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MMC Inc. - 2020-03-16 (2)
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 Cler " DATE: SUBJECT: Bond Acceptance 1 have received the bonds for 1�f, (2 (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. Warranty or Maintenance Bond No. ( 1-2 "- lU 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 21�6 (Co cil A roval Date) CC No. Agenda Item No. MSC No. City Clerk Vault No. �C�i Other No. SIRE System ID No. g:/forms/bond transmittal to treasurer CIT FB Y OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION DATE: 8/25/2022 TO: THOSE LISTED HEREON FROM: David Fait, PW Construction Manager J SUBJECT: Retention Release Payment- PO#25869 OJ Supplier#101278 Co.#210 Slater Sewer Lift Station,Project#CC1561 Contractor's Name: MMC Inc. Address: 5901 Fresca Drive City, State and Zip Code: La Palma, CA 90623 Phone Number: 714-521-2022 City Business License Number: A300902 Notice of Completion (Date by City Clerk): 5/24/2022 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 Crumb c or of Public Works I certify that there are no outstanding invoices on file. Date Joyce Zap , Finance Manager-Treasury I certify that no stop notices are on file, and that a guaranty bond has been filed with the City Clerk's Office. 0 - /6- V11 D to obin tanisl u, 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 RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) CITY OF HUNTINGTON BEACH FOB INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Cler DATE: r� SUBJECT: Bond Acceptance I have received the bonds for z22e�2i'2 (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. Warranty or Maintenance Bond No. lO 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 (Co ncil Approval Date) CC No. �.1��� Agenda Item No. MSC No. City Clerk Vault No. Other No. SIRE System ID No. g:/forms/bond transmittal to treasurer i Bond No.024244936 Executed in Duplicate MAINTENANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: That Mehta Mechanical Company,Inc.dba MMC,Inc. (contractor's name) 5901 Fresca Dr.,La Palma CA 90623 (contractor's street address,city and state and zip code) as Principal(hereinafter called Contractor),and: The Ohio Casualty Insurance Company (surety's name) 175 Berkeley Street,Boston,MA 02116 (surety's street address,city and state and zip code) a corporation organized and existing under the laws of the State of New Hampshire with its principal office in the City of Boston,MA as Surety(hereinafter called Surety),are held firmly bound unto CITY OF HUNTINGTON BEACH as Obligee (hereinafter called Owner), in the amount of Four Million Two Hundred Ninety Thousand Five Hundred Fifty-Four&99/too Dollars ($ $4 290 554.99 I, equivalent to the entire contract amount including all orders, for the payment whereof Contractor and Surety bind themselves, their heirs, executors,administrators,successors,and assigns,jointly and severally,firmly by these presents, WHEREAS,Surety is a duly admitted surety insurer under the laws of the State of California;and Surety is certified and listed in the U.S.Department of the Treasury Circular 570,and able to provide proof of bonding limitation shown in said circular is sufficient to provide bonds In the amount required by said Contract;and Surety has provided financial strength ratings from reputable companies,such as from A.M.Best,Moody's,Standard &Poor's,to validate that Surety has positive ratings of being secure or stable;and Surety is registered and listed with the California Department of Insurance;and Contractor has by written agreement dated April 21 ,2020,entered into a contract with Owner for the Slater Sewer Lift Station, Project#CC1561 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 duty admitted in the state of California;and The Contract has been completed,and the Owner,Contractor and Surety agree that the commencement date for this Guarantee and Bond shall be May 27 2p2g NOW, THEREFORE,THE CONDITION OF THIS OBLIGATION is such that if Contractor shall, for a period of one year from and after the date of completion and acceptance of the Contract by Owner, repair and/or replace any and all defects arising in the Work, whether resulting from defective materials or defective workmanship, then this obligation shall be null and void;otherwise it will remain in full force and effect. The Surety hereby waives notice of any alteration or extension of time made by the Owner. Whenever Contractor shall be, and declared by Owner to be in default under the Contract,the Surety shall,within thirty (30) days following Owner's written notice of default, either: (a) remedy the default, or (b) shall promptly complete the Contract in accordance with its terms and conditions. Surety shall save the Owner harmless from any claims,judgments, liens or losses arising from the Surety's failure to either remedy the default or to complete the Contract in accordance with its terms and conditions in a timely manner. 154584/118138 1 Whenever the Principal shall be, and declared by the Owner to be in default under the Contract,which shall include without limitation, any breach or default of the Contract, then, after written notice from the Owner to the Surety, as provided for below,the Surety shall either: (a)remedy the default or breach by the Principal;or(b)shall promptly and faithfully take charge of the Work and complete the Work in accordance with the requirements of the Contract with a contractor other than the Principal,at its own expense,and make available as work progresses sufficient funds to pay the cost of completion less the unpaid balance of the Contract including other costs and damages for which the surety may be liable hereunder,provided,however,that the procedure by which the Surety undertakes to discharge its obligations under this Bond shall be subject to the advance written approval of the Owner. Within thirty (30) days after Surety's receipt of a written notice from Owner of the failure of performance of the Contract by the Principal, it shall be the duty of the Surety to give to the Owner a notice,in writing, of the Surety's election to(a)remedy the default(s)of the Principal promptly,or(b)arrange for performance of the Contract promptly by a contractor other than the Principal,time being of essence to this Bond. In said Notice of Election,the Surety shall state the date of commencement of its cure or remedy of the Principal's default(s) or its performance of the Contract. The Surety s obligations for cure or remedy, include but are not limited to: correction of defective work and completion of the Contract, additional legal, design professional and delay costs arising from Surety's actions or failure to act; and liquidated damages (or if no liquidated damages are specified in the Contract, actual damages caused by delayed performance or non-performance by the Principal). The Surety shall give prompt written notice to the Owner upon completion of the cure or remedy of the Principal's default(s)of its performance of the Contract. If the Surety does issue its Notice of Election and does not proceed to cure or remedy the Principal's default(s)of its performance of the Work within thirty(30)days after receipt of a written notice from Owner,Surety shall be deemed to be in default on this bond,and the Owner shall be entitled to enforce any remedy available to Owner. No right of action shall accrue on this bond to or for the use of any person or corporation other than the owner named herein or the successors of Owner. Signed and sealed this 27th day of May , 20 22 Principal Raised Corporate Seal Mehta Mechanical Company,Inc.dba MMC,Inc. [MUST BE AFFIXED) (Contractor Name) i By: eaI) Q6�02�2Z Principal Raised Corporate Seal [MUST BEAFFIXED] rr,RestOEM (Title) The Ohio Casualty Insurance Company (Surety Nam By: !6flie eal) AGeorge,Aty mey- Fact APPROVED AS,TO-f-(ARM;.. NOTES: Wichael E. Gates, City Attorney /J 1. Acknowledgments must be completed and returned C" oil 01 N as part of the bond. 1 3 2. Raised Corporate Seals are mandatory. 3. Please attach Power of Attorney. 154584/118138 2 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE g1189 A notary public or other officer-completing this certificate verifies only the identity of the individual who signed the docum to which this cei-tificate is attached,and not the truthfulness,accuracy,or validity ol that document. State ofCalifornia Orange K County of � J. Smith, Notary Public Dn _____ be(ure me. Dote Emilie George Here/nse&Name ond Title uf the Officer personally apPeared mbmei's)of Sig!-,er(s) who proved to me on the basis of satisfactory evidence to be 'the person(s)whose name(s) is/are subscribed to1hewithininstrumentandacknow|edged�omethethe/uhe�heyexeuutedthesameinhis/hec/their authorized capacity(}es), and that byhis/heotheiraigooture(a)on the instrument the person(y).or the entity upon behalf of which the penson(s) acted, executed the instrument. | certify under PENI4LTYOFPERJURY Linder the � ~ W-H laws of the State of California that the foregoing te Notary!in unty paragraph is true and correct. commission 2358196 74 19,2025 y comm.Expires May WITNESS my hand and official seal. S: nature Ig Place Notury Seal at7d,,ot Sminp Above ti�cAure of Notary Pu LIC OPTIONAL Conipleting this information can deter afteratlon of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document NUmber of Pages: Document Date: I Signer(s) Other han Named Above: Capacity(ie5) Claimed by Signer(s) Signer's Name: Signer's Name: 0 Partner- o Limited to General 0 Partner- 0 Limited 0 General o Individual 0 Attorney in Fact [I Individual 0 Attorney in Fact - Gua�dian or Conservator 0 Trustee 0 Guardian or Conservator El Trustee ��2O19 National Notary Association This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. Liberty Liberty Mutual Insurance Company Mutual. The Ohio Casualty Insurance Company Certificate No:8205249-024096 West American Insurance Company SURETY POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Christine Hoang Danielle Hanson Emilie George,Irene Luong,James W.Moilanen,P.Austin Neff,Yung T.Mullick all of the city of Mission Viejo state of CA each individually if there be more than one named,its true and lawful attorney-in-fact to make, execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 8th day of April 2021 Liberty Mutual Insurance Company P�1Nsub P_(V INSG a INSUR9 The Ohio Casualty Insurance Company �J °oaPORv, y� y� ooaPOF4l�y �P°oaPORa. �0 West American Insurance Company J N ; 1912y0 0 = 19191. 0 f 1991 0 a Yd�'SS4CHUSF'.da; y0�h'hAMPs�,da3 YS �'+'DIANP .aaEly: 4 r �—7 David M.Carey,Assistant Secretary M State of PENNSYLVANIA ss a>rn County of MONTGOMERY On this 8th day of Aril 2021 before me personally appeared David M.Care who acknowledged himself to be the Assistant Secrets of Liberty Mutual Insurance 3 Y P Pe ry PP Y, 9 Secretary rtY m 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 4 therein contained by signing on behalf of the corporations by himself as a duly authorized officer. 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. _'2, 8 M �P PAS, U`� t;,pn vrF Fi Commonwealth of Pennsylvania-Notary Seal ..i= tv 0 ,� 9ei Teresa Pastella,Notary Public Montgomery County O( of My commission exp res March 28,2025 B C \t.; ? Commission number 1126044 y Q `��'SYC�t'' �G Member,Pennsylvania Association of Notaries Teresa Pastella,Notary Public O 04 rn rn 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 oQ 0.S Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: i1 ARTICLE IV—OFFICERS:Section 12.Power of Attorney. 06 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 U may prescribe,shall appoint such attomeys-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 tN= ca> C undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fad,subject to the limitations set forth in their respective powers of attorney,shall have full a s o " power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.When so executed,such instruments shall = Z k> be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attomey-in-fact under the provisions of this >_ article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. t'L-a ARTICLE XIII—Execution of Contracts:Section 5.Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairman or the president may prescribe, shall appoint such attomeys-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 attomeys-in- fad 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 27th day of May 2022 P�INsu'D P,IY INS& INSUpq oq�oym c o°avoRgT'QgZn \Pc°pv0R,�f 'IC+ m 3 r F m� 3 o F 101, 912 0 1919 f 1991 0 s v O Q �d'ss,CH°S��dL By. y0�" /AMPSJ aa� YS �DIANP' Ab y Renee C.Llewellyn,Assistant Secretary LMS-12873 LMIC OCIC WAIC Multi Co 02/21 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 Lf Q_ ) On Ob 1021Z2, before me, Mot Sh rD l� - n0inq pu bh'c Date _ Here Insert Name and itle of the Officer personally appeared j AQ'at S' McAlik 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. ALKAS.SHROFF WITNESS my hand and official seal. Notary Public.California Orange County Commission k 2383649 Signature My Comm.Expires Dec 13,2025 r Signature bf Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02016 National Notary Association - www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 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: CC1561 Project: Slater Sewer Lift Satation 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 25 day of May , 20 22 at La Palma,Ulifornia, MMC Inc. (Contractor Name) APPROVEDA9,,T6 FORK f. By: Mael E. Gates City Attorney 1 CONTRACTOR'S CERTIFICATE 1, Mohan Singh Mehta , state and certify that: (Name of Declarant) 1. MMC Inc. is the general contractor to the City of Huntington Beach("City") on Contract No. CC1561 (the "Contract") for the construction of the public work of improvement entitled: Slater Sewer Lift Satation (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 La Palma CA on this 25 day of May , 20 22 (Signature of Declarant) APPROVED ASy %FORM MichaelIv. 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: CC1561 Project: Slater Sewer Lift Sataion The undersigned contractor on the above-referenced project("Project") hereby certifies that it has complied with title V1I of the Civil Rights Act, the Equal. Opportunity Act of 1972 and Executive Order 11246, and has not discriminated against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age or disability. The undersigned contractor also certifies that it has not maintained any segregated facilities at its 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 25 day of May , 20 22 , at La Palma California. MMC Inc. (Contractor Name) APPROVED F By: t J yi `-- Mickxael E. Gates Cii 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: CC1561 Project: Slater Sewer Lift Sataion The undersigned contractor on the above-referenced project("Project")hereby certifies that it has complied with title VII of the Civil Rights Act,the Equal Opportunity Act of 1972 and Executive Order 11246, and has 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 25 day of May 20 22 , at La Palma CA California. MMC Inc. (Contractor Name) APPROVED ��F��M By: f l Mic4 el E. Gates C4 Attorney 1 #AIA Document G707TM - 1994 Consent Of Surety to Final Payment Bond No.: 024244936 PROJECT:(Name and address) ARCHITECT'S PROJECT NUMBER: Project#CC1561 OWNER: Slater Sewer Lift Station CONTRACT FOR: Construction ARCHITECT: CONTRACTOR: SURETY: TO OWNER:(Name and address) CONTRACT DATED: April 21,2020 OTHER: City of Huntington Beach 2000 Main St. Huntington Beach,CA 92648 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address of Sorel v) The Ohio Casualty Insurance Company 175 Berkeley Street Boston, MA 02116 SURETY, on bond of (Insert name and address of Contractor) Mehta Mechanical Company, Inc. dba MMC, Inc. 5901 Fresca Dr. La Palma, CA 90623 CONTRACTOR, hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to (Insert name and address of Owner) City of Huntington Beach 2000 Main St. Huntington Beach, CA 92648 ,OWNER, as set forth in said Surety's bond. rN Wrr'NESS WHEREOF,the Surety has hereunto set its hand on this date: August 25, 2022 (Insert in writing the month followed by the ruined-dare and year.) The Ohio Casualty Insurance Company Aw X rery) +` ,` ~ ignat re of aut torize7ae, pr s n av . . , 14itest - r _ Emilie Geo Attorney-in-Fact (Prirued name and title) AIA Document 0707"'—1994.Copyright®1982 and 1994 by The American Instilute of Architects.All rights reserved.WARNING:This A10 Document Is protected by U.S.Copyright Law and International Trestles.unauthorized reproduction or distribution of this AIA�Document,or any portion of It. 1 may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law. CALIFORNIA ACKNOWLEDGMENT CIVIL CODE>3 1189 ` ' ,, i i£ '. '»t^+n"�t r3,r,L .. N K::S?'r'�#-=t as.ez`,v 3.�^°t •K"'WWWK4,4a2 a ''$ &�,-t5tWVT"its+d? i A notary public or other officer completing this certificate verifies only tine identity of the individual who Signed the document to which this certificate is attached,and not the truthfulness,accuracy.or validity of that docunent. .. State of California Orange County of q� J. Smith, Notary Public Datr Emilie George Hf-re-insert Nrrme,�or,d t•itie of they Officer personally appeared _. __ _ .,._..__. I`JCl1TFE'(4±t':<i.:Jr?r::rjsJ who proved to men on the basis of satisfactory evidoncce to be tho per,;o n(s)whose name(s) isiare subscribed to the within instrument and acknowledged to me:that her'sheithey er;r?cuted the same in his/her/their authorized capacity(ies), and that by hisilneritheir signatures)on then in:sti urnent the person(s),or the entity upon behalf of which they perwon(s)acted,oxecuted the instrument. 1111M I certify ur!(j r PENALTY OF PERJURY under the , � MotrtMlriyldlc• laws of the State of California that the foregoing parographr is true and correct, +q►fi 'E> 1�MM tt,IWi WITNESS my hand and official seal, Place Notary Secs!ut)ckot Swirip Above ,+lire of Notory Public OPTIONAL Comrpletiog this informatlon con door<�ltert+t,crr of r�he eiacur7rcant or I froudufent toottachmoW of this fow—,,tO oi, Ua Ilii,,tefidool docuole?r& Description of Attached Document Title or Type of Document: 1 Document Date:_ . _.v_ ___. _ NLImbor of Pages.._.___ Slgner(s)Other 'rhan Named Above: _......... ._ Capacity(ies)Claimed by Signer(s) Signer's Name .._ __ _.__ __._ _ _,_. Signe^r's Nar o ..... D Corporate Officer--Titie(s): __ u Corporiile Officer Title(s) __ ...___..._.. n Partner— n1 Limited ri General i'D Partner- rJ Limited L.r General 1 ❑ individual u Attorney in Fact o individual n Attorney in Fact ❑ Trustee 0 Guardian or Conservator c:, Truster ra Guardian or Conservator 0 Other: Signer is Representing:_._.... :signer rs Representing: rt�t�"t�.bfss�xt�t�'t31��&'�t� ?�4E�P. �f �G�.f§�d�/fir+�s�,,:..,?a'#rv�'t4.�a7+:;:;3s�t.3.,tat..�•,;� k°r.�7:��:?i#�YL'a9�'.i:.iF�+ t�t�`?�Y `3i ,,,?2019 National Notary Association 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 mutua . The Ohio Casualty Insurance Company Certificate No:8205248-02a086 West American Insurance Company SURETY POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies'),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Christine Hoang Danielle Hanson,Emilie George Irene Luong James W.Moilanen P.Austin Neff,Yung T.Mullick all of the city of Mission Vieio state of CA each individually if there be more than one named,its he and lawful attomey-in-fad 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 Paver 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 8th day of April 2021 Liberty Mutual Insurance Company P� hNSIJ P�.1V INS& d\NSIJ The Ohio Casualty Insurance.Company ooRPOR C. West American Insurance Company aE 1912p�r c o 1919 1991 CHU6".aa y�yS�NAMC+�`�,a�O YS1 �NDIANP aL� ? jr/I! (R�i.•. __. N c David M.Carey,Assistant Secretary m State of PENNSYLVANIA ss ph County of MONTGOMERY 3 On this 8th day of April 2021 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. �� IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. c'rn N ,C Q- O*— <a •;" "�. �°� Comtnorxealih of Pennsylvania-rotary Seal �;eyS-• �- ,� �_ Teresa PastellMontgomery Counotaryty Public a �� 1 � �' Montgomery County O k My commission expires March 28,2026 B Commission number 1126044 y : Ld Member,Pennsylvania Association or Naanea Teresa Pastella,Notary Public o Ulm rs`a t3 V0I7h :% 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 0.9 Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: N ARTICLE IV—OFFICERS:Section 12.Power of Attorney. 82 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 may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and delver as surety any and all to r_ undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fad,subject to the limitations set forth in their respective powers of attomey,shall have full o power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.When so executed,such instruments shag 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 attomey-n-fact under the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. ARTICLE All—Execution of Contracts:Section 5.Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys-in-fad,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,recognizences and other surety obligations.Such attorneys-in-fact subject to the lirnitations 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 R 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- fad 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 certffied 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 face end effect as though manually affixed. I,Renee C.Llewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 25th day of August 2022 . INS U,p pSY INS& %Hsu j 3°oaPoa� ticm �J arory� Pqy e. °a°orrq�y 3 o F n cur 1912 0 1919 l 1991 ,(4L ty By: d;�°a4oHusD ���NANPB��Dp �s�WDrANP�La� Renee C.Llewellyn,Assistant Secretary ��h + * yi * � M + ►" LMS-12873 LMIC OCIC WAIC Multi Cc 02121 Recorded in Official Records, Orange County 1 B Hugh Nguyen,Clerk-Recorder F Illllllll�llllllk1111181IIIIlIIII�IIIIIIIIIIIilligl�llllllllllllllill No FEE * $ R 0 0 1 3 7 S 0 3 4 4 $ 202200019123611:10 am 05/24/22 PLEASE COMPLETE THiS INFORMATION 65 RW10A NI 1 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 } RECORDING REQUESTED BY: i • 4 l WHEN RECORDED MAIL TO: I , CITY OF HUNTiNGTON BEACH 'l I PUBLIC WORKS DEPARTMENT Attn:Llii Hernandez P.O,Box 190—2000 Main Street { + Huntington Beach,CA 92648 THIS SPACE FOR RECORDER'S USE ONLY TITLE OF DOCUMENT NOTICE OF COMPLETION i i 1 NOTICE IS HEREBY GIVEN by the City of Huntington Beach,owner in fee,2000 Main Street,Huntington Beach,CA 92648,that ad to MMC Inc.,who was the company thereon for doing the following work to.-WO' the contract heretofore award { Slater Sewer Lift Station,Project#CC1661 That said work was completed 03/0412022 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 03/0412022.pery I Council Resolution•No,2003 70 adopt l y Insurance Company,was surety for the bond given by the said company as required by That upon said contract The Ohio Casualt t This document Is solely for the official business of the City of Huntington Beach,as co ar Gove nt Code Section 27383 and should be recorded free of charge. ate j 1 Director of Pu tic Works or City Engi } City of Huntington Beach,Caiifor i STATE OF CALIFORNIA) l County of Orange )ss: I CRY of Huntington Beach ) n the foregoing NOTICE 1,the undersigned,s sal I am an Agent of the City of OF COMPLETION and know the incontengton Blsthereof;the semeer In fee,iis t ue of my knowledge.OF COMPLETION. I have read I declare under penalty of perjury that the foregoing is true and correc4cityof d that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the County Recorde County. i 2 This document Js solely the offlcJaf business of the City of Huntington Beach,as contemplated Public D it ngineer Da under Government code section 27383 and ntington Beach,C rnia should be recorded free of chaff. ,l f THIS PAGE IS ADDED 70 PROVIDE ADEQUATE recording fee applies RECORDING INFORMATION -- i Recorded in Official Records,Orange County i Hugh Nguyen, Clerk-Recorder ' NO FEE * $ R 0 0 1 3 7 5 0 3 4 4 $ 202200019123611:10 am 05/24/22 PLEASE COMPLETE THIS INFORMATION 65 RW10A NI 1 RECORDING REQUESTED BY: 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 is i WHEN RECORDED MAIL TO: ' CITY OF HUNTINGTON BEACH PUBLIC WORKS DEPARTMENT Attn:Lill Hernandez P.O,Box 190—2000 Main Street Huntington Beach,CA 92648 THIS SPACE FOR RECORDER'S USE ONLY TITLE OF DOCUMENT NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN by the City of Huntington Beach,owner in fee,2000 Main Street,Huntington Beach,CA 92648,that the contract heretofore awarded to MMC Inc.,who was the company thereon for doing the following work to wit: 7 Slater Sewer Lift Station,Project#CC1661 i That said work was completed 03/04/2022 by said company according to plans and specifications and to the satisfaction of the City j Engineer of the City of Huntington Beach and that said work was accepted by the Director of Public Works on 03/04/2022,per City j Council Resolution No.2003-70 adopted October 6,2003. i That upon said contract The Ohio Casualty Insurance Company,was surety for the bond given by the said company as required by This document is solely for the official business of the City of Huntington Beach,as contemplat er Gove nt Code Section 27363 and should be recorded free of charge. j Director of Public Works or City Engi ate t City of Huntington Beach,Califom' STATE OF CALIFORNIA) County of Orange )ss: i City of Huntington Beach ) i,the undersigned,say:I am an Agent of the City of Huntington Beach,owner in fee,in the foregoing NOTICE OF COMPLETION. I have read said NOTICE OF COMPLETION and know the contents thereof,the same is true of my knowledge. i I declare under penalty of perjury that the foregoing is true and correct,and that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the County Recorder of Orange County. This document is solely the official business of 2 the City of Huntington Beach,as contemplated pl ctor of Public o I ngineer Dalb under Government code section 27383 and City of Huntington Beach,CaMmia should be recorded free of chame. THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) RECEIVED _ CITY CLERK RECEIPT COPY j Return DUPLICATE to � ' e /�a"�� City Clerk's Office (Name) after signing/dating J ' .. (Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: ,S��C�/�20 SUBJECT: Bond Acceptance have received the bonds for �������f "(Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. y yy�-7i Payment Bond (Labor and Materials) Bond No. -���.L/� �� f, � 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. Agenda-Item No. MSC No. City Clerk Vault No. Other No. SIRE System ID No. ►�3��� � g1forms/bond transmittal to treasurer CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND MMC,Inc. FOR Slater Sewer Lift Station Project,CC1561 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 MMC,Inc. ,a California corporation,hereinafter referred to as "CONTRACTOR." WHEREAS,CITY has solicited bids for a public works project,hereinafter referred to as "PROJECT,"more fully described as Slater Sewer Lift Station Project,CC1561 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 I 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 Three Million Nine Hundred Fifty Eight Thousand Seven Hundred Fifty Dollars ($ 3,958,750 ), 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 two hundred twenty 2( 20 )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 DAMAGESMELAYS 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 One Thousand Five Hundred Dollars ($ 1,500 ) 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 I (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's final payment to CONTRACTOR,if unencumbered,or any part thereof unencumbered,shall be made thirty-five (35) days after the acceptance of the work and the filing of a Notice of Completion by CITY. Provided,however,that in the event of a dispute between CITY and CONTRACTOR, CITY may withhold from the final payment an amount not to exceed 150 percent of the value of any disputed amount of work. Payments shall be made on demands drawn in the manner required by law,each payment to be accompanied by a certificate signed by DPW, affirming that the work for which payment is demanded has been performed in accordance with the terms of the Agreement and that the amount stated in the certificate is due under the terms of the Agreement. Partial payments on the contract price shall not be considered as an acceptance of any part of the work. 15. WITHHELD CONTRACT FUNDS SUBSTITUTION OF SECURITIES At the request and at the sole cost and expense of CONTRACTOR,who shall retain beneficial ownership and receive interest, if any thereon, CITY shall permit the substitution and deposit therewith of securities equivalent to the amount of any monies withheld by CITY to ensure performance under the terms of this Agreement. 16. AFFIDAVITS OF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall file with DPW its affidavit stating that all workers and persons employed, .all firms supplying materials and all subcontractors working upon the PROJECT have been paid in full and that there are no claims outstanding against the PROJECT for either labor or material, except certain items,if any,to be set forth in CONTRACTOR's affidavit covering disputed claims, 12 16-5195/City Funded Construction Contract.docx—revised 04/2016 or items in connection with Notices to Withhold, which have been filed under the provisions of the statutes of the State of California. 17. WAIVER OF CLAIMS The acceptance by CONTRACTOR of the payment of the final certificate shall constitute a waiver of all claims against CITY under or arising out of this Agreement. A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement,as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code,CONTRACTOR shall, as penalty to CITY,forfeit twenty-five dollars($25)for each calendar day or portion thereof for each worker paid(either.by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 18. CALIFORNIA PREVAILING WAGE LAW A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by 13 16-5195/City Funded Construction Contract.docx—revised 04/2016 resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code, CONTRACTOR shall, as penalty to CITY, forfeit twenty-five dollars ($25) for each calendar day or portion thereof for each worker paid (either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 19. CALIFORNIA EIGHT-HOUR LAW A. California Labor Code, Sections 1810 et seq,shall apply to the performance of this Agreement;thereunder,not more than eight(8)hours shall constitute one day's work and CONTRACTOR and each subcontractor employed by its hereunder, shall not require more than eight(8)hours of labor per day or forty(40)hours per week fl'om 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 i 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 furnish to CITY,a policy of general public liability insurance,including motor vehicle coverage covering the PROJECT. This policy shall indemnify CONTRACTOR, its officers, employees and agents while acting within the scope of their duties, against any and all claims arising out or in connection with the PROJECT, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including products/completed operations liability and blanket contractual liability, of One Million Dollars ($1,000,000) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit,the aggregate limit must be no less than One Million Dollars($1,000,000) for this PROJECT. This policy shall name CITY, its officers, elected or appointed officials, employees,agents,and volunteers(the"Additionally Insured Parties")as Additional Insureds,and shall specifically provide that any other insurance coverage which may be applicable to the PROJECT shall be deemed excess coverage and that CONTRACTOR's insurance shall be primary and non-contributory with any other valid and collectible insurance or self-insurance available to the Additionally Insured Parties. Any available insurance proceeds in excess of the minimum coverage amount specified herein shall be available to the Additionally Insured Parties. All coverage available to CONTRACTOR shall also be available to the Additionally Insured Parties. Under no circumstances shall said above-mentioned insurance contain a self-insured retention without the express written consent of CITY; however an insurance policy "deductible" of Five Thousand Dollars($5,000.00)is permitted. CONTRACTOR shall be responsible for causing all Subcontractors to maintain the same types and limits of insurance coverage as that required of CONTRACTOR by this Agreement. 17 16-5195/City Funded Construction Contract.docx—revised 04/2016 26. CERTIFICATES OF INSURANCE;ADDITIONAL INSURED ENDORSEMENTS Prior to commencing performance of the work hereunder, CONTRACTOR shall furnish to CITY certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverages as required by this Agreement;the certificates shall: 1. Provide the name and policy number of each carrier and policy; 2. State that the policy is currently in force; and 3. Promise to provide that such policies will not be canceled or modified without thirty (30)days' prior written notice of CITY. CONTRACTOR shall maintain the foregoing insurance coverages in force until the work under this Agreement is fully completed and accepted by CITY. The requirement for carrying the foregoing insurance coverages shall not derogate from the CONTRACTOR's defense, hold harmless and indemnification obligations as set forth under this Agreement. CITY or its representative shall at all times have the right to demand the original or a copy of all the policies of insurance. CONTRACTOR shall pay, in a prompt and timely manner,the premiums on all insurance hereinabove required. CONTRACTOR shall provide a separate copy of the additional insured endorsement to each of CONTRACTOR's insurance policies, naming CITY, its officers, elected and appointed officials, employees, agents and volunteers as Additional Insureds, to the City Attorney for approval prior to any payment hereunder. 27. NOTICE OF THIRD PARTY CLAIM Pursuant to Public Contracts Code §9202, CITY shall provide notice to CONTRACTOR of receipt of any claim filed with CITY or a court of competent jurisdiction which arises out of performance of this agreement within ten(10)days of receipt of such claim or claims. 18 16-5195/City Funded Construction Contract.docx—revised 04/2016 28. DEFAULT AND TERMINATION If CONTRACTOR fails or refuses to prosecute the work hereunder with diligence, or fails to complete the work within the time specified, or is adjudged bankrupt or makes an assignment for the benefit of creditors or becomes insolvent, or violates any provision of this Agreement or the Contract Documents, CITY may give CONTRACTOR notice in writing of its intention to terminate this Agreement. Unless the violation is cured within ten(10)days after such Notice of Intention has been served on CONTRACTOR, CITY may, without prejudice to any other remedy it may have, terminate this Agreement upon the expiration of that time. Upon such default by CONTRACTOR,CITY may elect not to terminate this Agreement;in such event CITY may make good the deficiency in which the default consists and deduct the resulting costs from the progress payments then or to become due to CONTRACTOR. If it is subsequently determined by a court of competent jurisdiction that CITY's termination of this Agreement under this Section was wrongful, such termination shall be converted to a termination for convenience under Section 29 and any damages shall be assessed as set forth in Section 29. 29. TERMINATION FOR CONVENIENCE CITY may terminate this Agreement for convenience at any time with or without cause,and whether or not PROJECT is fully complete upon seven(7)calendar days written notice to CONTRACTOR. In the event of termination, under this Section CITY shall pay CONTRACTOR for value of work in place on the PROJECT through the termination period less all such payments already made. In case of such termination for convenience,the CONTRACTOR shall be entitled to receive payment for work executed, and costs incurred by reason of such termination. In no event shall CONTRACTOR be entitled to recover overhead, profit or CONTRACTOR's fee on work not performed. Such payment by CITY shall be CONTRACTOR's 19 16-5195/City Funded Construction Contract.docx—revised 04/2016 sole and exclusive remedy for termination by CITY for its convenience and CITY shall have no further obligation to CONTRACTOR. 30. DISPOSITION OF PLANS ESTIMATES AND OTHER DOCUMENTS CONTRACTOR agrees that upon completion of the work to be performed hereunder, or upon expiration or earlier termination of this Agreement, all original plans, specifications, drawings, reports, calculations, maps and other documents pertaining to this Agreement shall be delivered to CITY and become its sole property at no further cost. 31. NONASSIGNABILITY CONTRACTOR shall not sell, assign, transfer, convey or encumber this Agreement,or any part hereof,or any right or duty created herein,without the prior written consent of CITY and the surety. 32. CITY EMPLOYEES AND OFFICIALS CONTRACTOR shall employ no CITY official nor any regular CITY employee in the work performed pursuant to this Agreement. No officer or employee of CITY shall have any financial interest in this Agreement in violation of the California Government Code. 33. STOP NOTICES, RECOVERY OF ADMINISTRATIVE COSTS CITY shall be entitled to all reasonable administrative costs and necessary disbursements arising out of the processing of Stop Notices,Notices to '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 MMC,Inc. ATTN:Jim Escutia ,Public Works ATTN: Jagat(Jay)Mehta 2000 Main Street Huntington Beach,CA 92648 5901 Fresca Dr La Palma, CA 90623 35. SECTION HEADINGS The titles, captions, section, paragraph and subject headings, and descriptive phrases at the beginning of the various sections in this Agreement are merely descriptive and are included solely for convenience of reference only and are not representative of maters included or excluded from such provisions,and do not interpret,define,limit or describe,or construe the intent of the parties or affect the construction or interpretation of any provision of this Agreement. 21 16-5195/City Funded Construction Contract.docx—revised 04/2016 36. IMMIGRATION CONTRACTOR shall be responsible for full compliance with the immigration and naturalization laws of the United States and shall, in particular, comply with the provisions of United States Code Section 1324a regarding employment verification. 37. LEGAL SERVICES SUBCONTRACTING PROHIBITED CONTRACTOR and CITY agree that CITY is not liable for payment of any subcontractor work involving legal services,and that such legal services are expressly outside the scope of services contemplated hereunder. CONTRACTOR understands that pursuant to Huntington Beach City Charter Section 309, the City Attorney is the exclusive legal counsel for CITY; and CITY shall not be liable for payment of any legal services expenses incurred by CONTRACTOR. 38. ATTORNEY'S FEES In the event suit is brought by either party to construe, interpret and/or enforce the terms and/or provisions of this Agreement or to secure the performance hereof, each party shall bear its own attorney's fees, such that the prevailing party shall not be entitled to recover its attorney's fees from the non-prevailing party. 39. INTERPRETATION OF THIS AGREEMENT The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of the parties. If any provision of this Agreement is held by an arbitrator or court of competent jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the 22 16-5195/City Funded Construction Contract.docx—revised 04/2016 context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act contrary to law, and wherever there is any conflict between any provision contained herein and any present or future statute, law,ordinance or regulation contrary to which the parties have no right to contract, then the latter shall prevail, and the provision of this Agreement which is hereby affected shall be curtailed and limited only to the extent necessary to bring it within the requirements of the law. 40. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of California. 41. DUPLICATE ORIGINAL The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals, each of which so executed shall, irrespective of the date of its execution and delivery, be deemed an original. Each duplicate original shall be deemed an original instrument as against any party who has signed it. 42. CONSENT Where CITY's consent/approval is required under this Agreement, its consent/approval for one transaction or event shall not be deemed to be consent/approval to any subsequent occurrence of the same or any other transaction or event. 43. SURVIVAL Terms and conditions of this Agreement,which by their sense and context survive the expiration or termination of this Agreement shall so survive. 44. MODIFICATION No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties. 23 16-5195/City Funded Construction Contract.docx—revised 04/2016 45. SIGNATORIES Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify CITY fully for any injuries or damages to CITY in the event that such authority or power is not, in fact,held by the signatory or is withdrawn. 46. ENTIRETY The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive arm's length negotiation,and that each has had the.opportunity to consult with legal counsel prior to executing this Agreement. The parties also acknowledge and agree that no representations,inducements,promises,agreements or warranties,oral or otherwise, have been made by that party or anyone acting on that party's behalf,which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement,promise, agreement, warranty, fact or circumstance not expressly set forth in this Agreement. This Agreement, and the attached Exhibit "A", contain the entire agreement between the parties respecting the subject matter of this Agreement, and supersede all prior understandings and agreements whether oral or in writing between the parties respecting the subject matter hereof. 24 16-5195/City Funded Construction Contract.docx—revised 04/2016 IN WITNESS WHEREOF,the parties hereto have caused this Agreement to be executed by and through their authorized officers on Mardh 16 ,20 20 CONTRACTOR: CITY OF HUNTINGTON BEACH,a municipal O-A corporation of the ate of California By: i�l e h la, M or (print e) l] ITS:Chairman/ resident/ ice-President City CIerk 5kp/� 1�$ (circle one INITIATED AND APPROVED: AND Direc or of Publ' Works Mohan Mehld Apr REVIEWED AND APPRO . ITS:tcretary Chief Financial Officer / Asst. Secre urer (circle one) r Manage APPROVEJ AST F City Attorney 25 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROPOSAL for the construction of SLATER SEWER LIFT STATION REPLACEMENT PROJECT CC No. 1561 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 220 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 1;_11(44 F 1 t 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 0'Z 1 127/'2,020 Mft MQ h( , p 7j 21 t0/7.0 x;v -V_L� L UU C-2 SECTION C PROJECT BID SCHEDULE A SLATER SEWER LIFT STATION REPLACEMENT PROJECT, CC 1561 BID ITEMS Item Description Quantity Unit Unit Cost Total Cost No. (Extension) o 1 Mobilization and Demobilization) 1 LS Z 5 L2 � 1✓L 2 Prepare Site Specific Water Pollution Prevention Plan (SWPPP) 1 LS 51000 5,Do O 3 Install&Maintain Construction BMPs per SWPPP 1 LS 5 0 O 170 ,5 0,000 4 Not Used EA 4> (� 5 Pothole 10 EA Z.• DO 20,00 U 6 Implement Traffic Control Plan 1 LS /c q,000 ' 11 (2, 000 �'lr 7 Prepare Geotechnical Report 1 LS 70,p00 70,pOU �W 8 Develop and Implement Trench and Excavation Safety 1 LS ZM6 000 gf10�: Measures �t ! 9 Develop and Implement Site Dewatering 1 LS Z,S"O,oi-J Z�Q,UGe% 10 Sewer Bypass and Maintenance of Sewer Flow 1 LS L �1 11 Vibration,Settlement,Groundwater, Monitoring 1 LS 2 t701 000 Z b0,00 O 12 15-inch,SDR26,Concrete Encased Sewer 110 LF 900 99,000 13 5-foot Diameter Armorock Sewer Manhole 2 EA 30,0ov 60,000 14 Reline 4-foot Diameter Manhole with Armorock Inserts 1 LS 10, 000 10,1000 15 4-foot Diameter Armorock Sewer Manhole 1 EA 2.0,00o Zo,DOc) 16 84nch DR14 PVC Sewer Forcemain 75 LF -7 OD 5 2, 50a 17 Clear And Grub Site 1 LS 35,000 3 5,a0_0 18 Wetwell Concrete Box Structure 1 LS $,8A8 19 Precast Concrete Valve Vault Structure 1 LS 1(: 0,000 100,D00 Y0 Precast Concrete Meter Vault 1 LS 00 0,00b 21 Wetwell Mechanical Equipment,Pumps, Pipes,Valves 1 LS 300,ODD 306, D00 22 Valve Vault and Meter Vault Mechanical Equipment 1 LS 0 C-2.1 ADDENDUM THREE SECTION C PROJECT BID SCHEDULE A SLATER SEWER LIFT STATION REPLACEMENT PROJECT, CC 1561 Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 23 Discharge Piping between the Wet Well and Valve Vault and Meter Vault 1 LS FO,000 0,0 pd 24 Coordination with SCE and construct 5-inch SCE Conduit 1 LS oTJ 000 a©" 000 25 Electrical Equipment 1 LS Coo,000 5?j0", QVD 26 NEMA 4X Transfer Switch and Enclosure 1 LS '30 000 30,,D4p 27 120 kW natural gas emergency generator 1 LS QOrDO 0 q 0,000 2 S Lift Station start up and testing 1 LS 50 rOV D SO r OPT O 29 Demolish existing Slater Sewer Lift Station 1 LS 00,00C2 SD, Coo 30 Spare 20 HP Sewage Pump 1 LS 65,00L? (�j�VOa 31 Concrete curb and gutter 220 LF /o0 2 2.,DUD 32 Concrete sidewalks and curb ramps 3000 SF ) 5 oOO 33 Full depth pavement restoration, 5" AC over 10"AB 1200 SF 2 o 34 2-inch grind and overlay 350 TN 22. 5 75d Sewer Trench Foundation, 1-foot of 1-1/2 Inch Rock and 35 Filter Fabric 30 TN _3o0 q bDO 36 Relocate Traffic Signal, Install Striping,Signs 1 LS q O, OOD l{D,or 37 5-foot Diameter Concrete Sewer Manhole,with Armorlok 1 EA 30,000 3 0,000 PVC Liner and Miridri Exterior Coating 38 Remove and replace Existing 6-foot Block Wall 55 LF 7 b D 38, SDO ,3 4 s8, 75-0. 0o TOTAL BID AMOUNT (BASIS OF AWARD) —SCHEDULE A $ TOTA�� BID AMOUNT IN WORDS: KJ Note: Refer to Section 9-3, Measure and Payment for description of each Item on Bid Schedule. Refer to Section 01025 Measurement Payment for additional details. All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.2 ADDENDUM THREE 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 Items) Subcontractor License Registration# Amount Contract Number PAU Aztt'c pta%_ Me? 4112 a. C4 302--, f ',�A� 5 S3,3 4 3a 4 5"a- 0600000 7� l!`�, �� 7 c� 4�fo�3o �i� � eac c e q 7 a G-l� /voWa330 f 51 a� �-7 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 convect and that this declaration is executed on 01 2 8 ,2it) La Palma CA Date City State Jagat S . Mehta , being first duly sworn, deposes and says that he or she is President of MMC Inc . the party making the foregoing bid that the bid is not made in the interest of,or on the behalf of,any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are true; and,further,that the bidder has not,directly or indirectly, submitted his or her bid price or any breakdown thereof,or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization,bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. MMC Inc . Name of Bidder tti Signature f i r 5901 Fresca Dr. La Palma, CA Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the SLATER SEWER LIFT STATION REPLACEMENT, CC1561, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. MMC Inc . Contractor By President Title Date: 01/28/2020 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? O Yes ❑ No If the answer is yes, explain the circumstances in the space provided. MMC inc . was debarred by the Division of Labor Standards Enforcement Department of Industrial Relations in the year 2002, for a period of (3) three years from 2002 to 2005 for non-compliance of prevailing wages. Project involved: Final Sedimentation Basin Pipe Replacement for City of Los Angeles 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. MMC Inc . Contractor By President Title Date: 01/28/2020 C-7 t� BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Mehta Mechanical Co. Inc . dba MMC Inc . Bidder Name 5901 Fresca Drive Business Address CA 90623 La Palma City, State Zip (714 ) 521-2022 jay@aboutmmc .com Telephone Number Email Address 573635- A, B, C-11, C-61/D-21 State Contractor's License No. and Class 07/24/1989 Original Date Issued 07/31/2020 Expiration Date The work site was inspected by Z by M F"" of our office on `4 , 20LO. The following are persons, firms, and corporations having a principal interest in this proposal: MMC Inc . Jagat S . Mehta-President The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. MMC Inc . Company Name Signature of Bidder JAGAT S . MEHTA Printed or Typed Signature C-s NOTARY CERTIFICATE Subscribed and sworn to before me this Lµday of'F rLtA , 204=D. 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 C tq ) County of ONVj� ) On 09)jq)�20 before me, A')K4 gh aroP .Oo4n j !'mz Month, Day, and Year Insert Name and Title of Notary personally appeared QL,G S ItiIEA)a- 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 m hand and official seal. AIKASHROFF Y .-.,�- Notary Public-California Orange County > Commission Al 2221767 My Comm,Expires Dec 13,2021 Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of 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 12-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 REFER TO "PROJECTS COMPLETED" LISTS Name and Address of Public Agency City of Huntington Beach 2000 Main St . Huntington Beach, CA Name and Telephone No. of Project Manager: Jim E s cut i a - 714-5 3 6-5 5 2 5 $4, 001, 361 Const . of sewer lift station 99% completed as of Contract Amount Type of Work Date Completed today Provide additional project description to show similar work: Excavation, shoring, de-watering, bypass, traffic control, paving Stripping and demo old pump station, const . of wet well valve 2. Name and Address of Public Agency City of Downey 11111 Brookshire ave . Downey, CA Name and Telephone No. of Project Manager: Daniel Muller - 5 6 2-8 6 9-7 3 31 $1, 338, 998 Const . of pump station 07/2017 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Excavation, shoring, de-watering, bypass, traffic control, paving stripping and demo old pump station, const . wet well valve 3. Name and Address of Public Agency City of Redondo Beach 415 Diamond St . Redondo Beach, CA Name and Telephone No. of Project Manager: Sa i 1 a Potukuchi-310-318-0 6 61 $1, 994 , 000 Const . of sewer lift station 99% complete as of Contract Amount Type of Work Date Completed 1/2 4/2 0 Provide additional project description to show similar work: Excavation, shoring, de-watering, bypass, traffic control, paving stripping and demo old pump station 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. Jagat S . Mehta Name of proposed Project Manager Telephone No. of proposed Project Manager: 714-5 21-2 0 2 2 ext . 104 PLEASE SEE ATTACHED "PROJECTS COMPLETED" LIST as reference.; Project Name &Contract Amount Type of Work Date Completed Project Name &Contract Amount Type of Work Date Completed Project Name &Contract Amount Type of Work Date Completed 2. Name of proposed Superintendent Telephone No. of proposed Superintendent: Project Name & Contract Amount Type of Work Date Completed Project Name &Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed C-11 RESUME PRINCIPAL: Jagat S. Mehta (Project Manager) BUSINESS ADDRESS: 5901 Fresca Dr. La Palma, CA 90623 EDUCATION Diploma in Mechanical Engineering (AMIE) (Associate Member of Institute of Engineers). High School with Math & Science, Intermediate College. BUSINESS AND PROFESSIONAL EXPERIENCE 1975 to 1976: Shell Oil Company—Engineering Apprentice 1976 to 1977: Uniliver- Plant Maintenance Engineer 1977 to 1980: Esso Oil Refinery- Plant Maintenance Supervisor 1980 to 1986: Hydro Mechanical Engineering (Chicago) Technical Inspector 1986 to 1991: Mobil Oil Corporation-Torrance Refinery(Presently known as Exxon Mobil)—Refinery Reliability Technician 1991 to Present: MMC Inc- President and CEO Managing construction projects and machine shop, precision machining, overhauling pumps, steam turbines, compressors, blowers, mixers,variable drives, fin fans. Experience with managing over 40 people at a time. Have completed two (2) projects, namely with North Orange County Community College and South Orange County Community College, before the scheduled completion date. Please refer to the attached "Projects Completed" and "Pro i ect-in-progress" for a listing of all completed and current proiects. CONTRACTORS LICENSE: 573635 - Class A, B, C-11, C-61, D-21 Expiration date: 07/31/2020 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/DLS E/PublicWorks/S B 854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/P WCR/ActionServiet?action=displayP WCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. MMC INC. 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AcoR" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `� Acct# 2526572 4/23/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Willis of Greater Kansas City Inc. NAME:PHONE . 844-290-4908 FAX 5700 W 112th Street,Ste. 100 A/c No): _ Overland Park, KS 66211 ADDRESS: BBSicerts@locktonaffinity.com INSURERS AFFORDING COVERAGE NAIC N INSURER A: Ace American insurance Co. 22667 INSURED INSURER B Barrett Business Services,Inc. - L/CIF MEHTA MECHANICAL COMPANY,INC.DBA:MMC INC INSURER C 5901 FRESCA DRIVE - LA PALMA,CA 90623 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - - _ INSR - ADDLSUBR' - - LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYYPOLICY POLICY EXP MMIDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED IJ PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY F7 PRO- JECT D LOC PRODUCTS-COMP/OP AGG $ _ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE TLIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS P r accident $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY YIN X STATUTE I ERH ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 2,000,000 A OFFICER/MEMBER EXCLUDED? r N/A X C66369717 10/1/2019 10/1/2020 - (Mandatory In NH) E.L.DISEASE-EA EMPLOYEd$ 2.000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space's required) Policy State=CA Waiver of Subrogation in favor of certificate holder when required by written contract API OVED AS FORM Slater Sewer Lift Station,Project#CC1561 By: ICH E. GATES CITY ATTORNEY CITY OF HUNTINGTON BEACH CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Huntington Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 2000 Main St. IN ACCORDANCE WITH THE POLICY PROVISIONS. Huntington Beach,CA 92648 AUTHORIZED REPRESENTATIVE .Z�"__ /�S Tri>.-.._ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Workers'Compensation and Employers'Liability Policy Named Insured Endorsement Number Barrett Business Services, Inc. L/C/F MEHTA MECHANICAL COMPANY, INC. DBA:MMC INC Policy Number 5901 FRESCA DRIVE Symbol: Number:C66369717 LA PALMA, CA 90623 Policy Period Effective Date of Endorsement 10/1/2019 TO 10/1/2020 4/23/2020 Issued By(Name of the Insurance Company) Ace American Insurance Co. Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A. of the Information Page. 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, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule, where you are required by a written contract to obtain this waiver from us. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. Schedule 1. ( ) Specific Waiver Name of person or organization: (x) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: 3. Premium: The premium charge for this endorsement shall be INCLUDED percent of the California premium developed on payroll in connection with work performed for the above person(s)or organization(s)arising out of the operations described. 4. Minimum Premium: INCLUDED / F Authorized Agent WC 99 03 22 AC"RO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 4/23/2020 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 CONTACT Andreini&Company-South Coast NAME PHONE Dolores Muir FAX One MacArthur Place, Suite 100 • 714-327-1454 A/C. /c No:650-378-4361 Santa Ana CA 92707 ADORe : dmuir@andreini.com INSURE S AFFORDING COVERAGE NAIC0 INSURER A:Scottsdale Insurance Company 41297 INSURED MMCIN-1 INSURER B:Ohio Security Insurance Co. 24082 Mehta Mechanical Company, Inc. db& MMC, Inc. INSURERC: 5901 Fresca Drive INSURER D: La Palma CA 90623 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:1015704756 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADOL SUER POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDD/YYYYI (MMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY Y BCS0038281 11/1/2019 11/1/2020 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR AMA To RENTED PREMISES Ea occurrence $100,000 X $5,000 Ded MED EXP(Any one person) $Excluded PERSONAL&ADV INJURY $1,000,000 GEWL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 POLICY X JECOT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y BAS59017366 11/1/2019 11/1/2020 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTYDAMAGE AUTOS ONLY AUTOS ONLY Per accident $ A UMBRELLALIAB N OCCUR XLS0112119 11/1/2019 11/1/2020 EACH OCCURRENCE $5,000,000 X EXCESS LIAR CLAIMS-MADE AGGREGATE $5,000,000 DED I X I RETENTION$in nnn $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN ISTATUTE I ER ANYPROPRIETOPJPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under $ - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re: Slater Sewer Lift Station,Project#CC 1561 The City of Huntington Beach,its agents,officers,and employees are included as additional insured for General Liability per attached forms CG20100413& CG20370413 and for Auto Liability per form GECA70107. Primary&non-contributory wording applies per form CG20010413&CECA7010107. 30 days notice of cancellation applies per form attached. These forms are part of the above listed policies. ApPAHAEL ST FORM By: ME.GATES CERTIFICATE HOLDER CANCELLATION nE tiLiNTINGTON r3EACH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Huntington Beach ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street Huntington Beach CA 92648 AUTHORIZED REPRESENTATIVE . ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD COMMERCIAL AUTO CA 88 10 01 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO COVERAGE ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement. COVERAGEINDEX SUBJECT PROVISION NUMBER ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT 3 ACCIDENTAL AIRBAG DEPLOYMENT 12 AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS 19 AMENDED FELLOW EMPLOYEE EXCLUSION 5 AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE 13 BROAD FORM INSURED 1 BODILY INJURY REDEFINED 22 EMPLOYEES AS INSUREDS (including employee hired auto) 2 EXTENDED CANCELLATION CONDITION 23 EXTRA EXPENSE- BROADENED COVERAGE 10 GLASS REPAIR-WAIVER OF DEDUCTIBLE 15 HIRED AUTO PHYSICAL DAMAGE (including employee hired auto and loss of use) 6 HIRED AUTO COVERAGE TERRITORY 20 LOAN / LEASE GAP 14 PARKED AUTO COLLISION COVERAGE(WAIVER OF DEDUCTIBLE) 16 PERSONAL EFFECTS COVERAGE 11 PHYSICAL DAMAGE -ADDITIONAL TRANSPORTATION EXPENSE COVERAGE 8 RENTAL REIMBURSEMENT 9 SUPPLEMENTARY PAYMENTS 4 TOWING AND LABOR 7 TWO OR MORE DEDUCTIBLES 17 UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS 18 WAIVER OF TRANSFER OF RIGHTS OF RECOVERYAGAINST OTHERS TO US 20 SECTION II -LIABILITY COVERAGE is amended as follows: 1. BROAD FORM INSURED SECTION II - LIABILITY COVERAGE, paragraph A.1. - WHO IS AN INSURED is amended to include the following as an insured: d. Any legally incorporated entity of which you own more than 50 percent of the voting stock during the policy period. However, "insured" does not include any organization that: (1) Is a partnership or joint venture; or (2) Is an insured under any other automobile policy; or (3) Has exhausted its Limit of Insurance under any other automobile policy. Paragraph d. (2) of this provision does not apply to a policy written to apply specifically in excess of this policy. e. Any organization you newly acquire or form, other than a partnership or joint venture, of which you own more than 50 percent of the voting stock. This automatic coverage is afforded only for 180 days from the date of acquisition or formation. However, coverage under this provision does not apply: (1) If there is similar insurance or a self-insured retention plan available to that organization; © 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 1 of 7 (2) If the Limits of Insurance of any other insurance policy have been exhausted; or (3) To "bodily injury" or "property damage" that occurred before you acquired or formed the organization. 2. EMPLOYEES AS INSUREDS SECTION II - LIABILITY COVERAGE, paragraph A.1. - WHO IS AN INSURED is amended to include the following as an insured: f. Any "employee" of yours while using a covered "auto" you do not own, hire or borrow, but only for acts within the scope of their employment by you. Insurance provided by this endorse- ment is excess over any other insurance available to any "employee". g. An "employee" of yours while operating an "auto" hired or borrowed under a written contract or agreement in that "employee's" name, with your permission, while performing duties re- lated to the conduct of your business and within the scope of their employment. Insurance provided by this endorsement is excess over any other insurance available to the "employee". 3. ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT SECTION II - LIABILITY COVERAGE, paragraph A.1. - WHO IS AN INSURED is amended to include the following as an insured: h. Any person or organization with respect to the operation, maintenance or use of a covered "auto", provided that you and such person or organization have agreed in a written contract, agreement, or permit issued to you by governmental or public authority, to add such person, or organization, or governmental or public authority to this policy as an "insured". However, such person or organization is an "insured": (1) Only with respect to the operation, maintenance or use of a covered "auto"; (2) Only for "bodily injury" or "property damage" caused by an "accident" which takes place after you executed the written contract or agreement, or the permit has been issued to you; and (3) Only for the duration of that contract, agreement or permit 4. SUPPLEMENTARY PAYMENTS SECTION II - LIABILITY COVERAGE, Coverage Extensions, 2.a. Supplementary Payments, para- graphs (2) and (4) are replaced by the following: (2) Up to $3,000 for cost of bail bonds (including bonds for related traffic violations ) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the insured at our request, including actual loss of earn- ings up to $500 a day because of time off from work. 5. AMENDED FELLOW EMPLOYEE EXCLUSION In those jurisdictions where, by law, fellow employees are not entitled to the protection afforded to the employer by the workers compensation exclusivity rule, or similar protection, the following provision is added: SECTION II - LIABILITY, exclusion B.5. FELLOW EMPLOYEE does not apply if the "bodily injury" results from the use of a covered "auto" you own or hire. SECTION III -PHYSICAL DAMAGE COVERAGE is amended as follows: 6. HIRED AUTO PHYSICAL DAMAGE Paragraph A.4. Coverage Extensions of SECTION III - PHYSICAL DAMAGE COVERAGE, is amended by adding the following: If hired "autos" are covered "autos" for Liability Coverage, and if Comprehensive, Specified Causes of Loss or Collision coverage are provided under the Business Auto Coverage Form for any "auto" you own, then the Physical Damage coverages provided are extended to "autos": a. You hire, rent or borrow; or © 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 2 of 7 b. Your "employee" hires or rents under a written contract or agreement in that "employee's" name, but only if the damage occurs while the vehicle is being used in the conduct of your business, subject to the following limit and deductible: A. The most we will pay for "loss" in any one "accident" or "loss" is the smallest of: (1) $50,000; or (2) The actual cash value of the damaged or stolen property as of the time of the "loss"; or (3) The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality, minus a deductible. B. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. C. Subject to the limit, deductible and excess provisions described in this provision, we will provide coverage equal to the broadest coverage applicable to any covered "auto" you own. D. Subject to a maximum of $1,000 per "accident", we will also cover the actual loss of use of the hired "auto" if it results from an "accident", you are legally liable and the lessor incurs an actual financial loss. E. This coverage extension does not apply to: (1) Any "auto" that is hired, rented or borrowed with a driver; or (2) Any "auto" that is hired, rented or borrowed from your "employee". For the purposes of this provision, SECTION V-DEFINITIONS is amended by adding the following: "Total loss" means a "loss" in which the cost of repairs plus the salvage value exceeds the actual cash value. 7. TOWING AND LABOR SECTION III - PHYSICAL DAMAGE COVERAGE,paragraph A.2. Towing, is amended by the addition of the following: We will pay towing and labor costs incurred, up to the limits shown below, each time a covered "auto" classified and rated as a private passenger type, "light truck" or "medium truck" is dis- abled: a. For private passenger type vehicles, we will pay up to $50 per disablement. b. For "light trucks", we will pay up to $50 per disablement. "Light trucks" are trucks that have a gross vehicle weight (GVW) of 10,000 pounds or less. c. For "medium trucks" ,we will pay up to $150 per disablement. "Medium trucks" are trucks that have a gross vehicle weight (GVW) of 10,001 -20,000 pounds. However, the labor must be performed at the place of disablement. 8. PHYSICAL DAMAGE -ADDITIONAL TRANSPORTATION EXPENSE COVERAGE Paragraph AA.a., Coverage Extension of SECTION III - PHYSICAL DAMAGE COVERAGE, is amend- ed to provide a limit of$50 per day and a maximum limit of $1,500 © 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 3 of 7 9. RENTAL REIMBURSEMENT SECTION III -PHYSICAL DAMAGE COVERAGE,A. COVERAGE,is amended by adding the following: a. We will pay up to $75 per day for rental reimbursement expenses incurred by you for the rental of an "auto" because of "accident" or "loss", to an "auto" for which we also pay a "loss" under Comprehensive, Specified Causes of Loss or Collision Coverages. We will pay only for those expenses incurred after the first 24 hours following the "accident" or "loss" to the covered "auto." b. Rental Reimbursement will be based on the rental of a comparable vehicle, which in many cases may be substantially less than $75 per day, and will only be allowed for the period of time it should take to repair or replace the vehicle with reasonable speed and similar quality, up to a maximum of 30 days. c. We will also pay up to $500 for reasonable and necessary expenses incurred by you to remove and replace your tools and equipment from the covered "auto". d. This coverage does not apply unless you have a business necessity that other "autos" avail- able for your use and operation cannot fill. e. If "loss" results from the total theft of a covered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided under Paragraph 4. Coverage Extension. f. No deductible applies to this coverage. For the purposes of this endorsement provision, materials and equipment do not include "personal effects" as defined in provision 11. 10. EXTRA EXPENSE-BROADENED COVERAGE Under SECTION III -PHYSICAL DAMAGE COVERAGE,A. COVERAGE,we will pay for the expense of returning a stolen covered "auto" to you. The maximum amount we will pay is $1,000. 11. PERSONAL EFFECTS COVERAGE A. SECTION III - PHYSICAL DAMAGE COVERAGE, A. COVERAGE, is amended by adding the following: If you have purchased Comprehensive Coverage on this policy for an "auto" you own and that "auto" is stolen, we will pay, without application of a deductible, up to $600 for "personal effects" stolen with the "auto." The insurance provided under this provision is excess over any other collectible insurance. B. SECTION V- DEFINITIONS is amended by adding the following: For the purposes of this provision, "personal effects" mean tangible property that is worn or carried by an insured." "Personal effects" does not include tools, equipment, jewelry, money or securities. 12. ACCIDENTAL AIRBAG DEPLOYMENT SECTION III - PHYSICAL DAMAGE COVERAGE, B. EXCLUSIONS is amended by adding the follow- ing: If you have purchased Comprehensive or Collision Coverage under this policy, the exclusion for "loss" relating to mechanical breakdown does not apply to the accidental discharge of an airbag. Any insurance we provide shall be excess over any other collectible insurance or reimbursement by manufacturer's warranty. However, we agree to pay any deductible applicable to the other cov- erage or warranty. 13. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE SECTION III - PHYSICAL DAMAGE COVERAGE, B. EXCLUSIONS, exception paragraph a. to exclu- sions 4.c. and 4.d. is deleted and replaced with the following: © 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 4 of 7 Exclusion 4.c. and 4.d. do not apply to: a. Electronic equipment that receives or transmits audio, visual or data signals, whether or not designed solely for the reproduction of sound, if the equipment is permanently installed in the covered "auto" at the time of the "loss" and such equipment is designed to be solely operated by use of the power from the "auto's" electrical system, in or upon the covered "auto" and physical damage coverages are provided for the covered "auto"; or If the "loss" occurs solely to audio, visual or data electronic equipment or accessories used with this equipment, then our obligation to pay for, repair, return or replace damaged or stolen property will be reduced by a$100 deductible. 14. LOAN /LEASE GAP COVERAGE A. Paragraph C., LIMIT OF INSURANCE of SECTION III - PHYSICAL DAMAGE COVERAGE is amended by adding the following: The most we will pay for a "total loss" to a covered "auto" owned by or leased to you in any N one "accident" is the greater of the: 1. Balance due under the terms of the loan or lease to which the damaged covered "auto" is subject at the time of the "loss" less the amount of: a. Overdue payments and financial penalties associated with those payments as of the date of the "loss", b. Financial penalties imposed under a lease due to high mileage, excessive use or ab- normal wear and tear, c. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease, d. Transfer or rollover balances from previous loans or leases, e. Final payment due under a"Balloon Loan", f. The dollar amount of any unrepaired damage which occurred prior to the "total loss" of a covered "auto", g. Security deposits not refunded by a lessor, h. All refunds payable or paid to you as a result of the early termination of a lease agreement or as a result of the early termination of any warranty or extended service agreement on a covered "auto", I. Any amount representing taxes, j. Loan or lease termination fees; or 2. The actual cash value of the damage or stolen property as of the time of the "loss". An adjustment for depreciation and physical condition will be made in determining the actual cash value at the time of the "loss". This adjustment is not applicable in Texas. B. ADDITIONAL CONDITIONS This coverage applies only to the original loan for which the covered "auto" that incurred the loss serves as collateral, or lease written on the covered "auto" that incurred the loss. C. SECTION V-DEFINTIONS is changed by adding the following: As used in this endorsement provision, the following definitions apply: "Total loss" means a "loss" in which the cost of repairs plus the salvage value exceeds the actual cash value. A "balloon loan" is one with periodic payments that are insufficient to repay the balance over the term of the loan, thereby requiring a large final payment. © 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 5 of 7 15. GLASS REPAIR-WAIVER OF DEDUCTIBLE Paragraph D. Deductible of SECTION III - PHYSICAL DAMAGE COVERAGE is amended by the addition of the following: No deductible applies to glass damage if the glass is repaired rather than replaced. 16. PARKED AUTO COLLISION COVERAGE (WAIVER OF DEDUCTIBLE) Paragraph D. Deductible of SECTION III - PHYSICAL DAMAGE COVERAGE is amended by the addition of the following: The deductible does not apply to 'loss" caused by collision to such covered "auto" of the private passenger type or light weight truck with a gross vehicle weight of 10,000 lbs. or less as defined by the manufacturer as maximum loaded weight the "auto" is designed to carry while it is: a. In the charge of an "insured"; b. Legally parked; and c. Unoccupied. The 'loss" must be reported to the police authorities within 24 hours of known damage. The total amount of the damage to the covered "auto" must exceed the deductible shown in the Declarations. This provision does not apply to any 'loss" if the covered "auto" is in the charge of any person or organization engaged in the automobile business. 17. TWO OR MORE DEDUCTIBLES Under SECTION III PHYSICAL DAMAGE COVERAGE, if two or more company policies or coverage forms apply to the same accident, the following applies to paragraph D. Deductible: a. If the applicable Business Auto deductible is the smaller (or smallest) deductible it will be waived; or b. If the applicable Business Auto deductible is not the smaller (or smallest) deductible it will be reduced by the amount of the smaller (or smallest) deductible; or c. If the loss involves two or more Business Auto coverage forms or policies the smaller (or smallest) deductible will be waived. For the purpose of this endorsement company means any company that is part of the Liberty Mutual Group. SECTION IV -BUSINESS AUTO CONDITIONS is amended as follows: 18. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS SECTION IV- BUSINESS AUTO CONDITIONS, Paragraph B.2. is amended by adding the following: If you unintentionally fail to disclose any hazards, exposures or material facts existing as of the inception date or renewal date of the Business Auto Coverage Form, the coverage afforded by this policy will not be prejudiced. ° However, you must report the undisclosed hazard of exposure as soon as practicable after its discovery, and we have the right to collect additional premium for any such hazard or exposure. 19. AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT, OR LOSS SECTION IV - BUSINESS AUTO CONDITIONS, paragraph A.2.a. is replaced in its entirety by the following: a. In the event of "accident', claim, "suit' or 'loss", you must promptly notify us when it is known to: 1. You, if you are an individual; 2. A partner, if you are a partnership; 3. Member, if you are a limited liability company; 4. An executive officer or the "employee" designated by the Named Insured to give such notice, if you are a corporation. © 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 6 of 7 To the extent possible, notice to us should include: (1) How, when and where the "accident" or "loss" took place; (2) The "insureds" name and address; and (3) The names and addresses of any injured persons and witnesses. 20. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US SECTION IV - BUSINESS AUTO CONDITIONS, paragraph A.5., Transfer of Rights of Recovery Against Others to Us, is amended by the addition of the following: If the person or organization has waived those rights before an "accident" or "loss", our rights are waived also. 21. HIRED AUTO COVERAGE TERRITORY SECTION IV- BUSINESS AUTO CONDITIONS, paragraph 13.7., Policy Period, Coverage Territory, is amended by the addition of the following: f. For "autos" hired 30 days or less, the coverage territory is anywhere in the world, provided that the insured's responsibility to pay for damages is determined in a "suit", on the merits, in the United States, the territories and possessions of the United States of America, Puerto Rico or Canada or in a settlement we agree to. This extension of coverage does not apply to an "auto" hired, leased, rented or borrowed with a driver. SECTION V-DEFINITIONS is amended as follows: 22. BODILY INJURY REDEFINED Under SECTION V- DEFINTIONS, definition C. is replaced by the following: "Bodily injury" means physical injury, sickness or disease sustained by a person, including mental anguish, mental injury, shock, fright or death resulting from any of these at any time. COMMMON POLICY CONDITIONS 23. EXTENDED CANCELLATION CONDITION COMMON POLICY CONDITIONS, paragraph A. - CANCELLATION condition applies except as fol- lows: If we cancel for any reason other than nonpayment of premium, we will mail to the first Named Insured written notice of cancellation at least 60 days before the effective date of cancellation. This provision does not apply in those states which require more than 60 days prior notice of cancella- tion. © 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 7 of 7 ENDORSEMENT A� SCOTTSDALE INSURANCE COMPANY® NO. ATTACHED TO AND FORMING A PART OF R ENDORSEMENT EFFECTIVE DATE (1 M.STANDARD TIME) NAMED INSURED AGENT NO. POLICY NUMBER BCS0038281 11-01-19 MEHTA MECHANICAL COMPANY, INC. 04767 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF CANCELLATION NOTICE TO FIRST NAMED INSURED AND SCHEDULED PARTY(IES) The following Conditions are added to the Cancellation Condition: 1. If we cancel this policy for any reason other than nonpayment of premium, we will mail written notice of cancellation to the first Named Insured and to any party(ies) at their designated mailing address(es), shown in the Schedule below, at least 3 0 days before the effective date of cancellation. 2. If we fail to mail such notice as indicated in 1. above, any coverage afforded to the party(ies)will re- main in effect: a. For the number of days shown in 1. above from the date a written notice of cancellation is actually mailed; b. Until the effective date of replacement coverage is obtained elsewhere by the first Named In- sured; or c. Until the termination date requested by the Named Insured, whichever occurs first. SCHEDULE Name and Address of Party(ies): CITY OF HUNTINGTON BEACH, ITS OFFICERS, ELECTED OR APPOINTED OFFICIALS, EMPLOYEES, AGENTS AND VOLUNTEERS 2000 MAIN STREET P.O. BOX 190 HUNTINGTON BEACH, CA 92648 AUTHORIZED REPRESENTATIVE DATE UTS-410g(2-11) Page 1 of 1 POLICY NUMBER: BCS0038281 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations CITY OF HUNTINGTON BEACH, ITS ALL LOCATIONS/OPERATIONS OFFICERS, ELECTED OR APPOINTED OFFICIALS, EMPLOYEES,AGENTS AND VOLUNTEERS 2000 MAIN STREET P.O. BOX 190 HUNTINGTON BEACH, CA 92648 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 2. If coverage provided to the additional insured is include as an additional insured the person(s) or required by a contract or agreement, the organization(s) shown in the Schedule, but only insurance afforded to such additional insured with respect to liability for"bodily injury", "property will not be broader than that which you are damage" or "personal and advertising injury" required by the contract or agreement to caused, in whole or in part, by: provide for such additional insured. 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and CG 20 10 04 13 ©Insurance Services Office, Inc., 2012 Page 2 of 3 Insured Copy B. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following additional Insurance shown in the Declarations; exclusions apply: whichever is less. This insurance does not apply to "bodily injury" or This endorsement shall not increase the applicable "property damage"occurring after: Limits of Insurance shown in the Declarations. 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III—Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or CG 20 10 04 13 ©Insurance Services Office, Inc., 2012 Page 3 of 3 Insured Copy POLICY NUMBER: BCS0038281 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 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 PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed Or Organization(s) Operations CITY OF HUNTINGTON BEACH, ITS ALL LOCATIONS/OPERATIONS OFFICERS, ELECTED OR APPOINTED OFFICIALS, EMPLOYEES, AGENTS AND VOLUNTEERS 2000 MAIN STREET P.O. BOX 190 HUNTINGTON BEACH, CA 92648 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 B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s)shown in the Schedule,but only with Section III—Limits Of Insurance: respect to liability for "bodily injury" or "property If coverage provided to the additional insured is damage"caused, in whole or in part, by"your work" required by a contract or agreement, the most we at the location designated and described in the will pay on behalf of the additional insured is the Schedule of this endorsement performed for that amount of insurance: additional insured and included in the "products- completed operations hazard". 1. Required by the contract or agreement; or However: 2. Available under the applicable Limits of 1. The insurance afforded to such additional Insurance shown in the Declarations; insured only applies to the extent permitted by whichever is less. law; and This endorsement shall not increase the applicable 2. If coverage provided to the additional insured is Limits of Insurance shown in the Declarations. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 0413 ©ISO Properties, Inc., 2004 Page 3 of 3 ❑ Insured Copy POLICY NUMBER: BCS0038281 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 1 CONTRACTOR'S SWORN STATEMENT AND WARRANTY REGARDING CONTINUING INSURANCE,OBLIGATIONS r-Rom-Mehta Mechanical Co. IncpRojECF: Slater Sewer Lift Station (Contractor Mame) 5901 Fresca Dr. (Street Address) La Palma, CA 90623 (City,State and Zip) TO: CITY OF HUNTINGTON BEACH DECLAR.A`t`ION Attached hereto Is a true and correct copy of the current Certificate of Insurance and Additional Insured Endorsement CG 2010 1185, which Certificate complies with the insurance requirements of the Contract by and between the City of Huntington Beach CUty")and the above-named Contractor("Contractor')for the above-described project("projeR), I declare under penalty of perjury under the laws of the State of Cali"a that the above statement Is true and correct. stgnedo,, 04/24/ z02 La Palma, CA 1 (Date) (Cty,State? (Sig o In iduai Who Is Making Declaration) WARRANTY Contractor hereby warrants and agrees to maintain Products and Completed Operations Insurance in compliance with the Insurance requirements of the Contract for the Project Said Insurance shall be ma`iritained through and until the Winatton of all Warranties provided by Contractor, Said insurance shall contain Additional Insured Endorsement CG 2010 1185,naming City as an additional insured, Contractor shall supply to City, on at least an annual basis,a Certificate of Insurance and the aforementioned Endorsement evidendng continued coverage which meets the Contract requirements. Signedon 04/24/ _._,za24t_ La Palma, CA (Date) (City,State) COM ACMR., tvamar Mehta Mechanical Co. Inc . By , r f Name-, Title; :•778112 Premium Subject to Change Based on Final Contract Amount Bond No.024244936 Premium:$34,665.00 Executed in Duplicate PERFORMANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS,City of Huntington Beach(hereafter referred to as`City")has, by written agreement dated 2020,entered into a contract with Mehta Mechanical Company Inc.dba MMC Inc. 5901 Fresca Drive,La Palma,CA 90623 (name and address of Contractor) (hereinafter referred to as'Principal"),for performance of the work described as follows: Slater Sewer Lift Station,Project#CC1561 (Project Title) WHEREAS, said contract, and all documents referenced therein (hereinafter collectively "Contract"), are incorporated herein by this reference made a part hereof as though set forth herein in full;and Said Principal is required under the terms of the Contract to furnish a bond guaranteeing the prompt,full and faithful performance of said Contract, by a duly admitted surety insurer under the laws of the State of Califomia(hereinafter referred to as"Surety');and Surety is certified and listed in the U.S. Department of the Treasury Circular 570, and has provided proof of sufficient bonding limitations as shown in said circular to provide bonds in the amount required by said Contract;and Surety has provided financial strength ratings from reputable companies,such as from AM,Best,Moody's, or Standard&Poor's,to validate that Surety has positive ratings of being secure or Stable;and Surety is registered and listed with the California Department of Insurance, NOW,THEREFORE,we,the undersigned,as Principal,and The Ohio Casualty Insurance Company 175 Berkeley Street,Boston,MA 02116 (name and address of Surety) as Surety,are held and firmly bound unto City in the penal sum of Three Million Nine Hundred Fifty-Eight Thousand Seven Hundred Fifty and 00/100 Dollars($ 3,958,750.00 ),this amount being not less than one hundred percent of the price set forth in the Contract,in lawful money of the United States,for the payment of which sum,well and truly to be made, we bind ourselves,our heirs,executors,administrators and successors,jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT if the Principal shall promptly,fully and faithfully perform each and all of the covenants,obligations and things to be done and performed by the Principal in strict accordance with the terms of the Contract as said contract may be altered,amended or modified from time to time;and if the Principal shall indemnify and save harmless City and all of City's officers,agents and employees(hereinafter collectively referred to as"Obligees')fromany and all losses, liability and damages, claims,judgments,stop notices,fees and costs of every description,whether imposed by law or in equity, which may be incurred by the Obligees by reason of the failure or default on the part of the Principal in the performance of any or all of the terms or the obligations of the Contract,including all alterations,amendments and modifications thereto,and any warranties or guarantees required thereunder,then this obligation shall be void;otherwise,it shall be and shall remain in full force and effect. Surety stipulates and agrees,for value received,that no adjustment of the time or price in the Contract or any alteration,change,deletion,addition or other modification to the Contract, or the work to be performed thereunder,shall in any way affect,limit,restrict,impair or release the obligations of the Surety under this Bond. Surety waives notice of any adjustment of contract or contract price,and any other alteration,change, deletion,addition or other modification to the Contract,or the work to be performed thereunder,and agrees t 5-45s4/1 17174 Bond No. 024244936 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:April 23,2020 ATTEST Mehta Mechanical Company,Inc.dba MMC,Inc. (Corporate Seal) p,-s (Principal Name) By: /I !\""� Name:V -S A 4 a rA Title: i d 4J 4/27/2a ATTEST The Ohio Casualty Insurance Company (Corporate Seal) (Sure Name) By: ' Name: Emilie Geor ,Attor -in-Fact (Signature of ttorney(i -Fact for Surety) (Attach Attorney-In-Fact Certificate) 6( 7 357-9500 (Area Code&Telephone Number for Surety) APPROVED AS TO FQIQHI: By Michael E.Gates,City Attorney r 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 attomey-in-fact must be attached. PERFORMANCE BOND Page 2 of 2 1 i-45841117174 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA County of Orange On APR 2 3 Z020 before me, Sheree Michel Parsons Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Emilie George 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), SHEREE MICHEL PARSONS +. and that by his/her/their signature(s) on the instrument the a� Notary Public-California person(s), or the entity upon behalf of which the person(s) -m Orange County z acted, executed the instrument. } ' Commission#2160249 Nly Comm. Expires Jul 13,2n20. 1 certify under PENALTY OF PERJURY under the laws of the State of California that the oregoing paragraph is true , . and correct. Witness my hand and alese Signature Place Notary Seal Above Signat re of Notary Public Sheree Michel Parsons OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s)Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer —Title(s): ❑ Partner ❑Limited ❑General ❑ Partner ❑Limited❑ General ❑ Attorney in Fact Wthumbhere Attorney in Fact❑ Trustee • ❑ Trustee OF SIGNER❑ Guardian or Conservator Top of ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. Liberty Liberty Mutual Insurance Company Mutual® The Ohio Casualty Insurance Company Certificate No: 8202900-986938 SURETY West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies'),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Emilie George;Irene Luong;James W.Moilanen,Yung T.Mullick;P.Austin Neff all of the city of Oakland state of CA each individually if there be more than one named,its true and lawful attorney-in-fact to make, execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 13th day of January 1 2020 Liberty Mutual Insurance Company P�[PS "I P-SV INSUR X tN0U 1 The Ohio Casualty Insurance Company J °aPOR4r y `� °NPOR4l 9 VQ °aP°a4r y West American Insurance Company J 3° Fo R� Q 2c Fo ZCi zo Fo F v; 1912y o 0 1919 0 1991 a 7 ? `� 2 o a Yd�9S-4, u .aa SO F�hA MPS� c 0/7 * *� �y1 r 1 d ''M + �� By Q ca David M.Carey,Assistant Secretary La M State of PENNSYLVANIA ss 0 County of MONTGOMERY cc c 0 3 On this 13th day of January 2020 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance 0 -(D� Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes N therein contained by signing on behalf of the corporations by himself as a duly authorized officer. L u — 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 ruPA 0 L �k-�'p,,°nl�Fq r�! COMMONWEALTH OF PENNSYLVANIA do ti oa y Notarial Seal � �1� O O � OF Teresa Pastella,Notary Public �L Upper Merion Twp.,Montgomery County By: 3 E My Commission Expires March 28,2021 NNgy�JP \o Teresa Pastella,Notary Public a 8 I: 4RY PVO� Member,Pennsylvania Association or Notaries in 10 w� 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 0•S- Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: O o N ARTICLE IV—OFFICERS:Section 12.Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or the President— cmay 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 o L power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.When so executed,such instruments shall €N Z c�> be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under the provisions of this; article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. ARTICLE XIII—Execution of Contracts:Section 5.Surety Bonds and Undertakings. 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, ~ 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. 1,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 23rd day of April 2020 Q�[NSU'D POSY INSGR INSUpq �J o°aP°Ryr LC �iJ o°aPORgr 92 CAP o°1,OR4r yC+ 1912 0 0 1919 0 1991 ao t3�9s34 CHUs .da yO.��HA MP a3 �NDIANP b By: *�d s , *�a Renee C.Llewellyn,Assistant Secretary LMS-12873 LMIC OCIC WAIC Multi Co 12119 CALIFORNIA MILL-PURPOSE ACKNOWLEDGMENT Y� �.E:n ` 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_ O7A jjq p ) On Dy 71.?Q' ___ before me, ��r0 - nAll T U ' Date Here Insert Name a Tit e of the Officer personally appeared � me A l ee, 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 ALKA SHROFF is true and correct. ,r Notary Public-CaHorn;a WITNESS my hand and official seal. Orange County Commission#2221767 My Comm,Expires Dec 13,2021 Signature Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Number of Pages: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): Signer's Name: El — ❑ Limited ❑ General ❑ Corporate Officer — Title(s): ElEl Individual Partner — ❑ Limited ❑ General ❑Attorney in Fact ❑ Individual El Trustee El GuardianGuardian or Conservator ❑Attorney in Fact ❑ Other: ❑Trustee ❑ Guardian or Conservator Signer Is Representing: ❑ Other: Signer Is Representing: ©2016 National Notary Association www.Nat o a1INc t> og OVO-S NOTARY(1-800-876-6827) Item# 5907 Premium Included in Performance Bond Cost Bond No.024244936 Executed in Duplicate PAYMENT BOND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS,City of Huntington Beach(hereafter referred to as"City') has awarded to Mehra Mechanical Company,Inc.dba MMC,Inc. 5901 Fresca Drive,La Palma,CA 90623 (name and address of Contractor) (hereinafter referred to as"Principal"),a contract("Contract")for the work described as follows: Slater Sewer Lift Station,Project#CC1561 (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 I 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 The Ohio Casualty Insurance Company 175 Berkeley Street,Boston,MA 02116 (name and address of Surety) as Surety,are held and firmly bound unto City in the penal sum of Three Million Nine Hundred Fifty-Eight Thousand Seven Hundred Fifty and 00/100 dollars($ 3,958,750.00 ),this amount being not less than one hundred percent(100%)of the total price set forth in the Contract,in lawful money of the United States of America,for the payment of which sum,well and truly to be made,we bind ourselves,and each of our heirs, executors,administrators,successors,and assigns,jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT,if the Principal,his, her,or its heirs,executors, administrators,successors or assigns,or subcontractors shall fail to pay any of the persons named in Section 3181 of the California Civil Code("Claimants`)for all labor,materials or services used or reasonably required for use in performance of the work described in the Contract,or any amounts due under the Unemployment Insurance Code with respect to work or labor performed by any such Claimant,or prevailing wages due and penalties incurred pursuant to Sections 1774, 1775, 1813 or 1815 of the Labor Code,or any amounts required to be deducted,withheld and paid over to the Employment Development Department from the wages of employees of the Principal and Subcontractors pursuant to Section 13020 of the Unemployment Insurance Code with respect to the work or labor performed under the Contract,Surety will pay for the same, in an amount not exceeding the penal sum specified in this bond;otherwise,this obligation shall be null and void. This bond shall inure to the benefit of any of the persons named in Section 3181 of the California Civil Code so as to give a right of action to such persons or their assigns. In case any action is brought upon this bond, Surety further agrees to pay all court costs and a reasonable attorney's fee in an amount fixed by the court. PAYMENT BOND Page 1 of 2 15-4584/117357 Surety stipulates and agrees,for value received,that no change,extension of time,alteration, addition or modification to the terms of the Contract,or any contract document or any work to be performed thereunder,whether made after notice or not,shall in any way affect, impair or release the obligations of Surety under this bond. Surety hereby waives notice of any such change, extension of time,alteration,addition,or modification to the terms of the Contract. the contract documents or the work thereunder. Surety also waives the provisions of California Civil Code§§ 2845 and 2849. IN WITNESS WHEREOF,each party represents and warrants that this instrument has been duly executed by Principal and Surety,on the date set forth below,that the name of each corporate party being affixed hereto is such party's proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body. Surety,by execution of this bond,waives any defense which Surety has or may have by reason of any failure of the Principal to execute or properly execute this bond. Dated:April 23,2020 ATTEST Mehta Mechanical Company,Inc.dba MMC,Inc. (Corporate Seal) (Prircipal Name) By: � N(LVI'V1 Name: 1• S• rf T� Title: p,t," 41271�) ATTEST The Ohio Casualty Insurance Company (Corporate Seal) Sur ly Na )By:*Y0 / Name: Emilie Ge6r%d,Attor y-in- act (Signature of Attorne n-Fact for Surety) (Attach Atiomey-in-Fact Certificate) 6( 17) 357-9500 (Area Code&Telephone Number for Surety) APPROVED AS TOTORM: J By: %G."a Michael E.Gates,-0ty ttorney )L / -41 (vote: This bond must be executed in duplicate and dated,at/signatures must be notarized,and evidence of the authonty of any person signing as attomey-in-fact must be attached. PAYMENT BOND Page 2 of 2 :5-4584/117357 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA County of Orange On APR 2 3 2.020 before me, Sheree Michel Parsons Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Emilie George 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), SHEREE MICHEL PARSONS and that by his/her/their signature(s) on the instrument the Notary Public-California person(s), or the entity upon behalf of which the person(s) :-s Orange County acted, executed the instrument. ' ■ Commission #2160249 My Comm.Expires Jul 18,2020 1 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;� eal. Signature Place Notary Seal Above Signature of Notary Public Shere&ffthel Parsons OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s)Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer —Title(s): ❑ Partner ❑Limited ❑General ❑ Partner ❑Limited❑General ❑ Attorney in Fact RIGHTTHUMBPRINT ❑ Attorney in Fact RIGHT TnillIMPINT ❑ Trustee OF ❑ Trustee OF ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. Liberty Liberty Mutual Insurance Company Mutual. The Ohio Casualty Insurance Company Certificate No: 8202900-986938 SURETY West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Emil ie George;Irene Luong;James W.Moilanen,Yung"f.Mullick;P.Austin Neff all of the city of Oakland state of CA each individually if there be more than one named,its true and lawful attorney-in-fact to make, execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or offical of the Companies and the corporate seals of the Companies have been affixed thereto this 13th day of January 2020 Liberty Mutual Insurance Company P` tNSU4q PO*4 INS&q � 1HSURq The Ohio Casualty Insurance Company ja°oaPO�reyta QJ OVLPO rF11 �GP=oaPO"gr��n West American Insurance Company ; 1912y o 0 1919 1991 � C1 „�/� : 41, o s ° jl f rd,)1'ss4 CHU5�.dD SO d`�hA MPS dD YS rNOIANP ,da� C 0j7 • �� ''�1 * t� dN + 1N By: David M.Carey,Assistant Secretary "M State of PENNSYLVANIA Ss N rn County of MONTGOMERY N s` 203 On this 13th day of January , 2020 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance_ O M 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 mtherein contained by signing on behalf of the corporations by himself as a duly authorized officer. gE IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. a �Cn 0 QQ.S�ONg,E PAS;, COMMONWEALTH OF PENNSYLVANIA O o� qyy y Notarial Seal �O O Of Teresa Pastella,Notary Public ViL trI✓' O Upper Menon Twp.,Montgomery County By: S a�`P My Commission Expires March 28,2021 02 Qj v4 Teresa Pastella,Notary Public 4Rv P\ Member,Pennsylvania Association or Notaries WCo 8 112 crn 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— Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: o ARTICLE IV-OFFICERS:Section 12.Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or the President O 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,rel ognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall have full o power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.When so executed,such instruments shall €I V Z 0be 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 any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. ARTICLE XIII-Execution of Contracts:Section 5.Surety Bonds and Undertakings. O T Any officer of the Company authorized for that purpose in writng by the chairman or the president,and subject to such limitations as the chairman or the president may prescribe,~ shall appoint such attomeys-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 attomeys-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 attomeys-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 23rd day of April 2020 V 1NSU4 ASV INS` %NSURq jp`Oavoagro��ta �Ja°OavoRgrpyy v?GOaPORgr Y I��/'')� 1912 y o 0 1919 0 2 1991 O rdJl'�Sg CNU`��aa� yO Pk HA MP���a� Y r'�'DIANP a� By: Renee C.Llewellyn,Assistant Secretary LMS-12873 LMIC OCIC WAIC Multi Co 12/19 CALIFORNIA ALL-PURPOSE ACKNOWLE®GGENT r. �rsrrEr 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 fl to nqe ) if On D4�.tybo before me, d)XA Date UG Here Insert Name an itle of the Officer personally appeared jot �' jmEhla, U 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. ALKASHROFF WITNESS my hand and official seal. r. Notary Public-California Orange County ] Commission#2221767 ■ ��My Comm.Expires Dec 13,2021 Signature i,— Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Number of Pages: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): Signer's Name: ❑ Partner — ❑ Limited Cl General ❑Corporate Officer — Title(s): ❑ Individual ❑Attorney in Fact ❑ Partner — 0 Limited J General ❑Trustee ❑ Guardian or Conservator El Individual ❑Attorney in Fact ❑Other: ❑Trustee Guardian or Conservator Signer Is Representing: ❑ Other: _ Signer Is Representing: %c,�c^c:casu."�d'�qur.- - -'szic^vkrrdcc:e�sd^t�erCcs96:�r 02016 National Notary Association - www .National Nota�ry o g • 1 800-US NOTARY g 6_B827) Item #5907 4/29/2020 Surety Bonds-List of Certified Companies BUSINESS ADDRESS: 1200 MAIN STREET, SUITE 800, KANSAS CITY, MO 64105. PHONE: (913) 676-5200. UNDERWRITING LIMITATION b/: $24,886,000. SURETY LICENSES c,f/: AL, AK,AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD,TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: New Hampshire. NOVA Casualty Company (NAIC#42552) BUSINESS ADDRESS: 440 LINCOLN STREET, WORCESTER, MA 01 653 - 0002. PHONE: (508) 853-7200. UNDERWRITING LIMITATION b/: $9,112,000, SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WI, WY. INCORPORATED IN: New York, Back To Top O Ohio Casualty Insurance Company(The) (NAIC #24074) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 357-9500 X-41177. UNDERWRITING LIMITATION b/: $172,415,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV,WI, WY. IN('(1t7DnDATGCI Ir\l' N1nXA1 WMrnnchirn https://www.fiscal.treasury.gov/surety-bonds/list-certified-companies.html#o 57/91 4/29/2020 Company Profile 'f k COMPANY PROFILE Company Profile Company Search Company Information Company Search Results OHIO CASUALTY INSURANCE COMPANY (THE) Company 175 BERKELEY STREET Information BOSTON, MA 02116 Old Company Names Old Company Names Effective Date Agent for Service Reference Information Agent For Service NAIC Group List Melissa DeKoven Lines of Business 2710 Gateway Oaks Drive, Suite 150N Workers' Sacramento CA 95833-3505 Compensation Complaint and Reference Information Request for Action/Appeals Contact Information NAIC #: 1 24074 Financial Statements PDF's California Company ID #: 5133-4 Annual Statements Date Authorized in California: 11/17/2008 Quarterly Statements License Status: UNLIMITED-NORMAL __..._._.__......._...—............._..._..._._......._._..._._.__.._.....__...._..._......_...................._..__...._..............._............._.__...__.._._..........._.._._........ Company Complaint Company Type: Property&Casualty Company Performance& State of Domicile: NEW HAMPSHIRE Comparison Data Company Enforcement Action back to top Composite Complaints Studies Additional Info NAIC Group List Find A Company Representative In NAIC Group #: 0111 LIBERTY MUT GRP Your Area View Financial Lines Of Business Disclaimer The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. AUTOMOBILE BOILER AND MACHINERY BURGLARY COMMON CARRIER LIABILITY CREDIT FIRE LIABILITY MARINE MISCELLANEOUS PLATE GLASS SPRINKLER SURETY WORKERS' COMPENSATION https://interactive.web.insurance.ca.gov/companyprofile/companyprofile?event=companyProfiile&doFunction=getCompanyProfile&eid=2980 1/2 City of Huntington Beach F 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Fa: : Office of the City Clerk 17,1999 Robin Estanislau, City Clerk May 20, 2020 MMC, Inc. Attn: Jagat (Jay) Mehta 5901 Fresca Drive La Palma, CA 90623 Re: Slater Sewer Lift Station, CC -1561 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 theproiect 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, 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 MAIA Document A31 0TM . 2010 . . ... .......... . . .. . ... .. ... .................. . .... Bid Bond No:N/A Bid Bond . . ..... .. .. . ... . . .. .. ... CONTRACTOR: SURETY: (Mome, legal status and address) (.,Vame, legal status and princ•lpal place Mehta Mechanical Company, Inc.dba MMCpfhusiness)The Ohio Casualty Insurance Company 5901 Fresca Dr. 175 Berkeley Street La Palma,CA 90623 Boston, MA 02116 This document has important legal consequences.Consultation with :OWNER' an attorney is encouraged with ;(i�ranfe.;legul status alit address) respect to its completion or ... . modification. City of Huntington Beach 2000 Main St. Any singular reference to Huntington Beach,,CA.92648 Contractor,Surety.Owner or BOND;AMOUNTt Ten Percent of theTotal Amount Bid(10%of Bid Amount) other party shall be considered .. .. plural where applicable. PROJECT. Slater Sewer-:Lift Station Replacement Project (IYaW, location or cidclress,_and.Project number, if any) Project Number,if any:CC No. 1561 The Contractor`and Surety<ire bound to the Owner in the amount set forth above,for the payment of which the Contractor and Suretybind themselves,their heirs,executors,administrators,successors and assigns,jointly and severally as licouided herein.The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time.specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and'>gives siich bond or bonds as may be specified in the bidding or Contract.Documents,with a surety admitted in the jurisdiction of the Project and oQtenvise acceptable to the Owner,for the faithful performance of'such Contract and for the p 6 pt pay-ment of labor,and material furnished in the prosecution thereof-,or(2)pays to the Owner the .:dlffei,ence,not t exceed'the amount 6f this Bond,between the amount specified in said bid, d such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid,then this obligation shall:be:null and void:;otherwise to remain in.full force and effect..The Surety hereby waives any notice of ..:.::an agreement between the.Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of :no6ce..by the Surety shall not apply to any extension exeeeding sixty(60)days in the aggregate beyond the time for acceptance of bids specified in the:hid documents,and the Owner and Contractor shall obtain.the Surety's consent for an extension beyond sixth (60)days. it this Bond is issued in connection with a subcontractor's bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished,the intentis that this Bond shall be construed as a statutory bond and.not as a common law bond. Signed and ed this 9th day of January 2020 Mehta Mechanical Company,Inc.dba MMC,Inc. • (Principal) �. (Seal) (LL ttness 'J�reSt d n 4CCa� ..._.._......_- (OZtTI rance omp �1y -- -....- -- 71,�i (Seal) ers) Dais Re es uon ,Aft ey-in-Fact AIA Document A310TM—2010.Copyright©1963,1970 and 2010 by The American Institute of Architects.All rights reserved-WARNING:This A10 Init. Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA"Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This document was created on 01/2712012 07:23:12 under the terms of AIA Documents-on-Demand"'order no. 2008397483.and is not for resale.This document is licensed by The American Institute of Architects for one-time use only,and may not be reproduced nrior to its comnletion.nn,,,n CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA County of Orange On January 9, 2020 before me, Robyn R. Kargari Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Irene Luong 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) zoF*.E ROBYN R.KARGARI acted, executed the instrument. N ,J COMM.#2296844 70 w-® * NOTARY PUBLIC CALIFORNIA 1 certify under PENALTY OF PERJURY under the laws of Cn =r ORANGE COUNTY the State of California that the foregoing paragraph is true IFor�`P MY COMM,EXP,JULY 13,2023 and correct. Witness my ha In icial seal. Signature t Place Notary Seal Above S' nat P lic obyn R. Kargari OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies)Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer —Title(s): ❑ Partner ❑Limited ❑General ❑ Partner ❑Limited❑General ❑ Attorney in Fact ❑ Attorney in Fact RIGHTTHUMBPRINT ❑ Trustee OF ❑ Trustee OF ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: 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 titu X The Ohio Casualty Insurance Company Certificate No:8201469-024096 West American Insurance Company SURETY POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Stephanie Hoang,Irene Luong,James W.Moilanen,Yung T.Mullick,P.Austin Neff all of the city of Mission Viejo state of California each individually if there be more than one named,its true and lawful attomey-in-fact to make, execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 26th day of June 2019 . Liberty Mutual Insurance Company P�tNs(/� P�tV Iros& � INSU o o � The Ohio Casualty Insurance Company AJ a°ORar �c, yJ°01P 41., 14 \oP oft 0 y° West American Insurance Company J 3 Fo 1912 0 0 1919 0 2 1991 0 /� U) Y /("� i=m o Q o l u, to d �-ACHU9",da O h'MAMPsa` a 1 �hD[AW. a3 N N �9j� * 1� �'Hl * )� SUM * � By: ! N c David M.Carey,Assistant Secretary State of PENNSYLVANIA 15 3 County of MONTGOMERY ss m rn L) NCOn this 26th day of June 2019 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance o m Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes= > therein contained by signing on behalf of the corporations by himself as a duly authorized officer. LU :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. Sp, PASr Q M O N Q4, °yyyf_-F�. COMMONWEALTH OF PENNSYLVANIA l y/yS' 1 _ Notarial Seale%� -/� Y `O OF}" o t � Teresa Pastella,Notary Public O /,,;' I 1 ` C O Upper MarionTwp.,Montgomery County By:mison Expires March 28.20217�« N @ MambCe o nPennsylvanleAssocatlonofNota es eresa Pastella,Notary Public 0)to Af�y P a O O N rn O 0 a) This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual w c' o.9 Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: o ad) a) ARTICLE IV—OFFICERS:Section 12.Power of Attorney. o 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 may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety >o > C= any and all undertakings,bonds,recognizances and other surety obligations.Such attomeys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall N have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such "°O Zinstruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attomey-in-fad under the cN) provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. c°O 00 ARTICLE XIII—Execution of Contracts:Section 5.Surety Bonds and Undertakings. L) cD 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,I.00 shall appoint such attomeys-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 attomeys-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 9th day of January , 2020 Jp onP SO�I JP�oRPoN��SVR9 Pal tNSU49 r°oar0141oy� 1912 0 oU 1919 0 7 1991 2 ru O Q O d�0/7*a8*aa3 y°H R*P6*�aa �'s� D*e��ab� By Renee C.Llewellyn,Assistant Secretary LMS-12873 LMIC OCIC WAIC Multi Co 062018 No. 5133-4 STATE OF CALIFORNIA DEPARTMENT OF INSURANCE SAN FRANCISCO Amended Certificate of Authority THIS IS TO CERTIFY,That,pursuant to the Insurance Code of the State of California, The Ohio Casualty Insurance Company of New Hampshire,organized under the laws of New Hampshire,subject to its Articles of Incorporation or other fundamental organizational documents,is hereby authorized to transact within this State,subject to all provisions of this Certificate,the following classes of insurance: Fire,Marine,Surety,Plate Glass,Liability,Workers'Compensation, Common Carrier Liability,Boiler and Machinery,Burglary,Credit, Sprinkler,Automobile and Miscellaneous as such classes are now or may hereafter be defined in the Insurance Laws of the State of California. THIS CERTIFICATE is expressly conditioned upon the holder hereof now and hereafter being in full compliance with all,and not in violation of arry,of the applicable laws and lawful requirements made under authority of the laws of the State of California as long as such laws or requirements are in effect and applicable,and as such laws and requirements now are,or may hereafter be changed or amended. IN WITNESS WHEREOF, effective as of the 19ih day of March, 2013,I have hereunto set my hand and caused my official seal to be fixed this 190 day of March, 2013. Dave Jones Insurance Commissioner By Valerie J.Sarfaty for Nettie Hoge Chief Deputy NOTICE: Qualification with the Secretary of State must be accomplished as required by the California Corporations Code promptly after issuance ofthis Certificate ofAuthority.Failure to do so will be a violation oflnsurance Code section 701 and will be grounds for revoking this Certificate of Authority pursuant to the covenants made in the application therefor and the conditions contained herein. CALOFORNIA 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 (D ) On P A O)A) before me, 14 1 YA Ho n 1JC Date _ Here Insert Name anov Title of the Officer personally appeared •J CA C S' e�hi 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. ALKASHROFF WITNESS my hand and official seal. Notary Public—California Orange county commission#2221767 fAy Comm.Expires Dec 13,2021 Signature {-rw-' �'�,i4 Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: ©2016 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) A, CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: L5- - SUBJECT: Bond Acceptance I have received the bonds for (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. 62y2yye7,A0o1 Payment Bond (Labor and Materials) Bond No. 0�J.7 Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved (Council Approval Date) CC No. I,SI� Age m No. MSC No. City Clerk Vault No. Other No. SIRE System ID No. g1forms/bond transmittal to treasurer �1 20 FEB 19 AM 9: $6 Q: a I . Q { o 20 FEB 19 AM ID 00 N 0 s, cn o c w U 0 N V �Plate � `D : DU CITY OF HUNTINGTON BEACH SLATER LIFT STATION CC1561 2/19/2020 BID OPENING General Contractor Bid Amount (not verified) Rank California Building Evaluation &Construction 1 Inc. 2 canyon springs enterprises 3 Charles King Company, Inc. 4 Environmental Construction, Inc. 5 G. B. Cooke, Inc. 6 GMZ Engineering 7 GRFCO, Inc 8 KEC Engineering — 9 Lonerock, Inc. 7-5 ) �I 10 Mike Bubalo Construction Co., Inc. 11 Mladen Buntich Construction Co., Inc. 12 MMC Inc. ---- -- 13 Pacific Hydrotech Corporation C) 14 Pascal & Ludwig 15 PCL Construction 16 Stanek Constructors, Inc. U 17 Sully-Miller Contracting Company Vido Artukovich & Sons Inc./Vidmar Inc. AJV �C) cC 18r- 19 20 21 22 Ferrigno, Andrew From: Ferrigno, Andrew Sent: Monday, March 09, 2020 2:19 PM To: Esparza, Patty Subject: Returned bids CC 1561, Slater Lift Station Patty, I will hand deliver the bid proposals for the Slater Lift Station bid from February 19, 2020. GRFCO the apparent low bidder has withdrawn their bid. We have prepared an RCA for March 16, requesting award to MMC the number 2 bidder. Andy Andrew Ferrigno Principal Civil Engineer City of Huntington Beach 714-536-5291 aferrigno@surfcity-hb.org 1 City of Huntington Beach File #: 20-1467 MEETING DATE: 3/16/2020 REQUEST FOR CITY COUNCIL ACTION SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Oliver Chi, City Manager PREPARED BY: Tom Herbel, Acting Director of Public Works Subject: Award and authorize the execution of a construction contract with MMC Inc., in the amount of $3,958,750 for the Slater Lift Station Project, CC-1561; and, authorize appropriation of funds Statement of Issue: On February 19, 2020, bids were opened for the Slater Lift Station Project, CC-1561 . City Council action is requested to award the construction contract to MMC Inc., the lowest responsive and responsible bidder. Financial Impact: Total funds for the project, including contingency and supplementals, is estimated at $4,942,476. Funds for the project are available in Sewer Development Fee Fund account 21089015.82600 ($2,462,476) and in Sewer Service Fund account 51189011 .82600 ($880,000). Staff requests a $1 ,600,000 appropriation from the Sewer Service Fund (511). Recommended Action: A) Appropriate $1 ,600,000 from the Sewer Service Fund (511) to Account 51189011 .82600; and, B) Accept the lowest responsive and responsible bid submitted by MMC Inc., in the amount of $3,958,750; 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 and provide staff with an alternative direction. Analysis: The existing Slater Sewer Lift Station, located at the Northwest corner of Slater Avenue and Springdale Street, was constructed in 1968 and is in need of replacement due to its age and insufficient wet well capacity. The issue concerning insufficient wet well capacity is problematic in two ways. First, the station lacks holding time, which limits maintenance staff's ability to respond to City of Huntington Beach Page 1 of 2 Printed on 3/13/2020 powerel(q LegistarTM File #: 20-1467 MEETING DATE: 3/16/2020 any issues. Second, the undersized wet well causes the pumps to cycle excessively which reduces pump life and reduces the station's reliability. The bids were publicly opened on February 19, 2020. The verified bid amounts are listed below: Bidding Contractor Bid as Submitted Verified Bid GRFCO Inc. $2,981,775 $2,981,775 MMC Inc. $3,958,750 $3,958,750 Lonerock Inc. $3,980,700 $3,980,700 Pacific Hydrotech Corp. $4,196,310 $4,196,310 Vido Artukovich and Sons Inc. / $4,572,250 $4,522,250 VIDMAR Inc. a JV PCL Construction Inc. 1$4,614,270 $4,614,270 GRFCO Inc. the apparent low bidder, requested that their bid be retracted due to clerical errors, resulting in a bid that was not financially feasible. In addition their bid contained unacceptable proposed materials. Therefore staff is recommending award of the construction contract to the second apparent low bidder. Staff has checked references for MMC Inc., the second lowest bidder, and recommends award of a construction contract in the amount of$3,958,750. The total estimated construction cost is $4,942,476, which includes the construction contract, a ten percent (10%) contingency, and supplemental expenses, including contracted construction project management, and materials testing. Public Works Commission Action: The Public Works Commission reviewed and approved that the project was in substantial conformance with the CIP, on July 18, 2018, with a vote of 6-0 with one (1) absent (Cicerone). Environmental Status: The project is categorically exempt pursuant to Section 15304 of California Environmental Quality Act. Strategic Plan Goal: Enhance and maintain infrastructure Attachment(s): 1. Location Map City of Huntington Beach Page 2 of 2 Printed on 3/13/2020 powereIQ,4,LegfstarTI + r r r + + + + r + r r r r + + + + + + PALO ALTO DR. `+`+`+`+++++`+`+`+`+ a + a + + { { + + ♦ a { i { + i + + + + H Z Z V1 J J Z W J Q vi a Q SONOMA DR. w o o cn CL W W o � U O] Q En J Ej POINT LOMA DR.1-7711 �- � � � I I I � � � � SLATER AVE SLATER AVE ROJECT PRICE R. LOCATION FENLY Iq 1 L J N lo� N O L m o Q_ J {5— Z W Z ml � I C.D J U 3 N v ccn LOCATION MAP N.T.S. SLATER LIFT STATION NO. 13 CC 1561 105 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For SLATER SEWER LIFT STATION REPLACEMENT PROJECT CC 1561 January 23,2020 Notice to All Bidders: The bid opening date has changed and will be February 18,2020 at 10:00 AM. Addendum Three is forth coming and will modify the configuration of the gravity sewer collection system up stream from the new sewer lift station. As of today the proposed lift station, electrical, mechanical,and structural sheets remain unchanged. 1 of 1 of Addendum No. 1 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For SLATER SEWER LIFT STATION REPLACEMENT PROJECT CC 1561 January 17,2020 Notice to All Bidders: The bid opening date has not changed and will be January 28,2020 at 10:00 AM. The following changes or modifications are addressed within Addendum No. 1 for CC 1561: 1. Plan sheet E-2 SHEET 24 of 37 has been revised. Remove SHEET E-2 and replace with the E-2 revision date 01/15/2020. Refer to the attached red lined sheet. 2. Specification Section 09810 PVC Sheet Lining has been revised. Remove Section 09810 footnoted December 2019, and replace with Section 09810 footnoted January 17, 2020. Refer to the attached revised Section 09810. 3. Specification Section 17000 Instrumentation and Control has been revised. Remove Section 17000 footnoted December 2019, and replace with Section 17000 footnoted January 17, 2020. Refer to the attached revised Section 17000. 4. The Specification signature page (page ii) was initialy published unsigned. Replace the unsigned signature page with signed signature page. Refer to the attached, signed, signature page. 5. Specification Section 17000 Appendix B.2, has been revised. Remove Secton 17000 Appendix B-2, thirty (30) sheets total, and replace with thirty (30) sheets identified as revised January 17, 2020. Refer to the attached revised Section 17000 Appendix B.2. 1 of 1 of Addendum No. 1 SECTION A '/e7120 NOTICE INVITING SEALED BIDS for the construction of SLATER SEWER LIFT STATION REPLACEMENT PROJECT CC No. 1561 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 10:00 AM on Tuesday January 28, 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 $120.00 nonrefundable fee if picked up,or payment of a$140.00 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. A-1 No bid shall be considered unless it is prepared on the approved Proposal forms in conformance with the Instructions to Bidders as determined by the AGENCY. 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: The project consists primarily of the abandonment and demolition of an existing sewer pump lift station and various sections of existing sewer lines, removal of existing electrical panels and conduit, sidewalk, pavement, and surface improvements, sewer bypassing, traffic control, installation of new sanitary sewer lines, installation of a new sewer lift station and valve vault, installation of new wet well submersible pumps, replacement of a force main, asphalt paving and removal, restoration of existing public and private improvements, and related appurtenant work not mentioned above but required in accordance with the Contract Documents. The Work is located at the existing Lift Station#13 site in the City of Huntington Beach near the intersection of Springdale Street and Slater Avenue. The project as described within the plans and specifications will be limited to 220 working days • The contract shall allow the Contractor 220 working days to complete the contract. • The engineer's estimate of probable construction cost for the work included in the basis of award is $2,900,000. 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 Switzer, Donna From: David Ward <daward@scng.com> Sent: Tuesday, December 24, 2019 10:58 AM To: Switzer, Donna Cc: Ferrigno, Andrew; Moore, Tania Subject: Re: NISB - CC No. 1561 Hello Donna. Your notice is all set and ready to go. Ad#11348569 Run Dates 1/2 1/9 1/16 Cost $1188 PROOF i SECTION A NOTICllf I IVITINS SF/kL5D BIDS or he cons ru {on o SLATER SEWER LIFT STATION REPLACEMENT PROJECT CC No. 1561 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 pro'ects and will receive such bids in the office of the CityClerk, Second Floor, 2000 AAain Street Huntington Beach,California 92648, up to the hour of 10:00 AM on Tuesday January 28, 2026. Bids will be publicly opened in the Council Chambers unless otherwise pasted. Copies of the Plans Specificatlons and contract documents are available from the Office of the Directorof Public Works,2000.Main Street, Huntington Beach,CA92648 upon pa ment of a SM0.00 nonrefundable fee if picked up,or payment of a$160.00 nonrefundable fee i1 sent by UPS ground delivery [bidder shall pay additional costs for special delivery). Plans, Specifl- cations and contract documents can be downloaded free on AGENCY webs a at: ht{p:6ruww.huntingtonbeachco.goy,.loovernmertt4epartmentf�'public work Bids; Open we site,then click oil"Current Advertised Projects"dab. Any contract entered into pursuant to this notice wil I 'incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California,the milli- 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 tionsof the State of California which are on file at the Officeof 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 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 herebyY affirmatively ensures that minority business enterprises will be afford- ed full opportunity fo submit bids in response to this notice and will not be discriminated against on the basis of race color, national origin,ancestry,sex, or religion in any considera- tion leading to the award of contract. No bid shall be considered unless it is prepared on the approved Proposal forms in conform- ance with the Instructions to Bidders as determined by the AGENCY. The bid must be ac- companied by a certified check,cashiers check, or bidders bond made pa able to the AGEN- CY for an amount no less than 10%of the amount bid. The successful bidder shall be licensed in accordance with provisions of the Business and Professions Cade and shal I possess a State Contractors License Class A at the time of the bid opening. The successful Contractor and his subcontractors will be required to possess business licens- es from the AGENCY.All extension of unit prices will be subject to verification by the AGEN- CY. In case of a variation between the unit price and the extension, the unit price will gov- ern. Proled DQKr1Ptl0n: The project consists primarily of the abandonment and demolition of an existing sewer pump lift station and various sections of existinq sewer lines, removal of existing erectrical anels and conduit, sidewalk, pavement, and surface improvements, sew- er bypassing, traffpc control, installation of new sanitary sewer lines, installation of a new sewer lift station and valve vault, installation of new wet well submersible pumps, replace- ment of a force main, asphalt paving and removal, restoration of existing public and private improvements and related appurtenant work not mentioned above but required in accord- ance with the contract Documents.The Work is located at the existing Lift Station#13 site in the City of Huntington Beach near the intersection of Springdale Street and Slater Avenue. The project as described within the plans and specifications will be limited to 220 working days The contract shall allow the Contractor220 working days to complete the contract. The engineer's estimate of probable construction cost for the work included in the basis of award is 52,900,000. The AGENCY reserves the right to reject any or all bids, to waive any irregularity and to take allbids under aCd�vTTiY�sement for a maximum period of 60 days. BYADayofJune70 COUNCIL OU by soILoftlution No.2B1 JFHUNTINGTON BEACH, CALI FORN IA, Attest: fs,``Robin Estanislau CITY CLERKOF THE CITY OF HUNTINGTON BEACH Published: The Huntington Beach Wave January 2,9,16,201911348569 David Ward 2 Legal Advertising Rep 2190 S. Towne Centre PI. Anaheim, CA 92806 714-796-6764 daward@scng.com PLEASE NOTE THE E-MAIL ADDRESS HAS CHANGED M- Wi, SOUTHEHn CHLIFUnnin NEWS GROUP On Mon, Dec 23, 2019 at 3:21 PM Switzer, Donna<Donna.SwitzerksurfcityLhb.org> wrote: Hi David, Please publish the attached NISB for CC No. 1561, three times, on January 2°a, 9th and 161h, 2020. Thank you and Happy Holidays! D&n*ia/SwX3er Deputy City Clerk City of Huntington Beach 2000 Main Street Huntington Beach, CA 92648 (714)374-1649 Donna.Switzer(k surfcity-hb.org 3 Huntington Beach Wave PROOF OF PUBLICATION 2190 S.Towne Centre Place Suite 100 Anaheim, CA 92806 Legal No. 0011264547 714-796-2209 SECTION NOTICE INVITING SEALED BIDS for the construction of SLATER SEWER LIFT STATION REPLACEMENT PROJECT CC No.1561 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 5190751 office of the City Clerk,Second Floor,IOW Main Street, Huntington Bea California 92648, Council Chomben unless otherwise Postto the hour of 10:00 AM an e April 29, 1019. Bids will he pub)cry opened In the HUNTINGTON BEACH, CITY OF Copies of the Plant Specifications, and contract documents are available from the Office of CITY CLERK DEPARTMENT the Director of Public works,2000 Main Street,Huntington Beach,CA 9Mt8,v`wn payment at a suo.ao nonrefundable fee it Picked up,or Payment of a slw.00 noru fundab a fee if sent by 2000 MAIN ST UPS ground delivery(bidder shall pay additional costs for special delivery). Plans,Specifi- catiom,and contract documents can be downloaded free an AGENCY website at: HUNTINGTON BEACH, CA 92648-2763 hfpJMww.huntinggtonbeochm.wv/governmentMemnments/mblicworks/Bidst Open website,then click on Current AdveriW Projects'fiat. Any contract entered into Pursuant to this notice will incorporate the Provisions Of the State Labor Code. Pursuant to the provisions of the Labor Cade of the State of California.the mini- mum Prevailing rate of Per diem wages for each craft, classification or type of workman needed FILE NO. CC 1561 Mons of tare State oxecule f California,he whiU ll are those an file terminedatthe Office ooff;h the ee DDirrector of Publ of ic Works, 20W Main Street,Huntington Beach,CA 92648. AFFIDAVIT OF PUBLICATION The AGENCY will deduct 5% retention from all progress Payments. The Contractor may substitute an escrow,holder surety of mucl value to the retention in accordance with the pro visions of the Pull iC Contract Code,Section 11161, The Conimctor shall be beneficial owner STATE OF CALIFORNIA, of the surety and shall receive any Interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afford. SS. ed full opportunity to submit bids in response to this notice and will rot be discriminated against On the basis of race,color,national origin,ancestry,sex,Or religion in any considera. County of Orange Hon leading to the award of contract. No bid shall be considered unless It Is prepared on the approved Proposal forms in conform. once with the Instructions to Bidders as determined by the AGENCY. The bid must be ucc co7nied by a certified check,cashier'scheck,or bidder'sbond made Payable to it*AGEN- CYfor an amount no less than 10%of the amount bid. The successful bidder shall be licensed In acardaae with provisions of the Business and Professions Cade and shall possess a Stale I am a citizen of the United States and a resident of the Contractor's License Class A at the time of the bid opening. County aforesaid; I am over the age of eighteen years, and The successful Contractor and his subcontractors will be required to Possess business llcens- not a a to or interested in the above entitled matter. I Mfrom the AGENCY.All extension of unit prices will be subier to verification by the AGEN party CY. In case of a variation between the On price and the extension, tte unit Price will goy am the principal clerk of the Huntington Beach Wave, a am. newspaper newspaper that has been adjudged to be aof Project Description: The Proleci consists primarily of the abandonment and demolition of an existing sewer pump III station and various sections of existing sewer Imes, removal of general circulation by the Superior Court of the County of existing electrical panels and conduit,sidewalw.Pavement,and suAoce Improvements. s" er bypassing, traffic control, installation of new sanitary sewer lines, installation of a new Orange, State of California, on July 1, 1998, Case No. sewer III station and volve vault,.Insrallatim of new wet well submersible Pumps,replace. ment of a force main,asphalt paving and removal,restoration of existing Public and Private A-185906 in and for the City of Huntington Beach, County improvements and related appurtenant work not mentioned above but required in accord. Pace with the Lntroct Documents.The Work is located of the existing Lift Station I10 site in of Orange, State of California; that the notice, of which the the Clty of Huntington Beach near the InterwCiion of Springdale Street and Slater Avenue. annexed is a true printed co has been published in The protect has two distinct netices to Proceed. The first notice to proceed will be issued for P PY P 1F2r0 calendar days and will be for the relocation of The,exisli utilities. The second mfice to each regular and entire issue of said newspaper and not in be limited toto 200 workiing days)work as described within the cans and specifications and will any supplement thereof on the following dates, to wit: ,Thecantract gall allow the Contractor 200 wanking days to complete thecontrat. •The engmeer'sesfimate of probable construction Cost for the work included in the basis of 04/1112019,04/1 812 01 9, 04/25/2019 award is s2,700,000. The AGENCY reserves the right to reject any or all bids,to waive any irregularity and to lake allbids under add�visement for a maximum Period of 60 days. BY I9DE of June$ b Resolution?he ITY%F HUNTINGTON BEACH,CALIFORNIA, Attest: I certify(or declare) under the penalty of perjury under the WRobin Estanlslau laws of the State of California that the foregoing is true Published ITY CLERK he Huntington Bwch Wo eITY OF lApr111,TONBEACH 1911254547 and correct: Executed at Anaheim, Orange County, California, on Date. April 25, 2019. / % vvaw Signature UP,nv+vae 1 UNSUCCESSFUL BIDS CC - 1561 Slater Sewer Lift Station Replacement Pro j ect SECTION C PROPOSAL for the construction of SLATER SEWER LIFT STATION REPLACEMENT PROJECT CC No. 1561 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 220 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 i�j�c� �M°� in the amount of a a which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Si nature l Z-/S•20 2 3 y g-lo C-2 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax(714) 374-1573 ADDENDUM NUMBER ONE For SLATER SEWER LIFT STATION REPLACEMENT PROJECT CC 1561 January 17,2020 Notice to All Bidders: The bid opening date has not changed and will be January 28,2020 at 10:00 AM. The following changes or modifications are addressed within Addendum No.1 for CC 1661: 1. Plan sheet E-2 SHEET 24 of 37 has been revised. Remove SHEET E-2 and replace with the E-2 revision date 01/15/2020. Refer to the attached redlined sheet. 2. Specification Section 09810 PVC Sheet Lining has been revised. Remove Section 09810 footnoted December 2019, and replace with Section 09810 footnoted January 17, 2020. Refer to the attached revised Section 09810. 3. Specification Section 17000 Instrumentation and Control has been revised. Remove Section 17000 footnoted December 2019, and replace with Section 17000 footnoted January 17, 2020. Refer to the attached revised Section 17000. 4. The Specification signature page (page ii) was initialy published unsigned. Replace the unsigned signature page with signed signature page. Refer to the attached, signed, signature page. 5. Specification Section 17000 Appendix B.2, has been revised. Remove Secton 17000 Appendix B-2, thirty (30) sheets total, and replace with thirty (30) sheets identified as revised January 17, 2020. Refer to the attached revised Section 17000 Appendix B.2. 1 of 1 of Addendum No. 1 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For SLATER SEWER LIFT STATION REPLACEMENT PROJECT CC 1561 January 23,2020 Notice to All Bidders: The bid opening date has changed and will be February 18,2020 at 10:00 AM. Addendum Three is forth coming and will modify the configuration of the gravity sewer collection system up stream from the new sewer lift station. As of today the proposed lift station, electrical, mechanical, and structural sheets remain unchanged. 1 of 1 of Addendum No. 1 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER THREE For SLATER SEWER LIFT STATION REPLACEMENT PROJECT CC 1561 February 10,2020 Notice to All Bidders: The bid opening date has not changed since Addendum Number Two, and will be February 18, 2020 at 10:00 AM. The following changes or modifications are addressed within Addendum No.3 for CC 1561: 1. The Bid Schedule has been modified as follows. Line 13, the quantity has changed from 1-each to 2-each. Line 37 and 38 have been added to the Bid Schedule. Remove the old Bid Schedule A and substitute the Bid Schedule A REV ADDENDUM 3 in it's place. 2. Minor modifications have been made to the MCC Drawing Package. Remove the MCC Drawing Package and substitute the MCC Drawing Package labeled "ADDENDUM 3." The MCC Drawing Package labeled was a part of Specifications Section 17000 Appendix B1. 3. Sheets C1, C2, C3, C4, C5, ,C6, and C7, have beem modified. The changes on these sheets show a modified force main alignment, and a modified gravity sewer and manhole alligmnet up stream of the proposed lift station. A table of Northings, and Eastings has also been added to sheet C1. A section of Block Wall adjacenet to the Sewer Wetwell has also been added for removal and replacement in kind, on sheet C1. 4. Specification Section 01025 has been modified to add an additional page. Section 01025 pages 1 through 15 remain unchanged. Page 01025 page 16 has been added by Addendum Three. This page has added two sections 01025.1.40 and 01025.1.41. These new sections provide a bid item description for the Bid Items 37 and 38, respectively. 1 of 1 of Addendum No.3 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER F_ For SLATER SEWER LIFT STATION REPLACEMENT PROJECT CC 1561 February 12,2020 Notice to All Bidders: The bid opening date has changed,and will be February 19, 2020 at 10:00 AM, in room B8 adjacent to Council Chambers. The following changes or modifications are addressed within Addendum No. FOUR for CC 1561: 1. Minor modifications have been made to sheet C7. The Detail number 5, showing the base of manhole number 2 has been changed. The plan note which requires the existing 10-inch sewer pipeline, to be demolished and capped, has been removed. The existing 10-inch sewer will remain in service during the construction, or the Contractor shall make accomodations to by pass the sewer flow during the construction. 1 of 1 of Addendum No.4 SECTION C PROJECT BID SCHEDULE A SLATER SEWER LIFT STATION REPLACEMENT PROJECT, CC 1561 BID ITEMS Item Description' Quantity. Unit Unit Cost. Total Cost No. .: (Extension) 1 Mobilization and Demobilization) 1 LS )(20,0 00. 100,COO 2 Prepare Site Specific Water Pollution Prevention Plan 1 LS (SWPPP) I j UC O__ I 1 UOo. 3 Install&Maintain Construction BMPs per SWPPP 1 LS 2,UcxD_"" 2—,CEO , 4 Not Used EA 5 Pothole 10 EA I, 0oo. 10)000 . 6 Implement Traffic Control Plan 1 LS I S IpUp 1 S,oW 7 Prepare Geotechnical Report 1 LS f 3 (_)c)c7' 15, 8 Develop and Implement Trench and Excavation Safety LS �W.oov,_ Measures 1 9 Develop and Implement Site Dewatering 1 LS (�)p,0OO 10 Sewer Bypass and Maintenance of Sewer Flow 1 LS ` 0,00D.— PO/wO.". 11 Vibration,Settlement,Groundwater, Monitoring 1 LS --j,S-,o 00,"` -7 S`(OCO 12 15-inch,SDR26, Concrete Encased Sewer 110 LF i I(XX .J ) 10,000. 13 5-foot Diameter Armorock Sewer Manhole 2 EA .2Z,opD. kiq,ppU 14 Reline 4-foot Diameter Manhole with Armorock Inserts 1 LS 2©,oCO — 201 pC)O — 15 4-foot Diameter Armorock Sewer Manhole 1 EA 20,oc70.— a2O,OCC,,.� 16 8-inch DR14 PVC Sewer Forcemain 75 LF 5 OU. 31 500 17 Clear-And Grub Site 1 LS cj,�C�. — !Sj 000. 18 Wetwell Concrete Box Structure 1 LS 500,OGU,._ 500,o 00--- 19 Precast Concrete Valve Vault Structure 1 LS )OO,000�. I OCR; OC)o 20 Precast Concrete Meter Vault 1 LS '-7 S,cio 0.— J S 1 o oo 21 Wetwell Mechanical Equipment, Pumps, Pipes,Valves 1 LS I(oD,00,p. DOG' 22 Valve Vault and Meter Vault Mechanical Equipment 1 LS I'-jU,0o0 I140,000-, C-2.1 ADDENDUM THREE SECTION C PROJECT BID SCHEDULE A SLATER SEWER LIFT STATION REPLACEMENT PROJECT, CC 1561 Item Descriptton Quantity Unit Unit`Cost Total Cost No (Extension) Discharge Piping between the Wet Well and Valve Vault 23 and Meter Vault 1 LS 5 b O oo — 5C>'cX)0. 24 Coordination with SCE and construct 5-inch SCE Conduit 1 LS ( i icy,"— 5 i UGO. 25 Electrical Equipment 1 LS .3ti 5,v� �y5jocxs,- 26 NEMA 4X Transfer Switch and Enclosure 1 LS �OW,-- (a�j, �. 27 120 kW natural gas emergency generator 1 LS J SO,OCV, �c X) 28 Lift Station start up and testing 1 LS A4Q pcx) i01 CX-0 -� 29 Demolish existing Slater Sewer Lift Station 1 LS (7S 1000 �000, 30 Spare 20 HP Sewage Pump 1 LS `1 S, 000. -1 S,-000- 31 Concrete curb and gutter 220 LF 130. _ I—I j &06 32 Concrete sidewalks and curb ramps 3000 SF %f Ics— 1-f 5,OW 33 Full depth pavement restoration,5"AC over 10"AB 1200 SF 67, — /0,eW 34 2-inch grind and overlay 350 TN L(O.~ -�41,UC)0 35 Sewer Trench Foundation, 1-foot of 1-1/2 Inch Rock and 30 TN J(7U j�o00 Filter Fabric 36 Relocate Traffic Signal, Install Striping,Signs 1 LS -30,00; 30j (XO . 37 5-foot Diameter Concrete Sewer Manhole,with Armorlok 1 EA j� 6C-O.— 95 j C 00. PVC Liner and Miridri Exterior Coating 38 Remove and replace Existing 6-foot Block Wall 55 LF ►3S. ' Lo,,9..�s r TOTAL BID AMOUNT (BASIS OF AWARD) -SCHEDULE A $ cO 11, TOTAL BID AMOUNT IN WORDS: ,Tw o I"A� 1 L l I U rJ 01 0 t_ H U'i o2 C-0 C 161 1-4 T Y C)-i E T}-)o(-";eA^� SeUCt-i HL-)ti00-G 0 SE-0 1-I Ut Note: Refer to Section 9-3, Measure and Payment for description of each Item on Bid Schedule. Refer to Section 01025 Measurement Payment for additional details. All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.2 ADDENDUM THREE I ,641E R ESQ POWER OF ATTORNEY EVEREST REINSURANCE COMPANY " DELAWARE KNOW ALL PERSONS BY THESE PRESENTS: That Everest Reinsurance Company, a corporation of the State of Delaware ("Company") having its principal office located at 477 Martinsville Road, Liberty Corner, New Jersey 07938, do hereby nominate, constitute, and appoint: Margie Wager,Michael J.Mesenbrink,Heather J. Perrin,Jeri Lynn Thompson,Maria R.Lucero,Debbie R. Thomas its true and lawful Attorney(s)-in-fact to make, execute, attest, seal and deliver for and on its behalf, as surety, and as its act and deed, where required, any and all bonds and undertakings in the nature thereof,for the penal sum of no one of which is in any event to exceed UNLIMITED, reserving for itself the full power of substitution and revocation. Such bonds and undertakings,when duly executed by the aforesaid Attorney(s)-in-fact shall be binding upon the Company as fully and to the same extent as if such bonds and undertakings were signed by the President and Secretary of the Company and sealed with its corporate seal. This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Board of Directors of Company("Board")on the 28th day of July 2016: RESOLVED, that the President, any Executive Vice President, and any Senior Vice President and Anthony Romano are hereby appointed by the Board as authorized to make, execute, seal and deliver for and on behalf of the Company, any and all bonds, undertakings, contracts or obligations in surety or co-surety with others and that the Secretary or any Assistant Secretary of the Company be and that each of them hereby is authorized to attest to the execution of any such bonds, undertakings, contracts or obligations in surety or co-surety and attach thereto the corporate seal of the Company. RESOLVED, FURTHER, that the President, any Executive Vice President, and any Senior Vice President and Anthony Romano are hereby authorized to execute powers of attorney qualifying the attorney named in the given power of attorney to execute, on behalf of the Company, bonds and undertakings in surety or co-surety with others, and that the Secretary or any Assistant Secretary of the Company be, and that each of them is hereby authorized to attest the execution of any such power of attorney, and to attach thereto the corporate seal of the Company. RESOLVED, FURTHER, that the signature of such officers named in the preceding resolutions and the corporate seal of the Company may be affixed to such powers of attorney or to any certificate relating thereto by facsimile, and any such power of attomey or certificate bearing such facsimile signatures or facsimile seal shall be thereafter valid and binding upon the Company with respect to any bond, undertaking, contract or obligation in surety or co-surety with others to which it is attached. j IN WITNESS WHEREOF, Everest Reinsurance Company has caused their corporate seals to be affixed hereto, and these presents to be signed by their duly authorized officers this 28th day of July 2016. i ouCirjC� Everest Reinsurance Company SEAIL l 1973 * Attest: Nicole Chase,Assistant Secretary By:Anthony Romano,Vice President On this 28th day of July 2016, before me personally came Anthony Romano,known to me,who, being duly sworn,did execute the above instrument: that he knows the seal of said Company; that the seal affixed to the aforesaid instrument is such corporate seal and was affixed thereto: and that he executed said instrument by like order. LINDA ROBINS Notary Public,State of New York No 01R06239736 Qualified in Queens County le-- Term Expires April 25,2023 Linda Robins, Notary Public IN WITNESS WHEREOF, I have hereunto set my hand ar.d=fixed the seal of 6a d Company, at the Liberty Corner,this day j of —Tan /'1, _20 z Q I ES S�Pt SENSITyf SM�( i T O i d#04546 contains a security pantograph,blue background,heat-sensitive ink,coin-reactive watermark,and microtext printing on border. GRS�rN Near op< 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 19,20 Dk s c� (JR GC As"r %-1 2`77 1 00001DD73 - 18 2239 w , S O'T c- fi►"TI'D , /z 10 tTG o ( P Cofer;moo LS c1 gl5ui3 Z`1i�-5. 1 qq,,�- Co"mot iw"LTH 2LPI 2b, Fk,L LT_-rz'fOIJ 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-7119 10 , at Date City State �eo��2,e F(b ST , being first duly sworn, deposes and says that he or she is of C MCO,INC the party making the foregoing bid that the bid is not made in the interest of,or on the behalf of,any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are true; and, further,that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. n O,LNG. Sig#llre of Bidder GRFCO, INC. Y.O.BOX 1747 BREA,CA 92822-1747 Address of Bidder C-4 CALIFORNIA ALL PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA } COUNTY OF RIVERSIDE II�__ _ } On `�.1 9g )-o2 d _before me,, James Craig Jackson Notary Date Insert Name and Title of the officer- Public, personally appeared _ George Frost Names) 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. DAMES CRAIG JACKSON WITNESS my hand and official seal. Q COMM#2273664 a ro w,+14Ib NOTARY PUBLIC CALIFORNIA z RIVERSIDE COUNTY My Commission Expires Dec.31,2022 ........... Signature: --------------------------------------------------------------- OPTIONAL------------------------------------------------------------.. Though this section is optional, completing this information can deter alteration of the document or fraudulent attachment 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) Signers Name: George Frost Signers Name; _R �1/ Corporate Officer—Title(s) President&Secretary ❑ 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: GRFCO, Inc. Signer is Representing: __ 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 SLATER SEWER LIFT STATION REPLACEMENT, CC1561, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. ontractor By Proms Title Date: 2 t 9 12- 0 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 allo 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 G. Frost previous company (SCU) was debarred by the City of San Diego 19 years ago (tune of 2000) but not due to a violation of law or a safety regulation. 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. O INC ontractor By Title Date: 211 4 Z O C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: GRFCO,,INC. Bidder Name P.O.BOX 1747 BYz.1rA,CA 92822-1747 Business Address City, State Zip Telephone Number Email Address '?9iC/ 3 r9 State Contractor's License No. and Class 2,/.2► /7 Origina Date Iss ed Expirati n Date The work site was inspected by 6:7- Fr-0 57' of our office on —�� , 20-W. The following are persons, firms, and corporations having a principal interest in this proposal: GRFW,INC The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans an i i 'ons set forth. O. mpany Nam Signatur f Bidder 6rea+-5 e Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this / day of (�If t0 , 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 r County of r5;�c e ) On 201 y before me, PS�TQc,P<soh / ►,y ��c Month, Day, and Year Insert Name and Title of Notary personally appeared �eC"1rS Pro 5" 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. ���.. laMyCommission AMES CRAIG.1m. COMM #227iE:WNOTARY PUBLIC-C to.:iRIVERSIDE COUN'Expires t)e:Signature I»»«» «.««...«.......»«.»... . Signature ot>Aary Public (PLACE NOTARY SEAL ABOVE) -------------------- %- JAMES CRAIG JACKSON COMM#2273664aNOTARY PUBLIC CALIFORNIA RIVERSIDE COUNTY My Commission Expkes Dec.31,2022 C-9 CONTRACTORS STATE LICENSE BOARD ACTIVE LICENSE . . 291013 Ecry CORP Ems. GRFCO INC DBA ONSITE KRUSHING A Fsi,mcn 0a. 07/31/2021 www.csib.ca.gov ieck,A License - License Detail Page 1 c Contractor's License Detail for License # 291013 ISCLAIMER: A license status check provides information taken from the CSLB license atabase. Before relying on this information, you should be aware of the following limitation; CS1.13 complaint disclosure is restricted by law(B&P 7124.6)If this entity is subject to public complaint disclosure,a link for complaint disclosure will appear below.Click o link or button to obtain complaint and/or legal action information. Per B&P 7071.17,only construction related civil judgments reported to the CSLB are disclosed. Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. Due to workload,there may be relevant information that has not yet been entered onto the Board's license database. Business Information GRFCO INC dba ONSITE KRUSHING P O BOX 1747 BREA, CA 92822-1747 Business Phone Number:(951)657-8887 Entity Corporation Issue Date 02/21/1974 Reissue Date 07/02/2009 Expire Date 07/31/2021 License Status This license is current and active. I All information below should be reviewed. ..__.__ Classifications A--GENERAL ENGINEERING CONTRACTOR Bonding information Contractor's Bond s license filed a Contractor's Bond with THE GUARANTEE COMPANY OF NORTH AMERICA USA. !Bond Number: 12110499 ;Bond Amount: $15,000 !Effective Date: 01/01/2016 Contractor's Bond History Bond of Qualifying Individual The qualifying individual GEORGE ROGER FROST certified that he/she owns 10 percent or more of the voting stock/membership interest of this company;therefore,the Bond of Qualifying Individual is not required. i Effective Date: 07/02/2009 Workers' Compensation An employee service group holds the workers compensation insurance. Policy Number:C66007297 Effective Date: 12/24/2018 :Expire Date: 12/01/2019 Workers' Compensation History tr��•//�x><xnnr7 t-clhra 2C11Y`TT .1 7/Q/1 Personnel List Page I of I Home I Online Services I License Detail I Personnel List Contractor's License Detail (Personnel List) Contractor 291013 License # Contractor GRFCO INC Name Click on the person's name to see a more detailed page of information on that person Personnel Currently Associated with License Name GEORGE ROGER FROST Title RIVIO / CEO / PRES Association 02/21/1974 Date Classification A Additional There are additional classifications that can be viewed by Classification selecting this link. CSLB Email Login httDS://www2.cslb.ca.gov/OnlineServices/CheckLicensell/Personn... 7/9/2019 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of 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 12-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 thepast five years: 1. SZple�c MCA-`e 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 GRFCO, INC. Contract References City of Alhambra-$3,090,517 "Sewer Lift Station No. 4 Rehabilitation" Contact: Mr. Chris Marquardt (760)201-3497 Start: Jan' 20-Complete: In Progress Project Summary: Wet Well Lift Station at 27VF, Solid Sheeted Shoring System, 950' of 8" Force Main,AC Paving City of San Clemente-$785,650 "Via Montego Storm Drain" Contact: Mr. Amir Ilkhanipour(949) 361-6140 Start: Oct' 19-Complete: In Progress Project Summary: 675' of 36" RGRCP,Catch Basins,Junction Structures,Jacking, Paving City of Alhambra-$8,287,063 "Lift Station No. 2 Replacement Project" Contact: Mr. Chris Marquardt(760) 201-3497 Start: Feb' 18-Complete: Nearly Complete Project Summary: Wet Well Lift Station at 39 VF,Solid Sheeted Shoring System,Jacking, 4764' of 21" (to 8") at 30VF Sewer City of Fullerton -$196,616 "Skyline Drive Sewer" Contact: Mr. Pete Acosta (714) 732-9060 Start: October' 19-Complete: Nov'19 (on time) Project Summary: 480' of 8"VCP, Chain Link Fence/Gate, Rip-rap, Manholes City of Arcadia-$81,600 "Miscellaneous Sewer Main Repair Project" Contact: Mr. Deen Buharie (626)254-2723 Start: May'19-Complete:June' 19 (On time) Project Summary: Sewer Main and MH Repair City of Pasadena-$111,215 "Storm Drain Repairs" Contact: Mr. Alberto Vargas (626) 744-7594 Start: April' 19-Complete: May' 19 (on time) Project Summary: Catch Basin Repair, Flatwork, Reline Drain Coachella Valley Water District-$675,207 "Varner Road 36" Sewer Improvements" Contact: Mr. Michael Dietrick(760)861-3598 Start:Jan'19-Complete April'19 (on time) Project Summary: 1195'of 36" PVC at 18VF,6—72" MH's City of Fullerton-$1,896,564 "Valencia Dr. Infrastructure Improvements" Contact: Mr. Pete Acosta (714)732-9060 Start:July' 18-Complete:Jan' 19 (on time) Project Summary: Slipline 2581' of Fusible 10" HDPE,Street Reclamation Rev 1/27/2020 City of Alhambra-$2,762,097 "Valley Blvd Phase II Sewer Replacement" Contact: Mr. Dennis Ahlen (626)945-6385 Start:June' 17-Complete:Jan'18(on time) Project Summary: 2648' of 30" (to 15")VCP at 17VF,T-lock Manholes, Rubber AC Overlay,Jack 36" Steel Casing, Rehab M H's City of Inglewood-$1,742,765 "Water Main Replacement Project Phase 8" Contact: Mr. Boytrese Osias (310)412-5358 Start: Feb' 17-Complete:July' 17 (on time) Project Summary: 8717' of 12" DIP,Tie-in Connections, Services City of Fullerton-$491,000 "Kimberly Storm Drain" Contact: Mr. Pete Acosta (714) 732-9060 Start: May' 17-Complete:July' 17 (on time) Project Summary: 740' of 60" RCP,Junction Structures, Catch Basins City of Fullerton-$331,952 "Misc. Storm Drain Improvements" Contact: Mr. Pete Acosta (714) 732-9060 Start: March' 17-Complete: May' 17 (on time) Project Summary: 326'of 24" and 12" RCP, Impact Basin Structure, Catch Basins Home Gardens Sanitary District-$868,257 "2016 CIP Sewer Improvements" Contact: Mr. Charlie McKinley(951) 294-2499 Start: November' 16-Complete:Jan 17' (on time) Project Summary: 2345'of 15"to 8" VCP at 15VF, Paving, Hard Rock Excavation City of Compton-$5,872,634 "Compton/Wilmington Ave. Sewer Replacement" Contact: Mr. SafaKamangar (949) 637-3999 Start:June' 16- Complete: Feb' 17 (on time) Mr.John Strickland (310) 761-1422 Project Summary: 5760' of 15" to 10" VCP at 18VF, Manholes, Sewer Well at 28 VF, Paving, Pipe Bursting City of El Cajon-$418,187 "Fletcher Parkway Sewer" Contact: Mr. David Keltner(619)441-1653 Start: May' 16-Complete: August'16(on time) Mr. Duane Jackson (619)887-1005 Project Summary: 1692' of 10" &8" PVC, Manholes, Paving City of Inglewood-$275,394($92,587) "Sewer Point Repair Project Phase 3"(and Water Valves) Contact: Mr. BoytreseOsias (310)412-5358 Start: April '16-Complete: May' 16(on time) Project Summary: 63 Sewer Point Repairs, (Replace 22 Water Valves) City of Santa Fe Springs-$614,493 1-5 Water Main Relocation" Contact: Mr. Frank Beach (562)447-4924 Start:January'16-Complete: April'16 (on time) Project Summary: 2180'of 12" DIP, Double Check Backflow Preventors Rev 1/27/2020 City of Pasadena-$1,537,621 "Lake Ave. Ductile Iron Water Mains" Contact: Mr.Adolfo Vargas (626)477-4331 Start:June'15-Complete: March'16(on time) Project Summary: 6290' of 12' DIP, Services, Paving Los Angeles County Sanitation Districts-$479,325 "Madison Street Trunk Sewer" Contact: Mr. Dan Cory(310) 701-4925 Start: September'15-Complete: February'16(on time) Project Summary: Slipline 1389'of 8" Fusible HDPE in 12" Steel Casing City of Bradbury-$101,475 "Mount Olive Sewer, Phase II)" Contact: Mr. Cody Howing(909)594-9702 Start: December'15-Complete: February'16(on time) Project Summary: 300' of 8" VCP, Manholes, Paving City of Rancho Palos Verdes-$80,506 "Roan Road Storm Drain" Contact: Mr. Alan Braatvedt (310) 525-0684 Start: October'15-Complete: December'15 (on time) Project Summary: Place 18" Fusible HDPE Pipe on Severe Slope City of Arcadia-$104,370 "First Avenue Storm Drain" Contact: Mr. Kevin Merrill (626) 574-5481 Start: October'15-Complete: November'16(on time) Project Summary: 278'of 30" RCP, Paving City of Fullerton-$646,380 "Nutwood Ave. Sewer Replacement" Contact: Mr. Pete Acosta (714) 732-9060 Start: May'15-Complete:July'15 (on time) Project Summary: 2475' of 12" VCP, Manholes, Paving Helix Water District-$184,087 "Large Valve Replacement Project 4458" Contact: Mr. Billy Gaston (619)944-1042 Start:April' 15-Complete:June'15 (on time) Project Summary: Remove and Replace 6 large Valves California Dept. of Park and Recreation-$291,362 "San Onofre Main Waterline Replacement" Contact: Mr.James Buenviaje (619) 208-3716 Start: March'15-Complete: May'15 (on time) Project Summary: 5600'of PVC Water Pipe City of Orange-$45,000 "Feather Hill Drive Storm Drain" Contact: Mr.Alan Truong(714)744-5568 Start: March'15-Complete: March'15 (on time) Project Summary: Place 24" RCP and 8" PVC Drains City of San Clemente-$94,665 "Recycled Water Meter Services" Contact:Mr. Greg Deist(949) 337-3139 Start: February'15-March'15 (on time) Project Summary: Construct Recycled Water Services Rev 1/27/2020 City of Newport Beach-$1,289,560 "Storm Drain Improvements" Contact: Mr. Peter Tauscher(949) 644-3316 Start: September'14—Complete: February'15 (on time) Project Summary: Placement of 5 Hydrodynamic Separation Units,Wells @ 42VF City of Inglewood-$840,803 "Sewer Point Repair Project-Phase II" Contact: Mr. BoytreseOsias(310)412-5358 Start:July'14—Complete: November' 14(on time) Project Summary: 147 Sewer Point Repairs Central Basin Municipal Water District-$1,906,933 "Recycled Water Main" Contact: Ms. Amy Amirani (949) 295-5189 Start:June'14—Complete: November'14(on time) Project Summary: 2346' of 24" CML&C Steel Pipe,Jack casing under 5 fwy City of Chula Vista-$638,485 "Industrial Blvd Sewer Improvement" Contact: Mr. Mike Schedine (619) 397-6119 Start:June'14—Complete:September'14 (on time) Project Summary: 1300' of 18" PVC, Manholes City of Fountain Valley-$1,364,289 "Garfield Sewer Replacement" Contact: Mr.Temo Galvez (714) 593-4517 Start:January'14—Complete:July'14(on time) Project Summary: 2475' of 10" and 8" PVC, Dewatering, Sewer Bypass,T-lock Manholes County of San Diego-$1,625,999 "Trunk D Sewer Improvements" Contact: Mr. Hasem El-bahsh (619) 306-8151 Start:June'13—Complete: May'14(on time) Project Summary:Jack and Open Cut 2225' of 18" PVC/HDPE, Manholes, Paving Los Angeles County Sanitation District-$1,902,712 "Union Street Trunk Sewer" Contact: Mr.Ted Brodeur(310) 701-4935 Start:June'13—Complete: February'14(on time) Project Summary:Jack and Open Cut 993' of 18" Fiberglass Pipe, Manholes,Gas Probe Relocation San Bernardino Associated Governments (SANBAG)-$384,900 "E Street Storm Drain" Contact: Mr. Casey Daily(909)884-8276 Start: December'13—Complete:January'14 (ontime) Project Summary: 485' of 36" RCP, Catch Basins, Manholes,AC Paving City of Santa Fe Springs-$301,302 "5 Freeway Water Main" Contact: Mr. Frank Beach (562)868-0511 Ext. 7568 Start: October'13—Complete: December'13 (ontime) Project Summary: 770' of 12" DIP,Testing, R&R Pipe in Casing Los Angeles County Sanitation District-$572,850 "Puente Hills Landfill Drainage Improvements" Contact: Mr. Kurt Greeb (310)710-1663 Start:April'13—Complete: August'13 (on time) Project Summary: 700'of 42" HDPE Pipe, 1516' of Trapezoid Channels, Structures Rev 1/27/2020 Allstate Engineering/W.J. Lent Contracting Services-$353,544 "Vandenberg AFB—Demolish Housing" Contact: Mr. Leonard Reyes (951) 746-8653 Ext. 7568 Start:April'13—Complete: August'13 (on time) Project Summary: Reduce 91,362 Tons of Asphalt/Concrete to 2" Minus TEG/LVI Environmental Services, Inc. -$375,615 "Downey Studios" Contact: Mr. Lon Omori (562)407-0570 Start:April' 13—Complete:June' 13 (on time) Project Summary: Reduce 148,871 Tons of Asphalt/Concrete to 1" Minus City of Fullerton-$259,660 "Euclid Sewer Replacement" Contact: Mr. Pete Acosta (714) 732-9060 Start: February'13—Complete: March'13(on time) Contact: Mr. Eric Villagracia (714) 738-6853 Project Summary: 1285' of 10" VCP, Manhole Paving City of Fullerton -$50,000 "Morningside Manholes" Contact: Mr.Tony Reynoso (714)412-1116 Start: September'2013—Complete:September' 13 (on time) Project Summary: Remove/Replace T-lock Manholes Rev1/27/2020 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. l. '-Zl •11� 17—a cIc S C9A--A, Name of proposed Project Manager Telephone No. of proposed Project Manager: �7/`-/ of-7►2- 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. � d�S i � -c -t� t 0 75 f Name of proposed Superintendent �+ Telephone No. of proposed Superintendent: (310 9//- ze 3 G 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 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/PublicW orks/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/PW CR/ActionServiet?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. INC Co tractor By .71'� �'CjrhC� Email Proms Title Date: PWC Registration #: /00000 1 S6 -7 C-12 ' Registrations Page 1 of 2 State of California Back to DIR»(https://www.dir.ca.gov� ¢ Department of Industrial Relations (http§:/ , ir.ca.govn Contractor Information Legal Entity Name GRFCO,INC. Corporation Active 1000004567 07/01/19 06/30122 P O BOX 1747 BREA 92822 CA United States of America 4517 WADE AVE. PERRIS 92571 CA United States of America grfcoinc@gmaiLcom GRFCO,INC. License Number(s) CSLB:291013 Legal Entity Information Corporation Number: C3159096 Federal Employment Identification Number: President Name: GEORGE FROST Vice President Name: Treasurer Name: Secretary Name: CEO Name: Agent of Service Name: GEORGE FROST Agent of Service Mailing Address: 4517 WADE AVE. PERRIS 92571 CA United States of America Worker's Compensation Do you lease employees through Professional Employer Organization(PEO)?: No Please provide your current worker's compensation insurance information below: PEO PEO PEO PEOlnformationName Phone Email Insured by Carrier Policy Holder Name: GRFCO,INC. Insurance Carrier: STATE NATIONAL INSURANCE COMPANY,INC. Policy Number: CWC71949.0888 Inception date: 01/01/18 Expiration Date: 01/01/19 About DIR Who we are(https:/Avww.dir.ca.gov/aboutdir.html) DIR Divisions,Boards&Commissions(https://www.dir.ca.gov/divisions_and_programs.html) Contact DIR(https:/twww.dir.ca.gov/Contactus.html) Work With Us Jobs at DIR(https:/twww.dir.ca.govldirjobs/dirjobs.htm) Licensing,registrations,certifications&permits(https:/Avww.dir.ca.gov/permits-licenses-certifications.html) Required Notifications(https://www.dir.ca.gov/dosh/Required-Notifications.html) Public Records Requests(https:/Avww.dir.ca.gov/pra_request.htmi) Learn More Acceso al idioma(http://www.dir.ca.gov//Bilingual-Services-Act/defauIt.html) Frequently Asked Questions(https://www.dir.ca.gov/faqslist.html) Site Map(https://www.dir.ca.gov/sitemap/sitemap.html) 1,4-+,..,,.//„n,4;r nnn„ro �nrno nnm/('nr�trnntnrC�c�nrn�t/rorriotrntint�Canrn A/I1/1)A1 � City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk June 1, 2020 GRFCO, Inc. P.O. Box 1747 Brea, CA 92822-1747 RE: Slater Sewer Lift Station Replacement— CC-1561 Enclosed please find your original bid bond for CC-1561. Sincerely, Robin Estanislau, CIVIC City Clerk RE:tm enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand 1T ,e!�71/E R ESN,, BID BOND ® Everest Reinsurance Company Everest National Insurance Company ❑ 461 5"Avenue—4'"Floor Everest National Insurance Company New York,N.Y.10017 KNOW ALL MEN BY THESE PRESENTS: That we GRFCO, Inc. (hereinafter called the Principal), and Everest Reinsurance Company, a corporation duly organized and existing under the laws of the State of Delaware , as Surety, (hereinafter called the Surety), are held and firmly bound unto City of Huntington Beach (hereinafter called the Obligee) in the sum of Ten Percent of Total Amount of the Bid Dollars ($ 10%) , lawful money of the United States of America, for the payment of which, well and truly be made, we, the said Principal and the said Surety, bind ourselves, our heirs, administrators, executors, successors and assigns, jointly and severally, firmly by these presents. Whereas, the Principal has submitted a bid for Slater Sewer Lift Station. Now, Therefore, If the Obligee shall accept the bid of the Principal within the period specified therein, or if no period be specified, within sixty (60) days after opening, 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, then this obligation is to be void; otherwise the Principal and Surety will pay unto the Obligee the difference in money between the amount of the bid of said Principal and the amount for which the Obligee legally contracts with another party to perform the work if the latter amount be in excess of the former, but in event shall liability hereunder exceed the penal sum hereof. Signed, sealed and delivered this 24th day of January, 2020. GRFCO,Inc. cip � lr� � (Seal) (Witness) By Everest Reinsurance Company . f ? (Surety) / (Seal) ' (Witness) By�Mari�R. Lucero Attorney-in-Fact 1 CALIFORNIA ALL PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document,to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA } COUNTY OF RIVERSIDE } On Fe-t�>. / /7 oZ 6 before me,_ James Craig Jackson Notary Date Insert Name and Title of the officer Public, personally appeared_ George Frost 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. 2 JAMES CRAIG JACKSON i WITNESS my hand and official seal. COMM#2273664 n w i NOTARY PUBLIC-CALIFORNIA c" RIVERSIDE COUNTY My Commission Expires Dec.31,2022 Signature: C -------•--------------------••--------------------------------- OPTIONAL------------------------------------------------------------.. Though this section is optional, completing this information can deter alteration of the document or fraudulent attachment 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) Signers Name: George Frost Signers Name: 0 Corporate Officer—Title(s) President&Secretary ❑ Corporate Officer—Title(s) ❑ Partner - ❑ Limited ❑ General Cl Partner- ❑ Limited ❑ General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑ Trustee ❑Guardian or Conservator ❑ Other: ❑ Other: Signer is Representing: GRFCO, Inc. Signer is Representing: SURETY ACKNOWLEDGMENT: STATE OF ARIZONA ) COUNTY OF MARICOPA ) On this 24th day of January, 2020, before me personally came Maria R. Lucero, to me known to be the person described in and, who, being by me, did depose and say that she resides in Phoenix, Arizona; that she is the Attorney-in-Fact of Everest Reinsurance Company, the corporation described in and which executed the attached instrument; that she knows the corporate seal of the said corporation; that the seal affixed to the said instrument is such corporate seal; and that it was so affixed by order of the Board of Directors of the said corporation; and that she signed her name there by like order. � ,UAv /nrnj 61 ri Lynn T ompson,Notary Public My commission expires: September 29,202229,2022 JERI LYNN THOMPSON NOTARY PUBLIC-ARIZONA MARICOPA COUNTY COMMISSION#551133 MY COMMISSION EXPIRES SEPTEMBER29,2022 (Notary Seal) GRFCO,INC. 1,.0.BOX 1747 BREA,CA 92822-1747 N O T rn .o v 3 .o w CITY OF HUNTINGTON BEACH CITY CLERK,SECOND FLOOR 2000 MAIN STREET HUNTINGTON BEACH,CA. 92648 PROJECT: SLATER SEWER LIFT STATION REPLACEMENT PROJECT BIDS: FEBRUARY 19,2020 @ 10AM 4-H Fo-)oe-- C)R SECTION C PROPOSAL for the construction of SLATER SEWER LIFT STATION REPLACEMENT PROJECT CC No. 1561 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 220 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 6 0DFR's BoP31 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 idder's M nature 2-0 l Ok 23 2v p z O c ?10 C-2 SECTION C PROJECT BID SCHEDULE A SLATER SEWER LIFT STATION REPLACEMENT PROJECT, CC 1561 BID ITEMS Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 1 Mobilization and Demobilization) 1 LS }S Ck'O pCC 2 Prepare 1 ite Specific Water Pollution Prevention Plan 1 LS S'�Qpp� SWPPP 25;000,, 3 Install&Maintain Construction BMPs per SWPPP 1 LS ppp i j OC)o. 4 Not Used EA - 5 Pothole 10 EA 1'000.- 10, 000. .E 6 Implement Traffic Control Plan 1 LS 7 Prepare Geotechnical Report 1 LS STOOD. - 8 Develop and Implement Trench and Excavation Safety LS Measures 1 3�Saoca 3�So00, - 9 Develop and Implement Site Dewatering 1 LSw000., 39,006 10 Sewer Bypass and Maintenance of Sewer Flow 1 LS 2y;PDO - 2 '0-0 - 11 Vibration,Settlement,Groundwater,Monitoring 1 LS �3t000 5,ove, 12 15-inch, SDR26,Concrete Encased Sewer 110 LF ,OOt7., L k O,000- 13 5-foot Diameter Armorock Sewer Manhole 2 EA i 3 5;000., 70,000. ,- 14 Reline 4-foot Diameter Manhole with Armorock Inserts 1 LS O 00o. 10,000. - 4-foot Diameter Armorock Sewer Manhole 15 1 EA �O,C�^L? � �,040.1 16 8-inch DR14 PVC Sewer Forcemain 75 LF �S O- 26.ZSO. 17 Clear And Grub Site 1 LS 16c000.�- IS`'000.� 18 Wetwell Concrete Box Structure 1 LS . SZ$000. SZ S Ooo — 19 Precast Concrete Valve Vault Structure 1 LS [}5, Coe, , 4.6-'000 20 Precast Concrete Meter Vault 1 LS 7Jc31000, -ax COO. � Y1 Wetwell Mechanical Equipment,Pumps,Pipes,Valves 1 LS Zj,�'oeo -1 0 22 Valve Vault and Meter Vault Mechanical Equipment 1 LS 6 j OO 00 6. C-2.1 ADDENDUM THREE SECTION C PROJECT BID SCHEDULE A SLATER SEWER LIFT STATION REPLACEMENT PROJECT, CC 1561 Item Description Quantity Unit Unit Cost Total Cost No. (Extension) Discharge Piping between the Wet Well and Valve Vault 23 and Meter Vault 1 LS 6- ,000. 24 Coordination with SCE and construct 54nch SCE Conduit 1 LS 5;000 .'- 5,ocoo.i 25 Electrical Equipment 1 LS 34$ 000,•- 3+9 040v 26 NEMA 4X Transfer Switch and Enclosure 1 LS {30 000.- l 30 000 27 120 kW natural gas emergency generator 1 LS 5"p Oao, SO Oo0 28 Lift Station start up and testing 1 LS000. 5,00co. , 29 Demolish existing Slater Sewer Lift Station 1 LS ►0,Uo0•— (O,000. 30 Spare 20 HP Sewage Pump 1 LS 2Sj0oo 2S,000.- 31 Concrete curb and gutter 220 LFJS 7 700. 32 Concrete sidewalks and curb ramps 3000 SF 2. 3G,000. 33 Full depth pavement restoration,5"AC over 10"AB 1200 SF l 5 . ( $,00a. 34 2-inch grind and overlay 350 TN 64,750. 35 Sewer Trench Foundation,1-foot of 1-1/2 Inch Rock and 9 0� Filter Fabric 30 TN �j00. , 36 Relocate Traffic Signal, Install Striping,Signs 1 LS 6 S,00o., Q3,0010./ 37 5-foot Diameter Concrete Sewer Manhole,with Armorlok 1 EA 7js ppq�/ 35c000. PVC Liner and Miridri Exterior Coating i 38 Remove and replace Existing 6-foot Block Wall 55 LF 2-CO. 1 r,000. — TOTAL BID AMOUNT (BASIS OF AWARD)-SCHEDULE A $ ro TOTAL BID AMOUNT IN WORDS: _ ThI`ee Mittiori Nl;ie- RoP i°d avla Sew Sewvi Haidted Ao (la-r s a h ol i-e10 c Note: Refer to Section 9-3, Measure and Payment for description of each Item on Bid Schedule. Refer to Section 01025 Measurement Payment for additional details. All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.2 ADDENDUM THREE 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 $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar % of Item(s) Subcontractor License Registration# Amount Contract Number OL 500 P -IT COH P-&0► 01 �Si z7] Wo tar 73 22 39 vu. STe d e" C A- `J A LL— AKC-P-'•CAW 4S-Pith 3� PD. 0Q,\ . 2.ZZ'�,cow - 2-6 76 7 3 -A I oocxxv%o 5) 6y,ooc1.- q zslg — Zz---1 I GR Rl 1.1 Dr. 10CFT461j .A I oocoo 4 2 7 186,000 - � 1576,9 ( 7?__6� �E Sae+n�65 i2� le -�thB�R Sz Wit_ C Zi, 27 ?o. bad Ron 26$ S6 G I Gjv �i-ALm Gk Ci 2 37,6 '� 1�rc�vo �` 7E{�vcx� 6 • ! �U L4, 2J� ` Gohtfo�s PV/ L6/ L� 1$q5 W' Le ►Wonw�` Aver `I�`j�8 C�(CJ I000 ,3b03`� 4s �' ` Futl,Q,rkoh, �� �t6 33 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 Ll►a 12v at i'tZV Date City State t-L-�A13 �Afl 1?-Z'AO 0 tic being first duly sworn, deposes and says that he orris P of i PC,-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. A-0 NE GK N me of Bidder r Signature of Bi Address of Bidder C-a 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 SLATER SEWER LIFT STATION REPLACEMENT, CC1561, (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. LoQeeoc,- k:-� l C tractor ` � e By -E:-7 Title Date: 0 9 � 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 ANo 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. J— C) +j c--F,-C)c�*::-- P Contractor c� l By psi wew; Title Date: G 2 at/ 2-U C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: -Cwc,P-oCK , � EJC. Bidder Name -70 Dy M-k o i Business Address IIrIV 't0C- , ck �? 1 � City, State Zip (149 ) 3 t o --y g o! MCA6A1i a a-o N&V-0C, .i PC. cDh Telephone Number Email Addres State Contractor's License No. and Class O 3/ k (b / LC7014- Original Date Issued C:).61 / ZU Z O Expiration Date The work site was inspected by VP"A �10 f-j 6 of our office on 0 21 1 6 2MO The following are persons, firms, and corporations having a principal interest in this proposal: 1D?h 64k W H A P--Jy4 N 'U\i k`C — TV-,Es,�D"T_ RmE-C�PR� N 1 kol,At- 1 A-k L3 A is ✓ i L — v. P. 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. V-- , II Com72:Nam", 0( Signature of Bidder t , Printed or Typed Signature C-8 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 February 18, 2020 before me, Sandra Velarde, a notary public (insert name and title of the officer) personally appeared Dragan Marjanovic who proved to me on the basis of satisfactory evidence to be the person(s) whose name is7/yam �s bscribed to the within instrument and acknowled ed to me t a s1t�►ey executed he same in 1 authorized capacit and that by s l� r signature�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. SANDRAVELAROE Notary Public-California Z ? Orange County q Z Commission#2217727 tt� My Comm.Expires Oct 24,2021 Signature �l (Seal) NOTARY CERTIFICATE Subscribed and sworn to before me this_day of , 201_ A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of ) County of ) On before me. Month, Day, and Year Insert Name and Title of Notary personally appeared Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s),or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of 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 12-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• ,i Ti of i- S A tj GE Leers - T�e--T a7r- 4-vs kd6&,LVS Name and Address of Public Agency 4 2S �, ? -LAW V-GgbH Cv-, Si'W v", C Name and Telephone No. of Project Manager: PAUL 1) O!-ti P GG C 2 — 3io- 42-7- 1862 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. C (f V1 C-- 6-EN-i"t P- PL-AZk, S-FW'TA- •A-J) Name and Address of Public Agency Name and Telephone No. of Project Manager: T Y-72-cou Ct4 ES k Nt 14 —6N7—`emu -Lax c vv..i N N P c; f T'ic*J . � 1fE� izu S c �c�, p�p�i�+✓r' Contract Amount Type of Work Date Completed &`3 i/If Provide additional project description to show similar work: -Pb►.-1 S i w i`t*{ VV P) Pf�-LA-�J c-- )-VF-P�kL>w f7a e---� ry ►-0 3. T -*�-R.e Dr, [ems TA- NOA,- CA—` Q2 Name a d Address of Public Agency — Name and Telephone No. of Project Manager: I U►mot 6-ho r: nr�tv1���2�15 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: n r-AC t� 1 do uric CA , zo c l TW 0)Yr-ftbN il-Lv L,7y P--C- A--kip 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. NIk--JL- A M* V-- � xtir-, Name of proposed Project Manager Telephone No. of proposed Project Manager: 310 _ q.Z -ANk- c PVC. 4 -7,SbO,00a., Project Name & Contract Amount Type of Work Date Completed 10s -40 6ecf�S 4,� ,o�,�-tom J2020 Project Name& Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Name of proposed Superintendent Telephone No. of proposed Superintendent: eO 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 ompleted 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://efi 1 ing.dir.ca.gov/PW CR/ActionServlet?action=displayPW CRegistrationForm DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code,or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. tic . Contractor } By Email Title Date: C�,�-� I� � 2--�' PWC Registration #: o coo o $©per C-12 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For SLATER SEWER LIFT STATION REPLACEMENT PROJECT CC 1561 January 17,2020 Notice to All Bidders: The bid opening date has not changed and will be January 28,2020 at 10:00 AM. The following changes or modifications are addressed within Addendum No. 1 for CC 1561: 1. Plan sheet E-2 SHEET 24 of 37 has been revised. Remove SHEET E-2 and replace with the E-2 revision date 01/15/2020. Refer to the attached red lined sheet. 2. Specification Section 09810 PVC Sheet Lining has been revised. Remove Section 09810 footnoted December 2019, and replace with Section 09810 footnoted January 17, 2020. Refer to the attached revised Section 09810. 3. Specification Section 17000 Instrumentation and Control has been revised. Remove Section 17000 footnoted December 2019, and replace with Section 17000 footnoted January 17, 2020. Refer to the attached revised Section 17000. 4. The Specification signature page (page ii) was initialy published unsigned. Replace the unsigned signature page with signed signature page. Refer to the attached, signed, signature page. 5. Specification Section 17000 Appendix B.2, has been revised. Remove Secton 17000 Appendix B-2, thirty (30) sheets total, and replace with thirty (30) sheets identified as revised January 17, 2020. Refer to the attached revised Section 17000 Appendix B.2. 1 of 1 of Addendum No. 1 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For SLATER SEWER LIFT STATION REPLACEMENT PROJECT CC 1561 January 23,2020 Notice to All Bidders: The bid opening date has changed and will be February 18,2020 at 10:00 AM. Addendum Three is forth coming and will modify the configuration of the gravity sewer collection system up stream from the new sewer lift station. As of today the proposed lift station, electrical, mechanical,and structural sheets remain unchanged. 1 of 1 of Addendum No. 1 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER THREE For SLATER SEWER LIFT STATION REPLACEMENT PROJECT CC 1561 February 10,2020 Notice to All Bidders: The bid opening date has not changed since Addendum Number Two, and will be February 18, 2020 at 10:00 AM. The following changes or modifications are addressed within Addendum No.3 for CC 1561: 1. The Bid Schedule has been modified as follows. Line 13, the quantity has changed from 1-each to 2-each. Line 37 and 38 have been added to the Bid Schedule. Remove the old Bid Schedule A and substitute the Bid Schedule A REV ADDENDUM 3 in it's place. 2. Minor modifications have been made to the MCC Drawing Package. Remove the MCC Drawing Package and substitute the MCC Drawing Package labeled "ADDENDUM 3." The MCC Drawing Package labeled was a part of Specifications Section 17000 Appendix B1. 3. Sheets C1, C2, C3, C4, C5, C6, and C7, have beem modified. The changes on these sheets show a modified force main alignment, and a modified gravity sewer and manhole alligmnet up stream of the proposed lift station. A table of Northings, and Eastings has also been added to sheet C1. A section of Block Wall adjacenet to the Sewer Wetwell has also been added for removal and replacement in kind, on sheet C1. 4. Specification Section 01025 has been modified to add an additional page. Section 01025 pages 1 through 15 remain unchanged. Page 01025 page 16 has been added by Addendum Three. This page has added two sections 01025.1.40 and 01025.1.41. These new sections provide a bid item description for the Bid Items 37 and 38, respectively. 1 of 1 of Addendum No.3 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER F_ For SLATER SEWER LIFT STATION REPLACEMENT PROJECT CC 1561 February 12,2020 Notice to All Bidders: The bid opening date has changed,and will be February 19,2020 at 10:00 AM, in room B8 adjacent to Council Chambers. The following changes or modifications are addressed within Addendum No. FOUR for CC 1561: 1. Minor modifications have been made to sheet C7. The Detail number 5, showing the base of manhole number 2 has been changed. The plan note which requires the existing 10-inch sewer pipeline, to be demolished and capped, has been removed. The existing 10-inch sewer will remain in service during the construction, or the Contractor shall make accomodations to by pass the sewer flow during the construction. 1 of 1 of Addendum No.4 City of Huntington Beach _. P 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov FFe:;, gp9 any Office of the City Clerk Robin Estanislau, City Clerk June 1, 2020 Lonerock, Inc. P.O. Box 54503 Irvine, CA 92619-4503 RE: Slater Sewer Lift Station Replacement—CC-1561 Enclosed please find your original bid bond for CC-1561. Sincerely, Robin Estanislau, CIVIC City Clerk RE:tm enclosure Sister Cities. Anjo, Japan ♦ Waitakere, New Zealand BID BOND KNOW ALL BY THESE PRESENTS,That we, LONEROCK, INC. of P.O. BOX 54503, IRVINE, CA 92619 (hereinafter called the Principal), as Principal,and The Ohio Casualty Insurance Company (hereinafter called the Surety),as Surety are held and firmly bound unto CITY OF HUNTINGTON BEACH (hereinafter called the Obligee)in the penal sum of 10% of Bid Amount Dollars( 10%of Bid Amount ) for the payment of which the Principal and the Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, That WHEREAS,the Principal has submitted or is about to submit a proposal to the Obligee on a contract for CONSTRUCTION OF PUMP STATION, ROAD, ELECTRICAL AND INSTRUMENTATION AND CONCRETE STRUCTURE SLATER SEWER LIFT STATION/Project No. 1561 NOW, THEREFORE, If the said Contract be timely awarded to the Principal and the Principal shall, within such time as may be specified, enter into the Contract in writing, and give bond, if bond is required, with surety acceptable to the Obligee for the faithful performance of the said Contract,then this obligation shall be void;otherwise to remain in full force and effect. Signed and sealed this 18th day of February 2020 LONEROCK, INC. _ (Seal,) Principaf Witness YQI h�l� Dragan Ma ic, Pr ident Title The Ohio Casualty Insurance Company Witness By Dean E. Brown Attorney-in-Fact JP�-(`(INS(J,Q9 VGORPORA)F T s SEAL O OHio D� �Nd S-0053/OC 10/99 XDP THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. Certificate No. 7977342 Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the.''Coml pursuant to and by authority herein.set forth,does hereby name,constitute and appoint, Dean E.Brown all of the city of SAN CLEMENTE state of CA each individually if there be more than one named,its true and lawful attorney-in-fact to make,execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have.been duty 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 9th day of January 2018 The Ohio Casualty Insurance Company `e, } Liberty Mutual Insurance Company 0 919 c 1912 1991 s West American Insurance Company 1 � * > By: = STATE OF PENNSYLVANIA ss David M.Carey-,.Assistant Secretary += COUNTY OF MONTGOMERY dOn this 9th day of January 2018 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance v a) Company,The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do,execute the foregoing instrument for the purposes '-� therein contained by signing on behalf of the corporations by himself as a duly authorized officer. L M N > 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. d gR PAST COMMONWEALTH OF PENNSYLVANIA Notarial Seal Teesa Pastella,Notary Public By: ` OF F,,P.rr,enonTwp.,Montgomery County Teresa Pastella,Notary Public My Commission Expires March 28,2021 d O 41 'sYL�P��G OTq PVO� Mernbcr,Pennsylvania Association of Notaries Y O N 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 d` Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: ++ to L ARTICLE IV—OFFICERS—Section 12.Power of Attorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject r 4; to such limitation as the Chairman or the President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal, O.= acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys-in-fact,subject to the limitations set forth in their respective E powers of attorney,shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so p co executed,such instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. ARTICLE XIII—Execution of Contracts—SECTION 5.Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the president, ? and subject to such limitations as the chairman or the president may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute, O 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 Z v respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by.the secretary. I 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 anypower 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 whic h the foregoing is a full,true and correct copy of the Power of Attorney e cuted by said Companies, is in full force and effect and has not been revoked. L` / IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this day Of 20 C�0 •. V��{`(INS(J� tNSUc, r�SvF� By: a a Renee C.Llew , ssistant Secretary '�"H4ttS+'...0� �)�� N� � 67 of 100 LMS 12873 022017 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 February 18, 2020 before me, Sandra Velarde, a notary public (insert name and title of the officer) personally appeared Dean E. Brown who proved to me on the basis of satisfactory evidence to be the person�sf whose name( i e subscribed_!gL the within instrument and acknowled ed to me that(�i /ss �/th executed the same in MwlKir authorized capacit!0es�and that by�/h Mheifsignature on the instrument the on�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. SANDRAVELARDE Notary Public-California z Orange County n Commission#2217727 My Comm.Expires Oct 24,2021 l Signature (Seal) ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On February 18, 2020 before me, Sandra Velarde, a notary public (insert name and title of the officer) personally appeared Dragan Marjanovic who proved to me on the basis of satisfactory evidence to be the p rson whose name i e subscribed to the within instrument and acknowledged to me that/strexecuted the same in I i /the' uthorized capacity , and that by is �rsignature�on the instrument the person , or the entity upon be alf of which the perso�acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (Seal) LONEROCK,INC. P.O. BOX 54503 IRVINE,CA 926194503 C7 of coo ��P�1a%�-r�r✓i or ��'GiC �c���-S i i t�G�N rJ C-A- 2 mac_ moo. Ise i -- SECTION C PROPOSAL for the construction of SLATER SEWER LIFT STATION REPLACEMENT PROJECT CC No. 1561 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 220 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 SECTION C PROJECT BID SCHEDULE A SLATER SEWER LIFT STATION REPLACEMENT PROJECT, CC 1561 BID ITEMS Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 1 Mobilization and Demobilization) 1 LS 2k b 5 UCH Prepare Site Specific Water Pollution Prevention Plan 2 (SWPPP) 1 LS �"I u0 lJ r 1 Gil 3 Install&Maintain Construction BMPs per SWPPP 1 LS �—�p� 4 Not Used EA 0 5 Pothole 10 EA t1i I p 6 Implement Traffic Control Plan 1 LS d`�?�ry G ,�y 'LA()-3 7 Prepare Geotechnical Report 1 LS �ly �J p� �y rC OJ 8 Develop and Implement Trench and Excavation Safety LS Measures 1 9 Develop and Implement Site Dewatering 1 LS 10 Sewer Bypass and Maintenance of Sewer Flow 1 LS 11 Vibration, Settlement,Groundwater, Monitoring 1 LS ' 12 15-inch,SDR26,Concrete Encased Sewer 110 LF 13 5-foot Diameter Armorock Sewer Manhole 2 EA 14 Reline 4-foot Diameter Manhole with Armorock Inserts 1 LS 15 4-foot Diameter Armorock Sewer Manhole 1 EAR°I 16 8-inch DR14 PVC Sewer Forcemain 75 LF I r'0'b -i� k v 17 Clear And Grub Site 1 LS ?'Upu s, I�iL,06D 18 Wetwell Concrete Box Structure 1 LS 19 Precast Concrete Valve Vault Structure 1 LS -A, 20 Precast Concrete Meter Vault 1 LS 21 Wetwell Mechanical Equipment, Pumps, Pipes,Valves 1 LS �22 Valve Vault and Meter Vault Mechanical Equipment 1 LS C-2.1 ADDENDUM THREE SECTION C PROJECT BID SCHEDULE A SLATER SEWER LIFT STATION REPLACEMENT PROJECT, CC 1561 Item Description Quantity Unit Unit Cost Total Cost No. (Extension) Discharge Piping between the Wet Well and Valve Vault 23 and Meter Vault 1 LS 24 Coordination with SCE and construct 5-inch SCE Conduit 1 LS { 25 Electrical Equipment 1 LS 26 NEMA 4X Transfer Switch and Enclosure 1 LS per, 27 120 kW natural gas emergency generator 1 LS 28 Lift Station start up and testing 1 LS i 29 Demolish existing Slater Sewer Lift Station 1 LS �1,�UJ 2A) 10 30 Spare 20 HP Sewage Pump 1 LS �y��� `t'� $C-r- 31 Concrete curb and gutter 220 LF $ i7 i 32 Concrete sidewalks and curb ramps 3000 SF 33 Full depth pavement restoration, 5"AC over 10"AB 1200 SF , �'� v;, -k•ZD ,,I C) 34 2-inch grind and overlay 350 TN Uri 35 Sewer Trench Foundation, 1-foot of 1-1/2 Inch Rock and 30 TN pp L�ci Filter Fabric 36 Relocate Traffic Signal, Install Striping, Signs 1 LS 37 5-foot Diameter Concrete Sewer Manhole,with Armorlok 1 EA PVC Liner and Miridri Exterior Coating ��it GJ 38 Remove and replace Existing 6-foot Block Wall 55 LF O v O TOTAL BID AMOUNT (BASIS OF AWARD) — SCHEDULE A $ 4 ,I qu m 0•oo TOTAL BID AMOUNT IN WORDS: 1 "ArCA fAtoe--'L �:X I"�a and , Ihru, u-►j r.e( H 'Tc.w t>c 11 t-r S Note: Refer to Section 9-3, Measure and Payment for description of each Item on Bid Schedule. Refer to Section 01025 Measurement Payment for additional details. All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.2 ADDENDUM THREE 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. I`D �, 4 -- Accompanying this proposal of bid, find Y?\P c�oN n in the amount of ai o 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 forlo% ", 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 - 2 3 Z vo -ZO C-2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar %of Item(s) Subcontractor License Registration# Amount Contract Number if, 1- ' cMc� Ic']IM C 0000(oLO3 ,.�l y d wSt)i'f re,M-h 4 JG.ti 8e,14 J,\I) CA qiqt g f31ue1r�rJ loo��l�H R 1-3S4f toe") cl 1LIN�NS60• �.��"i�0 L�� � 0000 � Gi1 '1�b 3 7 Q 2Sv 3� ,5 � ��s C-�t►�nvs� �� �+.►�-�;� �2��,� � i oo�ao�i�5 �z�,�5� .���o avr� S #Ion 11 C1rif fmi 1)ew/,`tCr1r''M- A �17r�0 H 0171 s� IN �r� r ::� ZIS� C 100000co lb o n- 1 .� I y Lave- Fort' CA -I1U30 3b -in �\sV GornrgN� 314600 A (OUOODD�oIo 1 gl W Al I iJf U,?u, �r (;Ivt'tc �1"17-5� G 1 U 1 00z702;�v �35,�°I u &ox zw 1 1 (v 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 2/19/2020 Registrations State of California R. Department of Industrial RE (https:J y;®t_t , r.ca.gov/) Contractor Information Registration Hi Legal Entity Name Effective Date Exr C M C REBAR WEST 12/03/18 061 Legal Entity Type General Partnership 07/01/19 061 Status Active Back to DIR>> (hops://www.dir.ca.gov/) Registration Number 1000062653 Registration effective date 07/01/19 Registration expiration date 06/30/22 Mailing Address 3880 MURPHY CANYON ROAD SUITE 100 SAN DIEGO 9212... Physical Address 3880 MURPHY CANYON ROAD SUITE 100 SAN DIEGO 9212... 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Pacific Hydrotech Corp. Acknowledgment of Receipt and Understanding Read and Sign Immediately iderstand and/or agree that: The statements contained in the Information Handbook for Employees of Pacific Hydrotech Corp. are intended to serve as general information concerning Pacific Hydrotech Corp. and its existing policies, procedures, practices of employment and employee benefits. Nothing contained in the Information Handbook for Employees of Pacific Hydrotech Corp. is intended to create nor shall be construed as creating an expressed or implied contract of employment or guarantee employment for a definite or indefinite term. This Handbook supersedes and replaces all prior handbooks or agreements concerning my employment with Pacific Hydrotech Corp. From time to time Pacific Hydrotech Corp. may need to clarify, amend and/or supplement the information contained in the Information Handbook for Employees of Pacific Hydrotech Corp. and that the company will inform me when changes occur. I have received a copy of the Information Handbook for Employees of Pacific Hydrotech Corp., have read and understand the information outlined in the handbook,have asked any questions I may have concerning its contents and will comply with all policies and procedures to the best of my ability. ployee's ne ployee's nature �•ry��T'"� ��, e 2 " l9—Z67 ration GrY7 S horized mess 42019 59 a� Y ro m co r- �D to O > O O O O O O O � N N N N N N 0 O O O O O O a-J x mLn l0 t.0 l0 l0 to 0 2 o o H r � H It rn > o 0 0 0 0 N NN 4-J u to — O c Ln N 0T CO H N c-I r w O to U co 1 O U (6 C O U_ E 0 U _O N 7 U N 'D O O_ L f6 V U .L �L u E E Q Q O O Y Y Ul) � ro Y Y N a1 Y Y c c 7) Q Q U U O O O QD o r d m v r L t0 O LLL O Z N ) Y c > F V mJ J Q v1 E W (D a Q m a) y V m CL a) O Z a ��' Z N GXl `l u L N a-J 2 ' O O F, O O U O U ry tU 7 tf) u 0 O O, O Q O p E ro C ca C Y 4. 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N OLO 0 0 �' Ljj u F u (7 wW Q b.0 a a°'O N OO O `� O c OW 0 0 N u U LL a LL > � H Ln Y U 0 Q LL Q m > a 0 G. 3 ._ a J N a� CM a` U co N O U T C O U_ E O U O N U N N a co U N _Q L O N O N N 2/19/2020 Registrations State of Califomia Department of Industrial Re (https:/ Aft, j, r.ca.gov/) ._3JL Contractor Information Registration History Legal Entity Name Effective Date Expiration Date CHRISP COMPANY 06/11/18 06/30/19 Legal Entity Type Corporation 05109/17 06130/18 Status 05/12/16 06/30/17 Active Registration Number Back to DIR>> (https://www.dir.ca.goV/U6/12/15 06/30/16 1000000306 v Registration effective date 07/10/14 06/30/15 07/01/19 07/01/19 06/30/22 Registration expiration date 06/30/22 Mailing Address 43650 OSGOOD ROAD FREMONT 94539 CA Uni... Physical Address 43650 OSGOOD ROAD FREMONT 94539 CA Uni... Email Address jhanson@chrispco.com Trade Name/DBA CHRISP COMPANY License Number(s) CSLB:374600 CSLB:374600 Legal Entity Information Corporation Entity Number: C0908398 Federal Employment Identification Number: 942578099 President Name: ROBERT CHRISP Vice President Name: DAVID MORRIS Treasurer Name: Secretary Name: TAMMIE ALLISON CEO Name: ROBERT CHRISP Aged for Service: Agent of Service Name: CHRISP COMPANY Agent of Service Mailing Address: 43650 OSGOOD ROAD FREMONT 94! hf4nc•//rarlir corro fnrra nnm/!`nn1'a�MrCo�rrh/nnnic/ralinnCnarnhllolailc 1/9 2119/2020 Registrations Worker's Compensation Do you lease employees through Professional Employer Organization (PEO)?: No Please provide your current worker's compensation insurance information below: PFO PF-n PFO PEOInformationName Phone Email Insured by Carrier Policy Holder Name: CHRISP Insurance Carrier: ARTHUR Policy Number: WC 0217 Inception date: 12/0111 Expiration Date: 12/01/2 About DIR Work with Us Learn More Who we are Jobs at DIR Acceso al idioma (https://www.dir.ca.gov/abo tiftvlivw.dir.ca.gov/didcpA b#,eba&'Ano.govl/Bilingua!- Services- DIR Divisions, Boards Licensing, Servicfault.html) a %..uifill lissiui ib (https://www.dir.ca.gov/divisWifKaW n srf�ensillstml) Frequently Asked (hftps:/hwm.dir.ca.gov/penGtmstions stions (hftps://www.dir.ca.gov/Con se l ) (https://www.dir.ca.gov/fagslist.html) 'IMAi .html Site Map Required Notifications (https://www.dir.ca.gov/sitemap/sitema! (hftps://www.dir.ca.gov/dosh/Required- Notifications.htrril) Public Records Requests (https://www.dir.ca.gov/pra request.html) Back to Top Conditions of Use (https://www.dir.ca.gov/od_pub/conditions.html) Disclaimer Privacy Policy (https://www.dir.ca.gov/od_pub/disclaimer.htmi) (https://www.dir.ca.gov/od_pub/privacy.htmi) Accessibility Site Help (https://www.dir.ca.gov/od_pub/accessibility.htmi) (https://www.dir.ca.gov/od pub/help.html) Contact Us (https://www.dir.ca.gov/ContactUs.htmi) tiMAA.//n...d:..........»..F............../n....a.....J...[..�.�1./......�t_..s:__o_��1.r1�a_.._ ..,.. 2/19/2020 Registrations (https://www.facebook.com/CaliforniaDlR) , (https://twitter.com/#!/CA DIR) r (http://www.youtube.com/CaliforniaDlR) Copyright©2020 State of California hNnc•//carirr cornro fnrno rnml�:nnfrnrfnrCa�mh/ranictra4innCa�rrhl�atailc pro 2/19/2020 Registrations State of Califomia Department of Industrial Rel (https. r.ca.gov/) Contractor Information Registration History Legal Entity Name Effective Date Expiration Da BIG BEAR ELECTRIC INC 05/23/18 06/30/19 Legal Entity Type Corporation 06/02/17 06/30/18 Status 05/25/16 06/30/17 Active Back to DIR>> (https://Www.dir.ca.gov/) Registration Number 07/02/15 06/30/16 1000002330 Registration effective date 10/29/14 06/30/15 07/01/19 07/01/19 06/30/20 Registration expiration date 06/30/20 Mailing Address PO BOX 3001 BIG BEAR CITY 92314 CA United States... Physical Address 644 W FAIRWAY BLVD,STE#6 BIG BEAR CITY 92314 C... Email Address ju lie@bigbearelectric.biz Trade Name/DBA BIG BEAR ELECTRIC License Number(s) CSLB:972582 Legal Entity Information Corporation Entity Number: c3435313 Federal Employment Identification Number: 454355670 President Name: ETHAN ADAMS Vice President Name: Treasurer Name: Secretary Name: CLARISSA ADAMS CEO Name: Agency for Service: Agent of Service Name: ETHAN ADAMS Agent of Service Mailing Address: 644 W FAIRWAY BLVD, STE#6 BIG BE Worker's Compensation i,ff..c•ll„�.df r n..a,<<.n rn.re.n...,./!e•..,lz.-.nt..,Ce.n.nb,tr......,.�...li.e.,C....>..s,fA....:tn a.,. 2/19/2020 Registrations Do you lease employees through Professional Employer Organization (PEO)?: No Please provide your current worker's compensation insurance information below: PEO PEO PEO PEOInformationName Phone Finaii Insured by Carrier Policy Holder Name: BIG BEAF Insurance Carrier: BFNCHM Policy Number: CST5010 Inception date: 05/03/1' Expiration Date: 05/03/21 About DIR Work with Us Learn More Who we are Jobs at DIR Acceso al idioma (https://www.dir.ca.gov/abo(Jtt ftWgvw.dir.ca.gov/dirja(tW*ht#bs&hino.gov//Bilingual- Services- DIR Divisions, Boards Licensing, Servicfault.htmll & Commissions registrations, (hftps://www.dir.ca.gov/diviskwMcmWRsr&gmnisithtmi) Frequently Asked r`nntart Mp (https://www.dir.ca.gov/penGtmtions lice (https://www.dir.ca.gov/fagslist.html) (https:/Avww.dir.ca.gov/Co ce i s mi ion).html) Site Map Required Notifications (hftps://www.dir.ca.gov/sitemap/sitemaf (https://www.dir.ca.gov/dosh/Required- Notifications.html) Public Records Requests (https:/Iwww.dir.ca.gov/pra,__request.htmi) Back to Top Conditions of Use (https://www.dir.ca.gov/od_pub/conditions.htmi) Disclaimer Privacy Policy (https://www.dir.ca.gov/od_pub/disclaimer.html) (https://www.dir.ca.gov/od_pub/privacy.html) Accessibility Site Help (https://wvwv.dir.ca.gov/od_pub/accessibility.html) (https://www.dir.ca.gov/od_pub/help.htmi) Contact Us (https://www.dir.ca.gov/ContectUs.htmi) 2l19l2020 Registrations (https://www.facebook.com/CaliforniaDlR) ,e. (hftps:Htwitter.com/#!/CA—DIR) r� (http://www.youtube.com/CaliforniaDlR) Copyright©2020 State of California MMww.11n..a:�........�..f..�..........«/1�.....�....A..�C..��...Ll..�...:.,a....a:..�.o..,���.i.T1���:t.. ...� 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 Z i6)'&� at (-A Date City State j WgRA%AS , being first duly sworn, deposes and says that he or she is P1LESI'DfN T- of?Ac.\r\C- HMI 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. Name of Bidder Signature of Bidder P ECz.�ruS , C,A a zs� n Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the SLATER SEWER LIFT STATION REPLACEMENT, CC1561, (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. 'PR C\r-t C_ \-1`I Contractor n,CL cis Pn-ES Title Date: —L Z.O C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury,the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? �� ❑ Yes dd 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. Contractor Title Date: C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: 2p�C\F\ C \-NN f) fLo T F Ct-' Bidder Name Business Address QE\gA1 S u(A q2S-70 City, State Zip 12%'51 ) c►`1� - g�p3 1C.HA2NC-@ccr- Telephone Number Email Address Sl �s�s� A State Contractor's�I�c�s�No. and Class Original Date Issu d Z Expiration Date 0 ZZl L The work site was inspected by C-AiU BAI,po of our office on 2 l , 20)- The following are persons, firms, and corporations having a principal interest in this proposal: J V-1 Q,tL H pkt�N S 1 7 JOSEt�� 1U Gkj10Tt-A • �T C H RAS1�1 H A tzN S r C MUM" 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. C Company Name 'Sign"ature of Bi r --J Y1 A-R jrl - P QAe-s Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this Jeday of 9 , 20t'D . 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 iC" ) County of On rV ' ID 4�) before me, �'cQi 5 NA LI!L) Month, Ddy, and ear 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. OlAy KRISTINE LEW Notary Public-CaliforniaRiverside County Commission k 2314071 , Comm.Expirm Dec 25.2023 Signat r e afar tary 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 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 12-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�H g LE 2 ZZ't O 1. EASZ E-VC X-J M V►N 1 C,1�f-1 W Aj E'*L p 1 s'Y1Z�c T Pea ks/ C-Pt Name and Address of Public Agency Name and Telephone No. of Project Manager: GI EC6 GyT- lsli�; z k1 i 1�A-1 ,1-;1 S-t P,'n<RJ 1151 1 c', Contract Amount Type of Work Date Completed I Provide additional project description to show similar work: WE.T wEL�- T vou5ME2SIgl.V-7- ,'Pu0PS AT Gob03 F° Li F T" --5'%A-n t IS SAN 0 CAN'4C � 2. IRNv iN r-- R-raNc.%.A WIgTEct P�ST2lC ►rw�NE Name and Address of Public Agency Name and Telephone No. of Project Manager: �jYZ, G E `I aS l -C\`-I'3-8 4a: 3 ,�O� t-I 17-T S-FA-n wJ i b -511 % Contract Amount Type of Work Date Completed Provide additional project description to show similar work: NF-WpotLr CAAS'� LlT- r S`NK,110--) ,,eWiS MANAGEMENT I 13Z-iro GC-NT"L AVE 3. c.►"`1 bF C.H1Nv CPtNO , CA Name and Address of Public Agency Name and Telephone No. of Project Manager: S gArJ F t rry N E 6AfJ 4 q 1 sy 14 , uvF-r 5 b 1 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: N P tt,E S VEtt-y E S W Eti i F7-r S-tVM-0^1 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. l. 0R l..E. Nl C.k lc Name of proposed Project Manager Telephone No. of proposed Project Manager: LIb NuN"ntJ6-T J SEA►s14 w E LL 1 P, 3 ag to f?.an V-)'Elul_ 'FEF� ZoZ,o Project Name & Contract Amount Type of Work Date Completed ?.U\N-V -3 B 1 o 5o L% %Q-S W VJ 7 P J\,A N E -to 1 Ss Project Name & Contract Amount Type of Work Date Completed V\ GE S- y R \ M SNA A'g W 1i T 9 A\A& ?.0 l(S Project Name & Contract Amount Type of Work Date Completed 2. (2) �'CL A Tz.V'0 (�0 N?,^L r--Z Name of proposed Superintendent Telephone No. of proposed Superintendent: — ot k-� — �p Oz 03, Lf O VAVNTIN6-M N SEAc%-% ►'.f Elul. I A 9 3 3RG .Zoo WELL F E f3 Project Name & Contract Amount Type of Work Date Completed p(-P�N'r -1 wWTP S`,1NE Z.J\ 4. Project Name & Contract Amount Type of Work Date Completed 91 G�S�F_fL- 1 Q;E' P9 v-J W 7- 0 G ZZo\$ 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/PublicW orks/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link—Call(844) 522-6734 https://efiling.dir.ca.gov/P WCR/ActionServlet?action=displayP WCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. pA C k C-- 1 l `[ P CZ-o i ECA -\ Contractor By lC N�t�s @ P,acNy otz-o. �� Email ?C S Title Date: PWC Registration#: ►oocx�-o Zak 1 C-12 City of Huntington Beach >= - 2000 Main Street ♦ Huntington.Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk June 1, 2020 Pacific Hydrotech Corporation 314 E. V Street Perris, CA 92570 RE: Slater Sewer Lift Station Replacement—CC-1561 Enclosed please find your original bid bond for CC-1561. Sincerely, Robin Estanislau, CIVIC City Clerk RE:tm enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand Document A310 TM - 2010 Conforms with The American Institute of Architects AIA Document 310 Bid Bond CONTRACTOR: SURETY: (,'Jame,legal status and address) ('Jame, legal status and principal place r f htceinesw) Pacific Hydrotech Corporation Liberty Mutual Insurance Company This document has important 314 East 3rd Street 175 Berkeley Street legal consequences.Consultation Perris, CA 92570 Boston, MA 02116 with an attorney is encouraged with respect to its completion or OWNER: modification. (,'Jame, legal slatrrs and address) Any singular reference to City Of Huntington Beach Contractor,Surety,Owner or Y 9 other party shall be considered 2000 Main Street plural where applicable. Huntington Beach, CA 92648 BOND AMOUNT: $ 10% Ten Percent of Amount Bid PROJECT: (;tame,location or address and Project number.if m{t) Slater Sewer Lift Replacement Project, 1561 The Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surety bind themselves,their heirs,executors,administrators,successors and assigns,jointly and severally,as provided herein.The conditions of this Bond arc such that if the Owner accepts the bid of the Contractor within the tine specified in the bid documents,or within such tine period as may be agreed to by the Ovaier and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding or Contract documents,with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof:or(2)pays to the Owner the dit2erence,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perlbrm the work covered by said hid,then this obligation shall be null and void,otherwise to remain in Cull lorce and ell'ecl.The Surety hereby waives any notice ol'an agreement between the Owner and Contractor to extend the lime in which the Owner may accept the bid.Waiver of notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time for acceptance ol'bids specified in the bid documents;and the Owner and Contractor%hail obtain the Surety's consent litr an extension beyond sixty(60)days. If this Bond is issued in connection with a subcontractor's bid to a Contractor,the tens Contractor in this Bond shall be dccntcd to be Subcontractor and the icon Owner shall be dccntcd to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location ol'the Project,any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted hereCront and provisions conforming to such statulory or other legal requirement shall be deemed incorporated herein.When so furnished,the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and scale 13th day of February, 2020 Pacific Hydrotech Corporation 71i (Ph rcipal) (Seal) (!fitness) — — By: i Liberty Mutual Insurance Company r (Surely) (seal) (ll�jr{e_s) i Apoda-a—li By: L-, (Tule)Maria Guise Attorney-in-Fact S-0054/AS 8/10 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 RIVERSIDE J} On FEBRUARY 18, 2020 before me, KRISTINE LEW, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared J. KIRK HARNS Nome(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(A whose name(A is/&C� subscribed to the within instrument and acknowledged to me that he/sX executed the same in his/I tXWX authorized capacityQCV, and that by his/ff&U0WaXsignature(!� on the instrument the person(50, or the entity upon behalf of which the personN acted, executed the instrument. I certify under PENALTY OF PERJURY under the KRISTINE LEW laws of the State of California that the foregoing ` s Notary Public•California paragraph is true and correct. i Riverside County sr Commission#2314071 WITNESS my hand and official seal. MY Comm.Expires Dec 25,2023 Signature g Place Notary Seal and/or Stamp Above gnature of otary 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: BID BOND Document Date: 02/13/2020 Number of Pages: 1 Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: J KIRK HARNS Signer's Name: NONE Al Corporate Officer—Title(s): PRESIDENT ❑ Corporate Officer—Title(s): ❑ Partner— ❑ Limited ❑ General ❑ Partner— ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer is Representing: PACIFIC HYDROTECH CORPORATION Signer is Representing: ._a- 02018 National Notary Association 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 9 of Orange On FEB 13 2020 before me, Reece Joel Diaz Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Maria Guise Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person4b whose name(4h is/ft subscribed to the within instrument and acknowledged to me that 0#1she/jolty executed the same in 1119/her/iNgY authorized capacityo##), and that by H10/herjfH#jr signature(Q on the instrument the person(/Q, or the entity upon behalf of which the person* _ REECE JOEL DIAZ acted, executed the instrument. "r - Notary Public-California = Orange County I certify under PENALTY OF PERJURY under the laws of Commission r zz9��2023 the State of California that the foregoing paragraph is true My Comm.Expires!un 2 and correct. Witness my hand and official seal. Signature aA� Place Notary Seal Above Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies)Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer Title(s): ❑ Partner ❑Limited ❑General ❑ Partner ❑Limited❑ General [� Attorney in Fact ❑ Attorney in Fact RIGAT TA1111ITIPPM ❑ Trustee OF ❑ Trustee OF ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. Liberty Liberty Mutual Insurance Company Mutual® The Ohio Casualty Insurance Company Certificate No:8201964-977460 West American Insurance Company SURETY POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Rhonda C. Abel;Jeri Apodaca;Reece Joel Diaz;Maria Guise,Kim Luu;Michael D.Parizino,Rachelle Rheault;Heather Saltarelli;James A.Schaller all of the city of Newport Beach state of California 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 23rd day of August 2019 Liberty Mutual Insurance Company tNSUR �11 INSU tNSU p The Ohio Casualty Insurance Company �JQ'o°aP°Rgrq'Ln �Jp'o°RPortyr�qy VQ'�oaPOR4rgyn West American Insurance Company > J 3 Fo m Q 3 Fo o r Fo rn Co 1912 0 0 1919 0 2 1991 0 (n d� SA CHUS�da �NAP`'`�,dD �s 'A' IA dD � ei� * 1`� �Hl M BY: David M.Carey,Assistant Secretary - State of PENNSYLVANIA c a) County of MONTGOMERY ss a " m c) N On this 23rd day of August 2019 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance C o 2 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 m V.a) > therein contained by signing on behalf of the corporations by himself as a duly authorized officer. c)LL 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. O o C- M .N p PASr d 0 O F,� o rgyµ, F� COMMONWEALTH OF PENNSYLVANIA Q e Notarial Seal �� �� w L O y g �..QC O N � � CP Teresa Pastella,Notary Public � O O Upper Merion Twp.,Montgomery County By: N !✓ N '�� ,N t�r��" My Commission Expires March 28,2021 eresa Pastella,Notary Public p 0 /O SYL v ,ate` Member,Pennsylvania Association of Notaries a C OpriA TRfi� P O C CU 0(D 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 0 o.� Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: o a E ARTICLE IV—OFFICERS:Section 12.Power of Attorney. Z o 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•jo 1 o >, President may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety >e CU N 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 Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such « Z instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under the, r CX provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. o ARTICLE XIII—Execution of Contracts:Section 5.Surety Bonds and Undertakings. O a 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 attomeys-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 surely 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 attomeys-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. 1,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. FEB 13 2020 IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this day of P�\NSU� P�1Y INSU,Q d \NSU,r, ?J `°µPO O Cf^ 4°µPO/R 9y� VPG°µPOP, 0 C, 2 lF, ? rF 4 F 1912 0 1919 2 1991 0 ° Q y° By: da .4CHUSE,da O It .15`A aa� �S /ND10"' -Ab Renee C.Llewellyn,Assistant Secretary LMS-12873 LMIC OCIC WAIC Multi Co 062018 201FEB 19 AM 9:54 PACIFIC HYDROTECH CORPORATION 314 E.3RD STREET PERRIS,CA 92570 TOC.fo Hu0-t%0GMN SEAC41 J.wo M A%N SZTLSE.T j4,AN'f%f4G- 'O N QEAGN ALP► S 1.P1'T V-R' S EVl sit 1.1 FT STA'C'�o rJ SECTION C PROPOSAL for the construction of SLATER SEWER LIFT STATION REPLACEMENT PROJECT CC No. 1561 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 220 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 SECTION C PROJECT BID SCHEDULE A • SLATER SEWER LIFT STATION REPLACEMENT PROJECT, CC 1561 BID ITEIN9S Item Description Quantit-V Unit Unit Cost Total Cost No. (Extension) 1 Mobilization and Demobilization) 1 LS ZC70(000 '100f000 2 Prepare Site Specific Water Pollution Prevention Plan D� �7 O(SWPPP) 1 LS �� 3 Install & Maintain Construction BMPs per SWPPP 1 LS Z1 f 00o Z(( aC9C-) 4 Not Used EA 5 Pothole 10 EA S 1Y00 sl( ODa 6 Implement Traffic Control Plan 1 LS oZ/_.jt DOv .2t-5/ aao 7 Prepare Geotechnical Report 1 LS l9 0O J f 9(DO o 5"60/ 8 Develop and Implement Trench and Excavation Safety LS / Odp 5C® Measures 10 Oc�O 9 Develop and Implement Site Dewatering 1 LS q70,000 y70 000 10 Sewer Bypass and Maintenance of Sewer Flow 1 LS � 10Of O V a4o Doo 11 Vibration,Settlement,Groundwater, Monitoring 1 LS sj QOO S'j 00 O 12 15-inch,SDR26,Concrete Encased Sewer 110 LF ; 2�00 —� w �l 13 5-foot Diameter Armorock Sewer Manhole 2 EA 6 Od 0 (3 ��000 14 Reline 4-foot Diameter Manhole with Armorock Inserts 1 LS 2 000 201,000 15 4-foot Diameter Armorock Sewer Manhole 1 EA 211000 Z- 0 o o 16 8-inch DR14 PVC Sewer Forcemain 75 LF 9 ?30 73/S00 17 Clear And Grub Site 1 LS 69,000 69' ooC 18 Wetwell Concrete Box Structure 1 LS ��00 ocv sx,00o 19 Precast Concrete Valve Vault Structure 1 LS _72f coo 72l o00 20 Precast Concrete Meter Vault 1 LS y9,coo q 9j (goo 21 Wetwell Mechanical Equipment, Pumps, Pipes,Valves 1 LS 18J^000 /��^00 CO 22 Valve Vault and Meter Vault Mechanical Equipment 1 LS 160 0� 160, 000 C-2.1 ADDENDUM THREE SECTION C PROJECT BID SCHEDULE A SLATER SEWER LIFT STATION REPLACEMENT PROJECT, CC 1561 Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 23 Discharge Piping between the Wet Well and Valve Vault 1 LS and Meter Vault 97,QQQ 9 7, de® 24 Coordination with SCE and construct 5-inch SCE Conduit 1 LS 12_0f 000W100 a 25 Electrical Equipment 1 LS 500 500f00 0 26 NEMA 4X Transfer Switch and Enclosure 1 LS rho O dc7 /(,O f 0 C9 O 27 120 kW natural gas emergency generator 1 LSI-1.0CRO49 'r1o"�e I tot 28 Lift Station start up and testing 1 LS 7 7 Ye9c 29 Demolish existing Slater Sewer Lift Station 1 LS �2 f7c�0 Z OO 30 Spare 20 HP Sewage Pump 1 LS i OD CD 31 Concrete curb and gutter 220 LF I L) ZZ ZZ-o 32 Concrete sidewalks and curb ramps 3000 SF 0 33 Full depth pavement restoration,5"AC over 10"AB 1200 SF .311 ya 90 O 34 2-inch grind and overlay 350 TN 237 oz,95"0 35 Sewer Trench Foundation, 1-foot of 1-1/2 Inch Rock and 30 TN q Filter Fabric 'YO o 2 OO d 36 Relocate Traffic Signal, Install Striping,Signs 1 LS 3y 000 3�/ DOp 37 5-foot Diameter Concrete Sewer Manhole,with Armorlok 1 EA PVC Liner and Miridri Exterior Coating 150,00L) �j 000 38 Remove and replace Existing 6-foot Block Wall 55 LF 4f00 ZZ 0o o TOTAL BID AMOUNT (BASIS OF AWARD)—SCHEDULE A $Y4 61 q l 270 . o to TOTAL BID AMOUNT IN WORDS: 11 '^ , ,X t ey. aUD n.✓ V/ � , a,,Scuy cv" Sew -4 1:20G.rs GlA cj ZA� _ Note: Refer to Section 9-31 Measure and Payment for description of each Item on Bid Schedule. Refer to Section 01025 Measurement Payment for additional details. All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.2 ADDENDUM THREE 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 L &,2s in the amount of Lntl.;� which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Si nature D 3 a /d dOoT o • • C-2 LIST OF SUBCONTRACTORS • In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or S 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 Items) Subcontractor License Registration# Amount Contract Number 1 8 CM C Ieetc>�og&4 1�C,4'_VUA,eA Av CA 1 Dil7.'9 C 1 ago cG2 1. 67, 630 Ioo9byl CS? l 0000 33 0 3 le�J srS►o�e C� /2k�000 s 3� 3Z (�A 3I a ICI 1 6 LA) atvllPrton,(�A ► 1 -zes1 to Cog-v t.I kwa, Cu qo5✓ 9 1 1a51 3,O,000 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 JQ, at Tt,.7 , jr in 9- Date f7ity State being first duly sworn, deposes and says that he or she is of PeL /„X-, 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. PGL Name of Bidder M1keiWstW ` Presi9eM Si(,),nature of Bidder 3►rSp ScR/AuFFI.L /�✓I+�uG,S',2�a70 Address of Bidder • C4 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 SLATER SEWER LIFT STATION REPLACEMENT, CC1561, (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 il,ith 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. PG L &-_)� ozo. I,)c. Contractor By Shawn W.Briffm Secretary/Treasunr Title Date: �7+� • C-5 DISQUALIFICATION QUESTIONNAIRE • In accordance with Government Code Section 10162,the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes &(No If the answer is yes,explain the circumstances in the space provided. • Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the • Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE • Pursuant to Section 1861 of the State Labor Code,each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Contractor By loe Mike MCWDney pmWed Title • Date: I 1pq /;0 • C-7 BIDDER'S INFORMATION • BIDDER certifies that the following information is true and correct: PCL Bidder Name 37S6 SGamPFELL yt..lyj_. su✓.? �71� Business Address 64oJ , macV r�i9 9n�o� City, State Zip Telephone Number Email Address 9�3.s9a State Contr ctor's License No. and Class Original Date Issued �/Ja/aaao Expiration Date`/ } )4J Iwa 4 i, The work site was inspected by ova CtrA, ,rz3 of our office on a '�2020. The following are persons, firms, and corporations having a principal interest in this proposal: • �Ra.] �RA►7,.] S�.o..9..) 1.�-.) )X4F .t,&J, ", 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. YG L. �.y S�72vY�lo�J. IN G, Company Name Signature of Bidder Mike McKinney • Printed or Typed Signature C-8 NOTARY CERTIFICATE • Subscribed and sworn to before me this XWday of , 24;t&. 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 AwzenlC ) On 0 1 /a? before me, �o�1i•J ,4,+-�5 Month, Day, and Year Insert Name and Title of Notary personally appeared lrlm a' v Name(s) of igner(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. ROBIN R. REGAN .,,.,... . Notary Public- of Arizona MARICOPA COUNTY My Commission Expires March 2,2020 Signature Signalrue 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 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 12-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: Board of Water Commissioners of the City of Long Beach_ 1 Project name: S-18 Sewer Lift Station Rehabilitation, 1800 E. Wardlow Road,Long Beach,CA 90807 Name and Address of Public Agetrey Name and Telephone No. of Project Manager: finny 11uany-Uy,PE.,: 562-570-2346 $2 million Lift Station Upgrades 1 L`23/2020 Contract Amount Type of Fork Date Completed Provide additional project description to show similar work: This project consists of replacement of pumps, pipes.valves and other mechanical equipment;ventilation and odor control equipment; motor control centers and other electrical equipment;stairs and hatches;emergency generator,meter, and other control equipment cleaning and recoating of the wet well;and temporary pumping and electrical systems. ?, Project name: Lift Station 87 Structure. City of Sarasota, 1761 12th Street, Sarasota,FL 34236 Name and Address of Public Agency Name and Telephone No. of Project Manager: Anthony Centurione: 941-316-8490 $21.3 million New 55-foot-deep lift station 9l2312020 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: New 55-foot-deep pump station with a 2-story above-round lift station that routes the 9.5 million gallons of wastewater per day,a third of the city's wastewater, beneath Hudson Bayou.Construction includes demolition of the existing station,an odor control system,piping,on-site and off-site tie-ins to the existing transmission main,electrical,instrumentation and controls,&a 55-foot-deep excavation for the wet well construction.Construction is taking place next to a heavily graveled road. Surrounding groundwater was between 5 and 7 feet high and we installed pipe 32 feet deep. 3. Project name:Palos Verdes Feeder Collis Ave.Structure Valve Replacement,Metropolitan Water District of Southern California,Alameda St.,Los.Angeles,CA 900 Name and Address of Public 1lgency Name and'telephone No. of Project Manager.: te3ry Clemens:909-392-7160 $1.8 million Removal and replacement of42-inch valve in busy intersection 612/2017 Contract Amount Type of Work Date Completed Provide additional project description to show- similar work: The Palos Verdes Feeder is one of the main distribution pipelines for potable water supply to the City of Los Angeles.The existing valve,which dates back to the early 1960's,was malfunctioning.PCL removed and replaced the outdated valve with a new 42-inch valve,installed concrete pedestals;replaced the existing grating,handrails,and vault roof,"cover.The project also included polychlorinated biphenyls,asbestos.and lead abatement and electrical upgrades.The majority of the work had to be completed during a 1.32-continuous-hour shutdown,which PCL completed a day early.with the valve structure located in a busy intersection,construction required extensive traffic control.Upon project completion,restoration of the intersection was required,including curbs,sidewalks,paving,striping,and traffic signals to return die street to normal traffic patterns. C-10 See the following page for additional projects. 4. Project name: Solaria Beach Sewer Pump Station Upgrades,City of Solaria Beach,635 S.Highway 101, Solaria Beach,CA 92075 Name and Address of Public Agency Name and Telephone No. of Project Manager: Jim Greenstein: 858-720-2476 $4.5 million sewer upgrades 6/1/2020 Contract Amount 'type of Work Date Completed Provide additional project description to show similar work: This project includes two underground reinforced concrete wet wells,an overflow storage tank,two submersible wastewater pumps,three dry-pit close-coupled submersible pumps with 5 feet of 24-inch ductile iron piping,and replacement of a.portion of the existing CNIU pump building.Construction includes 24-hour bypass of all sewage flow around the pump station to the treatment plant for the entire duration of the project. 5. Project name: Blacks Ford WRF,Jacksonville Electric Authority.4377 Heckscher Drive,Jacksonville,FL 32226 Name and Address Of Public Agency Name and Telephone No. of'Project Manager: Andrei RanZ�ga:904-665-5728 tl — S-54,091,065 new WRF 9/3 0/21 0 19 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: The Blacks Ford Water Reclamation Facility is a regional plant that formerly treated an average of over 2 rn-d of wastewater. This project expanded the water reclamation facility to treat up to 6 m-d for reclaiming treated wastewater for irrigation purposes.Construction included 16-foot-deep pipe installation in areas with as much as one foot of groundwater. 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 enlploym.ent of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. Please see attached resumes for additional project experience. 1. David Griffin Name of proposed Project Manager Telephone No. of proposed Project Manager: 619-980-2742 Ten new 16-inch suction and discharge isolation valves, Slater Pump Station $5()5,479 new-slide isolation gates, and bypass operations 4/25/2019 Project Name & Contract Amount "Type of Work Date Completed Replacement of pumps, pipes, valves, S-1.8 Sewer Lift Station $2M odor control ecluiprnent, electrical equipment, and 111231%2020 bypass pumping. Project Name & Contract Amount 'Type of Work Date Completed New reinforced concrete wet wells, Solana Beach Sewer Pump Station Upgrades S4.5M new pumps, and bypass pumping 6/1/2020 Project Name & Contract Amount Type of Work Date Completed Kevin Schow Name of proposed Superintendent Telephone No. of proposed Superintendent: 909-927-9573 Buena Vista, Raceway,& Buena Creek. New VI Ds, PL.Cs,raw sewage grinders, Pump Station Upgrades $2.6M and 24/7 bypass operations. 12;`15;`20.17 Project Name & Contract Amount Type of Work Date Completed New pump station with two 21-MGD, Hyperion%�er,ion Secondary-Effluent Pum Station $14.114 800-HP pumps and a new, 30-megawait 51' l generator. 113 1 2020 Project Name& Contract Amount Type of Work Date Completed Removal and replacement of outdated valve with a new 42-inch valve; installation of concrete Palos Verdes Feeder Collis Ave. t>edestals;electrical upgrades,and restoration of , Structure Valve Replacement �1'8�7 intersection. 6r2,2017 Project Name& Contract Amount Type of Work Date Completed C-11 David Griffin Project Manager David has 15 years of experience in the construction of water and wastewater infrastructure. David manages all aspects of a project,including establishing and maintaining the budget,creating the project schedule, issuing and maintaining purchase orders and subcontracts,subcontractor management,change order management, overseeing site safety and quality programs,and direct coordination with the owner's representatives. Years with PCL Relevant Experience 11 Slater Pump Station Education/Training Huntington Beach, CA Bachelor of Environmental This project included the replacement of all ten 16-inch suction and discharge isolation Studies,Allegheny College valves and two slide isolation gates.To allow for replacement of the valves,flow was diverted around the pump station.The bypass operation required the addition of two OSHA 30 Hour Construction bypass risers with buried gate valves(for hot tapping)and buried plug valves with gear Industry Training and valve can.The bypass pumps were installed close to the wet well, minimizing the impact to the neighboring area. 40 Hour Hazardous Waste Operations and Emergency Response S-18 Sewer Lift Station Rehabilitation South Coast Air Basin Fugitive Long Beach, CA Dust Control Class This project consists of replacement of pumps, pipes,valves and other mechanical equipment; ventilation and odor control equipment; motor control centers and other Certifications electrical equipment; and stairs and hatches. Installation of an emergency generator, meter, and other control equipment; cleaning and recoating of the wet well were also Safety Trained Supervisor required.The team will set up and operate temporary pumping and electrical systems (STS), Board of Certified during construction. Safety Professionals CESSWI: Certified Erosion, Pier B Pump Station Sediment,and Storm Water Long Beach, CA Inspector Certificate#1506 This project consisted of rehabilitating the existing pump station building and pump QSP Qualified SWPPP station forcemain and replacing four stormwater pumps and one sump pump. Practitioner Certificate Construction included installation of new electrical and SCADA equipment. #20903 Solana Beach Pump Station Upgrades Solana Beach, California This project includes two underground reinforced concrete wet wells, an overflow storage tank, two submersible wastewater pumps,three dry-pit close-coupled submersible pumps with required piping and appurtenances, and replacement of a portion of the existing CMU pump building. CONSTRUCTION David Griffin Relevant Experience, Continued Buena Vista Pump Station, Raceway Pump Station,and Buena Creek Pump Station VFD& PLC Replacement Vista, California PCL constructed repairs and upgrades to multiple pump stations for the City of Vista, including variable frequency drives (VFDs), programmable logic controllers (PLCs), and raw sewage grinders. Construction included 24/7 continuous bypass operation for replacement of all major electrical components. Palos Verdes Feeder Collis Avenue Structure Valve Replacement Los Angeles, California PCL removed and replaced a malfunctioning, outdated valve with a new 42-inch valve; installed concrete pedestals; and replaced the existing grating, handrails, and vault roof/cover.The project also included polychlorinated biphenyls, asbestos, and lead abatement, and electrical upgrades. Upper Feeder Santa Ana River Crossing Expansion Joint Replacement Riverside, California This project consists of removal of the existing and installation of a new expansion joint,two flanges, a maintenance platform and walkway, and a bullet protection shield. Full-Scale Fixed-Bed Biological Perchlorate Destruction Demonstration for the West Valley Water District- Design-Build Rialto, California PCL provided design and construction services for this new biological treatment system,which treats 0.9 MGD and operates in parallel with the existing treatment process. PCL constructed a fixed-bed biofilter, a new outdoor bulk chemical storage facility, chemical metering pumps, backwash supply and waste equalization tanks, and a new sanitary sewer line that will be tied into an existing sewer. San Jacinto Valley Regional Water Reclamation Facility Title 22 Tertiary Treatment Upgrade and Plant 2 Facilities San Jacinto, California Expansion of an existing facility to 15.4 MGD capacity, including retrofitting existing plant facilities and constructing two new digester structures, sludge storage, an additional chlorine contact structure, primary and secondary clarifiers, an aerobic basin structure, an effluent pump station, new headworks, electrical buildings, and a flocculation basin along with 55,000 feet of various sized interconnecting yard pipe. Tolleson Wastewater Treatment Plant Solids Handling Improvements Project-CMAR Tolleson,Arizona This project focused mainly on the solids train of the 17.5-MGD plant. PCL built a facility to house rotary drum thickeners, a new biological odor control scrubber system,and new chemical tanks and pumps. Construction also included a belt filter press, decant pumps, sludge cross collectors,aluminium covers at the primary sedimentation basins, and bringing a new 12kV feed into the plant. Avondale Water Reclamation Facility Improvements-CMAR Avondale,Arizona CMAR services for the expansion of the existing plant and included construction of several new structures:two digesters, primary clarifier, influent pump station, new headworks, EQ basin, primary sludge pump station, odor control facility, chemical facility, chlorine contact basin, effluent pump station,thickener building, and digester heat exchanger building. Kevin Schow Superintendent Kevin has 22 years of heavy civil construction experience in the water and wastewater industry,specifically in overseeing the installation of mechanical equipment. Kevin has been the superintendent on several multi-million dollar water/wastewater treatment plant,pump station, reservoir,and pipeline projects throughout Southern California. He has hands-on experience in all aspects of construction and provides the leadership and technical management skills to efficiently complete projects. His experience enables him to develop sound solutions for everyday construction problems and creative solutions to unexpected challenges. Kevin completes quality projects in a safe work environment, within budget,and on schedule. Years with PCL Relevant Experience 6 Coastal Treatment Plant Facility Improvements Education Laguna Niguel, California Cypress College This project consists of improvements to systems and equipment throughout the plant, including the chemical feed system, secondary sedimentation basin, and electrical Construction Supervision system.These upgrades will allow the plant to run more safely and efficiently. Academy, NCCER Certifications Riverside Regional Water Quality Control Plant Phase 1 Expansion Riverside, California Confined Space Entry This$198 million project was a conversion of an existing traditional treatment facility to OSHA 30-Hour a 26-MGD membrane bioreactor facility. It included construction of a new stormwater equalization basin,clarifiers, conversion of secondary clarifiers to an MBR basin, and Cal-OSHA Competent Person ancillary facilities. Work also included retrofitting an existing activated train, repairing Trench and Excavations and replacing clarifier mechanisms, and upgrading electrical generators. Kevin assisted in the start-up and commissioning of all of the above systems, including Monster First Aid/CPR Mufflers in-line grinders, as well as several slide/sluice gates. Safety Trained Supervisor Buena Vista Pump Station, Raceway Pump Station,and Buena Creek Pump Station VFD &PLC Replacement Vista, California PCL constructed repairs and upgrades to multiple pump stations for the City of Vista, including variable frequency drives (VFDs), programmable logic controllers(PLCs), and raw sewage grinders. Construction included 24/7 continuous bypass operation for replacement of all major electrical components. Palos Verdes Feeder Collis Avenue Structure Valve Replacement Los Angeles, California PCL removed and replaced a malfunctioning, outdated valve with a new 42-inch valve; installed concrete pedestals; and replaced the existing grating, handrails,and vault roof/cover.The project also included polychlorinated biphenyls, asbestos,and lead abatement, and electrical upgrades. Relevant Experience Continued CONSTRUCTION Kevin Schow Hyperion Secondary Effluent Pump Station Improvements Playa Del Rey, California The project involves constructing a new pumping station with two 21-MGD,800-HP, medium voltage pumping units adjacent to the existing secondary effluent pump station and a new 3-megawatt, emergency, diesel-fueled engine generator. Construction includes tie-in to an existing pressurized underground concrete secondary effluent channel; connecting the new pump station to the existing 60-inch-diameter force main immediately adjacent to the site; and additional air/vacuum valves at various locations along the length of the force main. City of San Diego Alvarado WTP Phase 3 Expansion and Upgrades City of San Diego, California Superintendent for a $30 million upgrade and expansion to the existing flocculation tanks and sedimentation (chain and flight) basins, including the pump stations and yard piping two to 60 inches in diameter. Kevin was responsible for start-up and commissioning of the new flocculation basins. Los Angeles County Sanitation District-Whittier Narrows WRP Expansion and Upgrades Whittier, California Superintendent for a $16 million aeration basin retrofit,which included installation of all new aeration systems and piping, new pump stations and distribution piping, and back-up generator facility. Kevin was responsible for start-up and commissioning of three 400 HP vertical turbine pumps,two 1 HP chemical feed pumps, new aeration system, and a standby generator. City of Santa Maria Wastewater Treatment Plant Expansion Santa Maria, California Superintendent for$17 million construction of a new primary clarifier, anaerobic digester and digester control station, trickling filter,sludge drying beds, pump stations, and 4-inch to 54-inch yard piping. Kevin was responsible for start-up and commissioning of a new circular primary clarifier(EIMCO), a new anaerobic digester, new bar screens and grinders,and a new digester control facility, including chopper pumps, end suction pumps, and heat exchangers. Irvine Water District Wastewater Treatment Plant Expansion Phase 2 Irvine, California Assistant Superintendent for a new$6 million secondary clarifier, associated yard piping, and pump station. Kevin was responsible for start-up and commissioning of a new circular secondary clarifier(EIMCO). City of Corona Wastewater Treatment Plant Expansion and City-Wide Reclamation Project Corona, California General Foreman for a$12 million project,which included three new prestressed water tanks; 1, 2 and 3 MG (DYK tanks) with vertical turbine pump stations, chlorine contact basin and chemical feed pump station, equalization basin, and various yard piping. OCSD Cengen Cooling Water System Replacement Plants 1&2 Fountain Valley/Huntington Beach, California Superintendent for a$15 million upgrade to the cooling water system for the Orange County Sanitation District wastewater treatment plant 1 and 2 COGEN facilities.The project included installing over 5,000 LF of piping in existing underground pipe galleries and tunnels,two new stationary screening facilities, and cooling water pump stations. Kevin was responsible for the start-up and commissioning of 4-inch to 24-inch MOVs,three 400 HP end suction pumps, and eight stationary screen strainers. CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE • Pursuant to SB 854 (citing Labor Code Section 1771.1 a passed b the California State Senate ( g ( )) P Y 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/Acf onServlet?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. Pce- Cajs%rz�ena..�, Contractor By j2c-L� . C-aaa Email Mike McKinney President Title ' Date: 1aq/.)O • PWC Registration 4: lCaDoC '7r,3 C-12 e / 0 0 i N / � 7 � 4- \ r1i � . . a . m a) q a) c ? \ \ \ § 7 § 7 \ k ) 7 f @ 4) I o = o c ® y ® < y ® ± c c 00 q � % & % 5 u � f £ $ 2 a � � E co \ E d E \ k k 7 G k / a k a 2a / a / 2 aM a \ § k E E / � E § § / § \§ / \ / � N w e - m -1 w e w e > ■ u = m » § / § / / 4-1 7 § m zR k 0 ai ° 29 2 c 2 % / u t g m ® f c 3 / c > @ 9 / E 4- c E $ \ / J b » » » 2 t k 2 2 2) 2 2 c / \ \ / Ln % i7i i:n- 4-7 co � \ % % \ ) \ d � k 3 \ 3 3 V) $ k / / City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk June 1, 2020 PCL Construction, Inc. 3750 Schaufele Ave., Ste. 270 Long Beach, CA 90808 RE: Slater Sewer Lift Station Replacement—CC-1561 Enclosed please find your original bid bond for CC-1561. Sincerely, 4q44vu Robin Estanislau, CIVIC City Clerk RE:tm enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand AIA Document A310 TM - 2010 Bid Bond CONTRACTOR: SURETY: (Name, legal status and address) ('Name, legal status and principal place PCL CONSTRUCTION,INC. of business) 3750 Schaufele Avenue,Suite 270 FIDELITY AND DEPOSIT COMPANY OF Long Beach,CA 90808 MARYLAND This document has important legal 1299 Zurich Way consequences.Consultation with Schaumburg,IL 60196-1056 OWNER: an attorney is encouraged with (Name, legal status and address) respect to its completion or CITY OF HUNTINGTON BEACH modification. 2000 Main Street,Huntington Beach,CA 92648 Any singular reference to Contractor,Surety,Owner or BOND AMOUNT: Ten Percent of Amount bid other party shall be considered (10%of Amount Bid) plural where applicable. PROJECT: (Name, location or address, and Project number, if any) Slater Sewer Lift Station Replacement Project-CC No.1561 Project Number,if any: The Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surety bind themselves,their heirs,executors,administrators,successors and assigns,jointly and severally,as provided herein.The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof,or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect.The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid.Waiver of notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time for acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty(60)days. If this Bond is issued in connection with a subcontractor's bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project. any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.When so furnished,the intent is that this Bond shall be constnied as a statutory bond and not as a common law bond. Signed and ed s 23rd day of January,2020 Shawn W.Britton PCL CONST TI I INC SecretaryI Treasurer (Princip Richard He,%Itt (Wanes Manager (Title), &Authorized Signer l FIDELI AND DEPOSIT COMPANY OF MARYLAND V (Sure ) (Witness) Dartonya Wright (may '(✓�� (mot/' '[Title) Sandra M.Wtnsted,Attorney in Fact AIA Document A310TM -2010.Copyright®1963,1970 and 2010 by The American Institute of Architects.All rights reserved. CALIFOZNIA ALL-PURPQSE,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 Illinois County of Kane On 23rd day of January, 2020, before me, K. Hannigan,Notary Public,personally appeared Sandra M. Winsted 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 I ! ir/� ignatu`re N /ary Public 7HANNIGAN L SEAL NOTARY PTATE OF ILLINOISMY COMMIPIRES 10/23/2021 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 Sandra M.WINSTED,Diane M.O'LEARY,Susan A.WELSH,Judith A.LUCKY-EFTIMOV,James B.McTAGGART, Debra J.DOYLE,Sandra M.NOWAK,Jessica B.DEMPSEY and Christina L.SANDOVAL,all of Chicago,Illinois, 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 26a'day of September,A.D.2019. 0 oriosr _ e � � Itll � QID ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Robert D.Murray Vice President C"OLI 4 VILQG6h By: Dawn E.Brown Secretary State of Maryland County of Baltimore On this 26th day of September, A.D.2019, before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified,Robert D.Murray,Vice President and Dawn E.Brown,Secretary of the Companies,to me personally(mown to be the individuals and officers described in and who executed the preceding instrument,and acknowledged the execution of same,and being by me duly sworn,deposeth and saith,that he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written. �,pfSUt((jl,r CL Constance A.Dunn,Notary Public My Commission Expires:July 9,2023 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V,Section 8,Attorneys-in-Fact. The Chief Executive Officer,the President,or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attomeys-in-fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate;and I do further certify that Article V,Section 8,of the By-Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the I Oth day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President,Secretary,or Assistant Secretary of the Company,whether made heretofore or hereafter,wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. II�TESTIMOI�Y WHEREOF,I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this ,>{{ day off, 7 a,0 011pJi� _ A a (`� 4ti Michael C.Fay,Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND,PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND,THE BOND NUMBER,AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg,IL 60196-1056 www.reportsfclaims n,zurichna.com 800-626-4577 ::r; i i I PCL CONSTRUCTION,INC. Suite 270 3750 Schaufele Avenue Long Beach,CA 90808 i ! Bid Date: rM 19,2020 sEA1 ED Bm^ 1 ! Bid Closing Time:10:00 AM _ for � SLATER SEWER LIFT STATION REPLACEMENT PROJECT,CC 1561 ! in the CTTY OF HUNTINGTON BEACH-DO NOT OPEN WITH REGULAR MAIL i I IrELIVE:t TO THE OFFICE OF THE CITY CLERK,2000 MAIN STREET,SECOND FLOI 7 j City Clerk's Office CITY OF HUNTINGTON BEACH n Second Floor 2000 Main Street Huntington Beach,CA 92648 W •Y. }N 'I 'I 1 1 SECTION C PROJECT BID SCHEDULE A SLATER SEWER LIFT STATION REPLACEMENT PROJECT,CC 1561 BID ITEMS Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 1 Mobilization and Demobilization) 1 LS $300,000 $300,000 2 Prepare Site Specific Water Pollution Prevention Plan 1 LS (SWPPP) $15,000 $15,000 3 Install&Maintain Construction BMPs per SWPPP 1 LS $30,000 $30,000 4 Not Used EA 5 Pothole 10 EA $1,500 $15,000 6 Implement Traffic Control Plan 1 LS $100,000 $100,000 7 Prepare Geotechnical Report 1 LS $40,000 $40,000 8 Develop and Implement Trench and Excavation Safety 1 (L�J Odd Measures LS 9 Develop and Implement Site Dewatering 1 LS $200,000 $200,000 10 Sewer Bypass and Maintenance of Sewer Flow 1 LS $20,000 $20,000 11 Vibration,Settlement,Groundwater,Monitoring 1 LS $100,000 $100,000 12 15-inch,SDR26,Concrete Encased Sewer 110 LF 13 5-foot Diameter Armorock Sewer Manhole 2 EA $30,000 $60,000 14 Reline 4-foot Diameter Manhole with Armorock Inserts 1 LS $15,000 $15,000 15 4-foot Diameter Armorock Sewer Manhole 1 EA $30,000 $30,000 16 8-inch DR14 PVC Sewer Forcemain 75 LF 17 Clear And Grub Site 1 LS $200,000 $200,000 18 Wetwell Concrete Box Structure 1 LS $500,000 $500,000 19 Precast Concrete Valve Vault Structure 1 LS $100,000 $100,000 20 Precast Concrete Meter Vault 1 LS $100,000 $100,000 21 Wetwell Mechanical Equipment,Pumps, Pipes,Valves 1 LS $250,000 $250,000 22 Valve Vault and Meter Vault Mechanical Equipment 1 LS $100,000 $100,000 C-2.1 ADDENDUM THREE SECTION C PROJECT BID SCHEDULE A SLATER SEWER LIFT STATION REPLACEMENT PROJECT,CC 1561 Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 23 Discharge Piping between the Wet Well and Valve Vault and Meter Vault 1 LS $100,000 $100,000 F25 Coordination with SCE and construct 5-inch SCE Conduit 1 LS $35,000 $35,000 Electrical Equipment 1 LS ` Q%0%0PJ pcad 26 NEMA 4X Transfer Switch and Enclosure 1 LS $50,000 $50,000 27 120 kW natural gas emergency generator 1 LS $150,000 $150,000 28 Lift Station start up and testing 1 LS $35,000 $35,000 29 Demolish existing Slater Sewer Lift Station 1 LS $75,000 $75,000 30 Spare 20 HP Sewage Pump 1 LS $70,000 $70,000 31 Concrete curb and gutter 220 LF $150 $33,000 32 Concrete sidewalks and curb ramps 3000 SF $15 $45,000 33 Full depth pavement restoration,5"AC over 10"AB 1200 SF $20 $24,000 34 2-inch grind and overlay 350 TN $225 $78,750 35 Sewer Trench Foundation,1-foot of 1-1/2 Inch Rock and Filter Fabric 30 TN $350 $10,500 36 Relocate Traffic Signal,Install Striping,Signs 1 LS $75,000 $75,000 37 5-foot Diameter Concrete Sewer Manhole,with Armorlok PVC Liner and Miridri Exterior Coating 1 EA $30,000 $30,000 38 Remove and replace Existing 6-foot Block Wall 55 LF $400 $22,000 TOTAL BID AMOUNT (BASIS OF AWARD)—SCHEDULE A $ TOTAL BID AMOUNT IN WORDS: " IIMVVt Qay Note: Refer to Section 9-3, Measure and Payment for description of each Item on Bid Schedule. Refer to Section 01025 Measurement Payment for additional details. All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.2 ADDENDUM THREE If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find bidders bond in the amount of 107 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 1 1/17/2 0 2 1/23/20 3 2/10/20 4 2/12/20 C-2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar % of Item(s) Subcontractor License Registration# Amount Contract Number MM/m s�13 , �l �g 33 `MD �- l /j'° 0 T ii a 3V uk 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 2-18-29at South El Monte , CA Date City State Vido Artukovich , bein first duly swort�, depQses a d say that he or she is Managing Partner of igmar, Yncov'R J� Son, �ncthe party making the foregoing bid that the bid is not made in the interest of,or on the behalf of,any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are true;and, further,that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof,or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Vido Artukovich & Son, Inc./Vidmar, Inc. A Name of Bidder i Signature of Bidder Vido Artukovich, Managing Partner 11155 Rush Street South E1 Monte, CA 91733 Address of Bidder C-4 CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT 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 Los Angeles Subscribed and sworn to (or affirmed) before me on this 18th day of February, 2020 by Vido Artukovich, proved to me on the basis of satisfactory evidence to be the person w appeared before me. +*'...' SHARON ARTUKOVICH Notary Public•California Los Angeles County Signature Commission 8 2296136 °"` "" My Comm.Expires Jul 31,2023 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 SLATER SEWER LIFT STATION REPLACEMENT, CC1561, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Vido Artukovich & Son, Inc./Vidmar, Inc. A Contractor By Vido Artukovich Managing Partner Title Date: 2/18/2020 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? ❑ Yes 3 No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code,each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Vido Artukovich & Son, Inc./Vidmar, Inc. A Contractor -zzxz-�z 4 67 By Vido Artukovich Managing Partner Title Date: 2/18/2020 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Vido Artukovich & Son, Inc./Vidmar, Inc. A JV Bidder Name 11155 Rush Street Business Address South El Monte. CA 91733 City, State Zip ( 626 )444-4286 info@artukovich.com Telephone Number Email Address 726231 A State Contractor's License No. and Class 8/14/1996 Ori final Date Issued 8M/2020 Expiration Date The work site was inspected by Anthony Artukovig tour office on 1-20-2020 , 201_. The following are persons, firms, and corporations having a principal interest in this proposal: Vido Artukovich - Managing Partner A.P. Artukovich - Managing Partner The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Vido Artukovich & Son, Inc./Vidmar, Inc. A JV Company Name Signature of Bidder Vido Artukovich, Managing Partner Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this 18 day of February ,/''dl 2020 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 February 18, 2020 before me, Sharon Artukovich, Notary Public Month, Day, and Year Insert Name and Title of Notary personally appeared Vido Artukovich Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(A) whose name(k) is/frk subscribed to the within instrument and acknowledged to me that he/shi/tHy executed the same in his/gdr/tl'i k authorized capacity(i4s),and that by his4r/t9 it signature(s� on the instrument the person(o, or the entity upon behalf of which the person($) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. , `„°`r� SHARON ARrUKOWCH WITNESS my hand and official seal. Notary Public-California Los Angeles County .,o. Commission la`2296136 My Comm.Expires Jul 31,2023 Si atur ��tf"��v 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 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 12-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 Malibu, 23825 Stuart Ranch Road, Malibu, CA 90265 Name and Address of Public Agency Name and Telephone No. of Project Manager: Rob DuBoux 310 456-2489 x339 $20,451,881 Civic Center Wastewater Treatment 9/30/18 ase Contract Amount aci i y - ype o Work Date Completed Provide additional project description to show similar work: Furnish and install 21,2001f open cut 4" to 14" HDPE sewer, 13,7081f 4"to8" C900 reclaimed water, two pump stations and tie into treatment plant 2. City of Huntington Beach, 2000 Main Street, Huntington Beach, CA 92648 Name and Address of Public Agency Name and Telephone No. of Project Manager: David:yerone-714 536'543+1 - ,- $2,185,195 Trinidad .Lift Station No. 29 and Force Main 6/6/16 Contract Amount Improvement Type of Work Date Completed Provide additional project description to show similar work: Furnish and install 4001f 4" force main, 3001f gravity sewer, demo and remove existing structure and construct new Lift Station with all electrical and appurtenance 3. City of Huntington Beach, 2000 Main Street, Huntington Beach, CA 92648 Name and Address of Public Agency Name and Telephone No. of Project Manager: George Litzinger 619 980-7048 $102-556,640 Warner- Avenue Gravity Sewer and Lift St. #C 5/17/15 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Furnish and install 3,5001f 16" gravity C905, 5001f ductile force main with all appurtneance an Li t Station C-10 Vido Artukovich & Son, Inc./Vidmar, Inc. A JV Recent Completed Projects City of Fresno 2101 G Street, Building A, Fresno, CA 93706 Martin Wendels 559-621-1627 (Martin.Wendels@fresno.gov) Phase 2 Regional Transmission Main-Segment B&C Furnish and install 10,000If 30", 4,8631f 42", 1,5361f 24" CML&C, 1,6901f 12"to 20" Ductile Iron water main with 3091f 48"jack and bore with all appurtenance. $11,550,816 — 390 calendar days — 11/3/19 City of Malibu 23825 Stuart Ranch Road, Malibu, CA 90265 Rob DuBoux 310 456-2489 x339 (RDuboux(a-)malibucity.org) Civic Center Wastewater Treatment Facility-Phase 1, Pipelines and Pump Stations Project Furnish and install 21,2001f open cut 4" to 14" HDPE sewer, 13,7061f 4" to 8" C900 reclaimed water line, 3,907 24" to 42" bore and jack steel casing, 2 pump stations plus all appurtenance and tie into treatment plant. $20,451,881 — 547 calendar days- 9/30/18 City of Santa Ana 20 Civic Center Plaza, Santa Ana, CA 92701 Mike Ortiz 714 547-5624 (mortiz@santa-ana.org) Bristol Street Water Main Furnish and Install 4,7081f 16" PVC C905 DR14 water line with all appurtenances $2,999,263 — 160 work days — 12/19/16 US Army Corps of Engineers — Los Angeles District 915 Wilshire Boulevard, Suite 1400, Los Angeles, CA 90017 Stan Fujimoto 626 401-4084 Carson Mall Lateral Phase II Furnish and install 4,4161f 12" PVC and 2291f 12" ductile iron water line with 1151f 24" bore and jack casing and all appurtenances $2,477,440 — 150 calendar days — 8/30/16 Vido Artukovich & Son, Inc/Vidmar, Inc. A JV Page 2 City of Huntington Beach 2000 Main Street, Huntington Beach, CA 92648 David Verone 714 536-5431 Trinidad Lift Station No. 29 and Force Main Improvement Furnish and install 4001f 4" Force Main, 3001f 8" Gravity Sewer, demo and removal of existing structure and construction of new Lift Station with electrical and all appurtenances $2,185,195 — 180 work days — 6/6/16 Chino Basin Desalter Authority 1251 S. Haven Avenue, Suite 202, Ontario, CA 91761 Joe Blum, Butier Engineering 714 832-7222 (jblum( _butier.com) Chino Desalter Phase 3 Expansion Product Water Pipeline Furnish and install 37,OOOIf 30" CML&C, CL 150-250, 6151f 48" steel micro-tunnel casing and 2771f 42" steel bore and jack casing. Original $19,051,220/Final $20,066,645 Complete 9/6/16 - 976 calendar days City of Huntington Beach 2000 Main Street, Huntington Beach, CA 92648 Andrew Ferrigno, P. E. 714 536-5291( AFerrigno(a-)surfcity-hb.orq) George Litzinger, Dudek Construction Mgmt. 619 980-7048 (glitzinger@dudek.com) Warner Avenue Gravity Sewer and Lift Station #C Furnish and install 3,5001f 16" gravity C905, 5001f 12" ductile force main with all appurtenances and lift station. Original $9,846,863/Final $10,556,640 Complete 5/7/15 306 work days City of Pasadena Water & Power 150 Los Robles Avenue, Suite 200, Pasadena, CA 91101 Natalie Ouwersloot, P.E. 626 744-7011 (nouwerslootC)-cityofpasadena.net) Eastside Well Collector Pipeline Furnish and install 22,000 If 16" and 24" DIP water main, CL52 with all appurtenances Original $4,764,721/Final $5,716,721 Complete 5/23/15 Original 130 work days 236 actual Vido Artukovich & Son, Inc./Vidmar, Inc. A JV Page 3 West Basin Municipal Water District 17140 S. Avalon Blvd., #210, Carson, CA 90746 Veronica Govea 310 660-6269 (veronicag@westbasin.org) NRG Recycled Water Conveyance Pipeline Project Furnish and install 7,4241f 10" C905 PVC and connect to existing 12" PVC with all appurtenance and flow control vault. Original $2,279,038/Final $2,365,515 Complete 2/23/13 — 300 calendar days City of Santa Fe Springs 11710 Telegraph Rd., Santa Fe Springs, CA 90670 Frank Beach 562 868-0511 (frankbeach@santafesprings.org) 1-5 Water Main Relocation for Carmenita Road Segment Furnish and install 8,0271f 12" DIP, 4,0701f 16" DIP, CL 150-250 with all appurtenance Original $4,114,930/Final $4,214,987 Complete 1/30/13 — 84 work days City of Glendale, Department of Water and Power— Owner 141 N. Glendale Avenue, Level 4, Glendale, CA Raja Takidin 818 548-3906 (RTakidin@ci.glendale.ca.us) Diederich Reservoir Back-Up Pipeline Project Furnish and install 3,0501f 30" CML&C, CL 250-350 with all appurtenances and connect to Deiderich Reservoir Original $4,319,400/Final $4,933,870. Change Orders initiated by Owner Complete 6/22/12 —487 calendar days South Coast Water District — Owner/Engineer 31592 West Street, Laguna Beach, CA 92651 Marissa Potter 949 248-2099 (mpotter@scwd.org) Camino Capistrano at Via Canon Water Main Replacement and JTM Reach 7 Via Canon Relocation Furnish and install 2,0651f 30"CML&C, CL150-250 water main, 2801f 10" PVC C900 water main w/tie ins, valves and appurtenance $1,057,557 Completed 2/11 - 110 work days 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. ] Mark- Artuko'vich Name of proposed Project Manager Telephone No. of proposed Project Manager: 626 444-4286 Civic Center Wastewater Treatment Facility- Phase 1 $20,451,881 9/30/18 Project Name& Contract Amount Type of Work Date Completed Trinidad Lift Station No. 29 and Force Main $2,185,195 6/6/16 Project Name & Contract Amount Type of Work Date Completed Water Avenue Gravity Sewer and Lift Station #C $10,556,640 5/17/15 Project Name&Contract Amount Type of Work Date Completed 2 Vido Artukovich Name of proposed Superintendent Telephone No. of proposed Superintendent: 626 444-4286 Civic Center Wastewater Treatment Facility - Phase 1 $20,451,881 9/30/18 Project Name &Contract Amount Type of Work Date Completed Phase 2 Regional Transmission Main-Segment B&C I1;550,8I6 11/3/19 Project Name & Contract Amount Type of Work Date Completed Chino Desalter Phase 3 Expansion Product Water Pipeline $20,066,545 9/6/16 Project Name &Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations(DIR).Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/Public Works/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https:Hefi l ing.dir.ca.gov/P W CR/ActionSery let?action=di sp layP WCRegi strationForm 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. Vido Artukovich & Son, Inc./Vidmar, Inc. A J Contractor Z,Al By Vido Artukovich, Managing Partner info@artukovich.com Emai I Managing Partner Title Date: 2-18-2020 PWC Registration #: 1000004168 C-12 City of Huntington Beach r 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov �B•!7,1909a• � Office of the City Clerk Robin Estanislau, City Clerk June 1, 2020 Vido Artukovich & Son, Inc./ Vidmar, Inc. A JV 11155 Rush Street South El Monte, CA 91733 RE: Slater Sewer Lift Station Replacement—CC-1561 Enclosed please find your original bid bond for CC-1561. Sincerely, l� Robin Estanislau, CIVIC City Clerk RE:tm enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand Document A310 TM - 2010 Conforms with The American Institute of Architects AIA Document 310 Bid Bond CONTRACTOR: SURETY: (Name,legal status and address) (Name,legal status and Principal place 011-vints-T) Hartford Fire Insurance Company Vido Artukovich&Son InctVidmar Inc a JV One Hartford Plaza Hartford,CT 06155-0001 This document has important 11155 Rush Street legal consequences.Consultation South El Monte, CA 91733 Mailing Address for Notices with an attorney is encouraged One Pointe Dr.,6th Floor with respect to its completion or OWNER: modification. (Nmrw,legal status and address) Brea, CA 92821 Any singular reference to City of Huntington Beach Contractor,Surety,Owner or g other party shall be considered 2000 Main Street plural where applicable. Huntington Beach, CA 92648 BOND AMOUNT: 10% Ten Percent of Amount Bid PROJECT: (Xanre,location oraddreu aud!'iojectnumGer,ijaut) Slater Sewer Lift Station Replacement Project(1561) The Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surety bind themselves,their heirs,executors,administrators,successors and assigns,jointly and severally,as provided herein.The conditions of this Bond arc such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding orContmc:Documents,with a surely admitted in the jurisdiction of the Project and otherwise acceptable to the Omicr,for tl;:.faithful performance of such Contract at;.'for the prompt payment of labor and material furnished in the prosecution thereof,or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to peribrnt the wort-covered by said bid,then this obligation shall be null and void,othert"ise to remain in lull force and ellect.The Surely h�car any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid.Waiver of notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time lbr acceptance of bids specified in the bid documents,and the Ov ner and Contractor shall obtain the Surety's consent for an extension beyond sixty(60)days. If this Bond is issued in connection with a subcontractor's bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project.any provision in this Bond conllicting with said statutory or legal requirement shall be deemed deleted herel'rom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.When so I'umished,the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and scaled this 3rd day of January, 2020. Vido Artukovich&Son IncAAdmar Inc a JV (Principal) / (Seal) (Tale)Vido Artukovich, Managing Partner, � t{la>±tHSD Hartford Fire Insurance Company r ) Maria Pe- a I * ►; (Title) emi Quiroz Atto ney-in-Fact cb��Kt► o S-0054/AS 8110 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 ) ss County of Los Angeles ) On 'J /_�� , before me, Maria Pena, Notary Public, personally appeared Noemi Quiroz , who proved to me on the basis of satisfactory evidence to be the personk4 whose names} is/a-Fe subscribed to the within instrument and acknowledged to me that 4e�she,t4eyF executed the same in #is/her/theiF authorized capacity4es4, and that by 4+ herd signature{} 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. MARIA PENA Notary Public-California UM"' . Los Angeles County Commission#22383�2022 My Comm,Expires May 1 Signature: (Seal) Maria Pena, Notary Public Direct Inquiries/Claims to: y THE HARTFORD Bond T-12POWER OF ATTORNE One Hartford Plaza Hartford,Connecticut 06155 Bond.ClaimsO-the hartfo rd.com call:888-266-3488 or fax:860-757-5835) KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Code: SurePath Hartford Fire Insurance Company,a corporation duly organized under the laws of the State of Connecticut Hartford Casualty Insurance Company,a corporation duly organized under the laws of the State of Indiana Hartford Accident and Indemnity Company,a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company,a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company,a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois,a corporation duly organized under the laws of the State of Illinois Hartford insurance Company of the Midwest,a corporation duly organized under the laws of the State of fndiana Hartford Insurance Company of the Southeast,a corporation duly organized under the laws of the State of Florida having their home office in Hartford,Connecticut(hereinafter collectively referred to as the"Companies')do hereby make,constitute and appoint Noemi Quiroz of Los Angeles,CA their true and lawful Attorney-in-Fact,to sign its name as surety(ies)only as delineated above by®,and to execute,seal and acknowledge the following bond,undertaking,contract or written instrument: Bond No.Bid Bond on behalf of Vido Artukovich&Son Inc/Vidmar Inc a JV naming City of Huntington Beach as Obligee in the amount of See Bond Form on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted In any actions or proceedings allowed by law. In Witness Whereof,and as authorized by a Resolution of the Board of Directors of the Companies on May 6,2015 the Companies have caused these presents to be signed by its Senior Vice President and Its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further,pursuant to Resolution of the Board of Directors of the Companies,the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. 4W e x►,�trs:+ IN �'„ia"��.h� o�rrrr :ac".,erri a ►4a>1*97 far^ r�•'y n 1161"01� q 107Ole i'^.,y ii 972 Z 24t9 ♦ * '4�j��.:� '+�F-,tl�t � "'iq•`alNaS 4MaN• '•tis'•l��• John Gray,Assistant Secretary M.Ross Fisher,Senior Vice President STATE OF CONNECTICUT Hartford COUNTY OF HARTFORD On this IIth day of January,2016, before me personally came M. Ross Fisher,to me known,who being by me duly sworn, did depose and say:that he resides in the County of Hartford,State of Connecticut;that he is the Senior Vice President of the Companies, the corporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals;that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. a�gN T�7y ~ FUSU�ai KathleenT.Maynard cc"htc�+� Notary Public CERTIFICATE My Commission Expires July 31,2021 I,the undersigned,Assistant Vioe President of the Companies,DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attomey executed by said Companies,which is still in full force effective as of January 3, 2020 Signed and sealed at the City of Hartford. i'667op :I �� •'ranr,rnr t1872•,�u�oiS e.tiN' �iros�r•. ex Kevin Heckman,Assistant Vice President SurePath POA 2016 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 of validity of that document. State of California ) )ss County of Los Angeles ) On February 18, 2020 before me, Sharon Artukovich, Notary Public, personally appeared Vido Artukovich, who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. I certify under PENALTY FOF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. SHARONARTUKOVICH Notary Public•California "Y + Los Angeles County Signat re: Commission#2296136 GA My Comm.Expires Jul 31,2023 Sharon Artukovich, Notary Public (Sea 4 k YL 3 Vido Artukovich & Son, Inc./ Vidmar, Inc. A JV 11155 Rush Street F} South E1 Monte, CA 91733 � y4f'�t 351. Zi �- ts SEALED BID q--& p' SLATER SEWER LIFT STATION REPLACEMENT PROJECT, CC 1561 CITY OF HUNTINGTON BEACH p DO NOT OPEN WITH REGULAR MAIL ,, OFFICE OF THE CITY CLERK �sur�sr s v � fa 2000 Main Street, Room B8 37 Huntington Beach, CA pv ay,,� s�,�r� ���k�cr� 5w��° t�t s �iY�"k '� �'`4.r' � , r rrx" Tf� e k lQt� `s��,tytYg,, NY 61 9330Z