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HomeMy WebLinkAboutContract Not Awarded - 2018-04-24 Bid Opening Held Contract Not Awarded Project Put on a Five-Year Hold CC - 1555 Well No. 14 Storm Drain on McFadden Avenue from Vasser St. to Gothard Street Ferrigno, Andrew From: Ferrigno, Andrew Sent: Tuesday, February 19, 2019 9:48 AM To: Switzer, Donna Subject: Well 14 Storm Drain, Winning Bid by GREFCO Donna, The Well 14 Strom Drain was bid but never awarded. I'm sending you the winning bid from GREFCO (interoffice mail). I was holding on to it because we were hoping to get permission to construct the project from the City of Westminster. The project was recently put on hold for 5-years. Let me know if you have any questions. Andrew Ferrigno Senior Civil Engineer City of Huntington Beach 714-536-5291 aferrigno@surfcity-hb.org 1 �lsli� SECTION A 11 1211Z' NOTICE INVITING SEALED BIDS for the construction of WELL NO. 14 STORM DRAIN on McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET CC No. 1555 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 April 24, 2018. 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 $35.00 nonrefundable fee if picked up, or payment of a$50.00 nonrefundable fee if sent by UPS ground delivery (bidder shall pay additional costs for special delivery). Plans, Specifications, and contract documents can be downloaded free on AGENCY website. http://www.huntingtonbeachca.gov/govemment/departments/public works/Bids/ Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California, the minimum prevailing rate of per diem wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial Relations of the State of California, which are on file at the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. The AGENCY will deduct 5% retention from all progress payments. The Contractor may substitute an escrow holder surety of equal value to the retention in accordance with the provisions of the Public Contract Code, Section 10263. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race, color, national origin, ancestry, sex, or religion in any consideration leading to the award of contract. No bid shall be considered unless it is prepared on the approved Proposal forms in conformance with the Instructions to Bidders as determined by the AGENCY. The bid must be accompanied by a certified check, cashier's check, or bidder's bond made payable to the AGENCY for an amount no less than 10% of the amount bid. The successful bidder shall be licensed in accordance with provisions of the Business and Professions Code and shall possess a State Contractor's License Class A at the time of the bid opening. The successful Contractor and his subcontractors will be required to possess business licenses from the AGENCY. All extension of unit prices will be subject to verification by the AGENCY. In case of a variation between the unit price and the extension, the unit price will govern. Project Description: The project consists primarily of the installation of approximately 1,800 linear feet of 24-inch reinforced concrete storm drain pipeline within the public right of way of the City of Westminster and the City of Huntington Beach. The contract also includes approximately 390 linear feet of 12-inch and 16-inch restrained ductile iron potable water pipeline. The Engineers estimate for this project is $770,000. The contract shall allow the Contractor 60 working days to complete the contract. 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 5th day of September 2017,by Resolution No. 2017-43. Attest: /s/Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH SEC-TIONX NOTICE INVITING SEALED BIDS for the construction of WELL NO. 14 STORM DRAIN on McFADDEN AVENUE FROM VASSE R STREET TO GOTHARD STREET CC No.1555 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF RUN- TINGTON BEACH,c s AGENCY, invites sealed bids for the above stated proiects dill 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:OOAllison April 24 201L Bids willbepub- licly 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 $35.00 nonie;Iundabie fee if picked up,or payment of a$S6.00 nonrefundable fee if sent by UPS ground delivery (bidder shall pay additional costs for special delivery Plans, cifications, and contract documents qp ?I- �rs&Uwn�hoo, -&ejeDn AGENCY webs unig ite.achca.gov overnment/departments/public _Mrks/Bidst Any contract entered into pursuant to this notice will incorporate the per visions of the State Labor Code. Pursuant to the provisions of the a'X,F Code of the State of California,the minimum prevailing rate of per them wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Di- rector of Industrial Relations of the State of California 6which are on file at the Office of the Director of Public Works, 200 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 he Public Con- tract 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 re- sponse to this notice and will not be discriminated against on the ba- sis of race, color, national origin, ancestry, sex, or religion in any consideration leading to the award of contract. No bid shall be considered unless it is prepared on the approved Pro- posal forms in conformance with the Instructions to Bidders as deter- mined by the AGENCY.The bid must be accompanied by a certified check, cashier's check,or bidder's bond made payable to the AGEN- CY for an amount no less than 10%of the amount bid. The successful bidder shall be licensed In accordance with provisions of the Business and Professions Code and shall possess a State Contractor's License Class A at the time of the bid opening. The successful Contractor and his subcontractors will be required to ssess business licenses from the AGENCY. All extension of unit prices will be sublect to verifica- tion by the AGENCY. In case of a variation between the unit price and llthe extension,the unit price wil I govern. Proect The ect consists prlffwrlly of No In- 9ftliatioDn of esc app ription:roximatefyrol NO linear feet of 24-Inch rein- forced comirete storm drain I line within Way of the City of WestmIrWr and this City at Huntington Beach. The contract also Includes approximately 390 linear feet of 12-1 nch and I&Inch restrained ductl Is Iron potable water pipeline. The Enul neers estimate for this prolect Is$770,000. The contract shall allow the Contractor 0 working days to complete the contract. The AGENCY reserves the rilt to refect any or all bids, to waive any irregularity and to take a I bids under advisement for a maxi- mum period of 60 days. BY ORDER of the CITY CO a I L of the CITY OF&NTINGTON BEACH, CALIFORNIA, the day of September by Resolu- tion No.2017-43. Attest: Is/Robin Estanislou C ITY CLERK OF THE CITY OF H UNTI NGTON BEACH Pub. The Huntington Beach Wave March 29,April 5,12,201811097093 4 AM1097093 Run Date 3/29, 4/5, 4/12 Cost $864 PROOF 3 2011 APR 24 AM 9: 59 Ia k CLERK 2011 APR 24 Ali 10* 00 CITY aF _ !!!INTINGTOM PBE C-1T T�yYnO�FR `- C i LL �. N Lt� CD WX 'ti -- o N cc � 0. l H r t iV�-z r 10, D0 � CITY OF HUNTINGTON BEACH PROJECT NAME: Well 14 Storm Drain (Related to CC1500 and CC151E CC#: CC1555 BID OPENING DATE: 4/24/2018 TIME & LOCATION: 10 am Council Chamber ENGINEER'S ESTIMATE: $770,000.00 BIDS SUBMITTED (AS READ AT OPENING) BIDDER'S NAME FINAL APPARENT BID RANK AMOUNT Beador Construction Company, Inc L v a Blois Construction, Inc. Cedro Construction Inc ^�l Z Colich & Sons Creative Home/CHI Construction E.J. Meyer Company Environmental Construction Excel Paving Garrett J Gentry Gen. Eng. Inc. o GRBCON, Inc. n Grfco Inc. s Gwinco Construction & Engineering Inc. L� KANA PIPELINE, INC. Do Los Angeles Engineering Inc. 2 Minco Construction Mladen Buntich Construction Company Inc MPS Inc Pro-Craft Construction, Inc. Sully-Miller Contracting Company T.E. Roberts, Inc. United Engineering & Construction Inc. 67 g Vasily Company, Inc. ►SW Vido Samarzich, Inc. Williams pipeline contractors inc PTS 11012016 Version 15 CC1555 CITY OF HUNTINGTON BEACH PROJECT NAME: Well 14 Storm Drain (Related to CC1500 and CC151E CC#: CC1555 BID OPENING DATE: 4/24/2018 TIME & LOCATION: 10 am Council Chamber ENGINEER'S ESTIMATE: $770,000.00 BIDS SUBMITTED (AS READ AT OPENING) BIDDER'S NAME FINAL APPARENT BID RANK AMOUNT Beador Construction Company, Inc s. Od u Blois Construction, Inc. Cedro Construction Inc Colich & Sons Creative Home/CHI Construction E.J. Meyer Company Environmental Construction Excel Paving Garrett J Gentry Gen. Eng. Inc. 17 ` ) F''` GRBCON, Inc. Grfco Inc. qr7r Gwinco Construction & Engineering Inc. KANA PIPELINE, INC. MO.L 1 Los Angeles Engineering Inc. 2 Minco Construction Mladen Buntich Construction Company Inc '� >I In l° MPS Inc Pro-Craft Construction, Inc. Sully-Miller Contracting Company T.E. Roberts, Inc. United Engineering & Construction Inc. ( C" Vasily Company, Inc. , Vido Samarzich, Inc. Williams pipeline contractors inc l 1 iV PTS 11012016 Version 15 CC1555 City of Huntington Beach _ 20oo Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov „fFB.'77.•19p9 P�. � Office of the City Clerk Robin Estanislau, City Clerk October 13, 2020 Beador Construction Company, Inc. 26320 Lester Circle Corona, CA 92883 RE: Well No. 14 Storm Drain on McFadden Avenue from Vasser Street. To Gothard Street - CC No. 1555 Enclosed please find your original bid bond for CC-1555. Sincerely, Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand CONTRACT DOCUMENTS SPECIFICATIONS AND STANDARD DRAWINGS for the construction of WELL NO. 14 STORM DRAIN on McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET CC No. 1555 in the CITY OF HUNTINGTON BEACH 2000 MAIN STREET HUNTINGTON BEACH,CALIFORNIA 92648 (714) 536-5431 BIDS DUE: April 24,2018 10:00 AM,2nd FLOOR City Clerk's Office TRAVIS K. HOPKINS, DIRECTOR DEPARTMENT OF PUBLIC WORKS r SECTION C PROPOSAL for the construction of WELL NO. 14 STORM DRAIN on McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET CC No. 1555 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 60 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid,unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find in the amount of iV W 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 va% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 SECTION C PROJECT BID SCHEDULE A WELL NO. 14 STORM DRAIN, CC 1555 (McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET) BID ITEMS �- • r Item Description Quantity Unrt Unrt,Cost //Total Cost ..#u� '"'� ii . .i"�� c q I��I4 a�4i..Jim.i�..z, ��� ��i�lI,AIE%tCIISloll) ,I 1 Mobilize and Demobilize 1 LS $ „yyf/�)l�,/)n�' $ 2 Construction Safety 1 LS $C.1, 041 $ �a�X?" 3 Traffic Control, preparation and implementation 1 LS $ V - $ 1010 4 BMPs implementation of WPCP 1 LS $020,3is, $ o?o,3og•S 5 Prepare WPCP 1 LS $ 3,000' $ 3,000 6 24-inch Diameter Storm Drain 1785 LF $ R;?S- $ go 1,toaS 7 42-inch Storm Drain Junction Structure, Type B, Plan 305 1 EA $ i$ 0Uj' $ 1S,OW 8 Storm Drain Junction Structure, Type A, Plan 304 4 EA $ $ 9 4-foot ID Precast Manhole, Detail 1 sheet C501 1 EA $ �y- $ 10 2-Inch Air Vacuum Release Assembly 2 EA $o2,SOV^ $ C,, 00J- 11 Raise 8-inch Waterline, Detail 6 Sheet C501, Plan Note 18 2 EA $ 1a,5V0- $ o2S,0JJ 12 Tee Patch Storm Drain per Plan 109, Plan Note 17 1250 LF $ S'�•°� $ 1910.a50 13 1-inch Water Service 1 LS $ 110OJUl $ 11,001 14 16-inch Well Discharge Pipeline 90 LF $ q(P()1 $ gl1kLX)- 15 6-inch Fire Hydrant Assembly 1 EA $ 17,gvU $ 17,5-00- 16 12-inch Well Discharge Pipeline 300 LF $ dqt)- $ ye2,( 00 17 2-inch Pavement Grind and Overlay and Pavement Striping 335 TN $ 1100- $ S o0 18 Remove and Replace Traffic Signal Loops 15 EA TOTAL BID AMOUNT(BASIS OF AWARD)—SCHEDULE A $ 92—:2 TOTAL BID AMOUNT IN WORDS: % L 11"'?1v -hA re-e -�-A OLIS C1411( a—lid -/1 ie�ee un elw& 4&//a/-5 'qmd ?-x� c-.e-,%- Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. C-2.1 SECTION C PROJECT BID SCHEDULE A WELL NO. 14 STORM DRAIN,CC 1555 (McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET) 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 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 ft llt'a L'14- > 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,,Sta� �t�eof California that the foregoing is , true and correct and that this declaration is executed on b,at C.6x6ra t , G A Date City State �o�.i►d acNXt , being first duly sworn, deposes and says that he c f sye is `1�RtS►dOv��- of &,,cVq.- Can4-lywc,61% C.rj, lv►t . 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. CfM A"i an Cd�n r� 1 vac Name of tidder 4 Sign re of Bidder 2�320 l.es� C'►�le,C�a�Cra �,� $3 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 WELL NO. 14 STORM DRAIN PROJECT CC 1555, (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. o a for QGS, Title Date: 11I2311 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 a 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. Contra B Title Date: 61123 1-b C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: C.wWs-\"c-WA Bidder Name 2\o320 Business Address CrfR uv��. G A 9 Z 0$3 City, State Zip ( c-1 S 1 ) l0 H- 9 3 @\oeo.clvtz. ccLti Telephone Number Email Address V O403 - A State Contractor's License No. and Class 31ze101k, Original Date Issued ,13, I,w Expiration Date `` - The work site was inspected by �.i,d �•�L of our office on 4 Itj t Y) , 201_b. The following are persons, firms, and corporations having a principal interest in this proposal: The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Ztec, CcN6avJ� G v.Y,�v+c . Co pV e Signs of idder Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this 23 day of A q% ,2011. 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 7,ve%61d e ) On \ 23 ,2 016 before me, Month, Day, and Year Insert Name and Title of Notary personally appeared Jc, $e4'LACC 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. R.QUEZADA WITNESS my hand and official seal. Commission f 2100414 Notary Public-California z Orange County My Comm.Expires Mar 19,2019 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 RCP Storm Drain Pipelines, and DIP Potable Water Pipelines within the public right of way. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: Name and Address of Public Agency Name and Telephone No. of Project Manager: �-► j lle ',i�t-aaz - 71H-O9p-IW S VI 700 , e,,e 0- 54-eG4 lwt P�Q"•Y�Tev�.tPw�J �ci 417 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. Cy r &C i ,nce Name and Address of Public Agency Name and Telephone No. of Project Manager: 'a S,/yj- 34)DS s ej i 30() k4Y zd17 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: . QUE�.Leuna�� Name and Address of Public Agency Name and Telephone No. of Project Manager: Cs a O 11 l\J,^- e 193, VL)J ',eb 7016 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions,please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. d V>ec.caa(z- Name of proposed Project Manager Telephone No. of proposed Project Manager: 0ISl- lc711. -ISSa I ,)4e gQ4A - Q 511-700 Sever �rlvff� 1-,A pvNe,. v,.h 10ec. 7"117 Project Name &Contract Amount Type of Work Date Completed Project Name&Contract Amount Type of Work Date Completed LA,-�e ?--e ekcq-(,e U-^-ev-k- 0� 39 3, cJLU r-e b Zoi t) Project Name&Contract Amount Type of Work Date Completed 2. �c.QQ.� LaVw.t�✓� Name of proposed Superintendent Telephone No. of proposed Superintendent: 1 S 1' lo'7 y• 7 3 ScZ 'NML\e.eb-d t ,..Q VSl-1,Z00 Sewer X-v-peAve—,*vw-b c Zvi7 Project Name &Contract Amount Type of Work Date Completed 5e\�a- L,\nt * %'13,OJO Ire b Zd%Jj Project Name &Contract Amount Type of Work Date Completed Project Name&Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link—Call(844) 522-6734 https://efiling.dir.ca.gov/PWCR/ActionServlet?action--displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Cw-s�1ati L`,w, Cd,.i wY,1�c Contfac or Title Date: ' ks 7.) 1 Q, PWC Registration#: 160060 9 e1 64t C-12 T 9 N m S� Q U W ~u� o x v d d 7 L� .3 M U 00 U U rn � 'cn o 2 o f) O �1 0 cz 0 cz i-SAIA Document TM --- 2 1. A 1 3 t} � 0 Bid Band CONTRACTOR: SURETY: Nationwide Mutual Insurance Company (Naine, legal status and address) (kame, legal staters and principal place Beador Construction Company, Inc. ofhuslness) 26320 Lester Circle 7 World Trade Center,37th Floor Corona, CA 92883 New York NY 10007-0033 This document has important legal consequences.Consultation with OWNER: an attorney is encouraged with. (INrame, legal status and`a dress) respect to its completion or modification. City of Huntington Beach to 200 Main Street, Huntington Beach, CA 92648 Any singular reference n Contractor,_Surety, Owner or BOND AMOUNT () TEN PERCENT(10%)of the Total Amount Bid other parry shell be:considered plural where applicable: PROJECT Well No. 14 Storm Drain on McFadden Avenue from Vasser Street to Gothard Street (Marne, location or address,and Project,number, if arty) Project Number,if any: CC No. 1555 The Contractor and.Suretyr 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 docunients,orwithin such time period as Wray be agreed to by the Owner and Contractor,.and the Contractor.either(1.)eaters into a contract with the.Owner i.n accordance it tli.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 perfonnance 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.nie 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 tunic 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 comiection with.a subcontractor's bid to a Contractor,the ternn Contractor in this Bond shall be deemed to be Subcontractor and the terns Owner shall be deemed to be Contractor. When this Bond.lias been furnished to comply with a statutory or other.legal requirement in the location of the Project, any provision in this Bond conflicting with'said statutory or legal.requirement.shall be deemed:deleted herefrom and provisions.conforming to such statutory or other legal requirement shall be deemed incorporated herein.When so furnished,the intent,is that this Bond shall be construed as.a statutory,bond and.not as a common:law bond. Signed and sealed this 18th day of April, 2018 Be d r C ns ruction Company,Inc. ( {Seulj gvitness) r.'7y t-2 Nationwide Mutual Insurance Company (5 o ! ' rt (Seal) s) Christine M aestas,V.P.surety Operations ` 7i .e1 Edward N,Hackett ,Attorney in Fact AIA rocument Aa10TM—2010.Copyright 0 1963,1970 and 2010 by The American Institute of Architects All rights reserved. M~ CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verified only the identity of the individual who signed State of California the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. County of _,.,._..._...__..._.....Orange q 7, On Maestas before me, Q. Notary Public . ..............=:�Nota I'll,......... (I lerc irvicrt lvlrllc and title of the officcr) personally appeared Edward N. Hackett ........... ...............--............... .who proved to me on the basis of satisfactory evidence to be the person(s) whose narnefs) is c subscribed to the within instrument and acknowledged to me that he,",,4e,'they executed the sarne in hl5>4et:4144-k- authorized capacityfies),and that by on the instrument the persona ),or the entity upon behalf of which the person(,,)acted,executed the instrument. I Certify Linder PENALTY OF PERJURY Linder the laws of the State of Calift)rnia that the foregping paragraph is true and correct. C. MAESTAS Commission #2117336 L Notary Public-California WITNESS my hand and official seal. z z Orange County My Comm. Expires Jul ADDITIONAL OPTIONAI., INFORMATION INSTRIA'.710NIS,F'OR CO14PLE1"ING 11 US FORM riallf3jeled h7 (",dy;)r1the must row-lill lwrhif�t,'e eravf�r as DESCRIPTION OF 41 IE A'17ACI IED DOCUMFINT abote I/ou lywiry tv-<1 mffsl be proper" j, CtImpleled alld allarhed to than Tile Only e.rrep.'ion i.v Y'Pl docionew is to be recorded osll,;ide q 1,1111fil"raili, hr;sifeh insivw:e5,err,,allernaii v Huntington Beach Bid Bond verb iiig (isw heri isch o ouvwi:yo kwg os file(Tille ordzscriptiol ofattaclitul docwnem) pw dais 110" require the Mal is Neural for a nown ill rertifi-ing the awhwiz,d vfllylNiv pl,,asc che<4-the ffitle,or&scrijltioti of attaclicd dcwtunent continued) prober nolarial tI-Vl ibv�g awl all m'll dn's/ilrlol Y required. state Ifni)County ill(olmatioll llltls IV the state,and Cowily wilere OW docna-wet Number of Pages_( Docunient Date' public lot ackiiowlek.,mcrv. • Dju-o notarization intw be the datc timdic sivilerisi pawlially aprcarcd Whieh direst al e he date flit is comnittcd. (Additional ittibmialion) The nwary public IIIIIm print Ilk or tier mini.als it,appears within Ilk,or her Prim tile nanwfs,)of fjoinuo',fit sigswri"')who perwna fly appre"r at the brae,'Ine of 11olarizatior, CAPACITY CLAIMED BY T]IE SIGNER indicate tile correct sire'lliar of pllw'id fornis by crossing-off incorrect finrrw; Cl 4Wshe,4"e�—, is-"oe I or c4cling Qorrcet founs,rllilllr,,�lo comxlly illdicaw this - Individual (s) trim,lead to rejc-ciion ol'do,,tuircrit recoIding. * Corporate Officer The notary ,eal impression must lIc delir and phow-sn-aphicilly r;ImIcIticilik" lntllresirin 111USI not cover text or firis,if sealimpres.,irm.smuou ges,re-ical if a ('title) SUffiCiVIII a:--'I PCI-Illili,OdWrki(ise complete a different acknow1celpmcni rornn, * Partnei-(s) siggllwure of tile llolary PtIblic must match the signature on file xiih itic offiec of tile county clerk, X Attorney-in-Fact r-R Additional in'J"bonation is riot reqtiired Iml -NnAd help I<) cnstin" this 0 Trustee($) ackitc,)wledgmcut is not misirsed of attached it,41 difle;eni docullICIII, 0 Other C4. Irldicato title or Iypc.01'aw'Whed doctinicrit,numl),n-o g f pas Anxldate. ........................................................................................................... ........................ CA ivdicau,the carxicity daillied by 111C I;igner.Ifflicclaimcd c4ipcily-'s a coToratc ot'lluer.indicaic the title(Lc.CE.O.CF0,S=vury). Secttrely attach this dcwtunctit to theI;igncd dtrmv-,,-r)t .................... Power of Attorney KNOW ALL MEN BY THESE PRESENTS THAT: Nationwide Mutual Insurance Company,an Ohio corporation AMCO Insurance Company,an Iowa corporation National Casualty Company,an Ohio corporation Allied Property and Casualty Insurance Company,an Iowa corporation hereinafter referred to severally as the Tompany'and collectively as"the Companies"does hereby make,constitute and appoint: EDWARD N.HACKETT IRVINE CA each In their individual capacity,Its true and lawful attorney-in-fact,with full power and authority to sign,seat,and execute on its behalf any and all bonds and undertakings,and other obligatory instruments of similar nature,in penalties not exceeding the sum of FIVE MILLION AND NO/100 DOLLARS S 5,000,000.00 and to bind the Company thereby,as flAly and to the same extent as if such Instruments were signed by the duly authorized officers of the Company;and all acts of said Attorney pursuant to the authority given are hereby ratified and confirmed. This power of attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the board of directors of the Company: "RESOLVED,that the president,or any vice president be,and each hereby is,authorized and empowered to appoint attorneys-In-fact of the Company, and to authorize them to execute and deliver on behalf of the Company any and all bonds,forms,applications,memorandums,undertakings, recognizances,transfers,contracts of indemnity,policies,contracts guaranteeing the fidelity of persons holding positions of public or private trust,and other writings obligatory in nature that the business of the Company may require;and to modify or revoke,with or without cause,any such appointment or authority;provided,however,that the authority granted hereby shall in no way limit the authority of other duty authorized agents to sign and countersign any of said documents on behalf of the Company.' "RESOLVED FURTHER,that such attomeys-in-fact shall have full power and authority to execute and deliver any and all such documents and to bind the Company subject to the terms and limitations of the power of attorney issued to them,and to affix the seal of the Company thereto;provided,however,that said seal shall not be necessary for the validity of any such documents." This power of attorney is signed and sealed under and by the following bylaws duly adopted by the board of directors of the Company. Execution of Instruments.Any vice president any assistant secretary or any assistant treasurer shall have the power and authority to sign or attest all approved documents,instruments,contrails,or other papers in connection with the operation of the business of the company In addition to the chairman of the board,the chief executive officer,president,treasurer or secretary;provided,however,the signature of any of them may be printed,engraved,or stamped on any approved document,contract,instrument,or other papers of the Company. IN WITNESS WHEREOF,the Company has caused this instrument o befealed a uty attested by the signature of its officer the Ist day of May 2017 �, ♦1 \` Antonio Albanese, Vice President of Nationwide Mutual Insurance Company, National �'► Casualty ,ompany,AMCO Insurance Company,Allied Property and Casualty Insurance Company /*-SF * i L?*/ ACKNOWLEDGMENT .% STATE OF NEON YORK,COUNTY OF NEW YORK:as �� aI ' gf i t;ne On this 1st d of tuba 2017 ay Y ,before me came the above-named officer for the Company aforesaid,to me personally known to be the officer described in and who executed the preceding Instrument,and he acknowledged the execution of the same,and being by me duly G1*j ♦ !►; sworn,deposes and says,that he is the officer of the Company aforesaid,that the seal affixed SE 1V'ieN„y ems,' hereto is the corporate seal of said Company,and the said corporate seal and his signature were = ' duly affixed and subscribed to said Instrument by the authority and direction of said Company. +�+ fir HARRY T.BASSIS * 3p�lL ` * :eAr Notary PublicStateof New York A obia �, riis, � No.02BA4656400 ��� Qualified in Now York County wary Pubic Commission Expires April 30,2019 MY Comminion Expires CERTIFICATE Apo 30.2019 I,Laura B.Guy,Assistant Secretary of the Company,do hereby certify,that the foregoing is a full,true and correct copy of the original power of attorney issued by the Company;that the resolution included therein is a true and correct transcript from the minutes of the meetings of the boards of directors and the same has not been revoked or amended In any manner,that said Antordo C.Albanese was on the date of the execution of the foregoing power of attorney the duly elected officer of the Company,and the corporate seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority of said board of directors;and the foregoing power of attorney is still in full force and effect. L!.. I4 IN WITNESS WHEREOF,l have hereunto subscribed my name as AssistaW Secretary.and affixed the corporals I of id Company this day of This power of attorney expires: April 30,2019 Assistant Secretary BDJ 1(05-17)00 47029 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT I � State of California County of Riverside Ss. .J ,J On April 23, 2018 before me, R. Quezada, Notary Public Date Name and Title of Officer J Personally appeared David A. Beador Name(s)of Signer(s) :7 Who proved to me on the basis of \� satisfactory evidence to be the person(s)whose name(s)is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized R. OUEZADA capacity(ies),and that by his/her/their J signature(s)on the instrument the person(s) �. Commission 2100414 or,the entity upon behalf of which the person(s) kz"C� Wo Notary Public-California D acted,executed the instrument. Orange County MY COMM Expires Mar 19,2019 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 official seal, Signature of No ry Public _!I _ Place Notary Seal Above \ OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could - prevent fraudulent removal and reattachment of this form to another document `I Description of Attached Document Title or Type of Document: `i c� Document Date: Number of Pages: Signer(s) Other Than Named Above: 'l `l 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 Trustee Trustee _ Top here of thumb _ Top of thumb _Guardian or Conservator _Guardian or Conservator here Other:_ _Other: 7 Signer is Representing: Signer is Representing: =i i - � City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov ,pEe•l7, 909P� Office of the City Clerk Robin Estanislau, City Clerk October 13, 2020 Cedro Construction, Inc. 120 E. Santa Maria Santa Paula, CA 93060 RE. Well No. 14 Storm Drain on McFadden Avenue from Vasser Street. To Gothard Street - CC No. 1555 Enclosed please find your original bid bond for CC- 1555. Sincerely, Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of WELL NO. 14 STORM DRAIN on McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET CC No. 1555 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The • undersigned agrees to complete the work within 60 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accom anymg this proposal of bid, find A in the amount of V -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 forllD% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature • • C_2 SECTION C PROJECT BID SCHEDULE A WELL NO. 14 STORM DRAIN, CC 1555 (McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET) BID ITEMS r yn 1 Mobilize and Demobilize 2 Construction Safety 1 LS $( $ l52�0 3 Traffic Control, preparation and implementation 1 LS $ azzo`° $?D224�o 4 BMPs implementation of WPCP 1 LS $ ,4-/ V $ 5 Prepare WPCP 1 LS $ 2 �v� $ 2spD 6 24-inch Diameter Storm Drain 1785 LF $—GG $ 11 2, 7 42-inch Storm Drain Junction Structure,Type B, Plan 305 1 EA $ ' 5 tw1 8 Storm Drain Junction Structure,Type A, Plan 304 4 EA $J Lit 1 �a�' $ OOA&cam? 9 4-foot ID Precast Manhole, Detail 1 sheet C501 1 EA 10 2-Inch Air Vacuum Release Assembly 2 EA $ $ 11 Raise 8-inch Waterline, Detail 6 Sheet C501, Plan Note 18 2 EA $ 12 Tee Patch Storm Drain per Plan 109, Plan Note 17 1250 LF $ 2 $ 13 1-inch Water Service 1 LS $ Jd��=-' $ 0 14 16-inch Well Discharge Pipeline 90 LF $ !2 $ Q®` O? 15 6-inch Fire Hydrant Assembly 1 EA $ o� $ 9 �'� ,_,.. 16 12-inch Well Discharge Pipeline 300 LF $ /9-j(_ $ 17 2-inch Pavement Grind and Overlay and Pavement Striping 335 TN $6,7 v $-1?3 7 60 18 Remove and Replace Traffic Signal Loops 15 EA $ ' $ ` L�2 TOTAL BID AMOUNT(BASIS OF AWARD)—SCHEDULE A $ F 3 9 2 3c,2 TOTAL BID AMOUNT IN WORDS: Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. C-2.1 SECTION C PROJECT BID SCHEDULE A WELL NO. 14 STORM DRAIN, CC 1555 (McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET) 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 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. Name andAddress f DIR PWC Dolar %'ofBid S Item(s) Subcontractor License Registration-# . Amount Contract: ~Number el12✓�F r� c �C90 r5 6S 5 6 ��� 10 0de03714 o " v OetX&��LLCnG vl"MacT' �k� d j y' � � O���PaS /c900 By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on�, at Date City State being first duly sworn, deposes and says that he or she is Arts�cK t of CeJ o 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 Address of Bidder c(t 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 WELL NO. 14 STORM DRAIN PROJECT CC 1555, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Contractor l By Title Date: � r�r��� C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes &Ko 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 y Title Date: C • C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name 7Y-2-- Business Address City, State Zip Telephone Number Email Address State Contractor's License No. and Class l'i' (-If200 Original Date Issued Expiration Date The work site was inspected by W- G � of our office on f'��CJ , 2019'. The following are persons, firms, and corporations having a principal interest in this proposal: L YE (,0M,1`rzu(.T(y1,- Cq l5�96471 v� 5 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. Company Name f Signature of Bidder Printed or Typed Signature C-S NOTARY CERTIFICATE d Subscribed and sworn to before me this day of `nn� t ) , 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 �'��bbr�e ��� r — Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the personka'jwhose name(,&Yis/w subscribed to the within instrument and acknowledged to me that he/sue/0tdy executed the same in his/hor/thy authorized capacity(' s), and that by his/W/the'ir signatureK on the instrument the person(K 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. MILLIE DIAZ WITNESS my hand and official seal. Notary Public -California Ventura County, Z z '' Commission#2155051 My Comm.Expires May 28,2020 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 RCP Storm Drain Pipelines, and DIP Potable Water , Pipelines within the public right of way. 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. C�kcj o4' L4Kcas4er 44 tll YVcrlh FtM-'• Name and Address of Public Agency Name and Telephone No. of Project Manager: Co4lar:a.4 Neygre z 461- 141-(-Ii 5 t I.oct, Ooo "'- 5+o r r,n Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3+,s*a11 IRCi3 SC? Qelocafe (AJL4er c. S�we,✓ 2. Covh+ off' goo 50C Arm C1�c,�o r �q I�UC� 11ev���tw4 Ca Name an Address of Public Agency • Name and Telephone No. of Project Manager: -J'av%PJho.+n P,c kercle ,z SO. p o o °` S i-orx" or,: 2 -a.G - S.014 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: =,-s4a11 Rc6 , Pave a sfr�Q��ne T ^-7 J If 3. , na(r�Ja`E. Wo,4er 044r;cA t 2o2.q E Atle Q Name and Address of Public Agency f 6a rnd4.l a Name and Telephone No. of Project Manager: pg}eY- -Mo w,f'So L. GG1-qM 1-y 1\1 is1.34. 3542 W.Areq- 1 , eelN9 G/Zd hots Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-10 f• , 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. t*XZ C�,o,e.\ Ve.rv.er Name of proposed Project Manager Telephone No. of proposed Project Manager: q 6 �d�Z"0°�"t 7 Couh��3 0- yeVkk()ra 5{orYA PYg;H 2- 1G-2elb Project Name & Contract Amount Type of Work Date Completed 4WONd Ci�, o L.a+tccsAe{ 54orr1 2-Uo-2a1-6 Project Name & Contract Amount Type of Work Date Completed ta.(M)9 e �U%10141r 0is+- W.-Ae Vw* 661 -9co -y11 t Project Name& Contract Amount Type of Work Date Completed 2. A lv eAc5 Ceokr& Name of proposed Superintendent Telephone No. of proposed Superintendent: Cg 05- U Cavt-.4ch QO QP-vt4yr-, 540r" Ora 2-16-a414 Project Name & Contract Amount Type of Work Date Completed Cacti a� l.gnc.,a4e+ s4cwv-- Pro..V 2--R6-.ga14 Project Name & Contract Amount Type of Work Date Completed • a �w�ola�p t,Jot'll'P� �;s� �i -�4�a a (S�." Project Name& Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https:Hefiling.dir.ca.gov/P WCR/ActionServlet?action=displayPW CRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on,be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the • performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid.Contractor 14 By X!J Title Date: ''�- 3- 20 t i� • PWC Registration 15 4R'70 C-12 OLD REPUBLIC SURETY COMPANY BOND NO.: CEDCO-730 BID BOND KNOW ALL MEN BY THESE PRESENTS: That we, CEDRO CONSTRUCTION, INC. (hereinafter called the Principal), and OLD REPUBLIC SURETY COMPANY a corporation organized and doing business under and by virtue of the laws of the State of WISCONSIN, and duly licensed for the purpose of making, guaranteeing or becoming sole surety upon bonds or undertakings required or authorized by the laws of the State of CALIFORNIA, as Surety, are held and firmly bound unto CITY OF HUNTINGTON BEACH, (hereinafter called the obligee) in the sum of TEN PERCENT OF THE TOTAL AMOUNT BID (10% OF AMOUNT BID), for the payment of which, well and truly to be made, we hereby bind ourselves and our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT WHEREAS, the above bounden Principal as aforesaid, is about to hand in and submit to the obligee a bid for WELL NO. 14 STORM DRAIN ON MCFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET, CC NO. 1555, in accordance with the plans and specifications filed in the office of the obligee and under the notice inviting proposals therefore. NOW, THEREFORE, if the bid or proposal of said principal shall be accepted, and the contract for such work be awarded to the principal thereupon by the said obligee, and said principal shall enter into a contract and bond for the completion of said work as required by law, then this obligation to be null and void, otherwise to be and remain in full force and effect. IN WITNESS WHEREOF, said principal and said Surety have caused these presents to be duly signed and sealed this 20TH day of APRIL, 2018. CEDRO CONSTRUCTION BY: OLD REPUBLIC_SURETY COMPANY BY: 4111V TDY SPO , ttorney-in-Fact *i3OLDREPUBLIC SURETY COMPANY POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That OLD REPUBLIC SURETY COMPANY;a Wisconsin stock insurance,cor poi-at on;does make,constitute and appoint: < RANDY SPOHN,MATTHEW R.DOBYNS;HAMILTON KENNEY,;OF SANTA ANA,CA its true and lawful Attorney(s)-in-Fact,with full power and authority;.not exceeding$50,00%000,for and on:behalf of the company as surety,to.execute and deliver and affix the seal of the company thereto(if a seal is required),bonds,undertakings,recognizances or other written obligations in the nature thereof,(other than bail bonds,bank depositor bonds,mortgage deficiency bonds,mortgage.guaranty bonds,guarantees of installment paper and note guaranty bonds,self-insurance workers compensation bonds guaranteeing payment of benefits,asbestos abatement contract bonds,waste management bonds,hazardous waste.remedtation bonds,or black lung bonds), as follows:: ALL WRITTEN INSTRUMENTS IN AN AMOUNT NOT TO EXCEED TWENTY MILLION DOLLARS($20,000,000)------- ----------------FOR ANY SINGLE OBLIGATION and to bind OLD REPUBLIC SURETY COMPANY thereby,and allof the acts of said Attorneys-in-Fact,pursuant to these presents,are ratified and confirmed. This document is not'valid'unless printedon colored background and,is multi-colored. This appointment is made under and by authorittyy of the board of directors at:;a:special meeting held on February 18,1982. This,Power of Attorney is signed and sealed by facsimile.t under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18,1982. RESOLVED that,the president,any vice-president,or assistant vice president,in conjunction with the secretary. or any assistant secretary,may appoint attorneys-in-fact or agents with authority as defined or limited in the instrument evidencing the appointment ineaeh case;for and on behalf of the company to execute and deliver and affix the sea]of the companyto bonds,;undertakings,recognizances,and suretyship obligations ofall kinds;and said officers may remove any such attorney-in-fact or agent and revoke any Power of Attorney previously granted to such person. RESOLVED FURTHER,that any bond,undertaking,recognizance,or suretyship obligation"shall be valid andbinding upon the Company (i)wllen signed by the pesident,:any vice president or assistant:vice president,and attested and sealed(if a seal be required)by any secretary orassistant secretary.'or (ii)when signed by the president,aany vice president or assistant vice president,secretary or assistant secretary.:and countersigned and sealed(if a seal be required)by a duly authorized attorney-in-fact or agent;or (iii)when duly executed and sealed(if a seal be required)by one or more attomeys7in-fact or agents pursuant:to and within the limits of the authority evidenced by e Power of Attorney issued by the company to such:person or persons. RESOLVED FURTHER,that the,signature of any authorized officer and the seal of the company may be affixed by facsimile to any Power of Attorney or certification thereof authorizing the:execution and delivery. f any bond undertaking,recognizance,or other suretyship obligations of the company;and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper officer,and its corporate seal to be affixed this 8TH day of MARCH,2018. OLD REPUBLIC SURET VCOMPANY e`,tiG iGAeT`� A4sscarn , g SEAL k •. STATE OF WISCONSIN,COUNTY OF WAUKESHA-SS "^ `„ w''d President On this 8TH of MARCH,M18 Alan Pavlic_._ y personally came before me, and Jane erney to me known to be the individuals and officers of the OLD REPUBLIC SURETY COMPANY who executed the above instrument,and they each acknowledged the execution of the same,and being by me duly swom,did severally depose and say: that they are the said officers of the corporation aforesaid,and that the seal affixed to the above instrument is the seal of the corporation,and that said corporate seal and their signatures as such officers were duly affixed.and subscribed to the said instrument by the authority of the board of directors of said corporation. n pSAyi s Nfltary F ub5 My commission expires: 9/28/2018 CERTIFICATE (Expiration of notary commission does not invalidate this instrument) I,the undersigned,assistant secretary of the OLD REPUBLIC SURETY COMPANY,a Wisconsin corporatim CERTIFY that the foreg6ing4nd attached P..ower o£Attomey;remams in full force and has.:not beenrevoked;and furthermore,'that the Resolutions of the board of directors set forth in the Power bf Attorney;are now;:in force. 74-7097 ��•^qua SignedandsealedattheCi ofBrookfieId,Wl this 20th da of;April 201$ 3' SE AL st ,¢ AISZani S R.S.BONDING&INSURANCE rf a :■• re •r r � ■ s• � a ; ■ a = ■ 1894RW 22262(5-10) 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 before me, ERIKA GUIDO, NOTARY PUBLIC, personally appeared RANDY SPOHN ® who proved to me on the basis of satisfactory evidence to be the person(-S) whose names) is/afe subscribed to the within instrument and acknowledged to me that he{she/the executed the same in his/4- � authorized capacity(ies), and that by his/heythei signatures) on the instrument the personN, 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. ERIKA GUIDO COMM.k2190052 N � WITNESS m and and official seal. o NOTARY PUBLIC CALIFORNIA o ORANGE COUNTY ^' /1 My Comm.expires May 5,202�ljt Jl . ature o o 141 Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL. ❑ CORPORATE OFFICER ❑ PARTNER(S) ❑ LIMITED ® ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) cc i RECEIVED 2811 APIR 24 AM 40 Z-:.. J o w o � � I + o s O s O � y � 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 October 13, 2020 Garrett J Gentry General Engineering, Inc. 1297 West 9th Street Upland, CA 91786 RE: Well No. 14 Storm Drain on McFadden Avenue from Vasser Street. To Gothard Street- CC No. 1555 Enclosed please find your original bid bond for CC-1555. Sincerely, Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of WELL NO. 14 STORM DRAIN on McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET CC No. 1555 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 60 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 i 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. Accom anying this proposal of bid, find 1 d P in the amount of V21Q 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 forlb% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here,if any: Addenda No. Date Received Bidder's Signature C-2 SECTION C PROJECT BID SCHEDULE A WELL NO. 14 STORM DRAIN, CC 1555 (McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET) BID ITEMS Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 1 Mobilize and Demobilize 1 LS $� $ 2 Construction Safety 1 LS $,! "D $ ,Gb 3 Traffic Control, preparation and implementation 1 LS $ Q,��, $ L 4 BMPs implementation of WPCP 1 LS $�-� Q`t $ 0a 5 Prepare WPCP 1 LS $ L,1 11w $ (L 6 24-inch Diameter Storm Drain 1785 LF $001w $ t)I 7 42-inch Storm Drain Junction Structure,Type B, Plan 305 1 EA $ D $ lezyy 8 Storm Drain Junction Structure,Type A, Plan 304 4 EA $#-I �51 $ ,000 9 4-foot ID Precast Manhole, Detail 1 sheet C501 1 EA $ $ , tbc;,6 10 2-Inch Air Vacuum Release Assembly 2 EA $—!5�62 $—`'—�- 11 Raise 8-inch Waterline, Detail 6 Sheet C501, Plan Note 18 2 EA $gA2 $ t 12 Tee Patch Storm Drain per Plan 109, Plan Note 17 1250 LF $ $ 13 1-inch Water Service 1 LS $ ��,�j(� $ D(� 14 16-inch Well Discharge Pipeline 90 LF 15 6-inch Fire Hydrant Assembly 1 EA 16 12-inch Well Discharge Pipeline 300 LF $ $ 17 2-inch Pavement Grind and Overlay and Pavement Striping 335 TN $ 18 Remove and Replace Traffic Signal Loops 15 EA $ $ TOTAL BID AMOUNT (BASIS OF AWARD)—SCHEDULE A $ �- TOTAL BID AMOUNT IN WORDS: ` ���•�C� 6- n �W keJ LAI ow�(' oc- Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. C-2.t SECTION C PROJECT BID SCHEDULE A WELL NO. 14 STORM DRAIN, CC 1555 (McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET) 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 r LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar % of Item(s) Subcontractor License Registration# Amount Contract Number By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on '{ 121 lv, at Q1)1" d , a e City State , being first duly sworn, deposes and says that he or she is y 1 is►d (,,., of C-A,{ C nothe party making the foregoing bid that the bid is not made in the interest of, or on the b alf 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 Bid er 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 WELL NO. 14 STORM DRAIN PROJECT CC 1555, (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. C/YA1((tU C-TbV)-2 y Contractor y Title Date: U 2� C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes 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. Carr Contractor By "-pr�,I`'►c�.�em�, Title Date: C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Cl,crrI j�� I C'1 W+7-pg f '1 Piy�.e.��1 Ly\n'lV\".�ri+�� Bidder Name W. It'- ,� t L Business Address CA City, State Zip (OVA ) 01 nJ �i I GL r►r Cony Telephone Number J Email Addie4s C��fy - A N� . q� 1 ��hW State Contractor's License No. and Class 3/2o /2o1y Original Date Issued Expiration Date The work site was inspected by C1r(f#, Cn4\4T of our office on , 201 . The following are persons, firms, and corporations having a principal interest in this proposal: C'1 vo,t't G)&n�r P(t, 1 dam, { r *4 'ce. pf&66 f&t 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. Company Name Signature of Bidder ('1CA((Ctt C t��l Printed or Typed Signature C-8 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of RCP Storm Drain Pipelines, and DIP Potable Water Pipelines within the public right of way. 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. kbYVA9,Y- Cz✓u�fLAG V 1'+VS J. cif-alp, Ak, Ooe,.fl b C,4,9rto I Name and Address of Public Agency -T-21() UO iS Cif' ame and Telephone No. of Project Manager: �'(� ���' L1�2 OQ J Contract Amount Type of4ork Date Completed Provide additional project descripti n to show similal work: �t< ,6 � .G r� 12`, y G �° I L ' Gqmb 2. JL �-a�Ckgn c.� iv��, , «-a(.a2 cam, �r V i A L_ Name and Address of Public Agency 1AS CD ,P,q11 Name and Telephone No. of Project Manager: ���Lff`Gl C).G{d" C( L1 q -6(a5 "q j y(9 Contract Amount Typ f Work Date Completed Provide additional project description to sal ow similar work: 0 i WAA vGL1 L)V� �'L Y cl 3. , 1 �y AAryan Iry tAt , GA- o►2618 Name and Address of Public Agency T cl- -rvo✓e- 4 11P `o IGi l-c-1 Name and Telephone No. of Project Manager: Contract Amount Typ f Work Date Completed Provide additional 1 project description to show similar work ✓ ice I 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. Name4 proposed Project ManAger Telephone No. of proposed Project Manager: &I(A ' (Q� �j ✓ I � Project Name ontract Amount Type of Work Z . Vill�IKYI Date Completed W_kekhA�V\ �Jbclak-�On - y3oh/akne, !) Project Name & Contract Amount Type of Work ,( �.Uv Date Completed Li /MA Project Name & Contract Amount Type Work ?tx)If Date Completed 2• 1 n t/l 1�ue,l 40 I Aj(.6/V)Ci1e-L, Name of oposed Superintendent Telephone No. of proposed Superintendent: �(]� ' ���'► ' S� �� AQx bu'U zl Lww Project Name & Contract Amount Type of Work �' L,) U ,Ucpate Completed i 12 ' Qn mil�►.x'W H �Q 1 Project Name& Contract Amount Wypc of Work Z .(� yyl�%\t it)n Date Completed r\,X UXnlin cd A I (� Project Name & tract Amount Type of Work 15 1 Date ompleted G11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https:Hefiling.dir.ca.gov/PWCR/ActionServlet?action=displayP WCRegistrationFortn DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Contractor 4L" , e��— By ,,Ora 16kw Title Date: _�� PWC Registration #:_,Woo L j t 15 C-12 URETY1 SURETY SOLUTIONS INSURANCE SERVICES, INC. w w w . s u r e t y 1 . c o m Bid Bond Request Form Please print or type EXACTLY as it will appear on the bond. Principal Name: Garrett J Gentry Gen Eng Inc Phone: 909-693-3391 Obligee Name(Project owner/who your contract is with): City of Hunington Beach Obligee Street Address: 2000 main St Obligee City, State and zip code: Huntington Beach CA, 92648 Bid Date: 4-24-2018 Project Number: cc1555 Bid Bond%: 10 Project Description:Storm Drain Project Warranty Period: 1 year Liquidated damages per day:250.00 Current work on hand: 2.5 million Are bond forms provided by the obligee? 0 No ❑ Yes Ifyes,please provide the bond form. Job Cost Breakdown Estimate/Total Contract Price: 700,000 Labor: 300000 Estimated sub-trades and amount: Materials: 200000 Sub-Cost: 0 - Misc: 0 Profit: 200000 Total: 700000 Surety Solutions Insurance Services,Inc.assumes no responsibility for bonds issued on forms unacceptable to Time to complete from start date: 20 the obligee. Garrett J Gentry 4-2-2018 Signature Date +nnr e.Rn�M-" Document A31OT"' - 2010 Bid Bond CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status and principal place of business) Garrett J.Gentry General Engineering Incorporated United States Fire Insurance Company 1297 W 9th St. 305 Madison Avenue, This document has important legal Upland CA 91786 Morristown,NJ 07962 consequences.Consultation with OWNER: an attorney is encouraged with (�,me 11PP al status gnd address) respect to its completion or l y of H6ning on eat modification. 2000 Main Street to Huntington Beach, CA 92648 Any singular reference Contractor,Surety,Owner or BOND AMOUNT: Ten Percent of Total Amount Bid (10%of Total Amount Bid) other party shall be considered plural where applicable. PROJECT: (Name, location or ad&ess,and Project nnnnber, ifany) Project#: CC1555 Storm Drain Project 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 specked 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 sucb bid,and gives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof,or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect.The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid.Waiver of notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time for acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty(60)days. If this Bond is issued in connection with a subcontractor's bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.When so furnished,the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 3rd day of April 2018 r:arreft_1 r?ntryGent-ral Fnginearinq Incorporated (Principal) (Seal) (Witness) (Title) Uni tates Fire Insurance Company ,"Az (St 'ety) (Seal) (Title yan Tash ,Attorney-in-Fact CAUTION:You should sign an original AIA Contract document,on which this text appears In RIED,An original assures ilia, changes will not be obscured. Init. AIA Document A310T —2010.Copyright @ 1963,1970 and 2010 by The American Institute of Architects.All rights reserved.WARNING:This AIA' Document Is protected by U.S.Copyright Law and Intematlonal'Treatles,Unauthorized reproduction or distrlbuttan of this AIA'Document, cr any portion of It.may result In severe civil and criminal penalties,and will be prosecuted to the inaxlmum extent possible under the Iaw. Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright vialatlons of AIA Contract Documents,a-mail The American Institute of Architects'legal counsel,copyright@aia.org. oFu m 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 Sacramento ) On / /'/ ` �� before me, Susan Fournier, Notary Public (insert name and title of the officer) personally appeared Ryan Tash 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. SUSAN FOURNIER Notary Public•CalilOrnia Z Sacramnto Count a � Cm 21 ma # 679 74 My Comm.Ex ices Nov 11,2020 Signature (Seal) POWER OF ATTORNEY UNITED STATES FIRE INSURANCE COMPANY PRINCIPAL OFFICE-MORRISTOWN,NEW JERSEY 03694429818 KNOW ALL MEN BY THESE PRESENTS:That United States Fire Insurance Company,a corporation duly organized and existing under the laws of the state of Delaware,has made,constituted and appointed,and does hereby make,constitute and appoint: Ryan Tash,John Page,Susan Fournier each,its true and lawful Attorneys)-In-Fact,with full power and authority hereby conferred in its name,place and stead,to execute,acknowledge and deliver: Any and all bonds and undertakings of surety and other documents that the ordinary course of surety business may require, and to bind United States Fire Insurance Company thereby as fully and to the same extent as if such bonds or undertakings had been duly executed and acknowledged by the regularly elected officers of United States Fire Insurance Company at its principal office, in amounts or penalties not exceeding: Seven Million, Five Hundred Thousand Dollars($7,500,000). This Power of Attorney limits the act of those named therein to the bonds and undertakings specifically named therein, and they have no authority to bind United States Fire Insurance Company except in the manner and to the extent therein stated. This Power of Attorney revokes all previous Powers of Attorney issued on behalf of the Attorneys-In-Fact named above and expires on January 31,2019. This Power of Attorney is granted pursuant to Article IV of the By-Laws of United States Fire Insurance Company as now in full force and effect, and consistent with Article III thereof,which Articles provide,in pertinent part: Article IV, Execution of Instruments-Except as the Board of Directors may authorize by resolution,the Chairman of the Board,President, any Vice-President,any Assistant Vice President,the Secretary,or any Assistant Secretary shall have power on behalf of the Corporation: (a) to execute, affix the corporate seal manually or by facsimile to, acknowledge, verify and deliver any contracts, obligations, instruments and documents whatsoever in connection with its business including, without limiting the foregoing, any bonds, guarantees, undertakings, recognizances, powers of attorney or revocations of any powers of attorney, stipulations, policies of insurance, deeds, leases, mortgages, releases,satisfactions and agency agreements; (b) to appoint,in writing,one or more persons for any or all of the purposes mentioned in the preceding paragraph(a),including affixing the seal of the Corporation. Article III, Officers, Section 3.11, Facsimile Signatures. The signature of any officer authorized by the Corporation to sign any bonds, guarantees, undertakings, recognizances,stipulations,powers of attorney or revocations of any powers of attorney and policies of insurance issued by the Corporation may be printed, facsimile, lithographed or otherwise produced. In addition, if and as authorized by the Board of Directors, dividend warrants or checks, or other numerous instruments similar to one another in form, may be signed by the facsimile signature or signatures, lithographed or otherwise produced, of such officer or officers of the Corporation as from time to time may be authorized to sign such instruments on behalf of the Corporation. The Corporation may continue to use for the purposes herein stated the facsimile signature of any person or persons who shall have been such officer or officers of the Corporation,notwithstanding the fact that he may have ceased to be such at the time when such instruments shall be issued. IN WITNESS WHEREOF, United States Fire Insurance Company has caused these presents to be signed and attested by its appropriate officer and its corporate seal hereunto affixed this 10`h day of March,2016. UNITED STATES FIRR INCI M A NCE COMPANY ev_n* Anthony R.Slimowicz,Executive Vice President State of New Jersey} County of Morris ') On this I0`h day of March 2016, before me, a Notary public of the State of New Jersey, came the above named officer of United States Fire Insurance Company,to me personally known to be the individual and officer described herein,and acknowledged that he executed the foregoing instrument and affixed the seal of United States Fire Insurance Company thereto by the authority of his office. SONIA SCALA NOTARY PUBLIC OF NEW JERSEY Sonia Scala (Notary Public) MY COMMISSION EXPIRES 3/25/2019 I,the undersigned officer of Untied;mates Fire Insurance Company,a Delaware corporation,do hereby certify that the original Power of Attorney of which the foregoing is a full,true and correct copy is Still sn force and effect and has not been revoked. IN WITNESS WHERH OF,I have hereunto set my hand and affixed the corporate seal of United States Fire Insurance Company on the 3rd day of April 2018 UNITED STATES FIRE INSURANCE COMPANY Al Wright,Senior Vice President NOTARY CERTIFICATE Subscribed and sworn to before me this Y�day of A O � 1 , 201,0. 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 C^' County of jW �)Vne4rCL�VN6 ) On `� / �-���(��� before me, N k4lollc, Month, and Year Insert Name and Title of Notar personally appeared C?j (ayLt, Gil ti j c y —Fpzr Name(s) oOSigner(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. )N M.FOREh WITNESS my hand and official seal. _ ,bllc—CalHor, - �%�rl- J' z •. ?•: arCino County ion#2226564 'es Dec 24,Z. Signature oax 4 Signature 16f Notary P c (PLACE NOTARY SEAL ABOVE) ALLYSON M.FOREMAN ..yT., `.•: NotaryPublic—California Z z San Bernardino County > Commission#2226564 ■ My Comm.Expires Dec 24,2021 C-9 C N IUD d fD C- v S cn C BCD 3 7-3 n • cn -- � o � � z City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk FB•17,19D9 P ` Robin Estanislau, City Clerk October 13, 2020 GRFCO, Inc. P.O. Box 1747 Brea, CA 92822-1747 RE: Well No. 14 Storm Drain on McFadden Avenue from Vasser Street. To Gothard Street - CC No. 1555 Enclosed please find your original bid bond for CC-1555. Sincerely, Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand 1 SECTION C (GAFC0, INC.PROPOSAL PO•BOX1747EA,CA 92822-1747 for the construction of WELL NO. 14 STORM DRAIN on McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET CC No. 1555 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 60 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded. the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. p Accompanying this proposal of bid, find.�� �'� S o^�` �'' /0�in the amount of / which said amount is not less than 10%of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 � SECTION C PROJECT BID SCHEDULE A WELL NO. 14 STORM DRAIN, CC 1555 (McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET) BID ITEMS Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 1 Mobilize and Demobilize 1 LS $ � $ 2 Construction Safety 1 LS $13C )o $Lam, 3 Traffic Control, preparation and implementation 1 LS $I . C�'OC` $ S OCO 4 BMPs implementation of WPCP 1 LS $J2Xc) $ CjC 10 5 Prepare WPCP 1 LS $W,000 $ 6 24-inch Diameter Storm Drain 1785 LF $ jCr). $ C 7 42-inch Storm Drain Junction Structure, Type B, Plan 305 1 EA $ ;�� $ OC1. 8 Storm Drain Junction Structure, Type A, Plan 304 4 EA $ �_ $ 9 4-foot ID Precast Manhole, Detail 1 sheet C501 1 EA $ $ 10 2-Inch Air Vacuum Release Assembly 2 EA $ $ 11 Raise 8-inch Waterline, Detail 6 Sheet C501, Plan Note 18 2 EA $_i,OC20 $ d )C2 12 Tee Patch Storm Drain per Plan 109, Plan Note 17 1250 LF $ '2_C 13 1-inch Water Service 1 LS $ 14 16-inch Well Discharge Pipeline 90 LF $ 33 jC>. $ Z b 15 6-inch Fire Hydrant Assembly 1 EA $ $ 16 12-inch Well Discharge Pipeline 300 LF $C� $ LOW 0 17 2-inch Pavement Grind and Overlay and Pavement Striping 335 TN $ 6 Z`>✓`��5 18 Remove and Replace Traffic Signal Loops 15 EA $ACC_ $ TOTAL BID AMOUNT (BASIS OF AWARD) —SCHEDULE A $ � � 35 _ TOTAL BID AMOUNT IN WORDS: `&ken hit; dre 4 5ovten ly 5�e Ke" t leloosoud Th.Ce k�r���� e 4 C' Yit �y �'tVe —� Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule.. C-2.1 4 SECTION C PROJECT BID SCHEDULE A WELL NO. 14 STORM DRAIN, CC 1555 (McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET) 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 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 Gass DIR P'WC' Dollar %of Item(s) Subcontractor License Registration# Amount Contract Number G Pe 1, h C_ �v3Qo A fa,�c v��a l zs lZ q2 q O'rTer 6�e� iJ19lt L,q Pve;► ie (A 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 i y !1 ' NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on y 2v ,A, at Pe.rr,'s , D to City State being first duly sworn, deposes and says that he or she is f►'rP s ;� �— of GRFCO.ING, 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 an}, 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. GRFCOA INC, me of ' der Signatu#of Bidder G FCO, INC'_ Address of Bidder Y.O.BOX 1747 BREA,CA 92822-1747 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 _ } On r t g Abefore me,^ James Craig Jackson Notary Dote 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. WITNESS my hand and official seal. JAMES CRAIG JACKSON COMM.#208W5 $ R NOTARY PUBLIC-CALIFORNIA RIVERSIDE COUNTY i My Comm.Expires October 10,2018 v..�.-vv.vw•...•.nrvw.nµi.-wv...wwvwvw+v.�r....nn..�nwvw•n Signature: �-�- OPTIONAL------------------------------------------------------------., Though this section is optional, completing this information con deter alteration of the document or fraudulent attachment of this form to an unintended document. Description of Attached Document Title or Type of Document: T _ 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 ❑ 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 WELL NO. 14 STORM DRAIN PROJECT CC 1555, (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. 6 .INC Contractor By Title Date: 9u 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 21 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. G6 G. Frost's previous company (SCU) was debarred by the City of San Diego 17 years ago (June 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. ntractor By Title Date: C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: GJKFCO, INC. Bidder Name P.O.BOX 1747 BREA.CA 92822-1747 Business Address City, State Zip Telephone Number Email Address 291 G State Contractor's License No. and Class 2- 2/ — /97y Original Date Issued 7- 3 /- ?o/ 9 Expiration Date The work site was inspected by (57, Pr-c5S-j— of our office on 2018. The following are persons, firms, and corporations having a principal interest in this proposal: ORFM INC Ff Qs�f- 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. L�l INC, mpany Na he Signat of Bidder eorFr-x3, 5 r Printed or Type Signature C-s NOTARY CERTIFICATE Subscribed and sworn to before me this 11 day of r- f , 201g . 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 (G l r H`t ) County of Ki y Ia r5,o) `e ) On r yf 2 p/� before me, PS -r--<ck s w Month, Day, and Year Insert Name and Title of Notary personally appeared /tT CC34 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. JAMES CRAIG JACKSON WITNESS my hand and official seal. `�Ik COMM.020NA65 NOTARY PUBLIC-CALIFORNIA RWRSIDE COUNTY My Comm.Expires Odoher 10,291 R Signature .,Q,' Signature of Not ry Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder sliall provide project history of similar work, specifically referencing the construction of RCP 'Storm Drain Pipelines, and DIP Potable Water Pipelines within the public right of way. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. _ Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-10 GRFCO, INC. Contract References City of Alhambra-$7,760,765 "Lift Station No. 2 Replacement Project" Contact: Mr. Chris Maquardt (760) 201-3497 Start: Feb' 18-Complete: In Progress Project Summary: Lift Station at 39 VF, Solid Sheeted Shoring System,Jacking,4764'of 21" Sewer City of Alhambra-$2,777,601 "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, T-lock Manholes, Rubber AC Overlay,Jack 36"Steel Casing, Rehab MH'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: 4717'of 12" and 8" 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 "Mist.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-$868,267 "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, Paving, Hard Rock Excavation City of Compton-$5,872,634 "Compton/Wilmington Ave. Sewer Replacement" Contact: Mr. Safa Kamangar(949) 637-3999 Start:June' 16-Complete: Feb' 17 (on time) Mr.John Strickland (310) 761-1422 Mr. Pezhman Rajabi (949)400-3017 Project Summary: 5760'of 15"to 10"VCP, Manholes, 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 Rev 01/25/18 City of Inglewood-$275,394 "Sewer Point Repair Project Phase 3" Contact: Mr. Boytrese Osias(310)412-5358 Start: April '16-Complete: May' 16(on time) Project Summary: 63 Sewer Point Repairs 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: 1180'of 12" DIP, Double Check Backflow Preventors 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: 6200'of 8' 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: 1389' of 8" 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" 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. Al O'balles (714) 595-6718 Start: May'15-Complete:July'15 (on time) Contact: Mr. Pete Acosta (714) 732-9060 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 Rev O1/25/18 1f 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 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 City of Inglewood-$840,803 "Sewer Point Repair Project-Phase II" Contact: Mr. Boytrese Osias (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 Rev 01/25/18 San Bernardino Associated Governments(SANBAG) -$384,900 "E Street Storm Drain" Contact: Mr. Casey Daily(909) 884-8276 Start: December'13—Complete:January'14(on time) 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(on time) 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 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 Rev 01/25/18 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. r, C.e-S Name of proposed Project Manager Telephone No. of proposed Project Manager: `(1 t-Y '7i Z S- #ir c--Lsect Project Name& Contract Amount Type of Work Date Completed Project Name& Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Name of proposed Superintendent Telephone No. of proposed Superintendent: (310) a fi(cc�� � re4-�� 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-1 t CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https:Hefiling.dir.ca.gov/PWCR/ActionServiet?action=displayP%'CRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALI, subcontractors at the time of submitting the bid. COk INC. Cont r ctor By prr_� Title Date: (' PWC Registration 4: /EGG c-fU of'sr, 7 C-12 1 • '��i3A��V��J• eft Public Works Public Works Contractor(PWC) Registration Search Public Works Contractor (PWC) Registration Search This is a listing of current and active PWC registrations pursuant to Division 2,Part 7,Chapter 1 (commencing with section 1720 of the California Labor Code.) Enter at least one search criteria to display active registered public works contractor(s)matching your selections. Registration Year: (Current Fiscal Year.2017/18 v j PWC Registration Number: 1000004567 --------------- Contractor Legal Name: example:ABC COMPANY License Number: example: 123456 Contractor License Lookup County: Select County • --- Export as: Excel PDF Search Results One registered contractor found. 1 Details Legal Name Registration County City Registration Expiration Number Date Date vir;v; GRFCO, INC. 1000004567 ORANGE BREA 06/12/2017 06/30/2018 v2.20160101 About DIR Work with Us Learn More CONTRACTORS dC� STATE LICENSE BOARD ACTIVE LICENSE 291013 , CORP GRFCO iNC _«�.. 07/31/2019 www.cslb.ca.gov The Guarantee Company of North America USA One Towne Square, Suite 1470 Southfield, Michigan 48076 Phone: 248-281-0281 Fax: 248-750-0431 BID BOND - BOND NO. Not Applicable KNOW ALL MEN BY THESE PRESENTS, That we, GRFCO, Inc. as Principal, and The Guarantee Company of North America USA, a corporation duly organized under the laws of the State of Michigan, as Surety, are held and firmly bound unto City of Huntington Beach as Obligee, in the sum of Ten Percent of the Total Amount of the Bid ($ 10% ) Dollars for the payment of which Principal and Surety bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally. WHEREAS, Principal has submitted a bid for Well No. 14 Storm Drain, the Project. NOW, THEREFORE, if the Obligee accepts the bid of the Principal and the Principal enters into a Contract with the Obligee for the Project-, or, if the Principal pays the Obligee the amount of this Bond or the difference between Principal's bid and the next lowest bid for the Project, whichever is less: this obligation is null and void, otherwise to remain in full force and effect. Signed and sealed this 6th day of April, 2018. i GRFCO, I BY: -- Principal ITS: PrP,:5, The Guarantee Compfan BY: of North America USA Mark . Shre7gast, Attor ey-In-Fact Bid Bond 1 of 1 4/6/2018 CS0025 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 �.7/ 2 1/42-dl g 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. WITNESS my hand and official seal. JAMES CRAIG JACKSON COMM.#2085465 0 g NOTARY PUBLIC-CALIFORNIA A RIVERSIDE COUNTY My Comm.Expires October 10,2018 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: 0 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: CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of Los Angeles ) On April 06,2018 before me, Julie M.Shreckengast,Notary Public Date Here Insert Name and Title of the Officer personally appeared Mark E.Shreckengast Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person( whose name( is/am subscribed to the within instrument and acknowledged to me that he/shlle#Xay executed the same in his/live 6bIsk authorized capacity0m),and that by his/loxx ttxek signatureM on the instrument the person(s), or the entity upon behalf of which the person(o acted, executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. 5M14•.Y.V LYMh4{NMI••tiW.ti•.tiY.tititY.•1LtiV'.YhYY.Y.SY xj JULIE M.SHRECKENGAST y COMM.#2188778 3 Signature I I f _ NOTARY PUBLIC•CALIFORNIA LOS ANGELES COUNTY Signature of Notary Public Commission Expires APR 26,2021 yyyyyyyyyl`MMtiY.YJWJLYRV.V W Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑General ❑Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 THE The Guarantee Company of North America USA _ GUARANTEE" POWER OF ATTORNEY Southfield,Michigan KNOW ALL BY THESE PRESENTS:That THE GUARANTEE COMPANY OF NORTH AMERICA USA,a corporation organized and existing under the laws of the State of Michigan,having its principal office in Southfield,Michigan,does hereby constitute and appoint Mark E. Shreckengast Summit Surety Insurance Services its true and lawful attorney(s)-in-fact to execute,seal and deliver for and on its behalf as surety,any and all bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof,which are or may be allowed,required or permitted by law,statute,rule,regulation,contract or otherwise. The execution of such instrument(s)in pursuance of these presents,shall be as binding upon THE GUARANTEE COMPANY OF NORTH AMERICA USA as fully and amply,to all intents and purposes,as if the same had been duly executed and acknowledged by its regularly elected officers at the principal office. The Power of Attorney is executed and may be certified so,and may be revoked,pursuant to and by authority of Article IX,Section 9.03 of the By-Laws adopted by the Board of Directors of THE GUARANTEE COMPANY OF NORTH AMERICA USA at a meeting held on the 31stday of December,2003. The President,or any Vice President,acting with any Secretary or Assistant Secretary,shall have power and authority: 1. To appoint Attorney(s)-in-fact,and to authorize them to execute on behalf of the Company,and attach the Seal of the Company thereto, bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof;and 2. To revoke,at any time,any such Attorney-in-fact and revoke the authority given,except as provided below 3. In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and authority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation.It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee,shall not relieve this surety company of any of its obligations under its bond. 4. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner— Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. Further,this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of the Company adopted at a meeting duly called and held on the 6th day of December 2011,of which the following is a true excerpt: RESOLVED that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any Power of Attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, contracts of indemnity and other writings obligatory in the nature thereof, and such signature and seal when so used shall have the same force and effect as though manually affixed. °�w TEf c`A IN WITNESS WHEREOF,THE GUARANTEE COMPANY OF NORTH AMERICA USA has caused this instrument to be signed and its corporate seal to be affixed by its authorized officer,this 2nd day of October,2015. THE GUARANTEE COMPANY OF NORTH AMERICA USA [� AM� STATE OF MICHIGAN Stephen C.Ruschak,President&Chief Operating Officer Randall Musselman,Secretary County of Oakland On this 2nd day of October,2015 before me came the individuals who executed the preceding instrument,to me personally known,and being by me duly sworn, said that each is the herein described and authorized officer of The Guarantee Company of North America USA; that the seal affixed to said instrument is the Corporate Seal of said Company;that the Corporate Seal and each signature were duly affixed by order of the Board of Directors of said company. Cynthia A. Takai IN WITNESS WHEREOF,I have hereunto set my hand at The Guarantee Notary Public,State of Michigan Company of North America USA offices the day and year above written. County of Oakland tea•, p;R.yo = My Commission Expires February 27,2024 �� Acting in Oakland County I,Randall Musselman,Secretary of THE GUARANTEE COMPANY OF NORTH AMERICA USA,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney executed by THE GUARANTEE COMPANY OF NORTH AMERICA USA,which is still in full force and effect. Tld IN WITNESS WHEREOF,I have thereunto set my hand and attached the seal of said Company this 6th day of April 2018 Randall Musselman,Secretary k { i 0 zH � a an 4 00 O d d N o WQgev Ei C40 W WCd d U U 61 x a O n x , IH co .. .�, •J A t`.:� w o 9S .� Fip '1Z�db 8i9t a3AI303ZI ' City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ wvwv.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk October 13, 2020 Kana Pipeline, Inc. 12620 Magnolia Avenue Riverside, CA 92503 RE. Well No. 14 Storm Drain on McFadden Avenue from Vasser Street. To Gothard Street - CC No. 1555 Enclosed please find your original bid bond for CC- 1555. Sincerely, Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of WELL NO. 14 STORM DRAIN on McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET CC No. 1555 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 60 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all.bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find ekQVM-:17> 1OrAsD 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 forj% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 SECTION C PROJECT BID SCHEDULE A WELL NO. 14 STORM DRAIN, CC 1555 (McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET) BID ITEMS Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 1 Mobilize and Demobilize 1 LS $ 315 0(Z $ '; s 2 Construction Safety 1 LS $ 1 S,cAOb cv $ is yao , 3 Traffic Control,preparation and implementation 1 LS $Z'S0o0 $ ZS,Ooo 4 BMPs implementation of WPCP 1 LS $S $ C_�_ 600 5 Prepare WPCP 1 LS $ 3 000� $ 3.000 �J 6 24-inch Diameter Storm Drain 1785 LF $ 218C $ `�Iq 1 nno. 7 42-inch Storm Drain Junction Structure,Type B, Plan 305 1 EA $q,Qico0 S- $ C1,600 8 Storm Drain Junction Structure,Type A, Plan 304 4 EA $ ADO $ 39 -Wo 9 4-foot ID Precast Manhole, Detail 1 sheet C501 1 EA $ r;3C1b $ cue CIV 10 2-Inch Air Vacuum Release Assembly 2 EA $ q.7490- $ +00--- tv 7 S�J 11 Raise 8-inch Waterline, Detail 6 Sheet C501, Plan Note 18 2 EA 00 12 Tee Patch Storm Drain per Plan 109, Plan Note 17 1250 LFCID 13 1-inch Water Service 1 LS $ 3-40o­ $ q-.4,;)O 14 16-inch Well Discharge Pipeline 90 LF $ 6qon $ 1�1b,7(oD06 O-- ro 15 6-inch Fire Hydrant Assembly 1 EA $ 0ea $ q-,00d"- 16 12-inch Well Discharge Pipeline 300 LF $ 3�i3 $ 1\_,i 4'00 17 2-inch Pavement Grind and Overlay and Pavement Striping 335 TN $ 'G14 oa $ �,�} 9�1O00 18 Remove and Replace Traffic Signal Loops 15 EA $ sbo $ 5,ZSo�� TOTAL BID AMOUNT (BASIS OF AWARD) —SCHEDULE A $ CA F, G i r-0 TOTAL BID AMOUNT IN WORDS: N 1 NE B N��� �►�.�-�-ty ���� . +�= b,U� opt-' �v►���� pvt�,a�s Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. C-2.1 SECTION C PROJECT BID SCHEDULE A WELL NO. 14 STORM DRAIN, CC 1555 (McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET) 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 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 ``Z 17 1DY , I�G A � o0 15T 52 100000 _71 9,c1 Chi 5TdCOC-i, 1 b►-sa%W , C1N� -1'7,967 1"1 5312 c-4P_6ss ST.' C,51, 1066i!b1` 'A=, c Lw�Cppcy�w I��G �= 1 4 €MWO-9 ds2 Lev i0bbo 1y�} ,fir �'�� By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered'in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on , at SW EIS i DIF , (761, Date City State Z, bt41 --L jro K , being first duly sworn, deposes and says that he or she is of jib 'PIPFU 1 OL• 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. �<&PA pft:w►ate I NG Name of Bidder r n Signature of Bidder 12 F,2o M�N�U1� LY�1U� Address of Bidder X"C��l,U 1•�� t�l !-� C-4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of R 1 00a-S,'e On ,before me, Hernes Salvador-Tabadero, Notary Public personally appeared Daniel Locke 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 State of California that the foregoing paragraph is true and correct. yak SALVADOR TAM50 G COMM. 02066708 z = Notary Public •California C Orange County A My Comm. res May 30,20181 WITNESS my hand and official seal. SIGNATURE PLACE NOTARY SEAL ABOVE .................................................................................................................................................................................................................................................................................................................................................................... Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of attached document Title or type of document: V' CC'1—l_tk'�I U, tj k��t I PAS' Document Date: Number of Pages: Signer(s)Other than Named Above: 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 WELL NO. 14 STORM DRAIN PROJECT CC 1555, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Contractor By Title Date: 4 $ 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 Ef"No If the answer is yes, explain the circumstances in the space provided. 1`1 � 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 �7�1-I�IE1._ LOC-1�1; I/, - By Title Date: 1.14 9-0 l j3 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Km/h. Y 21:u IAAE t I r(C- Bidder Name 1-2-4,20 Nouo. 1�v�N� Business Address R���>•Z��D� G.b. �z�o3 City, State Zip (I !J) CtNc>--I4CO MC?)&L)��19- W-u0E .CAM Telephone Number Email Address State Contractor's License No. and Class Original I5ate Issued. ±1 1 Z-z,�� Expiration Date The work site was inspected by V046jo Tg--o Ir of our office on &M L 16 , 2013. The following are persons, firms, and corporations having a principal interest in this proposal: The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. d P 1 11--�1r . 1►�(� Company Name Signature of Bidder Q.�'NIul- 1, ncKp- Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this 2#klay of t � , 201f, . 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 1 A ) County of 1 iA`e ) On 41 Z.q before me, �1yke, OCW y y%-—TA%-Aev-,D Month, Day, and Year Insert Name and Title of Notary personally appeared L Lo04' 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. N MNU WVAM TAtM U1 O WITNESS my hand and official seal. c COMM. #f2066708 A s Notary Public.California o Orange County Comm.Ex ires May 30,2018 Signature 1 ► 4 ignature 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 RCP Storm Drain Pipelines, and DIP Potable Water Pipelines within the public right of way. 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: rT`( CT- poRwALK 1. 1 ,-7 Do NYJ1Z1yJo.Uuc 2>L�9• IJolzv.e,�1 C�.r oC- 'O Name and Address of Public Agency Name and Telephone No. of Project Manager: 30 /CS(-2) 9-2-9-!mob vo AWL wq1ZY--S L-7941 C71- 10 D)p 18,I�A? -S-/ZE) 1-7 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: :.S_ - S�lF.1S �Iyt�S 2. SIS l cA Name and Address of Public Agency Name and Telephone No. of Project Manager: to 1 1 e i= I ilk Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 4)93 Ate"A ►tea . �1nn �' 'Q�Tt sti*it . YmLA,iFA ►-S C swe C��dZs 3. L" W CAI 3 God SoLoo--`[l�-ra- yte- • ms ". iKUY,Cil—� - Name and Address of Public Agency Name and Telephone No. of Project Manager: O�b--` 6a4jr,1 (S&Z) t6 i - 1'93 Oa Contract Amount Type of Wok Date Corn feted Provide additional project description to show similar work: 68 C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. Name of proposed Project Manager Telephone No. of proposed Project Manager: 14) 240 - 2617 ' u�q u-nay PI►?a,No r 2rs- Z,217 Project Name & Contract Amount Type of Work Date Completed L 400 / �ti�'1z.�i���13��3;211, 13�r '���ar� ►,tr���- �� J Project Name & Contract Amount Type of Work Date Completed S 'Zoo ooa ►y1 7 S W 2 3� 2a1 Project Name & Contract Amount Type of Work Date Completed 2. -4;co- ' Mac+ gm,�ti�i Name of proposed Superintendent Telephone No. of proposed Superintendent: 24 0 " 4-3 6 3, 3u&,,L, �Lbw Z-d:10) 7 Project Name & Contract Amount Type of Work Date Completed ijrv"ynao s s� cam Project Name & Contract Amount Type of Work Date Completed 1 I4533 1?� fzE Q� 41`aF 109 ?Pq ��-S 11�� s�t.�Esi'o►-� 9 6 �j Project Name & Contract Amount Type of Work Date Complete C-11 Pipeline, Kana . 12620 Magnolia Avenue Riverside, CA 92503 LIST OF COMPLETED PUBLIC WORKS PROJECTS — Within the last 5 years Project Name: Kana Project# 7590 - Distribution Pipeline Replacement Kana PM: Danny Sandoval Location: Norwalk Blvd., Pine Street, Foster Rd., Funston Avenue. Description: Furnished & Installed 6,754' of 12" DIP, 10"DIP, 8"DIP, Water Services, Fire Hydrants, 30" dia. Jack& Bore, Traffic Control, & Asphalt Restoration. Total Man-hours: 5,970 Mhrs. Owner: City of Norwalk 12700 Norwalk Boulevard Norwalk, CA 90650 Project Manager: Julian Lee/Tel#(562) 929-5926 Contract Amount: $ 1,828,646.00 (Original Contract Amount$1,729,000.00) Start Date: 6/13/2016 Date Of Completion: 2/15/2017 Tel# 714-986-1400 License# 461487 DIR# 1000000223 Kana Pipeline,. Inc. 12620 Magnolia Avenue Riverside, CA 92503 Project Name: Kana Project# 7608 —Warner Industrial Community Water & Sewer Kana PM: Danny Sandoval Location: Susan Street, Anne Street, Harvard Street Description: 9,120' of 8"PVC C900 DR14 Water Mains, 465' of 15"VCP Sewer, 4,850' of 12", 10", & 8"PVC Sewer, Water Services, Fire Hydrants, Sewer Manholes, Traffic Loops, Asphalt Pavement, Sewer Bypass, 42"RCP Storm Drain, & Traffic Control. Total Man-hours: 15,183 Mhrs. Owner: City of Santa Ana 2 Civic Center Plaza City Hall—Ross Annex Santa Ana, CA 92701 Project Manager: Mike Ortiz/Tel# (714) 615-0892 Contract Amount: $ 3,211,136.00 (Original Contract Amount$3,457,000.00) Start Date: 7/25/2016 Date Of Completion: 4/28/2017 Tel# 714-986-1400 License# 461487 DIR# 1000000223 "Kana Pipeline, . 12620 Magnolia Avenue Riverside, CA 92503 Project Name: Kana Project# 7399— 1301h Street Area Water Main Replacement Kana PM: Raul Miranda Location: Budlong Ave., 1301h— 1351h Street, Normandie Ave., City of Gardena Description: Installed 3,100' of 16" DIP, 4,100' of 12" DIP, 13,600' of 8" DIP, Water Services, Fire Services, Traffic Control, Sidewalk restoration, & Asphalt restoration. Total Man-hours: 24,908 Mhrs. Owner: Golden State Water Company 2143 Convention Center Way, Suite#110 Ontario, CA 91764 Project Engineer: Conde Vantura/Tel# (310) 436-6950 x 201 Contract Amount: $ 5,462,272.00 Start Date: 11/12/2015 Date Of Completion: 3/2017 Tel# 714-986-1400 License# 461487 DIR# 1000000223 Pipeline,Kana 12620 Magnolia Avenue Riverside, CA 92503 Proiect Name: Kana Project# 6821 - Eastside Water Facility PH2 790 Zone Pipeline Location: Merrill Avenue & Bon View Ave., Chino Description: 9,160' of 24" PVC C905 Waterline, Traffic Control, Permanent Paving Owner: Watson Land Company 22010 Wilmington Avenue Carson, CA 90745 Project Manager: Chris Trujillo / Cell#310-729-4623, 310-952-6432 Total Man-hours: 6,558 Mhrs. Contract Amount: $ 2,838,260.00 (Original Contract Amount $2,594,000.00) Start Date: 9/25/2014 Date Of Completion: 5/25/2015 Tel# 714-986-1400 License# 461487 DIR# 1000000223 9 . 12620 Magnolia Avenue Riverside, CA 92503 Project Name: Kana Project# 6426— Sunset Beach Water Phase 2 Kana PM: Derek Woodland (1051) / Supt. Nicolas Alcantar(43) Location: Various Streets near the beach, near homes. Description: New Pipeline for the Sunset Beach Water Main and Pavement Replacement Construction Project CC-1429 Highlights: Bids were opened publicly in mid October of 2013 where Kana Pipeline was officially awarded the project after providing the lowest responsive and responsible bid, placing 3rd lowest behind a non- responsive bidder and another bidder who withdrew their bid. This pipeline work is part of the City's water main replacement program, where it was identified that 1,200 LF of old, existing water mains in eight different alleys throughout Sunset Beach were required to be abandoned or replaced; from Warner Avenue to Anderson Street. This project involves replacing existing 34" asbestos cement pipelines installed in the 1950's, with new 6-inch PVC (plastic) pipelines. The project will also include reconstruction of alleys after waterline is installed. It was determined that combining both the water improvements with the street improvements would avoid a second, separate construction impact to local residents and businesses for future pavement rehabilitation. Fire hydrants will also be installed along Pacific Coast Highway which will allow better accessibility to the Fire Department. Total Man-hours: 4,956 total hours Owner: City of Huntington Beach, 2000 Main Street, HB, CA 92648 Project Manap_er: Lily Hernandez, PE, (714) 374-5386, lhernandezksurfcity-hb.org, Contract Amount: $ 1,534,269.90 (Original Contract Amount $1,647,715.00) Start Date: 12/6/2013 Date Of Completion: 7/2014 Tel# 714-986-1400 License# 461487 DIR# 1000000223 OEM Kana Pipeiine, Inc. 12620 Magnolia Avenue Riverside, CA 92503 Proiect Name: Kana Project# 5822— Irvine Regional Park—Water Main work Kana PM: Rizwan Rana, MBA (682)/ Supt. Scott Machurski (748) Location: Orange, CA (Jamboree X Santiago Cyn/TG 800 J-2) Description: 2 Phases of work: Total: PVC C900 CL 150 pipe— 12" at 1,475LF, 10" at 9,198 LF, 8" at 7,682 LF, 8"FH Lateral 1,682 LF, 6" office at 172 LF, thrust blocks,bends, 6 %8",10" and 12" gate valves, 29 fire hydrant assemblies, and a connection to existing FH, 7ea, 2"Air Vacuum Relief Valve Assemblies, 10"RPDA, temp connection to water main, water main abandonments, ; Also includes, mobilization and demobilization, SWPPP, Traffic Control, Stub Out to Lake, Connect existing Domestic Water, Abandon Existing Water Lines, Remove and Replace Trench Asphalt Pavement, SOC Trench Restoration, Potholing of existing Utilities, Arborist and Tree Protection, Concrete Work, Testing Total Man-hours: 7,744 total man hours Owner: County of Orange, OCCR/OC Parks 1501 E. St. Santa Ana, CA 92705 Proiect Manager: Doug Giltner, Sr. PM, (714) 425-8937; doug. ilgi tner(c�r�,occr.oc,gov.com Ref: Project No. OCCR12-007 /Additional Reference: 3rd Part F/T Onsite Inspector= Dennis A Dembik("DAD"), QSP, Construction Manager, Harris & Associates 34 Executive Park Suite 150, Irvine, CA (949) 655-3900/ C (714) 318-8706 ddembik@harri-assoc.com Contract Amount: $ 2,392,181.90 (Original Contract Amount $1,763,000.00) Start Date: 7/24/12 Date Of Completion: 5/10/13 Tel# 714-986-1400 License# 461487 DIR# 1000000223 Pipeline,Kana Inc. 12620 Magnolia Avenue Riverside, CA 92503 Proiect Name: Kana Project# 6120—Water Main System Replacement 2012-2013 Kana Supt: Scott Machurski (748) Location: Fullerton, CA, (Jobsite Located at W. Valencia Dr., between Basque Ave. and Richman Ave.); USA's on Rolling Hills Dr. at E. Rosalia Dr and Maple Ave. Description: Furnish and install 3,340 LF of 8" PVC CL150, and 2,680 LF of 12" and 2,750 of 16"water pipeline main; 4: and 8"meter connections, 8" and 12" gate valves,hot taps, fire hydrant removals and installations, 1" air vac assemblies, 4"blow off assemblies, residential driveway reconstruction, curb access ramp and modified curb access ramp, cross butter/spandrel, local depression, asphalt concrete and aggregate base, adjustment to sewer manholes to grade and adjustment of water valves to grade; Includes mobilization and demobilization, NPDES compliance, clear and grub, traffic control, signing, striping and loops. Total Man-hours: 7,534.00 Mhrs. Owner: City of Fullerton, CA 303 West Commonwealth Avenue Fullerton, CA 92832 Proiect Manager: Vince Oseguera, CM, (714) 738-6851, Vincent0kci.fullerton.ca.us Contract Amount: (Original Contract Amount $2,286,000.00) Start Date: 2/28/13 Date Of Completion: 10/9/2013 Tel# 714-986-1400 License# 461487 DIR# 1000000223 a a Inc.Kana 12620 Magnolia Avenue Riverside, CA 92503 Proiect Name: Kana Project#6167 - Trask Ave - Lily St. Water Improvements Location: Garden Grove, CA (Trask Ave., / Lily Street) Description: Furnish and install approx 3,500 LF of PVC C900 CL200 in 4", 6", 8", and 12" sizes; install corresponding 4-12" gate valves, connections to main, abandonments in place; 50ea. 1"water services, 4" water service, removal and installation of 7 ea. Fire hydrants, sheeting, shoring,bracing, traffic loop detectors, slurry seal over asphalt including temp stripingand all related traffic control. Total Man-hours: 2,430 Owner: City of Garden Grove 11222 Acacia Parkway Garden Grove, CA 92840 Proiect Manager: Rebecca Li, Assoc. Engineer/PM (714) 741-5562, rebeccalnci. arden-gxove.ca.us Contract Amount: (Original Contract Amount $825,000.00) Start Date: 5/28/13 Date Of Completion: 8/30/13 Tel# 714-986-1400 License# 461487 DIR# 1000000223 A'�—"Kana Pipeline, Inc. 12620 Magnolia Avenue Riverside, CA 92503 Project Name: Kana Project## 5629 - The Preserve CFD #2003-3 Location: Chino, CA (Pine Ave. at W. Preserve Loop; TG Pg#712 F-1) Description: Scope of work includes sewer, domestic and reclaimed water and storm drain installation; utility potholing; approximately 5,000 LF of 10", 12" and 15"VCP clay sewer, 18ea. 10"manholes, includes a 29"jack and bore steel pipe casing underneath Pine Ave.; Domestic water scope of work includes over 5,500 LF of 12"PVC C900CL200 pipe; over 100LF of 8" PVC C900 CL200 installation;13 ea. 12" gate valves and 2ea 6" gate valves,bends, blow off assemblies, flanges and a 30"blind flange, reclaimed water installation of 3,000 LF of 8"PVCC900CL200 Purple pipe, 8" gate valves, air vac assemblies, 12"x6"cross, 12"x6"reducer, fire hydrant assemblies, Over 1,200 LF of 24", 42" and 60"RCP storm drain pipe, catch basins, junction structures, Clear and grub, SWPPP Implementation, Traffic Control; Total Man-hours: 4,842 Mhrs. Owner: LCD Homecoming at The Preserve , 1156 N. Mountain Ave., Upland, CA 91786 / Lucas Companies, Project Manager: Jason Miller(909) 946-7521;jason.millerglewisop.com Contract Amount: $1,819,845,12 (Original Contract Amount $ 1,406,352.00) Start Date: 12/19/2011 Date Of Completion: 9/12/2013 Tel# 714-986-1400 License# 461487 DIR# 1000000223 a . 12620 Magnolia Avenue Riverside, CA 92503 Project Name: Kana Project# 5930—Sunset Beach Water Main Replacement Kana PM: Derek Woodland (1051) / Supt. Nicolas Alcantar(43) Location: Huntington Beach, CA, CA(All between 11" , 12", 10, 15th, 16th, 27th , 23rd, and 24`h streets, from N Pacific Ave., to Pacific Coast Highway(PCH); ref: TG 826 J7) Description: Furnish and install 907 LF 6" and 240 LF 12" DR-14 PVC AWWA C900, a 12"bore of steel casing under CalTrans alley approach, 1" and 2"water services and 3/ and 1" water meter assemblies with meter box; removing existing meter box; chlorination and testing of all new water main and appurtenances, Asbestos Cement (AC) pipe legal disposal; 4"blow off assemblies, remodel 4 sewer house connection laterals conflicting with proposed waterline, remove and salvage exist FH including removing buy, valve and appurtenances; conducted preconstruction survey of existing home and street as required by contract docs., temp water services and blow off, 4"temp hot tap to existing 6"AC Pipeline valve; all related traffic control, Also includes mobilization, demobilization and cleanup as well as alley rehabilitation for all sites. Total Man-hours: 4,956 total hours Owner: City of Huntington Beach, 2000 Main Street, HB, CA 92648 Project Manager: Lili Hernadez 714-374-5386 Contract Amount: $ 1,324,306.24 (Original Contract Amount $1,295,430.00) Start Date: 11/13/12 Date Of Completion: 5/18/2013 Tel# 714-986-1400 License# 461487 DIR# 1000000223 Pipeiine, Inc. 12620 Magnolia Avenue Riverside, CA 92503 Proiect Name: Kana Project# 5212—Concrete Street Water Pipeline Improvements Santa Ana Location: Various streets throughout Santa Ana, CA Description: Kana Pipeline installed several thousand feet of water pipeline main and related infrastructures along Concrete Street in various locations.Over 6,000 LF 8" and 12" PVC C900 water main pipeline, 1" & 2" water services, resilient wedge gate valves, a fire line main and lateral with new fire hydrant assemblies, and hot taps; traffic control and pavement markings; cold mill and asphalt pavement overlays/grind and cap. Total Man-hours: 5,792 Owner: City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 Proiect Manager: Edward Torres, Project Manager of Construction(714) 647—5018 / etorres ,santa-ana.org Contract Amount: $829,167.94 (Original Contract Amount $ 723,755.00) Start Date: 07/11/2011 Date Of Completion: 3/23/2012 Tel# 714-986-1400 License# 461487 DIR# 1000000223 ME Ow Wana Pipeline, MOMW 12620 Magnolia Avenue Riverside, CA 92503 Proiect Name: Kana Project# 5127 - Madison Street Storm Drain Reconstruction Kana PM: Rizwan Rana, MBA (682)/ Supt. Scott Machurski (748) Location: 3532 Madison Street (x Garden St.) Description: Installed storm drainage pipeline and other related drainage infrastructure and associated street work on Madison Street as part of the City's storm drainage improvement plans. Highlights: Installed approximately 2,000 LF of combined 24", 30", 36", 42" and 48" RCP pipeline installations in the public right-of-way, asphalt grinding, detector loops, thermoplastic striping, pavement markings and removals, catch basins, storm drain manholes, concrete collars, crack fill and repair, shoring, sheeting, bracing and emulsion aggregate slurry. Total Man-hours: 2,237 Owner: City of Riverside 3900 Main Street, Riverside, CA 92522 Proiect Manager: Mike Wolffe; cell (951) 901-5440 email: MWolft2riversideca.gov ; office (951) 826-5990 Contract Amount: $478,751.25 (Original Contract Amount $478,751.25) Start Date: 06/01/2011 Date Of Completion: 9/24/2011 Tel# 714-986-1400 License# 461487 DIR# 1000000223 Pipeline, an , Inc. 12620 Magnolia Avenue Riverside, CA 92503 Proiect Name: Kana Project# 5172—Airport Industrial Storm Drain Extension Replacement. Kana PM: Rizwan Rana, MBA (682)/ Supt. 787 Location: Van Buren and Morris, adjacent Riverside Airport Description: 242 LF of 60"RCP installed within 84" steel casing for boring underneath adjacent railroad, 36" Storm Drain Inlet, Junction Structure Total Man-hours: 586 Owner: City of Riverside, Purchasing Division 3900 Main Street, Riverside, CA 92522 Proiect Manay_er: Mike Wolffe; cell (951) 901-5440 email: MWolffkriversideca.gov ; office(951) 826-5990 Contract Amount: $ 306,500.00 (Original Contract Amount $261,000.00) Start Date: 10/18/2011 Date Of Completion: 11/30/2011 Tel# 714-986-1400 License# 461487 DIR# 1000000223 at a ana ' _. , Inc. 12620 Magnolia Avenue Riverside, CA 92503 Project Name: Kana Project#4824 - Domestic Waterline Improvements E-13 & E-14 Location: San Juan Capistrano(the oldest city in Orange County!) Description: 2,600' of 12"PVC C900 Water line, 12", 10" and 8" Line Stops, gate valve replacements, 14 fire hydrant replacements, air release assemblies,blow off assemblies, utility overcrossing, Jack & Bore; all related testing and disinfection, AC Removal and replacement. Total Man-hours: 2,929 Owner: City of San Juan Capistrano 32400 Paseo Adelanto San Juan Capistrano, CA 92675 Project Engineer: Joe Mankawich(949) 487-4313 Direct./(949)443-6348 Main Public Works Line ("Naomi"x 6337)jankawichksanjuancapistrano.org Contract Amount: $664,950.00 (Original Contract Amount $657,700.00) Start Date: 10/4/2010 Date Of Completion: 02/21/2011 Tel# 714-986-1400 License# 461487 DIR# 1000000223 ."Kana Pipeline, Inc. 12620 Magnolia Avenue Riverside, CA 92503 Project Name: Kana Project#4666 - Long Beach & Imperial Highway Sewer Main Replacement Location: Long Beach Boulevard & Imperial Highway Description: 84" MH LACSD Type"E", 440' of 8" VCP, connect to existing 54"Trunk sewer. Total Man-hours: 1,800 Owner: City of Lynwood 11330 Bullis Road Lynwood, CA 90262 Project Engineer: Ken Putnam (818) 808-5442 (confirmed viable reference 10/2/14) kputnamekinfeng.co Contract Amount: $349,000.00 (Original Contract Amount $218,300.00) Start Date: 06/01/2010 Date Of Completion: 01/13/2011 Tel# 714-986-1400 License# 461487 DIR# 1000000223 Kana Pipeline, . 12620 Magnolia Avenue Riverside, CA 92503 Project Name: Kana Project# 5060—Eastside and Main Street Water Distribution Replacement. Kana PM: Rizwan Rana, MBA(682)/ Supt.97 Location: Main Street & Stoddard Ave Description: 12,300 LF of 8" Ductile Iron Pipeline, fire hydrants, installed over 500 combined domestic water, reclaimed, and fireline services (1", 2" & 4" domestic and 4" & 6" fire services). Total Man-hours: 10,837 Owner: City of Riverside, Purchasing Division 3900 Main Street, Riverside, CA 92522 Project Manager: Leonardo Ferrando (951) 826-5694/lferrandogriversideca.gov Contract Amount: $ 1,687,570.50 (Original Contract Amount$1,768,568.58) Start Date: 3/4/2011 Date Of Completion: 12/28/2011 Tel# 714-986-1400 License# 461487 DIR# 1000000223 Pipeline,Kana _ Inc. 12620 Magnolia Avenue Riverside, CA 92503 Project Name: Kana Project# 5162—Sewer Replacement and Road Reconstruction Location: Chapman Ave., Fullerton, CA Description: Removing and replacing old sewer pipeline mainlines with new sewer main for the City of Fullerton, along Chapman Ave and nearby side streets amidst residential neighborhood. Installed approximately 4,000 LF of 8" VCP Sewer Main installation; 150 LF of 8" Ductile Iron Sewer Main, sewer manholes, lateral reconnections, removed existing VCP sewer main pipeline, manholes, and sewer cleanouts; installed an Access Ramp per APWA and access ramp retrofit; installed new sidewalk, curb a gutter and cross gutters, alley returns, aggregate base, asphalt concrete, adjusted sewer manholes and water valves to grade; installed street light conduit; carried out Water Pollution Control, Traffic Control, Clear and Grub, Sheeting, Shoring and Bracing. Note, This was a 100% import and 100% export material soil project. Total Man-hours: 5,733 Owner: City of Fullerton, 303 W. Commonwealth Ave., Rm#207, Fullerton, CA 92832 Project Manager: Eric Villagracia, (714) 738-6353 Contract Amount: $1,415,119.45 (Original Contract Amount $1,619,310.00) Start Date: 5/23/2011 Date Of Completion: 9/15/2011 Tel# 714-986-1400 License# 461487 DIR# 1000000223 Pipeline,Kana 12620 Magnolia Avenue Riverside, CA 92503 Proiect Name: Kana Project# 5215 —Plumosa Drive Waterline Location: 4444 Plumosa Dr. (X Lemon Blvd.) Description: Water Pipeline Replacement Project, Phase I, on Plumosa Drive. Installed approx 3,000 LF of 12" C-900 PVC pipe for domestic water, fire hydrants, water pipe line laterals, abandonments, relocations, slurry backfill, pavement repair, and all necessary traffic control, permits, BMP's and NPDES compliances. Total Man-hours: 3,693 Owner: Yorba Linda Water District(YLWD) 1717 E. Miraloma Avenue Placentia, CA 92870 Proiect Manager: Joe Polimino, Construction Supervisor(714) 701-3104 jpolimino ylwd.com Contract Amount: $668,112.50 (Original Contract Amount$568,000.00) Start Date: 06/15/2011 Date Of Completion: 12/14/2011 Tel# 714-986-1400 License# 461487 DIR# 1000000223 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/SB 854FactSheet_6.3 0.14.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. v� Contractor By Title Date: PWC Registration#: I Ob000C) `L23 C-12 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 r f baviness) Fidelity and Deposit Company of Maryland Kana Pipeline, Inc. 1299 Zurich Way, 5th Floor 12620 Magnolia Ave. Schaumburg, IL 60196-1056 This document has important g legal consequences.Consultation Riverside, CA 92503 Mailing Address for Notices with an attorney is encouraged with respect to its completion or OWNER: modificatio n. (Name,legal states and address) Any singular reference to City of Huntington Beach Contractor,Surety,Owner or 2000 Main Street other party shall be considered plural where applicable. Huntington Beach, CA 92648 BOND AMOUNT: 10% Ten Percent of Amount Bid PROJECT: ,(.'Fame,location or address and Project number.if arty Well No. 14 Storm Drain on McFadden Avenue from Vasser Street to Gothard Street CC No. 1555 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 Owncr accepts the bid of the Contractor within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(I)enters into a contract with the Otvrter 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 1'roiect and otherwise acceptable to the Owner,for the faithful perfomtance 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 perlimn the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full lorce and efleel.The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the lime in which the Owner may accept the bid.Waiver ul'notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the lime for acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent lhr an extension beyond sixty(60)days. If this Bond is issued in connection with a subcontractor's bid to a Contractor,the tenn 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 liumished to comply with a statutory or other legal requirement in the location of the Project,any provision in this Bond conflicting vdth said statutory or legal requirement shall be deemed deleted herefrom and provisions confiimting to such statutory or other legal requirement shall be deemed incorporated herein.When so fumished,the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and scaled this 18th day of April, 2018. Kana Pipeline, Inc. ` (Principal) (Seal) (Ji'in ass) i��Gb� P�pUt� By: (title) 17tqjIL l_ (V� Fidelity and Deposit Company of Maryland U�iX llvt � l K, , (Suret}) (,Sett/) (iF'itness) Heather Saltarelli By: IV (Title)Kim Luu Attorney-in-Fact S-0054/AS 8/10 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8,Attornevs-in-Fact. The Chief Executive Officer,the President,or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any such appointment or authority at any time. CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate;and I do further certify that Article V, Section 8,of the By-Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attomey...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the I0th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this day of APR 8 20 r�DEIO,rr ••GIS'�..,�Uw''' � „i SEAL i Michael Bond,Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND,PLEASE SUBMIT ALL REQUIRED INFORMATION TO: Zurich American Insurance Co. Attn: Surety Claims 1299 Zurich Way Schaumburg,IL 60196-1056 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 Maryland,and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by DAVID MCVICKER,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 James A.SCHALLER,Mike PARIZINO,Rachelle RHEAULT,Rhonda C.ABEL,Kim LUU,Jeri APODACA and Heather SALTARELLI,all of Newport Beach,California, EACH its true and lawful agent and Attorney-in-Fact,to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland.,in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8,of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 15th day of June,A.D.2017. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND GL/0,t, �••G tNS(/ ti $BAL J�y el •$. E Assistant Secretary Vice President Dawn E.Brown David McVicker State of Maryland County of Baltimore On this 15th day of June, A.D. 2017, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, DAVID MCVICI{ER,Vice President,and DAWN E.BROWN,Assistant Secretary, of the Companies,to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth'and saith, that he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written. . '' h nn n• Constance A.Dunn,Notary Public My Commission Expires:July 9,2019 POA-F 012-9310Q CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of Orange ) On before me. Heather R. Saltarelli, Notary Public �a e - Here Insert Name and Title of the Officer personally appeared Kim Luu Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(* is/MR subscribed to the within instrument and acknowledged to me that ka/she/tiw executed the same in tither/tWRauthorized capacity(ba*and that by NzAner/Rx*signature(s)on the instrument the person(* or the entity upon behalf of which the person(so 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. �— FEUHER R. SALTARELLI y t on ?is.;iar # 20737.70 z c� '1+'Public Caiii:f+?i2 z r i r Signature ,,✓ Dire `�9 Ca!!rity - 'A"Cn;- ? ' J s Ju 2 7,20 18 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 — 5 Limited C1 General Partner — i Limited General Individual X Attorney in Fact Individual Attorney in Fact Trustee l::i Guardian or Conservator ;Trustee Guardian or Conservator Other: Other. Signer Is Representing: Signer Is Representing: ©2014 National Notary Association• www.NationaiNotary.org - 1-800-US NOTARY(1-800-876-6827) Item#5907 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of t t d& On 4114 7blI , , before me, Hernes Salvador-Tabadero, Notary Public personally appeared Daniel Locke 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 State of California that the foregoing paragraph is true and correct. HERNES ;rLVA t 1Ar;M-o COMM. #2066708 a W Notary Public•California c WITNESS my hand and official seal. z Orange County. Comm.Expires May 30,2018 SIGNATURE iAivw-ft'�' PLACE NOTARY SEAL ABOVE ............................................................................................................................................................................................................................................................................................................................................................................... Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of attached document Title or type of document: 1b D 1;�b U Document Date: Number of Pages: Signer(s) Other than Named Above: 'Yl{," m" �TRA4`�p� } s� i� U P d.. �y' iF '�n.. ��" F- J W w p C a' LL � p w a Q W d coo W O o CDN 0 LO F— N m Cl) LO O N .W O � W 6 -w I a Q "- I ° mz ,co � a cn O > U v o z Q W N w w m U. ~ U- Z O w -- w O LU a M U p w w Z O m . wM Q Z Z a o Z = O — aN LV = F- w LL zz - � Q O > W (DW �.. aapl v F_- o QZ N > W 4T � F- City of Huntington Beach . z 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk October 13, 2020 Kordich Construction, Inc. 6044 Lawrence Street Cypress, CA 90630 RE: Well No. 14 Storm Drain on McFadden Avenue from Vasser Street. To Gothard Street - CC No. 1555 Enclosed please find your original bid bond for CC-1555. Sincerely, �&4v4J40, Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand 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. ,%� Accom ng this proposal of bid, find U�� of in the amount of which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 SECTION C PROJECT BID SCHEDULE A WELL NO. 14 STORM DRAIN, CC 1555 (McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET) BID ITEMS x r �)Cte1n�� �a.�'r} 8sCC1 tIQII• a `� + 4� "u A ''.��'�s* ';�, No ��`v. � �,'` - �T :��p •' k�,� �; �` �� �Qnanhty���Urut,�j ;�Urut�CQst �� To a1�Cost� 4:s x ' c_'+s — 1 Mobilize and Demobilize 1 LS $ 1 S'QoD $y /�5©00 2 Construction Safety 1 LS $ 3 Traffic Control,preparation and implementation 1 LS $ZS 0278 $ 4 BMPs implementation of WPCP 1 LS $ S $ 5 Prepare WPCP 1 LS $ 6 24-inch Diameter Storm Drain 1785 LF $ _360 $ 53 55 0 [371 42-inch Storm Drain Junction Structure,Type B, Plan 305 1 EA $Storm Drain Junction Structure,Type A, Plan 304 4 EA $t,6CO 9 4-foot ID Precast Manhole, Detail 1 sheet C501 1 EA $ 16600 $ // "�,,, —6 10 2-Inch Air Vacuum Release Assembly 2 EA $ !0 g190 $ k11 Raise 8-inch Waterline, Detail 6 Sheet C501,Plan Note 18 2 EA $ 9 990 $ 199 go 12TTee Patch Storm Drain per Plan 109,Plan Note 17 1250 LF $ y/ $ 5/Z 5-inch Water Service 1 LS $ 99od $ 9 0v 14 16-inch Well Discharge Pipeline 90 LF $ S©o $ L/rj ?0 15 6-inch Fire Hydrant Assembly 1 EA $ 1'2Soy $ 00 16 12-inch Well Discharge Pipeline 300 LF $ L/L5 $ Z7$00 17 2-inch Pavement Grind and Overlay and Pavement Striping 335 TN $ $ /� �ZS 18 Remove and Replace Traffic Signal Loops 15 EA $ 4100 $ ��� TOTAL BID AMOUNT(BASIS OF AWARD)—SCHEDULE A $ Q y j�� TOTAL BID AMOUNT IN WORDS: Aj mJ�,, I-�y�cJ►'JCi?�. �gy(.t�4r ��'f y�J �1-FWSM/� d�E/Yid, �1��''1� �/1�� b'►©�l<v Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. C-2.1 SECTION C PROJECT BID SCHEDULE A WELL NO. 14 STORM DRAIN, CC 1555 (McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET) 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 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 l ,� 11- r1 rti Gn vZ� 4 "o" Z,vL Lj p C� 91 &OZ-V UC C4 q0 ti� kit 4&W-" f'N �r ,V1 v�vlc-r��nw rlc c�a -s �U7� �► { 7 p:0 b-.,w 2.Z2.�i`, Cocr„A,t;..A 7i tUowoCoS' 7 L Al I.'\ cry.)c2 c t- K, i) 9fiP_V(,-hXr`s Tit ' S� �a 1 I S ysS T2_- �J �i 11000 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 .23 , at � �L?�� ,_(2q Date City State l �� ��, being first duly sworn, deposes and says that he or she is L-1 of �.tt �t. �.G1�5T -�, 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 6y Address of Bidder�6 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 WELL NO. 14 STORM DRAIN PROJECT CC 1555, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Contractor ge By Title Date: C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes -"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 Title Date: 1/ C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name Business Address City, V State Zip Telephone Number Email Address C State Contra or's icense No. and Class fQ/,.3 ".;:2-a (S Original Dat Issue Expiration Date �/ The work site was inspected by ��/E-f(,of our office o / , 201 Th following are persons, firms, nd rporations having a principal interest in this proposal: The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Company Name Signature of adder JJ Printed or Typed Signature C-s Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of RCP Storm Drain Pipelines, and DIP Potable Water Pipelines within the public right of way. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and'telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-10 KORDICH CONSTRUCTION CO. CONSTRUCTION HISTORY AS CO-OWNER OF ANDREW PAPAC AND SONS COMPLETION DATE OR % PROJECT - OWNER OR GENERAL CONTRACTOR CONTRACT PRICE JANUARY, 2014 ESR - CANYON DRIVE (2100 Block) (T&M) $45,974.39 CITY OF LOS ANGELES - DEPARTMENT OF PUBLIC WORKS 1149 S. Broadway, Suite 700 Los Angeles, CA 90015 Belal Tamimi (213) 847-0296 W.O. SWCO2388 JANUARY, 2014 EMERGENCY SEWER REPAIR - VENTURA BOULEVARD (T&M) $413,245.00 CITY OF LOS ANGELES - DEPARTMENT OF PUBLIC WORKS 1149 S. Broadway, Suite 700 Los Angeles, CA 90015 Gevork Mkrtchyan (213) 485-5919 W.O. SZC12146 DECEMBER, 2013 HILLHAVEN AVENUE, TUJUNGA - SEWER LINE INSTALLATION $40,000.00 VILLA NOVA DEVELOPING, INC. 8209A Foothill Blvd., Suits 700 Sunland, CA 91040 Marta Litwin (818) 253-5501 DECEMBER, 2013 VARIOUS SEWER IMPROVEMENTS PROJECT NO. 78 $808,409.01 CITY OF CYPRESS 5275 Orange Avenue Cypress, CA 90630 Kamran Oabeth (714) 229-6700 NOVEMBER, 2013 FERN DELL & BLACK OAK DRIVE EMERGENCY STORM DRAIN (T&M) $80,332.95 CITY OF LOS ANGELES - DEPARTMENT OF PUBLIC WORKS 1149 S. Broadway, Suite 700 Los Angeles, CA 90015 Iraj Moussay-Afzali (213) 485-5846 W.O. SZS11533 OCTOBER, 2013 ESR - DIMMICK DRIVE (T&M) $28,585.61 CITY OF LOS ANGELES - DEPARTMENT OF PUBLIC WORKS 1149 S. Broadway, Suite 700 Los Angeles, CA 90015 Belal Tamimi (213) 847-0296 W.O. SWCO2232 AUGUST, 2013 EMERGENCY SEWER REPAIR - 108TH STREET (T&M) $245,492.07 CITY OF LOS ANGELES - DEPARTMENT OF PUBLIC WORKS 1149 S. Broadway, Suite 700 Los Angeles, CA 90015 Jorge De La Torrients (213) 485-5836 W.O. SUC012189 JULY, 2013 GLENDALE - SAPE ROUTES TO SCHOOL IMPROVEMENT PROJECT $91,231.37 Subcontractor for E.C. CONSTRUCTION (Storm Drain) 2013 Chico Street South El Monte, CA 91733 John Walters (626) 444-9596 JUNE, 2013 EMERGENCY SEWER REPAIR - MEADOW VALLEY TERRACE (T&M) $84,314.11 CITY OF LOS ANGELES - DEPARTMENT OF PUBLIC WORKS 1149 S. Broadway, Suite 700 Los Angeles, CA 90015 Gevork Mkrtchyan (213) 485-5919 W.O. SWCO2160 MAY, 2013 LAUSD - CENTRAL REGION ELEMENTARY SCHOOL # 20 $1,990,998.00 Subcontractor for HENSEL PHELPS CONSTRUCTION (Site Utilities) 3520 W. Council St:, Suite B Los Angeles, CA 90004 John Nunn (213) 386-1798 APRIL, 2013 JOINT OUTFALL "D", UNIT 1 POTHOLING (T&M) $36,797.02 COUNTY SANITATION DISTRICTS OF LOS ANGELES COUNTY 24501 S. Figueroa Street Carson, CA 90745 Alex Manesh (310) 830-8050 BU No. 3016351 APRIL, 2013 EMERGENCY SEWER REPAIR - 2N0 STREET (T&M) $96,625.28 CITY OF LOS ANGELES - DEPARTMENT OF PUBLIC WORKS 1149 S. Broadway, Suite 700 Los Angeles, CA 90015 Belal Tamimi (213) 847-0296 W.O. SZC12497 APRIL, 2013 STORM DRAIN IMPROVEMENTS PROJECT, PHASE II $123,754.72 CITY OF INGLEWOOD One Manchester Boulevard Inglewood, CA 90301 Boytrese Osias (310) 412-5333 FEBRUARY, 2013 EMERGENCY SEWER REPAIR - SOUTH CATALINA STREET (T&M) $33,989.25 CITY OF LOS ANGELES - DEPARTMENT OF PUBLIC WORKS 1149 S. Broadway, Suite 700 Los Angeles, CA 90015 Rafael Solorzano (213) 485-5862 W.O. SWCO2119 4 f m®R®ICH CONSTRUCTION CO. CONSTRUCTION HISTORY AS CO-OWNER OF ANDREW PAPAC AND SONS COMPLETION DATE OR % PROJECT - OWNER OR GENERAL CONTRACTOR CONTRACT PRICE JANUARY, 2014 ESR - CANYON DRIVE (2100 Block) (T&M) $45,974.39 CITY OF LOS ANGELES - DEPARTMENT OF PUBLIC WORKS 1149 S. Broadway, Suite 700 Los Angeles, CA 90015 Belal Tamimi (213) 847-0296 W.O. SWCO2388 JANUARY, 2014 EMERGENCY SEWER REPAIR - VENTURA BOULEVARD (T&M) $413,245.00 CITY OF LOS ANGELES - DEPARTMENT OF PUBLIC WORKS 1149 S. Broadway, Suite 700 Los Angeles, CA 90015 Gevork Mkrtchyan (213) 485-5919 W.O. SZC12146 DECEMBER, 2013 HILLHAUEN AVENUE, TUJUNGA - SEWER LINE INSTALLATION $40,000.00 VILLA NOVA DEVELOPING, INC. 8209A Foothill Blvd., Suite 700 Sunland, CA 91040 Marta Litwin (818) 253-5501 DECEMBER, 2013 VARIOUS SEWER IMPROVEMENTS PROJECT NO. 78 $808,409.01 CITY OF CYPRESS 5275 Orange Avenue Cy rasa, CA 90630 Kamran Dabeth (7143 229-6700 NOVEMBER, 2013 FERN DELL & BLACK OAK DRIVE EMERGENCY STORM DRAIN (T&M) $80,332.95 CITY OF LOS ANGELES - DEPARTMENT OF PUBLIC WORKS 1149 S. Broadway, Suite 700 Los Angeles, CA 90015 Irej Moussay-Afzali (213) 485-5846 W.O. SZ911533 OCTOBER, 2013 ESR - DIMMICK DRIVE (T&M) $28,585.61 CITY OF LOS ANGELES - DEPARTMENT OF PUBLIC WORKS 1149 S. Broadway, Suite 700 Los Angeles, CA 90015 Belal Tamimi (213) 847-0296 W.O. SWCO2232 AUGUST, 2013 EMERGENCY SEWER REPAIR - 10BTH STREET (T&M) $245,492.07 CITY OF LOS ANGELES - DEPARTMENT OF PUBLIC WORKS 1149 S. Broadway, Suits 700 Los Angeles, CA 90015 Jorge De La Torriente (213) 485-5836 W.O. SWC012189 JULY, 2013 GLENDALE — SAFE ROUTES TO SCHOOL IMPROVEMENT PROJECT $91,231.37 Subcontractor for E.C. CONSTRUCTION (Storm Drain) 2013 Chico Street South E1 Monte, CA 91733 John Walters (626) 444-9596 JUNE, 2013 EMERGENCY SEWER REPAIR - MEADOW VALLEY TERRACE (T&M) $84,314.11 CITY OF LOS ANGELES - DEPARTMENT OF PUBLIC WORKS 1149 S. Broadway, Suits 700 Loa Angeles, CA 90015 Gevork Mkrtchyan (213) 4B5-5919 W.O. SWCO2160 MAY, 2013 LAUSD - CENTRAL REGION ELEMENTARY SCHOOL # 20 $1,990,998.00 Subcontractor for HENSEL PHELPS CONSTRUCTION (Site Utilities) 3520 W. Council St: Suite 8 Los Angeles, CA 90004 John Nunn J213) 388-1798 APRIL, 2013 JOINT OUTFALL "D", UNIT 1 POTHOLING (T&M) $36,797.02 COUNTY SANITATION DISTRICTS OF LOS ANGELES COUNTY 24501 S. Figueroa Street Carson, CA 90745 Alex Manesh (310) 830-8050 BU No. 3016351 APRIL, 2013 EMERGENCY SEWER REPAIR - 2ND STREET (T&M) $96,625.28 CITY OF LOS ANGELES - DEPARTMENT OF PUBLIC WORKS 1149 S. Broadway, Suits 700 Los Angeles, CA 90015 Belal Tamimi (213) 847-0296 W.O. SZC12497 APRIL, 2013 STORM DRAIN IMPROVEMENTS PROJECT, PHASE II $123,754.72 CITY OF INGLEWOOD One Manchester Boulevard Inglewood, CA 90301 Boytrese Osias (310) 412-5333 FEBRUARY, 2013 EMERGENCY SEWER REPAIR - SOUTH CATALINA STREET (T&M) $33,989.25 CITY OF LOS ANGELES - DEPARTMENT OF PUBLIC WORKS 1149 S. Broadway, Suits 700 Los Angeles, CA 90015 Rafael Solorzeno (213) 485-5862 W.O. SWCO2119 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. Name of proposed Project Manager Telephone No. of proposed Project Manager: Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount _ Type of �11V of Work Date Completed 2. ��L � �'L���/ Name of proposed Superintendent Telephone No. of proposed Superintendent: (,-2/y/� J e?O 17-5 Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https:Hefiling.dir.ca.gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://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. Contractor /7/ By V p2 5' lL' Title Date: PWC Registration #: %(�66C23­2 I� 07 C-12 TOKIOMARINE H CC Bond Number: n/a BID BOND KNOW ALL PERSONS BY THESE PRESENTS: That we, Kordich Construction Inc. (hereinafter called Principal), as Principal, and U.S. Specialty Insurance Company , a corporation organized and existing under the laws of Texas (hereinafter called Surety)as Surety, are held and firmly bound unto City of Huntington Beach -----------------------------------(hereinafter called Obligee)as Obligee, in the penal sum of Ten Percent of the Total Amount Bid --------------------------------------------------------------------------------------{percent( 10 %)of amount bid not to exceed Ninety-Five thousand------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- Dollars($_95,000.00 )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 Well no. 14 Storm Drain&Water Line Improvement-CC1555 NOW,THEREFORE, if the said contract be awarded to the Principal and the Principal shall,within such time as may be specified, enter into the contract in writing,then this obligation shall be void. If the Principal shall fail to do so,then the undersigned shall pay the obligee the damages which the obligee may suffer by reason of such failure up to and not exceeding the penal sum of the bond. Signed and sealed this 23rd day of April 2018 Principal: Kordich Construction, Inc. By: Surety: U.S. Specialty Insurance Company By: Edith Garibay, Attorney-In-Fact HCCSZZA_810y0MD 1;2017 Page 1 of 1 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 c A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of Orange ) On 04/2 3/2 01 8 before me, R. Rivas, Notary Public Date Here Insert Name and Title of the Officer personallyappeared Edith Garibay------------------------------------------------------------------------------------------- Name(s) of Signer(s) ------------------------------------------------------------------------------------------------------------------------------- who proved to me on the basis of satisfactory evidence to be the personWwhose name('is/are' subscribed to the within instrument and acknowledged to me thatJ:�cqshe/they executed the same in ,his/her/t4eir authorized capacity(ies),and that by his/her/their signature_(<on the instrument the person(W or the entity upon behalf of which the person zracted, 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. y r :;,,,,,_ion 2128505 �> No?ary Public - California !E Signature d. C anae Count; R. Rivas Signature of Notary Public My Coinni. Expires Oct 28,2019 N, 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: ©2014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 POWER OF ATTORNEY AMERICAN CONTRACTORS INDEMNITY COMPANY- TEXAS BONDING COMPANY PANY IN= TMIESISURETY COM mdporation, TexaMw EN BY!MS RXRNT That America � Mity Co Nmr - Bonding Company, an assumed name of American Contractor�hdemnity Company, United Srafes Surety Company, a M aryland corporation and U.S. Specialty Insurance Company, a Texas corporation (collectively, the"Companies"), do by these presents make, constitute and appoint: M-1=01iff—I'Mosa E.Riv "ine,CalMr*M-- its true and lawful Attorney(s)-in-fact, each in their separate capacity if more than one is named above, with full power and authority hereby conferred in its name,place and stead,to execute, acknowledge and deliver any and all bonds, recognizances, undertakings or other im&truments or contracts q ofswr t; : — -1,_providing the bond _Kship to include riders,amendrumb, and consents of surety Iti *****Five MAIRMON111 t exceed 000.00** yw-- MbM_ s PoweANUTZ ff. and b %W_ iiM�MMJ er action olm W r—e�Wffffority=of the following gb-IdUWadopted-by the Boards of EAMto 4WthMomparues: Be it Resolved, that the President, any Vice-President, any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: any and all bonds, &Maarneww ay be givcn=ful ftyamW amo�-and in the name ofan"- a&half UQ-05 any,to execute rp�gc!M HMVm pl— &�g --en— rWriE�RoWwWoMh—lease of retairift cmim-mqjm�acts, agrele-0 tit Inc 90 Mbr conditional MoWd 91ibluding a —WHEM-ah a- d- rMO&M-7documents 60 ompany's liabilifn=. =eii W-WW_--final cstima�dftncmmg�(WoMuction contracts, MftagR -Yn-dfng upon the ��d_aiid_any such instrunim—iffso ed by any such Attomey-in-Facti"bd'h Company as if!Wd5qA ire TWtit and sealed and effecte by the Corporate Secretary. Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any -bQnd oraind to which it is attached.- WiNd their c%Me0fW_@bF affixed,thiME —W NWITNWMMEREO� egame aused this insumM A& may November,2016 AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY Corporate Seals UNITED STATES SURETY COMPANY U.S.SPECIALTY INSURANCE COMPANY ............. ""W........... I... .. CTOq aw- YM PT. I P.Aguilai=i idft 0 J�Anotary public or other officer completing this certificate verifies only the identity of the individual who signed the document tp-which this certificate is attached dot the truthfulness,accuracy,or validityof-that document. oyIgeles SS On this 1st day of November,N 16, before me,Sabina Morgenstein,a notary public, personally appeared Daniel 157Aguilar,Vice President of American Contractors Indemnity Company,Texas Bonding Company,United States Surety Company and U.S.Specialty Insurance Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized--capacity,and that by his signature on_the-instrument the person,or the entity upon behalf of which the person acted,executed the instrument. dManNeir IMNALTY OWHW==mad&WW_av8%f the State of(MaMatffir Wkggnpragraph i9&MMffWt._ " IM9WIM tWitid and officW-AM=_ SABINA MORGERMI Commission* 1111111 Signature (Seal) Notary Public- California Los Angeles County AlvZomm,Expires Noy 3.2019 ff � In-giant Secretal-teM ri&fi06z MIndemniy Com _Mhpany,UrMMMsSMtK and U.S. egba ln executed by said Specialty Insurance Company 0p5b hffF certify that the above and for—g iYMe g5d correct copy of a Pwwet­Z� rney,exe Companies,which is still in full force and effect;furthermore,the resolutions of the Boards of Directors,set out in the Power of Attorney are in full force and effect. In Witnes&=Whereof, I have hereunto se_mnd a Cq-m.p _s day. _Apies at 1,os Angeles,California.1hi and affixed the seals of saiL Ems" �'Corpofffbfe Seals n.......... N GV 01 .0= Vio Lo,Assistant Secretary Bid Bond Bond No. 2256 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 On i ,or, 1 a3 , D-Dt '� before me, 0 POM 01t C`tl-vc Date Here Insert Name and Title of the O icer personally appeared ' o-,j f4. K° df Name(,g) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person() whose name(s) is/arp subscribed to the within instrument and acknowledged to me that&she/they executed the same in is er/their authorized capacity(i�s), and that by is er/their signature(,$)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. DEBBRA PENNA CHAVEZ WITNESS my hand and official seal. Notary Public - California I a t_� Orange County z Z it•,c aal .e D z Commission # 2177488 Signature --- �---- My Comm.Expires Jan 26,2021 J signature of Notary PubIIC 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: Pl+A RIZAS - ' Fe--�Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s), . Signer's Name: jZ,ct,,4 A A- k'a rd rc�- Signer's Name: ® Corporate Officer — Title(s): V i' ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑Attorney in Fact ❑ Individual O Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 NOTARY CERTIFICATE Subscribed and sworn to before me this 2'�day of ' ( , 201b . 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 Ca County of r a c ) On 2-3 ';tn1- before me, De4L& Pe LL\01e V Month, Day, and Year Insert Name and Title of Notary personally appeared L�. - - �'—C"-j Name(g) of Signer(w) who proved to me on the basis of satisfactory evidence to be the persono whose name(s) is/ap6 subscribed to the within instrument and acknowledged to me tha he/ he/they executed the same in 6is er/their authorized capacity(Vs), and that by is er/their 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. DEBBRA PENNA CHAVEZ WITNESS my hand and official seal. _ Notary Public - California a -`� Orange County Z Commission # 2177488 My Comm.Expires Jan 26,2021 Signaturel> Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 CD U-1 CD C-3 ctg —i City of Huntington Beach 20oo Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov fFB Po; Office of the City Clerk 17,1909 Robin Estanislau, City Clerk October 13, 2020 Mladen Buntich Construction Co., Inc. 1500 W. 9th Street Upland, CA 91786 RE: Well No. 14 Storm Drain on McFadden Avenue from Vasser Street. To Gothard Street - CC No. 1555 Enclosed please find your original bid bond for CC-1555. Sincerely, 4�� �&�etn� Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of WELL NO. 14 STORM DRAIN on McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET CC No. 1555 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 60 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find Bid Security in the amount of 10% which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 SECTION C PROJECT BID SCHEDULE A WELL NO. 14 STORM DRAIN, CC 1555 (McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET) BID ITEMS Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 1 Mobilize and Demobilize 1 LS $( $ O paj 2 Construction Safety 1 LS $ 1 3 Traffic Control, preparation and implementation 1 LS $W. $ 30 aoj 4 BMPs implementation of WPCP 1 LS $ 5 $T_ 5 Prepare WPCP 1 LS $ I f7W $ I �� 6 24-inch Diameter Storm Drain 1785 LF $ O 7 42-inch Storm Drain Junction Structure, Type B, Plan 305 1 EA $ ig,✓�v $ J g/nip 8 Storm Drain Junction Structure, Type A, Plan 304 4 EA $f g,Mo $ -7 Z oyo 9 4-foot ID Precast Manhole, Detail 1 sheet C501 , 1 EA $"LZ,OPSb $ ZZ,DDb 10 2-Inch Air Vacuum Release Assembly 2 EA $10, $ odd 11 Raise 8-inch Waterline, Detail 6 Sheet C501, Plan Note 18 2 EA $ $ ab 12 Tee Patch Storm Drain per Plan 109, Plan Note 17 1250 LF $ $ 13 1-inch Water Service 1 LS $j 0�trx� $ I b�pbD 14 16-inch Well Discharge Pipeline 90 LF $_S-5 $ c� D27 15 6-inch Fire Hydrant Assembly 1 EA $13,Q $ 16 12-inch Well Discharge Pipeline 300 LF $ Z S'57 $ 8S�SIrU 17 2-inch Pavement Grind and Overlay and Pavement Striping 335 TN $ i qL-) $ (0 00 18 Remove and Replace Traffic Signal Loops 15 EA $ $ ouy TOTAL BID AMOUNT (BASIS OF AWARD) —SCHEDULE A $ TOTAL BID AMOUNT IN WORDS: Oar€' eLeltC/lJ,t/ CJ..t/F'�v,�/t U A41U6 -7;u A'YA//&r,1- Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. C-2.1 SECTION C PROJECT BID SCHEDULE A WELL NO. 14 STORM DRAIN, CC 1555 (McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET) 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 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 1-z Nay Aub 7-15157- A iaoc�r�o�Co fib,Src(r� �p l_ S By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 4-24-2018 at Upland CA Date City State Mladen Buntich Jr , being first duly sworn, deposes and says that he or she is President of Mladen Buntich Construction Company 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. Mladen Bunt' nstruction Company Inc Name f Bidde Sig ature of idder 1500 West 9th Street Upland CA 91786 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 WELL NO. 14 STORM DRAIN PROJECT CC 1555, (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. Mladen Buntic on ruction Company Inc Contractor By Ll President Title 4-24-2018 Date: C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes ® 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. Mladen Buntic struction Company Inc Contract Y \\j President Title Date: 4-24-2018 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Mladen Buntich Construction Company Inc Bidder Name 1500 West 9th Street Business Address Upland CA 91786 City, State Zip 909 ) 920-9977 estimating@buntich.com Telephone Number Email Address 532604 Class A State Contractor's License No. and Class 7-18-10978 Original Date Issued 6-3-2018 Expiration Date The work site was inspected by Tony Christensen of our office on April 23 , 2018 . The following are persons firms, and corporations having a principal interest in this proposal: Mladen Buntich Jr- President Lee Roesner- Vice President Scott Peterson- Corporate Secretary The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Mladen Bun ' Co truction Company Inc Company me S' nature f Bidde Mladen Bunti r. Printed or Typed Signature C-8 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of SAN BERNARDINO On APRIL 24, 2018 before me, JENNIE L STALKER,NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared MLADEN BUNTICH JR Name,X of Signer(4 who proved to me on the basis of satisfactory evidence to be tl�E person�whose nameX is/X subscribed to the within instrument and acknowledged to me that he/s,Velt*y executed the same in his/O(r/Wr authorized capacity(i. ), and that by his/*/tXir signatureX on the instrument the person4, or the entity upon behalf of which the personA acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing J.STALKER paragraph is true and correct. Commission#2118376 1 Notary Public-California WITNESS my h d and ffi ial seal. San Bernardino County f Mv Comm. Expires Jul 5.2019 t Signature Place Notary Seal and/or Stamp Above gnature of Notary Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: C3 Corporate Officer— Title(s): 0 Corporate Officer—Title(s): • Partner— 0 Limited C) General 0 Partner— 0 Limited 0 General • Individual 0 Attorney in Fact 0 Individual 0 Attorney in Fact • Trustee ci Guardian of Conservator 0 Trustee ci Guardian of Conservator • Other: 0 Other: Signer is Representing: Signer is Representing: 02017 National Notary Association 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 RCP Storm Drain Pipelines, and DIP Potable Water Pipelines within the public right of way. 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 Los Angeles Department of Water and Power l Il N Elope Street Los Angeles, CA 90012 Name and Address of Public Agency Alex Liu 213-367-5288 Name and Telephone No. of Project Manager: 13,786,000 24"-96" Open Cut Water Pipe Line 2015 Contract Amount Type of Work Date Completed C ovide Wditional pro�e� �lesc�r'apt' sho smimilar ork: oncrete structures an a ve u ts, arge iaeter Butterfly Valves, Welded Steel Pressure Pipe up to 9611. Goleta West Sanitary District PO Box 4 Goleta, CA 93116 Name and Address of Public Agency Mark Nation 805-968-2617 Name and Telephone No. of Project Manager: 10,771,252 42" CCFRP Open Cut and Micro Tunnel 2016 Contract Amount Type of Work Date Completed Movid�addittalftproject og r�ti%i to show sir�l� r vol eep ccess a up to 4e p. ewatering o a t. Micro Tunnel of 42" Piping. Multiple Seaver Bypassing pera ions. Open CUtTrenching. Concrete S-Structures and Vaults. 3 City of Los Angeles Department of Water and Power I I I N. Hope Street Los Angeles, CA 90012 Name and Address of Public Agency Alex Liu 213-367-5288 Name and Telephone No. of Project Manager: 23,299,570 66" Diameter Open Cut Water Pipeline November 2016 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Concrete Structures and Valve Vaults, Dewatering, Large Diameter Welded Steel Pressure Pipe up to 84". Traffic Control, AC Paving, Curb/Gutter/Sidewalk. 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 perfornied similar work within and around 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 Edmund Lyons Name of proposed Project Manager Telephone No. of proposed Project Manager: 909-239-0490 Silver Lake Reservoir Bypass and Regulating Station Water Force Maid 2017 Project Name & Contract Amount Type of Work Date Completed Silver Lake Reservoir Site Piping Water Force Main 2015 Project Name & Contract Amount Type of Work Date Completed WFES Wastewater Force Main Replacement Wastewater Force Main 2013 Project Name & Contract Amount Type of Work Date Completed 2. Jim Kennelly Name of proposed Superintendent Telephone No. of proposed Superintendent: 951-285-2786 Glendale Chevy Chase Sewer Diversion Gravity Sewer 2015 Project Name & Contract Amount Type of Work Date Completed Silver Lake Reservoir Bypass and Regulating Station Water Force Main 2016 Project Name& Contract Amount Type of Work Date Completed Mesa Road Trunk Sewer 09-03 Open Cut Sewer Pipeline 2016 Project Name & Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 177 L I(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/Publ icWorks/SB854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efi ling.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 177 L I(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. Mladen Buntich Construction Company Inc Contractor Mladen Buntich Jr By Presi Date: 4-24-2018 • e PWC Registration #: 1000001912 C-12 THE AMERICAN INSTITUTE OF ARCHITECTS A/A Document A310 Bid Bond KNOW ALL MEN BY THESE PRESENTS, that we MLADEN BUNTICH CONSTRUCTION CO. , INC. as Principal, hereinafter called the Principal, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation duly organized under the laws of the State of MARYLAND as Surety, hereinafter called the Surety, are held and firmly bound unto CITY OF HUNTINGTON BEACH as Obligee, hereinafter called the Obligee, in the sum of Ten Percent of the Amount of the Accompanying Bid Dollars ($ 10 0 ), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for WELL NO. 14 STORM DRAIN ON McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET CC NO. 1555 NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor-and material furnished in the prosecution thereof,or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in, said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid,then this obligation shall be null and void,other-wise to remain in full force and effect. Signed and sealed this 17TH day of APRIL 4-92018 MLADEN B�NTICHST TION CO. , INC. (P al) (Seal) (Witness) (Title) FIDELIT AND DEPOSIT COMPANY OF MARYLAND (Surety) (Seal) (Witness) CZPA CHAR SE MAY (Title) Attorney-in-Fact AIA DOCUMENT A310 BID BOND AIA 0 FEBRUARY 1970 ED THE AMERICAN INSTITUTE OF ARCHITECTS,1735 N.Y.AVE.,N.W.,WASHINGTON,D.C.20006 1 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On April 17, 2018 before me, Cynthia S. Wozney, Notary Public (insert name and title of the officer) personally appeared Charise May who proved to me on the basis of satisfactory evidence to be the person(p)whose name(s) islare subscribed to the within instrument and acknowledged to me that*etshe hey executed the same in -hWher/their authorized capacity(i ), and that by his/her/t eit-'signature(g) on the instrument the person(, or the entity upon beh If 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. CYNTHIA S.WOZNEY WITNESS my hand and official seal. < Commission#r 2077374 Z Z .-: Notary Public-California Z Orange County My Comm. Expires Seg 5,2018 Signature (Seal) EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8,Attomevs-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 attomey-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8,of the By-Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 1 Oth day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this day of APR '' 20 . SEAL David McVicker,Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND,PLEASE SUBMIT ALL REQUIRED INFORMATION TO: Zurich American Insurance Co. Attn: Surety Claims 1299 Zurich Way Schaumburg,IL 60196-1056 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 Maryland, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by MICHAEL BOND,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 John M.GARRETT, Steven C. MOSIER, Denise BENNETT, Charise MAY, Cynthia S.WOZNEY and Paul A.BLAND,all of Irvine,California, EACH its true and lawful agent and Attorney-in-Fact,to make,execute,seal and deliver,for,and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Companies,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York,New York.,the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills,Maryland.,and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland.,in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8,of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF,the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 18th day of October,A.D.2017. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND wa ocros,� •.C'pritris�g..,�•� OV6 �P toy 4 V•n ���h*N•��� II r ; I Assistant Secretary Vice President Dawn E.Brown Michael Bond I State of Maryland County of Baltimore On this 18th day of October,A.D.2017,before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified,MICHAEL BOND, Vice President, and DAWN E. BROWN, Assistant Secretary, of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith,that he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written. Constance A.Dunn,Notary Public My Commission Expires:July 9,2019 P.OA-F 012-5087D CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 .,}:�::::p4j'rin�i•<wr�?;'F;-:;`.:^u".c'na=.ti�;•�fc,�..z...:`SYacr;;�3 _ C y > ..,' KY Yl _ 3 `cni`5:'vr,Yi F3'..t..4`., ..:�:•{ ...;r.,n ... .."�.=3i"a�I.>r..,i scar:aaurn.F3..., A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of SAN BERNARDINO , On APRIL 17, 2018 before me, JENNIE L STALKER,NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared MLADEN BUNTICH JR Named of Signerfy,(' who proved to me on the basis of satisfactory evidence to be the person whose namely is/ax subscribed to the within instrument and acknowledged to me that he/s)Ce/toy executed the same in his/Xr/Weir authorized capacity(ig(5), and that by his/Wr/tVir signatureK on the instrument the person;or the entity upon behalf of which the person acted, executed the instrument. I — - - - - -.------ I certify under PENALTY OF PERJURY under the J.STALKER laws of the State of California that the foregoing Commission N 2118376 paragraph is true and correct. ZNotary Public-California >San Bernardino County WITNEnre ndLial . M Comm. Ex ires Jul 5,2019 Signat Place Notary Seal and/or Stamp Above Signature of Notary Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to on unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer—Title(s): ❑ Corporate Officer—Title(s): ❑ Partner— ❑ Limited ❑ General ❑ Partner— ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian of Conservator ❑ Trustee ❑ Guardian of Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: o§u�,�r-..h•� 2 ., +.�i•,-yL:. m ..r �.,�-k, 02017 National Notary Association O. MLADEN BUNTICH A `" CONSTRUCTION CO. INC. General Engineering Contractor iTn 7 1500 W.91h Street Upland,CA 91786 909-920-9977 buntich.com 1 1� S WC I� N• �y S}ii�+ Orw:^ s F.OU w A~ -r,# ► Vi S S s C V•A%.'I G.C. Al. isss 10 04-ss 04 ").Oov M,:.. Sffa>f� S=.....1 Floor City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov FB• 17,ISO,P \ f 4 Office of the City Clerk Robin Estanislau, City Clerk October 13, 2020 Palp, Inc DBA Excel Paving Company 2230 Lemon Avenue Long Beach, CA 90806 RE. Well No. 14 Storm Drain on McFadden Avenue from Vasser Street. To Gothard Street - CC No. 1555 Enclosed please find your original bid bond for CC- 1555. Sincerely, Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of WELL NO. 14 STORM DRAIN on McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET CC No. 1555 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 60 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within M 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find in the amount "TEN WC6NT Of AYOWNWaid amount is not less than 106/6 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: �tij- Addenda No. Date Received Bidder's Signature G2 SECTION C PROJECT BID SCHEDULE A WELL NO. 14 STORM DRAIN, CC 1555 (McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET) BID ITEMS Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 1 Mobilize and Demobilize 1 LS $ 0S7 9•- $ q0,5 79 2 Construction Safety 1 LS $ (1 DDD•— $ 11 00 O. — 3 Traffic Control,preparation and implementation 1 LS $2Ssoy $ 25 SDD 4 BMPs implementation of WPCP 1 LS $ $ 0 $ 5 Prepare WPCP 1 LS 3 DD. — 6 24-inch Diameter Storm Drain 1785 LF $Zp S-' $ 3695US. 7 42-inch Storm Drain Junction Structure, Type B, Plan 305 1 EA $ $OD D• $ V()00. — g Storm Drain Junction Structure,Type A, Plan 304 4 EA $ SgDO.— $ 23 ZOO . 9 4-foot ID Precast Manhole, Detail 1 sheet C501 1 EA $ 5 00- $ IS D D O. — 10 2-Inch Air Vacuum Release Assembly 2 EA $1 ( (0D• $ 22 Z D 0• 11 Raise 8-inch Waterline, Detail 6 Sheet C501, Plan Note 18 2 EA $ 0 $ 71000 . 12 Tee Patch Storm Drain per Plan 109, Plan Note 17 1250 LF $ ($ . $ ZZSoo.— 13 1-inch Water Service 1 LS $ 500- $ 0 D. '- 14 16-inch Well Discharge Pipeline 90 LF $-34S $ 3S S 50- 15 6-inch Fire Hydrant Assembly 1 EA $1450o_ $ 1l Sr)0. — 16 12-inch Well Discharge Pipeline 300 LF $ 35s.— $ 10(a500. 17 2-inch Pavement Grind and Overlay and Pavement Striping 335 TN $ 2�3.� $ 1140S. 18 Remove and Replace Traffic Signal Loops 15 EA $400. $ 00. TOTAL BID AMOUNT (BASIS OF AWARD)— SCHEDULE A $ 1 -7 , 45°I . 42— TOTAL BID AMOUNT IN WORDS: Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. C-2.1 SECTION C PROJECT BID SCHEDULE A WELL NO. 14 STORM DRAIN, CC 1555 (McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET) 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 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 $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar %of Item(s) Subcontractor License Registration# Amount Contract Number 1 �,al i�rv►i2 P✓ T-"ioh2't el 19 390-7 AI CAD f ov000 Iq.�(o 4,200.— . s% °l ZA 0Pre,r'b2i ut Ave, 44 g 1,00PS LA %eu_Af_, CA 11-1ItT Steen-i 0Vr Pavt-v^r u Mark: G32, 1110 0141(o S 312 Cypress St "77b3oto I5,000.— Z% rLss, A g0(030 ��'I By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed or�R$ � t LONG 'EENCN ,rt��t1tA Date City State Curtis P. Brown III , being first duly sworn, deposes and says that he or she is President of 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. PAJ.WDU Name of Bidder Curtis N. Brown IIl President S' ature of Bidder 2230 LEMON AVENUE 8 r ^ dress of Bidder C-4 CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to I which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. i State of California County of Los Angeles C. Phillips, Notary Public On �,� ,�� before me, , Notary Public, AR (Here insert name and title of the officer) personally appeared Curtis. P. Brown III who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/Xe subscribed to the within instrument and acknowledged to me that he/s)(e/tj4y executed the same in his/Xr/tf*r authorized capacity(ies), and that by his/l*/th)4r 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. i I WITNESS my hand and official seal. `'� `" " COMM. 2170177 N �fla°.r Notary Public-California X § LOS ANGELES COUNTY LL LA& (Notary Seal) My Comm.Expires Oct 29.2020 Signature of Notary Public ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in California must contain verbiage exactly as DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary section or a separate acknowledgment form must be properly completed and attached to that document. The only exception is if a document is to be recorded outside of California. In such instances, any alternative (Title or description of attached document) acknowledgment verbiage as may be printed on such a document so long as the verbiage does not require the notary to do something that is illegal for a notary in California (i.e. certifying the authorized capacity of the signer). Please check the (Title or description of attached document continued) document carefully for proper notarial wording and attach this form if required. • State and County information must be the State and County where the document Number of Pages Document Date signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which must also be the same date the acknowledgment is completed. (Additional information) • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title(notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. ❑ Individual(s) he/she/tkey is/are)or circling the correct forms.Failure to correctly indicate this information may lead to rejection of document recording. ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges,re-seal if a (Tide) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. ❑ Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. ❑ Other Indicate title or type of attached document,number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). • Securely attach this document to the signed document C 2004-2015 ProLink Signing Service,Inc.-All Rights Reserved www.TheProLink.com-Nationwide Notary Service 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 WELL NO. 14 STORM DRAIN PROJECT CC 1555, (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. 1 AIJI.M MA Contractor B Curtis P. Brown I11 President Title Date: APR 2 4 ?019 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? /- El Yes LW N o If the answer is yes, explain the circumstances in the space provided. 0* 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. PAM.IMMA F PPIM-0- VWPAW" Contractor B Curtis P. Brown III President Title Date: APR 2 4 7018 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: t;iLl; i;'rC. CC;16 UIE I'Al vvri Cl "l i' Bidder Name T. `L` QW Business Address City, State Zip (562) 5d i Vm Telephone Number "Emaildress STATE LIC. GG3G51"A" State Contractor's Licens No. and Class C; �1 f Original Date Issued -)) 16 Expiration Date The work site was inspected by vik UWof our office on , 201_. The following are persons, firms, and corporations having a principal interest in this proposal: PAS'WMA sma P G GlidtMpllF6 Curtis P.Brown III PrNNidant Nnd Chief Woutwe Of leer Mid A,WuKker vice Marcia S,Miller Secretary Mieliele E.Brake A Assistant Sear w 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. PAJA IMMA O MEL PAMA C.Mftlfe Company Name Curtis P. Brown III j President SlgXture of Bidder Curtis P. Brown IIl President Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this day of APR 2 4 20% , 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 CALIroHP4;A ) County of LJt A113ELES ) On APR 2 4 7018 before me, G. Phillips, Notary Public Month, Day, and Year Insert Name and Title of Notary personally appeared Curtis P. Brown II! 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. C.PHILLIPS �•ca 'r COMM.#2170177 g Notary Public-California Signature LOS ANGELES COUNTY a SigTatuA Notary Public (PLA 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 RCP Storm Drain Pipelines, and DIP Potable Water Pipelines within the public right of way. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. Name of propos Project Manager Telephone No. of proposed Project Manager: (562) =39-%041 c ATT". 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 iroposed S erintendent Telephone No. of proposed Superintendent: (562) 599-5341 SEE ATTAC" Project Name &Contract Amount Type of Work Date Completed Project Name &Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE . Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https:Hefiling.dir.ca.gov/P W CR/ActionServlet?action=displayP WCRegistrationForm DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. AM .WMA —MEL PAVN6 Gl","-.T' Contractor B Curtis P. Brown III President Title Date: APR 2 410" PWC Registration C-12 I I:i ': � >*,Ws �; s`? a �a 'zx "k �", -�.�, a'''a's;2„xr,'�`.. a-� �. a 5�,*�h '�''s'{*F{,�,^y }a .�.s �.rr�.'�-•e �',�,','x5` �,,;�` Sf ,'.a;;� ' :fi ^F't",us..,.�t'r Cont# Agency/Location Job Name/Location: Dates/Amount of Project 5469 City of Redondo Beach Res.Street Rehab 06/2017- Current BJ 1415 Diamond St,Redondo Beach,ca $2,283,063-Current 6Javier Urista 310-318-0661 iavier.urista@redondo.ore 5469 City of Rancho Palos Verdes Miraleste Dr 05/2017- 12/2017 BJ 30940 Hawthorne Blvd,Rancho Palos Verdes $1,624,411-$1,725,586. il Charles Eden 310-544-5282 CharleSe@1 pVCa.�oV 5454 City of Glendale Ocean View Blvd Rehab 04/2017- Current DD 613 E Broadway,Glendale Ca $ 1,374,874-Current Armond Simonian 818-937-8250 asimonian@Glendaleca.gov W1 5443 City of Lynwood Long Beach Blvd 02/2017- Current DD 1130 Bullis Rd,Lynwood Ca $3,128,879-Current i Servin 310-603-0220 x832 nservin @ Iynwood.ca.us 100 M 0 5453 City of Rancho Santa Margarita Annual Res.Overlay 04/2017- 5-31-17 DD 22112 El Paseo,Rancho Santa Margarita,ca $429,872-422,155 Wilson Levng 949-635-1800 wlevne@citvofrsm.org 5456 Burbank Airport Runway 15-33 Rehab 04/2017- 1-12-18 DD 2627 Hollywood Wy Bldg 9,Burbank Ca $9,334,568-9,242,840. Karen Sepulveda 818-565-1305 ksepulveda@bur.org 1 0 5468 City of Walnut Amar Rd Rehab 05/2017- 10/2017 BJ 21201 La Puente Rd $3,120,020-3,105,532 Branden Chen 909-594-9702 bchen@rkagroup.com r5463 City of Lomita Narbonne Pave Rehab 05/2017- 11/2017 BJ 24300 Narbonne Ave,Lomita Ca.90717 $1,019,007-1,056,728 Monduer Saied 310-325-7110 m.saied@lomitacity.org 0 5387 City of Glendale Prop 84 Green Streets 05/2017- 10/2017 TC 613 E.Broadway,Glendale,CA 91206 $2,223,985-2,419,868 Saarkis Oganesyan 818-548-3945 sganesyan@glendaleca.gov 5343 C/O Torrance N.Wells Field Impry 04/12/2016-10/2017 (Recycled ater&Domestic Water KC 3031 Torrance Blvd,Torrance,CA 90503 imPN) 2.164,034-2,205,998 John Dettle 310-618-5990 jdettle@torranceCA.GOV 5331 C/O Whittier Palm Ave 02/18/2016-12/2016 JM/DD 13230 Penn St,Whittier,CA 90602 $1,063,434/$1,093,223 Kyle Cason 562-567-9511 kcason@cityofwhittier.ORG 5365 City of San Clemente Major St Maintenance 5/23/2016-12/2016 TC 100 Avenida Presidio,San Clemente,CA 92672 $411,382/$323,646 Gary Voborsky 949-361-6132 voborskyg@san-clemente.org 5359 C/O Laguna Niguel Citywide Pavement 05/10/2016-09/01/2016 TC 30111 Crown Valley Pkwy,Laguna Niguel $2,863,000/$2,391,548 Frank Borges 949-362-4325 fborges@cityoflagunaniguel.org 5353 BNSF SB Auto Yard Track Expansion 04/22/2016-09/2016 ER 1685 Santa Fe Way,San Bernadino,CA 92410 $2,119,981/$1,907,995 Khy Lim 626-372-9504 khy.lim@wilsonco.com 5338 C/O Duarte Las Lomas Rd 03/15/2016-07/2016 BP 1600 Huntington Dr,Duarte,CA 91010 $207,093/$260,277 Rafael Casillas 626-357-7931 rcasillas@accessduarte.com i 5333 C/O Bellflower Parkig Dist No 1 02/29/2016-07/2016 DD 16600 Civic Center Dr, Bellflower,CA 90706 $222,962/$218,575 Jerry Stock 562-804-1424 jstock@bellflower.org 5314 C/O Bellflower Bellflower Blvd 12/22/2015-07/2016 DD 116600 Civic Center Dr,Bellflower,CA 90706 $1,164,847/$1,271,297.87 Philip Wang 562-804-1424 pwang@bellflower.org 5372 County of Orange Esplanade&Chapman 06/03/2016-07/2016 WP 300 N.Flower St,Santa Ana,CA 92703 $424407/$1,751,645(final) Bruce Poma 714-955-0214 bruce.poma@ocpw.ocgov.com 5326 C/O Pico Rivera Citywide Roadway Impvt 02/03/2016-06/03/2016 BP 6615 Passons Blvd,Pico Rivera,CA 90660 $267,213/$303,815 Robert DelGadio 562-801-4364 rdelgadillo@pico-rivera.org 5288 C/O Lomita Oak St-Watermain/Pavement 10/05/2015-02/12/2016 BP 24300 Narbonne Ave,Lomita,CA 90717 $1,727,682/$1,717,692 Mark McAvoy 310-325-7110 m.mcavoy@lomitacity.com 5153 C/O Los Angeles Discovery of Science 05/2014-08/2015 JM 1149 S.Broadway,LA,CA 90015 $1,288,823/$1,252,853 Richard Campbell 213-847-4715 richard.campbell@lacity.org 5164 C/O Santa Ana Grand Ave 06/2014-08/2015 DD 20 Civic Center Plaza 92701 $3,179,058/$3,709,886 Tyrone Chesanek 714-647-5045 tchesanek@santa-ana.org 5139 C/O Glendale Glendale Ave 04/03/2014-06/30/2015 JM 613 E.Broadway,Glendale,CA 91206 $4,046,874/$4,311,174 Eii ligic 818-937-8255 jzigic@glendaleca.gov �184 C/O Inglewood Storm Drain Impvt 08/2014-06/2015 IKC 1 W.Manchester Blvd,Inglewood,CA 90301 $582,267/$504,133 6Boytrese Osias 310-412-5333 bosias@cityofinglewood.org 5171 C/O Torrance 190th 07/2014-06/2015 WP 3031 Torrance Blvd,Torrance,CA 90503 $448,887/$423,729 Davina Buenavista 310-618-3057 dbuenavista@torranceca.gov 5201 C/O Santa Monica Parking Lots 10&11 09/11/2014-05/2015 WP 1685 Main St,Santa Monica,CA 90401 $245,897/$203,084 Zubaid Mizan 310-458-8726 zubaid.mizan@smgov.n.et 5162 C/O Fullerton Berkley Ave 06/2014-02/2015 DR 303 W.Commonwealth Ave.,Fulerton,CA 92832 $558,584/$628,541 Kevin Kwak 714-738-6853 kevinkw@cityoffullerton.com 5197 C/O Laguna Beach 12/13 Street Rehab 09/2014-01/2015 TC 505 Forest Ave,Laguna Beach,CA 92651 $1,089,451/$1,133,470 Mark Trestik 949-863-0588 mtrestik@lagunabeachcity.net Bond No. Bid Bond BID BOND The American Institute of Architects, AIA Document No.A310(February, 1970 Edition) KNOW ALL NIEN BY THESE PRESENTS,that we PALP Inc.dba Excel Paving Company as Principal hereinafter called the Principal,and Federal Insurance Company a corporation duly organized under the laws ofthe state of Indiana as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach as Obligee,hereinafter called the Obligee,in the sum of Ten percent of the total amount of the bid Dollars (S 10% ), for the payment of which sum well and truly to W made,the said Principal and the said Surety,bind ourselves,our heirs,executors,administrators,successors and assigns,jointly and severally, firmly by these presents. WHEREAS,the Principal has submitted a bid for Well No. 14 Storm Drain(CC 1555) NOW,THEREFORE,if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material famished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds,if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid,then this obligation shall be mill and void,otherwise to remain in full force and effect. Signed and sealed this end day of April 2018 PALP Inc.dba Excel Paving Company Witness Prhxipai (Seal) MICHELE E. DRAKULICH,ASST. SECRETARY By. � jd�- Curtis P. Brown III Namerritle Federal Insurance Company SiIISty (Seal) ri22,,,' l l 1. j W1tneSS +'J' Douglas A.Rapp Attorney-in-Fact ORSC 21328(5/97) ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On April 02, 2018 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp who proved to me on the basis of satisfactory evidence to be the person() whose name(5) is/afe subscribed to the within instrument and acknowledged to me that he/9�e executed the same in his/4eOt4e r authorized capacity{Ae ), and that by his HerAhe i signature* on the instrument the person(e), or the entity upon behalf of which the person(-&) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. LOF) DEBRASWANSON W COMM. #2170759;0 s NOTARY PUBLIC-CALIFORNIA� ORANGE COUNTY MY COMM.EXR NOV 10,2020 Signature"k>--� ,�T",_ y& (Seal) Chubb POWER Federal Insurance Company Attn: Surety Department OF Vigilant Insurance Company 15 Mountain View Road Surety ATTORNEY pacific Indemnity Company Warren, NJ 07059 cNUB>s Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Douglas A. Rapp and Timothy D. Rapp of Aliso Viejo, California---------------------------�______________—_____ each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise,bonds and undertakings and other writings obligatory in the nature thereof(other than bail bonds)given or executed in the course of business,and any instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to in said bonds or obligations. In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seals on this 16th day of December,2011. Kenneth C.Wendel,Assistant Secretary .Norris,Jr.,Vice President STATE OF NEW JERSEY ss. County of Somerset On this 16th day of December,2011 before me,a Notary Public of New Jersey,personally came Kenneth C.Wendel,to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Kenneth C. Wendel, being by me duly swom, did depose and say that he is Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attomey are such corporate seals and were thereto affixed by authority of the By-Laws of said Companies;and that he signed said Power of Attomey as Assistant Secretary of said Companies by like authority;and that he is acquainted with David B.Norris,Jr.,and knows him to be Vice President of said Companies;and that the signature of David B.Norris,Jr.,subscribed to said Power of Attorney is in the genuine handwriting of David B.Norris,Jr.,and was thereto subscribed by authority of said By- Laws and in deponent's presence. .Notarial Seal ADF K ATHERINE 1.ADELAAR Y NOTARY PUBLIC OF NEW JFRSF)t = �A No,2316685 Commission Expires July 1 b,2014 PV a� V Notary Public A'�hl JET'' CERTIFICATION Extract from the By-Laws of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY: 'All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company,either by the Chairman or the President or a Vice President or an Assistant Vice President,jointly with the Secretary or an Assistant Secretary, under their respective designations. The signature of such officers may be engraved,printed or lithographed.The signature of each of the following officers:Chairman,President,any Vice President,any Assistant Vice President,any Secretary, any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory In the nature thereof,and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.' I,Kenneth C.Wendel,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY (the"Companies")do hereby certify that (i) the foregoing extract of the By-Laws of the Companies is true and correct, (ii) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are authorized by the U.S.Treasury Department;further,Federal and Vigilant are licensed in Puerto Rico and the U.S.Virgin Islands,and Federal is licensed in American Samoa,Guam,and each of the Provinces of Canada except Prince Edward Island;and (iii) the foregoing Power of Attorney is true,correct and in full force and effect Given under my hand and seals of said Companies at Warren,NJ this 2nd day of April,2018 Zi ay o rw110A�,e� �� co �DrANP NS t�`t' VFW Wpm (�f� c..IIZ�OLFy Kenneth C.We el,Assistant Secretary IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM,VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER,PLEASE CONTACT US AT ADDRESS LISTED ABOVE,OR BY Telephone(908)903-3493 Fax(908)903-3656 e-mail: surety@chubb.com Form 15-10-022513-U (Ed.5-03) CONSENT i CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of Los Angeles On APR 2 4 MR before me, C. Phillips, Notary Public ,Notary Public, (Here insert name and title of the officer) personally appeared Curtis. P. Brown III and Michele E. Drakulich who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s)Fare subscribed to the within instrument and acknowledged to me that X/sk/they executed the same in A/IX/their authorized capacity(ies),and that by l*/hh /their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, ex cuted the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. C.PHILLIPS WITNESS my hand aud official seal. `' COMM.#2vo177 " o z. N •� Notary Public-California C LOS ANGELES COUNTY u (Notary Seal) My Comm.Expires Oct 29,2020 Signature of Notary Public ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in California must contain verbiage exactly as DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary section or a separate acknowledgment form must be properly completed and attached to that document. The only exception is if a document is to be recorded outside of California.In such instances,any alternative (Title or description of attached document) acknowledgment verbiage as may be printed on such a document so long as the verbiage does not require the notary to do something that is illegal for a notary in California (i.e. certifying the authorized capacity of the signer). Please check the (Title or description of attached document continued) document carefully for proper notarial wording and attach this form if required. • State and County information must be the State and County where the document Number of Pages Document Date signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which must also be the same date the acknowledgment is completed. (Additional information) The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title(notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. ❑ Individual(s) he/she/the} is/are)or circling the correct forms.Failure to correctly indicate this information may lead to rejection of document recording. ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines.If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. ❑ Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. ❑ Other A Indicate title or type of attached document,number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). • Securely attach this document to the signed document C 2004-2015 Prounk Signing Service,Inc.-All Rights Reserved www.TheProLinkcom-Nationwide Notary Service REC�&_iyrc) 3 24 Allf 9: 5Z 2010 APR 24 52 -Y ITY OF C.!T I G T 0 N FE74 VW1 I�Vw- 'ja City of Huntington Beach - 20oo Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachea.gov 17. 909. Office of the City Clerk 1 Robin Estanislau, City Clerk October 13, 2020 United Engineering & Construction, Inc. 336 N. Central Ave., Suite 10A Glendale, CA 91203 RE: Well No. 14 Storm Drain on McFadden Avenue from Vasser Street. To Gothard Street - CC No. 1555 Enclosed please find your original bid bond for CC-1555. Sincerely, Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of WELL NO. 14 STORM DRAIN on McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET CC No. 1555 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 60 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. / Accompanying this proposal of bid, find OC7'ejz in the amount of to i which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 SECTION C PROJECT BID SCHEDULE A WELL NO. 14 STORM DRAIN, CC 1555 (McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET) BID ITEMS Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 1 Mobilize and Demobilize 1 LS $ AM $ RµF 2 Construction Safety 1 LS $ �DDO $ 6rODl� 3 Traffic Control, preparation and implementation 1 LS $ � $ 4 BMPs implementation of WPCP 1 LS $12�000 $ r 5 Prepare WPCP 1 LS $ 5;0a- $ fop 6 24-inch Diameter Storm Drain 1785 LF $ 22S $Q 62� 7 42-inch Storm Drain Junction Structure,Type B, Plan 305 1 EA ,7QQ $ 7A0 g Storm Drain Junction Structure, Type A, Plan 304 4 EA $4qhQ $ 9 4-foot ID Precast Manhole, Detail 1 sheet C501 1 EA $ Q $ l F2 DO 10 2-Inch Air Vacuum Release Assembly 2 EA $l[0 $ 11 Raise 8-inch Waterline, Detail 6 Sheet C501, Plan Note 18 2 EA $t2,U ho $L , I Qo 12 Tee Patch Storm Drain per Plan 109, Plan Note 17 1250 LF $ � $ 621500 13 1-inch Water Service 1 LS $ 15,on $ f,S,D,r O 14 16-inch Well Discharge Pipeline 90 LF $2_C2C2 $ f Qom_ 15 6-inch Fire Hydrant Assembly 1 EA $1,0 $ I0�OBE 16 12-inch Well Discharge Pipeline 300 LF $ _ $ 17 2-inch Pavement Grind and Overlay and Pavement Striping 335 TN $ _ $ �7,00a 18 Remove and Replace Traffic Signal Loops 15 EA $ 0 O $ 77 S OO TOTAL BID AMOUNT (BASIS OF AWARD) —SCHEDULE A TOTAL BID AMOUNT IN WORDS: _ 1,3 U o,44 L Note: Refer to Section 9, Measure and Payment for description`.of each Item on Bid Schedule. C-2.1 SECTION C PROJECT BID SCHEDULE A WELL NO. 14 STORM DRAIN, CC 1555 (McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET) 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 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 $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar % of Item(s) Subcontractor License Registration# Amount Contract Number 6 E 19S Qmer4 5rti ner�n`+� yoo f 6 pr 1 000m o52 12o 497 3 0/ Coror.a� C R is rV-a PYV45510ra( 7R39o7 0- lo0000/460 ��� 1/ E rgi neey� n c LA pte-ij. / Z C$S C .6; 7200/6 /4- t000co529 2Sjoco 4oi' �c�r'brtdl 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` 12�„ at G l tndp l c (A Date City State �0 rd , being first duly sworn, deposes and says that he or she is ` lcrsld" of llnittd Et prmi I (My Tuchup,p the party making the foregoing bid that the bid is not made in the intelest 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. Un� l a►nPcrin �(�pn5 ( nt,. Name of Wilder Signature of Bid 33i NAer}100 Ave, ► oA GjCnaole,ch g1203 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 WELL NO. 14 STORM DRAIN PROJECT CC 1555, (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. Unl�d �gn.lfir�c�ior�, nc; Contractor By Title Date: C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes UINo 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. Unl�ed Ena�nee.rinG � Cc�nStruC�iOfl; InGe Contractor By Title Date: C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: 11n1c1 En(�inCcrinO► CurtS ucfic�, Inc. . Bidder Name ?)3(a N . UV)V Q%A AN C 10 A Business Address G►fn400 is C.A- q l 3 City, State Zip ( bit reza . f0rd 0 VCLI nee Telephone Number Email Address go3i3l A 9 5 State Contractor's License No. and Class g12oJo -7 Original Date Issued Ibolig Expiration Date Y� The work site was inspected by i� t' of our office on v- #- , 201g. The following are persons, firms, and corporations having a principal interest in this proposal: Reza Ford - ?res+den+- Cornell 601m vckou- Trtnurer 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. IlniW1 Enuinctrina (,nnSfir un , i13 . Company Name Signature of Bidder U7-Q Vard Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this 23 day of April 92015 . 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 p ,3c�� 0 before me, � /,/ t )Li Month,/bay, 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 G re 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. JbdSSEHIAN WITNESS my hand and official seal. 0210040 =L0:6AiMGELE3C0UNW o OOMPO A .au►Y S.z0I9 Signat el ignature of otary 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 RCP Storm Drain Pipelines, and DIP Potable Water Pipelines within the public right of way. 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. N Cos e s e C attuhcd 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 P UMIYEO E IV c NEERRt"(73 CC)"S' RUC'T-10" Attachment A SUMMARY OF RELEVANT EXPERIENCE 1. Project Name: Glendale Fire Department Live Fire Training Complex Contact Name: Kevin Todd, (818) 548-3970 Purpose of Contract: New Standard Fire Complex Total Cost: $ 652,000 Start Date: May 2018 End Date: June 2018 2. Project Name: Caltrans Running Spring Storm Drain Rehabilitation Contact Name: Jonathan Skeith, (951) 295-8503 Purpose of Contract: Lining Storm Drain, Placing Rip Rap, and Structural Work Total Cost: $ 781,415 Start Date: February 2018 End Date: May 2018 3. Project Name: City of Lake Forest Village Pond Park Contact Name: Douglas Erdman, (949) 282-5233 Purpose of Contract: Park Improvements Total Cost: $2,103,687 Start Date: March 2017 End Date: August 2018 4. Project Name: California Transportation Bridge Rail Upgrade and Deck Replacement, Project 12-OH5304 Contact Name: Irvin Nguyen, (949) 279-8590 Purpose of Contract: Bridge Construction Total Cost: $1,104,732.75, Start Date: December 2016 End Date: August 2017 5. Project Name: TUSTIN UNIFIED SCHOOL DISTRICT Beckman High School — Synthetic Multi-Purpose Field Contact Name: Ray Purcell, (858) 228-7912 Purpose of Contract: Civil, Mechanical and Electrical work Total Cost: $461,780 Start Date: August 2016 End Date: November 2016 P airalTEO INC;. Attachment A SUMMARY OF RELEVANT EXPERIENCE 6. COUNTY OF LOS ANGELES, INTERNAL SERVICES DEPARTMENT 6.1 Project Name: Water Well No.5 Pumping Facility Project Contact Name: John Griffin, (714) 375-5011 Purpose of Contract: Civil, Mechanical and Electrical work Total Cost: $564,640 Start Date: November 2015 End Date: August 2016 7. COUNTY OF LOS ANGELES, INTERNAL SERVICES DEPARTMENT 7.1 Project Name: ISD Various Location Repair & Upgrade (#030) Contact Name: Roy Pierce , (323) 267-2307 Purpose of Contract: Various repairs Total Cost: $TBD Start Date: January 2015 End Date: December 2015 8. CITY OF HEMET, DEPARTMENT OF PUBLIC WORKS 8.1 Project Name: SCADA System for Wells and Reservoir Tanks (#028) Contact Name: Victor Monz , (951) 765-3847 Purpose of Contract: Instal SCADA System for Wells & Reservoir Tanks Total Cost: $350,804.86 Start Date: March 2013 End Date: November 2013 9. CITY OF BEVERLY HILLS, DEPARTMENT OF PUBLIC WORKS 9.1 Project Name: Reservoir#4 Rehabilitation (#026) Contact Name: Anne Zaworski , (310) 285-2520 Purpose of Contract: Earthwork, Retrofitting, Piping, Lining, Pump Installation and Electrical works Total Cost: $1,559,054.60 Start Date: July 2012 End Date: June 2013 10. DEPARTMENT OF TRANSPORTATION 10.1 Project Name: El Centro Sunbeam Rest Areas, 11-261514 (#016) Contact Name: Alan Babicky (858) 688-1526 Purpose of Contract: Effluent water treatment and disposal system for rest area Total Cost: $1,078,316.00 Start Date: September 2010 --- --------- - =�' Attachment A SUMMARY OF RELEVANT EXPERIENCE End Date: September 2011 10.2 Project Name: Emulsion Tank @ Various Locations in San Bernardino County, 08-ON1404 (#027) Contact Name: Efe Adodo/ Scott Gueltzow, (951) 830-6695 Purpose of Contract: Demolition, Concrete work, Tank Installation, Piping and Electrical Work Total Cost: $727,451.75 Start Date: October 2012 End Date: May 2013 11. COUNTY OF LOS ANGELES, PUBLIC HEALTH DEPARTMENT 11.1 Project Name: Acton Rehabilitation Center Phase 1 (#009) Contact Name: Everett Bryson (661) 269-7003 Purpose of Contract: Restoration of existing building at rehab camp Total Cost: $102,000.00 Start Date: December 2009 End Date: February 2010 11.2 Project Name: Acton Rehabilitation Center Phase 2 (#014) Contact Name: Everett Bryson (661) 269-7003 Purpose of Contract: Continuing restoration of existing building at rehab camp Total Cost: $35,045.00 Start Date: July 2010 End Date: August 2010 11.3 Project Name: Acton Rehabilitation Center Phase 3 (#018) Contact Name: Everett Bryson (661) 269-7003 Purpose of Contract: Continuing restoration of existing building at rehab camp Total Cost: $92,306.00 Start Date: May 2011 End Date: September 2011 12. COUNTY OF LOS ANGELES, DEPARTMENT OF PUBLIC WORKS 12.1 Project Name: Warm Springs Tank Install (#007) Contact Name: Louis Nagy (805) 653-7900 Purpose of Contract: Install Water Treatment Plant for potable water Total Cost: $137,018.00 Start Date: October 2009 End Date: December 2009 12.2 Project Name: Warm Springs Treatment Plant (#012) Contact Name: Louis Nagy (805) 653-7900 Total Cost: $37,084.00 Start Date: July 2010 E.rvr.�€n,r ::i=a€roc+_.�5. C1C1"STRtJC' 1C)f%J l�C . Attachment A SUMMARY OF RELEVANT EXPERIENCE End Date: August 2010 13. CITY OF ALHAMBRA, DEPARTMENT OF PUBLIC WORKS 13.1 Project Name: Almansor Park Lower Lake Improvements (#006) Contact Name: Ali Cayir, (714) 883-8677 Purpose of Contract: Restoration of existing lake. Removal of old liner& placement of new along with decorative rock & landscaping Total Cost: $446,602.00 Start Date: April 2009 End Date: October 2009 14. ENVIRONMENTAL MANAGEMENT CORP. 14.1 Project Name: Clement Pappas Sewer Line Repair (#004) Contact Name: Randy Jones, (303) 518-5865 Purpose of Contract: Install new 8" sewer line to tie new treatment plant into City Sewer System Total Cost: $243,187.00 Start Date: January 2009 End Date: March 2009 14.2 Project Name: Clement Pappas Mechanical Line Construction Phase 1 (#005) Contact Name: Randy Jones, (303) 518-5865 Purpose of Contract: Effluent water treatment and disposal system for Juice Factory Total Cost: $405,028.00 Start Date: March 2009 End Date: December 2009 14.3 Project Name: Clement Pappas Mechanical Line Construction Phase 2 (#013) Contact Name: Randy Jones, (303) 518-5865 Purpose of Contract: Effluent water treatment and disposal system for Juice Factory Total Cost: $44,653.00 Start Date: August 2010 End Date: December 2010 15. INSTALL INC. 15.1 Project Name: White Wave Foods Sewer Line Upgrade (#002) Contact Name: Kenneth Cronch, (919) 774-0506 Purpose of Contract: Effluent water disposal system Total Cost: $95,400.00 Start Date: September 2008 End Date: October 2008 F NC31 NFFF--lI l3 C":fJft£`a T{i1J{7T"4C)N IF�SC�. Attachment A SUMMARY OF RELEVANT EXPERIENCE 16. CITY OF LOS ANGELES, DEPARTMENT OF PUBLIC WORKS 16.1 Project Name: HTP VDM Pedestrian Bridge Rehabilitation,W.O. SZH11544 (#011) Contact Name: Anita Wu, (310) 648-6243 Purpose of Contract: Remove & restore aluminum cladding panels, blast paint bridge, support structure Total Cost: $638,640 Start Date: January 2010 End Date: January 2011 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. ttzu Fold Name of proposed Project Manager Telephone No. of proposed Project Manager: D �) �� - I DOCK f 5loA,log0 NN i r Well WO,5 PUMP104 foLki "c t- CIN Of ru ( V i 10) 1p Project Name & Contract Amount Type of Work CI YI I `�ql, tel Complet d Nifovr bm-lm C O-mcy(p 4AbOti-752- Wtrnun th h Sawl 51okit Mqffi:porpof Fidd Gradim (om lion Duembcr1Ullp Project Name & Contract Amount Type of Work C0 wof K Date Completed v(11Gyt Pond (� - 1mproverCen+- nrOFCI_ Ci 0 Fake �prrJ+ o li4 lwpmyc"n On w r1 Project Name & Contract Amount Type of Work Date Com leted 2. L�Irry nvlice Name of proposed Superintendent Telephone No. of proposed Superintendent: 0 3 9 City of ri ftCl�zn '6eQCh 4 5 H I to A 0 NN(1 er Vol t,10 5 rumviq WkNi'v 'ro'lat (ml.M rMcni(Ol Innd Ekwkul )N c(k u5� 201to Project Name & Contract Amount ype of Work Date Completed )01, ur -J ar" Com. T vCtrcn 41 V2052 h -afepse hAdm bcctrnbrr 2010 Project Name k Contract Amount Type of Work [ 61' Date Completed wa t w4 Park Inv(way)crn ( e I n a 110,00 \.o► e Wd folisibk On o in� Project Name & Contract Amount Type of Work Date Complete C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efi ling.dir.ca.gov/P WCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. unim InuintronQ ASi okuctim, Itic Contractor By 1�'reS i C1en+ Title Date: '� 1� ( �j PWC Registration #: 1000 0 11 110 C-12 THE AMERICAN INSTITUTE OF ARCHITECTS AIA Document A310 Bid Bond KNOW ALL MEN BY THESE PRESENTS, THAT WE United Engineerinq & Constuction, Inc. 336 N. Central Ave. #10A Glendale CA 91203 as Principal, hereinafter called the Principal, and The Gray Insurance Company 1225 W Causeway Approach Mandeville LA 70471 a corporation duly organized under the laws of the State of LA as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach 2000 Main Street, Huntington Beach, CA 92648 as Obligee, hereinafter called the Obligee, in the sum of Ten Percent of Amount Bid Dollars ($ 10% ), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the Principal has submitted a bid for Water Well No. 14 Storm Drain NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and materials furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 19th day of April 2018 United Engineering &Constuction, Inc. (Principa (Seal) (Witness) B : (Title) The Gray Insurance Company (Surety) (Seal) (Witness) B : Attorney-in-Fact Heather Burroughs (Title) AIA DOCUMENT A310•BID BOND•AIA•FEBRUARY 1970 ED.•THE AMERICAN INSTITUTE OF ARCHITECTS,1735 N.Y.AVE.,N.W.,WASHINGTON,D.C.20006 , t r CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of gXRXM North Carolina ) County of Durham ) On April 19,2018 before me, Jason Lee Sayers Date Here Insert Name and Title of the Officer personally appeared Heather Burroughs Narne(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. t certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. JASON LEE SAYERS WITNESS my hand and official seal. NOTARY PUBLIC WAKE COUNTY, N.C. -My Commission Expires 6-24-2020. Signature Si nature !ic 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)CIaimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer—Title(s): ❑Corporate Officer —Tltle(s): ❑Partner— ❑limited ❑General ❑Partner — ❑Limited ❑General D Individual 0 Attorney in Fact ❑Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association•www.Nationa]Notary.org•1-800-US NOTARY(1-800-876-6827) Item#5907 -------------- THE GRAY INSURANCE COMPANY THE GRAY CASUALTY&SURETY COMPANY 1 0 _GENERAL POWER OF ATTORNEY KNOW ALL BY THESE PRESENTS,THAT The Gray Insurance Company and The Gray Casualty&Surety Company,corporations duly organized and existing under the laws of Louisiana,and having their principal offices in Metairie,Louisiana,do hereby make,constitute,and appoint Heather Burroughs,Julia C.McElligott,Bobbi D.Pendleton,Kenneth J.Peeples,Christopher A.Lydick,Phoebe C.Honeycutt,Jason Sayers,and Adam Pfanmiller of Durham,North Carolina jointly and severally on behalf of each of the Companies named above its true and lawful Attomey(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its deed,bonds,or other writings obligatory in the nature of a bond,as surety,contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed the amount of$10,000,000.00 This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both The Gray Insurance Company and The Gray Casualty&Surety Company at meetings duly called and held on the 26� day of June, 2003. "RESOLV ED,that the President,Executive Vice President,any Vice President,or the Secretary be and each or any of them hereby is authorized to execute a power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds, undertakings,and all contracts of surety,and that each or any of them is hereby authorized to attest to the execution of such Power of Attorney,and to attach the seal of the Company;and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signature or-facsimile seal shall be binding upon the Company now and in the future when so affixed with regard to any bond,undertaking or contract of surety to which it is attached. i IN WITNESS WHEREOF,The Gray Insurance Company and The Gray Casualty&Surety Company have caused their official seals to be hereinto affixed,and these presents to be signed-by their authorized officers this 12th day of September,2011. s u R A IV � �� Attest: SEAL 1Michael T.Gray Mark S.Manguno SEAL 3 y, r: President,The Gray Insurance Company Secretary, 1'"•. .....' } and The Gray Insurance Company, ..*.• i Vice President, The Gray Casualty&Surety Company The Gray_Casualty&Surety Company State of Louisiana ss: Parish of Jefferson On this 121h day of September,2011,before me,a Notary-Public;personally appeared Michael T.Gray,President of The Gray Insurance Company and Vice President of The Gray Casualty&Surety Company,and Mark S.Manguno,Secretary of The Gray Insurance Company and The Gray Casualty&Surety Company,personally known to me,being duly sworn,acknowledged that-they signed the above Power of Attorney and affixed the seals of the companies as officers of,and acknowledged said instrument to be the voluntary act and deed,of their companies. * i* Lisa S.Millar,Notary Public,Parish of Orleans aUBoc /9, State of Louisiana `rF of i 0��9�p My Commission is for Life I,Mark S.Manguno,Secretary of The Gray Insurance Company and The Gray Casualty&Surety Company,do hereby certify that the above and forgoing is a true and correct copy of a Power of Attorney given by the companies,which is still in full force and effect. i IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this day of � _ �5 . R A•... •3 `SEAL SEAL Mark S.Manguno,Secret :� �= I� � az'Y 0% �' _I ,;+ a The Gray Insurance Company .. The Gray Casualty&Surety Company l i i e ea a • o. • o 0a _CZ Co City of Huntington Beach w ; , 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk October 13, 2020 Vasily Company, Inc. 9843 Rancho Caballo Drive Shadow Hills, CA 91040 RE: Well No. 14 Storm Drain on McFadden Avenue from Vasser Street. To Gothard Street - CC No. 1555 Enclosed please find your original bid bond for CC-1555. Sincerely, 4�� �&�4444j� Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of WELL NO. 14 STORM DRAIN on McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET CC No. 1555 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 60 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Acc p nyitg this proposal of bid, find 61A in the amount of 6�`which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 SECTION C PROJECT BID SCHEDULE A WELL NO. 14 STORM DRAIN,CC 1555 (McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET) BID ITEMS Item Desat Cost Tofa1 Cost No (Extet>wsiau) 1 Mobilize and Demobilize 1 LS $ �0 coo ' 2 Construction Safety 1 LS 3 Traffic Control,preparation and implementation 1 LS $ 2)000 $ '2 0,ODO 4 BMPs implementation of WPCP 1 LS $ 0 a $ t 0 000" 5 Prepare WPCP 1 LS $ paj� $ �/ 6 24-inch Diameter Storm Drain 1785 LF $ `� $ 7 42-inch Storm Drain Junction Structure,Type B, Plan 305 1 EA $ CI <b $ j- r 8 Storm Drain Junction Structure, Type A, Plan 304 4 EA $ 3(0 000°'/ t 9 4-foot ID Precast Manhole, Detail 1 sheet C501 1 EA $ j °� $ 10 2-Inch Air Vacuum Release Assembly 2 EA $ L ,502 $ j 000 Oo°, 11 Raise 8-inch Waterline, Detail 6 Sheet C501, Plan Note 18 2 EA $ 20 v $ l{0 fit°/ T 12 Tee Patch Storm Drain per Plan 109, Plan Note 17 1250 LF $ 41t y% $ S 5�,pop*' 13 1-inch Water Service 1 LS $ S $ j,OCow 14 16-inch Well Discharge Pipeline 90 LF $ 3 6, $ —000 15 6-inch Fire Hydrant Assembly 1 EA $ I�►cm°r $ d 000 16 12-inch Well Discharge Pipeline 300 LF $ Z�S_©"— $ '�-571 Cw& 17 2-inch Pavement Grind and Overlay and Pavement Striping 335 TN $ J��2 2+ $ (,om 18 Remove and Replace Traffic Signal Loops 15 EA $ QQ $ C1,0001'� TOTAL BID AMOUNT(BASIS OF AWARD)—SCHEDULE A $ TOTAL BID AMOU TIN OR S. ;c A e 44-,4_4� de �a Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. C-2.1 SECTION C PROJECT BID SCHEDULE A WELL NO. 14 STORM DRAIN, CC 1555 (McFADDEN AVENUE FROM VASSER STREET TO GOTHARD STREET) 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 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 p`®�Y Cv h s�rk l t�•— ZZc�mo la.�.c� �. q 25�b' `��2� � 1 OGbo 6 biz- Z�6jQ3o °I zZVAi W Qvhe-�w4 PrAme(%cax Ace II t 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 -23- , at -- 'Lq60 {Q Date City State J p kLk 1" , being first duly sworn, deposes and says that he or she is Uut n of CAI. N �o„.oc�v�. '1i4G. the party making the foregoing bid that the bid is not made in the inte est 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. Ui' S I Ly COY4,4 OMS4 TA Name of Bidd r Sig ure idder Sig o-y3 a'L Address of Bidder 1oqo 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 WELL NO. 14 STORM DRAIN PROJECT CC 1555, (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. 0061L,l - Contractor OLM UA'S i By Otc,-e_ Pre-s t b e4-A_-T— Title Date: -z� 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 4No 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 TOLAL1 O(X:5�U!1 By Title Date: ''Z- " ) C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder ge�c C ja 6r. Bus ness ..'ddress o City, State Zip ( t f ) (A J(4 0 LAC(5(1,i.1 CC s4a -Gvw, Telephone Number H Email Address State Contractor's License No. and Class Z0©Z- Original Date Issued 1? - 31 -zgx!) Expiration Date The work site was inspected by 11 it' of our office on Z 1 201 Y. The following are persons, firms, and corporations having a pr al interest i this proposal: tit .�. �. P r r D I15e0- Pr-e Ca s- The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. do�-,IL-W - Compa ame Sig ure of 'dder OL4 V Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this 23 day of ►l , 201-9 . A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of C'1c,Qf o j2 ) County of ) On >R�n � 2-0 before me, �- Month, Day, and Year Inse\q Name and Title of NAry \ personally appeared �c�h VI mesy}of S gne�W who proved to me on the basis of satisfactory evidence to be the persoq.(o whose name(s4-i-s/aye subscribed to the within instrument and acknowledged to me that he/sJieffh�executed the same in his/hcrtfp+r authorized capacity, and that by his/>6r/t41'eir signature s) on the instrument the person'-or the entity upon behalf of which the personKacted, 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. d6"6 goo WITNESS my hand and official seal. NANCYGARCIA Commission#2101381 s Notary Public-California z Los Angeles County my Comm.Mires Feb 26,2019 Signature - -- igna re fN Public (PLACE NOTARY SEAL ABOVE) i 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 RCP Storm Drain Pipelines, and DIP Potable Water Pipelines within the public right of way. 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: I. 4 O.AQ cc— gagi Name Ad Address of Public Agency Name and Telephone No. of Project Manager: �p �o. r0� p(N12 �2��14 S�ZS3 40� T- �2_0 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: AA D H k& 71 i ! co - 2. Li5aln., iLt iq 1 i 0SO Name Ad Address of Public Agency Name and Telephone No. of Project Manager: Q CL^Qfti �2t 2-40 33> ! V,�Aw &ILA_ 01 2-014 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: I 'ZSFt'i< I �`conoer ��2FyiCr�e' Name A Address of Public Agency Name and Telephone No. of Project Manager: "WI Ve WD 4� ark o w Contract Amount Type of Work Date ompleted Provide additional project description to show similar wo k: , rtti r waL .dew rv�, ccmi, rr! c S C-to 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• U—C(51 i- Name of pro osed Project Manager Telephone No. of proposed Project Manager: 47 4 5-1 if MQJIJO�IA�I,QU) ) kjve-i C(w Www(v 10-2-01� Project Name &Contract Amount Type of Work Date Completed Me! "hair f, OJo- , 1 Z Zo cb Project Name &Contract Amount Type of Work Date Completed VKOU ot 1 e ' Project Name &Contract Amount Type of Work Date Completed 2. til i, va:51 Name of proposed Superintendent G Telephone No. of proposed Superintendent: t f t ;wer JO-- -2-01 Project ame &Contract Amount Type of Work Date Completed &4Lrne- d—, title• Z-011 Project Name &Contract A ount Type of Work Date Completed 4��eiw zIVtWxIL §- Zo 1 Project Name &Contract Amo nt Type of Work Date Completed C-t t CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiIing.dir.ca.gov/PWCR/ActionServIet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 177LI(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submit ting the bid. c ti Contractor IoLm � S IL 4 By � V_1?1 Re-swAY1— Title Date: X3 PWC Registration #:1wW13q L1 C-12 BID BOND ............... ...... ......... KNOW ALL MEN BY THESE PRESENTS: That we, Vastly Company Inc. ... .............. ............ as Principal,(hereinafter called the "Principal"), and Indemnity Company of California ,a corporation duly organized under the laws of the State of California as Surety,(hereinafter called the"Surety"),are held and firmly bound unto City of Huntington Beach as Obligee,(hereinafter called the"Obligee"),in the sum of Ten Percent of Amount Bid Dollars($ 10% of amount bid ),for the payment of which sum well and truly to be made,the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. WHEREAS,the Principal has submitted a bid for Well No. 14 Storm Drain McFadden Ave.from Vasser St.to Gothard St. NOW,THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a contract with the Obligee in accordance with the terms of such bid and give such bond or bonds as may be specified in the bidding or contract documents with good and sufficient surety for the faithful performance of such contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter into such contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void,otherwise to remain in full force and effect. Signed and sealed this 18th day of April A.D 2018 Vasil Company, Inc. Pri 'pal WiMess (SEAL) I nity Company of California tyre By (SEAL) Frank Morones Attorney-in-Fact Printed in cooperation with the American Institute of Architects(AIA)by vouches that the language in the document conforms exactly to the language used in AIA Document A-310. BID70000ZZ0701f .................... POWER OFATTORNEY FOR DEVELOPERS SURETY AND INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA PO Box 19725,IRVINE,CA 92623 (949)263-3300 KNOW .AL-BY THESE PRESENT S that except at ezpiressly`limited,DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,do each hereby make,constitute and appoint: ***Frank Morones*** as their true and lawful Attomey(s}in-Fact,to make,execute,deliver and acknowledge,for and on behalf of said corporations,as sureties,bonds,undertakings and contracts of suretyship giving and granting unto said Attomey(s)-in-Fact full power and authority to do and to perform every act necessary,requisite or proper to be done in connection therewith as each of said corporations could do,but reserving to each of said corporations full power of substitution and revocation,and all of the acts of said Attorney(s)An-Fact,pursuant to these presents,are hereby ratified and confirmed. This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,effective as of January 1st,2008. RESOLVED,that a combination of any two of the Chairman of the Board,the President,Executive Vice-President,Senior Vice-President or any Vice President of the corporations be,and that each of them hereby is,authorized to execute this Power of Attorney,qualifying the attorney(s)named in the Power of Attorney to execute,on behalf of the corporations,bonds,undertakings and contracts of suretyship;and that the Secretary or any Assistant Secretary of either of the corporations be,and each of them hereby is,authorized to attest the execution of any such Power of Attorney; RESOLVED,FURTHER,that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond,undertaking or contract of suretyship to which it is attached. IN WITNESS WHEREOF,DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by their respective officers and attested by their respective Secretary or Assistant Secretary this 6th day of February,2017, e y; AND/,y`''.� �,PAP�Y 0 Daniel Young,Senior Vice-President ;'�J? �oRPOJtiJFoFyti <: ocT.s � n By. 'O��'•C4[/FOFP a ,, Mark Lansdon,Vice-President �d•...... ��,.• QFoix 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 6,2017 before me, Lucille Raymond Notary Public Date Hare Insert Name and Tills of the Officer personally appeared Daniel Young and Mark Lansdon 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 hismerhheir authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s),or the entity upon behalf of LUCILLE RAYMOND which the person(s)acted,executed the instrument. t Commiss1on 2081915 i Notary Public•California I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is Orange County true and correct. My Comm. Expires Oct 13 2018 WITNESS my hand and official seal. Place Notary Seal Above Signature Lucilll P Aond,Notary Public CERTIFICATE v The undersigned,as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA,does hereby certify that the foregoing Power of Attorney remains in full force and has not been revoked and,furthermore,that the provisions of the resolutions of the respective Boards of Directors of said corporations set forth in the Power of Attorney are in force as of the date of this Certificate. This Certificate is executed in the City of Irvine,California,this 18th day of April, 2018, .•'`�V AND rN'•.,� o,t?AN}qr, `�yJQ.•yOPf�/L9TcOcC'li,: .T b•_Z �= 1936 :{: oCT.s rt ay: q e- a Cassia J bIrrisford,Assistant Se Lary = o ATS-1002(02117) D `` ALIF6kNR'A ALL6,PURPOSE ACKNOWLEDGMENT ENT CIVIL.CODE 118-9 A. notary pubtic or other officer cornpleting this certificate verifies only the identity of the individual who signed the 1 document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of Orange --� On � before me, L. Clark, Notary Public_ - Date Here Insert Name and Title of the Officer personally appeared Frank Morones Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(4) is"afe subscribed to the within instrument and acknowledged to me that he/,,:O� executed the same in iris/l erf ett`authorized capacity(i---;k),and that by his/It�'�signature(t)on the instrun.rentthe person(s), or the entity upon behalf of which the person(s) acted, executed the instrurent. I certify under PENALTY OF PERJURY under the laws of the State of California.that the foregoing paragraph is triip end r-.nrrert. WITNESS my hand and official seat. L. CLARK1���,,` c Notary Public California z Signature, •_•_---�— z .`� Los Angeles County z z r Commission # 2170352 ' Signature ofNotary Public My Comm.Expires Nov 28,2020 Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this faun to an unintended document. Description of Attached Document Title or Type of Document: Document; Date: _ Number of rages; Signer(s) Other Than Named Above: Capacity(ies}Claimed by Signer(s) Signer's Name: ._ Signers Name: Corporate Officer — Title(s): _ -:... Corporate Officer — Tltie(s): Partner -- l Limited _ Genera( Partner — C_i Lirrrited is General Individual Attorney in Fact Ci Individual E Attorney in Fact Trt.rst:ee i::_:i Guardian or Conservator i i rt.rstee t:# Guardian or Conservator C}ther, •._ _._._..__ __._..___•_ _._ _ _._ ._ i:.... Other: . Signer Is Representing: Signer Is Representing: ------___-- -.--_-� 02014 National Notary Association ^wvm(NationalNotary.org • -1-800-l.IS NOTARY (1-800-,876-6827) itern#5907 co L3 ji