of the suspension or discontinuance of work, except such as are herein expressly stipulated to be borne by CITY, and for well and faithfully completing the work within the stipulated time and in the manner shown and described in this Agreement, and in accordance with the requirements of CITY for the compensation set forth in the accepted bid proposal. 2. ACCEPTANCE OF CONDITIONS OF WORK;PLANS AND SPECIFICATIONS CONTRACTOR acknowledges that it is fully familiar with all the terms,conditions and obligations of this Agreement and the Contract Documents (as defined below in this Section), has inspected the location of the job site, and the conditions under which the work is to be performed, and that it enters into this Agreement based upon its thorough investigation of all such matters and is relying in no way upon any opinions or representations of CITY. It is agreed that the Contract Documents are incorporated into this Agreement by this reference, with the same force and effect as if the same were set forth at length herein, and that CONTRACTOR and its subcontractors, if any, shall be bound by the Contract Documents insofar as they relate in part or in any way, directly or indirectly, to the work covered by this Agreement. "Contract Documents" as defined herein mean and include: A. This Agreement; B. Bonds covering the work herein agreed upon; C. The CITY's standard Plans and Specifications and special contractual provisions,including those on file in the office of the Department of Public Works of CITY,and any revisions,amendments or addenda thereto; 2 16-5195/City Funded Construction Contract.docx—revised 04/2016 D. The edition of Standard Specifications for Public Works Construction, published by Builders'News,Inc., 10801 National Boulevard,Los Angeles, CA 90064, and all amendments thereto, written and promulgated by the Southern California chapter of the American Public Works Association and the Southern California District Associated General Contractors of the California Joint Cooperative Committee as specified in the particular Plans, Specifications,Special Provisions and Addendum applicable to the Project; E. Bid documents including the Notice Inviting Bids,the Special Instructions to Bidders and the CONTRACTOR's proposal, (which is attached hereto as Exhibit"A" and incorporated herein by this reference); F. The particular Plans, Specifications, Special Provisions and Addenda applicable to the PROJECT. Anything mentioned in the Specifications and not indicated in the Plans or indicated in the Plans and not mentioned in the Specifications,shall be of like effect as if indicated and mentioned in both. In case of a discrepancy between any Plans, Specifications, Special provisions, or Addenda, the matter shall be immediately submitted by CONTRACTOR to the Director of Public Works of CITY or his or her written designee (hereinafter referred to as "DPW"), and CONTRACTOR shall not attempt to resolve or adjust the discrepancy without the decision of DPW,save only at its own risk and expense. Should there be any conflict between the terms of this Agreement and the bid or proposal of CONTRACTOR, then this Agreement shall control and nothing herein shall be considered as an acceptance of the terms of the bid or proposal which is in conflict herewith. 3 16-5195/City Funded Construction Contract.docx—revised 04/2016 3. COMPENSATION CITY agrees to pay and CONTRACTOR agrees to accept as full compensation for the faithful performance of this Agreement, subject to any additions or deductions made under the provisions of this Agreement or the Contract Documents, a sum not to exceed TWO MILLION FIVE HUNDRED FIFTY ONE THOUSAND SIX HUNDRED FOURTEEN Dollars ($ 2,551,614 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 The parties hereto recognize and agree that time is of the essence in the performance of this Agreement and each and every provision of the Contract Documents. CONTRACTOR shall prepare and obtain approval as required by the Contract Documents for all shop drawings, details and samples, and do all other things necessary and incidental to the prosecution of its work in conformance with the progress schedule set forth in the Contract Documents. CONTRACTOR shall coordinate its work with the work of all other contractors, subcontractors, and CITY forces working on the PROJECT in a manner that will facilitate the efficient completion of the PROJECT and in accordance with the terms and provisions of this Agreement. CITY shall have complete control of the premises on which the work is to be performed and shall have the right to decide the time and order in which the various portions of the work shall be performed and the priority of the work of other contractors, 4 16-5195/City Funded Construction Contract.docx—revised 04/2016 subcontractors and CITY forces and, in general, all matters concerning the timely and orderly conduct of the work of CONTRACTOR on the premises. 6. CHANGES CONTRACTOR shall adhere strictly to the plans and specifications set forth in the Contract Documents unless a change therefrom is authorized in writing by DPW. CONTRACTOR agrees to make any and all changes,furnish materials and perform all work necessary within the scope of the PROJECT as DPW may require in writing. Under no condition shall CONTRACTOR make any changes without the prior written order or acceptance of DPW,and CITY shall not pay any extra charges made by CONTRACTOR that have not been agreed upon in writing by DPW. When directed to change the work, CONTRACTOR shall submit immediately to DPW a written cost proposal reflecting the effect of the change. Should DPW not agree to such cost proposal, the work shall be performed according to the changes ordered in writing by DPW and the proper cost thereof shall be negotiated by the parties upon cost and pricing data submitted by CONTRACTOR; thereupon, CITY will promptly issue an adjusted change order to CONTRACTOR and the contract price will be adjusted upward or downward accordingly. 7. NOTICE TO PROCEED, No work, services, material, or equipment shall be performed or furnished under this Agreement unless and until a Notice to Proceed has been given to CONTRACTOR by CITY. CITY does not warrant that the work will be available on the date the Notice to Proceed is issued. In the event of a delay in commencement of the work due to unavailability of the job site, for any reason,relief to CONTRACTOR shall be limited to a time extension equal to the delay due to such unavailability. 5 16-5195/City Funded Construction Contract.docx—revised 04/2016 8. BONDS Only bonds issued by California admitted sureties will be accepted. CONTRACTOR shall, prior to its performance of this Agreement, furnish the following two (2) bonds approved by the City Attorney: One in the amount of one hundred percent(100%) of the contract price to guarantee the CONTRACTOR's faithful performance of the work,and one in the amount of one hundred percent of the contract price to guarantee payment of all claims for labor and materials furnished. In addition, CONTRACTOR shall submit to CITY a bond in the amount of one hundred percent(100%) of the final contract price, including all change orders, to warrant such performance for a period of one(1)year after CITY's acceptance thereof within ten (10) days of filing of the Notice of Completion. 9. WARRANTIES CONTRACTOR unconditionally guarantees all work done under this Agreement including, but not limited to, any workmanship, installation, fabrication, material or structural facilities constructed. CONTRACTOR,within ten (10) days after notice by CITY of any defect in the work, shall have the option to make appropriate repairs or replace the defective item or items. Upon expiration of such ten (10) day period, CITY may then make appropriate repair or replacement at CONTRACTOR's risk and own cost and expense. 10. INDEPENDENT CONTRACTOR It is understood and agreed that CONTRACTOR is,and shall be,acting at all times hereunder as an independent contractor and not an employee of CITY. CONTRACTOR shall secure at its own cost and expense, and be responsible for any and all payment of all taxes, social security, state disability insurance compensation,unemployment compensation and other payroll 6 16-5195/City Funded Construction Contract.docx—revised 04/2016 deductions for CONTRACTOR and its officers, agents and employees and all business licenses, if any, in connection with the PROJECT and/or the services performed hereunder. 11. LIQUIDATED DAMAGES/DELAYS It is agreed by the parties hereto that in case the total work called for hereunder is not in all parts and requirements finished or completed within the number of calendar days as set forth herein, damage will be sustained by CITY; and that it is, and would be, impractical and extremely difficult to ascertain and determine the actual damage which CITY would sustain in the event of and by reason of such delay. It is, therefore, agreed that CONTRACTOR will pay to CITY, as liquidated damages and not as a penalty, the sum of Five Hundred Dollars ($_ 500 per each calendar day's delay in completing the work in excess of the number of working/calendar days set forth herein, which represents a reasonable endeavor by the parties hereto to estimate a fair compensation for the foreseeable damages CITY would sustain in the event of and by reason of such delay;and CONTRACTOR agrees to pay these damages herein provided,and further agrees that CITY may deduct the amount thereof from any monies due or that may become due to CONTRACTOR hereunder. CONTRACTOR will be granted an extension of time and will not be assessed damages for any portion of the delay in the completion of the work due to unforeseeable causes beyond the control and without the fault or negligence of CONTRACTOR, including, but not limited to, acts of God or of the public enemy, fire, floods, epidemics, quarantine restrictions, strikes,unsuitable weather,or delays of subcontractors due to such causes. CONTRACTOR shall, within fifteen (15) days from the beginning of any such delay(unless DPW shall grant a further period of time),notify DPW in writing of the cause of the 7 16-5195/City Funded Construction Contract.docx—revised 04/2016 delay and CITY shall extend the time for completing the work if, in its judgment, the findings of fact thereon justify the delay;and the decision of DPW shall be conclusive on the parties hereto. Should CONTRACTOR be delayed in the prosecution or completion of the work by the act, neglect or default of CITY, or should CONTRACTOR be delayed by waiting for materials required by this Agreement to be furnished by CITY, or by damage caused by fire or other casualty at the job site for which CONTRACTOR is not responsible, or by the combined action of the workers, in no way caused by or resulting from default or collusion on the part of CONTRACTOR, or in the event of a lockout by CITY, then the time herein fixed for the completion of the work shall be extended by the number of days CONTRACTOR has thus been delayed,but no allowance or extension shall be made unless a claim therefor is presented in writing to CITY within fifteen (15)days of the commencement of such delay. No claims for additional compensation or damages for delays, irrespective of the cause thereof, and including without limitation the furnishing of materials by CITY or delays by other contractors or subcontractors will be allowed and an extension of time for completion shall be the sole remedy of CONTRACTOR. 12. DEMANDS FOR ADDITIONAL TIME OR MONEY. A. Definitions. (1) "Change Order"means a document signed by the CONTRACTOR and CITY which authorizes an addition, deletion or revision in the work, or an adjustment in the Compensation under Section 3, or the Completion Time specified at Section 4. (2) "Demand" means a written demand for a Change Order by the CONTRACTOR for any of the following: (a) A time extension; 8 16-5195/City Funded Construction Contract.docx—revised 04/2016 (b) Payment of money or damages arising from work done by,or on behalf of, the CONTRACTOR pursuant to this Agreement and payment of which is not expressly permitted pursuant to Section 3 of this Agreement; (c) Payment of an amount the CITY disputes; (d) Any disputes and other matters relating to the acceptability of the work performed or the interpretation of the Contract Documents; (e) A request for a time extension or additional payment based upon differing site conditions, such as subsurface or latent physical conditions at the job site differing materially from those indicated in this Agreement or the Contract Documents, or unknown physical conditions at the job site,of an unusual nature,differing materially from those ordinarily encountered and generally recognized as inherent to work of the PROJECT; or (f) A request for a time extension or additional payment based upon acts of neglect by CITY or due to fires,floods,labor disputes,epidemics, abnormal weather conditions or acts of God. B. A Demand for a time extension or payment of money or damages may only be granted by a Change Order. C. No Change Order may be granted except where the Contractor has submitted a Demand to the DPW(or his or her written designee). All Demands shall be submitted promptly,but in no-event later than thirty(30)days after the occurrence of the event giving rise to the Demand. The Demand shall be in writing and include all documents necessary to substantiate the Demand. The DPW shall act on the Demand within fifteen (15)days after receipt, including by requesting additional information from the CONTRACTOR to determine whether to approve the Change Order the Demand seeks. The DPW shall act on the Demand within fifteen(15) days 9 16-5195/City Funded Construction Contract.docx—revised 04/2016 after receipt of the additional information or within a period of time no greater than the time the CONTRACTOR took to produce the additional information requested,whichever is greater. D. Notwithstanding the thirty (30) days to submit a Demand under Subparagraph C, in the case of differing or unknown site conditions, immediately upon encountering the conditions, CONTRACTOR shall notify the DPW in writing of the conditions, so that the CITY may promptly investigate the conditions. E. If the CONTRACTOR disputes the DPW's written response on the Demand, or the CITY fails to respond within the time prescribed, the CONTRACTOR may so notify the City Engineer, in writing, either within fifteen(15)days of receipt of the City Engineer's response or within fifteen (15) days of the DPW's failure to respond within the time prescribed, respectively,and request an informal conference to meet and confer for settlement of the Demand. Upon the CONTRACTOR's request,the DPW shall schedule a meet and confer conference within thirty(30)days to seek to resolve. F. CITY and CONTRACTOR shall execute appropriate Change Orders covering changes to the time or price by executing the Change Order by mutual agreement. If the CITY and CONTRACTOR are unable to reach a mutual agreement,then the City Engineer shall issue a written decision on the claim within a reasonable time. G. Following the meet and confer conference, if the Demand remains in dispute,the CONTRACTOR may file a claim with the City as provided in Chapter 1 (commencing with Section 900)and Chapter 2(commencing with Section 910)of Part 3 of Division 3.6 of Title 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 CONTRACTOR submits his 10 16-5195/City Funded Construction Contract.docx—revised 04/2016 or her Demand until the Demand is denied as a result of the meet and confer process, including any period of time utilized by the meet and confer process. 13. VARIATIONS IN ESTIMATED QUANTITIES The quantities listed in the bid schedule will not govern final payment. Payment to CONTRACTOR will be made only for the actual quantities of contract items used in construction of the PROJECT, in accordance with the plans and specifications. Upon completion of the PROJECT, if the actual quantities used are either more than or less than the quantities listed in the bid schedule,the bid price shall prevail subject to the provisions of this Section. DPW may,at its sole discretion, when warranted by the facts and circumstances, order an equitable adjustment, upwards or downwards, in payment to CONTRACTOR where the actual quantities used in construction of the PROJECT are in variation to the quantities listed in the bid schedule. No claim by CONTRACTOR for an equitable adjustment in price or time for completion shall be allowed if asserted after final payment under this Agreement. If the quantity variation is such as to cause an increase in the time necessary for completion,DPW shall ascertain the facts and circumstances and make such adjustment for extending the completion date as in its sole judgment the findings warrant. 14. PROGRESS PAYMENTS Each month DPW will make an estimate in writing of the work performed by CONTRACTOR and the value thereof. From each progress estimate, five percent (5%)will be deducted and retained by CITY and the remainder of the progress estimate, less the amount of all previous payments since commencement of the work,will be paid to CONTRACTOR. When CONTRACTOR has, in the judgment of DPW, faithfully executed fifty percent(50%) or more of the value of the work as determined from the bid schedule,and if DPW finds that satisfactory progress has been and is being made, CONTRACTOR may be paid such 11 16-5195/City Funded Construction Contract.docx—revised 04/2016 sum as will bring the payments of each month up to one hundred percent (100%) of the value of the work completed since the commencement of the PROJECT,as determined in its sole discretion by DPW,less all previous payments and less all previous retained amounts. CITY final payment to CONTRACTOR,if unencumbered,or any part thereof unencumbered,shall be made thirty-five (35) days after the acceptance of the work and the filing of a Notice of Completion by CITY. Provided, however,that in the event of a dispute between CITY and CONTRACTOR, CITY may withhold from the final payment an amount not to exceed 150 percent of the value of any disputed amount of work. Payments shall be made on demands drawn in the manner required by law, each payment to be accompanied by a certificate signed by DPW, affirming that the work for which payment is demanded has been performed in accordance with the terms of the Agreement and that the amount stated in the certificate is due under the terms of the Agreement. Partial payments on the contract price shall not be considered as an acceptance of any part of the work. 15. WITHHELD CONTRACT FUNDS,SUBSTITUTION OF SECURITIES, At the request and at the sole cost and expense of CONTRACTOR,who shall retain beneficial ownership and receive interest, if any thereon, CITY shall permit the substitution and deposit therewith of securities equivalent to the amount of any monies withheld by CITY to ensure performance under the terms of this Agreement. 16. AFFIDAVITS OF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall file with DPW its affidavit stating that all workers and persons employed, all firms supplying materials and all subcontractors working upon the PROJECT have been paid in full and that there are no claims outstanding against the PROJECT for either labor or material, except certain items, if any,to be set forth in CONTRACTOR's affidavit covering disputed claims, 12 16-5195/City Funded Construction Contract.docx—revised 04/2016 or items in connection with Notices to Withhold, which have been filed under the provisions of the statutes of the State of California. 17, WAIVER OF CLAIMS The acceptance by CONTRACTOR of the payment of the final certificate shall constitute a waiver of all claims against CITY under or arising out of this Agreement. A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement,as required by California Labor Code Sections 1771 and 1774. In accordance-with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code,CONTRACTOR shall, as penalty to CITY, forfeit twenty-five dollars($25)for each calendar day or portion thereof for each worker paid(either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 18. CALIFORNIA PREVAILING WAGE LAW A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by 13 16-5195/City Funded Construction Contract.docx—revised 04/2016 resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code, CONTRACTOR shall, as penalty to CITY, forfeit twenty-five dollars ($25) for each calendar day or portion thereof for each worker paid (either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 19. CALIFORNIA EIGHT-HOUR LAW A. California Labor Code,Sections 1810 et seq,shall apply to the performance of this Agreement;thereunder, not more than eight(8)hours shall constitute one day's work and CONTRACTOR and each subcontractor employed by its hereunder, shall not require more than eight(8)hours of labor per day or forty(40)hours per week from any one person employed by it hereunder, except as stipulated in California Labor Code Section 1815. CONTRACTOR and each subcontractor employed by it hereunder shall, in accordance with California Labor Code Section 1812, keep an accurate record, open to inspection at all reasonable hours, showing the name and actual hours worked each calendar day and each calendar week by each worker employed in connection with the PROJECT. B. Pursuant to this Agreement and in accordance with California Labor Code Section 1813, CONTRACTOR shall, as a penalty to CITY, forfeit twenty-five dollars ($25)for each worker employed hereunder by CONTRACTOR or any subcontractor for each calendar day during which such worker is required or permitted to work more than eight(8)hours in any one 14 16-5195/City Funded Construction Contract.docx—revised 04/2016 (1)calendar day or forty(40)hours in any one(1)calendar week in violation of California Labor Code Section 1815. 20, PAYMENT OF TRAVEL AND SUBSISTENCE ALLOWANCE Section 1773.8 of the California Labor Code, regarding the payment of travel and subsistence allowance is applicable to this PROJECT. 21. EMPLOYMENT OF APPRENTICES Section 1777.5 of the California Labor Code, regarding the employment of apprentices is applicable to this PROJECT. 22. PAYROLL RECORDS CONTRACTOR agrees to keep accurate payroll record showing the name, address, social security number, work classification,straight time and overtime hours worked each day and week,and the actual per diem wages paid to each journeyman, apprentice or worker employed by it in connection with the PROJECT and agrees to require each of its subcontractors to do the same. CONTRACTOR further agrees that its payroll records and those of its subcontractors, if any, shall be available at all reasonable times to the CITY,and the employee or his representative, and the Division of Labor Standards Enforcement and the Division of Apprenticeship Standards, and to comply with all of the provisions of California Labor Code Section 1776, in general. 23. INDEMNIFICATION,DEFENSE,HOLD HARMLESS CONTRACTOR hereby agrees to protect, defend, indemnify and hold harmless CITY, its officers, elected or appointed officials, employees, agents, and volunteers from and against any and all claims, damages, losses, expenses,judgments, demands, defense costs, and consequential damage or liability of any kind or nature,however caused,including those resulting from death or injury to CONTRACTOR's employees and damage to CONTRACTOR's property, 15 16-5195/City Funded Construction Contract.docx—revised 04/2016 arising directly or indirectly out of the obligations or operations herein undertaken by CONTRACTOR, caused in whole or in part by any negligent act or omission of the CONTRACTOR, any subcontractors, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable,including but not limited to concurrent active or passive negligence, except where caused by the active negligence, sole negligence, or willful misconduct of the CITY, its officers, elected or appointed officials, employees, agents, and volunteers. CONTRACTOR will conduct all defense at its sole cost and expense and CITY shall approve selection of CONTRACTOR's counsel. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by CONTRACTOR. 24. WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE Pursuant to California Labor Code Section 1861, CONTRACTOR acknowledges awareness of Section 3700 et seq. of this Code, which requires every employer to be insured against liability for workers' compensation; CONTRACTOR covenants that it will comply with such provisions prior to commencing performance of the work hereunder. CONTRACTOR shall obtain and furnish to City workers' compensation and employer's liability insurance in an amount of not less than the State statutory limits. CONTRACTOR shall require all subcontractors to provide such workers' compensation and employer's liability insurance for all of the subcontractors' employees. CONTRACTOR shall furnish to CITY a certificate of waiver of subrogation under the terms of the workers'compensation and employer's liability insurance and CONTRACTOR shall similarly require all subcontractors to waive subrogation. 16 16-5195/City Funded Construction Contract.docx—revised 04/2016 25. INSURANCE In addition to the workers' compensation and employer's liability insurance and CONTRACTOR's covenant to defend,hold harmless and indemnify CITY,CONTRACTOR shall obtain and fumish to CITY, a policy of general public liability insurance,including motor vehicle coverage covering the PROJECT. This policy shall indemnify CONTRACTOR, its officers, employees and agents while acting within the scope of their duties, against any and all claims arising out or in connection with the PROJECT, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including products/completed operations liability and blanket contractual liability,of One Million Dollars ($1,000,000)per occurrence. If coverage is provided under a form which includes a designated general aggregate limit,the aggregate limit must be no less than One Million Dollars($1,000,000) for this PROJECT. This policy shall name CITY, its officers, elected or appointed officials, employees,agents,and volunteers(the"Additionally Insured Parties")as Additional Insureds,and shall specifically provide that any other insurance coverage which may be applicable to the PROJECT shall be deemed excess coverage and that CONTRACTOR's insurance shall be primary and non-contributory with any other valid and collectible insurance or self-insurance available to the Additionally Insured Parties. Any available insurance proceeds in excess of the minimum coverage amount specified herein shall be available to the Additionally Insured Parties. All coverage available to CONTRACTOR shall also be available to the Additionally Insured Parties. Under no circumstances shall said above-mentioned insurance contain a self-insured retention without the express written consent of CITY; however an insurance policy "deductible" of Five Thousand Dollars($5,000.00)is permitted. CONTRACTOR shall be responsible for causing all Subcontractors to maintain the same types and limits of insurance coverage as that required of CONTRACTOR by this Agreement. 17 16-5195/City Funded Construction Contract.docx—revised 04/2016 26. CERTIFICATES OF INSURANCE;ADDITIONAL INSURED ENDORSEMENTS Prior to commencing performance of the work hereunder, CONTRACTOR shall furnish to CITY certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverages as required by this Agreement;the certificates shall: 1. Provide the name and policy number of each carrier and policy; 2. State that the policy is currently in force;and 3. Promise to provide that such policies will not be canceled or modified without thirty (30)days'prior written notice of CITY. CONTRACTOR shall maintain the foregoing insurance coverages in force until the work under this Agreement is fully completed and accepted by CITY. The requirement for carrying the foregoing insurance coverages shall not derogate from the CONTRACTOR's defense, hold harmless and indemnification obligations as set forth under this Agreement. CITY or its representative shall at all times have the right to demand the original or a copy of all the policies of insurance. CONTRACTOR shall pay, in a prompt and timely manner,the premiums on all insurance hereinabove required. CONTRACTOR shall provide a separate copy of the additional insured endorsement to each of CONTRACTOR's insurance policies, naming CITY, its officers, elected and appointed officials, employees, agents and volunteers as Additional Insureds, to the City Attorney for approval prior to any payment hereunder. 27. NOTICE OF THIRD PARTY CLAIM Pursuant to Public Contracts Code §9202, CITY shall provide notice to CONTRACTOR of receipt of any claim filed with CITY or a court of competent jurisdiction which arises out of performance of this agreement within ten(10)days of receipt of such claim or claims. 18 16-5195/City Funded Construction Contract.docx—revised 04/2016 28. DEFAULT AND TERMINATION If CONTRACTOR fails or refuses to prosecute the work hereunder with diligence, or fails to complete the work within the time specified, or is adjudged bankrupt or makes an assignment for the benefit of creditors or becomes insolvent, or violates any provision of this Agreement or the Contract Documents, CITY may give CONTRACTOR notice in writing of its intention to terminate this Agreement. Unless the violation is cured within ten(10)days after such Notice of Intention has been served on CONTRACTOR, CITY may, without prejudice to any other remedy it may have, terminate this Agreement upon the expiration of that time. Upon such default by CONTRACTOR, CITY may elect not to terminate this Agreement; in such event CITY may make good the deficiency in which the default consists and deduct the resulting costs from the progress payments then or to become due to CONTRACTOR. If it is subsequently determined by a court of competent jurisdiction that CITY's termination of this Agreement under this Section was wrongful, such termination shall be converted to a termination for convenience under Section 29 and any damages shall be assessed as set forth in Section 29. 29. TERMINATION FOR CONVENIENCE CITY may terminate this Agreement for convenience at any time with or without cause,and whether or not PROJECT is fully complete upon seven(7)calendar days written notice to CONTRACTOR. In the event of termination, under this Section CITY shall pay CONTRACTOR for value of work in place on the PROJECT through the termination period less all such payments already made. In case of such termination for convenience,the CONTRACTOR shall be entitled to receive payment for work executed, and costs incurred by reason of such termination. In no event shall CONTRACTOR be entitled to recover overhead, profit or CONTRACTOR's fee on work not performed. Such payment by CITY shall be CONTRACTOR's 19 16-5195/City Funded Construction Contract.docx—revised 04/2016 sole and exclusive remedy for termination by CITY for its convenience and CITY shall have no further obligation to CONTRACTOR. 30. DISPOSITION OF PLANS, ESTIMATES AND OTHER DOCUMENTS CONTRACTOR agrees that upon completion of the work to be performed hereunder, or upon expiration or earlier termination of this Agreement, all original plans, specifications, drawings, reports, calculations, maps and other documents pertaining to this Agreement shall be delivered to CITY and become its sole property at no further cost. 31. NONASSIGNABILITY CONTRACTOR shall not sell, assign, transfer, convey or encumber this Agreement,or any part hereof,or any right or duty created herein,without the prior written consent of CITY and the surety. 32. CITY EMPLOYEES AND OFFICIALS CONTRACTOR shall employ no CITY official nor any regular CITY employee in the work performed pursuant to this Agreement. No officer or employee of CITY shall have any financial interest in this Agreement in violation of the California Government Code. 33. STOP NOTICES,RECOVERY OF ADMINISTRATIVE COSTS CITY shall be entitled to all reasonable administrative costs and necessary disbursements arising out of the processing of Stop Notices,Notices to 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. 20 16-5195/City Funded Construction Contract.docx—revised 04/2016 34. NOTICES Any notices, certificates, or other communications hereunder shall be given either by personal delivery to CONTRACTOR's agent (as designated in Section 1 hereinabove) or to CITY as the situation shall warrant,or by enclosing the same in a sealed envelope,postage prepaid, and depositing the same in the United States Postal Service, to the addresses specified below; provided that CITY and CONTRACTOR may designate different addresses to which subsequent notices,certificates or other communications will be sent by notifying the other party via personal delivery, reputable overnight carrier or U.S.certified mail-return receipt requested: TO CITY: TO CONTRACTOR: City of Huntington Beach RJ NOBLE COMPANY ATTN:Joseph Fuentes,Public Works ATTN: STEVE MENDOZA 2000 Main Street 15505 E.Lincoln Avenue,P.O.Box 620 Huntington Beach, CA 92648 Oran a CA 92856 35. SECTION HEADINGS The titles, captions, section, paragraph and subject headings, and descriptive phrases at the beginning of the various sections in this Agreement are merely descriptive and are included solely for convenience of reference only and are not representative of maters included or excluded from such provisions,and do not interpret,define,limit or describe,or construe the intent of the parties or affect the construction or interpretation of any provision of this Agreement. 21 16-5195/City Funded Construction Contract.docx—revised 04/2016 36. IMMIGRATION CONTRACTOR shall be responsible for full compliance with the immigration and naturalization laws of the United States and shall, in particular, comply with the provisions of United States Code Section 1324a regarding employment verification. 37. LEGAL SERVICES SUBCONTRACTING PROHIBITED CONTRACTOR and CITY agree that CITY is not liable for payment of any subcontractor work involving legal services, and that such legal services are expressly outside the scope of services contemplated hereunder. CONTRACTOR understands that pursuant to Huntington Beach City Charter Section 309, the City Attorney is the exclusive legal counsel for CITY; and CITY shall not be liable for payment of any legal services expenses incurred by CONTRACTOR. 38. ATTORNEY'S FEES In the event suit is brought by either party to construe,interpret and/or enforce the terms and/or provisions of this Agreement or to secure the performance hereof, each party shall bear its own attorney's fees, such that the prevailing party shall not be entitled to recover its attorney's fees from the non-prevailing party. 39. INTERPRETATION OF THIS AGREEMENT The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of the parties. If any provision of this Agreement is held by an arbitrator or court of competent jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the 22 16-5195/City Funded Construction Contract.docx—revised 04/2016 context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act contrary to law, and wherever there is any conflict between any provision contained herein and any present or future statute, law,ordinance or regulation contrary to which the parties have no right to contract, then the latter shall prevail, and the provision of this Agreement which is hereby affected shall be curtailed and limited only to the extent necessary to bring it within the requirements of the law. 40. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of California. 41. DUPLICATE ORIGINAL The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals,each of which so executed shall,irrespective of the date of its execution and delivery, be deemed an original. Each duplicate original shall be deemed an original instrument as against any party who has signed it. 42. CONSENT Where CITY's consent/approval is required under this Agreement, its consent/approval for one transaction or event shall not be deemed to be consent/approval to any subsequent occurrence of the same or any other transaction or event. 43. SURVIVAL Tenns and conditions of this Agreement,which by their sense and context survive the expiration or termination of this Agreement shall so survive. 44. MODIFICATION No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties. 23 16-5195/City Funded Construction Contract.docx—revised 04/2016 45. SIGNATORIES Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify CITY fully for any injuries or damages to CITY in the event that such authority or power is not, in fact,held by the signatory or is withdrawn. 46. ENTIRETY The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive arm's length negotiation, and that each has had the opportunity to consult with legal counsel prior to executing this Agreement. The parties also acknowledge and agree that no representations, inducements, promises, agreements or warranties,oral or otherwise, have been made by that party or anyone acting on that party's behalf, which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement, promise,agreement,warranty, fact or circumstance not expressly set forth in this Agreement. This Agreement, and the attached Exhibit "A", contain the entire agreement between the parties respecting the subject matter of this Agreement, and supersede all prior understandings and agreements whether oral or in writing between the parties respecting the subject matter hereof. 24 16-5195/City Funded Construction Contract.docx—revised 04/2016 IN WITNESS WHEREOF,the parties hereto have caused this Agreement to be executed by and through their authorized officers onr�/' 10, CONTRACTO ' R.J.NOBLE COMPANY CITY OF HUNTINGTON BEACH,a municipal corporation of the e of alifornia By: A1JS71N Af FR.V.P.OF OPERATIONS "May�� (print name) ITS: Chairman/MOdMt/ ice-President City Clerk V/.24 .20 4-45 (circle one) INITIATED AND APPROVED: AND By: x it Public Works STEVE ME A,S GCR' ARY (prim e) tVED ISecreta(circle one) yanager APPROVtA AS TO O IvI: C City Attdneylp,,f 25 16-5195/City Funded Construction Contract.docx—revised 04/2016 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE §1189 ea®ra9ei�i rE�+rs€ 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 nRAN('7,F 03/26/2020 J.DEIONGH,NOTARY PUBLIC On before me, Date AUSTIN CARVER Here Insert Name and Title of the Officer personally appeared Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s)whose nameH is/afe subscribed to the within instrument and acknowledged to me that he/sheAl;ey executed the same in hisAierAheir authorized capacity(ies),and that by hisifhar4heir signatures)on the instrument the person(s), or the entity upon behalf of which the persons)acted, executed the instrument. I certify under PENALTY OF PERJURY under the J.DEIOHGH laws of the State of California that the foregoing _ Notary public-California Orange County � paragraph is true and correct. Commission X 2307441 ` My Comm.Expires Oct 28.2023 WITNESS my hand and official seal. Signature a_ ..V— ... Place Notary Seal and/or Stamp Above Signature of Notary Public — OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies)Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer - Title(s): ❑ Corporate Officer- Title(s): ❑ Partner- ❑ Limited ❑ General ❑ Partner- ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: I �ee> leeees�ae� 02018 National Notary Association CALIFORNIA ACKNOWLEDGMENT CIVIL CODE §1189 ee®rtaa�i rem€ A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California 1 County of nRANC,F J} 03/26/2020 J.DEIONGH,NOTARY PUBLIC On before me, Dote STEVE MENDOZA Here Insert Name and Title of the Officer 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/afe subscribed to the within instrument and acknowledged to me that he/fey executed the same in his/herAheir authorized capacity(ies),and that by his/her4their signature(&)on the instrument the person(s), or the entity upon behalf of which the person( acted, executed the instrument. I certify under PENALTY OF PERJURY under the J.DEICNGH laws of the State of California that the foregoing 4my Notary Public-California paragraph is true and correct. Or County Commiss iosion N 2307447 Comm.Expires Oct 29.2C23 WITNESS my hand and official seal. Signature Place Notary Seal and/or Stomp Above ignature of Notary Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s)Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer —Title(s): ❑ Corporate Officer—Title(s): ❑ Partner— ❑ Limited ❑ General ❑ Partner— ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: �eeateeee 02018 National Notary Association CONTRACTOR'S SWORN STATEMENT AND WARRANTY REGARDING CONTINUING INSURANCE OBLIGATIONS FROM., R.J.NOBLE COMPANY PP-WEC.Ct (Contractor Name) RESIDENTIAL OVERLAY OF MAINTENANCE-ZONE 9,CC-1596 15505 E.LINCOLN AVENUE (Street Address) ORANGE,CA 92865 (City,State and Zip) T*: CM OF HUNTINGTON BEACH DECLARATION Attached hereto Is a true and correct copy of the arrant Certificate of Insurance and Additional Insured Endorsement CG 2010 118S, which Certificate complies with.the insurance requirements of the Contract try and between the City of Huntington Beach(;sty")and the above-named Contractor("Contractor')for the above-described project('Pro)ect"), I declare under penalty of perjury under the laws of the State of California that the above statement Is true and ccinva Signed on MARCH 26 2010,at 15505 E.LINCOLN AVE.,ORANGE,CA 92865 (Date) (City,State) X (Signatur di ' Who is Matting Dedaration) STF.V .MLNQ ".A SI{ ARY WARRANTY Contractor hereby warrants and agrees to maintain Products and Completed Operations Insurance.in compliance with the Insurance requirements of the Contract for the Project. Said Insurance shall be maintained through and until the expiratton of all Warramies provided by Contractor, Said insurance shall contain Additionaf Insured Endorsement CG 2010 118S,naming City as an additional insured. Contractor shall supply to City,on at least an annual basis,a Certificate of Insurance and the aforementioned Endorsement evidencing continued coverage which meets the Contract requirements, Signed on MARCH 26, 20_�9 at__ 15505 E.LINCOLN AVE.,ORANGE,CA 92865 (Date) (City,State) C9NTRACTOR: k 1 \0BLE COMPANY Name: t3y X P1ame ST' ZA Title:S A :,776211 ,FXHIS)T SECTION C PROPOSAL for the construction of RESIDENTIAL OVERLAY OF MAINTENANCE ZONE 9 CC No. 1596 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 readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-t If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option,be considered null and void. Accompanying this proposal of bid,find 1 0%BID BOND in the amount of--------------which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 SECTION C PROJECT BID SCHEDULE A RESIDENTIAL OVERLAY MAINTENANCE ZONE 9 CC1596 Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 1 Mobilization including crack sealing(Maintenance Zone 9) 1 LS $ ( $ jOZ�Ocx?.pe 2 Prepare Storm Water Pollution Prevention Plan (SWPPP) 1,600.00 1,600.00 (Maintenance Zone 9) 1 LS $ $ 3 Install&Maintain Construction BMPs (Maintenance Zone 9) 1 LS $ 5,500.00 $ 5.500.00 4 Construction Project Traffic Control (Maintenance Zone 9) 1 LS $25,00•co $2-5,tAx).w 5 Tapered cold mill per Detail in Specifications including disposal 940,000 SF $ $ 141/001).00 6 Cold mill full width of asphalt section at 1 1/2"depth 301,000 SF $ 0 15 $ qr>II CV.eke 7 Furnish and Install Petromat per Specifications 1,181,000 SF $ 0 11 $ 129,910.00 Install 1 1/2" (0.12')Type III C3-PG-64-10-RAP Asphalt $ Concrete Overlay 22,200 TN $76 00 $ l h R7 Ay ool Provide pavement removal with 2"(0.17')Cold Mill and 9 Installation of 2" (0.1 T)Class B PG 70-10-RAP AC base 1.30 58,500.00 course at various locations 45,000 SF $ $ 10 Replace and adjust Water Valve Cover to grade 370 EA $ 1'0.00 $ 159.100.00 11 Adjust City Sewer Manhole to grade 245 EA $40S.00 $ 99,225.00 12 Provide Coating for Sewer Manhole Adjustment 70 EA $ 650.00 $ 45.500.00 13 Adjust Storm Drain manhole to grade 1 EA $404.00 $ 404.00 14 Adjust Utility Valve To Grade 15 EA $435.00 $ 6>25.00 Reinstall all existing Traffic Striping and Legends which 15 comply with current standards. 1 LS $3)A700C Pf'i410 JJ 16 Provide Sewer Manhole Ring and Cover to replace any 530.00 2.650.00 damaged Ring or Cover(Allowance) 5 EA $ $ 17 Install Traffic Loops 30 EA $ 245.00 7,350.00$ TOTAL BID AMOUNT (BASIS OF AWARD)—SCHEDULE A $2/�'s'�s 6�4•u0 TOTAL BID AMOUNT IN WORDS: —T"b✓cr �n,li,o� F��V4 �undse PJ' y 0,-ie 40.644d hm ii i e� �0-4 fern 014? Zetr'o 6e•'71S Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar %of Item(s) Subcontractor License Registration# Amount Contract Number SMITHSON ELECTRIC 614518 C-10 1000001610 $6,900.00 0,27 , 1938 E. KATELLA AVE 17 ORANGE,CA 92867 %YP( " '5Y - � �AOW 776306 C-32 10oo,,ylW9b �ul,gZ6.63 ). 65/ 531z c , YP 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 o2/18/2o2(lat ORANGE c A Date City State STEVE MENDOZA , being first duly sworn, deposes and says that he d,*Xb:is SECRETARY _ of R.J.NOBLE COMPANY the party making the foregoing bid that the bid is not made in the interest of,or on the behalf of,any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further,that the bidder has not,directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. R.J.NOBLE COMPANY Name of Bidder X Signature�yBi erSTEVE MENDOZA,SECRETARY 15505 E. LINCOLN AVE.,ORANGE,CA 92865 Address of Bidder C4 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 ee�es foram — A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California 1 County of ORANGF J} 02/18/2020 J.DEIONGH,NOTARY PUBLIC On before me, °e STEVE MENDOZA Here Insert Name and Title of the Officer personally appeared Nome(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the personM whose name(s)is/afe subscribed to the within instrument and acknowledged to me that he/sheAlaey executed the same in his/hef/their authorized capacity(ies),and that by his/herhhair signature(s)on the instrument the person(s), or the entity upon behalf of which the person(&)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing J.DEIONGH paragraph is true and correct. Notary Public California I •_ , orange County 30741 Commission N 230 WITNESS my hand and official seal. �� 4 My Comm.Expires Oct 28.20Z3 Signature Place Notary Seal and/or Stamp Above �:Zgnature of Notary Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer— Title(s): ❑ Corporate Officer— Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner— ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: - tlaeneear 02018 National Notary Association UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH,CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract,known as the RESIDENTIAL OVERLAY OF MAINTENANCE ZONE 9, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined,to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. R.J.NOBLE COMPANY Contractor X By STEVE MENDOZA, SECRETARY Title Date: 02/18/2020 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? I] Yes I3 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. 1 am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and l will comply with such provisions before commencing the performance of the work of this contract. R.J.NOBLE COMPANY Contractor X By STEVE MENDOZA,SECRETARY Title Date: 02/18/2020 C-9 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: R.J.NOBLE COMPANY Bidder Name 15505 E. LINCOLN AVENUE Business Address ORANGE, CA 92865 City, State Zip 1 714 1 637-1550 stevemendoza@rjnoblecompany.com Telephone Number Email Address 782908 CLASS A&C-l2 State Contractor's License No. and Class AUGUST 2000 Original Date Issued 08/31/2020 Expiration Date The work site was inspected by STEVE MENDOZA of our office on 02/14/2020 201_. The following are persons, firms, and corporations having a principal interest in this proposal: R.J.NOBLE COMPANY A CALIFORNIA CORPORATION MICHAEL J.CARVER,PRESIDENT AUSTIN CARVER,V.P.OF OPERATIONS KASONDRA GONZALEZ,V.P. OF MARKETING STEVE MENDOZA, SECRETARY JACOB BREEDLOVE,ASSISTANT SECRETARY JAMES N. DUCOTE,C.F.O. The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. R.J.NOBLE COMPANY Company Name x Signature, kfbidrr STEVE MENDOZA,SECRETARY Printed or Typed Signature C-a NOTARY CERTIFICATE 2020 18T(J FEBRUARY Subscribed and sworn to before me this_ ay 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 CALIFORNIA ) County of ORANGE ) On 02/18/2020 before me J. DEIONGH,NOTARY PUBLIC Month, Day, and Year Insert Name and Title of Notary personally appeared STEVE MENDOZA Name()of Signer(g) who proved to me on the basis of satisfactory evidence to be the person(g) whose name( is/= subscribed to the within instrument and acknowledged to me that he/3beftoyxexecuted the same in his/JdM(tX&Kauthorized capacity(W,and that by his/t>cvVxjc signature(I)on the instrument the person(X), or the entity upon behalf of which the person( acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. J.DEiONGH WITNESS m hand and official seal. _ # Notary Puge -California Y Prange County _ Commission 0 2307441 My Comm.Expires Oct 28.2023 Signature X Signature of ~ota Pu lic (PLACE NOTARY SEAL ABOVE) J. DEIONGH C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of (Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and ereater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets,an area containine hieh eround water and Pipeline construction in high eround water reeions with trench depths of 8-feet to the invert,"). Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: l, C/O CARSON-701 E.CARSON ST.,CARSON,CA 90745 Name and Address of Public Agency Name and Telephone No. of Project Manager: RICK BOUTROS-310-952-1700 1,426,509.80 ASPHALT,STREET REHAB. 08/2018 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: STREET REHAB OF TURMONT FROM AVALON BLVD TO CENTRAL AVE DEL AMO BLVD REHAV FROM AVALON BLVD TO CENTRAL AVE. 2. C/O HUNTINGTON BEACH -2000 MAIN ST.,HUNTINGTON BEACH,CA 92648 Name and Address of Public Agency Name and Telephone No. of Project Manager: JOHN GRIFFIN-714-375-501 1 2 279,232.00 AC OVERLAY 04/2019 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: AC OVERLAY OF RESIDENTIAL MAINTENANCE ZONE 1 3, C/O ORANGE-300 E.CHAPMAN,ORANGE,CA 92865 Name and Address of Public Agency Name and Telephone No. of Project Manager: MATT LORENZEN-714-744-5573 1,110,444.12 AC REHAB 12/2018 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: PAVEMENT REHABILITATION OF PALMYRA AVE., IN THE CITY OF ORANGE 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. KORI PORTER,GENERAL MANAGER OF CONSTRUCTION 1. Name of proposed Project Manager 714-637-1550 EXT 359 Telephone No. of proposed Project Manager: CITY OF LA MIRADA,CAP IMPTS PH 3 $6.9 MILLION CLASS A O1/2018 Project Name &Contract Amount Type of Work Date Completed CITY OF GARDEN GROVR,WESTMINSTER AVE.,$1.8 MILLION CLASS A 11/2017 Project Name& Contract Amount Type of Work Date Completed CITY OF NEWPORT BEACH,IRVINE PAVEMENT REHAB$2.4 MILLION CLf 10/2018 Project Name& Contract Amount Type of Work Date Completed 2. CHUCK SPIERS,GENERAL SUPERINTENDENT Name of proposed Superintendent 714-637-1550 Telephone No.of proposed Superintendent: CITY OF ONTARIO,AC PAVEMENT OF VARIOUS LOCATIONS,$6.1 MILL C 05/2019 Project Name & Contract Amount Type of Work Date Completed CITY OF TUSTIN,PARK AVE REHAB$1.6 MILLION CLASS A 10/2018 Project Name &Contract Amount Type of Work Date Completed CITY OF SAN JUAN CAP, STREET IMPTS $2.1 MILLION CLASS A 05/2018 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 I through June 30 state fiscal year) with the California Department of Industrial Relations(DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https:HefiIing.dir.ca.gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. R.J.NOBLE COMPANY Contractor x By steveme oza@jjnoblecompany.com Email STEVE MENDOZA,SECRETARY Title Date: 02/18/2020 PWC Registration#: 1000004235 C-12 OD% Western Surety BID BOND (Percentage) Bond Number: N/A KNOW ALL PERSONS BY THESE PRESENTS, That we R. J. Noble Company of Orange, California hereinafter referred to as the Principal, and Western Surety Company as Surety, are held and firmly bound unto city of Huntington Beach hereinafter referred to as the Obligee, in the sum of qT �_( 0 %) percent of the greatest amount bid, for the payment of which we bind ourselves, our legal representatives, successors and assigns, jointly and severally,firmly by these presents. WHEREAS, Principal has submitted or is about to submit a proposal to Obligee on a contract for Residential Overlay of Maintenance Zone 9 NOW, THEREFORE, if the said contract be awarded to Principal and Principal shall, within such time as may be specified, enter into the contract in writing and give such bond or bonds as may be specified in the bidding or contract documents with surety acceptable to Obligee; or if Principal shall fail to do so, pay to Obligee the damages which Obligee may suffer by reason of such failure not exceeding the penalty of this bond, then this obligation shall be void; otherwise to remain in full force and effect. SIGNED, SEALED AND DATED this 28th day of Janaury 2020 R. J. Noble Company (Principal) By � (Seal) Steve Mend retary Western Surety Company (Surety) By _ (Seal) a co di Attorney-in-Fact Form F5876 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE §1189 NO 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 01/29/2020 J.DEIONGH,NOTARY PUBLIC On before me, , Dote STEVE MENDOZA Here Insert Name and Title of the Officer 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/afe subscribed to the within instrument and acknowledged to me that he/s ey executed the same in hisfhef/th6 authorized capacity(ies),and that by his/her4heir signature( on the instrument the person(s), or the entity upon behalf of which the personM acted, executed the instrument. *my J.DEIONGH I certify under PENALTY OF PERJURY under the laws of the State of California that the fore oinNotary Public-California g g Orange Countyparagraph is true and correct. Commission#2307441 Comm.Expires Oct 28,2023 WITNESS my hand and official seal. !�r Signature — I , / Place Notary Seal and/or Stomp Above All Y-no-ture of Notary Public OPTIONAL Completing this information can deter alteration of the document or I fraudulent reattachment of this form to on 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 I ❑ Other: ❑ Other: iSigner is Representing: Signer is Representing: 02018 National Notary Association ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On J A N 2 8 2020 before me, Michele A. Fedoruk, Notary Public (insert name and title of the officer) personally appeared James Scott Salandi, Attorney-in-Fact who proved to me on the basis of satisfactory evidence to be the person(g) whose name(%) is/aces subscribed to the within instrument and acknowledged to me that he/& Xk" executed the same in hislkaftwk authorized capacity(k*, and that by his/harA ak signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the i nstrument. I certify under PE NALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. �.� _� MICHELEA.FEDORUK Notary Public-California z '~ Orange County > Commission p 2238042 My Comm.Expires Apr 14,2022 Signature (Seal) Wesm SumtyCompany POWER OF ATTORNEY APPOINTING MnWUAL ATTORNEY IN FACT Know Ail Miss By These Presents,That WESTERN SURETY COMPANY,a South Dakota corporation,is a duly organized and esiating corporation having its priocIpal office in the City of Sioux Falls.and State of South Dakota,and that it does by virtue of the Axmb, and seal herein aixod huzby make,constitute and appoint James Scott Salsindi,Leonard Zhuinsky,David Jacobson,Indiviidually of hvine.CA.its true and law$il Attornoy(a)-in Fact with 8h11 power and authority hereby corgerred to sign,seal and gene for and on its behalf bonds, undertakings and other obligatory inouuments of similar nature -In Unlimited Amounts- and to bind it thereby as 8tily and to the see extant as if such instruments were signed by a duly authorized oflgar of the corporation and aU the acts of said Alturney pursuant to the authority hereby givm are hereby ratified and conrmned. Ibis Power of Attorney a mado and executed ptnarant to and by authority of the By-I.aw pried on the reverse hereof,drily adopted,as indicated•by the sban*otders of the corpastion. In Widows Wheasaf.WESTHRW STMEMY COMPANY ems caused these presmts to be signed by its vice pnmdent and its eorpande scat to be beteto r 11—d on this 19h day of June,2015. WESTERN SURETY COMPANY de BgAr T.BruSat,Vice President State of South Dakota County of Mimehaba as On this 18th day of Jane.2015,bd =me personally came Paul T.Bnifiat to me known,who,being by me duly sworn,did depose and say. that he resides in the City of Sioux Falls,State of South Dakota,;that be is the Vice President of WESTERN SURETY COMPANY described in and whicb executed the above iustrurnent;that he knows the seal of said corporation;that the seal affixed to the said instrument is such corporate seal;that it was so affixed pasttent to authority given by the Board of Directors of said corporation and that he signed his come thereto pure=to like authority,and acknowledges same to be the act and deed of said corporation. My coon expires S.EICH February 12.2021 r wmmmm ►�AJEf, S Bich.Notary Public C&RTIFICATE I.L Neison.Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney lereinabove act forth is still in f viva,and further ceatify that the By-Iaw of de cerporstion printed on the reverse hereof is still in farce. In testimony whereof I have herdmm sulambed my name and affixed the seal of do said corporation tips day of WESTERN SURETY COMPANY 8�r per FGM FAU8o-7-2012 L Nohson,Assistant Secretary AudwrbftBy-Lxw ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY This Power of Attorney is made and rxemned pursusmt to and by euthaddy of the following By-law duly adopted by the ahamloldes of ew company. Scction 7. All bands,policies,tubdertakug%Powers of Attomey,or other obhgat:ions of the cosparation shall be emftd m the ootpaaatc name of the Company by the Pam,SeMWY,and y,Treasurer,or any Vice Presi&rit;or by such other ofoers as the Board of Dhecbars may aulbar. The President arty Vice President Secretary,my Assistant Seotetsry,or the Tmastaer may appoint Attorneys m Fact or agents who shall have authonly to issue bands,policies,or rmdertsidngs m the name of the Company. The amponme seal is nat necessary for the validity of my bonds,policies,uodertalorigs,Powers of Anomey or other obligations of ibe oosporntw n. The agmdrae of any such offiocr and the oaspozate seal may be pmrted by facile: A��® 7�376/2020 /DD/YYYY) `�. CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Patriot Risk & Insurance Services NAME ACT - 2415Campus Drive, Suite#200 PHONN o.Ex . 949 486-7900 N No: 949 486-7950 Irvine, CA 92612 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# www.patrisk.com OK07568 INSURER A: Travelers Property Casualty Company of America 25674 INSURED INSURER B: Travelers Indemnity Company of Connecticut 25682 R. J. Noble Company, Inc. INSURER C: 15505 Lincoln Avenue P O. Box 620 INSURER D: Orange CA 92856-9020 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 54787665 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MMIDD/YYYY A ✓ COMMERCIAL GENERAL LIABILITY ✓ VTJ-EXGL-9F338142-TIL-19 7/1/2019 7/1/2020 EACH OCCURRENCE $1 000000 --� DAMA E TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $300,000 MED EXP(Any one person) $5,000 ✓ Contractual Liability PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ✓ JEo LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ B AUTOMOBILELIABILITY VTC2E-CAP-9F338154-TCT-1 7/1/2019 7/1/2020 EOMaBcI,EeDtSINGLELIMIT $2,000,000 ✓ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ ✓ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ ✓ AUTOS ONLY ✓ AUTOS ONLY Per accident $ A UMBRELLA LIAB �/ OCCUR CUP-8N148064-19-25 7/1/2019 7/1/2020 EACH OCCURRENCE $10,000,000 ✓ EXCESS LIAB CLAIMS-MADE Policy Follows Form Over AGGREGATE $10 00O 000 Underlying General Liab. DED RETENTION$ $ ER T A WORKERS COMPENSATION ✓ UB-7N939386-19-25-K 7/1/2019 7/1/2020 ✓ STATUTE ERH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y❑ E.L.EACH ACCIDENT $1,000,000 _ OFFICER/MEMBER EXCLUDED? NIA (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 $1,000000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re:RJN#91725/Residential Overlay Zone 9/Project#1596 APPRQVED AS TO FORM City of Huntington Beach,its officers,elected or appointed officials,employees,agents and volunteers are named as Ad itional Insureds as respects to General Liability includes Primary and Non-contributory per endorsement attached where required by ri t. Waiver of subrogation applies to WC and in favor of the additional insureds By - 30 days notice of cancellation, 10 days for non-payment of premium. M HAEL E. GATES PtkCITY ATTORNEY CITY OF HUNTINGTON BEACH CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cltyy of Huntington Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2000 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Huntington Beach CA 92648 AUTHORIZED REPRESENTATIVE / Dave Jacobson ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 54787665 1 19/20 - GL/AU/EXC/WC J Annette Romero 3/26/2020 10:31:55 AN. (PDT) I Page 1 of This certificate cancels and supersedes ALL previously issued certificates. R.J.Noble Company,Inc. COMMERCIAL GENERAL LIABILITY POLICY NUMBER vTJ-ExGI_-9F338142-Tll_-19 ISSUE DATE:3126/2D20 - 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 Names of Additional Insured Person(s) or Organization(s): City of Huntington Beach,its officers,elected or appointed officials,employees,agents and volunteers Location of Covered Operations: (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 in- This insurance does not apply to "bodily injury" or clude as an additional insured the person(s) or "property damage" occurring, or "personal injury" organization(s) shown in the Schedule, but only or "advertising injury" arising out of an offense with respect to liability for"bodily injury", "property committed, after: damage", "personal injury" or "advertising injury" 1. All work, including materials, parts or equip- caused, in whole or in part, by: ment furnished in connection with such work, 1. Your acts or omissions; or on the project (other than service, mainte- 2. The acts or omissions of those acting on your nance or repairs) to be performed by or on behalf; behalf of the additional insured(s) at the loca- tion of the covered operations has been com- in the performance of your ongoing operations for pleted; or the additional insured(s) at the location(s) desig- nated above. 2. That portion of "your work" out of which the injury or damage arises has been put to its in- B. With respect to the insurance afforded to these tended use by any person or organization additional insureds, the following additional exclu- other than another contractor or subcontrac- sions apply: for engaged in performing operations for a principal as a part of the same project. CG D3 61 03 05 Copyright 2005 The St. Paul Travelers Companies, Inc. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission. 54787665 1 19/20 - GL/AU/EXC/WC I Annette Romero 1 3/26/2020 10:31:55 AM (PDT) I Page 2 of 5 This certificate cancels and supersedes ALL previously issued certificates. R.J.Noble Company, Inc. COMMERCIAL GENERAL LIABILITY POLICY NUMBER:VTJ-EXGL-9F338142-TIL-19 ISSUE DATE:3/26re020- 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 Organ ization(s): City of Huntington Beach,its officers,elected or appointed officials,employees,agents and volunteers Location And Description Of Completed Operations Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to in- location designated and described in the schedule of clude as an additional insured the person(s) or or- this endorsement performed for that additional in- ganization(s) shown in the Schedule, but only with sured and included in the "products-completed opera- respect to liability for "bodily injury" or "property dam- tions hazard". age" caused, in whole or in part, by"your work" at the CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 54787665 1 19/20 - GL/AU/EXC/WC I Annette Romero 3/26/2020 10:31:55 AM (PDT) I Page 3 of 5 This certificate cancels and supersedes ALL previously issued certificates. R.J.Noble Company, Inc. COMMERCIAL GENERAL LIABILITY POLICY NUMBER: VTJ-EXGL-9F338142-TIL-19 ISSUE DATE: 07/01/2019 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE - DESIGNATED ADDITIONAL INSUREDS - PRIMARY WITH RESPECT TO CERTAIN OTHERINSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE OF DESIGNATED ADDITIONAL INSUREDS PROVISIONS Designated Additional Insureds is primary to any of The following is added to Paragraph 4.a., Primary the other insurance, whether primary, excess, Insurance, of SECTION IV — COMMERCIAL contingent or on any other basis, that is available to GENERAL LIABILITY CONDITIONS: such additional insured which covers such additional insured as a named insured, and we will not share The insurance afforded under this Coverage Part to with that other insurance. any additional insured shown in the Schedule Of CG D4 26 02 19 ®2017 The Travelers Indemnity Company.All rights reserved. Page 1 of 1 Includes copyrighted material of insurance Services Office,Inc.with its pens on. 54787665 l 19/20 - GL/AU/EXC/WC Annette Romero 13/26/2020 10:31:55 AM (PDT) I Page 4 of 5 This cer d tificate cancels an ALL previously issued certificates. TRAVELERS J� WORKERS COMPENSATION AND ONE TONER SQUARE HARTFORD, CT 06183 EMPLOYERS LIABILITY POLICY HAR ENDORSEMENT WC 00 03 13 (00)-01 POLICY NUMBER: UB-7N939386-19-25-K WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an Injury covered by this policy. We will not enforce our right against the person or organization named In the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or Indirectly to benefit any one not named in the Schedule. SCHEDULE DESIGNATED PERSON: City of Huntington Beach,its officers,elected or appointed officials,employees,agents and volunteers DESIGNATED ORGANIZATION: ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. DATE OF ISSUE:3/26/2020 ST ASSIGN: 54787665 119/20 - GL/AU/EXC/WC Annette Romero 1 3/26/2020 10:31:55 AM (PDT) I Page 5 of 5 This certificate cancels and supersedes ALL previously issued certificates. Executed in Duplicate Bond No. 30096772 PERFORMANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS,City of Huntington Beach(hereafter referred to as"City") has, by written agreement dated __20— entered into a contract with R.J.NOBLE.COMPANY, 1550i F IANCOLN AVE,ORANGI.`.,CA 92965 (name and address of Conti-actor) (hereinafter referred to as"Principal"),for performance of the work described as follows: RESIDFINTIAl..OVERLAY OFMAIN-11'NANCE ZONF9,CC-]596 (Project Title) 1,NIHEREAS, said contract, and all documents referenced therein (hereinafter collectively "Contract"), are incorporated hereir.by this reference made a part hereof as though set forth herein in full;and Said Principal is required Linder the terms of the Contract to furnish a bond guaranteeing the prompt, full and faithful performance of said Contract, by a duly admitted surety insurer under the laws of thie State of California(hereinafter referred to as"Surety");and Surety is certified and listed in the U.S. Department of the Treasury Circular 570, and has provided proof of sufficient bonding limitations as shown in said circular to provide bonds in the amount required by said Contract;and Surety has provided financial strength ratings from reputable companies,such as from A.M. Best,Moody's,or Standard&Pooi's,to validate that Surety has positive ratings of being secure or Stable;and Surety is registered and listed with the California Department of Insurance, NOW, THEREFORE,we,the undersigned,as Principal.and Western Surety Company, 2020 Main Street, Suite 750, Irvine, CA 92614 (name and address of Surety) as Surety,are held and firmly bound unto City in the penal sum of two million five hundred fifty one thousand six hundred fourteen and 00/00———--—-----—-—------------------ Dollars ($ 2_5_51614.QQ�,this amount being not less than one hundred percent of the price set forth in the Contract,in lawful money of the United States,for the payment of which sum,well and truly to be made, we bind ourselves,our heirs, executors, administrators and successors,jointly and severally,firmly by these presents, THE CONDITION OF THIS OBLIGATION IS SUCH THAT if the Principal shall promptly,fully and faithfully perform each and ail of the covenants,obligations and things to be done and performed by the Principal in strict accordance with the terms of the Contract as said contract may be altered, amended or modified from time to time;and if the Principal shall indemnify and save harmless City and all of City's officers,agents and employees(hereinafter collectively referred to as"Obligees")fromany and all losses, liability and damages, claims,judgments,stop notices,fees and costs of every description,whether imposed by law or in equity, which may be incurred by the Obligees by reason of the failure or default on the part of the Principal in the performance of any or all of the terms or the obligations of the Contract, including all alterations,amendments and modifications thereto,and any warranties or guarantees required thereunder,then this obligation shall be void; otherwise, it shall be and shall remain in full force and effect. Surety stipulates and agrees,for Value received,that no adjustment of the time or price in the Contract or any alteration,change,deletion,addition or other modification to the Contract,or the work to be performed thereunder, shall in any way affect,firnit, restrict, impair or release the obligations of the Surety under this Bond. Surety waives notice of any adjustment of contract or contract price, and any other alteration,change, deletion,addition or other modification to the Contract,or the work to be performed thereunder,and agrees 1 5-45 84/1 1 71 74 Bond ;Nro,30096772 to automatically adjust the penal sum of this Bond to reflect such adjustments,alterations,changes, deletions, additions or other modifications. Surety agrees to provide written confirmation of such adjustments in the penal sum to City on not less than a quarterly basis. Surety also waives the provisions of Civil Code§§2845 and 2849. The obligations of this Bond shall survive the completion of the work described in the Contract as to all obligations and liabilities of the Principal which survive completion of the work. IN WITNESS WHEREOF,each party represents and warrants that this instrument has been duly executed by Principal and Surety,on the date set forth below,that the name of each corporate party being affixed hereto is such party's proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body. Surety by execution of this bond,waives any defense which Surety has or may have by reason of any failure of the Principal to execute or properly execute this bond, Dated:March 26, 2020 R.J.NOBLE COMPANY ATTEST (Corporate Seal) (Principal Name) By: X Name:STEVE E DO- Title: SECRETARY ATTEST Western Surety Company {:orporate Seal) ur ty me) By: _ N Sc Salandi Attorne -in-fact (Sign .e of Attorney-in-Fact for Surety) (Attach Attorney-in-Fad Certificate) ,) Surety:866-404-7926/Agent:949-486-7917 (Area Code 8 Telephone Number for Surety) APPROVED AS TO FjDW.... By: "Michael E.Gates,City Attorney Note This bond must be executed in duplicate and dated,all signatures must be notarized,and evidence of the authority of any person signing as attorney-in-fact must be attached. PERFORMANCE BOND Pare 2 of 15.4584/117174 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE §1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California 1 County of ORAN(,F J} 03,30/21020 J. DEIONGH,NOTARY PUBLIC On before me, Date STEVE MENDOZA Here Insert Name and Title of the Officer 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/s#e/t#iey executed the same in hisfheFAheir authorized capacity(ies),and that by his/bedthae r signature(s) on the instrument the person(s), or the entity upon behalf of which the persons) acted, executed the instrument. I certify under PENALTY OF PERJURY under the J.DEIONGH laws of the State of California that the foregoing 05k\ Notary Public-California = paragraph is true and correct. Orange County _ Commission k 2307441 My Comm.Expires Oct 28.2023 WITNESS my hand and official seal. Signature Place Notary Seal and/or Stamp Above Sr nature of Notary Public OPTIONAL -- Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer —Title(s): ❑ Corporate Officer—Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner— ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: e�eate9ee C2018 National Notary Association ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On before me, Michele A. Fedoruk, Notary Public (Insert name and title of the officer) personally appeared James Scott Salandi, Attorney-in-Fact who proved to me on the basis of satisfactory evidence to be the person(s) whose name($) is/aix subscribed to the within instrument and acknowledged to me that he/%bce" executed the same in his/haMhek authorized capacity(ie*, and that by his/herAhak signature(%) 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. o., MICHELEA.FEOORUK ..h+ Notary Public California / a . Orange County 3 // 4 Commission#2238042 My Comm.Expires Apr 14,2022 Signature Z(Seal) Executed in Duplicate Bond No. 30096772 PAYMENT BOND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS, WHEREAS, City of Huntington Beach(hereafter referred to as"City")has awarded to ,-F-- ! *E -1 -, - R.1NOBLECOMPANY 5 5 E LINCOLN AVE.,ORA -CA 929(5 (name and address of Contractor) ;hereinafter referred to as"Principal"), a contract('Contract")for the work described as follows RES]DENTIAL OVERLAY OFMA I NTEAN ;.ViTZONF9,CC-l59) (Project Title) WHEREAS, Principal is required under the terms of the Contract and the California Civil Code to furnish a bond to secure the payment of claims of laborers.mechanics, materialmen, and other persons as provided by law, by a duly admitted surety insurer under the laws of the State of California (hereinafter referred to as "Surety"); and Surety is certified and listed in the U.S, Department of the Treasury Circular 570, and has provided proof of sufficient bonding limitation, as shown in said circular to provide bonds in the amount required by said Contract; and Surety has provided financial strength ratings from reputable companies,such as from A.M. Best,Moody's or Standard &Poor's,to validate that Surety has positive ratings of being secure or stable,and Surety is registered and listed with the California Department of Insurance. NOW THEREFORE, we,the undersigned Principal,and __ Western Surety Company, 2020 Main Street, Suite 750, Irvine, CA 9261if— (name and address Of Surety) as Surety,are held and firmly bound unto City in the penal sum of two million five hundred fifty one thousand six hundred fourteen and 00/00------------------------- ------------------------------------------------------------------------------------------------------- -----------------------------------4ollars 2,551,614.00 this amount being not less than one hundred percent(100%)of the total price set forth in the Contract,in lawful money of the United States of America,for the payment of which sum,well and truly to be made,we bind ourselves,and each of our heirs, executors, administrators, successors, and assigns,jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT, if the Principal, his, her,or its heirs,executors, administrators, successors or assigns, or subcontractors shall fail to pay any of the persons named in Section 3181 of the California Civil Code("Claimants")for all labor,materials or services used or reasonably required for use in performance of the work described in the Contract,or any amounts due under the Unemployment insurance Code with respect to work or labor performed by any such Claimant, or prevailing wages due and penalties incurred pursuant to Sections 1774, 1775, 1813 or 1815 of the Labor Code, or any amounts required to be deducted,withheld and paid over to the Employment Development Department from the wages of employees of the Principal and Subcontractors PUFSUant to Section 13020 of the Unemployment Insurance Code with respect to the work or labor performed under the Contract, Surety will pay for the same, in an amount not exceeding the penal SLIM specified in this bond; otherwise, this obligation shall be null and void. This bond shall inure to the benefit of any of the persons named in Section 3181 of the California Civil Code so as to give a right of action to such persons or their assigns. In case any action is brought upon this bond, Surety further agrees to pay all court costs and a reasonable attorney's fee in an amount fixed by the court. PAYNIENT BOND Pace I of 2 I 5-4 5 84,11173 5 7 Surety stipulates and agrees,for value received,that no change,extension of time,alteration, addition or modification to the terms of the Contract,or any contract document or any work to be performed thereunder,whether made after notice or not,shall in any way affect,impair or release the obligations of Surety under this bond. Surety hereby waives notice of any such change, extension of time,alteration, addition,or modification to the terms of the Contract, the contract documents or the work thereunder, Surety also waives the provisions of California Civil Code§§ 2845 and 2849. IN WITNESS WHEREOF,each party represents and warrants that this instrument has been duly executed by Principal and Surety,on the date set forth below,that the name of each corporate party being affixed hereto is such patty's proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body. Surety,by execution of this bond,waives any defense which Surety has or may have by reason of any failure of the Principal to execute or properly execute this bond. Dated:March 26, 2020 ATTEST R.l.NOBLE.COMPANY (Corporate Seal) X Name- ST}:V}:M(Principal Name) mNam E OI. Title: SECRETARY ATTEST Western Surety Company (Corporate Seal) By: Name: �ndi.Attorney-in-fact ure rr r�ney-1 Fact for Surety} (Attach Attorney-in-Fact Certificate) C_)Surety: 866-404-7926/Agent:949-486-7917 (Area Code&Telephone Number for Surety) APPROVED AS T9fjID M: By:"Ll Michael E.Gates,' ity-Attorney Note: This bond must be executed in duplicate and dated;all signatures must be notarized, and evidence of the authority of any person signing as attorney-in-fact must be attached. PAYMENT BOND Page 2 of 2 15-4584/117357 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California 1 County of QRAN�zF 1 03/30/2020 J. DEIONGH,NOTARY PUBLIC On before me, Date STEVE MENDOZA Here Insert Name and Title of the Officer personally appeared Nome(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s)is/are subscribed to the within instrument and acknowledged to me that he/sheAhey executed the same in his",he;i authorized capacity(ies),and that by his/herlthelr signature(s)on the instrument the person(s), or the entity upon behalf of which the person(,) acted, executed the instrument. I certify under PENALTY OF PERJURY under the J.DEIONGN laws of the State of California that the foregoing Notary Public-California paragraph is true and correct. Orange County 9_ Commission#23074 My Comm.Expires Occ 28,421C2 3 WITNESS my hand and official seal. Signature Place Notary Seal ond/or Stamp Above gnoture of Notary Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Corporate Officer— Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner— ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: i�8>8�1�190fdl9Bge 02018 National Notary Association ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On 2 /-2- before me, Michele A. Fedoruk, Notary Public (insert name and title of the officer) personally appeared James Scott Salandi, Attorney-in-Fact who proved to me on the basis of satisfactory evidence to be the person(s) whose name(X) is/ara subscribed to the within instrument and acknowledged to me that he/%he" executed the same in his/heftgek authorized capacity(ie*, and that by his/bexAhak signature(s) on the instrument the person(&), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. �. MICHELEA.EEDORUK Notary Public-California �_ ° w Orange County Commission N 2238042 My Comm.Expires Apr 14, 2022 Signature (Seal) VVesm SuW CompaW POWER OF ATTORNEY APPOIlVTING MIVIDUAL ATTORNEY IN FACT if mw All Mew By These Pressers,That WESTERN SURETY CON PANY.a South Dakota carpandion.is a duty ecgauixed and mdSdng won having its principal office in the City of Sioux Falls.wet State of South Dakota,=4 that it does by virtue of the suture and seal herein affixed hereby snake,canditute and appoint James Scott Salandi,Leonard 7 ky,.David Jacobson,'ftKIMduaIIy at Irvin.CA.its to w and lawfiul Attorney(in)-in-Fact with full power and aatbority hereby conf ntd to sign,scat sod oseartt fir sad on its behatP bonds. rndertslringfr and other obligat ry iadruments of similar mhrre -In Unlimited Amounts- and to bind it thereby as Adly aM to the some mural as if much ioalrunic s were sigoad by a duly andwrimd officer of fire corporation and all the acts of said Attorovy.Pu:wnout to the authority hereby grim are hereby ratiSod and cotramed This Poway of Attorney is made and executed ptumnnt to and by authority of the By-law printed on the reverse hereof.duly adopted.as indicted,by the darshotdws dtho oorpatnflom In Witness Whmvmf.WESTERN SLMM-Y COMPANY bee caused three Faas®ts to be*Smd by HE Yee PreeidcM and eta�P—Wte seal to be hereto of mcd an this 1Stu dsy of June,2015. WESTERN SURETY COMPANY wCAv T.Btvlial,'Viex President Sdtc a[9oulh DakM Casty of Mnncbdn m On this 18th day of June.2015,before me personally era>n Paul T.&n8at,to me known,who,being by m.duly swan,did depose and say. tbxt he rtakdea n tine City of 3iarz Falls,State of South Daknta;that he is the Vice-President of WESTERN SURETY COMPANY described in axed which cmcutrd the shave indrurnal:that he knows the seal of said corps vfnn;that the seal of amd to the said instrument is such corporate seal;th=it was so affnted pwx=nt to mahority given by the Board of Ditectara of said corporation aW that he signed his name thereto purataet to bike srrttKwity,and acknowledges same to be fie act and deed of said corporation My comminioo a vires IS S.EIGH � ly�1 February 12,2021 WKMN Max '�' S Rich,Noorty public CERTIFICATE i.I-Nahm Assisi Secretary of WESTERN SURETY COARANY do hereby catify that the Power of Artrxncy hweinabove sex forth is still m f xee,and hara r entity that the By-Lsw of the eorporatiam pdz d on the raimse"in still in fT= In testimony whereof I have hermoto subscribed nay nano and af]llood the coal of rho said ebtprnd4n this dry of G'' 6c t WESTERN SURETY COMPANY e L Nt�ott,Askant Scatter. Farm 712ao-7-1e12 Aidhwidng By-Lzw ADOPTED BY THE SHAREHOLDER.S OF WESTERN SURETY COMPANY This Power of A la ey is made anal Bare,pled pursuant to and by midwrily of the fiAbwing By-Law ddy adapted by the shareba]dm of the company. Section 7- All bonds,Pam, ,Powers of AUm nay,or other obligations of the cagKmdim sban be executed m the oorpxaatue name of the Company by the Prcsidemj� Secretary,and Assistart.Secretary,Tmasmar,or arty Vice Prrkidmd or by such alter offioem as the Board of Dnmctom may su$iariae. Ibis President.any Vine Premdemtd;Secretary,my Assistant may,or the Treasurer may appoint Attumeys m Fact or agets who shall have authority to issue bonds,policies,or undertakugs m the name of the Company. The:corporate seal is not neoessary fix the validity of sry bonds,policies,undertakings,Powers of Attorney or oflrer obhgatiems of the oorpors&sn. The sigu turc of any such officer and the a mpmate seal may be pmnted by f comae. t Y z z Ld CD CT Lki Lrl co Cr. cvi CL < z < 0 CL 0 z 0 0 0 6 < t:: 0 kA 0 C) Lr)Ln �4 z Lli V-) Z (9 LU z z 00 F-T LU < >: / z t uj LU z LLJ 0 LIJ z 4/2/2020 Company Profile COMPANY PROFILE Company Profile Company Search Company Information Company Search Results WESTERN SURETY COMPANY Company 151 N. FRANKLIN STREET Information CHICAGO, IL 60606 Old Company Names Agent for Service Old Company Names Effective Date Reference Information Agent For Service NAIC Group List Vivian Imperial Lines of Business 818 WEST SEVENTH STREET Workers' SUITE 930 Compensation LOS ANGELES CA 90017 Complaint and Request for Action/Appeals Reference Information Contact Information Financial Statements NAIC #: 13188 PDF's �— .... Annual Statements I California Company ID # 0761 7 ..... ...... Quarterly [Date Authorized in California: 07/29/1930 Statements Company Complaint License Status: UNLIMITED-NORMAL Company Company Type: Property&Casualty Performance& Comparison Data State of Domicile: SOUTH DAKOTA Company � -_.. �_.___ .! Enforcement Action Composite back to top Complaints Studies Additional Info NAIC Group List Find A Company Representative In Your Area NAIC Group #: 0218 CNA INS 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 SURETY back to top O 2008 California Department of Insurance https://interactive.web.insurance.ca.gov/companyprofile/companyprofile?event=companyProfile&doFunction=getCompanyProfile&eid=2977 1/1 Rating Services Rating Search: Search i If'rint DF H(l; Advanced Search Western Surety Company AMB#:000974 NAIC#:13188 FEIN#:460204900 Administrative Office 151 North Franklin Street Chicago, IL 60606 United States Web: ,,mvw.cnasurety.com Phone:312-822-5000 View Additional Address Information AM Best Rating Unit:AMB# 018214-Western Surety Group Assigned to insurance companies that have, in our opinion, an excellent ability to meet their .BEST ongoing insurance obligations. A gq„i View additional news,reports and pr.. Based on AM Best's analysis,050177-Loews Corporation is the AMB Ultimate Parent and identifies the topmost entity of the corporate structure.View a list of operating insurance entities in this structure. CreditBests Financial Strength Rating View Definition Best's Credit Rating Analyst i Rating: A(Excellent) Rating Office:A.M. Best Rating Services, Financial Size XIV($1.5 Billion to$2 Inc. Category: Billion) Financial Analyst:Ana Daley Outlook: Stable Associate Director:Gregory Dickerson Action: Affirmed - See the Disclosure information Form or Effective Date: July 11,2019 Press Release below for the office and analyst at Initial Rating Date: June 30, 1922 the time of the rating event. Disclosure Information Long-Term Issuer Credit Rating View efn tiUn Disclosure Information Form View AM Best's Dating Disclosure Forrn Press Release Powered by AM Bests Global Insurance Database Page I of Long-Term: a+ Af,J Best Upgrades lssue�Caedit Raiings of Outlook: Stable CNN�vandal Cori oration and Its Subsidiaries July 11,2019 Action: Upgraded Effective Date: July 11,2019 Initial Rating Date: June 21, 2005 u Denotes Re,View,e est's€`._>inc ......... ......... ............... ......... AM Best has provided ratings&analysis on this company since 1922. Financial Strength Rating Long-Term Issuer Credit Rating Effective Date Rating Effective Date Rating 7/11/2019 A 7/11/2019 a+ 7/5/2018 A 7/5/2018 a 6/14/2017 A 6/14/2017 a 2/23/2016 A 2/23/2016 a 12/16/2014 A 12/16/2014 a 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 �._..... ._..__ ............. -_. __._ _ __._. . 019498 Western Surety Represents Property/Casualty business of this legal entity. Group(CS) 01821 Western Surety Represents the AM Best Consolidated financials for the Property/Casualty Group(SG) business of this legal entity. Unit .. .......... ......... ....._..... ......... ..... M-M. n wMMMWIMlo �, � v edrt i op oli-financial data included in Best's Credit Report reflects the data used in determining the current credit rating(s)for AM Best Rating Unit:AMB#: ,'Veste n sm ty Gru C;ed:°hepor,-Ar&'`!e-reports which were released prior to the current Best's Credit Report, st's 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 Powered by AM Best's Global Insurance Database Page 2 of 4 is available to subscribers of Best's Insurance Reports. ........................................ ............................................................................................ . ........... ................................................ View additional news. repoi I,,and pmducts for this company. Effil Date Title .......................................... ------------- jul 11,2019 AM Best Upgrades Issuer Credit Ratings of CNA Financial Corporation and Its Subsidiaries Jul 05,2018 A.M.Best Revises Issuer Credit Rating Outlook to Positive for CNA Financial Corporation and Its Subsidiaries Jun 14,2017 A.M.Best Affirms Credit Ratings of CNA Financial Corporation and Its Subsidiaries Feb 23,2016 A.M.Best Affirms Ratings of CNA Financial Corporation and Its Subsidiaries Assigns Rating to New Senior Notes Dec 16,2014 A.M.Best Affirms Ratings of CNA Financial Corporation and Its Subsidiaries Dec 18,2013 A.M.Best Affirms Ratings of Western Surety Company and Its Subsidiaries Ian 11,2013 A.M.Best Affirms Ratings of Western Surety Company and Its Subsidiaries Apr 05,2012 A.M.Best Affirms Ratings of Western Surety Group and Its Members Feb 08,2010 A.M.Best Affirms Ratings of CNA Surety Corporation and Its Subsidiaries Dec 16,2008 A.M.Best Affirms Ratings of CNA Surety Corporation and Its Subsidiaries 1 2 Pane size: 10.......... ...........................-.............................................. ....................... ........................................................... ........................................................... .....................- ........................................ ............................ 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OC = Z(D o- Z_ N Z W 0 C0 F„ ce - CD 0 C" Z W Z W Dr = V G O Z ?> U. o � zz O N H Wo V Z J U �P W d` 0 p F- L 11 rn V1 U -- U m (0-1 W w ts. z c 0 N W w U z Q z w z Q w 0 Q u o0 i Q fV c cr� LLJ Cn W 0 z o Q O N CITY OF HUNTINGTON BEACH PROJECT NAME: Residential Overlay Zone 9 CC#: 1596 BID OPENING DATE: 2/18/2020 TIME & LOCATION: 2:00 PM/Council Chambers ENGINEER'S ESTIMATE: $3,050,000.00 BIDS SUBMITTED (AS READ AT OPENING) BIDDER'S NAME FINAL APPARENT BID RANK AMOUNT All American Asphalt EBS General Engineering, Inc. Excel Paving Hardy and Harper, Inc. Los Angeles Engineering Inc. 2 Onyx Paving Co. R.J. Noble Company Sully Miller PTS 12062018 Version 15 CC1596.xlsx 20 FEB 18 PH 2= 00 •• N rn W co _ CO m W U- _ O cc � N D� 2 l� 1 ;2-D RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) 0 , CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: y/Zy12--0 SUBJECT: Bond Acceptance I have received the bonds for w� L l/YYI (Company N e CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. L30 d C) Payment Bond (Labor and Materials) Bond No. 360cl U,-2- Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved (Council Approval Date) CC No. Agenda4tern No. �yy I MSC No. City Clerk Vault No. Other No. SIRE System ID No. g1forms/bond transmittal to treasurer City of Huntington Beach -� - . # _ 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov FFa : Office of the City Clerk !l,19D9 Robin Estanislau, City Clerk April 29, 2020 RJ Nobel Company Attn: Steve Mendoza 15505 E. Lincoln Ave., P.O. Box 620 Orange, CA 92856 Re: Residential Overlay of Maintenance Zone 9, CC -1596 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, Q 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 r City of Huntington Beach File #: 20-1441 MEETING DATE: 3/2/2020 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 R.J. Noble Company in the amount of $2,551,614 for the Residential Overlay Zone 9 Project, CC-1596; and, authorize the appropriation of funds Statement of Issue: On February 18, 2020, bids were publicly opened for the Residential Overlay Zone 9 Project. City Council action is requested to award the construction contract to R.J. Noble Company, the lowest responsive and responsible bidder. Financial Impact: The total cost of the project, including contingency and supplemental expenses, is $2,870,000. Funds for this project are available in the current fiscal year budget in the Gas Tax Account 20790057.82300 ($2,491 ,315), the Sewer Fund 51185101.82300 ($100,000) and Water Fund 50685201.82300 ($100,000). An additional appropriation of $178,685 from the Gas Tax Fund is requested. Recommended Action: A) Appropriate $178,685 from Gas Tax Fund (207) to Account 20790057.82300; and, B) Accept the lowest responsive and responsible bid submitted by R.J. Noble Company in the amount of $2,551,614; 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. Analysis: The City's pavement Management Program (PMP) calculates a pavement condition for each street. The conditions are rated from 0 to 100, with 0 being the worst and 100 indicating perfect condition. As part of the PMP, a residential network was created dividing the City into 12 maintenance zones to allow the City to better coordinate maintenance activities. This project will rehabilitate 139 street City of Huntington Beach Page 1 of 2 Printed on 2/26/2020 powerelltl Legistar- File #: 20-1441 MEETING DATE: 3/2/2020 segments with pavement condition ratings below 55, which is considered very poor, in maintenance zone 9. Maintenance zone 9 is located in the Northern Area of the City. The street segments to be overlaid will be crack sealed. Localized 2" pavement repairs will be performed were needed. Edge grinding will be performed along all concrete curbs, gutters, and cross gutters using a milling machine before applying a final 1.5" asphalt overlay. Streets suffering from reflective cracking will have a geotextile fabric placed between the existing surface and the new 1.5" asphalt overlay to increase structural stability. Bids were publicly opened on February 18, 2020, with the following results: BIDDER'S NAME BID AMOUNT R.J. Noble Company $2,551,614 All American Asphalt $2,777,744 Excel Paving 2,938,105 Shawnan 3,075,800 Sully Miller Contracting Co. 13,263,000 R.J. Noble Company has provided acceptable experience on similar projects in the past. Therefore, staff recommends awarding a contract to R.J. Noble Company in the amount of $2,551,614. The total cost of the project is $2,870,000. This total includes the construction contract of $2,551,614 plus ten-percent (10%) construction contingency of $255,161 and supplemental expenses of $63,225 for inspection services. The engineer's estimate for this project was $3,050,000. 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 2/26/2020 powereMy LegistarTI �o 0 cn BOLSA AVE%� A NTS McFADDEN z O cn RD ED1 ER AVE. 242 O O RD RD Rp QCD m Q HEIL 251 VE ��- o' O RD RD RD 0 RD '(7) 169 261 1 262 J 263 WARNER AVE. W 0 RD 273 zQ =SLATER AVE. w CD a. � N z TAL ERT VE. Lij 9�� 0 00 ELLI AVE. GARFIELD - -r AVE. 7 Q m Q �C, YORI, TOWN AVE. c i w 0 ADAMS AVE. Of cn �� CF INDIANAPOLIS AVE. _ PROJECT LOCATION �`'Y zz g of 0 A LANTA g 0z_= AVE. rk PROJECT INCLUDES REPORTING DISTRICTS (RD) 169, 232, 242, 251, 252, 253, 261, 262, OC w Q U 263, 264, 273 Fq,L z :2 m HAMIl TON AVE. BANNING LEGEND AVE. PROJECT BOUNDARY ______ RD BOUNDARY RESIDENTIAL OVERLAY ZONE 9 PROJECT LOCATION MAP 'i• >,�t CITY OF HUNTINGTON BEACH DEPARTMENT OF PUBLIC WORKS 1 OF 1 Pie 1/,30120 ,D/ 13120 NOTICE INVITING SEALED BIDS for the construction of RESIDENTIAL OVERLAY OF MAINTENANCE ZONE 9 CC No. 1596 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as AGENCY, invites sealed bids for the above stated projects and will receive such bids in the office of the City Clerk, Second Floor, 2000 Main Street, Huntington Beach, California 92648,up to the hour of 2:00 P.M. on February 18,2020. 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/govemment/departments/public works/Bids/ Open website,then click on"Current Advertised Projects"tab. Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California, the minimum prevailing rate of per diem wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial Relations of the State of California, which are on file at the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. The AGENCY will deduct 5% retention from all progress payments. The Contractor may substitute an escrow holder surety of equal value to the retention in accordance with the provisions of the Public Contract Code,Section 10263. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race, color, national origin, ancestry, sex, or religion in any consideration leading to the award of contract. 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 the bid opening. 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 rehabilitate approximately 135 residential streets in Maintenance Zone 9.Maintenance Zone 9 is located in the Northern Area of the City and generally includes streets north of Warner Ave., east of Edwards St., and south-west of the 1-405 freeway. The contract shall allow the Contractor 60 working days to complete the contract. The engineer's estimate for this project is $3,050,000. The AGENCY reserves the right to reject any or all bids, to waive any irregularity and to take all bids under advisement for a maximum period of 60 days. BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH, CALIFORNIA, the 3rd day of June 2019.)by Resolution No. 2019-28. Attest: /s/Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH Switzer, Donna From: David Ward <daward@scng.com> Sent: Friday, January 24, 2020 5:47 AM To: Switzer, Donna Cc: Munoz Morris, Gabriel; Estanislau, Robin; Esparza, Patty; Broussard, Todd; Moore, Tania Subject: Re: NISB - CC No. 1596 Good morning Donna. Your notice is all set and ready to go. Have a great weekend. Ad#11357070 Run Dates 1/30, 2/6, 2/13 Cost $1056 PROOF i NOTICE INVITING SEALED BIDS for the construction of RESIDENTIAL OVERLAY OF MAINTENANCE ZONE 9 CC No. 1S96 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 prolects and will receive such bids in the office of the City Clerk, Second Floor, 2000 Main Street, Huntington Beach, California 92648, up to the hour of 2:00 P.M. on February 18, 2020. 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, CA92548, 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, Specifl- catior� an contract Doc ments can be dgwnloaded fr a on AGENCYw+tebsite t:. p: rww.huntino onbeachco.yovlgovernmentfdepartments public wor s/Bidsf Open website,then click on"Current Advertised Projects'fob. Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California, the mini- mum prevailing rate of per diem wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial Rela- tions of the State of California, which are on file at the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. The AGENCY will deduct 5% retention from all progress payments. The Contractor may substitute an escrow holder surety of equal value lathe retention in accordance with the pro- visions of the Public Contract Code, Section 10263. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afford- ed full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race,color, national origin, ancestry, sex, or religion in any considera- tion leading to the award of contract. No bid shall be considered unless it is prepared on the approved Proposal forms in conform- ance with the Instructions to Bidders as determined by the AGENCY. The bid must be ac- companied by a certified check, cashier's check, or bidder's bond made payable to the AGEN- CYfor an amount no less than 10%of the amount bid. The successful bidder shall be licensed in accordance with provisions of the Business and Professions Code and shall possess a State Contractor's License Class A at the time of the bid opening. The successful Contractor and his subcontractors will be rewired to possess business licens- es from the AGENCY.All extension of unit prices will be subject to verification by the AGEN- CY. In case of a variation between the unit price and the extension, the unit price will gov- ern. Project Description: This project will rehabilitate approximately 135 residential streets in Maintenance Zone 9. Maintenance Zone 9 is located in the Northern Area of the City and en- erally includes streets north of Warner Ave., east of Edwards St., and south-west of the PA05 freeway. The contract shal I al I ow the Contractor 60 worki ng days to complete the contract. The engineers estimate for this project is$3,050,000. The AGENCY reserves the right to reject any or all bids, to waive any irregularity and to take of I bids under advisement for a maximum period of 60 days. BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH, CALI FORNIA, the3rd day of June 2019, by Resolution No.2019-28. Attest: /s/Robin Estanislau CITYCLERKOFTHECITYOF HUNTINGTON BEACH Published: The Huntington Beach Wave January 30, February b, 13,202011357070 David Ward Legal Advertising Rep 2 2190 S. Towne Centre PI. Anaheim, CA 92806 714-796-6764 daward@scng.com PLEASE NOTE THE E-MAIL ADDRESS HAS CHANGED SOUTHEHII CALIFOHnIR NEWS GROUP On Thu, Jan 23, 2020 at 3:12 PM Switzer, Donna<Donna.Switzerksurfcity-hb.org>wrote: Hi David, Please publish the attached NISB for CC No. 1596 on 1/30, 2/6, and 2/13/2020. Thank you! 'D&n AAWSWXber Deputy City Clerk City of Huntington Beach 2000 Main Street Huntington Beach, CA 92648 (714)374-1649 Donna.Switzerasurfcity-hb.org 3 UNSUCCESSFUL BIDS CC - 1596 Residential Overlay of Maintenance Zone 9 City of Huntington Beach ' 20oo Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov y fB•h 1909,P. � Office of the City Clerk Robin Estanislau, City Clerk August 13, 2020 All American Asphalt P.O. Box 2229 Corona, CA 92878-2229 RE: Residential Overlay of Maintenance Zone 9 - CC No. 1596 Enclosed please find your original bid bond for CC-1596. Sincerely, Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of RESIDENTIAL OVERLAY OF MAINTENANCE ZONE 9 CC No. 1596 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 readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. GI 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 10% Bidders Bond in the amount of 10% which said amount is not less than 10%of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 SECTION C PROJECT BID SCHEDULE A RESIDENTIAL OVERLAY MAINTENANCE ZONE 9 CC1596 Item z g ti DeseritrfiOn (tiyq s Q11al1tity Unit Unat Cost $TotaE{`opt x s F ' 1 Mobilization including crack sealing(Maintenance Zone 9) 1 LS $gaq $ q7 3 t U 2 Prepare Storm Water Pollution Prevention Plan(SWPPP) (Maintenance Zone 9) 1 LS $5000 3 Install&Maintain Construction BMPs(Maintenance Zone 9) 1 LS $Si'lO $ 2 0 4 Construction Project Traffic Control(Maintenance Zone 9) 1 LS $1 00 $10000 5 Tapered cold mill per Detail in Specifications including g5000 disposal 940,000 SF $ -)J $ Ti 6 Cold mill full width of asphalt section at 1 1/2"depth 301,000 SF $ .2 q $—L 7 Furnish and Install Petromat per Specifications 1,181,000 SF $ 4 $ 8 Install 1 1/2" (0.12')Type III C3-PG-64-10-RAP Asphalt Concrete Overlay 22,200 TN $ 79•S�D $ Provide pavement removal with 2"(0.17')Cold Mill and 9 Installation of 2"(0.17')Class B PG 70-10-RAP AC base course at various locations 45,000 SF $ 1• $ 3 7T 10 Replace and adjust Water Valve Cover to grade 370 EA $ 3V $ 11313a00 11 Adjust City Sewer Manhole to grade 245 EA $ 32L $ g0� .' 12 Provide Coating for Sewer Manhole Adjustment 70 EA $ 070 $ 5 lryO.�c�00 13 Adjust Storm Drain manhole to grade 1 EA $—qzo_ $ u7j 14 Adjust Utility Valve To Grade 15 EA $ �✓� $�000 15 Reinstall all existing Traffic Striping and Legends which comply with current standards. 1 LS $ �(�f�0 $ ����0 16 Provide Sewer Manhole Ring and Cover to replace any damaged Ring or Cover(Allowance) 5 EA $ $ 17 Install Traffic Loops 30 EA $ $ 7 TOTAL BID AMOUNT (BASIS OF AWARD)—SCHEDULE A $ ;1 �qzl.o 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-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar % of Item(s) Subcontractor License Registration# Amount Contract Number ►7 S� ����4 Vic roc $� ��57 C-i� IDDO�(�I(p►� �qy A% ��7 Syy;ofVO*MiVV1Ar ) 7 70XX l6'31 1do0001��� ��(��.(�3 1.517 It �#C\ ' I�000 NO � o 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 8 '7-*-*at Corona ,CA Date City State Michael Farkas , being first duly sworn. deposes and says tha he r she is Secretary of All American Asphalt the party making the foregoing bid that the bid is not made in the interest of,or on the behalf of,any undisclosed person, partnership, company, association, organization, or corporation, that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price. or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract,that all statements contained in the bid are true; and,further,that the bidder has not,directly or indirectly,submitted his or her bid price or any breakdown thereof:or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. All American Asphalt Name of Bidder Signature of Bidder Michael Farkas, Secretary 400 East Sixth Street , Corona, CA 92879 Address of Bidder C-4 CALIFORNIA JURAT GOV CODE § 8202 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of Riverside Subscribed and sworn to (or affirmed) before me on this 17th day of February 2020. Date Month By (1) Michael Farkas Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me (and KENONA o, NAZAR1 (2) Name of Signer Notary Public-California - Riverside County Commission K 2318601 Proved to me on the basis of satisfactory evidence Comm.Expires Jan 10,2024 be the person who appeared before me.) .r� Signature Place Notary Seal Above Signature of Nqf4ry Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Further Description of Any Attached Document RIGHT THUMBPRINT RIGHT THUMBPRINT OF SIGNER OF SIGNER Title or Type of Document Non-Collusion Affidavit HBeach Top of thumb here Top of thumb here Document Date: 2-17-2020 Number of Pages: 1 Signer(s)Other Than Named Above: None 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 OVERLAY OF MAINTENANCE ZONE 9,(I)(we)(it) will employ and utilize only qualified persons,as hereinafter defined,to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved" The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements. Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. All American Asphalt Contractor By Michael Farkas, Secretary Title Date: 21 1-7 lyD" C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162,the Bidder shall complete, under penalty of perjury,the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal. State or local government project because of a violation of law or a safety regulation? ❑ Yes ®No If the answer is yes, explain the circumstances in the space provided. N/A Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code,each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. All American Asphalt Contractor By Mechael Farkas, Secretary Title Date: R-/!7/A0 A y c-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: All American Asphalt Bidder Name 400 East Sixth Street Business Address Corona CA 92879 City, State Zip ( 951 ) nF;jRnn publicworks@allamericanasphalt.com Telephone Number Email Address 267073 A, C-12 State Contractor's License No. and Class 01/19/71 Original Date Issued 01/31/2022 Expiration Date 204k�/ The work site was inspected by Maurice Ramirez , PM of our office on February 11 , 21" The following are persons, firms, and corporations having a principal interest in this proposal: Mark Luer, President Edward J. Carlson, Vice President Michael Farkas, Secretary The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. All American Asphalt Company Name cam. ►L- -C� Signature of Bidder Michael Farkas, Secretary Printed or Typed Signature C-8 CALIFORNIA JURAT GOV CODE § 8202 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of Riverside Subscribed and sworn to (or affirmed) before me on this 171h day of February 2020, Date Month By (1) Michael Farkas Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me (and (2) Omy KENONA NAZARIName of Signer Notary Public•CaliforniaRiverside County Proved to me on the basis of satisfactory evidence Commission#2318601 Comm.Expires Jan,o,2o2a be the person who appeared before me.) Signature Place Notary Seal Above Signature of N ary Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Further Description of Any Attached Document RIGHT THUMBPRINT RIGHT THUMBPRINT OF SIGNER OF SIGNER Title or Type of Document Bidders Informationt HBeach Top of thumb here Top of thumb here Document Date: 2-17-2020 Number of Pages: 1 Signer(s)Other Than Named Above: None 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 ) i On before me, Month, Day, and Year Ins Name and Title of Notary personally appeared Nra ,), Yof Signer(s) who proved to me on the basis of tis ry evidence to be the person(s) whose name(s) is/are subscribed to the within instrume a"acknowledged to me that he/she/they executed the same in his/her/their authorized capa it ),and that by his/her/their signature(s)on the instrument the person(s), or the entity upon be h of which the person(s)acted, executed the instrument. i I certify under PENALTY,/OF PERJURY under the laws of the State of California that the foregoing paragraph is tru and correct. WITNESS my hand d official seal. Sig/ture Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of(Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets,an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."). Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. City of Indian Wells 44-950 Eldorado Drive, Indian Wells, CA 92210 Name and Address of Public Agency Name and Telephone No. of Project Manager: _ Ken A. Seumalo 760-346-2489 $599,599.59 Pavement Overlay 12/2018 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Reconstruction of access ram es, replace curb and gutter, striping, 2. Cold milling and Aspahlt Hot Mix City of Cypress 5275 Orange Avenue, Cypress, CA 90630 Name and Address of Public Agency Name and Telephone No. of Project Manager: Douglas Dancs 714-229-6740 $520,000.00 Overlay 12/2017 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Mobilization surveying traffic control, remove and replace AC Paving 3. City of West Covina1444 West Garvey Avenue South, West Covina, CA 91790 Name and Address of Public Agency Name and Telephone No. of Project Manager: Hany Demitri 626- 939-8445 $626-939-8445 Rehabilitation 09/2018 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Milling of existing AC pavement surface and replacing with conventional asphalt and remove and replace damaged curb and gutter, remove and replace access curb ramps C-10 2019 PAST WORK REFERENCES Pardee Homes Railroad Canyon Widening 1250 Corona Pointe Court, Ste. 600 Contract Amount: $5,062,746.00 Corona, CA. 92879 Start Date: 11/2018 Contact: Nick Lasher(951) 428-4442 End Time: 08/2019 nick.lashera—pardeehomes.com City of Fontana Citrus Avenue Improvements 8353 Sierra Avenue Contract Amount: $502,730.00 Fontana, CA. 92335 Start Date: 08/2018 Contact: Kimberly Young (909) 350-7632 End Date: 10/2019 kyoung@- ntana.org DR Horton Singlton Road 2280 Wardlow Circle Ste. 100 Contract Amount: $1,684,000.00 Corona, CA. 92880 Start Date: 07/2018 Contact: Keith Alex (951) 830-5872 End Date: 12/2019 kalexa,drhorton.com City of Ontario Eucalyptus Street Improvements 2201 Dupont Dr. #300 Contract Amount: $1,580,580.00 Irvine, CA. 92612 Start Date: 3/2018 Contact: Kavous Emami (909) 628-6234 End Date: 10/2019 Irvine Community Development Company Portola Springs PA-6 Enclave 5B Phasel, 2 550 Newport Center Dr. Ste. 550 B2 Contract Amount: $2,055,055.00 Newport Beach, CA. 92660 Start Date: 09/2018 Contact: Mike Morse (949) 720-2560 End Date: 12/2019 City of Downey FY 18/19 Slurry Seal Project 11111 Brookshire Avenue Contract Amount: $313,425.87 Downey, CA. 90241 Start Date: 06/2019 Contact: Desi Gutierrez, (562) 904-7110 End Date: 12/2019 da utie rr(a}_downeyca.o rg 2019 PAST WORK REFERENCES City of Chino Slurry Seal Maintenance Work PO Box 667 Contract Amount: $372,805.00 Chino, CA. 91708 Start Date: 1/2019 Contact: Dustin Postovoit (909) 334-3415 End Date: 12/2019 apostovoit(a)cityofchino.oro City of Lancaster 2018 Pavement Management Program 44933 Fern Avenue Contract Amount: $2,720,103.65 Lancaster, CA. 93534 Start Date: 3/2019 Contact: Greg Wilson (661) 570-8003 End Date: 12/2019 gwilson ,cityoflancasterca.org City of Colton FY 18-19 Asphalt Paving Project 650 N. La Cadena Dr. Contract Amount: $1,377,700.00 Colton, CA. 92324 Start Date: 3/2019 Contact: Victor Ortiz (909) 370-5099 End Date: 11/2019 vortiza-coltonca.qov City of Cathedral City Ortega Road Widening 68700 Ave Lalo Guerrero Contract Amount: $459,998.00 Cathedral City, CA. 92234 Start Date: 2/2019 Contact: John A. Corella (760) 770-0349 End Date: 12/2019 icol rella[D-cathedralcity.gov City of San Clemente Arterial Street Pavement Maintenance 910 Calle Negocio Contract Amount: $1,187,187.00 San Clemente, CA. 92673 Start Date: 3/2019 Contact: Gary Voborsky (949) 361-6132 End Date: 7/2019 voborskyq(&-san-cemente.orq " J/ PAST WORK REFERENCES City of Moreno Valley Alessandro Blvd.Street Improvements at 14177 Frederick St. Chogail Court and Graham Street Contract Amount: $445,821.50 P.O. Box 88005 Start:05/2018 Moreno Valley,CA 92552 Contact: Henry Ngo, P.E., (951)413-3106 Complete: 11/2018 henrvn@moval.org City of Aliso Viejo Aliso Creek and Road Rehab 12 Journey Street Ste#100 Contract Amount: $657,770.00 Aliso Viejo,CA 92656 Start:05/2018 Contact:Mari Shakir, (949)425-2556 Complete: 10/2018 Mshakir0?cityofaiisovieio.com City of Jurupa Valley Van Buren Blvd. Pavement Rehab.-PH2 8304 Limonite Avenue Suite M Contract Amount:$781,845.00 Jurupa Valley,CA 92509 Start:08/2018 Contact:Chase Keys, (951)332-6464 Complete:09/2018 ckeys@lurupavalley.org City of Irwindale rcorpis@irwindaleCA.gov 5050 N. Irwindale Avenue Irwindale 2017-2018 Resurfacing Project Irwindale,CA 91706 Contract Amount: $285,503.10 Contact: Richard Corpis, (626)430-2200 Start:07/2018 Complete:08/2018 "201 „ PAST WORKREFERENCES County of Los Angeles Pine Canyon Road P.O. Box 7508 Contract Amount:$3,288,999.00 Alhambra,CA 91802 Start:06/2018 Contact: Hoda Hassan, (626)458-3144 Complete: 11/2018 HHASSAN@dpw.lacounty.eov City of Rolling Hills Estates 2017-18 Street Resurfacing Project 4045 Palos Verdes Drive Contract Amount: $1,203,292.50 Rolling Hills Estates,CA 90274 Start:03/2018 Contact:Scott Gibson (909)210-0548 Finish:09/2018 sgibson@hrgreen.com City of Huntington Beach Heil and Main Street 2000 Main Street Contract Amount: $2,285,562.00 Huntington Beach,CA 92648 Start: 11/2017 Contact:Jim Escutia (714)536-5525 Finish:06/2018 iescutia@surfcity-hb.org City of Fontana Valley Blvd. Median Improvement Project 8353 Sierra Avenue Contract Amount:$164,715.00 Fontana,CA 92335 Start:03/2018 Contact:Jazmine Pena(909)350-6648 Finish:05/2018 ipena@fontana.org rr ,® PAST WORK REFERENCES City of Lake Forest Bake Parkway at Trabuco Road 25550 Commercentre Drive Contract Amount: $121,621.00 Lake Forest,CA 92630 Start:02/2018 Contact:Taylor Abernathy,(949)461-3490 Finish:06/2018 tabernathy@lakeforestca.goy City of La Quinta FY 16-17 Phase 2 Desert Club 74-495 Calle Tampico Contract amount: $697,474.76 La Quinta,CA 92253 Start date:06/2017 Contact: Ubaldo Ayon Jr.,(760)777-7051 Finish date 12/2017 uayon@la-guinta.org City of Canyon Lake Slurry Seal FY 2017-2018 Railroad Canyon/ Canyon Lake Drive 31516 Railroad Canyon Road Contract amount: $263,241.63 Canyon Lake,CA 92587 Start date:03/2018 Contact: Kenneth Bailey, (951)244-2955 Finish date: 12/2018 kennethbailev@caaprofessionals.com City of Newport Beach West Coast Highway Landscape Improvements, Phase 1,Contract No.7189-1 100 Civic Center Drive Contract amount:$604,284.50 Newport Beach,CA 92660 Start date:06/2018 Contact:Alfred Castanon, (949)644-3314 Finish date: 11/2019 ACasta non 2 new port beachca.gov r" PAST WORKREFERENCES Town of Apple Valley Navajo Road Rehabilitation 14955 Dale Evans Parkway Contract amount:$849,182.00 Apple Valley,CA 92307 Start date:07/2017 Contact: Rich Berger,(760)240-7000 ext 7530 Finish date: 12/2017 rbereer@applevalley.org City of Indian Wells Cook Street Rubberized Pavement Overlay 44-950 Eldorado Drive Contract amount:$599,599.59 Indian Wells, CA 92210 Start date:05/2018 Contact: Ken A.Seumalo, P.E., (760)346-2489, Finish date: 12/2018 kseumalo@lndianWells.com "2017" PAST WORK REFERENCES City of Rancho Cucamonga Base Line Rd. Pavement Rehab. 10500 Civic Center Drive Contract Amount: $1,130,470 Rancho Cucamonga, CA 91730 Start: 05/2017 Contact: Romeo David, (909)477-2740 Completed: 07/2017 Romeo.David@cityofrc.us City Of Temecula Margarita Road Pavement 41000 Main Street Rehab Temecula, CA 92590 Contract Amount: $2,577,770 Contact: William Becerra, (951)694-6444 Start: 05/2017 Will.becerra@temecula.gov Completed: 11/2017 IUVVII �Jl tyP11= VdIICy IVdVQ)V RUdU fCll[7lililldllUll 14955 Dale Evans Pkwy Contract Amount: $849,182 Apple Valley, CA 92307 Start: 08/2017 Contact: Rich Berger, (760)240-7000 Completed: 11/2017 rberger@applevalley.org City Of Victorville Water Warehouse #1 Paving 14343 Civic Dr. Project Victorville, CA 92392 Contract Amount: $251,008 Contact: Carlos Seanez, (760)955-5162 Start Date: 04/2017 cseanez@victorvilleca.gov Completed: 06/2017 City Of Santee Citywide Slurry Seal & Roadway 10601 Magnolia Ave Building 4 Maintenance 2017 Santee, CA 92071 Contract Amount: $285,061.90 Contact: Toby M. Espinola, P.E., (619)258-4100 Start: 06/2017 tobvespinola@cityofsanteeca.gov_ Completed: 10/2017 City Of Yucaipa 2015-2.016 Micro-Surfacing 34272 Yucaipa Blvd. Program Project No.11043 Yucaipa, CA 92399 Contract Amount: $252,379.06 Contact: John Larose, (909)797-2489 Start: 07/2017 ilarose@yucaipa.org Completed: 08/2017 City Of West Covina Residential Street Rehabilitation Eclipse Way &Jennifer PI SP 17038 West Covina, CA 91792 Contract Amount: $469,960.70 Contact: Hany Demitri, (626)939-8445 Start: 05/01/17 Hany.Demitri@.westcovina.gov Completed: 06/09/2017 City Of Highland 2015-16 CDBG Streets Pavement McKinley Ave & 9th St Improvements San Bernardino, CA 92410 Contract Amount: $823,389.68 Contact Name: Carlos Zamano, (909)864-8732 Start: 06/05/17 czamano cityofhighland.org Completed: 10/13/17 County Of Riverside Gilman Springs 2950 Washington Street Contract Amount: $1,662,671.20 Riverside, CA 92504 Start: 11/2016 Contact Name: Justin Robbins, (951)955-6885 Completed: 08/2017 JROBBINS@rctlma.org City Of Palm Springs Taxiway J Rehabilitation 3400 E. Tahquitz Cyn Way Ste 1 Contract Amount: $291,482.99 Palm Springs, CA 92262 Start: 09/2017 Contact Name: Robert Denning, (541)324-7321 Completed: 10/2017 Robert.denning@aecom.com County Of Orange Pavement Maintenance and Repair P.O. Box 4048 Contract Amount: $3,115,000.00 Santa Ana, CA 27074 Start: 08/2016 Contact Name: Rick Cathay, (949)252-5171 Completed: 12/2017 RCathey@gcair.co City Of Anaheim Santa Ana Streets from Claudia to 200 S. Anaheim Blvd. Claudia Anaheim, CA 92805 Contract Amount: $589,270.00 Contact Name: Bob Palaeologus, (562)879-3602 Start: 06/2016 rpalaeologus@simplusmanagement.com Completed: 12/2017 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. I. Maurice Ramirez, Project Manager ( See Attached Resume) Name of proposed Project Manager Telephone No. of proposed Project Manager: 951-736-7600 Ext 242 2017-18 Street Resurfacing Project Resurfacing 09/2018 Project Name& Contract Amount Type of Work Date Completed Pine Canyon Road Improvement 11/2018 Project Name& Contract Amount Type of Work Date Completed Cook Street Rubberized Pavement Overlay Overlay 1212018 Project Name& Contract Amount Type of Work Date Completed 2. Rick Selph , Superintendent (See Attached Resume) Name of proposed Superintendent Telephone No. of proposed Superintendent: 951-453-4645 Grand Ave. Beautification Project Rehabilitation 512019 Project Name& Contract Amount Type of Work Date Completed Pacific Park Rehab-Chase to 73 FWY Rehabilitation 12/2016 Project Name& Contract Amount Type of Work Date Completed Aliso Creek and Road Rehab Rehabilitation 12-/�-18 Project Name & Contract Amount Type of Work Date Completed C-1 I MAURICE RAMIREZ 211 3211 Street,Unit B,Newport Beach,CA 92663 Mramirez@allamericanasphalt.com■Cell:(714)395-7044 EDUCATION University of California,Santa Barbara,Santa Barbara,CA,Graduated June 2012 ■ Bachelor of Arts in Business Economics with an emphasis in Accounting Rancho Santiago Canyon College,Orange,CA ■ Associate's Degree Obtained: June 2010 WORK EXPERIENCE Project Manager,All American Asphalt,Corona,CA January 2017—Present ■ Manage the financial aspects of contracts such as job costs,billings,change orders and collections ■ Review and monitored accounts payable,subcontracts,time sheets and billable quantities ■ Monitor and control construction through administrative direction to ensure projects are built on schedule and within budget ■ Review technical specifications and plans to perform quantity take offs and generate an estimated price per project Paving/Public Works Foreman,All American Asphalt,Corona,CA,June 2016—January 2017 ■ Managed the number of trucks/working hours with the grinder to meet production goals and stay within budget ■ Measured the job in advance for the production set-up(i.e.equipment, labor,material,and trucking) ■ Base and cap projects with a patch crew using a combo truck and skip loader ■ Managed the AC trucks,crew production,and quality of work with both a full paving crew and a patch crew ■ Supervised concrete saw-cutting,removals,grading,concrete pours,and backfill/restoration Project Engineer,Griffith Company,Santa Fe Springs,CA,April 2013—July 2014 ■ Managed the financial aspects of contracts such as job costs,billings,change orders and collections ■ Maintained communication with project owner representatives to ensure proper payment for work performed beyond the original contract amount ■ Reviewed and monitored accounts payable,subcontracts,time sheets and billable quantities ■ Monitored and controlled construction through administrative direction to ensure projects were built on schedule and within budget ■ Reviewed technical specifications and plans to perform quantity take offs and generate an estimated price per project ■ Maintained paper work for Water Pollution Control Programs and Storm Water Pollution Prevention Plans Operating Engineer,All American Asphalt,Irvine,CA,Summer 2005, Summer 2006,September 2008-Present Position entails work in three unique areas: ■ Plant Operator-worked jointly with three other operating engineers at the plant repairing and maintaining equipment used in the production of asphalt ■ Screed Man-endured a high-pace,high-stress environment,operating the screed to set fills and make the road smooth;this position requires precise work as there is only one chance to lay the asphalt correctly ■ Roller Man-responsible for rolling asphalt to the correct compaction level;work jointly with compaction technicians, who monitor the density of the finished product to achieve the highest profit per contract Parts Technician,All American Asphalt,Corona,CA, September 2007-September 2008 VOLUNTEER ACTIVITIES UCSB Community Affairs Board Volunteer(CAB),Goleta,CA, March 2010-June 2012 ■ Participated in community service events in the Santa Barbara community ranging from assisting students in after school programs at Isla Vista Elementary school to helping repair foliage at the Santa Barbara Zoo ACADEMIC LEADERSHIP Leadership& Teamwork,UC Santa Barbara 2010-2012 ■ Worked jointly with four classmates in a professional writing class creating a business proposal focusing on environmental sustainability ■ Led a group of five economic majors conducting research and analyses in sector/industry trends,company data,and valuation metrics in forming an investment thesis �{ee�hre�ica� Jiyb��i�te��e�t �951J�53-�6g5 Rick Selph has been with All American Asphalt with 32 years where he has held a variety of different positions, most currently being a manager for over 20 years. As a superintendent, Rick is in charge scheduling jobs, attending meetings, consistently improving job quality and keeping accurate records of quantities used on jobs to maintain meticulous invoicing. All American Asphalt feels that Rick Selph is the best superintendent for this job because of his extensive knowledge of Orange County. References: Reza Jafari City of Irvine 949-724-7545 Tom Banks City of Costa Mesa 714-925-7424 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July I through June 30 state fiscal year) with the California Department of Industrial Relations(DIR).Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/Public Works/SB854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https:Hefiling.dir.ca.gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCRJSearch.action 1 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." 1 furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. All American Asphalt Contractor -� By publicworks@allamericanasphalt.com Email Michael Farkas, Secretary Title Date: ,�/ /7 PWC Registration #: 1000001051 C-12 Registrations Page 1 of 2 State of California Back to DIR»(https://www.dir.ca.govn y - Department of Industrial Relations (https./ r+ i'r;ir.ca.gov/) Con rt actor Information i Legal Entity Name ALL AMERICAN ASPHALT Corporation Active i 1000001051 I 07/01/19 I i 06/30/20 PO BOX 2229 CORONA 92878 CA United States of America j 400 E SIXTH ST CORONA 92879 CA United States of America `I publicworks@allamericanasphalt.com j i License Number(s) CSLB:267073 Legal Entity Information I Corporation Entity Number: C0570879 I Federal Employment Identification Number: 952595043 ! President Name: MARK LUER Vice President Name: EDWARD J CARLSON I Treasurer Name: MICHAEL FARKAS Secretary Name: MICHAEL FARKAS CEO Name: j I I Agency for Service: I l ' l ' Agent of Service Name: MICHAEL FARKAS Agent of Service Mailing Address: 400E SIXTH ST CORONA 92879 CA United States of America I Worker's Compensation I I Do you lease employees through Professional Employer Organization(PEO)?: No i Please provide your current worker's compensation insurance information below: j PEO PEO PEO j PEOlnformationName Phone Email I i Insured by Carrier I Policy Holder Name: ALL AMERICAN ASPHALT { Insurance Carrier: ZURICH AMERICAN INSURANCE COMPANY j Policy Number: WC593205701 Inception date: 08/01/18 ! Expiration Date: 08/31/19 i About DIR Who we are(https://www.dir.ca.gov/aboutdir.html) DIR Divisions,Boards&Commissions(https://www.dir.ca.gov/divisions_and_programs.html) Contact DIR(https://www.dir.ca.gov/Contactus.html) Work with Us Jobs at DIR(https://www.dir.ca.gov/dirjobs/dirjobs.htm) Licensing,registrations,certifications&permits(https://www.dir.ca.gov/permits-licenses-certifications.html) Required Notifications(https://www.dir.ca.gov/dosh/Required-Notifir-ations.html) Public Records Requests(https://www.dir.ca.gov/pra_request.html) Learn More Acceso a!idioma(http://www.dir.ca.gov//Bilingual-Services-Act/default.html) Frequently Asked Questions(https://www.dir.ca.gov/fagslist.htmi) Site Map(https://www.dir.ca.gov/sitemap/sitemap.htmi) https:Hcadir.secure.force.com/ContractorSearch/registrationSearchDetails 2/4/2020 D Fidelity and Deposit Company of Maryland BID BOND KNOW ALL MEN BY THESE PRESENTS: That we, ALL AMERICAN ASPHALT BOND NO.085 97 423 as Principal,(hereinafter called the"Principal'),and FIDELITY AND DEPOSIT COMPANY OF MARYLAND ,a corporation duly organized under the laws of the State of Illinois ,as Surety,(hereinafter called the"Surety"),are held and firmly bound unto City of Huntington Beach as Obligee,(hereinafter called the"Obligee"),in the sum of Ten Percent of Total Amount Bid---- Dollars($ 10% of Bid ),for the payment of which sum well and truly to be made,the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. WHEREAS,the Principal has submitted a bid for Residential Overlay of Maintenance Zone 9 -CC No. 1596 Bid Date:February 18, 2020 NOW,THEREFORE,if the Obligee shall accept the bid of the Principal and the Principal shall enter into a contract with the Obligee in accordance with the terms of such bid and give such bond or bonds as may be specified in the bidding or contract documents with good and sufficient surety for the faithful performance of such contract and for the prompt payment of labor and material furnished in the prosecution thereof,or in the event of the failure of the Principal to enter into such contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 7th day of February A.D., 2020 ALL ANIERICAN ASPHALT 44,OtA�)A Print* al JJ6 &UIEtness _ (SEAL) FIDELITY AND DEPOSIT COMPANY OF MARYLAND Surety By 1Q_t o2M n. (SEAL). Rebecca Haas-Bates ,Attorney-in4q'act BID70000ZZ0701f CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached.and not the truthfulness.accuracy.or validitv of that document. State of California County of Riverside On February 17, 2020 before me, B. Royster,Notary Public Date Here Insert name and Title of the Officer personally appeared Michael Farkas Name*-of SignertAr— f who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/al=e subscribed to the within instrument B.ROYSTER and acknowledged to me that he/she" executed the same in Notary Public-Califomia Mer/+F oi� Q RiversideCounty his,he4t� authorized capacity(ies), and that by his/be4t#eifCommission x 2260352 - signature(s) on the instrument the person(s), or the entity upon behalf y Comm.Expires Oct 26,2oz2 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 forgoing paragraph is true and correct. WITNESS m hand d official seal Signature Place Notary Seal Above - S' ature of Notary ublic OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Bid Bond—City of Huntington Beach Document Date: February 7, 2020 Number of Pages: 3 Signer(s) Other Than Named Above: Rebecca Haas-Bates, Attorney-in-Fact Capacity(ies)Claimed by Signer(s) Signer's Name: Michael Farkas Signer's Name: ❑ Individual ❑ Individual X Corporate Officer—Title(&): Corp. Secretary ❑Corporate Officer—Title(s): ❑ Partner❑ ❑ Limited ❑General RIGHTTHUMBPRINT ❑ Partner❑ZFact RIGHT THUMBPRINT ❑Attorney in Fact ❑Attorney in❑Trustee Top of thumb here ❑TrusteeTop of thumb here ❑ Other: ❑ Other: Signer is Representing: Sig er is Representing: All American Asphalt r , 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 02/07/2020 before me, A.MacFarlane,Notary Public Date Here Insert Name and Title of the Officer personally appeared Rebecca Haas-Bates NameKof SignerN r who proved to me on the basis of satisfactory evidence to be the persons} whose name(a$ is/axe subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hislher/thsir authorized capacity,and that by his(her/fhsir signatureZ.on the instrument the person(* or the entity upon behalf of which the persons)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. A.MACFARLANE NotaryPublic-California Z Orange County Signature z Commission#2188592 My Comm.Expires Mar 27,2021 Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Bid Bond Document Date: 02/07/2020 Number of Pages: One 1 Signer(s) Other Than Named Above: All American Asphalt Capacity(ies) Claimed by Signer(s) Signer's Name:. Rebecca Haas-Bates Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s):. ❑Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑General ❑ Individual la Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: Fidelity and Deposit Company of Maryland 02014 National Notary Association •www.NationalNotary.org - 1-800-US NOTARY(1-800-876-6827) Item#5907 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V,Section 8,Attorneys-in-Fact. The Chief Executive Officer,the President,or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any such appointment or authority at any time. CERTIFICATE I, the undersigned, Secretary 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 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 7th day of February 2020 titt,.ab�l� ��t4/tf3'1�i�S 4r e Ir n0 17 6 ini SEAL ern � bo'�.-.�.:�► �4w �tirN�1 By: 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.rel2ortsfclaimsgzurichna.com 800-626-4577 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D.Murray,Vice President,in pursuance of authority granted by Article V,Section 8,of the By-Laws of said Companies,which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint William SYRKIN, Rebecca HAAS-BATES, Sergio D. BECHARA and Richard ADAIR, all of Irvine, California,EACH,its true and lawful agent and Attorney-in-Fact,to make,execute,seal and deliver,for,and on its behalf as surety,and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York,New York.,the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills,Maryland.,and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland.,in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V,Section 8,of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF,the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 1 Ith day of June,A.D.2019. r`""i►i'+so"'� RAL ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY �> FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Robert D.Murray Vice President 9 By: Dawn E. Brown Secretary State of Maryland County of Baltimore On this 1 Ith 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 swom,deposeth and saith,that he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written. Constance A.Dunn,Notary Public tit, I �` My Commission Expires:July 9,2023 z �tL #r as 33�v xx, as '�w yy�/��r/I}1F � � OWNS 2 il�r� d � 01 s3s� ��' ..a t�sf.��>• `k:�� _�� Y�'i�'" �'w�}u4"iek��r � �+�«�Z"`'"#t I3��'.;. F„�„L V A� r s I_N r6 r w e. ao V x f CA cc 00 f> �_ 40 w G=+ Z W LLJ LU f-- d W cv ~ w H e A y tY`3�w, } � - - 71 ' City of Huntington Beach =� f 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov fB. j9p9"° Office of the City Clerk Robin Estanislau, City Clerk August 13, 2020 PALP, Inc. dba Excel Paving 2230 Lemon Ave. Long Beach, CA 90806 RE: Residential Overlay of Maintenance Zone 9 - CC No. 1596 Enclosed please find your original bid bond for CC-1596. Sincerely, Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of RESIDENTIAL OVERLAY OF MAINTENANCE ZONE 9 CC No. 1596 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 readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. 'TrH prr4oMT OF AMOUNT BID Accompanying this proposal of bid, find 8in the amount of which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: tak"" Addenda No. Date Received Bidder's Signature C-2 SECTION C PROJECT BID SCHEDULE A RESIDENTIAL OVERLAY MAINTENANCE ZONE 9 CC 1596 Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 1 Mobilization including crack sealing(Maintenance Zone 9) 1 LS $ 2,An(M. $ )� 2 Prepare Storm Water Pollution Prevention Plan (SWPPP) (Maintenance Zone 9) 1 LS $ $ � 3 Install&Maintain Construction BMPs (Maintenance Zone 9) 1 LS 4 Construction Project Traffic Control (Maintenance Zone 9) 1 LS $:1'6WO $ 13(W 5 Tapered cold mill per Detail in Specifications including disposal 940,000 SF $ 0.23 $ ZIla2UU 6 Cold mill full width of asphalt section at 1 1/2"depth 301,000 SF $ D•M $ B�1 • 7 Furnish and Install Petromat per Specifications 1,181,000 SF $ 0 15 $ 8 Install 1 112" (0.12')Type III C3-PG-64-10-RAP Asphalt Concrete Overlay 22,200 TN $ 71 $ Provide pavement removal with 2"(0.17')Cold Mill and 9 Installation of 2" (0.1 T)Class B PG 70-10-RAP AC base course at various locations 45,000 SF $ 2- $ /LZ SX- 10 Replace and adjust Water Valve Cover to grade 370 EA 11 Adjust City Sewer Manhole to grade 245 EA �—,2 Provide Coating for Sewer Manhole Adjustment 70 EA $ L70 $ bg4V 13 Adjust Storm Drain manhole to grade 1 EA $ &00• ' $ 6;60- 14 Adjust Utility Valve To Grade 15 EA $ 00. $ 15 Reinstall all existing Traffic Striping and Legends which I��� comply with current standards. 1 LS $ LtgW $ 16 Provide Sewer Manhole Ring and Cover to replace any damaged Ring or Cover(Allowance) 5 EA $ 6 $ 337,5, 17 Install Traffic Loops 30 EA $ 230• $(p9U�• ' TOTAL BID AMOUNT (BASIS OF AWARD) —SCHEDULE A $ a g36 106. TOTAL BID AMOUNT IN WORDS: Ia 44/U butt r"T�I` "lI°, d� l�t�rx.� �j vi= Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar % of Item(s) Subcontractor License Registration# Amount Contract Number S,Ip q l QXI l;SDh.c,�k V-1013 A IWdMOSl Mild 000 � W-114 br C4 I LO15 + Qav 4 Co. 1161 P✓ (%Cf_5s C4- I0�- 131� U2 it30�a(a{P23 ��s- _ 2.3 Cafm INI 0' C+ dlus(o C,Ot�)N�S ,� +voovt7339Z 1�2y21o. 5.� c, to uI 0 fah �wcu►�e 303(oo°I ( 2 cR1 P01 VOA CA- Rl151- �- s/f-rJ Got' 61 A . a. Sake! Se�lt En�Pr �� 73119"1 c 0 1000W3 n� gecc�. � 61 2�4� C 3? l5 SUP 46 c)r t A M"m) V3 I S'Iti/l�iH 531 L 6JP'Ftq Sr b30- L-' 2- IOOUoa ly�G C'vef-q «3 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 66 � `� , ati ONG RFar,u , CRLiFCRNlA Date City State Curtis P. Brown III , being,fr t ua rn, deposes and says that he or she is presidentof AN 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. PALF'', 1,1ic DBA EXCEL PAS/ING COMPANY Name of Bidder rown 111 S' nature of Bidder pMsident 2230 LEMON AVE LONG BEACH, CA 9W Address of Bidder C-4 CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of Los Angeles } On fC � 1$-- before me, R. Covington, Notary Public ere mse�me e�L e W t a o"frcer personally appeared /A h S (�. -� --N- who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/aKe subscribed to the within instrument and acknowledged to me that he/s*g" executed the same in his/* it authorized capacity(ies), and that by his/hetxil!9xir 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. R.COVINGTON = WITNESS my hand and official seal. COMM.#2157907 NOTARY PUBLIC-CALIFORNIA L.OS ANGELES COUNTY � - MY comrr**ion=08/24/2= - Notary Public Signature (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMI PLET1NG THIS FORM This form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT (fneeded,should be completed and attached to the document.Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary law. (Title or description of attached document) • State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment. Date of notarization must be the date that the signcr(s)personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title(notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. ❑ Individual {s) he/she/they,-is/are)or circling the correct forms.Failure to correctly indicate this information may lead to rejection of document recording. �( Corporate Officer • The notary seal impression must be clear and photographically reproducible. President Impression must not cover text or lines. If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. ❑ Attorney-in-Fact . Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other Indicate title or type of attached document,number of pages and date. ❑ e Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). 2015 Version www.Not aryclasses com 800-873-9865 • Securely attach this document to the signed document with a staple. UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract,known as the RESIDENTIAL OVERLAY OF MAINTENANCE ZONE 9, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. PALP. NC DBA EXCEL PA LING COh1PANY Contractor —ate Curtis P. Brown III President 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 3/No If the answer is yes, explain the circumstances in the space provided. k)� Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code,each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. PALP, INC DBA ontractor Curtis P. Brown III President Title Date:'-`' ' C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name PALP, INC DBA EXCEL PAVING Business Address 2230 LEMON AVE BEACH, CA 90806 City, State Zip 562) 599-5841 4siimatiagQexcelp0vina,net Telephone Number Email Address STATl`IJG#688669 State Contractor's License No. and Class A, C12, C31 Original Date Issued Expiration Date }-. The work site was inspected by%'E Q1 4% s of our office on �, �� , 201_. The following are persons, firms, and corporations having a principal interest in this proposal: ui David A.Drukker Vice President and Chief Financial officer Marcia S.Miller Secretary Crissa A.Phillips Asst.Secretary PALP, ItiC DBA 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. PALP, INC DBA EXCEL PAVING COMPANY Company Name Sigfature of Bidder Curtis P. Brown III President Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this_day of FR 18 2020 , 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 CAUFQANIA County of LOS AUGELES ) On • ;r!,; before me, ,(',(VI/ Myo ) Month, Day, and Year Insert Mine and Title of Notary personally appeared Curtis R Brown III Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. dIIIIIIII I let ISO WITNESS my hand and official seal. R.COVINGTON �w COMM.#2157907 • NOTARY PUBLIC-CALIFORNIA '' LOS ANGELES COUNTY My Commission Expires 06124/2020 ,� �nus�nni�ussnnnn�su�suni� Signature Lwyyz Signature of Not ty Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets,an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."I. 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. 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 TTACMO 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. ame of proposed Project Manager Telephone No. of proposed Project Manager662) 599-5841 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. 4(, SC �Z)QWC-A, Name of proposed Superintendent Telephone No. of proposed Superintendent:562) 599-5841 ' =IiTTA ;,a- 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 $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https:Hefiling.dir.ca.gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. 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Z ¢ c iL c m x m 2 �o m m a m c cn �o 0 2 m 2 cs — a� Yi o 2 LLj cUU m c LLpapLLppa LL r m o � °�LL �CJ¢ ¢`Ljj L8 D cmL p� `� ELLM .� J u— c$ ELL WLL 0� �o F f7 Z m!�UN W cn cAC UN�U ,C An m��ON W N Ull 8��Oga NN W m CA M 1n In N uY lA M N m In O m A A O M M-M 4")t0 N O �O l0 A In 10 l0 M N a � `� � �8 $8��� � � ^ gypp ��pp �p < to tD a N f'7 8 L f0 U 'c m N C d fC`0 m C C a L A C d-� $ c o O O E ,a.Q E E r E E o gi c �a c `cyb' o $4}{ o m "n;y m x E > Co co c fO C?a E a C •p U OUa p`-�.c.Oc 3 o;g U m c m m m o a C �° a LL� oa EL He O c �v ♦yU� op c♦�01 t c m m b 8 c c c—y ; c c c (2p f_q y� c a m m o cn 0 C 7 m ¢ C m U V H N Q Q m 2 lL V7 Cn VJ m J!/�Q J R C x J U J m N d V¢ r2 y C c 3 4 w? a c o L C N 0) L g j c a� m y E E (- o c L� -y- ar�i x y c co L p �. mm y a aci a E E Nd U p>pN. o m Q.� (5 aD m ^-�.y.. c U N y — E J V7 >¢ d Q 3 D a n o c� E c > $s m (D W m m y E Z a m's$ E �E y S'i d v o y ¢ of E m o c c m �O c m m r ?� tO 3 = E cn L 1O L m a rcp j s§o E�� �o >.g� -� aci > g'= aEia > Z � q� f�� m E U U m U > ns E c q� m Ea `� c R�m¢-> >-y¢ L`¢ `-' i L¢ y ii m g o a 5 o o Y m.2 n c o L m (n Y fO a c d a m U y ¢ m o o m c L 1O-- E 2 m c c a � `n -8 9 m m E d r in E E �m E m m a� �'i v `a3 m m_ ��m ' o m O o to U O o E o an d L LL c aEi ; `° z �' `• m uxi v a c �'cn �° y O•c > r c Ep i 1@@O d co 3 c m > c c c 6 c c Ti r z m $'in»1� A u�i o p�pc�cginw6,C 'c L gpN0cl) > iNnNap�_cpQ`umi�al3 �'�p >p w B��nppNpum�(O¢`p��� LL7 {� 1OAfi �A m f�0 4�lA Ln 10 IA lA Lf� ll')ll1 4A l� l� lA 11�ll� l[ Dallas Daniels DDaniels@excelpaving.net Summary Civil engineering student background with a focus in construction management. Looking to better the community with new technology and sustainable construction methods. Education California State University Lone Beach BS in civil engineering August 2015-May 2017 Active member in ASCE (American Society of Civil Engineers) Work Experience Excel Paving Company July 2016-present Estimator/Project Manager Complete start to finish in the bidding process for public works construction. Manage project once awarded. Create schedules, submittals,job sheets,change orders, RFls,and billings. TGIS Catering October 2015-present Lead/server Maintain a group of servers and help them serve guests through many events. Manage all chefs, servers, and bartenders to ensure the event is ran to customer's needs. Elaine Bell Catering August 2013-August 2015 Captain Served as a captain while also leading my team through dinner service. Drove, Unloaded, set up, and reloaded the trucks. Served up to five courses. Accomplishments Put together a competitive bid for multimillion dollar bids. Exceed the profit margin during bid time. Skills • Eager and fast learner • Punctual and reliable • Works in teams well • Friendly and approachable • Microsoft Office • Bluebeam • Microsoft Project • Bid2Win f(+ • ` Roc Schoonover 209 390'Street Newport Beach, CA 92663 Cell: (562)755-4719 Email: RocAlan@sbcglobal.net QUALIFICATIONS: • OSHA certified • First Aid/CPR certified • Confined Space certified EXPERIENCE. 06/06-present Excel Paving Long Beach,CA Construction Superintendent • Job Scheduling • Personnel Scheduling • Dealing with various agencies,e.g. State, Public and Private • Responsible for all aspects of job construction and quantities 08/77-06/06 Sully-Miller Contracting Anaheim, CA Construction Superintendent(01198-06106) • Job Scheduling • Personnel Scheduling • Dealing with various agencies,e.g. State, Public and Private • Responsible for all aspects of job construction and quantities Construction Foreman (1995-01198) • Ran individual jobs including grading,paving,concrete and quantities Asphalt Plant Superintendent(1990-1995) • Building,operating and maintenance of portable and stationary Plants • Personnel supervision Asphalt Plant Foreman (1983-1990) • Responsible for ordering materials for production of asphalt • Maintenance of Plant Asphalt Plant Operator(1982-1983) • Mixed asphalt Plant and Loader Operator for portable crushers(1979-1982) • Manufacturing of recycled base material Operating Engineer(1978-1979) . • Ran various equipment in the grading operation Construction Labor(1977-1978) • General labor work • Grade checking EDUCATION: June 1975 Downey HS High School Diploma Downey, CA Excel Paving Company Roc Schoonover Project Manager Project Experience: 07/06 — 12/10 Owner: CalTrans Project: Lincoln Boulevard Improvements Project Value:$10,000,000.00 + Contractor: Palp Inc. dba Excel Paving Company Position: Project Manager Description: Construct 25' Wide by 400' long double barrel concrete drainage box with various drains. Widen & raise entire road between V to 6', also installed all new curb& gutter, new sidewalks, grade& pave entire site. 01/05 — 5/06 Owner: Irvine Company Project: Sand Canyon Widening Project Value: $25,000,000.00 Contractor: Sully-Miller Contractor Position: Project Superintendent Description: Widen the East side of Sand Canyon, and add three additional lanes West of existing road. Install all underground utilities, drains, new medians, sub- grade, place rock, grade & Pave. 02/05-12/05 Owner: Irvine Company & City of Irvine Project: Crystal Cove Project Value: $8,500,000.00 Contractor: Sully-Miller Contractor Position: Project Superintendent Description: Construct all new roads in upper Crystal Cove, including all underground utilities, rough grade, layout, concrete, base & pave. Bond No. Bid Bond BID BOND The American Institute of Architects, AIA Document No.A310(February, 1970 Edition) KNOW ALL MEN BY TBESE PRESENTS,that we PALP Inc.dba Excel Paving Company as Principal hereinafter called the Principal,and Federal Insurance Company a corporation duly organized under the laws of the state of Indiana as Surety, hereinafter called the Surety, are held and firmly bound unto _Cif of Huntington Beach as Obligee,hereinafter called the Obligee,in the Sion of Ten percent of the total amount of the bid Dollars (S 10% ), for the payment of which sum well and truly to W made,the said Principal and the said Surety,bind ourselves,our heirs,executors,administrators,successors and assigns,jointly and severally, firmly by these presents. WHEREAS,the Principal has submitted a bid for Residential Overlay of Maintenance Zone 9(CC1596) NOW,THEREFORE,if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terns of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithfirl perforanance of such Contract and for the prompt payment of labor and material fiunished m the prosecution thereof; or in the event of the failure of the Principal to enter such Contract and give such bond or bonds,if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may m good faith contract with another party to perform the Work covered by said bid,then this obligation shall be mill and void,otherwise to remain in finll form and dfwt. Signed and Sealed this 24th day of January , 2020 PALP Inc.dba Excel Paving Company witness (Seal) MARCIA S. MILLER, CORP. SECRETARY EV Curtis P. Brown III President NamdTide Federal Insurance Company Surety ( ) w By;itness OL"�_ a - 0"' Douglas 0 Rapp AttOmey-irtFact ORSC 21328(S/97) ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On January 24, 2020 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp who proved to me on the basis of satisfactory evidence to be the person(*)whose name(*) ismm subscribed to the within instrument and acknowledged to me that he/ keAl ey executed the same in his4 R authorized capacityo@*�, and that by his/i iwsignature(s)on the instrument the person*, or the entity upon behalf of which the person(*) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. N �'E�•°"'Hf, DEBRASWANSON W COMM.#2170759 oa c NOTARY PUBLIC•CAUFORMIA ORANGE COUNTY N MY COMM.EXP.NOV 10.2020 Signature ! �L 4 ti`�'►. ,n�l�►'1 (Seal) KIChubb POWER Federal Insurance Company Attn: Surety Department OF Vigilant insurance Company 15 Mountain View Road Surety ATTORNEY pacific Indemnity Company Warren, NJ 07059 �uas Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY,a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Douglas A. Rapp and Timothy D. Rapp of Aliso Viejo, California--------------------------- —______ each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise,bonds and undertakings and other writings obligatory In the nature thereof(other than bail bonds)given or executed in the course of business,and any instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to in said bonds or obligations. In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seals on this 16th day of December,2011. Kenneth C.Wendel,Assistant Secretary ::::..Norris,Jr.,Vice President STATE OF NEW JERSEY County of Somerset ss. On this 16th day of December,2011 before me,a Notary Public of New Jersey,personally came Kenneth C.Wendel,to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Kenneth C. Wendel, being by me duly swom, did depose and say that he is Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of the By-Laws of said Companies;and that he signed said Power of Attorney as Assistant Secretary of said Companies by like authority,and that he is acquainted with David B.Norris,Jr.,and knows him to be Vice President of said Companies;and that the signature of David B.Norris,Jr.,subscribed to said Power of Attorney is in the genuine handwriting of David B.Norris,Jr.,and was thereto subscribed by authority of said By- Laws and in deponent's presence. .Notarial Seal 3.ADF KATHERINE J.ADELAAR NOTARY PUBLIC OF NEW JFkSFt � �O'(AR� Ne,.2316685 42 Comrnietion Expires July ib,2014 PUS a� Notary Public b�JET CERTIFICATION Extract from the By-Laws of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY: 'All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company,either by the Chairman or the President or a Vice President or an Assistant Vice President,jointly with the Secretary or an Assistant Secretary, under their respective designations.The signature of such officers may be engraved,printed or lithographed.The signature of each of the following officers:Chairman,President,any Vice President,any Assistant Vice President,any Secretary,any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.' I,Kenneth C.Wendel,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY (the'Companlesl do hereby certify that (1) the foregoing extract of the By-Laws of the Companies is true and correct, (i) the Companies are duty licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are authorized by the U.S.Treasury Department;further,Federal and Vigilant are licensed In Puerto Rico and the U.S.Virgin Islands,and Federal is licensed in American Samoa,Guam,and each of the Provinces of Canada except Prince Edward Island;and (III) the foregoing Power of Attorney is true,correct and in full force and effect Given under rrMmyy hand and seals of said Companies at Warren,NJ this 24th day of January,2020. S LWWI 1 �r0a �EVOIAN�' Y bf+F4 ;'I'Ery YpR�-� �� c.li!�OLIy Kenneth C.We el,Assistant Secretary IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM,VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER,PLEASE CONTACT US AT ADDRESS LISTED ABOVE,OR BY Telephone(908)903-3493 Fax(908)903-3656 e-mail: surety@chubb.com Form 15-10-0225B-U (Ed.5-03) CONSENT CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of Los Angeles } On FEA -i R ?n?Fl before me, R. Covington, Notary Public , (tier.inse name and mle OT me officer) personally appeared Curtis P. Brown III and Marcia S. Miller , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that h ahe/they executed the same in t*Ow/their authorized capacity(ies), and that by hi:&k»e/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. .t1011I1111{ICI1116tl11t1t U 1t111{III1116 R.COVINGTON WITNESS my hand and official seal. - COMM.#2157907 0 NOTAFY PUBLIC,CALfFQFNIA CID)v c'Q LOS AN'ELES COUNTY _ ' My Commission Expires 06/24/2f)VO R111111"Ot ttlfsitttfttM!+!;tf11!tdtlr Notary Public Signature (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT if needed,should be completed and attached to the document.Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary law. (Title or description of attached document) • State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title(notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. he/she/de};—is/an)or circling the correct forms.Failure to correctly indicate this ❑ Individual (s) information may lead to rejection of document recording. ❑ Corporate Officer . The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges,re-seal if a Title sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. ❑ Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other Indicate title or type of attached document,number of pages and date. ❑ Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). 2015 Version www.NotaryClasses.com 800-873-9865 • Securely attach this document to the signed document with a staple. fib. 4r, wc W.z wo z / � \ � � � � LU X LLJ <m a: L) < w\\\ ca City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov .ffe /), g09a°' Office of the City Clerk / Robin Estanislau, City Clerk August 13, 2020 SHAWNAN 12240 Woodruff Avenue Downey, CA 90241 RE: Residential Overlay of Maintenance Zone 9 - CC No. 1596 Enclosed please find your original bid bond.for CC-1596. Sincerely, & Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of RESIDENTIAL OVERLAY OF MAINTENANCE ZONE 9 CC No. 1596 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 readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. = '8 BONS in the amount o9 fl�`0 0?Amount in d Accompanying this proposal of bid, find °t said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 SECTION C PROJECT BID SCHEDULE A RESIDENTIAL OVERLAY MAINTENANCE ZONE 9 CC 1596 Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 1 Mobilization including crack sealing(Maintenance Zone 9) 1 LS $ Zvi $ `�C(, ^~ 2 Prepare Storm Water Pollution Prevention Plan(SWPPP) Q� o• (Maintenance Zone 9) 1 LS $ /,OCb. $ Z 000. 3 Install&Maintain Construction BMPs(Maintenance Zone 9) 1 LS $ ? Q $38, . -J" 4 Construction Project Traffic Control(Maintenance Zone 9) 1 LS $ $ Co, 5 Tapered cold mill per Detail in Specifications including disposal 940,000 SF $ O $ ,, 00 6 Cold mill full width of asphalt section at 1 1/2"depth 301,000 SF $ O. $ �toI�2D. 7 Furnish and Install Petromat per Specifications 1,181,000 SF $ O- $ 8 Install 1 1/2" (0.12')Type III C3-PG-64-10-RAP Asphalt , Sv 1, �' Concrete Overlay 22,200 TN $ (3• $ I,No ` 110D Provide pavement removal with 2"(0.17')Cold Mill and o0 9 Installation of 2"(0.1 T)Class B PG 70-10-RAP AC base 5= course at various locations 45,000 SF $ L-• $ 10 Replace and adjust Water Valve Cover to grade 370 EA $ 500• — $ 16,OX � ck• 11 Adjust City Sewer Manhole to grade 245 EA $ 5W. $ 1 Z2, • 12 Provide Coating for Sewer Manhole Adjustment 70 EA $ 5W. $ 35S 13 Adjust Storm Drain manhole to grade 1 EA $ �,2 . $ 14 Adjust Utility Valve To Grade 15 EA $ 5CO $ 15 Reinstall all existing Traffic Striping and Legends which c_, comply with current standards. 1 LS $5O OCZ) $ 5(9 16 Provide Sewer Manhole Ring and Cover to replace any damaged Ring or Cover(Allowance) 5 EA $ 1,500 $ l, • 17 Install Traffic Loops 30 EA $ 'QP . $ 9 (X27 1 Jb TOTAL BID AMOUNT (BASIS OF AWARD)—SCHEDULE A $ 3,075 4 6' Q9. TOTAL BIP AMOU�Ni ;N�WORDS: � � � ��5h� h444 ou4r7 Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar % of Item(s) Subcontractor License Registration# Amount Contract Number On Qo,A� Lz'n L. 63 L5 I000:)1o0 11KOcu 14062 5�.n . Aue,L����,nte,pl TG3j0 i Rc-c, 100o3776m 7'G�, 66 �345 Quv((r 4 W lot,owawGl �tiQc'ltvr Q��enu.(�F Ma 2 a(6 i o 000rly 76 5 31E ass 5� rs1 C4 -Wa6 (�I,uA 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 0C410 , at Ugo , Date tity State Shawn Smith , being first duly sworn, deposes and says that he or she is Pf"iftAt of 5ha41LOA 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. SHAW Name of Bi r Signature of Bidder Shawn A Smith, Pf**9Jsnt 12240 Woodruff Ave. Downey, CA 90241 Address of Bidder C-4 CALIFORNIA ALL- PURPOSE ! ! CERTIFICATE OF ACKNOWLEDGMENT I i I it A notary public or other officer completing this certificate verifies only the identity { i ; of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy. or validity of that document. i ii State of California } I County of_Los Angeles } 1 On FEB 0 6 2020 before me, Jose L. Medrano, Notary Public_ € ' irr>rsen�,arne an<: I. -fi s ,�:Nn personall y y appeared Shawn A. Smith and nobody else who proved to me on the basis of satisfactory evidence to be the personX whose name is subscribed to the within instrument and acknowledged to me that he si:ie/4I;ey executed the same i is +a + authorized capacity(jeig), and that by E his s signatureXon the instrument the personX, or the entity upon behalf of ij which the personXacted, executed the instrument. � E I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. JOSE L. MEDRANO WITN S my han and official seal. COMM. #2175742 z I Notary Public-California o i z Los Angeles County — M Comm.Expires Dec.16,2020 ) i o b igna ur (Notary Public Seal) I ITIONAL OPTIONAL INFORMATION------ INSTRUCTIONS I-OR COMPt ET ING THIS FORM _ i his farm ranrlahas crab ;uryrnr C'ahfon,r,r statutes regarding iota-}wording and, DESCRIPTION OF 1 HE ATTACHED DOCUMENT !needed.should be completed and attached to the document.Acknaivledgrnenis from wher states may he completed for d wuments heing sent to that.state.so ling i as the wording does not require the Calrfrmria noran•to violate Califurnra notary i laws (Tibe or description of aftxhed docetrrent) • State and Count information must be the State and Count-.,where the document j sip,ner(s)personally appeared befbre the notary public for acknowledgment, Date of notarization must be the date that the signer(s)personally appeared which (Tide or dewrOM 01 attached document continued) must also be the same date the acknowledgment is completed. • 'llie notar public must pima his or Ix•r mane a,, it appears within his or her Number of Pages Document Dale commission lollowcxf by a comma and then your title(notary public). Print the namets) of dcxutnerit signer(.) who personally appear at the time of notmi"ion. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural firms by crossing off incorrect forms I c 1 Wshclthe+ is i")or circling the corroct forms.Failure to correctly indicate this 9 ❑ Individual(s) information may lead to rejection ofdocumen recording Il C-1 Corporate Officer • [he notary seal impte`ston must he Clear and pholographically teproducible. Impressions must mtt carer text or line: If seal impression smudges_re-seal if u (Title) sufficient area permits,otherwise compiete a different acknowledgment firm 1 ❑ Partner(s) - Signature of the notary public must match the signature on file with the office of the count}clerk. ❑ Attorney-in-Fact •s Addnimtal information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different doxumerit Other Indicate,life or ape of attached document.number of rages and date ❑ V Ind ate file capaCIIV donned by the sipser 11 the clairned capacity is a corporate officer,indicate the title(i.e.CEO.CFO,Secretary) _ $u4uat1r attar h than do,carnerrt to the signed dux umew with e sample ) 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 OVERLAY OF MAINTENANCE ZONE 9, (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. SHAWN*, Contractor Y By Shewo A Smith, President Title Date: FEB 0 6 2020 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 -g�—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. SHAWNAN// Contractor Y By Shawn A Smite, Ptis+d"m Title Date: FED 0 6 2020 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: 1919K ConVecm CoWatton de ShOW"" Bidder Name 12240 Woodruff Ave. Business Address Downey, CA 90241 City, State Zip (562) 803-9977 estimating@shawnan.com Telephone Number Email Address 679962 A & B State Contractor's License No. and Class NOVember 4, 13 XW400*W 4,M3 Original Date Issued November 30,2021 Expiration Date The work site was inspected by Shawn Smith of our office on FEB 0 6 2020 , 201_. The following are persons, firms, and corporations having a principal interest in this proposal: a ON cororac'l "Corporator+dtaa Shawn A 3milih, Pmewo t James Philrip Pendergist Vice President John A.8MV%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 specificati set forth. SHAWJ4,AN Company N / Sig tur f Bidder Show" A Smith, Rrssident 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 A.AP & ame(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKhIOVVLEDGMEINT ; i A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, i and not the truthfulness, accuracy.. or validity of that document. _ ._ i State of California County of_ Los Angeles On i FEB 0 s_ 20ZO_ before me, Jose L. Medrano, Notary y Public personally appeared •Shawn A. Smith and nobody else who proved to me on the basis of satisfactory evidence to he the personX whose ' nameS �is subscribed I s to the within instrument and acknowledged to me that he s�'P_4r executed the same i pis _-i:i authorized capacity(yR,6), and that by I hii 4ie„�,rtheiFsignatureXon the instrument the personX. or the entity upon behalf of i which the personXacted, executed the instrument_ I certify under PENALTY OF PERJURY under the laws of the State of California that I the foregoing paragraph is true and correct. MEDRA WITNESS m han and officials I 1 M . #217574 Y ea • COMM. #2175742 z l °'$ Notary Public• California o Los Angeles Courity M Comm.Expires Dec,16,2020 NO t qna r (Notary Public Seal) AD AL OPTIONAL INFORMATION INs I'RL[ PIONS FOR COMPI_E'I'ING TI HS FORM i ins form conr/ihes with c utrint Cahfornia statutes regarding norury wording and. DESCRIPTION OF THE ATTACHED DOCUMENT tl needed,sho"hir he comir feted and anuched to the document.Acknowledgmenis Jrnm ether states mac he completed jor dociatients heing sent to that state so long i as the wnrdmg dues ri.,r require the Cahfrirrucr notan-to ruilate Califorpata"wary i luu• (Title or descnpbon of aftacned docarnent) . State and Couna•information must be the State and County where the document signals)personally appeared betbre the notary public titracknowledgment • Irate of notarir Lunn n,nst the the date that the signer(s)personaliy appeared wbich I (Title tx description of atta ed doctiment continued) must also be the same date the acknowledgment is complcted • 'flic notary public must print his or her namr as it appears within his ar her i Number of Pages Document Date commission followed nv a comma and then your tick(rotary,public) { • Print the nainets) of document stgner(5:) who personally appear at the tirne of __ _.------- notarization- CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forins by crossing off incorrect farms(i e lac•'shc!ti,ie"is:are)or circling the correct forms.Failure to corn ctiv indicate this © Individual(s) mformation n v lead to rgectum ofdocument recording i I I Corporate Officer . the notarn seat imptcs%ion roust be clear and phot:ipraphically tcproduc•ibic. I Impression must rout uavcr text or lines. If seal impression smudges,re-seal if a (Title.) sufficient area permits,otherwise complete a different acknowledgment form • Sigrmtwc of the notar public must match the signature(in loll with the office of L-1 Partner(s) the county clerk. r_ Attorney-in-Fact Addtuotial infoiniauon is not iNuired but could help to ensure this Cj Trustee(s) acknenwledgricni is non misused or attached to it different document Other Indwaic.tic ,r type of attached document-number of pages and date Ind.,.ale the capacity claoned by the signer If the claimed capacity is a — uupcwate of:iccr.indicate the title(i.e.CFO-cl-o.Secretary) • with a staple tic wciv aaac.h this d�warncnt to the signed document I r Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, proiect work within public streets,an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."}. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. Name and Address of Public Agency �O Name and Telephone No. of Project Manages A,, Contract Amount pe 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-0 G� Q. Contract Amount �T e of Work Date Completed Provide additional project descripti n to show similar work: 3. Name and Address of Public Agency Name and Telephone No. of Project Manage, , PG Contract Amount ��pe 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. Name of proposed Project Manager Telephone No. of proposed Project Manager: Project Name & Contract Amount Type of 1 rk Date Completed A. Project Name & Contract Amount T of Work Date Completed Project Name & Contract Amount Type of Work Date Completed 2. 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L n W n•d:3 W to ca y o ti D � o N h b N (O r..Q� s}• N >+ca .Oa. ti w Cn r o 0)C6 (Cj N N ci t7 m i .o t� 4 co 03 O>p CO U >Q CO N N CD CO �2E C O•••..0 O >o y o0 U O CO Z m co 0 O jO64 cU i m" am 0 , T aj SQao U (aU(o a 00 m`vmti N � vo 0 aj m (L)0< 0 _ QNN � ajU � Z`C-CO UC'3 a`"j Z O CI].n L a Q a� O m E � N a) 01 CA a) 10ai m U E v caa '0 U I F C a E O - ~ a O a (/�co O O N C'Cj Y N w w 5 c �d�Ea C, (° U o aj=- c (D c a) c rm =1 O 0 (Qn•O- `C)U) c C) O� - is •�=r tt W'm � m m a�Q Z U raj > 2 o m o �_ co- �.(,) E U o Z o Z, o a°i o m (a D � UNQ[C U �mS U.NUQ UNUU' 6Lf) �O7 O U(nWQ U(Dm3 C C O O O O N z � C C .f] N O z (u �, (D (a a o o � � _ c � � � C � Q Q > c� mpg o _= o -p +� y N ` _ Q _ C a) > p a) ( N 'C = .fl O > Q CU a) O C' (D cam-- 0 (a «. O ca � c� m U).N W � Z � cam 0 z Q E Y� • Sialic Contractors Corporation dba SHAWNAN State License # 679962 A/B 12240 Woodruff Avenue, Downey, CA 90241 Phone (562) 803-9977 Fax (562) 803-9955 RESUME FOR JOHN A. SMITH TRAINING: Army Corps of Engineers and Forty-nine years in the road building and general engineering industry on Public Works projects and twenty years as an executive. Duties include estimating, management and executive duties. CERTIFICATIONS: 40 hour HAZWOPER. WORK EXPERIENCE: Shawnan 1999—Present Secretary Shawnan Corporation 1984— 1999 President Excel Paving 1977—1984 President Sully Miller Company 1968— 1977 Chief Estimator • Sialic Contractors Corporation dba SHAWNAN State License # 679962 A/B 12240 Woodruff Avenue, Downey, CA 90241 IL Phone (562) 803-9977 Fax (562) 803-9955 RESUME FOR JAMES PHILLIP PENDERGIST TRAINING: Thirty-Eight years in the paving industry with experience in the field and management in both private and public sectors. Areas of experience include: Excavations, sub-grade, placing of rock base, supervision of asphalt paving as well as supervision of all subcontractors and coordinating with agency personnel and inspectors. CERTIFICATIONS: California State SWPPP 24 Hour Certification and 40 Hour HAZWOPER. WORK EXPERIENCE: Shawnan 1999—Present Vice President Sequel Contractors, Inc. 1997—1999 Superintendent Shawnan Corporation 1994—1997 Superintendent Asphalt Construction Consultants 1991- 1994 Owner Shawnan Corporation 1987— 1991 Foreman Modern Asphalt 1985—1987 Superintendent Sully Miller 1979— 1985 Field/Teamster + Sialic Contractors Corporation dba SHAWNAN State License # 679962 A/B 12240 Woodruff Avenue, Downey, CA 90241 IL Phone (562) 803-9977 Fax (562) 803-9955 RESUME FOR SHAWN A. SMITH TRAINING: Twenty-eight years in the industry with four years of experience in the field and Twenty-four years of experience in private industry road building/general engineering estimating for Public Works projects including Seventeen years as an executive. Duties include: bidding, start up, project management, billing and completion of the final project, critical path method scheduling and management of personnel. CERTIFICATIONS: Primavera Scheduler, California State Contractor's License Class A, California State SWPPP 24 Hour Certification and 40 Hour HAZWOPER. EDUCATION: California State University Long Beach WORK EXPERIENCE: MANAGEMENT: Shawnan 1999—Present Owner and President 12240 Woodruff Avenue Downey, CA 90241 Sequel Contractors, Inc. 1996—1999 Owner, Vice President &Assistant Secretary 12240 Woodruff Avenue Downey, CA 90241 Shawnan Corporation 1992—1996 Vice President 12240 Woodruff Avenue Downey, CA 90241 FIELD: Shawnan Corporation 1989— 1992 12240 Woodruff Avenue Downey, CA 90241 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://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. -S A Contr or / V B estimating@shawnan.com Email SM%"A 3miffh, President Title Date: FEB 0 6 2020 PWC Registration #: 1040003377 C-12 2/18/2020 Registrations ❑ Iron Worker [) Laborer O Landscape [j Marble Mason/Finisher C) Operating Engineer [j Painter i j Parking/Highway/Improvement O Plasterer/Tender Ci Plumber CJ Roofing 0 Sheet Metal Worker v Stator Rewinder U Teamster 0 Terrazzo Worker/Finisher I`j Tile Setter/Finisher i._l Water Well Driller APPIY Registrations Search Results: 1 found Showing Page 1 of 1 Previous Next Print PDF-9 Export.♦. Add all to my list My List(0), SIALIC CONTRACTORS CORPORATION View Details ♦ Add to My List Detail: Registration History Registration 1000003377 Effective Date Expiration Date Number: Status: Active 7/1/2019 6/30/2022 CSLB Number: 679962 6/18/2018 6/30/2019 Legal Entity Type: Corporation Mailing Address: 12240 WOODRUFF AVE 5/31/2017 6/30/2018 DOWNEY 6/1/2016 6/30/2017 CA 90241 County: Los Angeles 6/29/2015 6/30/2016 Craft: General Engineering Email: shawn@shawnan.com 12/3/2014 6/30/2015 D BA Name SHAWNAN https://cadir.secure.force.com/ContractorSearch?inputSearch=sialic 2/3 2/18/2020 Registrations O Iron Worker C; Laborer ( j Landscape O Marble Mason/Finisher D Operating Engineer rj Painter 0 Parking/Highway/Improvement 0 Plasterer/Tender O Plumber (J Roofing ❑ Sheet Metal Worker CJ Stator Rewinder Teamster O Terrazzo Worker/Finisher El Tile Setter/Finisher O Water Well Driller APPIY Registrations Search Results:3 found Showing Page 1 of 1 Previous Next Print PDF$ Export Add all to my list My List(0)' ON POINT LAND SURVEYING, INC. lView Details I♦ Add to My List Detail: Registration History Registration 1000003100 Effective Date Expiration Date Number: Status: Active 7/1/2019 6/30/2022 CSLB Number: 5/11/2018 6/30/2019 Legal Entity Type: Corporation Mailing Address: 1910 ORANGE TREE LANE SUITE 344 5/16/2017 6/30/2018 REDLANDS 6/13/2016 6/30/2017 CA 92374 County: San Bernardino 6/26/2015 6/30/2016 Craft: Field Surveyor Email: office@onpointlandsurveying.com 11/24/2014 6/30/2015 D BA Name ON POINT LAND SURVEYING, INC. https://cadir.secure.force.com/ContractorSearch?inputSearch=on point 2/4 2/18/2020 Registrations U Iron Worker iJ Laborer [j Landscape Marble Mason/Finisher O Operating Engineer 13 Painter 0 Parking/Highway/Improvement Lj Plasterer/Tender D Plumber 0 Roofing U Sheet Metal Worker Stator Rewinder O Teamster Terrazzo Worker/Finisher 0 Tile Setter/Finisher L� Water Well Driller APPIY Registrations Search Results: 1 found Showing Page 1 of 1 Previous Kext Print PDF$ Export.♦. Add all to my list My List(0)" California Professional Engineering, Inc. View Details 1+ Add to My List Detail: Registration History Registration PW-LR-1000377609 Effective Date Expiration Date Number: Status: Active 7/1/2019 6/30/2020 CSLB Number: 793907 Legal Entity Type: Corporation Mailing Address: 929 Otterbein Avenue, Unit E La Puente CA 91748 County: Los Angeles Craft: Electrician;General Engineering;Laborer;Parking/... Email: admin@cpengineeringinc.com D BA Name hftps://cadir.secure.force.com/ContractorSearch?inputSearch=l 2/3 2/18/2020 Registrations Iron Worker O Laborer v Landscape ❑ Marble Mason/Finisher D Operating Engineer O Painter O Parking/Highway/Improvement iJ Plasterer/Tender [I Plumber O Roofing O Sheet Metal Worker O Stator Rewinder 0 Teamster O Terrazzo Worker/Finisher U Tile Setter/Finisher Water Well Driller ApPIY Registrations Search Results: 1 found Showing Page 1 of 1 Previous [Next Print PDF$ Export.♦. Add all to my list My List(0)'- EBS UTILITIES ADJUSTING, INC lView Details I+ Add to My List Detail: Registration History Registration 1000004286 Effective Date Expiration Date Number: Status: Active 7/1/2019 6/30/2020 CSLB Number: 932798 5/11/2018 6/30/2019 Legal Entity Type: Corporation Mailing Address: 1345 Quarry St. #101 5/26/2017 6/30/2018 CORONA 6/3/2016 6/30/2017 CA 92879 County: Riverside 6/19/2015 6/30/2016 Craft: Laborer Email: kfairweather@ebsgeneral.com 12/23/2014 6/30/2015 D BA Name https://cadir.secure.force.com/ContractorSearch?inputSearch=932798 2/3 2/18/2020 Registrations Iron Worker Laborer C❑ Landscape 0 Marble Mason/Finisher Operating Engineer C1 Painter Parking/Highway/Improvement ❑ Plasterer/Tender Plumber ❑ Roofing ❑ Sheet Metal Worker O Stator Rewinder Teamster Ej Terrazzo Worker/Finisher Tile Setter/Finisher Water Well Driller Apply Registrations Search Results: 1 found Showing Page 1 of 1 Previous Next Print PDF$ Export.♦. Add all to my list My List(0)", SUPERIOR PAVEMENT MARKINGS View Details I+ Add to My List, Detail: Registration History Registration 1000001476 Effective Date Expiration Date Number: Status: Active 7/1/2019 6/30/2022 CSLB Number: 776306 6/18/2018 6/30/2019 Legal Entity Type: Corporation Mailing Address: 5312 CYPRESS STREET 6/23/2017 6/30/2018 CYPRESS 6/7/2016 6/30/2017 CA 90630 County: Orange 6/22/2015 6/30/2016 Craft: Parking/Highway/Improvement Email: superiorpavementmarkings@gmail.com 9/24/2014 6/30/2015 D BA Name STREET STRIPING CONSTRUCTION ZONE TRAFFIC CONTROL https://cadir.secure.force.com/ContractorSearch?inputSearch=776306 2/4 Bond No. Bid Bond BID BOND The American Institute of Architects, AIA Document No.A310(February, 1970 Edition) KNOW ALL MEN BY TBESE PRESENTS,that we Sialic Contractors Corporation dba Shawnan as Principal hereinafter called the Principal,and Federal Insurance Company a corporation duly organized underthe laws ofthe state of Indiana as Surety, hereinafter called the Surety, are held and firmly bound unto Cif of Huntington Beach as Obligee,hereinafter called the Obligee,in the sum Of Ten percent of the total amount of the bid Dollars (S 10% ), for the payment of which sum well and truly to W made,the said Principal and the said Surety,bind ourselves,our heirs,executors, administrators,successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the Principal has submitted a bid for Residential Overlay of Maintenance Zone 9(CC1596) NOW,THERF.FORE,if the Oblive shall accept the bid of the Principal and the Principal shall enter mW a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material famished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds,if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect. Signed and sealed this 31 st day of January , 2020 Sialic Contractor rp r ('4n dba Shawnan Witness - (Sol) BY: Shawn A Smith, President Nainerrrtle Federal Insurance Company Surety (Seal) BY: L Q. L�/) Witness Douglas Rapp Attorney-in-Fact ORSC 21328(5/97) ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On January 31, 2020 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp , who proved to me on the basis of satisfactory evidence to be the person(*)whose name(*)isknz subscribed to the within instrument and acknowledged to me that he/o eAwy executed the same in his it authorized capacity0so, and that by his/ie *signature(*)on the instrument the personts�, 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. °F,N DEBRASZi7 WITNESS my hand and official seal. N Wr��`" COMM. #2170759 y ° NOTARY PUBLIGCALIFORNIA.4` ORANGE COUNTY N MY COMM.EXR NOV 10,2020 Signature ��-� �c 1� 1 (Seal) Chubb POWER Federal Insurance Company Attn: Surety Department OF Vigilant Insurance Company 15 Mountain View Road Surety ATTORNEY pacific Indemnity Company Warren, NJ 07059 cNull� Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY,a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Douglas A. Rapp and Timothy D. Rapp of Aliso Viejo, California-----------__��_____—___�_�___.___w_____ each as their true and lawful Attorney-in-.Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise,bonds and undertakings and other writings obligatory In the nature thereof(other than bail bonds)given or executed in the course of business,and any instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to in said bonds or obligations. In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seals on this 16th day of December,2011. Kenneth C.Wendel,Assistant Secretary ::::.Norris,Jr.,Vice President STATE OF NEW JERSEY County of Somerset ss. On this 16th day of December,2011 before me,a Notary Public of New Jersey,personally came Kenneth C.Wendel,to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Kenneth C. Wendel, being by me duly swom, did depose and say that he Is Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of the By-Laws of said Companies;and that he signed said Power of Attorney as Assistant Secretary of said Companies by like authority,and that he is acquainted with David B.Norris,Jr.,and knows him to be Vice President of said Companies;and that the signature of David B.Norris,Jr.,subscribed to said Power of Attorney is in the genuine handwriting of David B.Norris,Jr.,and was thereto subscribed by authority of said By- Laws and in deponent's presence. .Notarial Seal J AO�C KATHERINE 1.ADELAAR NOTARY PUBLIC OF NEW JFkSF1 No.2376685 ��`"" 92- will Corl'IMitsion Expiros July 1 b,2014 Q Notary Public ArEIlV JET CERTIFICATION Extract from the By-Laws of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY: 'All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company,either by the Chairman or the President or a Vice President or an Assistant Vice President,jointly with the Secretary or an Assistant Secretary, under their respective designations. The signature of such officers may be engraved,printed or lithographed.The signature of each of the following officers:Chairman,President,any Vice President,any Assistant Vice President,any Secretary,any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.' I,Kenneth C.Wendel,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY (the'Companiesl do hereby certify that (i) the foregoing extract of the By-Laws of the Companies is true and correct, (i) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are authorized by the U.S.Treasury Department;further,Federal and Vigilant are licensed In Puerto Rico and the U.S.Virgin islands,and Federal is licensed in American Samoa,Guam,and each of the Provinces of Canada except Prince Edward Island;and (iii) the foregoing Power of Attorney is true,correct and in full force and effect Given under my hand and seals of said Companies at Warren,NJ this 31st day of January,2020. v *— o((( : �OIAN� raRp� +yfw�a�• Kenneth C.We el,Assistant Secretary IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM,VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER,PLEASE CONTACT US AT ADDRESS LISTED ABOVE,OR BY Telephone(908)903-3493 Fax(908)903-3656 e-mail: suretyCchubb.com Form 15-10-0225B-U (Ed.5-03) CONSENT _ l2� P CALIFORNIA ALL- PURPOSECERTIFIC'.ATE OF ACKNOWLEDGMENT I , � I A notary public or other officer completing this certificate verifies only the identify I.,. j_ of the individual who signed the document to which this certificate is attached, ' 1 i and not the truthfulness, accuracy, or validity of that document. f. State of California } fCounty of Los Angeles } j On FEB 0 5 2020 before me, Jose L. Medrano, Notary Public iHem icsen name anz title of an=.c5,cer) g personally appeared Shawn A. Smith and nobody else who proved to me on the basis of satisfactory evidence to be the personXwhose i s name is - subscribed to the within instrument and acknowledged to me that ( � he she4hey executed the same i nis authorized capacity), and that by } ; his to ;1 signatureXon the instrument the person' or the entity upon behalf of j I . which the persons'jacted, executed the instrument- . I j I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ICI t WITNESS m hand and official seal, 10SE L. INEDRANO y COMM. #2175742 z 0 , Notary Public -California o wN� '� Lcs Angeles County 2 I I' ;, .� My Comm.Expires Dec.16,2020 Pu Sig at' — (Notary Public Seal) f, INSI RL L t IONZ L OR CONilPL ETL\G 1-11iS I ORN4 I iI I ADDITI NAL OPTIONAL INFORMATION I i This�Hans<c naf;alrrs with na!t•nt Cnlrformr7 srnlurtd r�gm!i(tg Hato r u�w'ding arid. { I DESCRIPTION OF THE ATTACHED DOCUMENT if needed,shtudd i-•e.'untplEte<I urtd utl:ed;e;1 ru,ae uucionent..leknun tar�finenLc Ji'nnr whersrmar mail he compieed.fcn-docun:enls heir{a;sent to Mar smile so lom, I I as Me ac it r ing does nor equrr+. h•(aaiJoraaia rr t a Y ro v)oiale Califap-wa norar_r (Tibe or description of attached dom•m^tl State and ounh in orin ttion:,.ust be the Mate and County where the dcxunaeni ` si ncr(ii)nctonai 1 apl eared helorv.the notar) public for nckno++leds_ncnl -- Doc c 1 put t iz aUnn must be t, dote that the si n r(,)personally appeared which (LUe or desxip`!on o1?Ga„tied dcaument cnlinued) must.also be the sense dale:he.ud.rowledenient as eomoicted. ` i i I • 71re notary pudic mum pr n ass or her name as it appears wi;]rn his or her Number of Paoes Document Dale _ _.-_.- commission idtowecl b; umtm,i and then your title(Hots y publ!ct. Pratt the uamcYcl of d.rur:ncnt ttoiicr(s) e01) eppaar at the Litnc of l not nzabun. CAPACITY CLAIMED BY THE SIGNER • Indies the cotrect sin%ulai or l lcrai fonns 1 v crossi 3e off incur a romis(ix. d;r1,h wr_l ate)or care.m the come,!.fu-ris t-;nhure to correct) indicate this ❑ Individual(s) into rm ttion nlay IeOd to,aje to.,oCdoc.unlent recordin ❑ Corporate Officer l,rc utLr: seal rniptecvun must I CIC31 and rhiAc rapliicih' t pruducrbIu. jLillpic.:sann ants! not u( er te"! (IT h ias. If.Will intpre lion smug fa4.fi-seal if i i (Title) suf ici-,nt are,permtu,otherwise complete a diffierent ackno wled emert firm. I l • Sis;awic of the.notary public must match the:si<_naturi,on file+a�th the o$iee of l El Partner(s) f the cnmty cic l ❑ Attorney-in-Fact I y Adduinual int;nnanrn! ! not ieyuircd Flat could help to cn'ute this [j TrrtStEe1S) Ln +l eta°etnl i rr rn!suSul or tit;t hc.l to a lilac cat ducurne.m i l ❑ Other tnd, at .i:le or ti pe of an niched o ocu a ent number c i pages.and date h,'c ate the cal e lv Tanned bV the s :n•r ff'hti d aim( ? etp:cnN. is a rpur lcoffic•t tr t cale.the.title(ix.CFO-CI-O.S c et r:.). ce..it e,,:.:.ach(his due uric nl!v!ht siu.ncd doc,rmall with st..nle. - — - - — i .. ks r '1 i, it 4: 00 a` CIV to N � V CO v U Vf m _ 45 w = V w C _ _ N Q ` QQ bbD C N C A U � 2 4 6 � O y N I O - N N � > � m m c m y � W Q Ln d W Q� OC 'tea m G 4o I- W � � o :22 �3 2rn W tE Z c� Q CD a$ a h.y r�i3 0 N Ln o = O � � m i City of Huntington Beach 2000.Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Ee »,19011 Office of the City Clerk Robin Estanislau, City Clerk August 13, 2020 Sully-Miller Contracting Co. 135 S. State College Blvd., Suite 400 Brea, CA 92821 RE: Residential Overlay of Maintenance Zone 9 - CC No. 1596 Enclosed please find your original bid bond for CC-1596. Sincerely, Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION A NOTICE INVITING SEALED BIDS for the construction of RESIDENTIAL OVERLAY OF MAINTENANCE ZONE 9 CC No. 1596 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as AGENCY, invites sealed bids for the above stated projects and will receive such bids in the office of the City Clerk, Second Floor,2000 Main Street, Huntington Beach, California 92648, up to the hour of 2:00 P.M. on February 18,2020. 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/government/departments/public works/Bids/ Open website,then click on"Current Advertised Projects"tab. Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California, the minimum prevailing rate of per diem wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial Relations of the State of California, which are on file at the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. The AGENCY will deduct 5% retention from all progress payments. The Contractor may substitute an escrow holder surety of equal value to the retention in accordance with the provisions of the Public Contract Code,Section 10263. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race, color, national origin, ancestry, sex, or religion in any consideration leading to the award of contract. 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-1 a certified check, cashier's check, or bidder's bond made payable to the AGENCY for an amount no less than 10% of the amount bid. The successful bidder shall be licensed in accordance with provisions of the Business and Professions Code and shall possess a State Contractor's License Class A at the time of the bid opening. The successful Contractor and his subcontractors will be required to possess business licenses from the AGENCY. 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 rehabilitate approximately 135 residential streets in Maintenance Zone 9. Maintenance Zone 9 is located in the Northern Area of the City and generally includes streets north of Warner Ave., east of Edwards St., and south-west of the I-405 freeway. The contract shall allow the Contractor 60 working days to complete the contract. The engineer's estimate for this project is $3,050,000. The AGENCY reserves the right to reject any or all bids, to waive any irregularity and to take all bids under advisement for a maximum period of 60 days. BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH, CALIFORNIA, the 3rd day of June 2019, by Resolution No. 2019-28. Attest: /s/Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH A-2 SECTION B INSTRUCTIONS TO BIDDERS 1. Proposal Forms Bids shall be submitted in writing on the Proposal forms provided by the AGENCY. All information requested therein must be clearly and legibly set forth in the manner and form indicated. The AGENCY may reject any proposal not meeting these requirements. The bid shall be filed with the City Clerk, Second Floor City Hall, 2000 Main Street, Huntington Beach, California, which shall be endorsed with the Project Title and CC Number as it appears on the Notice Inviting Sealed Bids. The seated envelopes will be publicly opened and read at the time and place stated in the Notice Inviting Bids. Bidders or their authorized agents are invited to be present at the opening. Unauthorized conditions, limitations, or provisions attached to a proposal will render it informal and may cause its rejection. The complete proposal forms shall be without interlineations, alterations or erasures. Alternative proposals will not be considered unless requested. No oral,telegraphic,or telephonic proposals or modifications will be considered. The proposal may be withdrawn upon request by the bidder without prejudice to himself prior to, but not after the time fixed for opening of bids, provided that the request is in writing,that it has been executed by the bidder or his duly authorized representative,and that it is filed with the AGENCY. 2. Proposal Guarantee Proposals must be accompanied by a proposal guarantee consisting of a certified or cashier's check or bid bond payable to the AGENCY in the amount not less than 10% of the total amount named in the proposal. Any proposal not accompanied by such a guarantee will not be considered. Said check or bond shall be made payable to the AGENCY, and shall be given as a guarantee that the bidder,if awarded the Work,will enter into a contract within 10 working days after the award and will furnish the necessary bonds as hereinafter provided. In the case of refusal or failure to enter into said contract,the check or bond, as the case may be, shall be forfeited to the AGENCY. 3. Proposal Signature If the proposal is made by an individual,it shall be signed and his full name with his address shall be given; if it is made by a firm, it shall be signed with the co partnership name by a member of the firm who shall sign his own name and the name and address of each member shall be given; and if it is made by a corporation,the name of the corporation shall be signed by its duly authorized officer or officers attested by the corporate seal, and the names and titles of all officers of the corporation shall be given. B-1 4. Delivery Of Proposal Proposals shall be enclosed in a sealed envelope plainly marked on the outside: "SEALED BID" for RESIDENTIAL OVERLAY OF MAINTENANCE ZONE 9 in the CITY OF HUNTINGTON BEACH - DO NOT OPEN WITH REGULAR MAIL DELIVER TO THE OFFICE OF THE CITY CLERK, 2000 MAIN STREET, SECOND FLOOR Proposals may be mailed or delivered by messenger. However, it is the bidder's responsibility alone to ensure delivery of the proposal to the Office of the City Clerk prior to the bid-opening hour stipulated in the Notice Inviting Sealed Bids. Late proposals will not be considered. 5. Return Of Proposal Guarantees The proposal guarantees of the second and third lowest bidders will be held until the awarded bidder has properly executed all contract documents. Within 10 working days after the award of contract, the remaining proposal guarantees accompanying all other proposals will become null and void and returned to the unsuccessful bidders. 6. Taxes No mention shall be made in the proposal of Sales Tax, Use Tax or any other tax, as all amounts bid will be deemed and held to include any such taxes which may be applicable. 7. Disqualification Of Bidders In the event that any bidder acting as a prime contractor has an interest in more than one proposal, all such proposals will be rejected and the bidder will be disqualified. This restriction does not apply to subcontractors or suppliers who may submit quotations to more than one bidder, and while doing so, may also submit a formal proposal as a prime contractor. 8. Contractor's License Requirement This project requires the Contractor to possess a valid State of California contractor's license of the proper classification in accordance with the provisions of Public Contract Code Section 10164. 9. References All reference information called for in the bid proposal must be submitted with the bid proposal. Failure to provide reference information of history of similar work and experience with the bid proposal at the time of bid opening may lead to rejection of such proposal as non-responsive. B-2 10. Listing Of Subcontractors Bidders shall list in the bid proposal the name and place of business of each subcontractor who will perform work or labor or render services for the Contractor in an amount in excess of one-half of one percent of the Contractor's total bid or $10,000,whichever is greater. 11. Discrepancies And Misunderstandings Bidders must satisfy themselves by personal examination of the work site, plans, specifications and other contract documents, and by any other means as they may believe necessary, as to the actual physical conditions,requirements and difficulties under which the Work must be performed. No bidder shall at any time after submission of a proposal make any claim or assertion that there was any misunderstanding or lack of information regarding the nature or amount of work necessary for the satisfactory completion of the job. Should a bidder find any errors, omissions, or discrepancies in the plans, specifications, and other contract documents or should he be in doubt as to their meaning, he shall notify the AGENCY. Should it be found necessary, a written addendum will be sent to all bidders. Any addenda issued during the bidding period shall form a part of the contract and shall be included with the proposal. 12. Equivalent Materials Requests for the use of equivalents to those specified, must be submitted to the AGENCY 10 working days prior to the need of such materials unless otherwise specified in the Special Provisions. Within that time, the AGENCY will issue a written response indicating approval or disapproval of such request. It is the sole responsibility of the successful bidder to prove to the AGENCY that such a material is truly an equivalent. 13. Legal Responsibilities All proposals must be submitted, filed, made and executed in accordance with State and Federal laws relating to bids for contracts of this nature whether the same or expressly referred to herein or not. Any bidder submitting a proposal shall by such action thereby agree to each and all of the terms, conditions,provisions and requirements set forth,contemplated and referred to in the Plans, Specifications and other contract documents, and to full compliance therewith. Additionally, any bidder submitting a proposal shall, by such action thereby, agree to pay at least the minimum prevailing per diem wages as provided in Section 1773, et. seq. of the labor code for each craft, classification or type of workman required as set forth by the Director of Industrial Relations of the State of California. 14. Award Of Contract The award of contract, if made, will be to the lowest responsive and responsible bidder as determined solely by the AGENCY. The AGENCY reserves the right to reject any or all proposals, to waive any irregularity, and to take the bids under advisement for a maximum period of 60 days. In no event will an award be made until all necessary investigations are made to the responsibility and qualifications of the bidder to whom the award is contemplated. B-3 15. Material Guarantee The successful bidder may be required to furnish a written guarantee covering certain items of work for varying periods of time from the date of acceptance of the work by the AGENCY. The work to be guaranteed,the form, and the time limit of the guarantee will be specified in the special provisions. Said guarantee shall be signed and delivered to the AGENCY before acceptance of the contract by the AGENCY. Upon completion of the contract, the amounts of the two contract bonds required in Section 2-4, "CONTRACT BONDS," of the Standard Specifications for Public Works Construction, may be reduced to conform to the total amount of the contract bid prices for the items of work to guaranteed, and this amount shall continue in full force and effect for the duration of the guarantee period. However, the Labor and Material Bond can not be reduced until the expiration of 35 days after the date of recordation of the Notice of Completion. 16. Execution Of Contract The successful bidder shall execute a written contract with the AGENCY on the form of agreement provided,and shall secure all insurance and bonds required by the Specifications within 10 working days from the date of the award. Failure to enter into a contract shall be just cause for the annulment of the award and the forfeiture of the proposal guarantee. If the successful bidder fails to execute the contract, the AGENCY may award the contract to the second lowest responsible bidder. If the second lowest responsible bidder fails to execute the contract, the AGENCY may award the contract to the third lowest bidder. On the failure of such second or third lowest responsible bidder to execute the contract, such bidder's guarantees shall be likewise forfeited to the AGENCY. The work may then be re-advertised. 17. Submission Of Bonds And Insurance The successful bidder will be required to furnish the necessary bonds and insurance to the AGENCY within 10 working days from the award of contract. See Appendix F for the City approved Payment and Performance Bond Forms. The Contractor may use any standard form for the Bid Bond. The successful bidder shall provide a certificate stating that the bonding company is admitted to do business in the State of California. This certification may be obtained from the Executive Officer and Clerk of the Superior Court at the following address &phone: Orange County Superior Court Probate Court Operations 341 The City Drive P.O. Box 14171 Orange, CA 92613-1571 (714) 935-6061, Contact Linda C. Wallace Prior to the issuance of the Notice to Proceed, the AGENCY must be furnished with a Policy Endorsement, from the successful bidder's insurance company, naming the AGENCY as an additional insured. B-4 18. Addenda The effect of all addenda to the contract documents shall be considered in the bid package and said addenda shall be made part of the contract documents and shall be returned with the bid package. Failure to submit any such addenda with the bid package may render the bid irregular and may result in its rejection by the AGENCY. 19.Bid Protest To be considered timely, a bid protest must be filed within the following time limits: (a) Protests based upon alleged defects or improprieties in the bid documents shall be filed prior to the date of bid opening. (b) All other protests must be filed within five calendar days after the protester knew or should have known the basis of the protest, but no later than five calendar days after the date of when the Bids were due to the AGENCY. 20. Questions to the Engineer Questions regarding the bid documents (i.e. plans, specifications, contract documents, bid forms, etc.)will be received by the Engineer up to five working days prior to the bid opening as specified in SECTION A. Questions asked of the Engineer after this time will not be addressed. B-5 SECTION C PROPOSAL for the construction of RESIDENTIAL OVERLAY OF MAINTENANCE ZONE 9 CC No. 1596 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 readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid,find Bid 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 C-2 SECTION C PROJECT BID SCHEDULE A RESIDENTIAL OVERLAY MAINTENANCE ZONE 9 CC1596 Item , t Descri tion3 + Quantity Unit 41Unrt Cost Total Cost 1 Mobilization including crack sealing (Maintenance Zone 9) 1 LS $ 2 Prepare Storm Water Pollution Prevention Plan(SWPPP) (Maintenance Zone 9) 1 LS $3 $ 3 000 3 Install&Maintain Construction BMPs(Maintenance Zone 9) 1 LS $ o�. $ 4 Construction Project Traffic Control (Maintenance Zone 9) 1 LS $Yy Y7o- $ / ' � 5 Tapered cold mill per Detail in Specifications including disposal 940,000 SF $ > $ 1 EV 0062. 6 Cold mill full width of asphalt section at 1 1/2"depth 301,000 SF $ ,30 $ go.3o�• 7 Furnish and Install Petromat per Specifications 1,181,000 SF $ $a1aI Install 1 1/2" (0.12')Type III C3-PG-64-10-RAP Asphalt $ Concrete Overlay 22,200 TN $ �S• / $ (T���oo. Provide pavement removal with 2"(0.17')Cold Mill and 9 Installation of 2"(0.17')Class B PG 70-10-RAP AC base course at various locations 45,000 SF $�.3 $ (��� ;So• 10 Replace and adjust Water Valve Cover to grade 370 EA $330 $ 1a Z.A, 11 Adjust City Sewer Manhole to grade 245 EA $>7s. $ rns. 12 Provide Coating for Sewer Manhole Adjustment 70 EA $4 90. $ 3�0 13 Adjust Storm Drain manhole to grade 1 EA $ $>00- $ 14 Adjust Utility Valve To Grade 15 EA $ F 7S. $ j 3 S-- 15 Reinstall all existing Traffic Striping and Legends which comply with current standards. 1 LS 16 Provide Sewer Manhole Ring and Cover to replace any damaged Ring or Cover(Allowance) 5 EA $(o°� $ 3 000. 17 Install Traffic Loops 30 EA $ 30. $C, 9 00. TOTAL BID AMOUNT (BASIS OF AWARD)—SCHEDULE A $3,�Co3, DDD•� TOTAL BID AMOUNTIN WORD)- Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar % of Item(s) Subcontractor License Registration# Amount Contract Number S (/)`i &qS-/B C-/0 (9!y()o ic-.10 ' C� By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 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 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 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 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 on02J M0 at Brea , CA Date City State Curtis Weltz , being first duly sworn, deposes and says that he or she is Assistant Secretary ofSully-Miller Contracting Companythe party making the foregoing bid that the bid is not made in the interest of,or on the behalf of,any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are true;and,further,that the bidder has not,directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation,partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Sully-Miller Contracting Company N94' , cr Signature o idder Curtis Wel , Assistant Secretary 135 S. State College Blvd., Suite #400 Brea. CA 92821 Address of Bidder C-4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 ,fin.c��:ct.M.n7.cc'i�c�C'.n.c�r.�ftsY,M.crc^cz�.cc,M.cY2�r�r�-t,�(`,cf��^A�',crc-rc�2�cr,MrErc�oix+.MT1'�,cY�.c-cer.M��ec, 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 02/12/2020 before me, Maria L. Ruiz, Notary Public Date Here Insert Name and Title of the Officer personally appeared Curtis Weltz 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. MARIA L. RUIZ WITNESS my hand an fficial s Notary Public a l=e� California Orange County Z Commission #2176005 D My Comm. Ex Tres Jan 5, Si p 2021 Signature of ubli 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: Noncollusion Affidavit Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Curtis Weltz Signer's Name: X 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: Sully-Miller Contracting Company 02014 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 OVERLAY OF MAINTENANCE ZONE 9,(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. Sully-Miller Contracting Company Co tra t e By Curtis Weltz, Assistant Secretary Title Date: 02/12/2020 C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162,the Bidder shall complete, under penalty of perjury,the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes M No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code,each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Sully-Miller Contracting Company Contrac r By Curtis Weltz. Assistant Secretary Title Date: 02/12/2020 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Sully-Miller Contracting Company Bidder Name 135 S. State College Blvd.. Suite #400 Business Address Brea, CA 92821 City, State Zip curtis.weltz@sully-miller.com (714 ) 578-9600 anthony.lino@dully-miller.com Telephone Number Email Address #747612 Class A State Contractor's License No. and Class 03/3n/q8 Original Date Issued 03/31/2020 Expiration Date cw 20 The work site was inspected by � {aArlg rna�det of our office on OZ 12 , 2( The following are persons, firms, and corporations having a principal interest in this proposal: Please see attached Certificate of Incumbency and Resolution The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Sully-Miller Contractinci Company C. pn Signature of#idder Curtis Weltz, Assistant Secretary Printed or Typed Signature C-8 Please see attached Notary NOTARY CERTIFICATE Subscribed and sworn to before me this day of , 201_ . A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of ) County of ) On before me, Month, Day, and Year Insert Name and Title of Notary personally appeared Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 CALIFORNIA ALL-PURPOSE 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 02/12/2020 before me, Maria L. Ruiz, Notary Public Date Here Insert Name and Title of the Officer personally appeared Curtis Weltz 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 a MARIA L. RUIZ Sig Notary Public - California a y Signature of a . '-�-a �'i;i Orange County Z z , �p Commission # 2176005 n M/Comm. Expikes Jan 5. 2021 7 . - Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Bidder's Information Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Curtis Weitz Signer's Name: X 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: Sully-Miller Contracting Company 02014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 135 S. State College Blvd., Suite #400 Brea, CA 92821 SULLY MILLER Phone (714) 578-9600 FAX (714) 578-9672 CONTRACTING CO. License #747612 A DIR#1000003664 Sully-Miller Contracting Company License Certificate I Certify under penalty of perjury under the laws of the State of California that the following is true and correct. #747612 State Contractor's License No. Curtis Weltz, Assistant Secretary CONTRACTORS dCa STATE LICENSE BOARDil ,. -*' I OEPAATMENT OF CONtUMfR AFFAiat ACTIVE LICENSE LirnseNum. 747612 CORP EusinessName SULLY - MILLER CONTRACTING COMPANY C;asstkcahon(sl H E.pvabon Dale 03/31/2020 vvww.cslb.ca.gov i ' I CERTIFICATE OF INCUMBENCY AND RESOLUTION i I, Anthony L. Martino, II, do hereby certify that I am the Secretary of Sully-Miller Contracting Company, a Delaware corporation, and that as such I have access to and custody of the corporate j records and minute books of said corporation. And I do hereby further certify that the following persons are duly elected officers of said corporation. I! TITLE NAME I Chairman Of The Board John Harrington I President William Joseph Thomas Boyd Vice President, CFO,Treasurer Christian Ransinangue and Assistant Secretary Vice President and Assistant Secretary Scott Bottomley Secretary Anthony L. Martino, II Assistant Secretary Curtis Weltz I finther certify that the following is a true and correct copy of a resolution duly adopted by the Board of Directors of said Company at a meeting held on December 5, 2019, and that this resolution has not been in any way rescinded, annulled, or revoked but the same is still in full force and effect: "BID TENDERS: GENERAL f l RESOLVED, that any officer of the Corporation be and they hereby are authorized in the name and on behalf of the Corporation, under its corporate seal or otherwise (i) to prepare proposals and bids for the supplying of construction materials and the performance by itself or in joint venture, of work of whatsoever nature in connection with the construction or paving of highways, roads and airports and in connection with earthworks and civil engineering projects of all kinds, together with all work incidental thereto, (ii)to execute and submit any and all such proposals and bids to any governmental authority, instrumentality, or agency of the United States, its several states, territories and possessions, including without limitation, any municipality or other political or corporate subdivision thereof, and to any corporation, partnership, sole proprietorship, or other business entity, (iii) in connection with any such submission, to deliver bid deposits or bonds as may be required and (iv) to execute and deliver definitive agreements binding the Corporation to perform work in accordance with any proposals and bids authorized hereby." IN WITNESS WHEREOF,I have hereunto set my hand and affixed the corporate seal this 5th day of December,2019. (SEAL) Anth ny L. Martino, Secretary Sully-Miller Contracting Company + 135 S. State College Blvd., Ste. 400 Brea, CA 92821 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets,an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."}. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1 Please see attached List of Projects and References 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 SULLY-MILLER CONTRACTING CO. LIST OF REFERENCES John Wayne Airport Los Angeles County Dept. of Public Works Irvine, CA Alhambra, CA Larry Serafini, Project Engineer Issa Adawiya, Resident Engineer 949-252-5270 Iserafini@ocair.com 626-458-5100 City of Fontana CNC Engineering Fontana, CA City of Industry, CA Mario Estrada, Asst. City Engineer John Ballas, City Engineer 909-350-7696 kraascn@fontana.org 626-333-0336 gperez@cc-eng.com C. J. Segerstrom / South Coast Plaza Fox Studios Operations Costa Mesa, CA Beverly Hills, CA Grant Wilson, Project Manager William Murphy, V.P. of Facilities 714-546-0110 310-369-3794 City of Baldwin Park— Engr. Division BNSF Railroad Commerce Baldwin Park, CA Hansen-Wilson Arjan Idnani, Engineering Manager Roy Rogers, Construction Manager 626-960-4011 Ext. 254 323-267-4186 LA Arena Company Caltrans Staples Center— Los Angeles, CA Department of Transportation Don Berges, Construction Manager Ray Stokes, Regional Engineer 213-742-7873 909-275-0211 City of Fullerton Cal State Long Beach Foundation Fullerton, CA Long Beach, CA George Lin, Project Engineer Mo Tidemanis, Director 714-738-6845 graffiti@cityoffullerton.com 562-985-8489 The Irvine Company City of Rancho Cucamonga Newport Beach, CA Rancho Cucamonga, CA Peggy Kloos, Sr. Director/Construction Cindy Hackett, Associate Engineer 949-720-2000 909-477-2740 Irvine Community Development Company City of Hesperia — Public Works Dept. Newport Beach, CA Hesperia, CA Bill Martin, Vice President/Construction Mike Podegradz, City Manager 949-734-800 760-947-1000 Town of Apple Valley City of Barstow Apple Valley, CA Barstow, CA Richard Pederson, Town Engineer Mike Stewart, City Engineer 760-240-7000 760-255-5154 Updated 2019 ] SULLY-MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number: STREET REHABILITATION &WATER MAIN UPGRADE PROJECT/ 10202412 Start and Finish Dates: 6/25/18-9/28/18 Project Description: TRAFFIC CONTROL, CONCRETE,ASPHALT, WATERLINE, COLD MILL, CRACK SEAL Agency Name: CITY OF LYNWOOD Contact Person: SALVADOR MENDEZ Telephone: 310-603-0220 Original Contract Amount: $1,671,000 Final Contract Amount: $1,892,124 Change in contract amount is due to items of work being added/deleted by the agency. Project Name/Number., BIRCH STREET REHABILITATION/10202367 Start and Finish Dates., 7/25/18-11/9/18 Project Description: TRAFFIC CONTROL, CONCRETE,ASPHALT, WATERLINE, COLD MILL Agency Name: CITY OF LYNWOOD Contact Person: SALVADOR MENDEZ Telephone: 310-603-0220 Original Contract Amount: $1,189,000 Final Contract Amount., $1,639,460 Change in contract amount is due to items of work being added/deleted by the agency. Project Name/Number: FY 17/18 MISCELLANEOUS STREET REPAIRS/ 10201035 Start and Finish Dates: 6/18/18-8/10/18 Project Description: REMOVALS,ASPHALT, CONCRETE, TRAFFIC CONTROL, MOB, COLD PLANE Agency Name: CITY OF PALOS VERDES ESTATES Contact Person: KEN RUKAVINA, PE Telephone: 310-378-0383 Original Contract Amount: $387,392 Final Contract Amount: $377,503 Change in contract amount is due to items of work being added/deleted by agency. Project Name/Number: T&M WORK-ROUTE 1 - PAVEMENT FAILURE/10200926 Start and Finish Dates: 3/26/18-5/10/18 Project Description: REMOVE THE STRUCTURAL SECTION, FILL THE VOID, COMPACT SOIL Agency Name: STATE OF CALIFORNIA, DEPARTMENT OF TRANSPORTATION (CALTRANS) Contact Person: MARK MORRIS Telephone: 916-227-6299 Original Contract Amount: $300,000 Final Contract Amount: $101,525 Change in contract amount is due to items of work being added/deleted by agency Updated February 2019 SULLY-MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number: FY 2017—2018 St. Improvement Project/ 10199734 Start and Finish Dates., 2/26/18—3/7/18 Project Description: AC GRIND&OVERLAY, EARTHWORK, TRAFFIC CONTROL, MOB, LIME TREATMENT Agency Name: CITY OF HESPERIA Contact Person: JAMIE CARONE Telephone: 760-947-1449 Original Contract Amount: $1,722,660.00 Final Contract Amount: $1,879,497 Change in contract amount is due to items of work being added/deleted by the agency. Project Name/Number. LOCAL/RESIDENTIAL STREET IMPROVEMENT PROJECT(PHASE VIII)/ 10199482 Start and Finish Dates: 3/27/18—5/16/18 Project Description: AC GRIND&OVERLAY, CONCRETE IMPROVEMENTS, CRACKFILLING, LOOPS Agency Name: CITY OF BURBANK Contact Person: OMAR MOHEIZE Telephone: 818-238-5850 Original Contract Amount., $3,499,173 Final Contract Amount: $3,661,493 Change in contract amount is due to items of work being added/deleted by the agency. Project Name/Number., ARROW BLVD AND FONTANA AVENUE SAFE ROUTES TO SCHOOL/ 10198414 Start and Finish Dates: 1/2/18—5/15/18 Project Description: REMOVALS,AC GRIND &OVERLAY, EARTHWORK, TREE REMOVAL, PCC IMPR. Agency Name: CITY OF FONTANA Contact Person: RICHARD OAXACA Telephone: 909-350-76-10 Original Contract Amount., $982,000 Final Contract Amount., $1,045,659 Change in contract amount is due to items of work being added/deleted by agency Project Name/Number: JOB ORDER CONTRACT FOR PAVEMENT MAINT. , FY 2017-18/10198348 Start and Finish Dates: 4/30/18—4/30/19 Project Description: MISCELLANEOUS CONSTRUCTION THROUGHOUT ORANGE COUNTY Agency Name: COUNTY OF ORANGE Contact Person: STEVE CLAYTON Telephone: 714-667-8800 Original Contract Amount: $4,656,000 Final Contract Amount: $800,927 Change in contract amount is due to items of work being added/deleted by agency Updated February 2019 SULLY-MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number., FLORENCE METRO BLUE LINE STATION BIKEWAY ACCESS IMPR./10197845 Start and Finish Dates: 1/29/18-4/8/18 Project Description: AC GRIND&OVERLAY, CONCRETE IMPROVEMENTS, EARTHWORK, STRIPING Agency Name: LOS ANGELES COUNTY DEPARTMENT OF PUBLIC WORKS( LACDPW) Contact Person: ALI DANA Telephone: 626-458-3144 Original Contract Amount: $1,049,589 Final Contract Amount: $1,158,441 Change in contract amount is due to items of work being added/deleted by the agency. Project Name/Number.- LOCAL STREET AND CITY PARK IMPROVEMENT PROJECT/ 10197735 Start and Finish Dates: 1/8/18-3/15/18 Project Description: AC GRIND&OVERLAY, REMOVALS, CONCRETE IMPROVEMENTS, LANDSCAPE Agency Name: CITY OF LA PUENTE Contact Person: ADEL FREIJ-WILDAN Telephone: 562-364-8486 Original Contract Amount: $758,173.00 Final Contract Amount: $758,032 Change in contract amount is due to items of work being added/deleted by the agency. Project Name/Number., POLK STREET RESURFACING PROJECT-58TH AVENUE TO AIRPORT/ 10197698 Start and Finish Dates: 1/16/18-2/16/18 Project Description: AC GRIND&OVERLAY, PULVERIZATION, EARTHWORK,AGGREGATE, STRIPING Agency Name: COUNTY OF RIVERSIDE Contact Person: JOEL J I MEN EZ Telephone: 951-955-6780 Original Contract Amount, $788,762 Final Contract Amount: $660,553 Change in contract amount is due to items of work being added/deleted by agency Project Name/Number., ANZA AVENUE REHABILITATION (190TH TO DEL AMO), 1-144/ 10197224 Start and Finish Dates: 1/2/18-4/30/18 Project Description: AC GRIND&OVERLAY, EXCAVATION,AGGREGATE BASE, TRAFFIC CONTROL Agency Name: CITY OF TORRANCE Contact Person: SHIN FURUKAWA Telephone: 310-328-5310 Original Contract Amount.- $1,267,000 Final Contract Amount: $1,009,508 Change in contract amount is due to items of work being added/deleted by agency Updated February 2019 Mau SULLY-MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number. PEARBLOSSOM HWY WATER MAIN RELOCATION 121ST ST EAST/ 10197174 Start and Finish Dates: 12/26/17-4/26/18 Project Description: TRAFFIC CONTROL,AC, REMOVE & REPLACE WATERLINE, ASBESTOS REMOVAL Agency Name: LOS ANGELES WATERWORKS DISTRICT(LACDPW) Contact Person: LAURA SMITH Telephone: 626-458-3114 Original Contract Amount: $2,943,000 Final Contract Amount., $3,016,282 Change in contract amount is due to items of work being added/deleted by the agency. Project Name/Number: UCI COOLING TOWER RECYCLED WATER CONVERSION PIPELINE/ 10196627 Start and Finish Dates: 10/25/17-3/25/18 Project Description: MOBILIZATION, TRAFFIC CONTROL, UNDERGROUND, COLD MILL,AC, SLURRY Agency Name: IRVINE RANCHE WATER DISTRICT Contact Person: HARRY CHO Telephone: 949-453-5300 Original Contract Amount: $1,117,500 Final Contract Amount: $1,586,637 Change in contract amount is due to items of work being added/deleted by the agency. Project Name/Number: STREET RECONSTRUCTION PROJECT/ 10196509 Start and Finish Dates: 10/23/17- 12/8/17 Project Description: AC GRIND&OVERLAY, EXCAVATION,AGGREGATE BASE, CONCRETE, IMPR. Agency Name: CITY OF El MONTE Contact Person: JIM GEYER Telephone: 626-580-2058 Original Contract Amount: $1,199,000 Final Contract Amount: $1,202,924 Change in contract amount is due to items of work being added/deleted by agency Project Name/Number: DOWNTOWN PEDESTRIAN ACCESS IMPR.AT HUNTINGTON/10196168 Start and Finish Dates: 12/4/17- 1/4/18 Project Description: EXCAVATION, BASE,AC, PCC, SURVEY, LANDSCAPE, MASONRY, ELECTRICAL Agency Name: CITY OF ARCADIA Contact Person: KEVIN MERRILL Telephone: 626-574-5400 Original Contract Amount. $182,748 Final Contract Amount: $201,023 Change in contract amount is due to items of work being added/deleted by agency Updated February 2019 SULLY-MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number., UNINCORPORATED COMMUNITY OF CHARTER OAK/ 10196167 Start and Finish Dates: 11/13/17-2/28/18 Project Description: EXCAVATION,AGGREGATE BASE, CONCRETE,AC PAVING, TRAFFIC CONTROL Agency Name: LACDPW Contact Person: ANOUSH HOVSEPIANS Telephone: 626-458-3114 Original Contract Amount: $1,172,333 Final Contract Amount: $1,129,637 Change in contract amount is due to items of work being added/deleted by agency Project Name/Number: JOHN WAYNE AIRPORT TERMINAL C TAXI STAGING AREA/ 10194789 Start and Finish Dates: 11/6/17-3/6/18 Project Description: DEMOLITION, CONCRETE IMPROVEMENTS, MOBILIZATION, TRAFFIC Agency Name: COUNTY OF ORANGE Contact Person: KORY HARIRI Telephone: 949-252-5171 Original Contract Amount: $543,000 Final Contract Amount: $458,500 Change in contract amount is due to items of work being added/deleted by agency Project Name/Number: RESIDENTIAL STREET REHAB PROJECT PH. I AREA 7 PCC/10194501 Start and Finish Dates: 8/8/17- 10/13/17 Project Description: TRAFFIC CONTROL, PCC, AC, COLD PLANE, ADJUSTMENTS, CRACKSEAL Agency Name: CITY OF RANCHO PALOS VERDES Contact Person: NATALIE CHAN Telephone: 310-544-5289 Original Contract Amount: $1,419,331 Final Contract Amount., $1,976,934 Change in contract amount is due to items of work being added/deleted by agency Project Name/Number: RANCHERO ROAD REHAB& MAIN ST. MEDIAN PROJECT/ 10194432 Start and Finish Dates: 7/24/17-9/22/17 Project Description: EXCAVATION,AC, CONCRETE, BASE, COLD PLANE, STRIPING,ADJUSTMENTS Agency Name: CITY OF HESPERIA Contact Person: TINA SOUZA Telephone: 760-947-1474 Original Contract Amount: $487,450 Final Contract Amount., $487,030 Change in contract amount is due to items of work being added/deleted by agency Updated February 2019 SULLY-MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number.- MONROVIA RENEWAL - NORTHWEST AREA INFRASTRUCTURE/ 10194317 Start and Finish Dates: 8/20/17-5/31/18 Project Description: PULVERIZATION, EXCAVATION,AC PAVING, CONCRETE, SEWER,ADJUSTING Agency Name: CITY OF MONROVIA Contact Person: JIM MERRILL Telephone: 626-932-5575 Original Contract Amount: $7,398,739 Final Contract Amount: $8,514,561 Change in contract amount is due to items of work being added/deleted by agency Project Name/Number: DIVISION DR. &SUGARPINE RD /10193679 Start and Finish Dates: 8/4/17-9/30/17 Project Description: AC, GRADING, REMOVALS, PULVERIZATION,ADJUSTING UTILITIES Agency Name: COUNTY OF SAN BERNARDINO DEPT. PUBLIC WORKS Contact Person: HAILE FORD Telephone: 909-387-7920 Original Contract Amount: $668,400 Final Contract Amount: $667,886 Change in contract amount is due to items of work being added/deleted by agency Project Name/Number., LUNA RD/ 10193678 Start and Finish Dates: 8/4/17- 10/13/17 Project Description: REMOVALS, PULVERIZATION, EXCAVATION, CEMENT TREAT, EARTHWORK Agency Name: COUNTY OF SAN BERNARDINO DEPT. PUBLIC WORKS Contact Person: HAILE FORD Telephone: 909-387-7920 Original Contract Amount: $2,022,000 Final Contract Amount: $2,007,995 Change in contract amount is due to items of work being added/deleted by agency. Project Name/Number: LOS ANGELES AVE. WIDENING/10192625 Start and Finish Dates: 7/5/17-9/22/17 Project Description: AC, PCC IMPROVEMENTS, REMOVALS, TRAFFIC CONTROL, UNDERGROUND Agency Name: CITY OF SIMI VALLEY Contact Person: SARAH SHESHEBOR Telephone: 805-583-6792 Original Contract Amount: $248,946 Final Contract Amount: $258,537 Change in contract amount is due to items of work being added/deleted by agency. Updated February 2019 SULLY-MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number: ARROYO SECO PEDESTRIAN AND BICYCLE TRAIL PROJECT/ 10192407 Start and Finish Dates: 7/24/17—1/31/18 Project Description: REMOVALS, EARTHWORK, PCC, PETROMAT,AC, LANDSCAPE, ELECTRICAL Agency Name: CITY OF SOUTH PASADENA Contact Person: RAFAEL CASI LLAS Telephone: 626-403-7240 Original Contract Amount: $2,086,255 Final Contract Amount: $1,975,575 Change in contract amount is due to items of work being added/deleted by agency. Project Name/Number., 2017 PAVEMENT REHAB PROJECT, PS-005 &CULVER WEST/ 10189586 Start and Finish Dates: 6/5/17—9/5/17 Project Description: AC GRIND&OVERLAY, CONCRETE IMPROVEMENTS, EXCAVATION Agency Name: CITY OF CULVER CITY Contact Person: HONG WANG Telephone: 310-353-5600 Original Contract Amount: Final Contract Amount: $2,301,205 Change in contract amount is due to items of work being added/deleted by agency. Project Name/Number: McCADDEN PLACE—BEVERLY BOULEVARD TO 3RD STREET/ 10189026 Start and Finish Dates: 8/7/17— 1/28/18 Project Description: EXCAVATION, CONCRETE IMPROVEMENTS,ALLOWANCES, LANDSCAPE Agency Name: CITY OF LOS ANGELES Contact Person: RALPH SHOVLIN Telephone: 213-978-0262 Original Contract Amount: $496,000 Final Contract Amount., $408,306 Change in contract amount is due to items of work being added/deleted by the agency. Project Name/Number. MAGNOLIA AVE. &RAMONA DR. WATER DISTRIBUTION MAIN/ 10188799 Start and Finish Dates: 5/9/17—11/1/17 Project Description: ASPHALT, CONCRETE, WATER, LOOPS, STRIPING,ADJUSTMENTS Agency Name: CITY OF RIVERSIDE Contact Person: FERNANDO ROMERO Telephone: 951-826-5311 Original Contract Amount: $1,984,777 Final Contract Amount.- $1,971,695 Change in contract amount is due to items of work being added/deleted by the agency. Updated February 2019 MEW SULLY-MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number.• TRAFFIC SIGNAL IMPR. ON SANTA MONICA BLVD/10188768 Start and Finish Dates: 7/1/17- 10/6/17 Project Description: SURVEY, EXCAVATION, TRAFFIC CONTROL, CONCRETE, SWPPP, ELECTRICAL Agency Name: CITY OF WEST HOLLYWOOD Contact Person: SHARON PERLSTEIN Telephone: NUMBER Original Contract Amount: $1,170,439 Final Contract Amount: $1,291,399 Change in contract amount is due to items of work being added/deleted by agency. Project Name/Number: 2016-17 STREET REHABILITATION PROGRAM/ 10188741 Start and Finish Dates: 5/20/17-7/1/17 Project Description: TRAFFIC CONTROL, SWPPP, COLD MILL,ARHM, AC, BASE, DEMO, PCC,ADJUSTING Agency Name: CITY OF SIERRA MADRE Contact Person: CHRIS CIMINO Telephone: 626-355-7135 Original Contract Amount: $449,196 Final Contract Amount.- $570,294 Change in contract amount is due to items of work being added/deleted by agency. Project Name/Number: STREET& LANDSCAPE IMPR. ON CARSON STREET/ 10188501 Start and Finish Dates: 7/1/17-12/31/17 Project Description: REMOVALS,AC, IMPORT, TRAFFIC CONTROL, SITE FURNISHINGS, MASONRY Agency Name: CITY OF HAWAIIAN GARDENS Contact Person: ISMILE NOORBAKSH Telephone: 562-420-2641 Original Contract Amount: $2,620,118 Final Contract Amount: $2,702,025 Change in contract amount is due to items of work being added/deleted by the agency. Project Name/Number: ASPHALT PAVING &PULVERIZING HAIWEE PP SOUTH ACCESS RD/ 10188291 Start and Finish Dates: 6/14/17-81/17 Project Description: AC PAVING, GRADING, PULVERIZATION, MOBILIZATION Agency Name: LACDPW Contact Person: ISABEL DE VERA Telephone: 213-367-4309 Original Contract Amount: $132,321 Final Contract Amount: $124,673 Change in contract amount is due to items of work being added/deleted by the agency. Updated February 2019 SULLY-MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number: 6TH STREET BICYCLE BOULEVARD PROJECT/ 10188038 Start and Finish Dates: 7/5/17—11/30/17 Project Description: EXCAVATION,AC GRIND AND OVERLAY, PCC IMPROVEMENTS, UNDERGROUND Agency Name: CITY OF LONG BEACH Contact Person: STEVE TWEED Telephone: 562-570-5161 Original Contract Amount: $821,000 Final Contract Amount: $1,027,181 Change in contract amount is due to items of work being added/deleted by agency. Project Name/Number: FY 2016-17 CDBG STREET IMPROVEMENTS/10187953 Start and Finish Dates: 2/20/17—2/21/18 Project Description: REMOVALS, FULL DEPTH RECLAMATION,AC PAVING, GRADING, SLURRY SEAL Agency Name: CITY OF HESPERIA Contact Person: DAVID BURKETT Telephone: 760-947-1202 Original Contract Amount: $ 1,417,999.60 Final Contract Amount: $1,417,999 Change in contract amount is due to items of work being added/deleted by agency. Project Name/Number: EMERGENCY GRIND AND OVERLAY/ 10187603 Start and Finish Dates: 1/14/17—1/20/117 Project Description: GRIND AND OVERLAY Agency Name: CITY OF VERNON Contact Person: V. RODRIGUEZ Telephone: 323-583-88111 ,a Original Contract Amount: $100,000 Final Contract Amount- $100,000 Change in contract amount is due to items of work being added/deleted by the agency. Project Name/Number: CONSTRUCTION ON ST.HWY ROUTE 18 IN S.B.000NTY/ 10187599 Start and Finish Dates: 4/1/17—6/23/17 Project Description: UNDERGROUND, PCC IMPROVEMENTS,AC PAVING, STRIPING, SIGNAGE STRUCTURES W/REBAR Agency Name: CALTRANS Contact Person: MOHSEN PARVINJAH Telephone: 916-227-6299 Original Contract Amount: $1,076,000 Final Contract Amount: $1,059,906 Change in contract amount is due to items of work being added/deleted by the agency. Updated February 2019 SULLY-MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number: MARINE PARK IRRIGATION RETROFIT PROJECT/10187204 Start and Finish Dates: 5/15/17-12/31/17 Project Description: SURVEY, REMOVALS, WATER LINE, PCC,AC, LANDSCAPE, IRRIGATION, ELECTRIC Agency Name: CITY OF SANTA MONICA Contact Person: CARLOS ROSALES Telephone: 310-458-8721 Original Contract Amount: $2,065,100 Final Contract Amount., $2,151,556 Change in contract amount is due to items of work being added/deleted by agency. Project Name/Number: FY 2015-2016 PAVEMENT REHABILITATION PROGRAM/ 10186801 Start and Finish Dates: 12/16/16- 12/16/19 Project Description: COLD MILL, EXCAVATION,AC, PCC, CRACK TREATMENT, SURVEY Agency Name: CITY OF EL MONTE Contact Person: NADEEM SYED Telephone: 626-580-2058 Original Contract Amount: $1,180,092 Final Contract Amount: $2,029,332 Change in contract amount is due to items of work being added/deleted by agency. Project Name/Number: CARSON STREET AND NORWALK BOULEVARD IMPROVEMENTS/ 10186780 Start and Finish Dates: 5/1/17-6/1/17 Project Description: AC, DEMO, PCC, TRAFFIC CONTROL, MISCELLANEOUS FURNISHINGS Agency Name: CITY OF HAWAIIAN GARDENS Contact Person: ISHMILE NOORBAKSH Telephone: 562-420-2641 Original Contract Amount: $369,880 Final Contract Amount., $369,880 Change in contract amount is due to items of work being added/deleted by the agency. Project Name/Number: DUARTE ROAD ARTERIAL REHABILITATION/10186427 Start and Finish Dates: 1/15/17-3/30/17 Project Description: AC GRIND&OVERLAY, EXCAVATION, CONCRETE, ELECTRICAL Agency Name: CITY OF ARCADIA Contact Person: TIM KELLECHER Telephone: 626-574-5415 Original Contract Amount: $560,022 Final Contract Amount: $532,009 Change in contract amount is due to items of work being added/deleted by the agency. Updated February 2019 SULLY-MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number: YUCCA LOMA ROAD STREET AND STRIPING IMPROVEMENTS/10186361 Start and Finish Dates: 12/1/16-2/1/17 Project Description: AC, BASE, PCC, GRADING, REMOVALS, UNDERGROUND, STRUCTURES Agency Name: TOWN OF APPLE VALLEY Contact Person: RICHARD PEDERSON Telephone: 760-240-7000 Original Contract Amount: $389,000 Final Contract Amount: $389,000 Change in contract amount is due to items of work being added/deleted by agency. Project Name/Number.- GOLD LINE STATION PEDESTRIAN AND BICYCLE IMPROVEMENTS/ 10186191 Start and Finish Dates: 12/1/16-4/1/17 Project Description: EARTHWORK, CONCRETE, ASPHALT PAVING, MOB, TRAFFIC CONTROL Agency Name: CITY OF DUARTE Contact Person: RAFAEL CASILLAS Telephone: 626-357-7931 Original Contract Amount: $1,674,357 Final Contract Amount: $1,730,380 Change in contract amount is due to items of work being added/deleted by agency. Project Name/Number: STREET SLURRY SEAL PROJECT 2016/2017 IN VARIOUS STREETS/10186075 Start and Finish Dates: 11/28/16-2/15/17 Project Description: EXCAVATION, BASE,AC, PCC, SLURRY STRIPING Agency Name: CITY OF BELL Contact Person: ANGELA BUSTAMANTE Telephone: 323-588-6211 Original Contract Amount: $462,000 Final Contract Amount: $462,000 Change in contract amount is due to items of work being added/deleted by the agency. Project Name/Number. GAGE AVENUE IMPROVEMENTS FROM WILCOX AVENUE TO RIVER DR/ 10185788 Start and Finish Dates: 10/19/16- 12/2/16 Project Description: TRAFFIC CONTROL, CLEARING &GRUBBING, CMB,ARHM, STRIPING Agency Name: CITY OF BELL Contact Person: DANI KIM Telephone: 323-588-6211 Original Contract Amount: $671,000 Final Contract Amount: $671,000 Change in contract amount is due to items of work being added/deleted by the agency. Updated February 2019 SULLY-MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number: ARROYO DRIVE AREA SEWER AND STREET IMPROVEMENTS/10185389 Start and Finish Dates., 11/1/16- 1/30/17 Project Description: AC PAVING, PCC IMPROVEMENTS, UNDERGROUND, MANHOLES, EXCAVATION Agency Name: CITY OF FULLERTON Contact Person: DON HOPE Telephone: 714-738-6300 Original Contract Amount: $874,000 Final Contract Amount: $874,000 Change in contract amount is due to items of work being added/deleted by agency. Project Name/Number: BEAR VALLEY ROAD RECONSTRUCTION (MARIPOSA TO AMARGOSA/10185154 Start and Finish Dates. 10/15/16- 12/16/16 Project Description: COLD PLANE, EXCAVATION, BASE, CONCRETE,ASPHALT, TRAFFIC, STRUCTURES Agency Name: CITY OF VICTORVILLE Contact Person: BRUCE MILLER Telephone: 760-955-5000 Original Contract Amount., $2,323,000 Final Contract Amount: $2,307,860 Change in contract amount is due to items of work being added/deleted by agency. Project Name/Number: MCDONNELL AVENUE, ET AL/10185083 Start and Finish Dates: 12/1/16- 12/1/16 Project Description: MOB, DEMOLITION, EXCAVATION, CEMENT TREATED BASE, UNDERGROUND Agency Name: LACDPW Contact Person: TIM BAZINET Telephone: 626-458-3144 Original Contract Amount: $3,076,035 Final Contract Amount: $3,129,747 Change in contract amount is due to items of work being added/deleted by the agency. Project Name/Number. EXCAVATION,AC, PCC,ADJUSTMENTS, SLURRY SEAL, STRIPING/ 10185040 Start and Finish Dates: 12/1/16-3/31/17 Project Description: EXCAVATION,AC, PCC,ADJUSTMENTS, SLURRY SEAL, STRIPING Agency Name: CITY OF SAN GABRIEL Contact Person: DAREN GRILLEY Telephone: 626-308-2800 Original Contract Amount: $379,519 Final Contract Amount.- $699,171 Change in contract amount is due to items of work being added/deleted by the agency. Updated February 2019 SULLY-MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number: RESIDENTIAL STREET REHABILITATION FY 14-15& FY 15-16/ 10184825 Start and Finish Dates: 10/3/16-1/15/17 Project Description: RESIDENTIAL STREET REHABILITATION FY 14-15& FY 15-16 Agency Name: CITY OF LA HABRA Contact Person: EDDIE CHAN Telephone: 562-383-4151 Original Contract Amount: $1,745,500 Final Contract Amount: $1,745,500 Change in contract amount is due to items of work being added/deleted by agency. Project Name/Number.- MONROVIA RENEWAL-SOUTHWEST/SOUTHEAST AREA/ 10184717 Start and Finish Dates: 10/3/16-1/15/17 Project Description: EXCAVATION/DEMOLITION,AC GRIND AND OVERLAY, PULVERIZE, CAPE SEAL Agency Name: CITY OF MONROVIA Contact Person: JIM MERRILL Telephone: 626-932-5575 Original Contract Amount.- $4,940,000 Final Contract Amount.- $4,940,000 Change in contract amount is due to items of work being added/deleted by agency. Project Name/Number: WASHINGTON BOULEVARD STREET IMPROVEMENTS-PHASE 2/ 10184671 Start and Finish Dates: 10/1/16- 12/23/16 Project Description: AC PAVING, CONCRETE IMPROVEMENTS, COLD MILL, ELECTRICAL Agency Name: CITY OF MONTEBELLO Contact Person: SAMUEL KOURI Telephone: 323-887-1460 Original Contract Amount: $824,690 Final Contract Amount: $824,690 Change in contract amount is due to items of work being added/deleted by the agency. Project Name/Number: TEMPLE AVENUE IMPROVEMENTS/ 10184162 Start and Finish Dates: 12/6/16- 1/16/17 Project Description: TRAFFIC CONTROL, DEMO, PCC,AC, LANDSCAPE, SLURRY SEAL Agency Name: CITY OF LA PUENTE Contact Person: ADEL FREIJ (WILDAN) Telephone: 562-364-8486 Original Contract Amount: $524,751 Final Contract Amount: $579,806 Change in contract amount is due to items of work being added/deleted by the agency. Updated February 2019 SULLY-MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number., CONSTRUCTION OF LIBERTY PARK ANNEX EXTERIOR IMPROVEMENTS/ 10184161 Start and Finish Dates: 8/29/16-9/21/16 Project Description: AC PAVING, CONCRETE IMPROVEMENTS, COLD MILL, ELECTRICAL Agency Name: CITY OF CERRITOS Contact Person: FREDDY BONILLA Telephone: 562-860-0311 Original Contract Amount: $311,130 Final Contract Amount: $311,130 Change in contract amount is due to items of work being added/deleted by agency. Project Name/Number.- 2017 CITYWIDE STREET RESURFACING/10183764 Start and Finish Dates: 8/29/1611/11/16 Project Description: SURVEY, CONCRETE, UNDERGROUND,AC, COLD PLANE, FENCING Agency Name: CITY OF LA CANADA FLINTRIDGE Contact Person: GREG KWOCEK Telephone: 818-790-8880 Original Contract Amount.- $1,284,195 Final Contract Amount: $1,284,195 Change in contract amount is due to items of work being added/deleted by agency. Project Name/Number: ALAMO STREET WIDENING WEST OF GAGE AVENUE/ 10183436 Start and Finish Dates: 8/15/16- 10/14/16 Project Description: DEMOLITION, CONCRETE IMPROVEMENTS, AC GRIND&OVERLAY Agency Name: CITY OF SIMI VALLEY Contact Person: SARAH SHESHEBOR Telephone: 805-583-6786 Original Contract Amount: $288,629 Final Contract Amount: $288,629 Change in contract amount is due to items of work being added/deleted by the agency. Project Name/Number.- WILMINGTON AVENUE IMPROVEMENTS/ 10183227 Start and Finish Dates: 9/12/16-12/16/16 Project Description: COLD PLANE,AC, PCC,ADJUSTMENTS, ELECTRICAL, SURVEY Agency Name: CITY OF COMPTON Contact Person: JOHN STRICKLAND Telephone: 310-605-5500 Original Contract Amount.- $1,219,750 Final Contract Amount: $1,146,489 Change in contract amount is due to items of work being added/deleted by the agency. Updated February 2019 SULLY-MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number: VALLEY VIEW UTILITY RELOCATION/10182766 Start and Finish Dates: 7/18/16-8/31/16 Project Description: TRAFFIC CONTROL, EROSION CONTROL,WATER LINE, SIDEWALK Agency Name: CITY OF CERRITOS Contact Person: FREDDY BONILLA Telephone: 562-860-0311 Original Contract Amount: $379,000 Final Contract Amount: $379,000 Change in contract amount is due to items of work being added/deleted by agency. Project Name/Number: CHICO AVENUE FROM RUSH STREET TO SOUTH END OF STREET/ 10182094 Start and Finish Dates: 7/11/16-9/2/16 Project Description: COLD MILL,AC, GRADING, CONCRETE,ADJUST MANHOLES&VALVES Agency Name: CITY OF SOUTH EL MONTE Contact Person: ARJAN IDNADI Telephone: 626-579-6540 Original Contract Amount: $299,210 Final Contract Amount: $299,210 Change in contract amount is due to items of work being added/deleted by agency. Project Name/Number.- DESERT SHORES TOWNSITE ROADWAY IMPROVEMENT PROJECT/ 10182072 Start and Finish Dates: 7/1/16- 10/28/16 Project Description: SHOULDER BACKING,ADJUST MANHOLES&VALVES, COLD PLANE, ARAM Agency Name: IMPERIAL COUNTY DEPARTMENT OF PUBLIC WORKS Contact Person: JENELL GUERRERO Telephone: 442-265-1818 Original Contract Amount., $1,111,000 Final Contract Amount: $1,111,000 Change in contract amount is due to items of work being added/deleted by the agency. Project Name/Number.- INTERSECTION MODIFICATION AT WALNUT AVENUE AND ALAMITOS/ 10180933 Start and Finish Dates: 10/1/16-5/1/17 Project Description: EXCAVATION,AC GRIND&OVERLAY, CONCRETE,AGGREGATE BASE, UNDERGROUND Agency Name: CITY OF LONG BEACH Contact Person: ERIC LOWE Telephone: 562-570-5161 Original Contract Amount: $851,568 Final Contract Amount. $2,036,000 Change in contract amount is due to items of work being added/deleted by the agency. Updated February 2019 SULLY-MILLER CONTRACTING CO. BIDDER'S EXPERIENCE AND QUALIFICATIONS Project Name/Number: 2015-16 ANNUAL OVERLAY PROJECT/10180815 Start and Finish Dates: 6/27/16-9/16/16 Project Description. COLD PLANE, GRADING,AC, CRACK SEAL, STRIPING, LOOPS Agency Name: CITY OF SANTA CLARITA Contact Person: FRANK LUJAN Telephone: 661-255-4942 Original Contract Amount: $3,964,775 Final Contract Amount., $3,964,775 Change in contract amount is due to items of work being added/deleted by agency. Project Name/Number: BERYL STREET- FLAGLER TO 190TH DRAINAGE/10180800 Start and Finish Dates: 6/13/16-10/1/16 Project Description: EXCAVATION, BASE, AC, PCC, COLD PLANE, UNDERGROUND Agency Name: CITY OF REDONDO BEACH Contact Person: SAILA POTUKUCHI Telephone: 310-372-1171 Original Contract Amount: $1,658,101 Final Contract Amount: $1,658,101 Change in contract amount is due to items of work being added/deleted by agency. Project Name/Number: VALLEY BOULEVARD RECONSTRUCTION WITH PCC PAVEMENT/10180528 Start and Finish Dates: 8/1/16-11/21/16 Project Description: DEMO, GEOGRID, EXCAVATION, EARTHWORK, PCC,ADJUSTMENT Agency Name: CITY OF INDUSTRY Contact Person: GERRY PEREZ Telephone: 626-333-0336 Original Contract Amount: $3,828,191 Final Contract Amount: $886,882 Change in contract amount is due to items of work being added/deleted by the agency. Project Name/Number.- BEACH PARKING LOT 4S ACCESS IMPROVEMENTS AND PAVING/10179877 Start and Finish Dates: 5/23/16-6/24/16 Project Description: COLD MILL, CONCRETE, EXCAVATION, SITE FURNISHINGS,AC Agency Name: CITY OF SANTA MONICA Contact Person: ZACH POLLARD Telephone: 310-458-8411 Original Contract Amount: $706,094 Final Contract Amount: $706,094 Change in contract amount is due to items of work being added/deleted by the agency. Updated February 2019 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 Resume 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. Please see attached Resume 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 SULLY MILLER CONTRACTING CO. LIST OF EXPERIENCE Name: Mike E. Love Job Title: Superintendent Date of Hire: 1981 Education/Experience: 27 years of construction experience with Sully-Miller. Obtains full knowledge of all aspects of our work in the Paving and Grading industry. Supervises multiple crews, scheduling manpower, equipment coordination, and ability to interface with both Public and Private Agencies. Excellent in the ability to enforce timely project completion milestones and deadlines. Position Summary: Superintendent— Foreman - Laborer CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July I through June 30 state fiscal year) with the California Department of Industrial Relations(DIR).Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https:Hefiling.dir.ca.gov/PWCR/ActionSery let?action=di splayPW CRegistrationForm 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. Sully-Miller Contracting Company Co ra o RR Curtis Itz �ths.weltz@s ly-miller.com or anthony_lino sully-miller.com Email Assistant Secretary Title Date: 02/12/2020 PWC Registration #:#1000003664 C-12 State of California Department of Industrial Relations �f Business Name Registrafion Registrationt t t Date Status EffectiveDate ExpirationDate 1000003654 SULLY-MILLER CONTRACTING COMPANY Update Pubic Works Active 07101119 cii� i SULLY-MILLER CONTRACTING COMPANY Detail: Registration Number: 1000003664 Status: Active CSLB Number: 747612 Legal Entity Type: Corporation Mailing Address: 135 S STATE COLLEGE BLVD, SUITE 40C BREA CA 92821 County: Orange 0 135 S. State College Blvd., Suite #400 Brea, CA 92821 SULLY MILLER Phone (714) 578-9600 FAX (714) 578-9672 CONTRACTING CO. License #747612 A DIR#1000003664 Sully-Miller Contracting Company License Certificate I Certify under penalty of perjury under the laws of the State of California that the following is true and correct. #747612 State Contractor's License No. Curtis Weitz, Assistant Secretary CONTRACTORS STATE LICENSE BOARD OEPMTMEIR OF CONRIMENAFFAI. ACTIVE LICENSE Ocense Number 7 4 7 612 CORP Business Name SULLY - MILLER CONTRACTING COMPANY classalcabo"sl A WPM E.DITahon Gnlo 03/31/2020 www.csib.ca.gov U= THE AMERICAN INSTITUTE OF ARCHITECTS AIA Document A310 Bid Bond KNOW ALL MEN BY THESE PRESENTS, THAT WE Sully-Miller Contracting Company 135 S State College Blvd., Ste 400, Brea, CA 92821 as Principal, hereinafter called the Principal, and Liberty Mutual Insurance Company 8044 Montgomery Road, Ste. 150E, Cincinnati, OH 45236 a corporation duly organized under the laws of the State of MA as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach 2000 Main Street, Huntington Beach, CA 92648 as Obligee, hereinafter called the Obligee, in the sum Of Ten Percent of Amount Bid Dollars ($ 10% ), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the Principal has submitted a bid for Residential Overlay of Maintenance Zone 9 NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and materials furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 5th day of February 2020 Sull -Mill r C ntractin om an _ (P ) (Seal) Antho Lino (Witness) B : Curtis weltz ,J ssistan t Secretary(Titie) / Liberty Mutual Insurance Company (Surety) (Seal) Angel Guerrero (WitnessBy: �� r Attomey-in-Fact Victoria M. Campbell�J (Title) AIA DOCUMENT A310•BID BOND•AIA•FEBRUARY 1970 ED.•THE AMERICA J0,%Nstj INSTITUTE OF ARCHITECTS,1735 N.Y.AVE.,N.W.,WASHINGTON,D.C.20006 r 1912 3 y Z j 9SSACN�' \_ 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 02/12/2020 before me, Maria L. Ruiz, Notary Public Date Here Insert Name and Title of the Officer personally appeared Curtis We Itz 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. I AAR1 A L. RUIZ �. � � aige County 5 % �Jfn(�Ic :rfi df 7 i%5i1�1� SI f �N%Cmm� r,plres �zr 5 20 '1 1= Signature of of blic , Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Bid Bond Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Curtis WeItZ Signer's Name: X 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: Sully-Miller Contracting Company 02014 National Notary Association • www.NationaiNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of Orange ) On FEB 0 . 2020 before me, L.Clark,Notary Public Date Here Insert Name and Title of the Officer personally appeared Victoria M.Campbell 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+te/she/tber 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. L. CLARK WITNESS my hand and official seal. .: Notary Public -California Z •I`=�; Los Angeles County D � Commission# 2170352 My Comm.Expires Nov 28,2020 J Signature z 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 FEB O 5 20.20 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: ©2014 National Notary Association -www.NationaiNotary.org• 1-800-US NOTARY(1-800-876-6827) Item#5907 This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. Liberty Liberty Mutual Insurance Company 1!' ulftim. The Ohio Casualty Insurance Company Certificate No:8202719-02a022 SURETY West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the Slate of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Victoria M. Campbell,Khoi Tran all of the city of Irvine state of Califomia each individually if there be more than one named,its true and lawful attorney-in-fact to make, execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 1 lth day of December , 2019 Liberty Mutual Insurance Company P�tNSU� P�IY INSU tNSURy The Ohio Casualty Insurance Company �,J ooaPORa> ti0 yJ °oaPOr+v,�y GPooaPO"k.tic West American Insurance Company >, J 2 FQ m Q ? FQ n ? Fp tN t6 19 0 0 1919 1991 > 6 y O 2 m 0 Q O N N �dJ19SSA CHUS�.aD yONAMPS�.dL3 �s1 yNDIANP' ,aa3 r C BY N David M.Carey,Assistant Secretary State of PENNSYLVANIA = County of MONTGOMERY ss ca a> On this 1 lth day of December 2019 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance o o Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes=W > therein contained by signing on behalf of the corporations by himself as a duly authorized officer. T N 3 IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. c Q C to p PAS OM ¢�.��ONy,,Tct`{ COMMONWEALTH OF PENNSYLVANIA Q GoH5 y Notarial Seal � O0 a O OF Teresa Pastella,Notary Public `f6 �O N Upper Marion Twp.,Montgomery County By: N C My Commission Expires March 28,2021 3 E Teresa Pastella,Notary Public O CU Member,Pennsylvania Association of Notaries CL o rn qpy pU tno C This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company,Liberty Mutual Insurance o.5 Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: o 6 ARTICLE IV—OFFICERS:Section 12.Power of Attorney. co Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or the President -0 may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety any and all �� undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall have full opower to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.When so executed,such instruments shall t Z� be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under the provisions of this€M article may be revoked at time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. p0 ARTICLE XIII—Execution of Contracts:Section 5.Surety Bonds and Undertakings. 019 Any officer of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairman or the president may prescribe,F— — shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings, bonds,recognizances and other surety obligations.Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company.When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation—The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in- fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Authorization—By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed. I,Renee C.Llewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 5rh day of February 2020 P�1NSU� P�ZY INS,,. 1NSUR y �J o0 O tqr yt, hJ 4°aPO�r�2 �P 4°F'O�rgct 1912 0 1919 0 Lu 1991 B dV1'S'Sus��.da yO hAMVIS a� yND1ANP a� Y• A CM e�> * Renee C.Llewellyn,Assistant Secretary LMS-12873 LMIC OCIC WAIC Multi Co 062018 * * d w � � a xQ d a d o W00 o A3 z a3 N A w F-t y U � �a •� � o W p � � y o ° a > z * A � o U vrnO w Fro Cd ci O it7• x q � v � fir. �Ju° 0-0 V S Q f0 N z � ?v fiat