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Palp, Inc. dba Excel Paving - 2021-04-19 (2)
RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to — City Clerk's Office (Name) after signing/dating (Date) Lijm, CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: SUBJECT: Bond Acceptance I have received the bonds forpA/ i' (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. Warranty or Maintenance Bond No. lkLOgy— TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved '41/eI1W 6-2 f (Council Approval Date) CC No. IJ�J� — Agenda Item No. 01—d ey-7 MSC No. City Clerk Vault No. lee6. sa Other No. SIRE System ID No. 5ygo,515 g:/forms/bond transmittal to treasurer FeEiNTERDEPARTMENTALCITY OF HUNTINGTON BEACH RECE�DJUG COMMUNICATION DATE: 7/20/2022 TO: THOSE LISTED HEREON FROM: Keegan Olds, PW Contract Administrator SUBJECT: Retention Release Payment- PO#27042 OJ Supplier#99671 Co.#507 Edwards/Varsity Water Main Replacement Project, Project#CC 1558 Contractor's Name: Excel Paving Address: 2230 Lemon Ave City, State and Zip Code: Long Beach, CA, 90806 Phone Number: 562-599-5841 City Business License Number: A234608 Notice of Completion (Date by City Clerk): 5/12/2022 The conformed copy of the Notice of Completion for the above contract has been filed. The thirty-five (35) day waiting period has elapsed or will elapse before payment is made. Processing of the retention payment is recommended so long as no stop notices or outstanding invoices are on file with the City. I certify that no stop notices are on file. -?/,/ ZZ D to Sean Crumby, Dir o f Public Works I certify that there are no outstanding invoices on file. Date Joy a acks, Deputy City Treasurer I certify that no stop notices are on file, and that a guaranty bond has been filed with the City Clerk's Office. 8 ate b Es nislau, Ci Clerk 7F��v Attachments 1. Notice of Completion 2. Maintenance Bond 3. Certificate of Compliance with Prevailing Wage Laws 4. Contractor's Certificate 5. Certificate of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 6. Consent for Release letter from the Surety Company Recorded in Official Records,Orange County Hugh Nguyen,Clerk-Recorder IIIIIII IIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1IIIIIIIIIIII NO FEE * $ R 0 0 1 3 7 3 2 9 5 1 $ PLEASE COMPLETE THIS INFORMATION 2022000181643 9:11 am 05116122 227 RW9A N12 1 RECORDING REQUESTED BY., 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 • f WHEN RECORDED MAIL TO: i CITY OF HUNTINGTON BEACH , PUBLIC WORKS DEPARTMENT Attn:Keegan Olds P.O,Box 190—2000 Main Street Huntington Beach,CA 92648 THIS SPACE FOR RECORDER'S USE ONLY TITLE OF DOCUMENT NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN by the City of Huntington Beach,owner In fee,2000 Main Street, Huntington Beach,CA 92648,that the contract heretofore awarded to Excel Paving,who was the company thereon for doing the foilowing work to-wit: EdwardslVaraity Water Main Replacement Project,Project#CC 1668 That said work was completed 03/03/2022 by said company according to plans and specifications and to the satisfaction of the City Engineer of the City of Huntington Beach and that said work was accepted by the Director of Public Works on 03103/2022,per City Council Resolution No.2003-70 adopted October 6,2003. That upon sold contract Federal Insurance Company,was surety for the bond given by the said company as required by law. This document 16 solely for the official business of the City of Huntington Beach,as contemplated under Government Code Section 27383 and should be recorded free of charge. s11ta Dve or.of ubllc Work o Clty Engineer Date City of Huntington Beac lifomla STATE OF CALIFORNIA) County of Orange )ss: City of Huntington Beach ) I,the undersigned,say:I am an Agent of the City of Huntington Beach,owner in fee,in the foregoing NOTICE OF COMPLETION. I have read said NOTICE OF COMPLETION and know the contents thereof;the same is true of my knowledge. I declare under penally of perjury that the foregoing is true and correct,and that said NOTICE OF CO LETION was duly and regularly ordered to be recorded in the Office of the County Recorder of Orange County This document is solely the official business of CS the City of Huntington Beach,as contemplated under Govemment code section 27383 and it ctor of Public orks or Ity Engineer Dat City of Huntinglon ch,Caornia should be recorded free of chame. THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) MAINTENANCE BOND K40144730 KNOW ALL PERSONS BY THESE PRESENTS: That PALP Inc.dba Excel Pavina Company (contractor's name) 2230 Lemon Avenue Long Beach CA 90806 (contractor's street address,city and state and zip code) as Principal(hereinafter called Contractor),and: Federal Insurance Company (surety's name) 202B Halls Mill Road Whitehouse Station NJ 08889 (surety's street address,city and state and zip code) a corporation organized and existing under the laws of the State of Indiana with its principal office in the City of Whitehouse Station.NJ as Surety(hereinafter called Surety),are held firmly bound unto CITY OF HUNTINGTON BEACH as Obligee (hereinafter called Owner), in the amount of One million seven hundred thirt four thousand ____ tw6Yhundred nineteen and 001100 Dollars (� 1 734,219 ), equivalent to the entire contract amount including all orders, for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators,successors,and assigns,jointly and severally,firmly by these presents, WHEREAS,Surety is a duly admitted surety insurer under the laws of the State of California;and Surety is certified and listed in the U.S. Department of the Treasury Circular 570,and able to provide proof of bonding limitation shown in said circular is sufficient to provide bonds in the amount required by said Contract;and Surety has provided financial strength ratings from reputable companies, such as from A.M. Best, Moody's, Standard & Poor's,to validate that Surety has positive ratings of being secure or stable;and Surety is registered and listed with the California Department of Insurance;and Contractor has by written agreement dated 20_,entered into a contract with Owner for the EdwardsNarsity Water Main Replacement Project,Project#CC 1558 in accordance with drawings and specifications prepared by city of Huntington Beach which contract is by reference made a part hereof(hereinafter referred to as the Contract);and The Contract provides that the principal will guarantee, for a period of one year, the work performed as part of the Contract from and against all defects in materials and workmanship;and The Contract also provides that the Contractor shall secure Contractors obligations during the one-year period with a bond executed by a surety duly admitted in the state of California;and The Contract has been completed,and the Owner, Contractor and Surety agree that the commencement date for this Guarantee and Bond shall be July 11 2022, NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that if Contractor shall, for a period of one year from and after the date of completion and acceptance of the Contract by Owner, repair and/or replace any and all defects arising in the Work, whether resulting from defective materials or defective workmanship, then this obligation shall be null and void;otherwise it will remain in full force and effect. The Surety hereby waives notice of any alteration or extension of time made by the Owner. Whenever Contractor shall be, and declared by Owner to be in default under the Contract, the Surety shall, within thirty (30) days following Owner's written notice of default, either: (a) remedy the default, or (b) shall promptly complete the Contract in accordance with its terms and conditions. Surety shall save the Owner harmless from any claims,judgments, liens or losses arising from the Surety's failure to either remedy the default or to complete the Contract in accordance with its terms and conditions in a timely manner. 15-4584/118138 1 Whenever the Principal shall be, and declared by the Owner to be in default under the Contract, which shall include without limitation, any breach or default of the Contract, then, after written notice from the Owner to the Surety, as provided for below,the Surety shall either: (a)remedy the default or breach by the Principal;or(b)shall promptly and faithfully take charge of the Work and complete the Work in accordance with the requirements of the Contract with a contractor other than the Principal,at its own expense, and make available as work progresses sufficient funds to pay the cost of completion less the unpaid balance of the Contract including other costs and damages for which the surety may be liable hereunder, provided, however, that the procedure by which the Surety undertakes to discharge its obligations under this Bond shall be subject to the advance written approval of the Owner. Within thirty (30) days after Surety's receipt of a written notice from Owner of the failure of performance of the Contract by the Principal, it shall be the duty of the Surety to give to the Owner a notice, in writing, of the Surety's election to(a) remedy the default(s)of the Principal promptly,or(b)arrange for performance of the Contract promptly by a contractor other than the Principal, time being of essence to this Bond. In said Notice of Election, the Surety shall state the date of commencement of its cure or remedy of the Principal's default(s) or its performance of the Contract. The Surety's obligations for cure or remedy, include but are not limited to: correction of defective work and completion of the Contract, additional legal, design professional and delay costs arising from Surety's actions or failure to act; and liquidated damages (or if no liquidated damages are specified in the Contract, actual damages caused by delayed performance or non-performance by the Principal). The Surety shall give prompt written notice to the Owner upon completion of the cure or remedy of the Principal's default(s)of its performance of the Contract. If the Surety does issue its Notice of Election and does not proceed to cure or remedy the Principal's default(s) of its performance of the Work within thirty(30)days after receipt of a written notice from Owner, Surety shall be deemed to be in default on this bond,and the Owner shall be entitled to enforce any remedy available to Owner. No right of action shall accrue on this bond to or for the use of any person or corporation other than the owner named herein or the successors of Owner. Signed and sealed this 11th day of July 20 22 Principal Raised Corporate Seal PALP Inc,dba Excel Paving Company [MUST BE AFFIXED] (Contractor Name) By: (Seal) Principal Raised Corporate Seal Curtis P.Brown.III [MUST BE AFFIXED] President (Title) Federal Insurance Company ( urety Name) By: Q (Seal) Douglas A.Rap Attorney in Fact APPROVED AS RM B ' NOTES: Ichael E. Ga es, City Attorney 1. Acknowledgments must be completed and returned rIt as part of the bond. 2. Raised Corporate Seals are mandatory. 3. Please attach Power of Attorney. 15-4584/118138 2 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 July 11, 2022 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(*) isAere subscribed to the within instrument and acknowledged to me that heed executed the same in his4ww0@heir authorized capacity, and that by his/heMM*iwsignature(s)on the instrument the person f@e , or the entity upon behalf of which the person(jo) 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. �5�':.�F'"f�. DEBRA SWANSON N W COMM. #2335630 X -® a NOTARY PUBLIC-CALIFORNIA ORANGE COUNTY N MY COMM.EXP.NOV 10,2024 Signature �.,y., =: �c_ �� ,�.�� (Seal) C'H U B S, Power of Attorney Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company Westchester Fire Insurance Company I ACE American Insurance Company Know All by These Presents,that FEDERAL INSURANCE COMPANY,an Indiana corporation,VIGILANT INSURANCE COMPANY,a New York corporation,PACIFIC INDEMNITY COMPANY,a Wisconsin corporation,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY corporations of the Commonwealth of Pennsylvania, do each hereby constitute and appoint Douglas A.Rapp and Timothy D.Rapp of Ladera Ranch,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 ball 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,saki FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY have each executed and attested these presents and affixed their corporate seals on this Sn day of April,2021. .4", at—" lktwn M.Chl,+r; ,;\w [antkrretary SttxihenM.liani-N,Vice Pn,-idimt �"► N. "0 i b J STATE OF NEW JERSEY County of Hunterdon SS On this Sm day of April,2021 before me,a Notary Public of New Jersey,personally came Dawn M.Chloros and Stephen M.Haney,to me known to be Assistant Secretary and Vice President,respectively,of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY,the companies which executed the foregoing Power of Attorney,and the said Dawn M.Chloros and Stephen M.Haney,being by me duly sworn, severally and each for herself and himself did depose and say that they are Assistant Secretary and Vice President,respectively,of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY and know the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of said Companies;and that their signatures as such officers were duly affixed and subscribed by like authority. Notarial Seal 4 •.p^.ARYLAR 1 NOTARY THERINE NEW JERSEY NOTARY PUBLIC OF NEW JERSEY Y' No.2316685 ,yp�UBLIG Corrrnisaion Expires July 16,2024 Nou ry Public ''1yJ RgF` CERTIFICATION Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE.COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY on August 30,2016; WESTCHESTER FIRE INSURANCE.COMPANY on December 11,2006;and ACE.AMERICAN INSURANCE COMPANY on March 20,2009: "RESOLVED,that the following authorizations relate to the execution,for and on behalf of the Company,of bonds,undertakings,recognizances,contracts and other written commitments of the Company entered Into in the ordinary course of business(each a"Written Commitment'): (1) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized to execute any Written Commitment for and on behalf ofthe Company,under the sea] of the Company or otherwise. (2) Each duly appointed attorney-in-factof the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company,under the seal ofthe Company or otherwise, to the extent that such action Is authorized by the grant of powers provided for in such person's written appointment as such attorney-in-fact. (3) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized,for and on behalfofthe Company,to appoint In writing any person the attorney-in- fact of the Company with full power and authority to execute,for and on behalf oftheCompany,under the seal ofthe Company or otherwise,such Written Comm ltmentsoftheCompany as may be specified in such written appointment,which specification maybe by general type or class of Written Commitments or by specification of one or more particular Written Commitments. (4) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized,for and on behalf of the Company,to delegate in writing to any other officer of the Company the authority to execute,for and on behalf of the Company,under the Company's seal or otherwise,such Written Commitments of the Company as are specifiedlnsuchwritten delegation,which specification may be by general typeor classof Written Commitments or by specification of one or more particular Written Commitments. (5) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution,and the seal of the Company,maybe affixed by facsimile on such Written Commitment or written appointment or delegation. FURTHER RESOLVED,that the foregoing Resolution shall not be deemed to be an exclusive statement ofthe powers and authority of officers,employees and other persons to act for and on behalf of the Cc mpany,and such Resolution shall not I imit o r otherwise affect the exercise of any such power or authority otherwise val Idly granted or vested." I,Dawn M.Chloros,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY(the"Companies")do hereby certify that (i) the foregoing Resolutions adopted by the Board of Directors of the Companies are true,correct and in full force and effect, (if) the foregoing Power of Attorney is true,correct and In full force and effect. Given under my hand and seals of said Companies at Whitehouse Station,NJ,this July 1 1, 2022 r / tktwn\I I'hlur;r.. 1-1-4an1?ccrcgma ' IN THE EVENT YOU WISH TO VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER,PLEASE CONTACT US AT: Telephone 908 903-3493 Fax 908 903.3656 e-mail:surety@chubb.com Combined:FED-VIG-PI-WFIC-AAIC(rev.11-10) �. 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 before me, Myisha Monique Riven, Notary Public ,Notary Public, (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/* subscribed to the within instrument and acknowledged to me that he/s)e/t* executed the same in hisA*/th)Ar authorized capacity(ies), and that by his/l*/th*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. MYISHA MONIQUE RIVEN WITNESS my hand and official seal. M COMM.#2377053 „ ..� Notary Public-California LL r LOS ANGELES COUNTY a H My Comm.Expires Sep 30,2025 V�- —UkAAL" A Signature'of otary Public (Notary Seal) 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 notmy 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. he/she/they-is/we)or circling the correct forms.Failure to correctly indicate this ❑ Individual(s) information may lead to rejection of document recording. ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines.If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. ❑ Attomey-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.TheProLiak.COm-Nationwide Notary Service Certification of Compliance with Prevailing Wage Laws To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Prevailing Wage Laws Contract: 1558 Project: Edwards-Varsity Water Main Replacement The undersigned contractor on the above-referenced project("Project")hereby certifies that all laborers, mechanics, apprentices,trainees, watchmen and guards employed by him or by any subcontractor performing work under the contract for the Project have been paid pursuant to the minimum wage and bona fide fringe benefit requirements specified for each particular classification of work, as set forth in the wage-rate determinations of the State of California, Department of Industrial Relations, and/or the United States Department of Labor. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this 6th day of July , 20 22 , at Long Beach , California. Palp Inc dba Excel Paving Co (Contractor Name) <, W'0 APPROVED FORS¢ By: Mi -el E. Gates ty Attorney 1 CONTRACTOR'S CERTIFICATE I, Stefani Moreno state and certify that: (Narne of Dectarant� l Palp Inc dba Excel Paving Co is the general contractor to the City of Huntington Beach ("City")otr Contract No._ �. $ (the "Contract") for the construction of the public work of improvement entitled: Edwards-Varsity Main Replacement______.._-__ (the"Project"). 2. All work to be performed pursuant to the Contract has been completed in accordance with the Contract Documents(as such term is defined in the Contract). 3. Except for the claims listed below and the disputed claims listed in paragraph five(5), all persons supplying labor, services,materials and equipment to the Project, including all claims against the contractor arising from the performance of the Contract, have been paid and satisfied(list unpaid debts and claims;if none, write"NONE"): None 4. Attached hereto are the lien waivers required by the Contract Documents,which lien waivers have been executed by all persons who performed work on or supplied labor, services, materials, and/or equipment for use at the Project. 5. Set forth below is a list of disputed claims or claims that are the subject of a Notice to Withhold tiled pursuant to the Civil Code of the State of California(list all disputed claims; if none,write "NONE"). None I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at Long Beach — on this 6th/"_ _ty(iy of i July , 20 22 A—/ (Si matt,of'Decl grant) APPROVED AS TOTORMT . Cr Michael 1~. Gates City Attorney 1 Certification of Compliance with Title VII.of the Civil Blights,Elect and Equal Employment Opportunity Act of 1972 To: City of Huntington Beach. Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach,CA 92648 Re: Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 Contract: 1558 Project: Edwards-Varsity Water Main Replacement The undersigned contractor.on the above-referenced project("Project")hereby certifies that it has complied with title VII of the Civil Rights Act,the Equal Opportunity Act of 1972 and Executive Order 11246, and has not discriminated against any employee or applicant for employment because of race,color,religion,sex,sexual orientation,gender identity,national origin,age or disability. The undersigned contractor also certifies that it has not maintained any segregated facilities at its establislunents on the basis of race,color,religion,sex,sexual orientation,gender identity,national origin,age or disability(with the exception of access for the disabled). I declare under penalty of perjury under the laws of the State of California that the foregoing is true and.correct. Executed this JJW ay of ,20_17_,at California. & arm co (Conlractor Name) APPROVED�s�1%C?F IbM� Mic)lael E. Gates Cli6 Attorney 1 `7 �l Consent of Surety Release of Final Payment AIA Document G 707 Bond No.K40144730 To Owner: Contractor: City of Huntington Beach PALP Inc.dba Excel Paving Company 2000 Main Street 2230 Lemon Avenue Huntington Beach,CA 92648 Long Beach,CA 90806 Contract For: Edwards-Varsity water Main Replacement Bond Date: April 26,2021 In accordance with the provisions of the Contract between the Contractor and the Owner as indicated above, Federal Insurance Company 555 So.Flower Street Los Angeles,CA 90071 Surety, on a bond of behalf of PALP Inc.dba Excel Paving Company 2230 Lemon Avenue Long Beach,CA 90806 Contractor, does hereby approve of the Owner's Final Payment to the Contractor,and agrees that said Final Payment to the Contractor shall not relieve the Surety of any of its obligations to City of Huntington Beach 2000 Main Street Huntington Beach,CA 92648 Owner, as set forth in said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: July 19,2022. Federal Insurance Company Douglas A app��_ Attorney in Fact 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 July 19,2022 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(*)Ish" subscribed to the within instrument and acknowledged to me that heAWwwOmy executed the same in his*om*# *authorized capacity, and that by histlwaAkeiosignature(4)on the Instrument the personfo,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. ANSON WITNESS m hand and official seal. N � DMM.# 3356 Y `4 ' ��' COMM.#2335630 X u 'j NOTARY PUBLIC•CALIFORNIA N �"� � ORANGE COUNTY ��u NIY COMM.EXP.NOY 10,2024 Signature (Seal) C-HUBBr Power of Attorney Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company Westchester Fire Insurance Company I ACE American Insurance Company Know All by These Presents,that FEDERAL INSURANCE COMPANY,an Indiana corporation,VIGILANT INSURANCE COMPANY,a New York corporation,PACIFIC INDEMNITY COMPANY,a Wisconsin corporation,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY corporations of Lire Commonwealth of Pennsylvania, do each hereby constitute and appoint Douglas A.Rapp and Timothy D.Rapp of Ladera Ranch,Callfomla----------------------------__.—_______�__ 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 hall 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,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY have each executed and attested these presents and affixed their corporate seals on this Sm day ofApril,2021. Iltiwn Xt:i;hhor(ct,AtiEvant4wtrttn7 Stephen M.Ilanvy.Vice PrLNAd tit 4 D. aRa�. * + tec►L STATE OF NEW JERSEY County of Hunterdon ss On this Sth day of April,2021 before me,a Notary Public of New Jersey,personally came Dawn M.Chloros and Stephen M.Haney,to me(mown to be Assistant Secretary and Vice President respectively,ofFEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY,the companies which executed the foregoing Power of Attorney,and the said Dawn M.C1lloros and Stephen M.Haney,being by me duly sworn, severally and each for herself and himself did depose and say that they are Assistant Secretary and Vice President,respectively,of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY and know the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of said Companies;and that their signatures as such officers were duly affixed and subscribed by like authority. Notarial Seal KATHER J. o Ip NOTARY PUBLIC OsN&WJERS EY pVBL10 x NO.2318086 COrmtrission Expires July 16.2024 Notary Pehlir. R CERTIFICATION Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY on August 30,2016; WESTCHESTER FIRE INSURANCE COMPANYon December it,2006;and ACE AMERICAN INSURANCE COMPANY an March 20,2009: "RESOLVED,that the following authorizations relate to the execution,for and on behalf of the Company,of bonds,undertakings,recognlzances,contracts and other written commitments of the Company entered Into in the ordinary course of business(each a"Written Commitment"): (1) Each of the Chairman,the President and the Vice Presidents of the Company Is hereby authorized to execute any Written Commitment for and onbehalfofthe Company,under the seal of the Company or otherwise. (2) Each duly appointed attorney-In-Go of theCompanyIsherebyauthorizedtoexecuteanyWrittenCommitmentforandonbehalfoftheCompany,uriderthesealoftheCompanyorotherwise, to the extent that such action is authorized by the gram of powers provided for In such perso n's written appointment as such attorney-In-tact. (3) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized,for and on behalfof the Company,to appoint Inwriting any person the attorney-in- fart of the Company with full power and Authoritytoexecute,for and on behalfof the.Company,under the seal oftheCcmparyor otherwise,such Written corn mitmentsoftheCompany as may be specified In such written appointment,which specification may be by general type or class of Written Commitments or by specification of one or more particular Written Commitments. (4) Fadi of the Chairman,the President and the Vice Presidents of the Company h hereby authori[ed,for and on behalf of the Company,to delegate In writing to any other officer of the CompanytheauthodtVtoerecute,forandonbehalf of the Company,under the Company's seal or otherwise,such Written Commitments ofthe Company as are specified Insuchwritten delegation,which specification may be by general type or classof Written Commitments or byspeciflcatlonofoneor more particular Written Commitments (5) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution,and the seal of the Company,may be aftbred by facsimile on such Written Commitment or written appointment ordelegetion. FURTHER RESOLVED.that the foregoing Resolution shall not be clmnwdto be anexclusive statement ofthe powers and authority of ofnren.employees and otherpersons toast for endon behalfofthe Company,and such Resolution shall not limit or otherwise affect the exercise of any such power or authority otherwise velidlygranted or vested," 1,Dawn M.Chloms,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE C OMPANYand ACE AMERICAN INSURANCE COMPANY(the"Companies")do hereby certify that (1) the foregoing Resolutions adopted by the Board of Directors of the Companies are true,correct and in full force and effect, (H) the foregoing Power of Attomey is true,correct and in Hill force and effect. Given under fry hand and seals of said Companies at Whitehouse Station,NJ,this July 19,2022 [krv.n 14 Chltinet.A W wini 1,ecrttai IN THE EVENT YOU WISH TO VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER PLEASE CONTACT US AT: [ Telerrhonei9081903.3493 Fax(9081903.3656 0-mall:surm ytrchubh.com Combined:FED-VIG-PI-WFIC-AAIC(rev.11-19) RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) �q CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: SUBJECT: Bond Acceptance I have received the bonds for 9-96-1jo-Ac--e&Exoml-,j (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. / Warranty or Maintenance Bond No. KLID/ //-/77T TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved fi (Council Approval Date) 55 m CC No. � Agenda4teRa[ No. °)/--a�� MSC No. City Clerk Vault No. Other No. SIRE System ID No. g:/forms/bond transmittal to treasurer Recorded in Official Records, Orange County Hugh Nguyen, Clerk-Recorder NO FEE * $ R 0 0 1 3 7 3 2 9 5 1 $ PLEASE COMPLETE THIS INFORMATION 2022000181643 9:11 am 05116122 227 RW9A N12 1 RECORDING REQUESTED BY: 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 WHEN RECORDED MAIL TO: CITY OF HUNTINGTON BEACH PUBLIC WORKS DEPARTMENT Attw Keegan Olds RO,Box 190—2000 Main Street Huntington Beach,CA 92648 THIS SPACE FOR RECORDER'S USE ONLY TITLE OF DOCUMENT NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN by the City of Huntington Beach,owner in fee,2000 Main Street, Huntington Beach,CA 92648,that the contract heretofore awarded to Excel Paving,who was the company thereon for doing the following work to-wit: EdwardsNaraity Water Main Replacement Project,Project#CC 1668 That said work was completed 03/03/2022 by said company according to plans and specifications and to the satisfaction of the City Engineer of the City of Huntington Beach and that said work was accepted by the Director of Public Works on 03/03/2022, per City Council Resolution No.2003-70 adopted October 6,2003. That upon said contract Federal Insurance Company,was surety for the bond given by the said company as required by law. This document is solely for the official business of the City of Huntington Beach,as contemplated under Government Code Section 27383 and should be recorded free of charge. (h Dire or of Public Wor4 o City Engineer Date City of Huntington Beac lifornia STATE OF CALIFORNIA) County of Orange }ss: City of Huntington Beach ) 1,the undersigned,say:I am an Agent of the City of Huntington Beach,owner in fee,in the foregoing NOTICE OF COMPLETION. I have read said NOTICE OF COMPLETION and know the contents thereof;the same is true of my knowledge. I declare under penalty of perjury that the foregoing is true and correct,and that said NOTICE OF CO LETION was duly and regularly ordered to be recorded in the Office of the County Recorder of Orange County. This document is solely the official business of the City of Huntington Beach,as contemplated under Government code section 27383 and it ctor of Public orks or ity Engineer Dat should be recorded free of chame. City of Huntington ch,Ca ornia THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerks Office r Na...... after signing/dating !Date) CITY OF HUNTINGTON BEACH z INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: SUBJECT: Bond Acceptance I have received the bonds for `14 iLIQ ' PI oaf a.4,k Iry�yl CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. k C11-/L/7,30 Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved (Council Approval Dab) CC No. Agenda Item No. -,y7j MSC No. City Clerk Vault No. Other No. SIRE System ID No. Cl�L�GS�S g:/forms/bond transmittal to treasurer oc iss8 CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND EXCEL PAVING FOR EDWARDS-VARSITY WATER MAIN REPLACEMENT THIS AGREEMENT ("Agreement") is made and entered into by and between the City of Huntington Beach, a municipal corporation of the State of California, hereinafter referred to as "CITY," and EXCEL PAVING , a Canfornia corporation, hereinafter referred to as "CONTRACTOR." WHEREAS, CITY has solicited bids for a public works project, hereinafter referred to as "PROJECT," more fully described as Edwards-Varsity Tract Water Main Replacement in the City of Huntington Beach; and CONTRACTOR has been selected to perform said services, NOW, THEREFORE, in consideration of the promises and agreements hereinafter made and exchanged the parties covenant and agree as follows: I. STATEMENT OF WORK; ACCEPTANCE OF RISK CONTRACTOR shall complete and construct the PROJECT pursuant to this Agreement and the Contract Documents (as hereinafter defined) and furnish, at its own cost and expense, all labor, plans, tools, equipment, supplies, transportation, utilities and all other items, services and facilities necessary to complete and construct the PROJECT in a good and workmanlike manner. CONTRACTOR agrees to fully assume the risk of all loss or damage arising out of the nature of the PROJECT, during its progress or prior to acceptance by CITY, from the action of the elements, from any unforeseen difficulties which may arise or be encountered in the I 16-5195/City Funded Construction Contract.docx-revised 04/2016 prosecution of work, and for all other risks of any description in connection with the work, including, but not limited to, all expenses incurred by or in consequence of the Suspension or discontinuance of work, except such as are herein expressly stipulated to be borne by CITY, and for well and faithfully completing the work within the stipulated time and in the manner shown and described in this Agreement, and in accordance with the requirements of CITY for the compensation set forth in the accepted bid proposal. 2. ACCEPTANCE OF CONDITIONS OF WORK: PLANS AND SPECIFICATIONS CONTRACTOR acknowledges that it is fully familiar with all the terns, conditions and obligations of this Agreement and the Contract Documents (as defined below in this Section), has inspected the location of the job site, and the conditions under which the work is to be performed, and that it enters into this Agreement based upon its thorough investigation of all such matters and is relying in no way upon any opinions or representations of CITY. It is agreed that the Contract Documents are incorporated into this Agreement by this reference, with the same force and effect as if the same were set forth at length herein, and that CONTRACTOR and its subcontractors, if any, shall be bound by the Contract Documents insofar as they relate in part or in any way, directly or indirectly, to the work covered by this Agreement. "Contract Documents" as defined herein mean and include: A. This Agreement; 13. Bonds covering the work herein agreed upon; C. The CI'fY's standard Plans and Specifications and special contractual provisions, including those on file in the office of the Department of Public Works of CITY, and any revisions, amendments or addenda thereto: 16-5195/City Funded Construction Contract.docx—revised 04/2016 D. The edition of Standard Specifcations for Pubic Works Construction, published by Builders' News, Inc.. 10801 National Boulevard, Los Angeles, CA 90064, and all amendments thereto, written and promulgated by the Southern California chapter of the American Public Works Association and the Southern California District Associated General Contractors of the California Joint Cooperative Committee as specified in the particular Plans. Specifications, Special Provisions and Addendum applicable to the Project; E. Bid documents including the Notice Inviting Bids, the Special Instructions to Bidders and the CONTRACTOR's proposal, (which is attached hereto as Exhibit "A" and incorporated herein by this reference); F. The particular Plans, Specifications, Special Provisions and Addenda applicable to the PROJ ECT. Anything mentioned in the Specifications and not indicated in the Plans or indicated in the Plans and not mentioned in the Specifications, shall be of like effect as if indicated and mentioned in both. In case of a discrepancy between any Plans, Specifications, Special provisions, or Addenda, the matter shall be immediately submitted by CONTRACTOR to the Director of' Public Works of CITY or his or her written designee (hereinafter referred to as "DPW"), and CONTRACTOR shall not attempt to resolve or adjust the discrepancy without the decision of'DPW, save only at its own risk and expense. Should there be any conflict between the terms of this Agreement and the bid or proposal of' CONTRACTOR, then this Agreement shall control and nothing herein shall be considered as an acceptance of the terms of the bid or proposal which is in conflict herewith. 3 16-5195/City funded Construction Contract.docx -revised 04/2016 3. COMPENSATION CITY agrees to pay and CONTRACTOR agrees to accept as full compensation for the faithful performance of this Agreement, subject to any additions or deductions made under the provisions of this Agreement or the Contract Documents. a sum not to exceed One Million Five Hundred Seventv-Steven Thousand Seven Hundred Fifty Dollars is 1,577,750.00 ), as set forth in the Contract Documents, to be paid as provided in this Agreement. 4. COMMENCEMENT OF PROJECT CONTRACTOR agrees to commence the PROJECT within ten (10) working days after the Notice To Proceed is issued and diligently prosecute the PROJECT to completion within One Hundred Twenty ( 120 ) consecutive Working days from the clay the Notice to Proceed is issued by DPW, excluding delays provided for in this Agreement. 5. TIME OF THE ESSENCE The parties hereto recognize and agree that time is of the essence in the performance of this Agreement and each and every provision of the Contract Documents. CONTRACTOR shall prepare and obtain approval as required by the Contract Documents for all shop drawings, details and samples, and do all other things necessary and incidental to the prosecution of its work in conformance with the progress schedule set forth in the Contract Documents. CONTRACTOR shall coordinate its work with the work of all other contractors, subcontractors, and CITY forces working on the PROJECT in a manner that will facilitate the efficient completion of the PROJECT and in accordance with the terms and provisions of this Agreement. CITY shall have complete control of the premises on which the work is to be performed and shall have the right to decide the time and order in which the various portions of the work shall be performed and the priority of the work of other contractors. 4 16-5195/City Funded Construction Contract.docx —revised 04/2016 subcontractors and CITY forces and, in general, all matters concerning the timely and orderly conduct of the work of CONTRACTOR on the premises. 6. CHANGES CONTRACTOR shall adhere strictly to the plans and specifications set forth in the Contract Documents unless a change therefrom is authorized in writing by DPW. CONTRACTOR agrees to make any and all changes, furnish materials and perform all work necessary within the scope of the PROJECT as DPW may require in writing. Under no condition shall CONTRACTOR make any changes without the prior written order or acceptance of DPW, and CITY shall not pay any extra charges made by CONTRACTOR that have not been agreed upon in writing by DPW. When directed to change the work, CONTRACTOR shall submit immediately to DPW a written cost proposal reflecting the effect of the change. Should DPW not agree to such cost proposal, the work shall be performed according to the changes ordered in writing by DPW and the proper cost thereof shall be negotiated by the parties upon cost and pricing data submitted by CONTRACTOR; thereupon, CITY will promptly issue an adjusted change order to CONTRACTOR and the contract price will be adjusted upward or downward accordingly. 7. NOTICE TO PROCEED No work, services, material, or equipment shall be performed or furnished under this Agreement unless and until a Notice to Proceed has been given to CONTRACTOR by CITY. CITY does not warrant that the work will be available on the date the Notice to Proceed is issued. In the event of a delay in commencement of the work due to unavailability of the job site, for any reason, relief to CONTRACTOR shall be limited to a time extension equal to the delay due to such unavailability. 5 16-5195/City Funded Construction Contract.docx —revised 04/2016 8. BONDS Only bonds issued by California admitted sureties will be accepted. CONTRACTOR shall, prior to its performance of this Agreement, furnish the following two (2) bonds approved by the City Attorney: One in the amount of-one hundred percent (100%) of the contract price to guarantee the CONTRACTOR's faithful performance of the work, and one in the amount of one hundred percent of the contract price to guarantee payment of all claims for labor and materials furnished. In addition, CONTRACTOR shall submit to CITY it bond in the amount of one hundred percent (100%) of the final contract price, including all change orders, to warrant such performance for a period of one (1) year after CITY's acceptance thereof within ten (10) days of tiling of the Notice of Completion. 9. `,'WARRANTIES CONTRACTOR unconditionally guarantees all work done under this Agreement including, but not limited to, any workmanship, installation, fabrication, material or structural facilities constructed. CONTRACTOR, within ten (10) days after notice by CITY of any defect in the work, shall have the option to make appropriate repairs or replace the defective item or items. Upon expiration of'such ten (10) day period, CITY may then make appropriate repair or replacement at CONTRAC:TOR's risk and own cost and expense. 10. INDEPENDENT CONTRACTOR It is understood and agreed that CONTRACTOR is, and shall be, acting at all times hereunder as an independent contractor and not an employee of CITY. CONTRACTOR shall secure at its own cost and expense, and be responsible for any and all payment of all taxes, social security, state disability insurance compensation, unemployment compensation and other payroll 6 16.5195/City Funded Construction Contract.docx—revised 04/2016 deductions for CONTRACTOR and its officers, agents and employees and all business licenses, if any, in connection with the PROJECT and/or the services performed hereunder. 11. LIQUIDATED DAMAGES/DELAYS It is agreed by the parties hereto that in case the total work called for hereunder is not in all parts and requirements finished or completed within the number of calendar days as set forth herein, damage will be sustained by CITY; and that it is, and would be, impractical and extremely difficult to ascertain and determine the actual damage which CITY would sustain in the event of and by reason of such delay. It is, therefore, agreed that CONTRACTOR will pay to CITY, as liquidated damages and not as a penalty, the Sum of One Thousand Two-Hundred (S 1200 ) per each calendar day's delay in completing the work in excess of the number of working/calendar clays set forth herein, which represents a reasonable endeavor by the parties hereto to estimate a fair compensation for the foreseeable damages CITY would sustain in the event of and by reason of such delay; and CONTRACTOR agrees to pay these damages herein provided, and further agrees that CITY may deduct the amount thereof from any monies due or that may become due to CONTRACTOR hereunder. CONTRACTOR will be granted an extension of time and will not be assessed damages for any portion of the delay in the completion of the work due to unforeseeable causes beyond the control and without the fault or negligence of CONTRACTOR, including, but not limited to, acts of God or of the public enemy, fire, floods, epidemics, quarantine restrictions, strikes, unsuitable weather, or delays of subcontractors due to such causes. CONTRACTOR shall, within fifteen (15) days from the beginning of any such delay (unless DPW shall grant a further period of time), notify DPW in writing of the cause of the 7 16-5195/City Funded Construction Contract.docx —revised 04/2016 delay and CITY shall extend the time for completing the work if, in its judgment, the findings of fact thereon justify the delay; and the decision of DPW shall be conclusive on the parties hereto. Should CONTRACTOR be delayed in the prosecution or completion of the work by the act, neglect or default of CITY, or should CONTRACTOR be delayed by waiting for materials required by this Agreement to be furnished by CITY, or by damage caused by fire or other casualty at the job site for which CONTRACTOR is not responsible, or by the combined action of the workers, in no way caused by or resulting from default or collusion on the part of CONTRACTOR. or in the event of a lockout by CITY, then the time herein fixed for the completion of the work shall be extended by the number of days CONTRACTOR has thus been delayed, but no allowance or extension shall be made unless a claim therefor is presented in writing to CITY within fifteen (15) days of the commencement of such delay. No claims for additional compensation or damages for delays, irrespective of the cause thereof, and including without limitation the furnishing of materials by CITY or delays by other contractors or subcontractors will be allowed and an extension of time for completion shall be the sole remedy of CONTRACTOR. 12. DEMANDS FOR ADDITIONAL -TIME OR MONEY. A. Definitions. (1) "Change Order" means a document signed by the CONTRACTOR and CITY which authorizes an addition, deletion or revision in the work, or an adjustment in the Compensation tinder Section 3, or the Completion Time specified at Section 4. (2) "Demand" means a written demand for a Change Order by the CONTRACTOR for any of the following: (a) A time extension; s 16-5195/City Funded Construction Contractdocx—revised 04/2016 (b) Payment of money or damages arising from work clone by, or on behalf of, the CONTRACTOR pursuant to this Agreement and payment of which is not expressly permitted pursuant to Section 3 of this Agreement; (c) Payment of an amount the CITY disputes; (d) Any disputes and other matters relating to the acceptability of the work performed or the interpretation of the Contract Documents; (e) A request for a time extension or additional payment based upon differing site conditions, such as subsurface or latent physical conditions at the job site differing materially from those indicated in this Agreement or the Contract Documents, or unknown physical conditions at the job site, of an unusual nature, differing materially from those ordinarily encountered and generally recognized as inherent to work of the PROJECT; or to A request for a time extension or additional payment based upon acts of neglect by CITY or due to fires, floods, labor disputes, epidemics, abnormal weather conditions or acts of God. 13. A Demand for a time extension or payment of money or damages may only be granted by a Change Order. C. No Change Order may be granted except where the Contractor has submitted a Demand to the DPW (or his or her written designee). All Demands shall be submitted promptly, but in no event later than thirty (30) days after the occurrence of the event giving rise to the Demand. The Demand shall be in writing and include all documents necessary to substantiate the Demand. The DPW shall act on the Demand within fifteen (15) days after receipt, including by requesting additional information from the CONTRACTOR to detcnnine whether to approve the Change Order the Demand seeks. The DPW shall act on the Demand within fifteen (15) days 9 16-5195/City Funded Construction Contract.docx—revised 04/2016 after receipt of the additional information or within a period of time no greater than the time the CONTRACTOR took to produce the additional information requested, whichever is greater. D. Notwithstanding the thirty (30) days to submit a Demand under Subparagraph C. in the case of differing or unknown site conditions, immediately upon encountering the conditions, CONTRACTOR shall notify the DPW in writing of the conditions, so that the CITY may promptly investigate the conditions. E. If the CONTRACTOR disputes the DPW's written response on the Demand, or the CITY fails to respond within the time prescribed, the CONTRACTOR may so notify the City Engineer, in writing, either within fifteen (15)days of receipt of the City Engineer's response or within fifteen (15) days of the DPW's failure to respond within the time prescribed, respectively, and request an informal conference to meet and confer for settlement of the Demand. Upon the CONTRACTOR's request, the DPW shall schedule a meet and confer conference within thirty (30) days to seek to resolve. F. CITY and CONTRACTOR shall execute appropriate Change Orders covering changes to the time or price by executing the Change Order by mutual agreement. If the CITY and CONTRACTOR are unable to reach a mutual agreement, then the City Engineer shall issue a written decision on the claim within a reasonable time. G. Following the meet and confer conference, if the Demand remains in dispute, the CONTRACTOR may file a claim with the City as provided in Chapter I (commencing with Section 900) and Chapter 2 (commencing with Section 910) of Part 3 of Division 3.6 of Title 1 of the Government Code. For purposes of those provisions, the running of the period of time within which a claim must be filed shall be tolled from the time the CONTRACTOR submits his 10 16-5195/City Funded Construction Contract.doex —revised 04/2016 or her Demand until the Demand is denied as a result of the meet and confer process, including any period of time utilized by the meet and confer process. 13. VARIATIONS IN ESTIMATED QUANTITIES The quantities listed in the bid schedule will not govern final payment. Payment to CONTRACTOR will be made only for the actual quantities of contract items used in construction of the PROJECT, in accordance with the plans and specifications. Upon completion of the PROJECT, if the actual quantities used are either more than or less than the quantities listed in the bid schedule, the bid price shall prevail subject to the provisions of this Section. DPW may, at its sole discretion, when warranted by the facts and circumstances, order an equitable adjustment, upwards or downwards, in payment to CONTRACTOR where the actual quantities used in construction of the PROJECT are in variation to the quantities listed in the bid schedule. No claim by CONTRACTOR for an equitable adjustment in price or time for completion shall be allowed if asserted after final payment under this Agreement. If the quantity variation is such as to cause an increase in the time necessary for completion. DPW shall ascertain the facts and circumstances and make such adjustment for extending the completion date as in its sole judgment the findings warrant. 14. PROGRESS PAYMENTS Each month DPW will make an estimate in writing of the work perfommed by CONTRACTOR and the value thereof. From each progress estimate, five percent (5%) will be deducted and retained by CITY and the remainder of the progress estimate, less the amount of all previous payments since commencement of the work, will be paid to CONTRACTOR. When CONTRACTOR has, in the judgment of DPW, faithfully executed fitly percent (50%) or more of the value of the work as determined from the bid schedule, and if DPW finds that satisfactory progress has been and is being made, CONTRACTOR may be paid such 11 16-5195/City Funded Construction Contract.docx —revised 04/2016 sum as will bring the payments of each month up to one hundred percent (1 Oft%) of the value of the work completed since the commencement of the PROJECT, as determined in its sole discretion by DPW, less all previous payments and less all previous retained amounts. CITY's final payment to CONTRACTOR, if unencumbered, or any part thereof unencumbered, shall be made thirty-five (35) days after the acceptance of the work and the filing of a Notice of Completion by CITY. Provided, however, that in the event of a dispute between CITY and CONTRACTOR. CITY may withhold from the final payment an amount not to exceed 150 percent of the value of any disputed amount of work. Payments shall be made on demands drawn in the manner required by law, each payment to be accompanied by a certificate signed by DPW, affirming that the work for which payment is demanded has been perfonned in accordance with the ternis of the Agreement and that the amount stated in the certificate is due under the terns of the Agreement. Partial payments on the contract price shall not be considered as an acceptance of any part of the work. 15. WITHHELD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES At the request and at the sole cost and expense of CONTRACTOR, who shall retain beneficial ownership and receive interest, if any thereon, CITY shall permit the substitution and deposit therewith of securities equivalent to the amount of any monies withheld by CITY to ensure performance under the terms of this Agreement. 16. AFFIDAVITS OF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall file with DPW its affidavit stating that all workers and persons employed, all tinny supplying materials and all subcontractors working upon the PROJECT have been paid in full and that there are no claims outstanding against the PROJECT for either labor or material. except certain items, if any, to be set forth in CONTRACTOR's affidavit covering disputed claims. 12 16-5 195/City Fundcd Construction Contract.docx—revised 04/2016 or items in connection with Notices to Withhold, which have been filed under the provisions of the statutes of the State of California. 17. WAIVER OF CLAIMS The acceptance by CONTRACTOR of the payment of the final certificate shall constitute a waiver of all claims against CITY under or arising out of this Agreement. A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of'Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. 13 Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code, CONTRACTOR shall, as penalty to CITY, forfeit twenty-five dollars ($25) for each calendar day or portion thereof for each worker paid (either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type ofwork. 18. CALIFORNIA PREVAILING WAGE LAW A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per dicnt wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute (his Agreement, and the same has been set forth by 13 16-5 195/City Funded Construction Contract.docz —revised 04/2016 resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code. CONTRACTOR shall, as penalty to CITY, forfeit twenty-five dollars (S25) for each calendar day or portion thereof for each worker paid (either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 19. CALIFORNIA BIGHT-HOUR LAW A. California Labor Code, Sections 1810 er seq, shall apply to the performance of this Agreement; thereunder, not more than eight (8) hours shall constitute one day's work and CONTRACTOR and each subcontractor employed by its hereunder, shall not require more than eight(8) hours of labor per day or forty (40) hours per week from any one person employed by it hereunder, except as stipulated in California Labor Code Section 1815. CONTRACTOR and each subcontractor employed by it hereunder shall, in accordance with California Labor Code Section 1812, keep an accurate record, open to inspection at all reasonable hours, showing the name and actual hours worked each calendar day and each calendar week by each worker employed in connection with the PROJECT. B. Pursuant to this Agreement and in accordance with California Labor Code Section 1813, CONTRACTOR shall, as a penalty to CITY, forfeit twenty-five dollars (S25) for each worker employed hereunder by CONTRACTOR or any subcontractor for each calendar day during which such worker is required or permitted to work more than eight (8) hours in any one 14 16-5195/City Funded Construction Contract.docx —revised 04/2016 ( 1) calendar day or forty (40) hours in any one (I) calendar week in violation of California Labor Code Section 1815. 20. PAYMENT OF TRAVEL AND SUBSISTENCE ALLOWANCE Section 1773.8 of the California Labor Code, regarding the payment of travel and subsistence allowance is applicable to this PROJECT. 21. EMPLOYMENT OF APPRENTICES Section 1777.5 of the California Labor Code, regarding the employment of apprentices is applicable to this PROJECT. 22. PAYROLL RECORDS CONTRACTOR agrees to keep accurate payroll record showing the name, address, social security number, work classification, straight time and overtime hours worked each day and week, and the actual per diem wages paid to each journeyman, apprentice or worker employed by it in connection with the PROJECT and agrees to require each of its subcontractors to do the same. CONTRACTOR further agrees that its payroll records and those of its subcontractors, if any, shall be available at all reasonable times to the CITY, and the employee or his representative, and the Division of Labor Standards Enforcement and the Division of Apprenticeship Standards, and to comply with all of the provisions of California Labor Code Section 1776, in general. 23. INDEMNIFICATION, DEFENSE, HOLD HARMLESS CONTRACTOR hereby agrees to protect, defend, indemnify and hold harmless CITY, its officers, elected or appointed officials, employees, agents, and volunteers from and against any and all claims, damages, losses, expenses, judgments. demands, defense costs, and consequential damage or liability of any kind or nature, however caused, including those resulting from death or injury to CONTRACTOR's employees and damage to CONfRACTOR's property, 15 16-5195/City Funded Construction Contract.docx—revised 04/2016 arising directly or indirectly out of the obligations or operations herein undertaken by CONTRACTOR. caused in whole or in part by any negligent act or omission of the CONTRACTOR, any subcontractors, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, including but not limited to concurrent active or passive negligence, except where caused by the active negligence, sole negligence, or willful misconduct of the CITY, its officers, elected or appointed officials, employees, agents, and volunteers. CONTRACTOR will conduct all defense at its sole cost and expense and CITY shall approve selection of CONTRACTOR's counsel. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by CONTRACTOR. 24. WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE Pursuant to California Labor Code Section 1861, CONTRACTOR acknowledges awareness of Section 3700 et seq. of this Code, which requires every employer to be insured against liability for workers' compensation; CONTRACTOR covenants that it will comply with such provisions prior to commencing performance of the work hereunder. CONTRACTOR shall obtain and furnish to City workers' compensation and employer's liability insurance in an amount of'not less than the State statutory limits. CONTRACTOR shall require all subcontractors to provide such workers' compensation and employer's liability insurance for all of the subcontractors' employees. CONTRACTOR shall furnish to CITY it certificate of waiver of subrogation under the terms of the workers' compensation and employer's liability insurance and CONTRACTOR shall similarly require all subcontractors to waive subrogation. 16 16-5195/City Funded Construction Contrict.docx—revised 04/2016 25. INSURANCE In addition to the workers' compensation and employer's liability insurance and CONTRACTOR'S covenant to defend, hold harmless and indemnify CITY. CONTRACTOR shall obtain and furnish to CITY, a policy of'gencral public liability insurance, including motor vehicle coverage covering the PROJECT. This policy shall indemnify CONTRACTOR, its officers, employees and agents while acting within the scope of their duties, against any and all claims arising out or in connection with the PROJECT, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including products/completed operations liability and blanket contractual liability, of One Million Dollars ($1,000,000) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit, the aggregate limit must be no less than One Million Dollars ($1,000,000) for this PROJECT. This policy shall name CITY, its officers, elected or appointed officials, employees, agents, and volunteers(the"Additionally Insured Parties")as Additional Insureds, and shall specifically provide that any other insurance coverage which may be applicable to the PROJECT shall be deemed excess coverage and that CONTRACTOR's insurance shall be primary and non-contributory with any other valid and collectible insurance or self-insurance available to the Additionally Insured Parties. Any available insurance proceeds in excess of the minimum coverage amount specified herein shall be available to the Additionally Insured Parties. All coverage available to CONTRACTOR shall also be available to the Additionally Insured Parties. Under no circumstances shall said above-mentioned insurance contain a self-insured retention without the express written consent of CITY; however an insurance policy "deductible" of Five Thousand Dollars (55,000.00) is permitted. CONTRACTOR shall be responsible for causing all Subcontractors to maintain the same types and limits of insurance coverage as that required of CONTRACTOR by this Agreement. 17 16-5195/City Funded Construction Contract.docx—revised 04/2016 26. CERTIFICATES OF INSURANCE: ADDITIONAL INSURED ENDORSEMENTS Prior to commencing performance of the work hereunder. CONTRACTOR shall furnish to CITY certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverages as required by this Agreement; the certificates shall: 1. Provide the name and policy number of each carrier and policy; 2. State that the policy is currently in force: and 3. Promise to provide that such policies will not be canceled or modified without thirty (30) days' prior written notice of CITY. CONTRACTOR shall maintain the foregoing insurance coverages in force until the work under this Agreement is fully completed and accepted by CITY. The requirement for carrying the foregoing insurance coverages shall not derogate from the CONTRACTOR's defense, hold harmless and indemnification obligations as set forth under this Agreement. CITY or its representative shall at all times have the right to demand the original or a copy of all the policies of insurance. CONTRACTOR shall pay, in a prompt and timely manner, the premiums on all insurance hereinabove required. CONTRACTOR shall provide a separate copy of the additional insured endorsement to each of CONTRACTOR's insurance policies, naming CITY, its officers, elected and appointed officials, employees, agents and volunteers as Additional Insureds, to the City Attorney for approval prior to any payment hereunder. 27. NOTICE OF THIRD PARTY CLAIM Pursuant to Public Contracts Code §9202, CITY shall provide notice to CONTRACTOR of receipt ofany claim filed with CITY or a court ofcompetent jurisdiction which arises out of performance of this agreement within ten (10) days of receipt of such claim or claims. IR 16-5195/City Funded Construction Contract.docx—revised 04/2016 28. DEFAULT AND TERMINATION IFCONTRACTOR fails or refuses to prosecute the work hereunder with diligence, or fails to complete the work within the time specified, or is adjudged bankrupt or makes an assignment for the benefit of creditors or becomes insolvent, or violates any provision of this Agreement or the Contract Documents, CITY may give CONTRACTOR notice in writing of its intention to terminate this Agreement. Unless the violation is cured within ten (10)days after such Notice of Intention has been served on CONTRACTOR, CITY may, without prejudice to any other remedy it may have, terminate this Agreement upon the expiration of that time. Upon such default by CONTRACTOR, CITY may elect not to tenninate this Agreement; in such event CITY may make good the deficiency in which the default consists and deduct the resulting costs from the progress payments then or to become due to CONTRACTOR. If it is subsequently determined by a court of competent jurisdiction that CITY's termination of this Agreement under this Section was wrongful, such termination shall be converted to a termination for convenience under Section 29 and any damages shall be assessed as set forth in Section 29. 29. TERMINATION FOR CONVENIENCE CITY may tenninate this Agreement for convenience at any time with or without cause, and whether or not PROJECT is fully commplete upon seven (7) calendar days written notice to CONTRACTOR. In the event of termination, under this Section CITY shall pay CONTRACTOR for value of work in place on the PROJECT through the termination period less all such payments already made. In case of such termination for convenience, the CONTRACTOR shall be entitled to receive payment for work executed, and costs incurred by reason of such termination. In no event shall CONTRACTOR be entitled to recover overhead, profit or CONTRACTOR's fee on work not performed. Such payment by CITY shall be CONTRACTOR's 19 16-5195/City Funded Construction Contract.docx—revised O4/2016 sole and exclusive remedy for termination by CITY for its convenience and CITY shall have no further obligation to CONTRACTOR. 30. DISPOSITION OF PLANS, ESTIMATES AND OTHER DOCUMENTS CONTRACTOR agrees that upon completion of the work to be performed hereunder, or upon expiration or earlier termination of this Agreement, all original plans. specifications, drawings, reports, calculations, maps and other documents pertaining to this Agreement shall be delivered to CITY and become its sole property at no further cost. 31. NONASSIGNABILITY CONTRACTOR shall not sell, assign, transfer, convey or encumber this Agreement, or any part hereof or any right or duty created herein, without the prior written consent of CITY and the surety. 32. CITY EMPLOYEES AND OFFICIALS CONTRACTOR shall employ no CITY official nor any regular CITY employee in the work performed pursuant to this Agreement. No officer or employee of CITY shall have any financial interest in this Agreement in violation of the California Government Code. 33. STOP NOTICES: RECOVERY OF ADMINISTRATIVE COSTS CITY shall be entitled to all reasonable administrative costs and necessary disbursements arising out of the processing of Stop Notices, Notices to Withhold, or any similar legal document. This obligation shall be provided for in the labor and materials payment bond required of CONTRACTOR. CITY may charge an administrative fee of One Hundred Dollars (S 100) for every Stop Notice filed in excess of two (2), regardless ol'whether or not CITY is named in an action to enforce such stop notices. CITY may set offany unreimbursed cost or expense so incurred against any sum or sums owed by CITY to CONTRACTOR under this Agreement. 20 16-5195/City Funded Construction Contract.docx— revised 04/2016 34. NOTICES Any notices, certificates, or other communications hereunder shall be given either by personal delivery to CONTRACTOR's agent (as designated in Section I hereinabove) or to CITY as the situation shall warrant, or by enclosing the same in a sealed envelope, postage prepaid, and depositing the same in the United States Postal Service, to the addresses specified below: provided that CITY and CONTRACTOR may designate different addresses to which subsequent notices, certificates or other communications will be sent by notifying the other party via personal delivery, reputable overnight carrier or U. S. certified mail-return receipt requested: TO CITY: TO CONTRACTOR: City of Huntington Beach EXCEL PAVING ATTN:Kecpan Olds Public Works A"ITN: Ken Corry 2000 Main Street 2230 Lemon Ave Huntington Beach, CA 92648 Lonp Beach, CA 90806 35. SECTION HEADINGS The titles, captions, section, paragraph and subject headings, and descriptive phrases at the beginning of the various sections in this Agreement are merely descriptive and are included solely for convenience of reference only and are not representative of maters included or excluded from such provisions,and do not interpret, define, limit or describe,or construe the intent of the parties or affect the construction or interpretation of any provision of this Agreement. 21 16-5195/City Funded Construction Contract.docx— revised 04/2016 36. IMMIGRATION CONTRACTOR shall be responsible for full compliance with the immigration and naturalization laws of the United States and shall, in particular, comply with the provisions of United States Code Section I324a regarding employment verification. 37. LEGAL SERVICES SUBCONTRACTING PROHIBITED CONTRACTOR and CITY agree that CITY is not liable for payment of any subcontractor work involving legal services, and that such legal services are expressly outside the scope of services contemplated hereunder. CONTRACTOR understands that pursuant to Huntington Beach City Charter Section 309, the City Attorney is the exclusive legal counsel for CITY; and CITY shall not be liable for payment of any legal services expenses incurred by CONTRACTOR. 38. ATTORNF..Y'S FEES In the event suit is brought by either party to construe, interpret and/or enforce the terms and/or provisions of this Agreement or to secure the performance hereof, each party shall bear its own attorney's fees, such that the prevailing party shall not be entitled to recover its attorney's fees from the non-prevailing party. 39. INTER PRE-TATION OF THIS AGREEMENT The language of' all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of' the parties. If any provision of this Agreement is held by an arbitrator or court of competent jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the 22 16-5195/City Funded Construction Contract.docx—revised 04/2016 context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act contrary to law, and wherever there is any conflict between any provision contained herein and any present or future statute, law, ordinance or regulation contrary to which the parties have no right to contract, then the latter shall prevail, and the provision of this Agreement which is hereby affected shall be curtailed and limited only to the extent necessary to bring it within the requirements of the law. 40. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of California. 41. DUPLICATE ORIGINAL The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals, each of which so executed shall, irrespective of the date of its execution and delivery, be deemed an original. Each duplicate original shall be deemed an original instrument as against any party who has signed it. 42. CONSENT Where CITY's consent/approval is required under this Agreement, its consent/approval for one transaction or event shall not be deemed to be consent/approval to any subsequent occurrence of the same or any other transaction or event. 43. SURVIVAL Terms and conditions of this Agreement, which by their sense and context survive the expiration or termination of this Agreement shall so survive. 44. MODIFICATION No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties. 23 16-5 195/City Funded Construction Contract.docx—revised 04/2016 45. SIGNATORIES Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify CITY fully for any injuries or damages to CITY in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. 46. ENTIRETY The parties acknowledge and agree that they arc entering into this Agreement freely and voluntarily following extensive arm's length negotiation, and that each has had the opportunity to consult with legal counsel prior to executing this Agreement. The parties also acknowledge and agree that no representations, inducements, promises, agreements or warranties, oral or otherwise, have been made by that party or anyone acting on that party's behalf, which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement, promise, agreement, warranty, fact or circumstance not expressly set forth in this Agreement. This Agreement, and the attached Exhibit "A", contain the entire agreement between the parties respecting the subject matter of this Agreement, and supersede all prior understandings and agreements whether oral or in writing between the parties respecting the Subject matter hereof. 24 16-5195/City Funded Construction Contracl.docx—revised 04/2016 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers on April 19 , 20 21 PAIR INC.ORA CONTRAC OR: EXCEL PAVING COMPANY CITY OF HUNTINGTON BEACH,a municipal corpo do to State of.California Br $aL- Curtis P. Brown III President Mayor (print name) ITS: Chairman/President/ Vice-President City Clerk 4/ (circle one) INITIjVjIED D APPR AND By: � or of. Pub c Works MARCIA S. MILLER, CORK SECRETARY (print name) t(E PROVED: ITS: Secretary / Chief Financial Officer / Asst. Secretary /Treasurer (circle one) City Manager APPROVED AS TO FORM: tt writ3rAttomFy 25 16-5195/City Funded Construction Contract.docx-revised 04/2016 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 Lk - :1-1 - before me, R. Covington NotMgublic 1. personally appeared Curtis P. Brown III and Marcia S. Miller who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) iWare subscribed to the within instrument and acknowledged to me that `e akin/they executed the same in htstk X/their authorized capacity(ies). and that by hitsAuet/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.COVINGTON 692 WITNESS m hand and official seal. ^ cOMM Ba999ito y � Notary Public CalJomm om LOS ANGELES COUNTY {j My Comm.Expires Ike S.2024 Notary Public Signature (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM leis form complies with current Califoma stanatea regarding nolary wording and. DESCRIPTION OF THE ATTACHED DOCUMENT it needed,should be completed and attached to the document Acknowledgments from orher sites may be completed for documents being sent to that state so long Be the wording does nor require the Calito,u;wwp to violate(ulrferma notary (flee cr dMCIpi d•dandled downent) • Sum and County mformation mug be the Suite and County where the documerit cimaats)Personally appeared before the notary public for acknowledgment. Foe a desuvw of Beached document continued) • Bate of notariut,m mug be the due that the ugncr(sl personally appeared which must also be the same date the acknowledgment is completed. • Tbt notary public must Prim h uh is or her name as it appears wm his or her Number Ot Pages_Document Dale combustion.followed by a comnu and thin}our title(notary public). • Prim the narndsl of document signer(sl who personally appear at the time of notarisation. CAPACITY CLAIMED BY THE SIGNER • Indicate the cam singular"plural forms by crossing off inearrart forms U.e. [I Individual (s) hWshd/bey-a hw)or circling the correct fins.Failure to correctly indicate this information may(cad to rejection of document recording ❑ Corporate Officer • Tte notary seal tmPreaston must be clear and photographically reproducible. Impression must not cover tut or lines. If seal impression smudges, re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signman:of Ow notuv public must match the mgnature in,file with the office of ❑ Attorney-in-Fact the county clera Y 6 Add,buisal mformeoon is not required but could help W ensure dus ❑ Trustee(s) acknowledgment a but misused or attached to a different document. Other O Indicate title or type of attached docurnent,number of pages and date ❑ O Indicate the capacrty claimed by the ngoer. If the claimed capacity is a corporate officer,indicate the title try.CEO,CFO,Secretary). TJ 15 Ve�s oq www NotarK lass^s rom ROO-973-9865 Secvrcly attach ihis d•xmnent to die ggned document with a staple. 11111111111111111111111 11111 DANGELO CO. Quotation w, •:NORKS a FIP EXPIRATION DATE QUOTE NUMBER 601 S. HARBOR BLVD. 06/07/2021 S1436813 LA HABRA,CA 90631 PAGE NO. Phone 562.690-1000 DA ELO COMPAM Fax 562-690-3700 uIH�eaaHaAROA A wl Pn 5w4w i000 1 of 2 Fla SW GW 37W QUOTE TO: SHIP TO: PALP INC. dba EXCEL PAVING COMPANY EXCEL PAVING COMPANY PO BOX 16405 RFI No. 11 - Realignment of Water LONG BEACH. CA 90806 Line PICO RIVERA. CA 90662 ORDERED BY CUSTOMER PO NUMBER JOB NAME RELEASE NUMBER SALESPERSON KEN SIPHON Glen Mulock WRITER SHIP VIA TERMS SHIP DATE FREIGHT ALLOWED Glen Mulock OUR TRUCK Net Due 30 Days 04232021 No ORDER OTY DESCRIPTION UNIT PRICE EXT PRICE SHIPPING INSTRUCTIONS BACKORDERS TO BE REVIEWED BY SALESMAN 36ft PIPE 12' CL52 BCL/AC DI TJ W/GSK 46.650,ft 1679.40 lea POLY SLV 27" X 340' 8 MIL CLEAR 127.0001ea 127,00 F/8"-10"-12" DIP PERF AWWA 3ea TAPE 2" X 100' 10 MIL VINYL WRAP 5.000/ea 15.00 4ea ELL 12" 45 MJ LACC 149.000/ea 596,00 tea SLV 12" MJ LONG L/ACC 137.000/ea 274,00 10ea MEGALUG 12" DI KIT COMPLETE EBAA 118.000/ea 1180.00 IRON 1112DEC Subtotal ------- 3871 40 lea SADDLE 12" X 1' IP D/S BRZ 244.000/ea 244.00 MUELLER BR21313141P100 lea MUELLER 1" P25028N BALL CORP 88.000/ea 88.00 AWWA MIP X CTS PJ "' LOW LEAD 60ft COPPER TYPE 'K' SOFT 1' 60FT COIL 6-650M 399.00 lea AY MCDONALD 1" ADAPT CTS PJ X FIP 28.000/ea 28.00 #74754-22 "LOW LEAD" lea NIPPLE 1" X 24" BRASS 41.000/ea 41.00 NO LEAD tea MUELLER 1" B2020ON-3 BALL VLV FIP 96 520iea 96.52 360 TURN W'LW "' LOW LEAD lea NIPPLE 1" X 4" BRASS 8.100/ea 8.10 NO LEAD tea CRISPIN 1" UL10 COMBO AIR RELEASE 467.000/ea 467.00 SS TRIM 2ea ELL 1" S80 PVC 90 FIP THD 3.000/ea 6.00 Continued on Next Page " P-11l R, MIA OE I 4111,10h 1 ::f'PM PDT CDANGELO CO. 1111111111111111111111111111 Quotation WATERWORKS & FIRE PROTECTION SUPPLIES EXPIRATION DATE QUOTE NUMBER PAGE NO 06/07/2021 S1436813 2 of 2 ORDER OTV DESCRIPTION UNIT PRICE EXT PRICE 2ea NIPPLE 1' X 4" SCH80 PVC TBE 2.446/ea 4,89 884-040 tea BUG SCREEN 1" MOLDED PLASTIC MIP 18.000;ea 18.00 W/STAINLESS MESH SCREEN lea "AIR VAC COVER 16' x 30" 12ga 491.000'ea 491.00 Tan paint Subtotal ------- 1891.51 This is a Quotation. Prices are firm for 30 days unless otherwise noted above, after that Subtotal 5762.91 they are subject to changes without notice. Applicable taxes based on S&H Charges 0.00 Ship-To address. All quotations and take-offs are done to the best of our ability. All items with a unit price $0.001 are Priced On Estimated Tax 590.70 Application (POA) and must be verified when the order is placed It is your responsibility to verify quantity and type of material quoted. Amount Due 6353.61 �,N� 8r WLO m 42Y1fY111 n 01 PM PDT R & D STEEL, INC. PAGE I of3 CERTIFIED S.B.E. #177336, STATE #35611. DIR #1000005512 1136 SOUT14 SANTA FE AVE,COMPTON, CA 90221 TEI (310)631-6183 FAX: (310)631-6067 EMAIL: rdsteel.estimating@gmail.com CA STATE LICENSE: 379990 LOCAL 416 UNION CONTRACTOR REINFORCING STEEL QUOTATION NO. 21050 TO: EXCEL PAVING DATE: 4/23/21 EMAIL: kcorry@excelpaving.net ATTN: KEN CORRY PROJECT: RICHFIELD CHANNEL REPAIRS LOCATION: ORANGE COUNTY,CA MATERIAL: Deformed reinforcing steel bars for concrete construction, in accordance with the CRSI manuel of standard practice and the general notes, insofar as these general notes describe the standards of reinforcement. OUANTITIES: As shown on the plans, sheets I through 2, dated 3/24/21 Including addenda NONE NOTED OR ACKNOWLEDGED PRICE: Concrete reinforcing steel bars with placing accessories, furnished and installed. Grouted reinforcement fabricated, F.O.B. trucks jobsite. All for the following lump sum, tax included prices: DESCRIPTION PRICE TASK ID 26 RECTANGULAR CHANNEL RIGHT SIDE (50 LF) S 6,350.00 LS TASK ID 30 RECTANGULAR CHANNEL LEFT SIDE (18 LF) S 2 600.00 LS APPROXIMATE TOTAL BID $ 8,950.00 EXCLUSIONS: 1. Bonds, cost of bonds, penalties and liquidated damages and all related fees, assessments or permits. 2. Costs of Waiver of Subrogation. 3. Working drawings with stamp by Civil or Structural Engineer. 4. Cost of galvaniezed or epoxy bar coatings. 5. Low carbon chromium stainless steel. 6. Plain (smooth) round bars or dowels, threaded bars, form savers, rods, sleeves, sheathing, anchors, studs, bolts(anchor& misc.) and inserts. 7. All safety barriers and/or plastic rebar caps are the responsibility of the Purchaser. 8. Anchor bars for structural steel or miscellaneous iron. 9. Electric welded fabric. 10. Removal of spoils from footings and small wire clippings caused by normal reinforcing installation. 1 1. Overtime premiums and/or shift work. 12. Protection of exposed steel for future construction. 13. All welding. 14. Welding inspection. 15. All electrical bonding and/or grounding material (i. e. welding for cathodic protection). ***CONTINUED ON PAGE 2*** R & D STEEL, INC. PAGE 2of3 CERTIFIED S.B.E. #177336, STATE #35611 DIR #1000005512 1136 SOUTH SANTA FE AVE.COMPTON. CA 90221 TEL: (310)631-6183 FAX:(310)631-6067 EMAIL: rdsteel.estimating@gmail.com CA STATE LICENSE: 379990 LOCAL 416 UNION CONTRACTOR REINFORCING STEEL QUOTATION NO. 21050 TO: EXCEL PAVING DATE: 4/23/21 EMAIL: keorry@excelpaving.net ATTN: KEN CORRY PROJECT: RICH FIELD CHANNEL REPAIRS LOCATION: ORANGE COUNTY,CA EXCLUSIONS (continued): 16. Testing of materials, other than mill reports and samples. All testing and inspection and/or any related costs thereof other than mill test reports. (Rebar, mechanical couplers and/or welded hoop test bar samples to be provided F.O.B. trucks jobsite). 17. Original mill tags. 18, Safety barriers, barricades, caution tape, plastic, wood or other rebar safety caps or covers are the responsibility of the Purchaser. 19. Drilling, grouting,drypacking, epoxy injection, placing rcbar in drilled holes. 20. Painting, greasing, wrapping or other dowel coatings or coverings. 21. Layout, cutting, punching, burning or layout of structural steel to pass reinforcement. 22. Traffic control, barricades, lane closures, flag/signal man and all related fees or permits. 23. Blocking or pulling of mesh. 24. Cleaning or reworking existing rebar, except by additive quote. 25. Cost of pour watchman and/or standby time for pour watch. 26. Participation in "Joint Clean-up Crews". 27. Cost of remedial work and/or replacement of materials made necessary by water or flood damage to reinforcing steel following delivery or installation as directed by Purchaser. CONDITIONS: Purchaser, without charge to the Seller, shall provide access roads within 50 feet of where material is to be placed or hoisted, traffic control, flag men, signs and signage, grades, lines, ramps, racks, templates, supporting templates, adequate scaffold in place, drinking water and sanitary facilities that the State or Seller may require, provide space for delivery and storage of steel accessible to bobtail or semi-tractor trailer truck deliveries and adjacent to place where steel is to be used or hoisted. Field measurements, where required, to be provided by Purchaser. Delivery and Installation will meet job requirements based on conventional construction, receipt of complete plans, including CADD drawings and specifications, adequate schedules to which seller is a party and ten work days advance notice on job material and manpower requirements. Proposal based on: I. Standard eight-hour day, five-day week. 2. Purchaser, without charge to Seller, shall provide all hoisting for unloading trucks at the point of placement, including lowering footings, decks and/or power placing walls, spread footings, in place with fully operated crane or equipment as needed or required. 3. Insurance coverage is for blanket waivers only. Special wording in the blanket endorsement will result in additional costs to Purchaser's account. 4. Should the Owner not withhold or reduces the amount of retention held on progress payments, the same percentage or reduction shall apply to R& D Steel. 5. All reinforcing shown bent will be shop fabricated. Field bending is not included or implied. 6. Approval for pouring or embedment of rebar in concrete, shall terminiate the Seller's responsibility for that portion of the work. ***CONTINUED ON PAGE 3*** R & D STEEL, INC. PAGE 3 of CERTIFIED S.B.E. #177336, STATE #35611 DIR #1000005512 1136 SOUTH SANTA FE AVE,COMPTON,CA 90221 TEL:(310)631-6183 FAX: (310)631-6067 EMAIL:rdsteel.estinutingQagmail.com CA STATE LICENSE:379990 LOCAL 416 UNION CONTRACTOR REINFORCING STEEL QUOTATION NO. 21050 TO: EXCEL PAVING DATE: 4/23121 EMAIL: keorry(§excelpaving.net ATTN: KEN CORRY PROJECT: RICHFIELD CHANNEL REPAIRS LOCATION: ORANGE COUNTY,CA CONDITIONS(continued): 7. In the event of schedule delays caused by Purchaser or other subcontractors, the Seller will be allowed to reschedule work in accordance with manpower availability not to exceed 48 hours. 8. The cost of ironworker show-up time when work scheduled by Purchaser is not ready will be for Purchaser's account. 9. Purchaser shall not form starter walls, anchor bolts, inserts or interior forms before reinforcing steel is installed or have anything across footings where mbar is to be installed. 10. No splices in reinforcing bars will be furnished for contractors' convenience, other than shown on contract drawings. 11. The Seller shall not be responsible for the replacing of steel that has been displaced by others, or for additional construction laps, cleaning or sandblasting of steel made necessary due to operation of others. 12. Payment for labor and materials provided and/or installed in place, completely or partially,due within 30 days after delivery to jobsite. 13. Wet-stamp on shop or placing drawings by Civil or Structural Engineer to be provided by Purchaser. 14. Above prices are based on complete project only. Separate item prices or group of item prices are not valid alone. 15. Re-detailing and/or estimating resulting from design changes shall be billed at the rate of 569.00 per hour. 16. This Quotation, in it's entirety, is to be incorporated into any subcontract between Purchaser and R & D Steel. SPECIAL CONDITIONS: 1. The prices as quoted are binding for contracts received within 30 days from bid date. After which R & D Steel reserves the right to revise or reject this quotation. 2. R & D Steel will not be held responsible for cost of delays or liquidated damages due to material shortages caused by factors or market conditions beyond our reasonable control. ESCALATION: Increased cost of materials plus 15% markup based on shipped weights will be charged after September 30, 2021. Material escalation will be based on published mill increases. PURCHASER R & D Steel, Inc. By: By: JIM NYON, S PRESENTATIVE Date: Date: Ken Corry From: customercare@planetbids.com Sent: Thursday, April 22, 2021 3:54 PM To: kcorry@excelpaving.net Subject: eBid Submit Confirmation for CIP 2105 - Westbourne Dr Water Seepage Mitigation This is an automated envoi!notification. Please do not reply. Dear PALP dba, This is a confirmation that your eBid has been submitted for CIP 2105 - Westbourne Dr Water Seepage Mitigation, bidding on April 22, 2021 5:00 PM (Pacific). eBid ID #2S0898 submitted on April 22, 2021 3:54:20 PM (Pacific). Please visit the bid details to review or edit your existing bid at any time prior to bid closing. Thank you, City of West Hollywood 1 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For EDWARDS — VARSITY TRACT WATER MAIN REPLACEMENT CC 1558 March 25, 2021 Notice to All Bidders: Please note the following clarifications to the Project Plans, Specifications, and Special Provisions There will be no adjustment to the listed bid dale of 10.00 AM, March 30", 2021 1) Sheets C-01 through C-10 have been modified, Construction Note 8 has been changed a. ORIGINAL: INSTALL NEW 1" PLASTIC COATED SOFT COPPER TYPE K SERVICE AND CONNECT TO EXISTING '/.' METER PER CITY STD PLAN 601. b. REVISED: INSTALL NEW 1" PLASTIC COATED SOFT COPPER TYPE K SERVICE AND '/: METER PER CITY STD PLAN 601. 2) Bid Schedule Sheet C-2.1, Bid Item 9, has been changed. a. ORIGINAL Furnish and install new 1-inch plastic coated copper water service and meter box, and connect to existing '/.-inch water meter. b. REVISED Furnish and install new 1-inch plastic coated copper water service. 'C or 1"water meter, and meter box. 3) Bid Schedule Sheet C-2.3, Bid Item 30, has been deleted. 4) Specification Sheet E-27 and E-28. Bid Item Description 7-6.30 Temporary Water Services has been deleted. This is to acknowledge receipt and review of Addendyjh Number One, dated March 25, 2021. PALP, INC D ;A F /ING C061PANY Curtis P Brown III Company Name By President Date 1 of 1 of Addendum No. 1 SECTION C PROPOSAL for the construction of' EDWARDS / VARSITY TRACT WATER MAIN REPLACEMENT in BALMORAL DRIVE; SCOTIA CIRCLE; CALEDONIA CIRCLE; SKYE LANE; BRAMAR DRIVE; HIGHLAND LANE; ORKNEY CIRCLE; VARSITY DRIVE AND EDWARDS STREET CC No. 1558 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 120 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 PROM 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. -TEN PERCFNT OF AMOUT D' Accompanying this proposal of bid, find A koy& S Anin in the amount o which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or"Bidder's Bond 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. purr Received Bidder's Signature rtis P. Brown III sident C-z SECTION C PROJECT BID SCHEDULE —REVISED PER ADDENDUM #1 EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT PROJECT, CC 1559 BID ITEMS Item No. Descri do L p Quantity [Tnit Unit Cost Total Cost (Extension) 1 Mobilization and setup 1 LS $�yyGGb. S &6fp0, 2 Demobilization and cleanup 1 LS $ �Ao.' S 3 Furnish traffic control in accordance with City of Huntington Beach requirements, complete and in place, including preparation, design, and submission of site specific Traffic Control plans. I LS $ / X. 3l 79D � 4 Conduct preconstruction survey of existing homes and street as required by the Contract Documents, including preparation and submission of all required reports, videos and photographs complete I LS $/.;I/CV, 5 Furnish and install 6-inch diameter DR-14 PVC AWWA C900 pipeline, including and not limited to trenching,backfill, potholing, shoring, pipe supports and fittings 2,250 LF S /0 S S a30 ,'L50. 6 Furnish and install 8-inch diameter DR-14 PVC AWWA C900 pipeline, including and not limited to trenching,backfill, potholing, shoring,pipe supports and fittings 930 LF $ //S 7 Furnish and install 12-inch diameter DR-14 PVC AWWA C900 pipeline, including and not limited to trenching, backfill, potholing, shoring, pipe supports and fittings 20 LF $ 395, $ )700. 8 Furnish and install 6-inch diameter Steel CML C pipeline,Class 150, fully welded all joints, including and not limited to trenching, backfill, potholing, shoring,pipe supports and fittinA 20 LF $ G65 $ /3 3,00,E 9 Furnish and install new 1-inch plastic coated copper water service, 5/:'or I"water meter, and meter box. 90 EA $317 S/ $oZB S 7 5-0. 10 Construct 6-inch resilient wedge gate valve l0 EA $ /a00• 11 Construct 8-inch resilient wedge gate valve 5 EA S /SAp, $ 7SOp, C-2.1 SECTION C PROJECT BID SCHEDULE — REVISED PER ADDENDUM #1 EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT PROJECT, CC 1558 Item No. Desetiption Qntntity Unit Veit ost Total Cost (Extension) 12 Construct 12-inch resilient wedge gate valve 4 LA 5 S /04o0. 13 Remove and salvage existing fire hydrant including removing bury valve and appurtenances 6 EA S 5000•' $ 30000• 14 Construct 6-inch fire hydrant assembly,pipe, valve box assembly, concrete pad,complete and in place per City Std Plan 607 6 EA $ GAR $ 15 Construct 4-inch blow-off assembly, pipe, valve box assembly, complete and in place per City Std Plan 608 4 EA $ AM"' $.Z74'V• 16 Construct 2-inch air and vacuum release valve assembly, 2-inch plastic coated copper pipe, complete and in place per City Std Plan 611 3 EA 17 Connect to existing water mains with Transition Couplings per details on Dwg C-14. 1 LS $9Atn. $AQOPO,-' 18 Snap cut,remove,handle and legally dispose of existing interfering Asbestos Cement(AC) pipe and cap, slurry fill, and abandon existing non-interfering AC pipe in place. I LS $/W $ /A 0B0. 19 Remodel existing sewer house connection laterals conflicting with proposed waterline t0 EA $.33 .� $ 33Lm / 20 Chlorination and testing of all new water mains and appurtenances, end caps, temporary blowoffs, appurtenances and treatment and disposal of test water per regulations I LS $ *7 ?CO. $LLZLV, 21 Construct aggregate base(6"thick minimum) to repair mainline and service trenches per Repavement Schedule on Dwg G-03, including removal and disposal of existing aggregate base 100 CY $A7y, $ 22 Construct asphalt concrete base paving(6' thick minimum)to repair mainline and z service trenches per Repavement Schedule on 200 TON $/2! $L5 C-2.2 SECTION C PROJECT BID SCHEDULE—REVISED PER ADDENDUM #1 EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT PROJECT, CC 1558 Description Unit Cost Total Cost Dwg G-03, including saw cutting, rcmu%a1 and disposal of existing paving 23 Install 1 '/2"(0.12')Type III C3-PG-64-10- RAP Asphalt Concrete Overlay 1450 TON $/,20.'� $ /74 OCIP• 24 Cold mill full width of asphalt section at 1 ''/2" OVA _-W OOO. � depth 150,000 SFT $ l ` 25 Install gcosynthetic paving fabric with tack coat per specifications 150,000 SFT $ , .Z y $ ow, 26 Adjust City Sewer and Storm Drain Manhole to grade 20 EA $ 895.E $ 7400 •� 27 Replace and adjust Water Valve Box and Cover to grade 32 EA $ 850" $ 28 Remove and reconstruct curb and gutter per City Sid Plan 202 on Balmoral Drive, Dwgs C-02 and C-03. Grade to be determined by M Engineer in field. 200 LF $ ?s,' $ 29 Install geotextile fabric around sand bedding envelope for Edwards/Varsity Traci streets r Trench Repair and Dewaterin Note 1 32 LF $ // $ 3 5%;L{a0, 30 NOT USED— DELETED PER ADDENDUM 1 $ 31 Construct temporary fire hydrant lateral per Detail 9 on Dwg C-15 l LS $ t}4560, $ 44500,-` 32 Remove and replace miscellaneous concrete tlatwork including cross gutter, curb, gutter and sidewalk. 200 SF $ 33 Survey Monument Preservation 15 EA $ 5W, $ 95ip r 34 Replace Striping I LS $14F00,E $ Ito Co. SUB-TOTAL BID AMOUNT IN WORDS: 1t577) 750,Dp Ohio ��,tG�CoX. /�l�x.�tlot ,::eaest „oun,��cuy� DO J Note: Refer to Section 9. Measure and Payment for description of each --m on Bid Schedule. c-2.3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104. the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or S10.000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar % of Items) Subcontractor License Registrntioo a Amount Contract Number y�.G rrt SQf r iwm,Gf.4�K A(,7073 C4 Z o vA90/OS/ A- 3 /ell_ b�yts7 G z / Oarm7G47 t�lr7SDo 2.S e� 5j yo0 £ • 6 rfr .e'r. �G7073 ?�`fS�7 Z , 7_ `By a-- By submission of this proposal, the Bidder certifies: I. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID 1 declare under penalty of perjury under the laws of the State pf California that the foregoing is true and correct and that this declaration is executed, 1�1,at LONG RPAC H —CA:F011KA A Date City State Curtls P. Brown III beingPAt 4wIyi3Mm, deposes and says that he or she is prPcirient of EXC4 PAVING COMPANY the party making the foregoing bid that the bid is not made in the interest of,or on the behalf of,any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anvone 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. PALP, INC DEIA EXCEL PAVING COMPANY Name of Bidder Curtis P. Brown III a nt Signature of Bidder 2230 LEMON AVE LONG BEACH, CA 90806 Address of Bidder C-4 CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of Los Angeles ) On before me, R. Covington Nota Public 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/axe subscribed to the within instrument and acknowledged to me that he/sfae" executed the same in his/*Ug*r authorized capacity(ies), and that by his/hemili 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 e WITNESS my hand and official seal. f a.M 023TON COMM.•2339694 e Notary PubhcLanromia C ( • '♦ LOS ANGELES COUNTY v My Comm.Expires Dec 8.2024 Notary Public Signature (Ntstary Public Seal) • ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM 71ru form complies with currens California stasules regarding nofa ,wording and. DESCRIPTION OF THE ATTACHED DOCUMENT ifnreded.should be complesedandanached to the dononrn[Acknowledgments from other sites may he completed for documeus being sir to this srx a so long as she wording does nor require the[aiifomxa notary ro violate Calrforms molar� la.v. (etch or daanyfon of stlaehed docurnaM) - State and County information must be the Stare and County where the document s:gnerls)pessonelly appeared before the no:uy Punk for acknowledgment. - fate of notasisation m'=be the date that the signer(s)personally appeared whist frille or description of altaUed doci~,coreaased; must also be the same dais the aclaiowledgment is cornple:ed. - Tx notary public must prim his or her name as n appears within his or her Number of Pages Document Date conVul im followed by a comma and then your nik(notary public). Print the nunew of document sibmer(s) who personally appear at :he tune of notanzwon. CAPACITY CLAIMED BY THE SIGNER - Indicate the correct singular or plural forms by crossing off incorrect forms U.c belshdthey.is%re)or circling the correct forms.Failure to correctly indicate this ❑ Individual (s) infomatieo may lead torgcmon ofdocumentmording X)( Corporate Officer e The notary seal unprcuion most be clear and photourplawall} reproducible. President Impression must not cover testor lines. If seal unpressior smudges, re-sea: if a Ile) suffcier:area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of die notary public most match the signature re on file with-,he office a, the county,clerk. ❑ Attomey-in-Fact O Additional information is not required but could heip to costae this ❑ Trustee(s) Ki now'ledgineot u not misused or attached to a different ducument. Other O Indicate title or type of attached document,number of pages sad date. ❑ O Indicate the capacity,claimed by the signs. If the claimed capacity is a corporate office,trdicare the titre(t.e.CEO.CFO,Secretary). 2015 vn•s,00.rr«w Nntary LUsces inn nu��4 F8>S - Sccurck atvch this docunssen[to she signed document with a staple. UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH,CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT, CC NO. 1558, (I)(wexit)will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8,California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders. and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned. and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. PALP, INC DSA EXCEL PAVING C061PANy Contractor v Curtis P Brown III President Title Date: C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury,the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes U(No If the answer is yes, explain the circumstances in the space provided. a\;K Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1961 of the State Labor Code,each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. PALP, INC D13A EXCEL PAViNr; rrvopf e,y Contractor Curtis P. Brown III President Title Date: MAR 7071 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name PALP INC DBA EXCEL PAVING Business Address TANG BEACH, CA 90bO6 City, State Zip I � aetimatlno(02eacelQaYioSt.�2 Telephone Number 562) 5W5841 Email Address ST E 1= necc 'GL cR-v�.9— State Contractor's License No. and Class A, C12, C31 Or final Date Issued 9 �11A4 Expiration Date S 31 I ZOZL The work site was inspected by —of(fur office on 3).LJ t—, 201_. �T The following are persons, firms, and corporations having a principal interest in this proposal: =hL . I,`C 33A Curtis P Brown III I'Mident and Chief Eaecuthn officer Marna S Miller Secretary fnccaA endnp- UAt Goo ate The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. PALP, INc DBA EXCFI PAVING Cf LIMNY Company N me Sig Lure of Bidder Curtis P. Brown III President Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this_day of MAR 3 1) 2021 , 202_. 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�`0R"1A ) County of LOS Angeles ) On MAR 3 it 2021 before me, A..(' y^j: n Month, Day, and Year Insert me and Title of Notary Curtis R Brown III 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/w subscribed to the within instrument and acknowledged to me that he/sW/they executed the same in his/b6/tWr authorized capacity(ies),and that by his/Ikt/tha*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.CO%nMGTON WITNESS my hand and official seal roMK a2339692 =sue No[ary PuCliczalifomia Z LOS ANGELES COUNTY Mr Comm.UPn Dec B.2024 Signature Signature of No Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History SEE ATTACHED For the purposes of this project, the bidder shall provide project history of similar work. specifically referencing the construction of potable water pipelines within the public right of way. working within major arterials and streets and in close proximity to other underground utilities. and in areas containing high ground water. 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. 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: 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-lo Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions,please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. I. � l�ct Man M6� 'Name of pro d Project Manager Telephone No. of proposed Project Manager: 562) 599-5841 hil rVO 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. !!!CotJ� 'Fy&-.r&5Ltb Name of proposed Superintendent Telephone No. of proposed Superintendent: 562) 599-5841 S0 P,00w 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/Public Works/SB854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (944) 522-6734 https://cfiling.dir.ca.gov/P WCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiIing.dir.ca.gov[P WCR/Search.action 1 am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. PALP, ISO DBA EXCEL PAVING C0b1P.4NY Contractor Z46-1-Z-- a6t1m 1t1nQQQX{WRAYlna.net Email Curtis P Brown III President Title Date: MAR '3 0 2021 PWC Registration #: 1D0 QQ33h l C-12 C-13 y19� CONTRACTOR'S SWORN STATEMENT AND WARRANTY REGARDING CONTINUING INSURANCE OBLIGATIONS FROM: Palp Inc dba Excel Paving Co. pROJECr: Edwards/Varsity water (Cordracfnr Name) .Main Replacement Project Project o. 2230 Lemon Ave (Street Address) Long Beach, CA 90806 (Cfty,Vase and Zip) TO: CITY OF HUNTINGTON BEACH DECLARATION Mtadnm FerQW is a eve an0 tuned mpf d yw oarsa CWtftaft d J w anca and Additions!Innate FndXserr as Cr 2010 I Ir, wtw:h Cendoca a cw"m.iron meI Yta..u..�a.ra..er.,�rrA*w a d Ow contras by ad batween um Qty d Mr&Qis% Beach(`Xn and iK a0oecnamed Cantractra rCamauon for the abbrtleKrbed pi o)err('Pr0)mcn I dedwe undo peaty d perfidy ucw drz Ian of the Stow of CaahnYa dig dm above sWuWt a eve aM annedt Signed an April 27 20 2t Long Beach, California (DAe) (City,sum) i Wguhn d U dVAW Who to MM*V OedirWon) WARRANTY Ownbadw hereby warrants and agrss to miA b b Pmdam rd CeTOWd Opsom Inurarraa Yn cusowsm wah the aaaaanoa reouamehts d tlne contraG fa tie Ro)ec. SNd saaashm anal be rtnrt#nerd fmouph and uM de of d wa narOa PvAded by Ca ow". Said imvano shd mnhki A6=xW baaaad Bdaavtwht a 20I0 1185,ram"sty ran adationd harm. mntrxia shay"*m Oly, m at!art en-mad tapy■Cartlbom or Inuance and?t a vemedmad B'dWsemnt evtlexiq amdnued corsage arNdh mass dr Cm&wt raptemarb. Signed an April 27 2021 Long Beach, California (Date) (CRy,Star) CONTRACrOlb Palp Inc dba Excel Paving Company �ULEIII F. M �— da: President aanoa� AEA /—, PALP, INC. FEANA E(MIVDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE DAT516/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements. PRODUCER C CT The Wooditch Company Insurance Services,Inc. PHONE o Enl: 949 553-9800 �a c Nol:(949)553-0670 1 Park Plaza,Suite 400 a. Irvine,CA 92614 INSURERtSlAFFORDING COVERAGE NAIL! INSURERA:Executive Risk Indemnity,Inc. 35181 INSURED INSURER D:Federal Insurance Company 20281 Palp,Inc.DBA Excel Paving Company;GAP Equipment, LLC INSURER C: 2230 Lemon Avenue INSURER n: Long Beach,CA 90806 INSURER E' INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY RAVE BEEN REDUCED BY PAID CLAIMS. IRSR TYPE OF INSURANCE ADM RUSH POLICY NUMBER POLICY Err IPOLICYEXP UNITS LTR. Y1 A X COMMERCIALGENERALLIABILITY EACH OCCURRENCE i'0001000 CWMS-MADE EX I OCCUR 64310180 611/2020 6/1/2021 01WAGEro RENTED 100,000 X X .P.REEOSE6-U:aauuBaac.L_ MED EXP lrv�, ens Perwnl _}_ 5,000 PERSONALAMVIN URY 1,000,000 LAGGR TELIIMII�r APPLIES PER GFN AGGREOAT 2,000,000 POLICY SX jECT LOC PRODUCTS-COMWOP AGO 11 2,000,000 APPROVED AS TO FORM Empl Benefits : 1,000,000 COMBINED SINGLE LIMIT 1'000,000 B AU TOMOBILE LIABILITY X ANY AUTO X X 54 HAEL E. GA S 6H/2 0 61112021 BODILY INJURY ar AUTOS — AUTOSSCHEDULED ciTY ATTORNSY _ AUNE ONLY AUTOS BODILY INJURY IPu.ccN.nll 4 X AAMPSONLY X VoMP CITY OF HUNTINGTON B6 H �'�+oPENTvQaMAOE 1 N aflNpll S UMBRELLA LIAR OCCUR EACH OCCURRENCE �$ EXCESS LIAR CLAMS MADE AOQREGATE DIED RCiENTION$ B A'ORRERS COMPENSATION X PER TH- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERA:XECUTIVE YIN X 64310181 61112020 6/1(2021 E.L.EACIIACCIDE 1'000'000 p�FIC[NIASYS)EXCLUDE. FJ NIA 1,000,000 'Mnntlatory In Hll) 0 S I1/1a aacdW vMer 1,000,000 OESC ION$Oahu E.L.DISEASE POLICY LVIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORDIOI,Addlllonal Remade Schrdule maYy Mnl.cMdlr.........1.raq.lmd) RE:Excel Job 06797;Edwards-Varsity Water Mein Roplaeomont. glalpwv(se)Ietl)faualwvlwewv City of Huntington Beach,Its officers.appointed or elected officials,employees,agents,and volunteers are Included as Additional Insureds as respocts General Liability and Auto Liability per attached endorsements. This Insurance shall apply as Primary and Non-Contributory par attached ondorsement. Waiver of Subrogatlon for General Liability,Auto Liability and Workers'Componsation:Soo Atlachod Endorsements, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Huntington Beach ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street P.O.Box 190 Huntington Beach,CA 92648 AUU/IHO//RIZED REPRESENTATIVE UFO ACORD 26(2016/03) "ll 9 198 8-201 5 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER 10:PALP, INC. JEANA LOC N; 1 A6 RO ADDITIONAL REMARKS SCHEDULE _ Page 1 of 1 AGENCY NAMEDINBURE.D PM Inc.DBA Excel Paving Company; GAP Equipment,LLC 2230 Lemon Avenue POLICY NUMBER Long Beach,CA 90806 EE PAGE 1 CARRIER NAIL CODE EE PAGE 1 ISEE P1 EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 26 FORM TITLE: Certl8oate of Liability Insureco Cancellation: 'Except 10 days notice of Cancellation for non-payment of premium. 'Should this policy be cancelled before the expiration date,The Wooditch Company will mail 30(thirty)days written notice to those Certificate Holders which require such action per contract or agreement." ACORO 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy Number: 54310182 COMMERCIAL AUTOMOBILE THIS ENDORSEMENT CHANGES THE POLICY- PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM borrow In your business or your personal This endorsement modifies the Business Auto Coverage Form. affairs. 1. EXTENDED CANCELLATION CONDITION C. Lessors as Insureds Paragraph A.2.b.—CANCELLATION-of the Paragraph A.I.—WHO IS AN INSURED—of COMMON POLICY CONDITIONS form IL 00 17 is SECTION II—LIABILITY COVERAGE Is deleted and replaced with the following: amended to add the following: b. 60 days before the effective date of cancellation If e. The lessor of a covered"auto"while the we cancel for any other reason. auto" Is leased to you under a written 2. BROAD FORM INSURED agreement if: A. Subsidiaries and Newly Acquired or Formed (1) The agreement requires you to Organizations As Insureds provide direct primary Insuranco for The Named Insured shown in the Declarations is the lessor; and amended to include: (2) The"auto"is leased without a driver. 1. Any legally incorporated subsidiary in which Such leased "auto"will be considered a you awn more than 50%of the voting stock on covered "auto"you awn and not a covered the effective dale of the Coverage Form. auto"you hire. However, the Named Insured does not include However, the lessor is an"insured"only any subsidiary that Is an"Insured"under any for"bodily Injury*or"property damage' i other automobile policy or would be an resulting from the acts or omissions by: "Insured"under such a policy but for its 1. You; termination or the exhaustion of its Limit of 2. Any of your"employees"or agents; Insurance. or 2. Any organization that Is acquired or formed by 3. Any person, except the lessor or you and over which you maintain majority any"employee"or agent of the ownership. However, the Named Insured lessor, operating an "auto"with the does not include any newly formed or acquired permission of any of 1. and/or 2. j organization: above. (a)That is an "insured" under any other D. Persons And Organizations As Insureds automobile policy; Under A Written Insured Contract (b)That has exhausted its Limit of Insurance Paragraph A.1 —WHO IS AN INSURED—of under any other policy; or SECTION II—LIABILITY COVERAGE Is (c) 180 days or more after Its acquisition or amended to add the following: formation by you, unless you have given f. Any person or organization with respect to us written notice of the acquisition or the operation, maintenance or use of a formation. covered "auto", provided that you and Coverage does not apply to"bodily injury"or such person or organization have agreed i "property damago" that results from an "accident' under an express provision in a written that occurred before you formed or acquired the "insured contract', written agreement or a organization. written permit issued to you by a B. Employees as Insureds governmental or public authority to add Paragraph A.I. —WHO IS AN INSURED—of such person or organization to this policy SECTION 11—LIABILITY COVERAGE is amended to as an"insured". add the following: However, such person or organization is d. Any'employee" of yours while using a an'Insured"only: i covered"auto"you don't own, hire or Form: 16-02-0292 (Rev. 11-16) Page 1 of 3 "Includes copyrighted material of Insurance Services Office, Inc. with its permission" i Policy Number: 54310182 (1) with respect to the operation, d. Rental Expense maintenance or use of a covered We will pay the following expenses that you or "auto"; and any of your"employees"are legally obligated (2) for"bodily injury"or"property damage" to pay because of a written contract or caused by an "accident"which takes agreement entered into for use of a rental place after: vehicle in the conduct of your business: (a) You executed the"insured MAXIMUM WE WILL PAY FOR ANY ONE contract"or written agreement; or CONTRACT OR AGREEMENT: (b) The permit has been issued to 1. $2,500 for loss of income incurred by the you. rental agency during the period of time that 3. FELLOW EMPLOYEE COVERAGE vehicle is out of use because of actual EXCLUSION B.5. - FELLOW EMPLOYEE—of damage to, or'loss"of,that vehicle, including SECTION II— LIABILITY COVERAGE does not apply. income lost duo to absence of that vehicle for 4. PHYSICAL DAMAGE—ADDITIONAL TEMPORARY TRANSPORTATION EXPENSE COVERAGE use as a replacement; Paragraph AA.a.—TRANSPORTATION EXPENSES 2. $2,500 for decrease in trade-in value of the —of SECTION III—PHYSICAL DAMAGE rental vehicle because of actual damage to COVERAGE is amended to provide a limit of$50 per that vehicle arising out of a covered"loss'; and day for temporary transportation expense, subject to a 3. $2,500 for administrative expenses incurred maximum limit of$1,000. by the rental agency, as stated In the contract 5. AUTO LOANILEASE GAP COVERAGE or agreement. Paragraph A. 4.—COVERAGE EXTENSIONS-of 4. $7,500 maximum total amount for paragraphs SECTION III—PHYSICAL DAMAGE COVERAGE is 1., 2. and 3. combined. amended to add the following: 7. EXTRA EXPENSE—BROADENED COVERAGE c. Unpaid Loan or Lease Amounts Paragraph A.4.—COVERAGE EXTENSIONS—of In the event of a total "loss" to a covered"auto",we will SECTION III— PHYSICAL DAMAGE COVERAGE pay any unpaid amount due on the loan or lease for a is amended to add the following: covered"auto"minus: o. Recovery Expense 1. The amount paid under the Physical Damage We will pay for the expense of returning a Coverage Section of the policy; and stolen covered"auto" to you. 2 Any: 8. AIRBAG COVERAGE a. Overdue loan/lease payments at the time of Paragraph B.3.a.-EXCLUSIONS—of SECTION the"loss"; III—PHYSICAL DAMAGE COVERAGE does not b. Financial penalties Imposed under a lease for apply to the accidental or unintended discharge of excessive use, abnormal wear and tear or an alrbag. Coverage is excess over any other high mileage; collectible insurance or warranty specifically c. Security deposits not returned by the lessor: designed to provide this coverage. d. Costs for extended warranties, Credit Life 9, AUDIO, VISUAL AND DATA ELECTRONIC Insurance, Health,Accident or Disability EQUIPMENT- BROADENED COVERAGE Insurance purchased with the loan or lease; Paragraph C.1.b. —LIMIT OF INSURANCE-of and SECTION III- PHYSICAL DAMAGE is deleted e. Carry-over balances from previous loans or and replaced with the following: leases. b. $2,000 is the most we will pay for"loss"in any We will pay for any unpaid amount due on the loan or one"accident"to all electronic equipment that lease if caused by: reproduces, receives or transmits audio, visual 1. Other than Collision Coverage only if the or data signals which, at the time of"loss", Is: Declarations Indicate that Comprehensive (1) Permanently installed in or upon the Coverage Is provided for any covered "auto"; covered "auto" In a housing, opening or 2. Specified Causes of Loss Coverage only if the other location that is not normally used by Declarations indicate that Specified Causes of the"auto"manufacturer for the Installation Loss Coverage is provided for any covered"auto% of such equipment; or (2) Removable from a permanently installed 3. Collision Coverage only if the Declarations indicate housing unit as described in Paragraph that Collision Coverage Is provided for any 2.a. above or Is an Integral part of that covered"auto. 6. RENTAL AGENCY EXPENSE equipment; or Paragraph A. 4. —COVERAGE EXTENSIONS—of (3) An integral part of such equipment. SECTION III—PHYSICAL DAMAGE COVERAGE is amended to add the following: 10. GLASS REPAIR— WAIVER OF DEDUCTIBLE Form: 16-02-0292 (Rev. 11-16) Page 2 of 3 "Includes copyrighted material of Insurance Services Office, Inc.with its permission" ruumy rvumuci, woiuioc Under Paragraph D. - DEDUCTIBLE—of their rights of recovery against such person or SECTION III—PHYSICAL DAMAGE COVERAGE organization under a contract or agreement the following is added: that is entered Into before such"loss". No deductible applies to glass damage if the glass To the extent that the"insured's"rights to is repaired rather than replaced. recover damages for all or part of any 11. TWO OR MORE DEDUCTIBLES paymant made under this insurance has not Paragraph D.-DEDUCTIBLE—of SECTION III— been waived, those rights are transferred to PHYSICAL DAMAGE COVERAGE is amended to us. That person or organization must do add the following: everything necessary to secure our rights and If this Coverage Form and any other Coverage must do nothing after`accident" or"loss"to Form or policy Issued to you by us that is not an impair them. At our request, the insured will automobile policy or Coverage Form applies to the bring suit or transfer those rights to us and same'accident", the following applies: help us enforce them. 1. If the deductible under this Business Auto Coverage Form is the smaller(or smallest) 14. UNINTENTIONAL FAILURE TO DISCLOSE deductible, it will be waived; or HAZARDS 2. If the deductible under this Business Auto Paragraph B.2.—CONCEALMENT, Coverage Form Is not the smaller(or smallest) MISREPRESENTATION or FRAUD of SECTION deductible, It will be reduced by the amount of IV—BUSINESS AUTO CONDITIONS- Is deleted the smaller(or smallest)deductible. and replaced with the following: If you unintentionally fail to disclose any hazards 12.AMENDED DUTIES IN THE EVENT OF existing at the inception date of your policy, wo will ACCIDENT, CLAIM, SUIT OR LOSS not void coverage under this Coverage Form Paragraph A.2.a. - DUTIES IN THE EVENT OF because of such failure. AN ACCIDENT, CLAIM, SUIT OR LOSS of SECTION IV- BUSINESS AUTO CONDITIONS is 15. AUTOS RENTED BY EMPLOYEES deleted and replaced with the following: Paragraph 8.5. -OTHER INSURANCE of a. In the event of"accident", claim, "suit"or SECTION IV—BUSINESS AUTO CONDITIONS- "loss", you must promptly notify us when the is amended to add the fallowing: "accident"is known to: e. Any"auto" hired or rented by your"employee" (1) You or your authorized representative, if an your behalf and at your direction will be you are an Individual; considered an"auto" you hire. If an (2) A partner, or any authorized "employee's"personal Insurance also applies representative, if you are a partnership; on an excess basis to a covered"auto" hired (3) A member, if you are a limited liability or rented by your"employee'on your behalf company; or and at your direction, this Insurance will be (4) An executive officer, insurance manager, primary to the"employee's" personal or authorized representative, if you are an insurance. organization other than a partnership or 16. HIRED AUTO—COVERAGE TERRITORY limited liability company. Paragraph B.7.b.(5).-POLICY PERIOD, Knowledge of an"accident', claim,"suit"or COVERAGE TERRITORY of SECTION IV— "loss" by other persons does not Imply that the BUSINESS AUTO CONDITIONS is deleted and persons listed above have such knowledge. replaced with the following: Notice to us should Include: (5)A covered"auto'of the private passenger (1) How,when and where the"accident"or type is leased, hired, rented or borrowed "loss"occurred; without a driver for a period of 45 days or (2) The"insured's" name and address; and less; and (3) To the extent possible, the names and 17 RESULTANT MENTAL ANGUISH COVERAGE addresses of any injured persons or Paragraph C. of-SECTION V—DEFINITIONS is witnesses. deleted and replaced by(lie following: 13. WAIVER OF SUBROGATION "Bodily injury" means bodily injury, sickness or Paragraph A.5. -TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US of disease sustained by any person, Including SECTION IV—BUSINESS AUTO CONDITIONS Is mental anguish or death as a result of the"bodily deleted and replaced with the following: injury"sustained by that person. 5. We will waive the right of recovery we would otherwise have against another person or organization for"loss" to which this insurance applies, provided the "insured"has waived Form: 16-02-0292 (Rev. 11-16) Page 3 of 3 "Includes copyrighted material of Insurance Services Office, Inc. with Its permission" I POLICY NUMBER: 54310180 COMMERCIAL GENERAL LIABILITY 10-02-2461 (Ed. 7-15) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY INSURANCE FOR SCHEDULED ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Additional Insured: Location Of Covered Operations: WHERE REQUIRED BY WRITTEN CONTRACT. ALL LOCATIONS (If no entry appears above, Information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) With respect only to the Additional Insured and at the Location Of Covered Operations shown in the Schedule, the following is added to SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4. Other Insurance and supersedes any provision to the contrary: Primary And Noncontributory Insurance f This insurance is primary to and will not seek contribution from any other insurance available to the Additional Insured with respect to the Location Of Covered Operations shown In the Schedule under this policy provided that: (1) The Additional Insured is a named insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the Additional Insured. 10-02-2461 (Ed. 7-15) Includes copyrighted material of Insurance Services Office, Inc„ Page 1 of 1 with its permission. POLICY NUMER: 54310180 b. Those statements are based upon a. Copyrighted "advertisement"; or representations you made to us; and b. Registered collective mark, registered service c. We have issued this policy in reliance upon mark or other registered trademarked name, your representations. slogan, symbol or title. 7. Separation Of Insureds 3. "Asbestos" means asbestos in any form, including Except with respect to the Limits of Insurance, and Its presence or use in any allay, by-product, any rights or duties specifically assigned in this compound or other material or waste. Waste Coverage Part to the first Named Insured, this includes materials to be recycled, reconditioned or Insurance applies: reclaimed. a. As if each Named Insured were the only 4. "Auto"means: Named Insured; and a. A land motor vehicle, trailer or semitrailer b. Separately to each insured against whom designed for travel on public roads, including claim is made or"suit"is brought. any attached machinery or equipment; or B. Transfer Or Waiver Of Rights Of Recovery b. Any other land vehicle that is subject to a Against Others To Us compulsory or financial responsibility law or W other motor vehicle insurance law where it is e will waive the right of recovery we would otherMso have had against another person or licensed or principally garaged. organization, for loss to which this insurance However, "auto" does not include "mobile applies, provided the insured has waived their equipment". rights of recovery against such person or 5."Bodily injury" means physical: organization in a contract or agreement that Is a. Injury; executed before such loss. To the extent that the insured's rights to recover b. Sickness; or all or part of any payment made under this c. Disease; Coverage Part have not been waived, those rights sustained by a person, Including resulting death, are transferred to us. The insured must do nothing humiliation, mental anguish, mental injury or shock after loss to Impair them. At our request, the at any time. All such loss shall be deemed to insured will bring "suit" or transfer those rights to occur at the time of the physical injury, sickness or us and help us enforce them. disease that caused it. This condition does not apply to Coverage C. 6. "Coverage territory" means: 9. When We Do Not Renew a. The United Slates of America (including its If we decide not to renew this Coverage Part, we territories and possessions), Puerto Rico and will mail or deliver to the first Named Insured Canada; shown in the Declarations written notice of the b. International waters or airspace, but only if the nonrenewal not less than 30 days before the injury or damage occurs In the course of travel expiration date. or transportation between any places included If notice is mailed, proof of mailing will be sufficient in Paragraph a. above; or proof of notice. c. All other parts of the world If the Injury or SECTION V—DEFINITIONS damage arises out of: 1. "Advertisement" means an electronic, oral, written (1) Goods or products made or sold by you In or other notice, about goods, products or services, the territory described in Paragraph a. designed for the specific purpose of attracting the above; general public or a specific market segment to use (2) The activities of a person whose home is in such goods, products or services. the territory described in Paragraph a. "Advertisement" does not include any a-mail above, but is away for a short time on your address, Internet domain name or other electronic business; or address or metalanguage. (3) "Advertising injury" or "personal injury" 2. "Advertising Injury" means Injury, other than offenses that take place through the "bodily injury", "property damage" or "personal Internet or similar electronic means of injury", sustained by a person or organization and communication caused by an offense of infringing, in that particular part of your "advertisement" about your goods, products or services, upon their: Form 10-02-1800 (Rev. 09- Includes copyrighted material of ISO Properties, Inc., with Page 13 of 17 17) its permission WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY I WC 99 03 04 (Ed. 7- 08) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clauso" need to be completed only when this endorsement Is Issued subsequent to proparatlon of the policy.) This endorsement, effective on 06/01/2020 at 12:01 A. M. standard time, forms a part of (DATE) I Policy No. 54310181 of the Federal Insurance Company (NAME OF INSURANCE COMPANY) i issued to Palp, Inc. DBA Excel Paving Company i Endorsement No. N/A Authorized Representative We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. The additional premium for the blanket waiver offered by this endorsement shall be 0.00 % of total California premium. Schedule Person or Organization Job Description WHERE REQUIRED BY WRITTEN CONTRACT. i i I I WC 99 03 04(Ed.7-08) POLICY NUMBER: 54310180 COMMERCIAL GENERAL LIABILITY CG 20 10 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations City of Huntington Beach, its officers, appointed or RE: Excel Job#5797; Edwards-Varsity Water Main elected officials, employees, agents, and volunteers Replacement. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the Insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organizatien(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage"occurring after: caused, in whole or in part, by: 1. All work, including materials, parts or 1. Your acts or omissions; or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 10 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 2 POLICY NUMBER: 54310180 C. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section III—Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable Limits of Insurance shown in the will pay on behalf of the additional insured is the Declarations. amount of insurance: 1. Required by the contract or agreement; or i i i I I I Page 2 of 2 ©Insurance Services Office, Inc., 2012 CG 20 10 04 13 POLICY NUMBER: 54310180 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations City of Huntington Beach, its officers, appointed or RE: Excel Job#5797; Edwards-Varsity Water Main elected officials, employees, agents, and volunteers Replacement. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III— Limits Of Insurance: with respect to liability for "bodily injury'. or If coverage provided to the additional insured is "property damage" caused, in whole or in part, by required by a contract or agreement, the most we .'your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the "products-completed operations 1. Required by the contract or agreement; or hazard". 2. Available under the applicable Limits of However: Insurance shown in the Declarations; 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted This endorsement shall not increase the applicable by law; and Limits of Insurance shown in the Declarations. 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 1 PERFORMANCE BOND Born No.K40144730 i KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS,Ciry of Huntington Beach(ISereafter referred to as'Cify�has;by wdtlen agreement dated 20_;entered Into a contract with PALP Inc.dba Excel Pavina Company .2230 Lemon Avenue,Long Beach.CA 90e06... .. _ .. . ... . . .. (name.and address of Contractor) (hereinafter reforred to a*'Princlpal',for performance of the mik described as follows: Edwards—Varsity Water Main Replacement (Project Title) WHEREAS, said contract, and all documents referenced therein (hereinafter collectively *Contract'), are incorporated herein by this reference made a part hereof as though set forth herein in:full;and Said Pnnclpal Is'requlred under the terra of the Contract to furnish a bond guaranteeing the prompt,full and faithful performance of said Contrscl; by a duty admitted:surety Insurer under the laws of the Stale of California(hereinafter retefred to as"Surety and Surety Is certified and listed in the U.S. Department of the Treasury Circular510, and has provided proof of sufficient:bonding limitations as shown in said circular to providd bonds in the amount required by said Contract;and Surety has provided financial strength ratings from reputable companies,such as from A.M.Best.Moodys,or Standard&Poofs,to validale ihaf.Surety,has positive ralingsof being sacure.or Stable;and Surety is reglsterod and fisted with thei California 4epartinenl of Insufanca, NOW,.THEREFORE,we,the undersigned,as Principal,and Fadoml Irnuronco Company 2028 Halls MITI Rosh,Whitehouse Station NJ QM9 (name and address of Surety) i as Surety,ere hold and firmly bound unto City in the panel sum or One mllllon.five hundred eaventy. seven thousand seven hundred fllty and 001100 Dollars($1,577.750.00 ),this amount being not less than one hundred percent of the.price set forth In Via Contract;in IaWful money of the United States,for the payment of which sum,well and truly to be made, we bind our chfci,our heirs,executors,administrators and succeasom,jointly and aevarally,firmly by these I presents. THE CONDITION OF THIS OBLIGATION IS SUCH.TrWT if the Principal shall promptly,fully and faithfully perform each and all of the covenants,obligefions and thinga to be done and performed by the Principal in stribt accordance with the tamrs of the Contract as said contract may be altered,amended or modified from qme to time;and if the Principal shall indemnify and save harmless City and all of City's officers;agents and employees(hereineffer collectively referred to as"Obligeesl fromany'and all losses;liabllily and damages, dalms,judgments,stop notices;fees and costs of every description,wholHer imposed by law or In equity, which may beby the Obligees by mason of the failure or default on the part of the Principal in the performance of any or ail'ofthe terms or the obllgations:ofthe Contract,Indirding all alterations,amendments and modillcatfons Itiereto,and any warranties or guarantees requ(red thereunder,then this.obllgationshall be void;otherwise,it shall be and shell remain in full force and 'effect, Surely stipulates and agrees,for value received,that.no adjustment of the time or price in the Contract or any alteration,change,deletion,addition or other modification to the Contract,or work to be.performed. thereunder,shall in anyway affect,limit,restrict.Impair or release the obligations of.the Surety under this Bond. Surety valves notice of any adjustment of cohhact or contract price,and any other alteration,change, i deletion,addition or other modification.to the Contract,or the work to be performed thereunder,and agrees 1 i498a1117174 Bond ND.K40144730 to automatically adjust the pens surer of this Bond to ieflectsUch adjuslrnents; alterations,changes, deletion§,addlifons or other iT.odificafiopS. Surety agrees to provide written confirmation of such adjuslincids in the penal sum to City on.not less than a i uartei ly basis. Surety'also waives the provisions of CM(Code%2845-and 2849. The obligations of this Bond.shall survive the completion of the work described in the Contract as to all obligations and Iizbifilles of the-Principal whldrsu,vlve WMPlet(nd of the work IN WITNESS WHEREOF.each party represents and.wanonts that this instrument has been duly executed by Principal and Surety,on the date,set forth below.that the name of'aach corporate party being affixed hereto is slid,panys proper legal name and thakthe individuals slgning this Irish ument have beenduly authorized pursuant to the authority of its governing.body. Surety,by execution of this bond,waives any defense which Surety has or may have by reason of any failure of the Principal id execute or propely execute this bond, Dated:_. Aodl.26 2021 ATTEST .eALP Inc„Qha Excel Pavina Comparry (Corporate Seaq (P6ncipsf Name) Byi_ �----+w-- Nam :Gunls P Brown III Title: President ATTF.ST Federal Insurance Camaany (Corporate Seat) (Surety Name) Name: Dou A.Ra (Signs to of Adomey-in-Fad for Surety) (Attach Atfomey-in-Fad Cartifkate) egaiii e(Ti-U&S (Arta Code d'Telephoae Number for Surety) APPROVED AS TOf, _ •' MkhaelE.Gatos;City Attorney / f �I I I Nore: This bond must be executed in duplkale and dated,90 srgrmturos must be nctarizcd,and evklepCa of the authority of any person swoo as eaamayiMaG must be m1acnoa. PERPORMANCE 130140 i Page 2,of 2: 15,451011704 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 26, 2021 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(e) is/am subscribed to the within instrument and acknowledged to me that he/e4eA4"executed the same in hisMeMheiF authorized capacityt+e&), and that by hisAeHHielr signature(si 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. \AATNESS my hand and official seal. N ,r ° 'v, DEBRASWANSON COMM. #2335630 X s F NOTARY PUBLIC-CALIFORNIAX 7 ORANGE COUNTY N (� MY COkM.EXP.NOV 10,201/ Signature �,a %U�1 , .. '% W, QA" (Seal) i i i CHUBB' Power of Attorney Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company Westchester Fire Insurauce Company I ACE American insurance Company Know All by These Presents,that FEDERAL INSURANCE COMPANY,..I.dlma corPormbv,VICIUNT INSURANCE COMPANY,.New York earporatlen,PACIFIC INDEMNITY COMPANY..Wfsmnslo corporation,WFSTOtRSTER FIRE INSURANCE COMPANY areal ACE AMERICAN INSURANCE COMPANY mrporatbav of the Cotelmnwealth of Pemsylmik do each hmebycousti ate and appoint Douglas A.Rapp and Timothy D.Rapp of Ladera Ranch,California-------------------------each as dmr trot and lawful Attorney-N-Fact 10 execute under suchdesignatlon In their name,and to aft their corporate seals W and delver for to don Iheh behalfas surety thereon or omerwise,bonds and umlrnakings and other writings nhllgalary In the nature thereof(other than bW bonds)given or executed Iv 1he tours.of burrow,and any lostrumeuts atn<ntlhtg or eltMng the sane,endconsents to the modlllalbvorahenedunoratly Mutma treferred to In veld bonds orobliptions. In Witness Whored,rald FEDERAL INSURANCE COMPANY,VIGI INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY.WESTOIESTER FIRE INSURANCE COMPANY and ACE AMERICA I INSURANCE COMPANY have each exeeuted and attested than presents and affixed tbru corporate seals O.this S+day nfAprU,2021. QaL0-,r-)-f)- 'J. I n.Twn\L Chhxrr.:\uianm Namnry ggdlcn Si 1)mq,Vi vPrvldeDl STATE OF NEW JERSEY County of i urvi rd0n § On this Sea day of Ap,l),2021 before me,a Notary Public of New Jersey,persimnly eater Dawn M.CMoms and SMpheu M.Haney,to ate(mown to be Assistant Secretary aid Vke Presldm4 respectively,ofFEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESPER FIRE INSURANCE COMPANY and ACE. AMERICAN INSURANCE COMPANY,the eutepanles which executed the foregoing Power tut Attorney,and the sold D.W.M.Chlaros and Stsphev M.Haney,being by me duly award, a ra ly anall each for herself asd himself did depose and say that they am Assistant Secretary and Vice Praideo4 respectively,of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WKtirCHFSTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY and know th.corporate seals thertof,that the scads alibied to the foregoing Power of Anoremy art stab corporate cols end were Iberem lifted by authority of sat Companies;and that 11mr dgnatures ar such oOlars were defy,alibied and s.bsenhed by like authority. Notarial seal KATNenLNe J A e fit_iAflY NOTARY UI:,RY PaI O. NEW fa N NeVy J Y IVt.Taaeeee PUtliO � Coemm�tlOn eaaWea 3uN re,.Tana M01srYPUM' CERTIFICATION ResoNi ous adopted by the Rannh of Directors or FEDERAL INSURANCE COMPANY,VIGHANT INSURANCE COMPANY,and PACiF1C INDEMNITY COMPANY on August 30,2016; WESWHESTER FIRE INSURANCE COMPANY m Dmember 11.2006;and ACE AMERICAN INSURANCE COMPANY an March 20,2009. 'RESOLVED,Met thefoluale,emAOriatba Mer.r16.raatbafat-ad en balbafofthe ComPam,Olbeeda.urNeruYl,.,remvprbenrra.[omen ad other. htea canaurmems Of die Company ealerad Iola Y.die adlarycom eu e alb - 1'rh[ea Cammavars'p (1) uha in*CuOunum the pml,nOtaad the VhePrtsident,ache Calamity b hereby aMomrm w eaa,Vre any written Commitment for aid on behalfarme mrvm,•nttlertlrs said .(Me Canpam ar mherwbe. (2) Fate duly WPaaaed armea-'armMme Comm.,is hereby,aurhorlxd to...,Written ramiumemIntend.,telmlfel to Company..",,Me.1 of Macerate,or uUm—ba to We amen Mal such emlen h e erarbd by We grant d potters prwiad Ise In such lumna arMen appotomeo rat men Awny-inf [31 Et of the qubme,We President and We Vke Prealdem W We eamr,is herb W y.t .m ny.ed.bread m b,M.Vu[Me Co mpa m Apnw n wr at Ialna-1 Imeto We anaom In Na Of Me Company wdr cull power aid Authority to uveult,for aid on behdfof Wa C.Orryam,tinder W.and eftsae COmpamor ahmwba,tum Wrman Commurim.arm Comp., as my bee sp dhad bsum%,ratan apmlmmen4 wh on,spulfleatbn may be ty genera type or date M W,M,. commitment or by sptNkat..of 0a of more mnhVlar Wnnan Coremneemr. (col Pam d We Ouhumn,the Pmudor aid the fte pmWsm of Me Comeau,U hardy ea,darbed.fen ared an behalf d me Commas.to ddgne In wml,m am other mile rathe Company theamberay m ueate.fora ad on behalf of We Comma,,voter the Company's col or odae i,r,wen wOlum Caomll menu arm,Comm,a..,pecild Nsrchanmen ddesauoa whim eperNo:bn tor,he by mr+rl type or cam of Witter.Commitment or,speclimedoi Orom or mare panhahr Wrbtau Comunamanh (5) Th.dbnaar.ofamogm'.' M.,Pa..aamiti,any written Cemmnmem or appolmmem at ddegtloe mnmen to Out Ruination,am We stai or We Convect.my be allied by balm0e on rxb WrinenComamum.or w dire.apmlmmem Or drieyabe FURTHER RESOLVED,Wet We foryN,Resalwkn shall not be dmmml b be an terfistm statement aftM meters aid aoWor,dafrher.employer am adrt persom w art fa and oa behalf the Comma,,.'.0 amunhaleatMa set lunk., Wcrbe arzan the aaaW ofamsuch......fauaMray erhatvtse vdMFjgrrcad or.vtN.- 1,Dawn M.Ch10ma.Assistant Seeretary of FEDERAL INSURANCE.COMPANY.VI GIIANT INSURANCR COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE C COMPANY and ACE AMERI CAN INSURANCE COMPANY(the'CorepaWes')do herby eetury that (1) the damping Raoddions adopted by the Bound of Directors of the Companies are true,correct and In rem fame and effect, (U) tbefwgoing POwerofAnonmylstrne,wrMl2DdlnfnUtOmen Cffel. I j Given under my havdared scat erne CompaniesalWMlebouse SlaUnR N).this April26,2021 i M.Chkam t.\vdss:mt S xYvinr W THEENEHTYOII WISHTOVT1Uff THEWTKMKITYOFTHOODROORNOTIFYU50FA 0"n NATTERPLPASECOWILTUSAT: Td p NiYl Fa a03-1656 amen:cuourte2adietblion. Carbat":FEC VM-R-Wlri 0w.L'4aI 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. j State of California } i County of Los Angeles } On t { 'a —a before me, R. Covington Not ry Public I .e 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/ate subscribed to the within instrument and acknowledged to me that he/shek" executed the same in his/*4(ftr authorized capacity(ies), and that by his/beoi!9*r signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. R.COVINGTON COMM.#2339692 n �� ` Q t •, Notary PublioCallfomla n LOS ANGELES COUNTY (C LL Men Comm.Expires Dec 8,2024 Notary Public Signature (Notary Public San[) t ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING TTIIS FORM i Thisform complies with current Calffornfa.044,1r regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT theeded,should be completed and attached to the doc,armL Acknowledgment+ from other states may be completed far documew being sent to that;fare so long as the warding does not require the California notary to violate Caltformia notary � law. (TIBe Or description of attached document) • Slate and County information must be the State and County where the document signors)personally appeared before the notary public for ackmowledgmenl (Me or descdp8an o1 a8achnl tbaltienl con'Jwed) • Date of notarization must be the date that the signcr(s)personally appeared which must also be the sane,date the acknowledgment Is completed • The notary public must print his ar he name as it appears within his or her Number of Pages Document Date commieaim followed by a comma and then your fitte(motuy public). • Print the name(s) of document signer(s)wbo personally appear as the time of i notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forma by cmasing off incorrect farms(i.a ❑ Individual (s) hWsheldW, is live)oreim forms.Failure the correct for Failure to correctly indicate this intermittent may lead to rejection of document recording. XX Co�porale Officer , The notary seal impression must be clear and photographically reproducible. resident Impressive must not cover lest or lines. If sent impression smudges,re-seal if Ire sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature an file with the office of the county clerk. ❑ Attorney-In-Fact O Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other0 ladicate title or type of attached doeumcat,numbs of pages and date. ❑ 9 indicate the capacity claimed by the signer. if the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary), 2015 Version w .NoteryClasses.com 800473-9865 Securely attach this document to the signed doament with a staple. PAYMENT BOND (LABOR AND MATERIALS) Bond No.K40144730 KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS,C4ty of Huntington Beach(hereafter referred to as'City)has awarded to PAI P Inc dba Excel Paving Company 2230 Lemon Avenue Lona Beach CA 90808 __ . ..... (name and address of.Contractor) (hominafter reforred to bs'Princtpar),a contract('Controcn for the work dwozibod ea follows: FAwards-Varsity Water Maln Replacement 4 (Project Tide) j WHEREAS', Principal is required under the terns:of the Contract and:the California Civil Code to furnish a bond to secure the payment of claims of laborers,mechanics,matedalmen.and:other persons as pravlded by law, by a duty admitted surety insurer under the laws of the State of California (hereinafter referred to as 'Surety';and Surety Is.certified and listed in the U.S. Department of the Treasury Circular 570;and lies provided proof of sufficient bonding limitation, as shown In said circular to provide bonds in the amount.ragWred by said Contract;end Surety has provided financial strength ratings from.reputable companies,such as from A.M.Best;Moody's or StandaW&.Poet's,to validate that Surety has posidve ratings of being secure or stable;and Surety Is registered and listed with the California Department of Insurance. NOW THEREFORE,we,the undersigned Principal,and Federal Insurance C9SOg80Y .�. 202011a11a Mill Read N"Itehouaa Station NJ 08889 (name and address of Surety) as Surely,are held ape firmly bound unto City In the papal sum of One milli Le hundrpQ_gevenly xven Nouylnd seven hundred dollars ($ 1 5,77.750.00 1,this amdunt being not less inert one hundred percent(100%)of the iota[pdca set forth:in the Con{factt in lawful money of Me United States of America,for the payment of which"sum,well and truly to,bo mado,wo-bind aurselyoo,and each of our hclm, executors,adminiStratomi.successois,and assigns,jointly and severally;firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT,If the Principal;his,her,or its heirs,executors, adminiatrators,oucccasora or assigns,or oubcontmdom shall fall to pay any of fho parsons named in Section 3181 of the California Civil C,ode.('Clairrahts')for alilabor,materials or services used w reasonably required for use In performance of the work described In the Contract-,ofany amounts due under the Unemployment Insurance Code with.respect to workof labor performed by any such Claimant,or prevailing wages due and paneRiw incurred pursuant in Sections.1774, 1775,1813 or 1816 of the Labor Code,or any amounts required to be deducted,withheld.and paid over to the Employment Development Department from the wages of employees-of the Principal and Subcontractors pursuant to Section 13020 of the.Unemployment Insurance Code vrirh respect to the work or labor performed under the Contract,Surelywill pay for the same, In an aptount not exceeding the pedal sum.specified in(his bonds otherwiso,this ohligatibn shall be null and void. This,bond shall.inure to the benefit of any of the persons named In Section 3181 of the California Civil Bode so as to give a right of.ecaon to such persona or their resigns. In case-any edion is brought upon this bond. Surety agrees ld pay all court Costs and a reasonable attorney's fee in an amount fixed by the court. P.AYMTiN'r BOND Page I of 2 ;Sd58411.17357 I i' i Surety sgpufates and agrees;for value received,that no change„extensign of time,alteration, addition or modification to the terns of the Conlmr:l;or any contract document or any work to be. performed thereunder,whether made after notice or not,shall in any way affect,impair or release ! the obligations of Surety under this bond. Surety hereby waives notice of.any such change, extension of time;alteration,addition,or modification to the terms of the Comfact,the contract documents or the work thereunder.. Surety also waives the provlslons of California Civil Code§§ 2845 and 2849. IN WITNESS WHEREOF,each party represents andwarrants that this instrumenthas been duly l executed by Principal and Surety,on the date set forth below,that the name of each corporate party being affixed hereto is such patty's proper legal name and that the indiv)duals,stgning this instrument nave been duly authorized pursuant to the authority of its:governing body. Surety,by execution of this bond,waives any defense which Surety has or may have by reason of any failure of the Princ(paLto execute or property execute this bond: Dated: April 26 2021 I ATTEST Federal Insurance Company {Corporate Seal) (Pdndpal Name) BY' Na e:Curtis P.Srown III Tille; President ATTEST Federal Insurance Camoanv_ (Corporate Seal) (Surety Name). By Name: Doug A.fta p (SI-Va a of Aaom iy Fad for Surety) (Attach Attorrey�bi-Fad CeNMate) (90) 903.3485 (Area Cade 8 Telephone Number for Surety) APPROVED-AST felm- Ys ael E.Gate . Ity Aaornay j i Hole: This bond most be exe tort in duplicate and dated.s)1 signatures must tie mradzed.end avfdmx:e of the auth.only of any person sigi ft as aflorney-04odl must be attached. I PAYMBNTROND Page 2 of 2 t5�45E4lC173S"F 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. i State of California County of Orange t On April 26, 2021 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(s) is/are subscribed to the within instrument and acknowledged to me that he/sheEWey executed the same in hisAieNlheif authorized capacity ies), and that by his/herflheir signature(s) on the instrument the person(-&_ or the entity upon behalf of which the person(-&) acted, executed the instrument. I 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. DEBRASWANSON a COMM.#2335630 X N 3 d e NOTARY PMUGCAUPORNIA A ORANGE COUNTY N r, MY COMM,EXP.NOV t0,2024 iSignature�, 4_Jlw1�o. �Lh��a,lwl� (Seal) I i I i CHUBB' Power of Attorney ' Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company ! Westchester Fire Insurance Company I ACE American Insurance Company Know All by These Prosents,that FEDERAL INSURANCE COMPANY,an Indiana corpontimq VIGILANT INSURANCE COMPANY,a New York cc rpervtloq PACIFIC INDEMNITY COMPANY,aV ccroslocerpontbn.WESTCHESIEA FIRE INSURANCE COMPANY and ACHA.MERICAN INSURANCECOMPANYrorporarfoot ofthe CommTaWedMof Pewsyloaola, do each berebyranstimte andappolat Douglas A.Rapp and Timothy D.Rapp of Ladera Ranch,California-------------------------------------------- each as their true and lawful Attorney-m-Fact to execute under such dedgmtloo In tbelr.mr es mod to of thcb corpunte scab to and deliver farand on thelrbehalf as surety Lhueou or m bsouvise,bonds and underseeld gs send other wdtiogs ohiigamry,In the nature tbernuf(other than WII bonds)gWcn or executed to the course of busfners.and any Instruments amending or altering the same,and coments to the modification or attention ofarry Instrument refemcd to in said bonds or o bllgations. in WIMev Wba ro9f,vAl FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACT PIC INDEMNITY COMPANY.WESTCI I ESTER FIRE INSURANCE COMPANY and ACE AMIE'RICA.V INSURANCE COMPANY hove each execvttxd and attested these presents and afflucel their corporate seals on this So day ofAprE,20I1. csurf-1^sl. Evu GL l�' ✓ f1;rvm Ml.Cbkrrn.Acdsiam SICTLTCty A(q lun XL llmcy.Vice Prddmt i STATE OF NEW IERSF.Y County of Runtesdem Oo this 50 day of Aprfl,2021 before me,a Notary Public of New]entry,personally came Dawn M.[Moms and Stephen M.Haney,m me kmsvu to be Assistant 5ecrctary and Vice Presde krespeenwly,ofFEDE RAL INSURANCE COMPANY,0 CHANT INSURANCE COMPA.W,PACIFIC INDEMNITY COM PANY,WESTCHESTER FI RE I NSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY,the cmrapan?s wbht ezecutW the foregoing Power of Alto Trey,and the Bald Dawn ML Cblmos and Stephen M.Honey,belrag by me duly sworn, severally and each for he self and himself did depose and say that Ihey are As dstant Secretary and Vice President,respectively,of VEDERAL INSURANCE COMPANY,YIGHAN 1' INSURANCE COMPANY.PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY sad ACE AMERICAN INSURANCE COMPANY sad know the cotponte seals Ibesxo(that the seals effluent to the foregoing Powa of Atimmry are slmh corporate teak and were thereto.Hoed by saUwAty of saki Compsvks;and that theft-dgnatures as such aQlnrs were duty antred and subscribed by Elm sonority. Notarla)Ses) KATNERINn J.AsxtAM ra Q oTARYPU0LI00PN j,MCy me z3 ael6 caamkaon E,.ebrr.tmy 16.2=4 ocesyrudc CERTIFICATION Resolutions adopted by the HOands of Dnecmn of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY.and PAC IMC INDEMNITY COMPANY on August 30,2016, WESTLnESIER FIRE INSURANCE COMPANY on December 11,2006;aid ACE AMFRICAN INSURANCE COMPANY on Match 20,2009: 'RESOLVED.Yid the mHoM s asMartutbm male In de easdba for and on behalf of the company,a mods,a derskMgt,ncotnln:ce,contracts sad other wrlven mtvmmmams of the Carps ny coast"Into In dh enlinery tnune ofl aln-e(each s'Wrban C...Hmeam: (1) Esch of the Met—.,sloe Pr-klea sell the We Fonda WdMecompaey h hereby enchanted Me¢nm.,Wntn enmmmfwmt beard on bekdfd me Cpmpsey,Under mescal ' dtAeCempsvyaaheMre- (2) Each duty a,,s,hod sucoW lnbn of Use(mepny is hereby tuthorNa!nemndary Won.eommhrxar brsd ran hehelfd me company,a der rMesnl dthe Compeer or abvm'bs m theabout cost such ed W.Is a uUnmeol by the¢not dpwsr Wf !dal for Inmrhanoniwrmen.,sslntmml as such stUnney-In.R . (3) Eade of he Ch anc.N me hndrm sd the Mcs Pr-Menu d the Coons"1,beteW avdwrbal,so,".a behaUdthe Eau my.."ohs In anodes sayDane due annew in- ksddincocaanywmh fun paver ad ell Early Wexavte for and on hobaNdme Company.under the red of me Comparo orodomhq meh wrmen ican tnwnm d me Compaey as may Mrp.IAW as such ndtso yppb[mmt nfkh spsonads.nary be by ttanl type or ckn of tufmrm Commkmerb or bys,ecHhtbnof Ina ormine,som ler Wrmen Cammlurns. (A) earn d the CbsirrmA the Peakka ad Me vke Pr-dern d 1be C9vpeerbbrrttrl aahakel.ktad on LelWIdlMCofmanr•wddesemmwrhlvswvetyoekar olkardtbr Compeer the avAornymexemaefm edov brbdf of tM compeer,under the coospaws col or ochsmbe.such wrmen[ommbmen0 oftkr Comepavya en ryecllel husuxhnrmrn ddega[MwbM rpnYhubn my be by teverd types dead Women commemsaa or b➢apect(ke[br ofon p:tpueP[rinler Wdnan ComMmnma (5) Pr[It�ure o(eery oHlterproMn Perron axeastitq my Wrtrem Cpmmnnent or eppeLnmrm ofdek¢sbn punuem b 11M Reedul6aed Ma a-I dtM1e Compeer,meY be of/b¢d by fs-Iona on such Wrmen Cpmmitmcnt orwNlwn appdamen or ddepibe FURTHER RESOLVED,tea me foresobr PaoiallovMet tea be stressed b W an s¢IwNr suavwnldlh p ,00 and suthalty d once",employs-ell char persons to act fored on behaUdtbe com,or sdr P-eentloa dean nallnaorotkembe effect IRA aercae d anyeveh power or avtborlPnMnAenlldlytnaedorsated- I,Dawo M.[Motes,Assistant Secretary of FED ERAL INSURANCE:COMPANY,VI GIIANT INSURANCE COMPANY,PAC]PIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE. C OMPANY and ACE AMERICAN INSURANCE COMPANY(,be'Cmmpa nfee)do hereby cerUfy Host (1) The foregolug Resolutions adopted by the Bout of Directors of the Companies arc we,conecH and In Fall fnrreandcar"L (� the foregoing Power ofAtmmty Ir hoe,coned end N NB forte and eHat. ! GNec under my band and seals ofsad Companies at WMtehnme Station,N),this April26,2021 I 2�1 -- �`-n" � fkN.m SLthpnn,leNu:mt xa nt:ln' IN THE EVENT tOU WISH TO VERIFY TNH AVTNENn[ITYOP THIS EOND Oa NOTIFY US Oi ANYDTNEA MATTER PLEASE CANTA[T USAT: T hone 9mi 3193 Pra 90.11656 me1:m hubhrpm CombbM:FFD.NGP1.s14iC.WC Grv.1 t-19) 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 } I On before me, R. Covington tary Public —n_No n. .a 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/axe subscribed to the within instrument and acknowledged to me that he/s'btatil" executed the same in his/I*(MxNWr authorized capacity(ies), and that by his/bsmMair 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 eal. . 023ON CDVIN 96 nVCOMM.CAM.p2339892 n Notary Publlc-Callfornla 0 LOS ANGELES COUNTY a y Comm.Expires Dec 8,2024 Notary Public Signature (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM 7Tttrfarm compiles wflh currentCali/ornla statues regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT ( needed,,rhouldbe completed andanachedm the doeanensAcknowledgment, from other states maybe completed for docwmcn4 being,rent to that note so long as the wording does not require the Cal}'/ornia notary to violate Cultforma notary law. (Tide or descriptor,of attached document) • State and County informadm must be The Slate and County where the document signer(s)personally appeared before the notary public for aclmowledgment. d at of attached document cahtnued • bate of notarization must be the date that the sigoer(s)personally appeared which j mIb a esaipli ) moat also be the same date the aelmowledgment is completed. • 'Tbe notary public must print his a her name as it appears within his or her Number of Pages_Document Date commission followed by a comma and then your title(notary,public). • Print the mme(s) of document sigtur(s) who personally appear at the time of noarivacon. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct siagular er plural forms by crossing off Incorrect forms(i.o. h balshcldr -is/era)or circhag the wrsat forma.Failure to oortectiy indicate this ❑ Individual(a) infaamation may lead lor4ection ofdoeument«cording. sty( Corporate Officer • The notary sal impression must be clear and photographically reproducible. President Impression mart act cover teal m lira. If sal impression sanudgcs,re-mai if a (Title) suReient area permits,otbmvdse complete a different acknowledgment farm. Cl Partner(s) • Signature of the notary public must march the signatum on file with the office of the county Clark. ❑ Attorney-In-Fact 4 Additional information is not acquired but could help to cosum this ❑ Trustee(s) acknowledgment is not misused or amsebod to a different doeumat. Othef 4 Indicate title or type of attached document,camber of pages and date. ❑ 4 Indicate The capacity claimed by the signer. If the daimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). 2015 Version v .NotaryClasses.com BOO-873-9865 • Securely attach this document to the signed document with a apple. 5112f2021 Company Profile n COMPANY PROFILE Company Profile Company Search Company Information Company Search . Results FEDERAL INSURANCE COMPANY Company 202B HALL'S MILL ROAD Information WHITEHOUSE STATION, NJ 08689 Old Company 800-252-4670 Names Agent for Service Old Company Names Effective Date Reference Information NAIC Group List Agent For Service Unes of Business Vivian Imperial Workers' 818 WEST SEVENTH STREET Compensation SUITE 930 Complaint and LOS ANGELES CA 90017 Reyuestfor Action/Appeals Contact Information Reference Information Financial Statements PDF's NAIC #: 20281 Annual Statements California Company ID #: 0059-6 Quarterly Statements Date Authorized In California: 12/18/1902 Company Complain[ License Status: UNLIMITED-NORMAL Company Performance& Company Type: Property&Casualty Comparison Data Company State of Domicile; INDIANA Enforcement Action Composite back to top Complaints Studies Additional Info Find A Company NAIC Group List Representative In Your Area View Flnandal NAIC Group#: 0626 Chubb Ltd Grp Disdalmer Lines Of Business The company Is authorized to transact business within these lines of Insurance. For an explanation of any of these terms, please refer to the glossary. AIRCRAFT AUTOMOBILE BOILER AND MACHINERY BURGLARY COMMON CARRIER LIABILITY CREDIT DISABILITY FIRE LIABILITY MARINE MISCELLANEOUS PLATE GLASS https:/Antemcliw.we b.Insurance.ca.govfcompanypmfile/companypro0la?ewnt-wmpanyProftle&doFun ction=getCompanyPro0le&eid=2652 1/2 5/12/2021 Cornpany Profile SPRINKLER " -" - SURETY TEAM AND VEIIICLE WORKERS' COMPENSATION back to top O 2008 California Department of Insurance hUps:/IlnteracM.web,Insurance-a.gov/companypmfiW ompanypmgle?event=wmpanyProfBeBdoFunction=getCompenyProfila&eid=2852 212 5112/2021 Swety Bonds-Ust of Certified Companies (NAIC#41483) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183. PHONE: (860) 277-0111. UNDERWRITING LIMITATION b/: $28,328,000. SURETY LICENSES c,f/: AL, AK,AZ,AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT,VT,VA,WA,WV,WI, WY. INCORPORATED IN: Connecticut. I FOCI Insurance Company (NAIC#10178) l I BUSINESS ADDRESS: 6300 University Parkway, Sarasota, FL 34240 - 8424. PHONE: (800)226-3224. UNDERWRITING LIMITATION b/: $62,450,000. i SURETY LICENSES c,f/:AL, AZ,AR, CO, DE, DC, FL, GA, IL, IN, IA, KS, KY, LA, MD, MI, MS, MO, MT, NE, NM, NC, ND, OH, OK, PA, SC, SD,TN,TX, UT,VA, WV,WI, WY. INCORPORATED IN: Florida. Federal Insurance Company (NAIC#20281) BUSINESS ADDRESS: 202B Hall's Mill Road, Whitehouse Station, NJ 08889. PHONE: (215) 640-1000. i UNDERWRITING LIMITATION b/: $386,053,000. SURETY LICENSES c,f/: AL, AK, AZ,AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD,TN,TX, UT, VT, VA,VI, WA,WV,WI,WY. INCORPORATED IN: Indiana. FEDERATED MUTUAL INSURANCE COMPANY (NAIC #13935) 01 ICIAICCC Annocco 10'I CACT DADV Cn[IADC Il1A1A7nh1ftIA KAKI CCnLn https:ltr .ns al.treesury.gov/surely-hondsAsl-mNOedmmpanles.htmlCf 30192 5/12/2021 Federal Insurance Company-Company Profile-Best's Credit Rating Center Federal Insurance Company AMB#: 002084 NAIC#:20281 FEIN#: 131963496 Administrative Office 202B Hall's Mill Road Whitehouse Station, New Jersey 08889 United Slates Web:www.chubb.com Phone: 215-640-1000 View Additional Address Information AM Best Rating Unit: AMB#: 000012-Chubb U.S. Group of Insurance Companies Assigned to insurance companies that have, in our opinion, a superior ability to meet their ongoing insurance obligations. ES�� AAS � View additional news, reports and products for this company. Based on AM Best's analysis, 058303-Chubb Limited is the AMB Ultimate Parent and identifies the topmast entity of the corporate structure. View a list of operating insurance entities in this structure. Best's Credit Ratings Financial Strength View Definition Rating (Rating Category): A++ (Superior) Outlook(or Implication): Stable Action: Affirmed 1 Effective Date: December 17, 2020 1 Initial Rating Date: December 31, 1907 I ------------ t Long-Term Issuer Credit View Definition Rating (Rating Category): aa+ (Superior) https:lhating s.ambest.mmlCompanyProfile.aspx?ambnum=20848URa Iing Id=08bl=08AItSrrr08PPP=8AItNum=0dEx1_User-86d-MIsF&Portal=08... 115 51122021 Federal Insurance Company-Company Profile-Best's Credlt Rating Center ' Outlook (or Implication): Stable Action: Affirmed I Effective Date: December 17, 2020 Initial Rating Date: March 17, 2005 Financial Size Category View Definition II Financial Size Category: XV ($2 Billion or greater) l.............. -- — ---- --- — - - - --- - - - - -- u Denotes Under Review Best's Rating Best's Credit Rating Analyst i I Rating Office: A.M. Best Rating Services, Inc. Senior Financial Analyst: Alan Murray Senior Director: Michael J. Lagomarsinc, CFA, FRM Note: See the Disclosure information Form or Press Release below for the office and analyst at the time of the rating event. I Disclosure Information Disclosure Information Form View AM Best's Rating Disclosure Form Press Release AM Best Affirms Credit Ratings of Chubb Limited and Its Subsidiaries December 17, 2020 i View AM Best's Rating Review Form Rating History AM Best has provided ratings& analysis on this company since 1907. iFinancial Strength Rating ------------ Effective Date Rating 12/17/2020 A++ 12/11/2019 A++ I Mips://mUngs.ambest.wnVCompanyProfle.aspx?ambnum=20a4&URa W gld=08b1=OdAIISrFg&PPP=dAItNum=G&EM_User-&Exl-Mlsc=BPodal=08... 2/5 5/12/2021 Federal Insurance Company-Company Profile-Best's Credit Rating Center / 12/13/2018 A++ i i 10/5/2017 A++ 6/22/2016 A++ jLong-Term Issuer Credit Rating i I Effective Date Rating 12/17/2020 aa+ j 12/11/2019 aa+ 12/13/2018 aa+ 1 0/512 0 1 7 aa+ 6/22/2016 as+ I Related Financial and Analytical Data The following links provide access to related data records that AM Best utilizes to provide financial and analytical data an a consolidated or branch basis. AMB# Company Name Company Description 087730 Federal Insurance Represents the Property/Casualty financials for the Canada Branch of Company CAB this legal entity. 090042 Federal Insurance Represents the Property/Casualty financials for the Hong Kong Branch Company (HKB) of this legal entity. 090456 Federal Insurance Represents the Property/Casualty financials for the South Korea Company KRB Branch of this legal entity. 093151 Federal Insurance Represents the Property/Casualty financials for the Singapore Branch Company (SGB) of this legal entity. I Best's Credit & Financial Reports Best's Credit Report-financial data included in Best's Credit Report reflects the data used in determining f` the current credit rating(s) for AM Best Rating Unit:AMB#: 000012-Chubb U.S. Group of Insurance Companies. Best's Credit Report-Archive-reports which were released prior to the current Best's Credit Report. Best's Financial Report-financial data included in Best's Financial Report reflects the most current data t ,available to AM Best, including updated financial exhibits and additional company information, and is available to subscribers of Best's Insurance Reports. httpslhaUngs.ambest.cam/CompenyProrde.aspx9ambnum=2084&URsUngid=O&bl=O&AItSr�9&PPP=&AltNum=O&Ext_Usem&EM Mlsa&Portal=0&... 3/5 6/122021 Federal Insurance Company-Company Profile-Besrs Credit Rating Center View additional news, reports and products for this company. Press Releases Date Title Dec 17, 2020 AM Best Affirms Credit Ratings of Chubb Limited and Its Subsidiaries nr t Dec 11. 2019 AM Best Affirms Credit Ratings of Chubb Limited and Its Subsidiaries fl Dec 13, 2018 AM Best Affirms Credit Ratings of Chubb Limited and Its Subsidiaries ( Oct 05, 2017 A.M. Best Affirms Credit Ratings of Chubb Limited and Its Subsidiaries ;] r,= Jun 22, 2016 A.M. Best Removes From Under Review and Affirms Ratings of Chubb Limited "f and Most of Its Subsidiaries Jul 02, 2015 A.M. Best Places Ratings of The Chubb Corporation and Its Subsidiaries Under Review With Negative Implications Apr 16, 2015 A.M. Best Upgrades Issuer Credit Ratings of The Chubb Corporation and Its l 1 2 j 3 Page size: 10 21 items in 3 pages Find a Best's Credit Rating Enter a Company Name Go Advanced Search Hoyr to Qet a Best's.CredltRating 01- Best's Credit Ratings L� Mobile'App L European Union Disclosures A.M. Best(EU)Rating Services B.V.(AMB-EU),a subsidiary of A.M. Best Rating Services, Inc.,is an External Credit Assessment Institution(ECA7)in the EU.Therefore,credit ratings Issued and endorsed by AMB-EU may be used for regulatory purposes in the EU as per Directive 2013/361EU. United Kingdom Disclosures A.M.Best-Europe Rating Services Limited(AMBERS),a subsidiary of A.M.Best Rating Services,Inc.,is an External Credit Assessment Institution(ECAI)in the United Kingdom(UK).Therefore,Credit Ratings issued and endorsed by AMBERS may be used for regulatory purposes in the United Kingdom as per the Credit Rating Agencies(Amendment,etc.)(EU Exit)Regulatlons 2019. hitps7/mUngs.ambest.mm/CompanyProfile.espxiambnur 2084&URaangid-0&bp0&AIISro-9&PPP-&AIINuma06Ext-Us m6Ext_Mlsc &Portak08... 415 5112R021 Federal Insurance Company-Company Profile-Best's Credit Rating Center Australian Disclosures A.M. Best Asia-Pacific Limited(AMBAP),Australian Registered Body Number(ARSN No,150375287),is a limited liability company Incorporated and domiciled in Hong Kong.AMBAP is a wholesale Australian Financial Services(AFS)Licence holder(AFS No, 411055)under the Corporations Act 2001.Credit ratings emanating from AMBAP are not intended for and must not be distributed to any person in Australia other than a wholesale client as defined In Chapter 7 of the Corporations Act.AMBAP does not authorize Its Credit Ratings to be disseminated by a third-party in a manner that could reasonably be regarded as being intended to influence a retail client in making a decision in relation to a particular product or class of financial product.AMBAP Credit Ratings are intended for j wholesale clients only,as defined. Credit Ratings determined and disseminated by AMBAP are the opinion of AMBAP only and not any specific credit analyst.AMBAP Credit Ratings are statements of opinion and not statements of fact.They are not recommendations to buy, hold or sell any Securities or any other form of financial product, including insurance policies and are not a recommendation to be used to make investment /purchasing decisions. Important Notice:AM Best's Credit Ratings are independent and objective opinions,not statements of fact.AM Best is not an Investment Advisor,does not offer investment advice of any kind,nor does the company or its Ratings Analysts offer any form of structuring or financial advice.AM Best's credit opinions are not recommendations to bury,sell or hold securities,or to make any other Investment decisions.For additional information regarding the use and limitations of credit rating opinions,as well as the rating process,information requirements and other rating related terms and definitions,please view Guide to Best's Credit Ratings. I About Us Careers I Contact I Events I Offices I Press Releases I Social Media I Legal&Licensing I Privacy Site Map Terms � of Use Regulatory Affairs-Form NRSRO-Code of Conduct-Rating Methodology-Historical Performance Data Copyright®2021 A.M. Best Company,Inc.and/or its affiliates ALL RIGHTS RESERVED. i I I I i i hllpsdhatings.ambest.mnVCompanyProfile.aspOambnum=2oB/BURadngld=08bl=0dAUt5rr g&PPP=8AItNum=08Ext_Uwa &EM MIsc=BPodal=0d... 5/5 City of Huntington Beach =1 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ iNkvvv.huntingtonbeachca.gov FFs ,,,,.0 : Office of the City Clerk Robin Estanislau, City Clerk May 20, 2021 Excel Paving Attn: Ken Corry 2230 Lemon Avenue Long Beach, CA 90806 Re: CC 1558 — Edwards — Varsity Water Main Replacement The City Council awarded the bid to your company for the above referenced project. Enclosed is a copy of the executed contract with the City of Huntington Beach. A Certification of Compliance with Title VII of the Civil Rights Act, Certification of Compliance with Prevailing Wage Laws and Contractor's Certificate form must be returned to this office after the proiect is completed but prior to the release of retention funds. In addition, the following item must also be on file, with this office before the City can release any retention funds: A warranty bond guaranteeing the final amount of work and materials for one year. If your performance bond does not include specific wording for a one-year warranty, then a rider or separate bond must be submitted. Should you have any questions or concerns regarding the enclosures or items that must be on file in this office prior to release of retention funds, please call the Public Works Department at 536-5517. Sincerely, Robin Estanislau, CMC City Clerk RE:ds Enclosures: Copy of Contract including Proposal Copies of insurance/bonds Bid Bond (original) Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) e CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: SUBJECT: Bond Acceptance I have received the bonds for_ i�L /�C • G��Z��XC2�Y lllili L CC (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) 1� / Performance Bond No. /�y/9/LlL -:�La) Payment Bond (Labor and Materials) Bond No. k 0144730 Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved 4����a2l �p (Council Approval Date) CC No. 1559 Agenda-F�em No. MSC No. City Clerk Vault No. LOUD. SU Other No. SIRE System ID No. SyyD��s gAonns/bond transmittal to treasurer Bond No. Bid Bond BID BOND The American Institute of Architects, AIA Document No.A310(February, 1970 Edition) KNOW ALL MEN BY THESE PRESENTS,that we PALP Inc.dba Excel Paving Company as Principal hereinafter called the Principal,and Federal Insurance Company a corporation duly organized under the laws of the stag of Indiana as Surety, hereinafter called the Surety, arc held and firmly bound unto City of Huntington Beach as Obligce,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 be made,the said Principal and the said Surety, bind ourselves,our heirs, executors,admimstrators,successors and assigns,Jody and seYerally, fly by these presents. WHEREAS,the Principal has submitted a bid for Edwards/Vadsty Water Main Replacement fCC1558) 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 elver 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 filth contract with another party to perform the Work covered by said bid,then this obligation shall be mill and void,odwnv ve to remain in full force and effect Signed and Scaled this 101h day of March 2021 PALP Inc.dba Excel Paving Company . / w.11nesi Principal (SC4 MARCIAS. MILLER, CORP. SECRETARY By. 4„ �Curtls P. Brown II rest ent Namerru1e Federal Insurance Company Surety (Seal) n /wrtOG55 By: Douglas 61 Rap—p n AtOmey-in-Fad ORSC 21328(5/n 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 March 10, 2021 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp who proved to me on the basis of satisfactory evidence to be the person()whose name(* is/are subscribed to the within instrument and acknowledged to me that he/i4eA4&y executed the same in his/4eOO+e4 authorized capacityfie9), and that by his eFr1 c i signature* on the instrument the person(M, 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. DEORA SWANSON N :'�^"� tSo%.�rec•. CAMU1 2335630 A NOONM UC•CAl1FORNU 014GE COUNTY y w MY CON,M,EXP.NOV 10,2024 Signature Q Cu c� vTvw�('il 1 (Seal) Chubb POWER Federal Insurance Company Attn: Surety Department OF Vigilant Insurance Company 15 Mountain View Road Surety ATTORNEY pacific Indemnity Company Warren,NJ 07059 cwuae 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 avirM Attorney.in Fact In excace under such designation in Neu names and to allot their axporam seals to and deliver for and an their behalf as surety thertm or otherwise.bobs and undeml ings and other vmamos ooagatory in the nature thereof(other Ilan bail bonds)given or executed in the course of business,and any instruments amending or ahering the same.and consents to the modJration or alien on of any instrument refined 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 affixes(heir oorpora:e seals on Otis 16th day of December,2011. Kenneth C.Wends,Assistant Secretary 1 .Nortis,Jr.,Vice President STATE OF NEW JERSEY ss. County of Somerset On this 16th day of December,2011 before me.a Notary Public of Nev,Jersey,personally came Kenneth C.Wendel,to me knovm 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, beep by me duty swam, did depose and say Oat m is Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knmvs the corporate seats thereof.Oat the seats amxed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of the By-laws of said Companies�and that he signed said Power of Attorney as Assomm Secretary of said Campanies by gke authority,and Oat he m acquaeded with David B.Norris,Jr.,and knows him d be Vice President of said Companies;and that the aigraare of David B,Norris.Jr.,sumcnbed to said Power of AOomey is in the genuine hantlwnling of David B.Nona,Jr.,and was thereto subscribed by authority of said By. Laws and in deponem's presence. Notarial Seal AO f KATHERINE J.ADELAAR NOTARY PUBLIC OF NEW 1fkSFy / Otp� s Nr.231616685 CLG� aV�G COMIRWion Expires July 14,2014 4PU o4 V Notary Pudic y�3EP CERTIFICATION E,dract from the By.Laws of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY: -AJI powen at attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company,either by to Chairman w the President or a Vice President or an Assistant Vice President,jointly whm the Secretary a an Assistant Secretary, under their resoecive designations.The signaaro of Such otlfcens may be engraved,printed or litograpad.The signature of each of the following of5mis:Chairman.President any Vice President,any Assistant Vice President,any Secretary,any Ass ittam Secretary and the will of the Company may be afixeel by faavrvle o any power of attorney or to any corblicau relating thereto appointing Assistant Secretaries or Attorneys-in.Fact for purywes only of executing and atestirg bonds and undertakings and Whir wnangs oulgalory In the nature thereof,and any such power of attorney or cerbfoaa bearing such facsimile signature or facsimile seat shalt be valid aim ending upon the Company and any a"power so executed and cenfred by aucrh acelmile signature and facsimile seal snail be valid and binding upon the Company With respect o any bond or undortaking In which n is adec ed.- I,Kenneth C.Wendel,Assistant Secretery of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY (Im'Compeniesl do hereby catty mat () the foregoing extract of the By-laws of the Companies Is Me and comicL (i) the Companies are out/licensed and 8umorlsed to transact surely business in al 50 of Vie United Sates of Amerces and the District of Columbia and we authorized by tie U.S.Treasury Department:tinter,Federal aim Vigilant are licensed N Puerto Rim and Vol U.S.Virgin Glands,and Federal is licensed in American Samoa,Guam,end each of the Pi o nmes of Canaan except Prince Edvvaw Island:aim (F) the foregoing Power of Attorney is We,correct and in fWl force and effect Given under my hand and seats of said Companies at Waren.NJ this 10th day of March,2021 'A'DUlhr �e4 Y0>♦ g2y /K�ne sisam Seaeary 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: suretyftchubb.corn Forth 15.10-0225B-U (Ed.5-03) CONSENT CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of Los Angeles } On N;AR 3 l ?0?l before me, R. Covington Notaarlry Public personally appeared Curtis P. Brown III and Marcia S. Miller who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that hvelake/they executed the same in hi%kW/their authorized capacity(ies), and that by hiabhlsr/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. 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PAL➢INC.DBA EXCEL PAVING COMPANY-PROJECT REFERENCES Job It Job Name Agmq Address City zip Cads Conbd Phone Entail Sled Comptde Contrads Columns 5337 hsiie BaCart Beatty 220 Tedunobgy Of,Suite 210 Irvine 92618 Mat Appleton (W 941-7130 Pnepoton0fildrdon DGMII16 06/01119 $ 419400 5443 Long Beall Bird,Ph Lpwd 11330 Bulks Rd Lympoct 90267 Antonio Perez 31 6030220 apaez ra.us D327117 I1OQHB $ 3.128,879 $492 N.San Femado Pod Burbank 150 Nam Thad Steel Nxbmk 91510 V"Doman 818 238-3965 VDadian rbankra.gov WWI, 09W18 S 1,158769 5507 Bmaca Chamlek Itvbe Amge Gounh 1152 E Front SI Santa Ana 92701 Bruce,Poona 7I4-955-0214 buce.pmwQocpu_ocgor.com 08OWI8 0BII048 S I ODD,000 5510 Obi OtisM Son Juan Ca mIr m 32400 Pura Adoudo San Juan Capistrano 97675 Paul MCNkin (94 49lJ 3-1711 0511970 10(15118 $ 1499�801 5535 SHerado Canyon Bdi Mantenanoe OCPW 1152 E.Fruit SL Santa Ana 92701 Roped Vole 1d 2d5d525 bDed.vale(ttgw ocgw.can TBO TED $ ddi,177 554E Udam Parksg Lot Whltua 13230 Perm Sow Mite, W602 Alfredo Hernandez 562.567.9512 alrmaMez#c! M itUa erg 0101118 I001118 $ 929.734 5553 Vabus St Pawmenl Rehab Campton 205 SWaoabredk Ave Campion 90220 Pelt Salgado 949.232.6281 Pelu.Sa ado@nr5.axn 0304119 07AHd9 $ I614,000 5564 Stmado Canyon OCPW 1152 E.Front St Santa Art 92701 Robert Vale 14 245-4525 mbestvale�ec�x.ocgw.mn S 1,175,877 5570 SRTSMauasAw Santa Monaca 14374tI,SUM 300 Santa Maker 90401 Brian Odnoa 31 4B(S%32 BAm.Odhw@SMGOV.NET 0501118 D001118 f 5Sd.971 5572 OSMC Let Ontario 1425 S Bon View Ave Ontario 91764 Stem GaMtk 3952680 SGno-tk@ontioac, w OWIGI18 0227119 S 2.649,321 5585 Lim Oak l Traddo ACC IOC 2990 Bay Vona CL Benicia 94510 Doug von Note (707f 742.6442 trranmb@aWXiRPao 09115118 TBD S 379,870 559D Cmbry BIW Mobltal n mad One W Maud mier BW Irglewvdd 90301 Hunts Nguyen 316412-768 IVubns@dtyaM1gkxam.otg_*Mi8 $ 18.422.376 5593 CorrmeNal Streets Rehab Redondo Beare 4150imbnd Street Redago Beall 90277 Daai Guezo 3103180661 Daniel 0(1) atlo.ag__ S 1.042,648 55% SuM wvomoo Son Cknrtnte 910 Cale hkgom,Sude 100 Son Clemdnle 92673 Gay Vdnorsk 949-361-6132 vd1xw"@sarderamk.o9_121141180929119 $ 1,542,925 5599 El Modena-IMe Claud Rehab OCPW 1152 E.Font St Saga Art 92701 Rated Vale 714 2454525 mbar .men I00II18 HBO S 2,795,306 5601 Gay a Tmabbe SSP Horace 20500 kladroaa An Tmam 905U3 Brewa Maln 31D 618-3049 laranceca.gm 01=19 12/31119 $ 2 889,988 56N Gea Saw hpm, Son Gabriel 917 E.Gad An Son Gabriel 91T78 Szda'M der-CAa9 626.308,2825 sW4g@sgd ohq O10019 0 &19 S I05,902 5607 La Pant I St College Wkau Makin 200 S.NWIan BAd MaMYn 92805 Rwm,,a Jade 1/ 7654913 r{atia@msNean.nd OVUM TBD s 4.111.793 5609 Anaheim BW I Ball Road bbrsectm AWeen 2W&Anaheim OW Anaekn 92805 Roaat Jade 14 76S4913 ala ekn.ar OSM19 TBD S 4,197,281 5614 Fuze,SI ImOrolments Ba11xY1 Pak 14403 E Pectic Ale Baldwin Pak 91706 CAM Fidler (626)9604011 dxN% k.ean 01107/18 TBD $ 1,027.574 561E Metrdnk Parking lnl Ph 2 Mudd 150 S.Pan An Raft 97376 Jeff SWM 909-8202531 iaw 0301II9 012220 $ 10719852 5620 DTLA Bus Footi Tratst 100 S Vscent Awe.Sle 200 West Copier 9179D Vecmt Saceda 626-931-7266 vsauceds ocuh anualLn 01/14119 0wifig $ 723795 5673 Son Fernando Pond Imp o mumts San Fernando 117 Martel$I Sm Femmdo 91340 Maud Fatlm 818 89&1243 mladm strAy_ag 0NII19 05/31/19 s 309,903 5624 Amrdda Patr ck,Somali, San Cleamb 910 Cale Nonacid,SUM 100 Son Clanenb 92673 Gall Vabprsk 949-361 6132 mood; g sakdemenm. 018119 05MV19 $ 540.738 5627 SUM ad Drainage Imaonemnt Sant Monaca 1437 4m Street,SGe 300 Sent Monica 90401 Brim 00w 310-45&8711 bruartocho4tungoYM 0801119 03/31120 S 784,784 5628 Perm neW Rehab Bel 6 Pine Areas Bid 90201 Ggory LkWw 323 923-2626 ghay@dryoftel 0304119 0501II9 S 1384 548 56M N*wood An Phi Lawndaie 147178urn Ave t,andale 90�—Kahono Oei 3109733260 kq NaAitlatdly.a 0501119 DT21840 S 1,598,315 5646 Annual P ,SNAP Ld Santa Monica 14374m Shot Stole 300 Sma Muria 90401 J 31645&22D1 Jamn.Hoag@SMGOJ.NET 11115019 TBD S 3,987,565 5654 SB I Street Rtltl NwMra I I I South Fid Street Marotta 91901 Slephicane Camwkn a 626570 W smnnomsgaQdgWamm0taat 067919 11114119 S 2,157,788 5655 Aaed Pam bent Proner aWn Yotha litla Ali45 Casa Lent An Yaba Lida 92886 F"y CadtZD 714.961.7100 IcastODQjvtabodwagw OSM19 07MN19 S 359,953 56% West Seaside Way Beare 333 w.Orton Bhd Long Beach 90902 (3a22 Ker 562-570-6525 gedep ker btVbeach 072Vl9 TBD S 1,199,199 5661 Vgtoxpad An.acl Fnpla Lan Redondo Bean 4150imwd SUM Redondo Beaty 90277 Dail Guezo 31M3180661 Dmkd.Guem Raama ON3119 0107120 S 1,187,801 5662 G Nam ABC Rt noes OCPW 1152 E Frue St, Santa Ana 92701 Robert Vale 714 2454525 robatvak@age.ocgay.mm O6110119 10131119 S 1,035,309 5669 Van Ness An Inglevnxxi Coe W Mancresla BNd Inglexpdd 90301 Hurter 310412-768 hhunt p@ jy gnApddag 071M19 D1/2BI70 S BM.830 5674 Edinger Aveme ImPromenades Hunisgton Beat 2000 Man SUed Huntington Beach 92648 Joe Fuentes 714-5365259 Iy1,0.a9 07101/19 0nsrw $ 2.916,192 5675 Miter BW I Hadena Po Inlast epen La Habra 110 E.La Habra 8M. La Habra 90631 Cesar Rao (56 3934151 am el ahabraa. oar TBD TBD S 1.693.265 5676 Canty of Gaga-Pavement Mantenace OCPW 1152 E Fruit St. Santa Ana 97701 Robed Vale (714)245-4525 nobed.vale .tom TBD TBO S 2,,490,000 5679 Steel Rehab Catbasas 100 CNac Center Way Caboasas 91302 Aloe Lemus 818-224-1677 alemn@cityakalabaws can s 868,932 5680 Zone I Sbw Surry Seal ad Rehab Layina Beach 505 Fatal An Laguna Bexh 92651 Tan Sandefur 949497 3311 Isadetun@tagunabeadty.rel $ 1,216,729 5685 keel ad Aky Im Is Bendy Has 345 Falml Road Bemrty Has 90210 Maw Pad Dhalval 310 2852513 mdhak JGbe e,"erg_ONI119 030120 $ 7,768,986 56% Annual SUM Resudaag Son Fattmdd 117 Marcel St San Fernando 91340 Manuef Fabian (BIB(8981243 mladan@ycily.cyg 092NIS 01131120 $ 2,094,776 5690 1 Hot Spa Paco Ponta 6615 Passdns Bzx1 Roo[Ayer 906TA Chris Baca (310)502-6335 maa@Aidm.can 110119 07WA S 5,257,894 5692 Resdedal Sued Reao Redondo Beach 415 Gxmptd SUM! Redondo BeaA 90211 Lanni Sobt,m 31O3150661 Lauren.Saden@PN .erg 12JG2J19 060120 $ 4,6B8777 5696 Laguna NUW Regional Pak OCPW 1152 E.FU St Smut Ana 92701 PoIDat Vale (714(2454525 mbar. .urn 11/17/19 OU10710 S 1891,BW 5698 Camlyd Grange-Grera Enghm OCPW 1152 E Fruit St Santa Ana 92701 Robert Vale Q14 245dszs mbal.yaee x.ocpw.mm Iv�vI9 11/12720 S 2,490,000 5701 Track klaiapmenl Syslan-SUBbFaraa Azusa 213 E Faoma BNU Azusa 91702 Gahaa Cuts 626Bf2.52d8 autel anaaa nor 012120 060020 f f,978,872 5709 Cycle I Street Resaiaag Program Manhattan Beam 3621 BcI Ave Manhattan Beath 9026 Mao Maa 310-B02 s353 ``amkkr@at)mo.inb s 1,329858 5714 Veley OVd,Sexy A Panmmt LaPointe 15900 Man SL La Pointe 917M Mel Frd (S61)7607752 abtS@xactat men 01/13119 TBD f 1,043,469 5715 Namwt lntrutrudum Mauhia 600 S Mountain An MmroNa 910H Sean Swan fi 932-5572 lssuRrdnqd,nauwia ra.us 7BD TBD 1 9679 M3 PAI_P. INC DDA EXCEL P.NVING ^.30 I.gD<)N AVF IAN D(-ACH. GA 9013015 aj'�DI2� 2Zzo.o � i &atep✓FD 7-0 City of Huntington Beach File #: 21-299 MEETING DATE: 4/19/2021 REQUEST FOR CITY COUNCIL ACTION SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Oliver Chi, City Manager PREPARED BY: Sean Crumby, Director of Public Works Subject: Accept the lowest responsive and responsible bid, approve appropriation of funds and authorize execution of a construction contract with Palp, Inc. dba Excel Paving, in the amount of $1,577,750 for the Edwards - Varsity Tract Water Main Replacement project, CC-1558 Statement of Issue: On March 30. 2021, bids were publically opened for the Edwards - Varsity Tract Water Main Replacement project. City Council action is requested to award the construction contract to Palp, Inc., doing business as Excel Paving, the lowest responsive and responsible bidder. Financial Impact: Total funds for the project, including contingency and supplemental expenses, is estimated at $1,950,000. Funds for the project are available in the current fiscal year budget in the Water Master Plan Fund, Account No. 50791006.82100, ($1,779,000). Additionally, staff is requesting an appropriation of $171,000 from the undesignated Prop 42 fund balance to Account No. 21985201.82300 to cover 50% of the milling and overlay costs. Recommended Action: A) Accept the lowest responsive and responsible bid submitted by Excel Paving in the amount of $1,577,750.00; and, B) Appropriate $171,000 from the Prop 42 Fund, Account No. 21985201.82300; and, C) Authorize the Mayor and City Clerk to execute a construction contract in a form approved by the City Attorney. Alternative Action(s): Reject all bids. or provide staff with alternative action. Analysis: Approximately 3,200 lineal feet of new pipeline will be constructed as part of the City's annual water main replacement program for this fiscal year. All of the improvements are proposed within the City of Huntington Beach Page 1 of 2 Printed on 4/14/2021 pawereo5%Leg:atal- File #: 21-299 MEETING DATE: 4/19/2021 Edwards - Varsity Tract in seven streets. Since construction activities will likely further degrade the street pavement condition, this project will mill and overlay the streets to preserve pavement quality and aesthetics after the construction. The funds for the pavement improvements will be split between the Water and Prop 42 Funds. Prop 42 funds are typically used for the maintenance of residential streets. The proposed improvements will enhance the City's water system reliability. Bids were publicly opened on March 30, 2021, with the following results: BIDDER'S NAME ID AMOUNT (Amount Read 11,626,800.00 Bid Opening and Basis of ward) Excel Paving 1,577,750.00 CCL Contracting Inc. 1,577,930.00 Ferreira Construction 1,608,420.00 Dominguez General Engineering Aid Builder's Inc 1,744,250.00 T.E. Roberts, Inc. 1,786,755.00 Kana Pipeline Inc. 1,864,470.00 TryCo General Engineering 1 ,874,600.00 Colich & Sons LP 1,976,700.00 Staff recommends awarding a contract to Excel Paving in the amount of $1,577,750.00. Project reference checks have indicated that Excel Paving has provided acceptable potable water main construction within the last year. The total project cost is estimated to be $1,950,000, which includes the construction contract, contingency, inspection, and supplemental expenses. Environmental Status: The project is categorically exempt pursuant to Class 1 , Section 15031 c of the California Environmental Quality Act. Strategic Plan Goal: Infrastructure & Parks Attachment(s): 1 . Project Vicinity Map City of Huntington Beach Page 2 of 2 Printed on 4/14/2021 oowere&q Legistar1° �7jV N N O Q 3 W SLATER AVE SLATER AVE \ FENLEY DR HOPE VIEW z ELEMENTARY SCHOOL w z N ARMADA DR 2 o JARDINES DR s a 3 VILLA NUEVA IN 0 w FAWNGWAI'ER DR PROJECT I ER R VATCHER DR LOCATION HAMSHIRE OR BALMORAL OR j FOXSHIELD OR a W F / VAR51 DR N 3 K co a bS a CENTRAL PARK DR NEWBURY DR � N GLQIFOX DR V) / olirLx, a T9 0 w EDWARDS VARSITY TRACT WATER MAIN REPLACEMENT PROJECT CC 1558 61 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For EDWARDS —VARSITY TRACT WATER MAIN REPLACEMENT CC 1558 March 25, 2021 Notice to All Bidders: Please note the following clarifications to the Project Plans, Specifications, and Special Provisions There will be no adjustment to the listed bid date of 10:00 AM, March 30' , 2021 1) Sheets C-01 through C-10 have been modified, Construction Note 8 has been changed. a. ORIGINAL: INSTALL NEW 1" PLASTIC COATED SOFT COPPER TYPE K SERVICE AND CONNECT TO EXISTING'/.'METER PER CITY STD PLAN 601. b. REVISED: INSTALL NEW 1" PLASTIC COATED SOFT COPPER TYPE K SERVICE AND 3/:METER PER CITY STD PLAN 601. 2) Bid Schedule Sheet C-2.1, Bid Item 9, has been changed. a. ORIGINAL: Furnish and install new 1-inch plastic coated copper water service and meter box, and conned to existing%-inch water meter. b. REVISED: Furnish and install new 1-inch plastic coated copper water service, '/."or 1"water meter, and meter box. 3) Bid Schedule Sheet C-2.3, Bid Item 30, has been deleted. 4) Specification Sheet E-27 and E-28, Bid Item Description 7-6.30 Temporary Water Services has been deleted. This is to acknowledge receipt and review of Addendum Number One,dated March 25, 2021. Company Name By Date 1 of 1 of Addendum No. 1 Erna//- 3PP40/ OUB•' .31///a2l SECTION A NOTICE INVITING SEALED BIDS for the construction of EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT CC No. 1558 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 at the main entrance of Huntington Beach City Hall , 2000 Main Street, Huntington Beach, California 92648, up to the hour of 10:00 AM on Tuesday March 30, 2021. Due to the COVIDI9 pandemic, bids will be accepted by the City Clerk and publicly opened outside of the Main Entrance of City Hall unless otherwise posted. The City Clerk will be available to accept bids between the hours of 9:30 and 10:00 AM on the day of the bid opening. Due to the COVIDI9 pandemic, copies of the Plans, Specifications, and contract documents will not be available to review or mailed from the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. Plans, Specifications, and contract documents can be downloaded free on AGENCY website at: httR://www.huntingtonbeachca.gov/goverrunent/departmenWpublic works/Bids/ Open website, then click on"Current Advertised Projects" tab. Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California, the minimum prevailing rate of per diem wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial Relations of the State of California, which are on file at the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. The AGENCY will deduct 5% retention from all progress payments. The Contractor may substitute an escrow holder surety of equal value to the retention in accordance with the provisions of the Public Contract Code, Section 10263. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race, color, national origin, ancestry, sex, or religion in any consideration leading to the award of contract. A-1 No bid shall be considered unless it is prepared on the approved Proposal forms in conformance with the Instructions to Bidders as determined by the AGENCY. The bid must be accompanied by a certified check. cashier's check. or bidder's bond made payable to the AGENCY for an amount no less than 10% of the amount bid. The successful bidder shall be licensed in accordance with provisions of the Business and Professions Code and shall possess a State Contractor's License Class A at the time of the bid opening. The successful Contractor and his subcontractors will be required to possess business licenses from the AGENCY. All extension of unit prices will be subject to verification by the AGENCY. In case of a variation between the emit price and the extension, the unit price will govern. Project Description: The project consists of the installation of approximately 3,200 linear feet of 6-. 8-. and 12-inch diameter AWWA C900 or C909 water pipeline and 20 linear feet of 6-inch diameter Steel CML/C Class 150 water pipeline within the Edwards/Varsity Tract neighborhood. The pipelines are predominately located within residential streets. The streets will be ground and overlaid after the waterline construction is complete. The bid plans have been amended prior to bid. to remove a water pipe line installation near Beach Boulevard and Sterling Drive. All references to this water pipeline are excluded from this project. The contract shall allow the Contractor 180 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 HUNfINGTON BEACH. CALIFORNIA. the 29th day of June 2020, by Resolution No. 2020-39. Attest: Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH A-2 Switzer, Donna From: Christine Gonzalez <cgonzales@scng.com> Sent: Monday, March 1, 2021 10:57 AM To: Switzer, Donna Subject: Re: NISB - CC No. 1SS8 Attachments: 11446100.pdf Hi Donna. Cost $1,680.00, pub HB Wave 3/11, 3/18, 3/25. Legal Advertising Chrissy Gonzalez 2190 S. Towne Centre Place, Suite 100 Anaheim, CA 92806 714-796-6736 M-F 8:00 a.m. - 4:30 p.m. Closed Sat. and Sun. On Mon, Mar 1, 2021 at 10:13 AM Switzer, Donna<Donna.Switzer nasurfcity-hb.org> wrote: Good morning, Chrissy: Please publish the attached NSIB for CC No. 1558 on March I Ith. 181"and 251h, 2021. Thank you so much and 1 hope you have a great week! Donna Switzer Deputy City Clerk City of Huntington Beach 714-374-1649 t SECTION A NOTICE INVITING SEALED BIDS for the construction of EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT CC No. 1558 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 at the main entrance of Huntington Beach City Hall,2000 Main Street, Huntington Beach, Califor- nia 92648, up to the hour of 10:00 AM on Tuesday March 30,2021. Due to the COV I D19 Pan- demic, bids will be accepted by the City Clerk and Publicly opened outside of the Main En- trance of City Hall unless otherwise Posted. The City Clerk will be available to accept bids between the hours of 9:30 antl 10:00 AM on the day of the bid opening. Due to the COV I D19 pondemic, copies of the Plans, Specifications,and contract documents will not be available to review or mailed from the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. Plans, Specifications, and contract docu. ments can be downloaded free on AGENCY website at: h tip://www.hunting ton beaches goy/government/depa rtments/publ ic works/Bids/ Open websife, then click on"Current Advertised Projects"tab. Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the Provisions of the Labor Code of the Slate of California, the minimum prevailing rate of Per them wages for each craft, classification or type of work- man 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 surely 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 af. forded 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 consider- ation leading to the award of contract. No bid shall be considered unless it is Prepared on the approved Proposal forms in conform- ance with the Instructions to Bidders as determined by the AGENCY. The bid must be ac- companied by a certified check, cashiers check, or bidders band made pavoble 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 Pos- sess 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 li- censes 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 of the installation of approximately 3,200 line- ar feet of 6-,8-,and 12-inch diameter AW WA C900 or C909 water pipeline and 20 linear feet of 6-inch diameter Steel CML/C Class 150 water pipeline within the Edwards/Varsity Tract neighborhood. The Pipelines are predominately located within residential streets. The streets will be ground and overlaid after the waterline construction is complete. The bid Plans have been amended prior to bid, to remove a water pipe line installation near Beach Boulevard and Sterling Drive. All references to this water pipeline are excluded from this Project. The contract shall allow the Contractor].80 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, the2"h day of June=by Resolution No.2020-39. Attest: Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH Published Huntington Beach Wave March 11,18,25,201 I14MI 0 Huntington Beach Wave PROOF OF PUBLICATION 2190 S. Towne Centre Place Suite 100 Anaheim, CA 92806 Legal No. 0011446100 714-796-2209 5190751 HUNTINGTON BEACH, CITY OF CITY CLERK DEPARTMENT 2000 MAIN ST HUNTINGTON BEACH, CA 92648-2763 FILE NO. NISB - CC No. 1558 AFFIDAVIT OF PUBLICATION STATE OF CALIFORNIA, SS. County of Orange I am a citizen of the United States and a resident of the County aforesaid, I am over the age of eighteen years, and not a party to or interested in the above entitled matter. I am the principal clerk of the Huntington Beach Wave, a newspaper that has been adjudged to be a newspaper of general circulation by the Superior Court of the County of Orange, State of California, on July 1, 1998, Case No. A-185906 in and for the City of Huntington Beach, County of Orange, State of California; that the notice, of which the annexed is a true printed copy, has been published in each regular and entire issue of said newspaper and not in any supplement thereof on the following dates, to wit: 03/1112021, 03/18/2021, 03/25/2021 1 certify (or declare) under the penalty of perjury under the laws of the State of California that the foregoing is true and correct: Executed at Anaheim, Orange County, California, on Date: March 25, 2021. Signature SECTION A NOTICE INVITING SEALED BIDS for the construction of EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT CC No.1558 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 at the main entrance of Huntington Beach City Hall ,2000 Main Street, Huntington Beach, Califor- nia 92648, up to the hour of 10:00 AM on Tuesday March 30, 2021. Due to the COV I D19 pan- demic, bids will be accepted by the City Clerk and publicly opened outside of the Main En- trance of City Hall unless otherwise posted. The City Clerk will be available to accept bids between the hours of 9:30 and 10:00 AM on the day of the bid opening. Due to the COVIDI9 pandemic, copies of the Plans, Specifications, and contract documents will not be available to review or moiled from the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. Plans, Specifications, and contract docu- men15�con be downloaded free on A ENCY website at: http:((www.huntingtonbeachca.gov government deea rtments/public work Bids y Open website,then click on"Current Advertised Projects"tab. Any contract entered into Pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California, the minimum prevailing rate of per diem wages for each craft, classification or type of work- man 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 oil 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 af- forded 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 consider- ation leading to the award of contract. No bid shall be considered unless it is prepared on the approved Proposal forms in conform- ance with the Instructions to Bidders as determined by the AGENCY. The bid must be ac- companied by a certified check, cashier's check, or bidder's bond made payable to the 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 pos- sess 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 li- censes 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 of the installation of approximately 3,200 line- ar feet of 6-,8-,and 12-inch diameter AWWA C900 or C909 water Pipeline and 20linear feet of 6-inch diameter Steel CML/C Class 150 water pipeline within the Edwards /Varsity Tract neighborhood. The pipelines are predominately located within residential streets. The streets will be ground and overlaid offer the waterline construction is complete. The bid plans have been amended prior to bid, to remove a water pipe line installation near Beach Boulevard and Sterling Drive. All references to this water pipeline are excluded from this project. The contract shall allow the Contractor 180 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 29th day_of June 2020_,by Resolution No.2020-39. Attest: Robin Estanislou CITY CLERK OF THE CITY OF HUNTI NGTON BEACH Published Huntington Beach Wave March 11,18,25,2021 11M6100 ,LPi-w+Lie 2 313012.1 10 00 CC ND. (SS$ DuA-P-t5/varzsrry TuAcr wATO:;?, o w N MAW RO'PLACEPAE o N VkAvCH Xf 20Z I 10: 00 AM 3130/2) 1:SOA-kl CA ry C 1.W-5 clp�C-G(�. CITY OF HUNTINGTON BEACH PROJECT NAME: EdwardsNarsity Water Main CC#: CC 1558 BID OPENING DATE: 3/30/2021 TIME & LOCATION: 10 00 AM City Hall ENGINEER'S ESTIMATE: (Amount Here) BIDS SUBMITTED (AS READ AT OPENING) BIDDER'S NAME FINAL APPARENT BID RANK AMOUNT Bonadiman Water Inc CCL Contracting, Inc Christensen Brothers General Engineering Colich & Sons LP � O Dominguez General Engineering O Excel Paving Ferreira Coastal Construction 01 Gentry Genteral Engineering Griffith Company JA Salazar Construction Kana Pipeline Inc I UH Lin T.E Roberts Inc LA Tryco General Engineering D� Vido Samarzich Inc PTS_08072017_Version_15_CC1558 UNSUCCESSFUL BIDS CC — 1558 Edwards/Varsity Tract Water Main Replacement City of Huntington Beach \ 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ vrNv%v.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk May 26, 2021 Aid Builders Inc. 10605 Bloomfield Street Los Alamitos, CA 90720 RE: EdwardsNarsity Tract Water Main Replacement — CC No. 1558 Enclosed please find your original bid bond for CC No. 1558 Sincerely, �&fana� Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For EDWARDS — VARSITY TRACT WATER MAIN REPLACEMENT CC 1558 March 25, 2021 Notice to All Bidders: Please note the following clarifications to the Project Plans, Specifications, and Special Provisions There will be no adjustment to the listed bid date of 10 00 AM. March 30"', 2021 1) Sheets C-01 through C-10 have been modified, Construction Note 8 has been changed. a. ORIGINAL INSTALL NEW 1" PLASTIC COATED SOFT COPPER TYPE K SERVICE AND CONNECT TO EXISTING ''/ METER PER CITY STD PLAN 601. b. REVISED: INSTALL NEW 1' PLASTIC COATED SOFT COPPER TYPE K SERVICE AND '/."METER PER CITY STD PLAN 601. 2) Bid Schedule Sheet C-2.1, Bid Item 9, has been changed. a. ORIGINAL Furnish and install new 1-inch plastic coated copper water service and meter box, and connect to existing '/.-inch water meter. b. REVISED Furnish and install new 1-inch plastic coated copper water service. '/."or 1" water meter, and meter box 3) Bid Schedule Sheet C-2.3, Bid Item 30, has been delete . 4) Specification Sheet E-27 and E-28, Bid Item Scnpb 7- 30 Temporary Water Services has been deleted. This is to acknowledge receipt and review of Addendum Nu ber One,dated March 25, 2021, Aid Builders Inc Company Name By V 03-29-2021 Date 1 of 1 of Addendum No.1 SECTION C PROPOSAL for the construction of EDWARDS / VARSITY TRACT WATER MAIN REPLACEMENT in BALMORAL DRIVE; SCOTIA CIRCLE; CALEDONIA CIRCLE; SKYE LANE; BRAMAR DRIVE; HIGHLAND LANE; ORKNEY CIRCLE; VARSITY DRIVE AND EDWARDS STREET CC No. 1558 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 120 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 accompari ing 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 PROM 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-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. Accompanying this proposal of bid, find 1�,A 'IuiA fro.»min the amount of I D'io which said amount is not less than 100/6 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 "Bidders Bond for_%", as the case may be) y standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any• Addenda No. Dare Received iddrr'% Si•nurure I 03-26-2021 C SECTION C PROJECT BID SCHEDULE— REVISED PER ADDENDUM #1 EDWARDS1 VARSITY TRACT WATER MAIN REPLACEMENT PROJECT,CC 1558 BID ITEMS Item No. Description Quantity Unit Unit Cost Total Cost (Extension) 1 Mobilization and setup I LS $45,000.00 S 45,000.00 2 Demobilization and cleanup I LS S 12,500.00 $ 12,500.00 3 Furnish traffic control in accordance with City of Huntington Beach requirements, complete and in place,including preparation, design,and submission of site specific Traffic Control plans. I LS $ $ 35,000.00 4 Conduct preconstruction survey of existing homes and street as required by the Contract Documents, including preparation and submission of all required reports,videos and photographs complete I LS $21,500.00 $ 21,500.00 5 Furnish and install 6-inch diameter DR-14 PVC AWWA C900 pipeline, including and not limited to trenching,backfill, potholing, shoring,pipe supports and finings 2,250 LF $ 185.00 $ 416,250.00 6 Furnish and install 8-inch diameter DR-14 PVC AWWA C900 pipeline, including and not limited to trenching,backfill, potholing, shoring,pipe supports and finings 930 LF $ 190.00 S 176,700.00 7 Furnish and install 12-inch diameter DR-14 PVC AWWA C900 pipeline, including and not limited to trenching,backfill,potholing, shoring,pipe supports and finings 20 LF $ 210.00 S 4,200.00 8 Furnish and install 6-inch diameter Steel CMLC pipeline,Class 150,fully welded all joints,including and not limited to trenching, backfill,potholing, shoring,pipe supports and fittin 20 LF S 650.00 S 13,000•00 9 Furnish and install new I-inch plastic coated copper water service, %"or I"water meter, and meter box. 90 EA S 2,250.00 S 202,500.00 10 Construct 6-inch resilient wedge gate valve 10 EA S 2,950.00 S 29,500.00 11 Construct 8-inch resilient wedge gate valve 5 EA S 3 950.001 S 19,750.00 C-2.1 SECTION C PROJECT BID SCHEDULE—REVISED PER ADDENDUM 41 EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT PROJECT,CC 1558 Item No. Description Quantity Unit Unit Cost Total Cost (Extension) 12 Construct 12-inch resilient wedge gate valve 4 EA $ 6,SOO.W $ 26,000.00 13 Remove and salvage existing fire hydrant including removing bury valve and appurtenances 6 EA $ 1,000.00 $ 6,000.00 14 Construct 6-inch fire hydrant assembly,pipe, valve box assembly,concrete pad,complete and in place per City Std Plan 607 6 EA 531,500.00 S 189,000.00 15 Construct 4-inch blow-off assembly,pipe, valve box assembly,complete and in place per City Std Plan 608 4 EA S 3,150.00 S 12,600.00 16 Construct 2-inch air and vacuum release valve assembly,2-inch plastic coated copper pipe,complete and in place per City Std Plan 611 3 EA S 3,950.00 $ 11,850.00 17 Connect to existing water mains with Transition Couplings per details on Dwg C-14. 1 LS S 4,500.00 S 42500.00 18 Snap cut,remove,handle and legally dispose of existing interfering Asbestos Cement (AC) pipe and cap,slurry fill,and abandon existing non-interfering AC pipe in place. I LS $13,500.00 S 13,500.00 19 Remodel existing sewer house connection laterals conflicting with proposed waterline 10 EA S 6.500.00 S 65,000.00 20 Chlorination and testing of all new water mains and appurtenances,end caps, temporary blowoffs,appurtenances and treatment and disposal of test water per regulations I LS $17,500.00 S 17,500.00 21 Construct aggregate base(6"thick minimum) to repair mainline and service trenches per Repavement Schedule on Dwg G-03, including removal and disposal of existing aggregate base 100 CY S 125.00 S 12,500.00 22 Construct asphalt concrete base paving(6' thick minimum)to repair mainline and service trenches per Repavement Schedule on 200 TON $ 175.00 S 35,000.00 C-2.2 SECTION C PROJECT BID SCHEDULE— REVISED PER ADDENDUM#1 EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT PROJECT,CC 1558 Item No. Description Quantity Unit Unit Cost Total Cost (Extension) Dwg G-03,including saw cutting,removal and disposal of existing paving 23 Install l %"(0.12')Type III C3-PG-64-10- RAP Asphalt Concrete Overlay 1450 TON S 105.00 S 152,250.00 24 Cold mill full width of asphalt section at I 'h" depth 150,000 SFT S 0.25 S 37,500.00 25 Install geosynthetic paving fabric with tack coat per specifications 150,000 SFT $ 0.26 S 39,000.00 26 Adjust City Sewer and Storm Drain Manhole to grade 20 EA $ 650.00 S 13.000.00 27 Replace and adjust Water Valve Box and Cover to grade 32 EA S 150.00 S 4,800.00 28 Remove and reconstruct curb and gutter per City Std Plan 202 on Balmoral Drive, Dwgs C-02 and C-03.Grade to be determined by Engineer in field. 200 LF $ 70.00 S 14,000.00 29 Install geotextile fabric around sand bedding envelope for Edwards/Varsity Tract streets Trench R it and Dewaterin Note 1 3 00 LF S 7.00 S 2240000 30 NOT USED— DELETED PER ADDENDUM 1 S S 31 Construct temporary fire hydrant lateral per Detail 9 on Dwg C-15 1 LS $31 500.00 S 31,500.00 32 Remove and replace miscellaneous concrete flatwork including cross gutter, curb,gutter and sidewalk. 200 SF S 11.00 S 2,200.00 33 Survey Monument Preservation 15 EA I S 1,950.00 S 29,250.00 34 Replace Striping 1 LS I S29,000.01 S 29,000.00 SUB-TOTAL BID AMOUNT IN WORDS: S 1,744,250.00 One Million Seven Hundred Forty Four Thousand Two Hundred Fifty and Zero Cents Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. C-23 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# i Amount Contract Number 34 Interstate Striping& Signs. Inc 838618 C-32 1000007945 and $29,000.00 1.7% C-33 21-25, 21-25& GAMI CONSTRUCTION, INC. 1049632 C-12 1000064052 292,450.0 16.8% 34 DBA G&G TRUCKING 13y submission of this proposal, the Bidder certifies: I. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID 1 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 03-29-2021, at Los Alamitos CA Dare City Stare Ed Albadry being first duly swom, deposes and says that he or she is President of Aid Ruildes Inc the parry 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. Aid Bu' ers Ic Name Bid r Sign Bidder 10605 Bloomfield St. 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 EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT, CC NO. 1558, (1Xwe)(it)will employ and utilize only qualified persons,as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Aid BiOldejnc Con tr or By President Title Date: 03-29-2021 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 W 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 workers compensation or to undertake self- insurance in accordance with the provisions of that code, and 1 will comply with such provisions before commencing the performance of the work of this contract. Aid Bu' ers c Contra t r By President Title Date: 03-29-2021 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Aid Builders Inc Bidder Name 106-05 Bloomfield Si. Business Address Los Alamitos CA 90720 City, State Zip ( 562 ) 2% 8773 Bid(uaidbuilders.com Telephone Number Email Address 800399/A, B and C-36 State Contractor's License No. and Class 1n-19-2001 Original Date Issued 05-31-2021 Expiration Date The work site was inspected by Ed Albadry of our office on March 24th ,201 21 The following are persons, firms,and corporations having a principal interest in this proposal: Aid Builders Inc Ed Albadry Silvia Virgen 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 specific at' ns t forth. Aid BuildersI Company Name Signature of Bi Ed Alhada Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this_12 day of March 2021 . 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 March 29th,2021 before me, See Attachement Month, Day, and Year Insert Name and Title of Notary personally appeared Ed Albadrv_ Name(s)of Signers) who proved to me on the basis of satisfactory evidence to be the persoro) whose name(S) is/are' subscribed to the within instrument and acknowledged to me that he/ehiVowy executed the same in his�ltdeir authorized capacity(ies),and that by his/her/awir signature(e)on the instrument the persortW,or the entity upon behalf of which the personkracted,executed the instrument. 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and officia seal. 4LNA JANET NBGEN NNMy PUNK-Calibmu L,Mgeks Ca ty Cann�ttiat a 1303539 my CWW'E.Mn AA t.101t Signature Attachment Si Lure 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 potable water pipelines within the public right of way. working within major arterials and streets and in close proximity to other underground utilities, and in areas containing high ground water. 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. Torrance USD/2336 Plaza del Arno Name and Address of Public Agency Name and Telephone No. of Project Manager: Cesar Chavez $2,447,100.00 Playground replacement 12/13/19 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Replacement of all underground utilities for the entire middle School (restrooms included) UG Utilities Replacement and MPR FIVAC Replacement Cemter Middle School 2. City of Hawaiian Garden/21815 Roneer Blvd Hawaiian Gardens Name and Address of Public Agency Name and Telephone No. of Project Manager: Neema Ghanbari 562 420 2641 $450.190.00 Teen Renovation Center April 2019 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: New building, construction of a restroont and a Remodeling a Kitchen at MOT �. Sewer Replacement /9800 Goctle Rd Name and Address of Public Agency Name and Telephone No. of Project Manager: Bill Kendall 916 500 1809 $1.218.000.00 Sewer replacement April 15. 2021 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Remodeling of the entire Youth Center including Rcstrooms. 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. I. Ed Albadry Name of proposed Project Manager Telephone No. of proposed Project Manager: 626 559 4827 See attached resume 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. Ed Albadry Name of proposed Superintendent Telephone No. of proposed Superintendent: 626 559 4827 See attached resume 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-It Ed H. Al-Badry ealbadry@aidbuilders.com Cell Phone #626-559-4827 EXPERIENCE President / Owner Aid Builders, Inc. 03/2017 Current Superintendent GMZ Engineering Inc., Agoura Hills 09/2014-2017 • Oversee the construction project from start to finish. • Perform a key role in project planning, budgeting, and identification of resources needed. • Prepare and execute owner change orders. • Prepare and execute contracts with Contract Administration. • Prepare and execute sub-contractor change orders with support staff. • Create the teams, develop the objectives/goals of each and assign individual responsibilities. • Project accounting functions including managing the budget, tracking team expenses and minimizing exposure and risk in the project. • Ensure that construction activities move according to predetermined schedule • Devise the project work plans / schedules and make revisions as and when need arises. • Communicate effectively with the contractors responsible for completing various phases of the project. • Develop team atmosphere between owners. Architects, consultants and contractors. • Monitor the progress of the construction activities on a regular basis and hold regular status meetings. Project Manager / Superintendent United Golf Group Construction Kuwait, Kuwait 12/2012-07/2014 Job Order Contract/ Camp Ariflan USA Army Base • Build and design job order scope of work, for US Corp of Engineers • Drafting a timescale schedule for the job, Estimating costs and setting the quality standards. • Monitoring product standards and implementing quality-control programs. • Liaising among different departments, e.g. suppliers, managers, working with managers to implement the company's policies and goals. • Ensuring that health and safety guidelines are followed, supervising and motivating a team of workers. Estimator Above All Caulking & Waterproofing, FL 01/2012-10/2012 • Identify estimates required and determine bidding schedule • Review project scope, and assign quantity takeoffs. • Search for products suppliers and obtain competitive quotes, • Generate complete bid breakdown in excel sheet, and complete bid proposal in Microsoft word document consistent with company standards. • Develop projects request for Information, submittals, budget and closing documents. • Coordinate and obtain necessary permits required for commencement of construction. • Review design documents for conflicts and completeness and participate in developing/ negotiating contract agreements Superintendent / Site Engineer FTR International Inc. (General Contractors) Irvine, CA 08/2006- 11/2011 • Manage and administer the construction phase of the project including reviewing, analyzing and executing bid analysis. • Monitor submittal review and process and monitor request for Information review and process • Minimizes the company exposure and risk on the project. • Lead and manage various project teams including superintendents, project coordinators, subcontractors and others to ensure all work is completed on time and within budget and in accordance with development and contract agreements. • Prepare and submit monthly, weekly progress reports and cost reports; • Responsible for tracking and reporting team hours and expenses weekly. • Facilitates project team and client meeting effectively. • Hold regular status meetings with project team. • Manages the development of the project team by ensuring that project tasks are in line with each team member's abilities and acknowledges and recognizes each team member's contributions. • Sets and manages client expectations by developing lasting relationships with client personnel that foster good client ties. • Effectively applies company project methodology and enforces project standards, complies and helps to enforce standard policies and procedures. License Contractor/Owner of SYRAM International Inc. (Construction Company) SYRAM International Inc., Gardena, CA 1/2000-5/2006 • Built Company for public works projects • Completed 14 pubic job projects within five years • Total project management and financial responsibilities of the new company. • Increased company bonding capacity from $250,000 to $1,500,000 in less than 6 months of the company's commencement. Superintendent CAL IBA INC. Los Angeles, CA 4/1995-11/1999 • Creates and executes project work plans and revises appropriately to meet changing needs and requirements of the project. • Identifies resources needed and assigns individual responsibilities to attain them. • Manages day-today operational aspects and scope of a project. • Ensures project documents are complete, current, and stored appropriately. • Manages the project budget analyzes project profitability, revenue, margins, bill rates and utilization. • Reviews all project deliverable prepared by project team before passing to client. PROJECTS ✓ Moorpark Office and Reclamation Facility and Laboratory Building $3,250,000 ✓ Parthenia Senior Apartments 39 Units Type 5 $5,600,000 ✓ Wilson High School, Long beach, CA $9,000,000 ✓ Hawthorne Shopping Center, Hawthorne, CA $15,000,000 ✓ LA Mission College, Sylmar CA $41,000,000 ✓ Pierce College, Woodland Hills, CA $21,000,000 ✓ Camp Arifjan US Army, Kuwait $50,000,000 SKILLS • Computer skills; MS Office, Word, Excel & Power Point • Primavera P3 (planner) • Bilingual (Arabic & English) • Accounting & Financial Analysis (Quick books) • Total Quality Management • Statistics & Probabilities • ISQFT Takeoff. EDUCATION/SEMINARS • Safety Trained Supervisor (STS) Training Course • High School Diploma 2014-2015 • 30 Hours OSHA Certified • Unleashing the Power within (NLP Training Course) • Construction Management(Turn Key Institute, Los Angeles) • Certified Primavera Construction Schedule Program P3 REFERENCE • GMZ Eng Ghazi Mubarak Cell: (909)714-9779 • FTR International Inc. Nizar(714)389-5656 • Micheal Evans/ Architect Van Dam Engineering (909)989-9691 • Amy Hall-McGrade/ (626)384-5335 Parks & Recreation and Library Services Director/ Covina • Rafael Madina Jr. Senior Public works Inspector County of Ventura (805)378-3049 & (805)765-5777 • Matt Huntington/ Leach Mounce Architects (805)656-3522 & (805)258-6507 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July I through June 30 state fiscal year) with the California Department of Industrial Relations(DIR).Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/Public Works/SB854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (944) 522-6734 https J/efil ing.dir.ca.gov/PWCR/ActionSery let?action=displayP WCRegistrationFonn DIR's Contractor Registration searchable database: https:Heriling.dir.ca.gov/PWCR/Search.action I am av are and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal. subject to the requirements of Section 4104 of the Public Contract Code,or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Aid BuildeQ Inc Contracto ey Bid@aidbuildrs.com Email President Title Date: 03-29-2021 PWC Registradon #: 1000049434 C-12 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 rp4eteC�OeNOeOeYr aeannannnn 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 m9e `r I On 3/Z(1 /ZQ s? 21 before me, 1\U_tfA `IirGPvly Ndtrr �� Dote `` II l� I Here In rt Name and Title of the Officer La L Personally appeared T1. A n4 NameW of Signe" who proved to me on the basis of satisfactory evidence to be the personM whose nameM is/are subscribed to the within instrument and acknowledged to me that he/shd/the5rexecuted the same in his/hertih¢tr authorized capacity(uosT, and that by his1h6r/L4Kr signature(s)on the instrument the person(ST, or the entity upon behalf of which the person(sf 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 fficial seal. r Signature Place Notary Seal and/or Stamp Above Sig lure of Notary P Dlic 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: D Corporate Officer - Title(s): ❑ Corporate Officer - Title(s): ❑ Partner - ❑ Limited ❑ General ❑ Partner - ❑ Limited ❑ General D Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee o Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: ------------------ 02018 National Notary Association C-13 ® PHILADELPHIA INSURANCE COMPANIES --- A Member oft]ic Tukiu Marine Group BID BOND KNOW ALL MEN BY THESE PRESENTS: That We Aid Builders Inc., as Principal, and Philadelphia Indemnity Insurance Company, a corporation organized and existing under the laws of die State of Pennsylvania, and authorized to do business in the State of California as Surety, are held and firmly bound unto the Ciri of Huntington Beach - Public Works, as Obligec, in the sum of Ten Percent of Amount Bid DOLLARS ($10% of Bid), lawful money of the United States of America, to the payment of which sum well and truly to be made, the said Principal and Surety bind themselves, their and each of their heirs, executors, administrators, successors and assigns,jointly and severally by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that, if the Obligee shall make any award to the Principal for: Edwards/Varsity Tract Water Main Replacement Bid No. CC-1558. 6756.17 according to the terms of the proposal or bid made by the Principal therefor, and the Principal shall duly make and enter into a contract with the Obligee in accordance with the ternis of said proposal or bid and award and shall give bond for the faithful performance thereof, with the Philadelphia Indemnity Insurance Companv as Surety or with other Surety or Sureties approved by the Obligee, or if the Principal shall, in case of failure so to do, pay to the Obligee the damages which the Obligee may suffer by reason of such failure not exceeding the penalty of this bond, then this obligation shall be null and void; otherwise it shall be and remain in full force and of ect. Signed, sealed and dated this 29th day of March, 2021. 1 j Aid Builders Inc. (Principav 1 (Seal) Bv: ' = Philadelphia Indemnity Insurance Company (Surety) (Seal) BN `/ Cynthia .l f Youn ,Attome -In-Fact 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 ` /) S5. County of San Bernardino MAR 2 9 202 i On before me, Rebecca Elizabeth Adcock, Notary Public Name and Title of Officer(e.g.,'Jane Doe,Notary Public') personally appeared Cynthia J. Young Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her authorized capacity, and that by her signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. Rebecca Elizabeth Adcock . Comm s u 27252 K.c32,ram , I certify under PENALTY OF PERJURY under the laws of \� 5N BEe NHDWOLO f the State of California that the foregoing paragraph is .�M'Comm eRnr:e51OW4 -- true and correct. WITNESS my band and official s�kk_ 11. Signature of Notary Public OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Individual Top of thumb here ❑ Corporate Officer Title ❑ Partner -- ❑ Limited ❑ General ❑ Attorney-in-Fact ❑ Trustee ❑ Guardian or Conservator Other: Signer is Representing: STATE OF CAI-dFORNIA DEPARTMENT OF INSURANCE N9 07927 S AN FRANCISCO Amended Certificate of Authority TIES IS TO CERTIFY THAT Pursuant to the Insurance Code of the State of California, Philadelphia Indemnity Insurance Company .o of Bala Cynwyd, Pennsylvania , organized under the Laws of Pennsylvania , subject to its Articles of Incorporanon or other fundarnental organizational documents,is hereby authorized to transact within the State,subject to all provisions of this Certificaie, the following classes of insurance: Fire, Marine, Surety, Plate Glass, Liability, Boiler and Machinery, Burglary, Sprinkler, Automobile, and Miscellaneous as such classes are now or may hereafter be defined in the Insurance laws of the State of California THIS CERTIFICATE is expressly conditioned upon the holder hereof now and hereafter being in full compliance with all,and not in violation of any,of the applicable laws and lawful requiremen!s made under authority of the laws of the State of California as long as such laws or requirements are in effect and applicable,and as such laws and requirements now are, or may hereafter be changed or amended IN WITNESS WHEREOF,effertive as of the 14 th day of October 20Q4 , I have hereunto set my hand and caused my official seal to be affixed this 14th day of October U04 dim Joh&G �pn tJ orBy for Ida Asst. ChNOTICE: Qualificatian wirb theSecretary of Stale mustbe accomplished as required by the Califo ration after iss arne of this Certificate of Authority.Failure to do so will be a violation of Insurance,Co ecuoa 70!and will be grounds for revoking Us Certificate of Authority pursuant to the convmants made in the appHradon therefor and the conditions contained herein. waw m-s �asvm time: ruu..\ur•.LPDIn INDEMNrn'INSUw\NCECOMPANY One Bala Plaza,Suite l00 Bala Cynw-yd,PA 19004-0950 Power of Altnrnev KNOW All.PERSONS BY lIf SE PRESENIS'Ihw I'll ILADF.LPI HA INDEMNITY INSURANCE COMPANY(the Company), a corporation organized and existing under the laws of the Commonwealth of Pennsylvania,does hereby constilme and appoint Jac 1'. Freeman,Cmthia J.7'oung, lrurie 13. Druck,Melissa Schwartz and Christina-Mountz ufAl6anl Insurance Senices.Inc.,its true and la m wful Attoey-in-fact with full authoritvio exemne on its behzlfbonds,under kin Gs. recognivances and other contracts of indernty and writings obligatory in the nature thereof,issued in the course of its business and to bind the Company thereby,in an amount not to exceed 550.000.000.00. This Power of Attorney is granted and is signed aid scaled by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHrIADELPHIA LNDE\INITY INSURANCE CO\{PANY on the 14'of November,2016. RESOLVED: 'Brat the Board of Directors hereby authorizes the President or any Vice President of the Company:(1)Appoint Anomey(s)in Fact and authorize the Atiminc(s)in Fact to execute on behalf of the Comiam bonds and undertakings, contracts of indemnity mid other writings obligatory in the nature thereof and to attach the seal of the Company thereto;and (2)to remove,at any time,any such Attorney-in-Fact and revoke die authority given. And, be it FUR'1'l I ER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attomey or certificate relating thereto by facsimile,and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seat shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is anached. LN TESTA{ION'Y WHEREOF, PHILADELPHLA LNDEMNTTY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFLCED BY ITS AUTHORIZED OFFICE THIS 27m DAY OF OCTOBER,20I7. ..19 2 :.Y. J R—`/ (Seal) Robert D.O'Isary Jr.,President R CEO Philadelphia Inderna ity Insurance Company On this 27-day of October,2017,before me came the individual who executed the preceding instrument,to me personally known,and being by me duly sworn said that he is the therein described and authorized officer of the PHILADELPHIA INDEINLNI Y INSURANCE CO\D'AN)%that the seal affixed to said instrument is the Corporate seal of said Company,that the said Corporate Seal and his signature were duly affixed. ""9'^sue`• � Notary Public: residing m: Bela Cvmvyd PA (Notary Seal) kly commission expires: September 25,2021 1,Edward Savage,Corporate Secretary of PHIIADELPHIA INDEMNITY INSURANCE COMPANY,do hereby certify that the foregoing resolution ofthe Board of Directors and the Power of Atiorney issued pursuant thereto on the 2r day of October,2017 are true and correct and are still in full force and effect.I do further certify that Robert D.O'Leary Jr.,who executed the Power of Attorney as President,was on the dme of execution of the anached Power of Attorney the duly elected President of PHILAV)ELPHIA INDEhI,NITY LNSUR.4,NCE COMPANY. In Testimony Whereof 1 have subscribed my name and affixed the facsimile seal of each Company this 29th day of March ,20 21 !r''r G �2 Edward Sayago,Corporate Secretary Pill I.ADELPIHA INDENLNITY LNSURANCE COMPANY I - - i AID BUILDERS, INC. 10605 Bloomfield St ,,rw C�Pit l� ' Los Alamitos, CA 90720 CSLB # 800389 r �' I Huntington Beach City Hall, 2000 Main Street, Huntington Beach, California 92648, j 10:00 AM on Tuesday March 30, 2021 Bid Proposal �I I� 'I j Do not open with regular mail it _ ' City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ Nv v%v.huntingtonbeachca.gov ` Office of the City Clerk Robin Estanislau, City Clerk May 26, 2021 CCL Contracting, Inc. 1938 Don Lee Place Escondido, CA 92029 RE: EdwardsNarsity Tract Water Main Replacement— CC No. 1558 Enclosed please find your original bid bond for CC No. 1558 Sincerely, 440L, q4 dd Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For EDWARDS — VARSITY TRACT WATER MAIN REPLACEMENT CC 1558 March 25, 2021 Notice to All Bidders: Please note the following clarifications to the Project Plans, Specifications, and Special Provisions There will be no adjustment to the listed bid date of 10:00 AM, March 3011, 2021 1) Sheets C-01 through C-10 have been modified, Construction Note 8 has been changed. a. ORIGINAL: INSTALL NEW 1" PLASTIC COATED SOFT COPPER TYPE K SERVICE AND CONNECT TO EXISTING'/." METER PER CITY STD PLAN 601. b. REVISED: INSTALL NEW 1" PLASTIC COATED SOFT COPPER TYPE K SERVICE AND 3/."METER PER CITY STD PLAN 601. 2) Bid Schedule Sheet C-2.1, Bid Item 9, has been changed. a. ORIGINAL: Furnish and install new 1-inch plastic coated copper water service and meter box, and connect to existing'/.-inch water meter. b. REVISED: Furnish and install new 1-inch plastic coated copper water service, '/."or 1"water meter, and meter box. 3) Bid Schedule Sheet C-2.3, Bid Item 30, has been deleted. 4) Specification Sheet E-27 and E-28, Bid Item Description 7-6.30 Temporary Water Services has been deleted. This is to acknowledge receipt and review of Addendum Number One,dated March 25, 2021. C-'c L C��Tr c�Ti•t f� /w� �i ✓ Luf j Company Name By Date 1 of 1 of Addendum No. 1 SECTION C PROPOSAL for the const-uction ol" EDWARDS / VARSTTI' "TRACT WATF"R NIAIN REPLACEMENT in BAUNIORAL DRIVE: SCOTIA CIRCLE; CALF"DONIA CIRCLE; SKYF. LANE; 131ZAMAR DRIVE; HIGHLAND LANE, ORKNEV CIRCLE; VARSITY DRIVE AND EDWARDS STREET CC No. lii8 in the CITY OF 11UNTINCTON BEACH TO THE HONORABLE NIAVOR AND [N1EMBE,RS OF "TI11? COUNCIL OF HUNTINGTON 13EACII: In compliance with the Notice Inviting Sealed Bids, the Undersigned hercl)v 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 Fm,inecr of the City of hluntington 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 1-luntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 120 working days. starting from the date of the Notice to Proceed. BIDDER declares that this proposal is hased 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 it contract with AGENCY at the unit and/or lump SLIM prices set forth in the following Bid Schedule. BIDDER Understands that failure to enter into it contract in the manner and time prescrihed 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. H-IE AGENCY Rl:SERVES TIIB RIGI IT TO DELI;"fE ANY FTE'A I FRONT THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, rovaltics, fees, cte.. and will be guaranteed for a period ol"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 ol'discrepancies in the amounts bid, unit prices shall govern over extended amounts. and words shall govern over figures. C-t If awarded the Contract. the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER. the proceeds of the security accompanying this bid shall become the property of the AGILNCY and this bid and the acceptance hereof may. at the AG13N'CY'S option. be considered nu I aliq void. Accompanying this proposal of bid, find t/14 6,:) in the amount ° which said amount is not Icss than 10% of the aggregate of the total bid price, as required by the ?godce Inviting Scaled Bids, payable to the AGENCY. (Please insert the words "Cash". "Certified Check", or "Bidder's Bond for_% ". as the case ma_y bo Any standard Surety 13W Bond form is acceptable. Bidder shall signily receipt of all Addenda here. ifany: Addenda JVo. Dwe Recen•ed Kid cr's.Si numre 3 2 I ZA < 2 SECTION C PROJECT BID SCHEDULE—REVISED PER ADDENDUM #1 EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT PROJECT, CC 1558 BID ITEMS Item No. Description Quantity Unit Unit Cost Total Cost (Extension) 1 Mobilization and setup I LS S yC11Y $ 2 Demobilization and cleanup 1 LS $ 64ow $ 3 Furnish traffic control in accordance with City of Huntington Beach requirements, complete and in place, including preparation, design,and submission of site specific Traffic Control plans. I LS $ $ 4 Conduct preconstruction survey of existing homes and street as required by the Contract Documents, including preparation and submission of all required reports, videos and photographs complete I LS $ $ 5 Furnish and install 6-inch diameter DR-14 PVC AWWA C900 pipeline,including and not limited to trenching,backfill,potholing, shoring,pipe supports and fittings 2,250 LF 6 Furnish and install 8-inch diameter DR-14 PVC AWWA C900 pipeline, including and not limited to trenching,backfill,potholing, shoring,pipe supports and fittings 930 LF S1 $ 50 7 Furnish and install 12-inch diameter DR-14 PVC AWWA C900 pipeline, including and not limited to trenching,backfill,potholing, shoring,pipe supports and fittings 20 LF $ O $ 23 Odd f 8 Furnish and install 6-inch diameter Steel CMUC pipeline, Class 150, fully welded all joints, including and not limited to trenching, backfill, potholing, shoring,pipe supports and fittings 20 LF $ 9Gb $ - 9 Furnish and install new I-inch plastic coated copper water service,'/4"or 1"water meter, and meter box. 90 EA $3 GOo` $ 10 Construct 6-inch resilient wedge gate valve 10 EA 11 Construct 8-inch resilient wedge gate valve 5 EA $ O $ C-2.1 SECTION C PROJECT BID SCHEDULE—REVISED PER ADDENDUM #1 EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT PROJECT, CC 1558 Item No. Description Quantity Unit Unit Cost Total Cost (Extension) 12 Construct 12-inch resilient wedge gate valve 4 EA $ rVCo S 13 Remove and salvage existing fire hydrant including removing bury valve and appurtenances 6 EA $fy/00� $�o,taGO � 14 Construct 6-inch fire hydrant assembly,pipe, valve box assembly,concrete pad,complete and in place per City Sid Plan 607 6 EA $ S $ 15 Construct 4-inch blow-off assembly,pipe, valve box assembly,complete and in place per City Std Plan 608 4 EA $ W $jst6LO 16 Construct 2-inch air and vacuum release valve assembly, 2-inch plastic coated copper pipe,complete and in place per City Std Plan 611 3 EA $ $ 1 17 Connect to existing water mains with Transition Couplings per details on Dwg C-14, 1 LS $ $ 18 Snap cut,remove,handle and legally dispose of existing interfering Asbestos Cement(AC) pipe and cap,slurry fill,and abandon existing non-interfering AC pipe in place. I LS $ Tr6jO 19 Remodel existing sewer house connection laterals conflicting with proposed waterline 10 EA $ G+', $ 20 Chlorination and testing of all new water mains and appurtenances, end caps, temporary blowoffs,appurtenances and treatment and disposal of test water per regulations 1 LS $ $ / 21 Construct aggregate base(6"thick minimum) to repair mainline and service trenches per Repavement Schedule on Dwg G-03, including removal and disposal of existing aggregate base 100 CY $io � $ Q� 22 Construct asphalt concrete base paving(6" thick minimum)to repair mainline and service trenches per Repavement Schedule on 200 TON $ /t70 _ $ V C-2.2 SECTION C PROJECT BID SCHEDULE—REVISED PER ADDENDUM #1 EDWARDS/V,%RSITI" TRACT WATER MAIN RF.PLACI III I PR(LIF.CT, CC 1558 Item No. Description (Quantity Lnit I nit Cast "Total Cost (Extension) Dwg G-03, including saw cutting,removal and disposal of existing paving 23 Install 1 '/:'(0.12')Type III C3-PG-64-10- RAP Asphalt Concrete Overlay 1450 TON $ 97 _ $ 24 Cold mill full width of asphalt section at I '/2" depth 150,000 SIFT $ , /7 $ ZS SGI? 25 Install gcosynthetic paving fabric with tack coat per specifications 150,000 SIFT S , 1.7 $ 26 Adjust City Sewer and Storm Drain Manhole to grade 20 EA $ 06 " $ 1(!9,6(Z 27 Replace and adjust Water Valve Box and —T� Cover to grade 32 EA $ $ 12ZOd 28 Remove and reconstruct curb and gutter per City Std Plan 202 on Balmoral Drive, Dwgs C-02 and C-03.Grade to be determined by Engineer in field. 200 LF $_ZQ_L $ 29 Install geotextile fabric around sand bedding envelope for Edwards/Varsity Tract streets Mr Trench Re air and Dewaterin 13ote 1 3 200 LF $ 3 _ $ J9, 400 , 30 NOT USED— DELETED PER ADDENDUM 1 $ $ - - - - - ------- 31 Construct temporary fire hydrant lateral per Detail 9 on Dwg C-15 1 LS $ 5 $ 32 Remove and replace miscellaneous concrete tlatwork including cross gutter, curb,gutter and sidewalk. 200 SF 33 Survey Monument Preservation 15 EA $1OG " $ 34 Replace Striping I LS $ $ SOD SUB-TOTAL , /BID AMOUNT IN WOR�D/S: bl P 1M I I ( U✓� /'Ir/P ITulA" 5eyeaf* /Ii.me hrc�""e0l Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule.�y�a��`r C-2.3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of Slate Class DIR PWC Dollar % of Item(s) Subcontractor License Registration N Amount Contract Number ..,,6,33 6,,JJ „ re G7 /c oisa �/ l /5t4 CO- (1a �� /'�' _L•GS LS 23,zti z5 JLT y e, ?�Z1Ad y 199t 27 /SSGy � L Ncak '� Gran � Tr 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-J NONCOLLUSION AFFIDAVIT TO 13E EXECUTED BY BIDDER AND SU13191"1'TF.11) WITH 1311) 1 declare under penalty of perjury, under the laws of the St pit rf California that the foregoing is uu' c and correct and that this declaration is executed on 3 Z'jwwal LSIe.vDile C-4 )(!ll C'irn Stale hI Y�4�./ `U'j �j beine first duly sworn. deposes and says tha he r she is ze;f oI'Z"e(_ CTJ/Ltj /M the party making the foregoing bid thfu the bid is not made in the interest of. or on the WAY! any undisclosed person. partnership. company. association. organization, or corporation: that the bid is �cnuine and not collusive or sham: that the hidder 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 or any other bidder, or to secure any advantage against the public body awarding the contract or anyone interested in the proposed contract; that all statemenu contained in the bid arc true; and. Further. that the bidder has not, directly or indirectly, submitted his or her bid price or any bmakdown thereof. or the contents thereof. or diyulgcd information or data relative thereto. or paid. and will not pay Re to any corporation. partnership, company association. organization. bid depository. or to any member or agent thereof to effcctuatc a collusive or sham bid. CCU COK[P 4 LTlr. ) ,NA— Name or Bidder Sid .tire or Bi �'�13� Dy.✓ I-6[� /'� ESQ: �,� jzoz�, Address of Bidder C-4 UTILITY AGREEMENT HONORABLE, NIAYOR AND CITY COUNCIL CITY OF HUNI'INGTON B6ACEI, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract. known as the E:DWARDS / iI1AIN RE PLACENIE:NI', CC NO. I558. (1)(we)(it) will employ and utilise 0111\1 qualified persons, as hcreioallcr delined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is clef ined in Title 8. California Administrative Codc. Section 2700. as follows: "Qualified Iverson: A per.eon a hu, by rensun o%etperknce ur ur.rnucriun, isfami/inr will the npernrio n !n he performeel and the ho-Ords involver!." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utilit}1 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 cmploved 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. Colmactor / f� By Titic Date: DISQUALIFICATION QUESTIONNAIRE In accordance with Government Cod Section 10162. the Bidder shall contplCie. wider penalty of perjury, the following (Iucstionnairc. QUESTIONNAIRE Has the Bidder. any officer of the Bidder or any employee of the Bidder who has a proprictar. 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❑ violation of law or a salcty regulation? ❑ Yes )(Na Il'the answer is vcs. 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 ol'this qucstionnairc. C-v COMPENSATION INSURANCE CERTIFICATE. Pursuant to Section 1861 ol'thc State Lahor Code.each contractor to ,whom a public works contract has been awarded shall sign the lollowhw certilica tc. I am aware of the provisions of' Section 3700 of the Labor Code which rcquirc every employer to be insured against liability for worker's compensation or to Undertake self- insurance in accordance ,vith the provisions of' that code. and I will comply with such provisions before commencing the performance of the ,work of'this contract. CGL Cji17n.e c-n/v4 IA-e Comractor Z j 13,: Title Date: C-7 BIDDER'S INFORMATION 131DDEIZ certifies that the folloyine information is true and correct: ccl— Bidder Name Business Address y2zo z, ' C�ilve State Zip �7�1% ) ��/3" GZ.1 � �LL/JK`rCGL�cJS.G'LCLn6�< .�✓E-� Telephone Nt�ihcr Email Address � 7 X State Conurlctor's I iccnse No. and Class Original Date Issued 3/ Expiration Dais / The work site was inspected byX�M ��CMK ofour office 011AK4le �� _ 20/j/ The lollowing are persons. firms. and corporations having it principal interest in this proposal: The undersigned is prepared to satisfy the Council of the Cite of I funtineton 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 N'amc L Sifm to,eeoof 13idd / Print�'ypcd Signauuc C-8 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE 5 1189 ArnolA notary public or other officer completing this certificate verifies only the identity of the individual who signed the document which this certificate is attached,and not the truthfulness,accuracy,or validity of that document State of California County of SAN DIEGO On R% Z before me. TRACY LYNN RODRIGUEZ, NOTARY PUBLIC tote Here Insert Name and Title of the Officer personally appeared BRYAN LUSKY Nome(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the persons)whose name(c)istaresubscribed to the within instrument and acknowledged to me that he/shelN ey executed the same in hisAherkheif authorized capacity(+es), and that by his'`. 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 70TRACY LYNN RODRIGUEZ laws of the State of California that the foregoing COMM If 2318838 paragraph is true and correct. SANDIEGOCOUNTY NOTARY PUBLIC-CALIFORNIA WITNESS my hand and official seal. MY COMMISSION EXPIRES " JANUARY 11.2024 Signature l Pface Notary Seal andUor Stomp Above ' na re-o NOta 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: Capac"Ies)Claimed by Signer(s) Signer's Name: BRYAN LUSKY Signer's Name: *Corporate Officer—Tnle(s): SECRETARY ❑ Corporate Officer—Tttle(s): O Partner— ❑ Limited O General 0 Partner— ❑ Limited 0 General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee o Guardian of Conservator 0 Trustee 0 Guardian of Conservator ❑ Other: ❑ Other. Signer is Representing: Signer is Representing: 02017 National Notary Association NOTARY CERTIFICATE Subscrihed and sworn to hclorc me this day of . 202 . A notary public or other Weer completing this certificate verifies only the identity of the individual who signal the document. to which this certificate is attached. and not the truthfulness, accuracy. or validity of that document. State of ) County of' ) On bcforc Inc. i\lonth, Day. and Year Insert Namc and "title of Ntotary personally appeared Name(s) of Signer(s) who proved to Inc on the basis of satisfiumv evidence to be the person(s) whose name(s) is/arc subscribed to the within instrument and acknowledged to Inc that he/she/they executal the same in his/her/their❑uthorircd capacity(ics), and that by his/hcr/thcir signature(s) on the instument the person(s), or the entity upon bel mot which the person(s) acted, executed the instrument. I certify under OF PERJURY under Be laws of the State of California that the foregoing paragraph is true and correct. \VITNISS my hand and official seal. Signature Signature of Notary Public (PLACF NOTARY SEAL A13OVd ) G9 Bidder's Project HistorN, For the purposes of" this project, the bidder shall provide project history of similar work. specifically referencing the construction of"potable water pipelines within the public right of way, working within major arterials and streets and in close proximity to other underground utilities. and in areas containing high ground water. Bidders are encouraged to submit supplemental relevant project history- in addition to the projects listed herein. I.,isted below are the names address and telephone numbers for three public agencies for which the bidder has perlbrmed similar work within the past f iyc years: / Name and Address of Public Agency Name and Telephone No. of Project iManaeer: ZfW"< �r�✓j/ CY�— Contract Amount Type of Work Datc Cc nplcted Provide additional project description to show similar work: /90 6,e ,eb�c�L6 nrZ&� �X lil/,6i3v2 Z-7— Name and Acldress of Public Agency // Name and "telephone No. of'Project AManager: Z711"/Ils- ltisL�i� f 7i77i7 Contract Amount tvpe of Work Date Completed Provide additional project description to show similar work: p P�ir� S'�D orr u /O ''s</1. y Namc and Address of Public Agency Name and Telephone No. of'Prc ject \Manager. /yOgyj 4�V0 Cont .ct Amount Type of"\York Date Corlipleted Provide additional Cc[ (I seriph to s ow similar work- c-ni I Bidder's Critical Staff Listed below are the names of the bidders proposed Construction I'roject �4anager, and Superintendent. For each of'thesecritical positions, please list at least three projects for which the critical staff has perlormed similar work within the lust five years. Thcsc projects do not have to be under the cmplovnunt of the bidder olthis project. Bidders arc encouraged submit supplcmcntal relevant project history in addition to the projects listed herein. Aev Namc of proposed project iA9anmer Telephone No. of proposed Project Manager: Project Name & Cont.ct r\mount Type of Work Date Completed Project Namc cv. Contract Amount Tvpc of Work Date Completed OX Project Name c: Contract Amount Tvpc of'Wet k Date Completed N;unc of'proposcd Superintcnclent aV Telephone No. of'proposed Superintendent: � Project Name fi Contract Amount Tvpc of Work Datc Completed Project Name fi Contract Amount -I'vpc of\Vork Late Completed Project Name & Contact Amount Type of'Work Date Completed C-II CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE I'll rsuant to S13 854 (citing Labor Code Section 1771.1(a)). passed by the California State Senate Oil June 20. 2014. established a new public works Contractor Rcgisuation Program, which requires all cone-actors and subcontractors hidding and performing work on Public Works Projects to register on xn annual basis (each .lily I through .Ilmc 30 state fiscal year) with the California Department of Industrial Relations (DIR). CurrcntIv 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 PAC'I SI-If:EToil S13 854 http://vyww.(Iir..ca.goy/DL.SL/PublicAYorks/SB854PactShect 6.30.14.pd( DIR"s Contractor Registration Link—Call (844) 522-6734 https://cliling.(Iir.ca.gov/I'WCR/ActioiiServlet?action=(Iisplayl'\V'CRegistrationForm DIR's Contactor Registration searchable database: hops://cliling.dir.ca.gov/I'\VCR/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 I'ublic Contact Code, or enrage in the performance of any contract for public work, as clefined in this chapter. unless currently registered and qu<dified to perform public work pursuant to Section 1725.5. It is not a violation of this section (or 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 ILrthermore will comply by providing proof-ofregistration with DIR as the primary contractor, as well as for AIJ. subcontractors at the tine of submittine the bid. Contractor l3v In,ail Title Date: /fJ R PWC Registration #�aVV,�L5V C-12 C-13 BID BOND Conforms with The American Institute of Architects,A.I.A. Document No.A-310 KNOW ALL BY THESE PRESENTS,That we, CCL CONTRACTING, INC. as Principal,hereinafter called the Principal, and the LIBERTY MUTUAL INSURANCE COMPANY of ATTN:SURETY CLAIMS DEPARTMENT, 1001 4TH AVENUE, SUITE 1300,SEATTLE,WA 98154 ,a corporation duly organized under the laws of the State of MASSACHUSETTS ,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 GREATER 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 EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT NOW, ITIEREFORE, 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 faithftil 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, otherwise to remain in full force and effect. Signed and sealed this 24TH day of MARCH _ _2021 CCL CONTRACTING INC. (Seal) ( G Principai Witness {( By " `�/� BRY LUSKY, SECRETARY Title LIBERTY MUTUAL INSURANCE COMPANY Witness { By / ! 0 - C MARK D. IATAROLA, Attorney-in-Fact 5-0054/GEEF 12100 FRP 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 l County of SAN DIEGO J} On 3/24/2021 before me, TRACY LYNN RODRIGUEZ, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared MARK D. IATAROLA Nome(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the persons)whose name(s)Is/axe subscribed to the within instrument and acknowledged to me that he/sheAhey executed the same in his 41� authorized capacity(ie9), and that by his/herftheir signatures) on the instrument the person(s), or the entity upon behalf of which the persons) acted, executed the instrument. I certify under PENALTY OF PERJURY under the ACY TR LYNN RODRIG UEZ laws of the State of California that the foregoing COM 1.N 2318838 D paragraph is true and correct. Z SANDIEGOCOUNTY D QQ y NOTARY PUB LIC-CALIFORNIAZ MY COMMISSION EXPIRES '' WITNESS my hand and official seal. JANUARY 11,2024 Signature tu 2- Place Notary Seal and/or Stamp Above SQSturXaf Notdlq(P blic 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(les) Claimed by Signer(s) Signer's Name: MARK D. IATAROLA Signer's Name: ❑ Corporate Officer—Title(s): ❑ Corporate Officer— Title(s): ❑ Partner— ❑ Limited ❑ General ❑ Partner— ❑ Limited ❑ General ❑ Individual In Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian of Conservator ❑ Trustee in Guardian of Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: s�arlot 02017 National Notary Association CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California l County of SAN DIEGO J) On �/Lq before me, TRACY LYNN RODRIGUEZ, NOTARY PUBLIC Date Here Insert Nome and Title of the Officer personally appeared BRYAN LUSKY Nome(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s)whose names)is/are subscribed to the within instrument and acknowledged to me that he/54, k executed the same in his/hetftheir authorized capacity(ee), and that by his/herrrtthefr signature(s) on the instrument the person(s), or the entity upon behalf of which the persons) acted, executed the instrument. I certify under PENALTY OF PERJURY under the TRACY LYNN RODRIGUEZ laws of the State of California that the foregoing CO M M.N2318838 SAN DIEG000UNTY $ paragraph is true and correct. q" NOTARY PUBLIC-CALIFORNIAZ MY COMMISSION EXPIRES " WITNESS my hand and official seal. JANUARY 11,2024 Signature Place Notary Seal and/or Stomp Above not of of 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(les) Claimed by Signer(s) Signer's Name: BRYAN LUSKY Signer's Name: to Corporate Officer— Title(s): SECRETARY ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limlted ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual Cl Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian of Conservator ❑ Trustee ❑ Guardian of Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: 02017 National Notary Association This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. Liberty Liberty Mutual Insurance Company Mutual. The Ohio Casualty Insurance Company Certificate No: 8204105-024100 SURETY West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the Sate of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the Sate of Indiana(herein collectively called the*Companies').pursuant to and by authority herein set forth,does hereby name,constitute and appoint. Helen ,Maloney;Jessica Schmal;John G.Maloney;Mwk D.latarola;Sandra Figueroa;Tracy Lvnn Rodriguez all of the city of Escondido state of CA each individually if there be more than one named,its true and lawful attomey4n-fact to make, execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this POA•a of Attorney has been subscribed by an authorized officer a official of the Companies and the corporate seals of the Companies have been affixed thereto this 7th day of August 1 2020 . Liberty Mutual Insurance Company ` lHaUq `1v wsU tHSUq The Ohio Casualty Insurance Company West American Insurance Company J S o 1p P S O n ou F�°1912faDo 0 1919fdo f� 1991 4a a�^wx d a`•1C U• 4h. . D; Y �hp1w.N� 3' F4 ,N C Fib . )d �Hl . 1•N d,1j . 1-� By. � m David M.Carey,Assistant Secretary `m Stale of PENNSYLVANIA e County of MONTGOMERY SS c) On this 7th day of Aueust 2020 before me personally appeared David M.Carey,who acknowledged himsef to be the Assistant Secretary of Liberty Mutual Insurance O O m Company, The Ohio Casualty Canpany,and West American Insurance Company.and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes m w therein contained by signing on behalf of the corporations by himself as a duly authorized officer. w m� �E IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my noanal seal at King of Prussia,Pennsylvania,on the day and year rust above written. E o CL E'2 OCD eQyYpyhwtTFw COMMONWEALTH OF PENNSYLVANIA j� //II Q� a) O 4 �t D Notarial Teal ♦ 0 , Tmna Pageaa,Notary PUDfc � 1 p OF WPer Mi T,.Montao°gry C°umly By: ll.4N 3 E g, `v�,o My eoe.pawm E.pi,e•MafxN ze.2oz1 Teresa Pastella,Notary Public cr tO Nyr J0�9.W P.1�''g' vmaw.Pmnrt.gn Agog.pmdNpune• y0 O1 v This Power of Attar is made and executed pursuant to and b authority of the following B laws and Authorizations of The Ohio Casual Insurance Company, U Mutual >=.- Attorney� PII Y ty 9 Y- fY P Y, bony e 0.9 Insurance Company,and West American Insurance Company which resolutions are now in full face and effect reading as follows: 00 ` Q T ARTICLE IV-OFFICERS:Section 12.Paver of Attorney. -0 3 0 10 Any officer a other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the.m 0 President may prescribe,shall appoint such anomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety m any and all undertakings,bonds,recognizances and other surety obligations.Such attomeys-in-tad,subject to the limitations set forth in their respective powers of attorney,shag have Poll power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed,such E w Zinstruments shag be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attomeyin-fact under the c provisions of this artlde may be revoked at any time by the Board,the Chairman,the President or by the officer a officers granting such power a authority. o 0 0— ARTICLE XIII-Execution of Contracts:Sedion 5.Surety Bonds and Undertakings. o xo Any officer of the Company authorized for that purpose in writing by the chairman a the president,and subject to such limitabons as the chairman or the president may prescribe. H shall appoint such attorneys-in-fact,as may be necessary to ad in behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings, bonds,recognizances and other surety obligations.Such attorneys-in-fact subject to the Itrnita ors set forth in their respective powers of attorney,shag have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company.When so executed such instruments shall be as binding as it signed by the president and attested by the secretary. Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in- fad as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Authorization-By unanimous consent of the Companys Board of Directors,the Company consents that facsimile a mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bands,shall be valid and binding upon the Company with the same force and effect as though manually affixed. I,Renee C.Llewellyn,the undersigned,Assistant Secretary, The Ohio Casualty Insurance Company.Liberty Mutual Insurance Company,and West American Insurance Company do hereby comity,that the original power of attorney of which the foregoing is a full,we and arced copy of the Power of Attorney executed by said Companies,is in fug face and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 24TH day of MARCH 2O21 JP oa°°'.�'rC HJP`pn.py�Yi CD ByRenee C.Llewellyn,Assistant Secretary LMS-12973 LMIC Odic WAIC Mulp Co I2,19 CCL CONTRACTING, INC. 1938 Don Lee Place Escondido, CA 92029 3PIT) 4 . ,-I i m fv7`�;L� "SEALI?D RID" for IiUWARUS I VARSrry imAm, WATER AUUN RGPLA(:EAIEN'I' in the CITY OF HUNTMGTON REACH - Do NOT OPEN WITH REGUI.Aa AIAII. DELIVER TO THE OFFICE OF THE crry CLERK.2000 NIAIN STREET, SRCOND FLOOR City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ NNiv v.huntingtonbeachca.gov Office of the City Clerk / Robin Estanislau, City Clerk May 26, 2021 Colich & Sons L.P. 547 W 140' Street Gardena, CA 90248 RE: EdwardsNarsity Tract Water Main Replacement — CC No. 1558 Enclosed please find your original bid bond for CC No. 1558 Sincerely, Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand City of Huntington Beach Public Works Department 2000 Main Street Tel. (714)536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For EDWARDS - VARSITY TRACT WATER MAIN REPLACEMENT CC 1558 March 25, 2021 Notice to All Bidders: Please note the following clarifications to the Project Plans, Specifications, and Special Provisions There will be no adjustment to the listed bid date of 10 00 AM, March 30°, 2021 1) Sheets C-01 through C-10 have been modified, Construction Note 8 has been changed. a. ORIGINAL INSTALL NEW 1' PLASTIC COATED SOFT COPPER TYPE K SERVICE AND CONNECT TO EXISTING '/:METER PER CITY STD PLAN 601. b. REVISED INSTALL NEW 1" PLASTIC COATED SOFT COPPER TYPE K SERVICE AND '/."METER PER CITY STD PLAN 601. 2) Bid Schedule Sheet C-2.1, Bid Item 9. has been changed. a. ORIGINAL: Fumish and install new 1-inch plastic coated copper water service and meter box, and conned to existing '%-inch water meter. b REVISED Furnish and install new 1-inch plastic coated copper water service. '/:or 1'water meter, and meter box. 3) Bid Schedule Sheet C-2.3, Bid Item 30, has been deleted. 4) Specification Sheet E-27 and E-28, Bid Item Description 7.6.30 Temporary Water Services has been deleted. This is to acknowledge receipt and review of Addendum Number One. dated March 25, 2021. C tl I.e l Paul Majlch Company Name g nt of operations 3 j� I2, y ('.OretrA Inc.General PartnP., 1 of 1 of Addendum No, 1 SECTION C PROPOSAL for the constriction of EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT in BALMORAL DRIVE; SCOTIA CIRCLE; CALEDONIA CIRCLE; SKYE LANE; BRAMAR DRIVE;HIGHLAND LANE; ORKNEY CIRCLE; VARSITY DRIVE AND EDWARDS STREET CC No. I558 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 120 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award,BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses,taxes,royalties, fees, etc.,and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded,the AGENCY will reject all bids and will readvertise the project In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. GI If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCYS notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find Bidder's Bond in the amount of 10% which said amount is not less than 101/6 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: Addenda Na Date Received Mder's Signature C.2 SECTION C PROJECT BID SCHEDULE EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT PROJECT,CC 155E BID ITEMS Item No. Description Quantity Unit Unit Cost Total Cost (Extension) 1 Mobilization and setup 1 LS $ t S,000. $ 1 s,000 2 Demobilization and cleanup 1 LS $ GS,00p. $ 26,000. 3 Furnish traffic control in accordance with City of Huntington Beach requirements, complete and in place, including preparation, design,and submission of site specific Traffic Control plans. 1 LS $ '{poao.� $ 4 Conduct preconsOmction survey of existing homes and street as required by the Contract Documents,including preparation and submission of all required reports,videos and photographs complete 1 LS 101 oco 5 Furnish and install 6-inch diameter DR-14 PVC AWWA C900 pipeline,including and not limited to trenching,backfill,potholing, shoring,pipe supports and fittings 2,250 LF $ 320.— $ r120,000, 6 Furnish and install 8-inch diameter DR-14 PVC AWWA C900 pipeline,including and not limited to trenching,backfill,potholing, shoring,pipe supports and fittings 930 LF $3�5. ` $ 34 V,-1 Co. 7 Furnish and install 12-inch diameter DR-14 PVC AWWA C900 pipeline,including and not limited to trenching,backfill,potholing, shoring,pipe supports and fittings 20 LF $ 400. ` $ 8,Q oo. $ Furnish and install 6-inch diameter Steel CMI/C pipeline,Class 150,fully welded all joints, including and not limited to trenching, backfill,potholing,shoring,pipe supports and fittings 20 LF $ 3<o. ' $ '11aoo, 9 Furnish and install new 1-inch plastic coated copper water service and meter box,and connect to existing%-inch water meter 90 EA $ 2,Zoo. $ P g i000_ 10 Construct 6-mch resilient wedge gate valve 10 EA $ $ t ib o0 0, 11 Construct 8-inch resilient wedge gate valve 5 EA $ Zito. $ I1 0 00. C-2.1 SECTION C PROJECT BID SCHEDULE EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT PROJECT, CC 15M Item No. Deaeription Quantity Unit Unit Cost Total Coat (Extension) 12 Construct 12-inch resilient wedge gate valve 4 EA $$Zoo.— $ 1 Z, Oeoo. 13 Remove and salvage existing fire hydrant including removing bury valve and appurtenances 6 EA $ �,000. $ �v,000- 14 Construct 6-mch fire hydrant assembly,pipe, valve box assembly,concrete pad,complete and in place per City Std Plan 607 6 EA $ 15 Construct 4-inch blow-off assembly,pipe, valve box assembly,complete and in place per City Std Plan 608 4 EA $ 16 Construct 2-inch air and vacuum release valve assembly,2-inch plastic coated copper pipe, complete and in place per City Std Plan 611 3 EA $ $ �?i 17 Connect to existing water mains with Transition Couplings per details on Dwg C-14. l LS $ 15,cOP $ ( 5,aoo. 18 Snap cut,remove,handle and legally dispose of existing interfering Asbestos Cement(AC) pipe and cap,slurry fill,and abandon existing non-interfering AC pipe in place. 1 LS $to oav $ 19 Remodel existing sewer house connection laterals conflicting with proposed waterline 10 EA $ t L Soo. $ I S cmo, 20 Chlorination and testing of all new water mains and appurtenances, end caps, temporary blowoffa,appurtenances and treatment and disposal of test water per �1 regulations 1 LS $ Go, $ 2o,moo. 21 Construct aggregate base(6"thick minimum) to repair mainline and service trenches per Repavement Schedule on Dwg G03, including removal and disposal of existing aggregate base 100 CY $ 40. $ 22 Construct asphalt concrete base paving(6" thick minimum)to repair mainline and service trenches per Repavement Schedule on 200 TON $ MO.r $ C-2.2 SECTION C PROJECT BID SCHEDULE EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT PROJECT,CC 1558 Item No. Description Quantity Unit Unit Cost Total Cost (Extension) Dwg G-03,including saw tatting,removal and disposal of existing paving 23 Install 1 Y2"(0.12')Type M C3-PG-64-]0- RAP Asphalt Concrete Overlay 1450 TON $ 104• $ i So ffioo. 24 Cold mill frill width of asphalt section at 1 'h" depth 150,000 SFr $ . $ 4g,000. 25 Install geosynthetic paving fabric with tack coat per specifications 150,000 SFT $ • 12 $ 1$,o00. 26 Adjust City Sewer and Storm Drain Manhole to grade 20 EA S. e"- r $ 000. 27 Replace and adjust Water Valve Box and Cover to grade 32 EA $ 3Qo. ' $ 28 Remove and reconstruct curb and gutter per City Std Plan 202 on Balmoral Drive,Dwgs C-02 and C-03. Grade to be determined by Engineer in field. 200 LF $ 000. 29 Install geotextile fabric around sand bedding envelope for Edwards/Varsity Tract atreets per Trench Repair and Dewatering Note 1 3,200 LF $ 2v• ^ $ Cr urea. 30 Construct temporary below grade 1-inch water services and connect to existing water services,including testing and disinfection 1 LS $ S,ocr. $ S000. 31 Construct temporary fire hydrant lateral per Detail 9 on Dwg C-15 1 LS $t 32 Remove and replace miscellaneous concrete flatwork including cross gutter,curb,gutter and sidewalk. 200 SF $ lo. $ `E 33 Survey Monument Preservation 15 EA $ -7!�o. $ I l 34 Replace Striping I LS $ 4,oco. $ 4,Pcv. ' SUB-TOTAL BID AMOUNT IN WORDS: E-},f E l.,t t L{,t o , t,3 t od t:L 14'"v�,p Qt_� �,� ! D o0 i ,a &1 ,mil om..— Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. C-23 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 Stare Chm DIR PWC Dollar %of Item(s) Subcontractor License Re&btratton# Amount Contract Number 23 C -. vE t 12(0 3Z" ce-i.1 C.c10 cc 2.�� l 0 25000. I l �o 2242i «'L�'e^ Zo• tZS l — ', 8 41 IcCGo �0144 'L�aoo. , o i z'79 2i 24 (Z. 3 NO�S�6 C�• b u 15so� E. U u�N �le• -182908 A I c0000q-2S ��I?,�. . o�j�l ' 02A-t.�GJ; LA. �I28LS 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. G3 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 fcmgoing is true and correct and that this declaration is executed on 03/30/21 al Gardena CA Dau city State Paul Maiich being fust drily sworn, deposes and says that he or she is VP of Operations, Coretco, Inc., GP of Colich & Sans, LP the party making the foregoing bid that the bid is not trade 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. Colich & Sons. LP Name of Bidder / x Signature of Bidder L—) Paul Majich. VP of Operations, Coretco Inc., GP 547 W. 140th Street, Gardena, CA 90248 Address of Bidder G4 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 EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT, CC NO. 1558, (1)(wexit) 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 jmrtiliar 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. Colich & Sons, LP Contractor c By Paul Majich VP of Operations, Coretco Inc., GP Title Date: 03/30/2021 Cs 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 swath the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Colich & Sons, LP Contractor B Paul Majich VP of Operations, Coretco Inc., GP Title Date: 03/30/2021 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Colich & Sons, LP Bidder Name 547 W 140th Street Business Address Gardena, CA 90248 City, State Zip ( 310 ) 516.6346 pmajich@colich.com Telephone Number Email Address 783522 A State Contractor's License No. and Class 04/26/2000 Original Date Issued 08/31/2022 Expiration Date The work site was inspected by Paul Maiich of our office on 03,26 20121 The following are persons, firms, and corporations having a principal interest in this proposal: See Attachment#2 - Authority of General Partner The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Colich & Sons LP Cotbgrtmy Naifle Signature of Bidder Paul Maiich, VP of Operations, Coretco Inc. GP Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this_ day of 202_ . 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- Swcof County of OR, 3 � ZGl 1 Zc7Z )befte1W LLAIS W14ils, �CfiRh C�v Month, Day, and Year I=W Name and Tide ofNottwy personally appeared J M A� ca{ - Natne(a)of Sisaws) 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 histher/their authorized capacity(ies), and that by hish er/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. -------------......- Lui A iNMRE WITNESS my hand and official seal. :c �. Commisswn No. aat7893 z � HOtARV R1BLiCCAIifORMrA �_ _' i05 AMGFtES CCIUIITT ^cae.r 11 lOP Signature Signaturdof Notary PubGc (PLACE NOTARY SEAL ABOVE) CA 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. Steve Tamer - See Attached Resume t Name of proposed Project Manager Telephone No. of proposed Project Manager: 310.505.2426 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. Steve Contreras - See Attached Resume Name of proposed Superintendent Telephone No. of proposed Superintendent: 310.505.2100 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/P'ublic W oTks/SB854FactShoet-6.30.14.pdf DIR's Contractor Registration Link-Call (844) 522-6734 https:Hefiling.dir.ca.gov/PWCPJActionServlet?action-idisplayPWCRegistraf onForm 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. Colich & Sons. LP Contractor By Paul Majich pmajich(a)colich.com Email VP of Operations, Coretco Inc., GP Title Date: 031/30i2021 PWC Registration #: 1000003012 C-12 COUCH i SONS,LP Attachment#1 Job Ult rnlaal /lwrerrM OwwrM OriY FM come a C. 1wiid lien I." 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A'1IT10 AIIb10 �`�, F i, G � fl 'e k c' L' °e °o 'J L 6 k " u N _ = r Q N 1 N J � `u 2 � � u V O �{ C V J t E c E i Y 6 C 2 L Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of potable water pipelines within the public right of way, working within major arterials and streets and in close proximity to other underground utilities, and in areas containing high ground water. 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 Vista, 200 Civic Center Drive, Vista, CA 92084 Name and Address of Public Agency Name and Telephone No. of Project Manager. Doug Cook 858.518.3072 $13,711,734 Install Sewer Force Main In Process Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 16,000 feet of 24" HDPE and 2,500 feet of 30" HDPE. Install 17 Manholes 2. City of Santa Monica, 1437 4th St. Suite 300, Santa Monica, CA 90401 Name and Address of Public Agency Name and Telephone No. of Project Manager. Carlos Rosales 310.458.8721 $1,803,340.00 Non-Potable Water Main Exp In Process Contract Amormt Type of Work Date Completed Provide additional project description to show similar work: Furnish & Install 12" pvco c909, mid block resilient wedge gate valve, fittings, 3. City of Santa Monica, 1437 4th St. Suite 300, Santa Monica, CA 90401 Name and Address of Public Agency Name and Telephone No. of Project Manager. Carlos Rosales 310.458.8721 $1,595,723 Water Main Installation 05/31/2018 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Water Main Installation, 12" C900 PVC Pipe C-10 Attachment#2 Colich & Sons, LP / Authority of General Partner December I, 2016 Colich & Sons, LP, A California limited Partnership is fonned by two California Corporations: Coretco, Inc., General Partner and .IMC Management Consultants Inc., Limited Partner. Under the Agreement of the Limited Partnership: Coretco, Inc., on behalf of Colich & Sons, LP has authority through its directors and officers to execute bids, bid bonds, contracts, contract bonds and other agreements related to the general engineering construction business. Under the Agreement, this authority is continuous. We certify that the authority expressed above is true and correct under the Colich & Sons, LP Agreement of Limited Partnership. Coretco, Inc. JMC Management Consultants, Inc. by by Colich n M. Colich den President resit by by Koji Kuwada . Colich Secretary Secretary G. by —� by Donilo o ich Koji Kuwada Chie Financial Officer Vice President by - Paul J. Majich- Vice President of Operutions Steve Tamer 11544 James St. • Cerritos, CA 90703 • (562) 761-0695 • Steve.M.Tamer@gmail.com CORSTKNCTION PROJECT MANAGER Construction Project Manager with a record of success overseeing all phases of multimillion-dollar construction, infrastructure and environmental projects for government and private-sector clients. My goal is to utilize the skills I possess and to build upon those skills in a challenging career position. Key Skills 1 — Mass Grading Construction Projects — Site Safety/OSHA Compliance — Budgeting & Cost Controls 1 — Infrastructure Improvement Projects — QA/QC/Field Engineering — Bidding/Estimating/Scheduling — AutoCAD/Carlson/BW2Win - Change Order Management — Quantity Take-offs I Employer summary COUCH &SONS. LP. (Gardena. CA) —Proiect Manaaer. 09/2015 to Present Vanous aspects of executing a project from start to finish. Including: project document management, project preplanning, quantity takeoffs, submittals, pay estimates and RFI's. AMES CONSTRUCTION. INC. (Corona, CA) — Proiect Engineer. 3/2014 to 0912015 Assisting project managers on various aspects of executing a project from start to finish. Contributions include: project document management, project preplanning, quantity takeoffs, submittals, pay estimates and RFPs. ORTIZ ENTERPRISES. INC. (Irvine. CA) — Project Engineer 212012 to 3/2014 Assisting on various aspects of estimating and project management work, including: project document management, bid Preparation, attending bid openings and pay estimate preparation. SUKUT CONSTRUCTION. INC. (Santa Ana. CA) —ProjW Engineer. 1212008 to 12/2011 Quantity takeoffs, preparing scope of work, preparing submittals, CAD modeling, bid Preparation/estimating, project documentation, attending bid openings, budget development and oversight. Project Highlights Port of Long Beach-Track Realignment fi:Support Tracks at Pier F Ave. (2014 to 2015) • Budget: $3011,11 Port of Long Beach project on Pier F in Long Beach. The approximate 5 mile project includes: Realignment of existing railroad tracks and the addition of 5 new support tracks. Scope included retaining walls, wet and dry utilities, grading, paving and electrical. Oepardnent of Tnrtaporfatlon-Route 90/405 Separation (2012 to 2014) a Budget: $22M Cal-Trans widening project on the 1405 in Culver City. The approximate 2 mile project includes: Retaining Walls, RC slab widening, CIP RCB, and CIP/PS box structures, storm drain facilities and highway paving. NdKU[n BnOW Genesis Solar Access Road(2011) a Budget$4M Construction of the access road to the NextEra Energy Genesis Solar Plant in Blythe, Ca. The roadway is approximately 5.5 miles, includes a 28-foot wide paved road, soil cement and prime coat applications, construction of a high-line water system for construction water and mist. concrete structures. MWD Robot R DNnrar water Treabnertt Plant N.Actions Rd. (2009 to 2011) a Bud/et:$11111111111011 Construction of the north access road to the Robert B. Diemer Water Treatment Plant in Yorba Linda, Ca. Includes a 1.3 miles 28-foot wide paved road, storm dra.-, farddies, a wate,l le ar,d a system of earth retaining structures. Education s Certifications Bachelor of Science in Civil Engineering 6 Construction Management California State University Long Beach (Long Beach, CA) — 2009 Certified Inspector of Sediment and Erosion Control, CISEC n 1095 OSHA 10 Hour Construction Training Course Certification Additional Language Proficiency - Arabic (Conversational), Spanish (Basic) Also Certified in Construction Safety, Confined Space Entry and First Aid/CPR S /C Steven Contreras 310.505.2100 A B O U T ME ® steve a).colich.com 1241 E Michelson Street I have been in the underground construction industry for over is Long Beach, California years. I have extensive experience in the installation of water, sewer, and storm drain systems, including mechanical systems such as pump stations and treatment plant work. lama member of the Laborer's International Union Local 1309. S K I L L S E X P E R I E N C E Construction Foreman Colich&Sons,L.P,Gardena,CA,noio Present I Review • Complete installation of storm drains,street removal,and replacement patch of paved streets. • Slope repair work and grading • tdana n�ment • worked on high profilelobs and was able to make a profit on tight budgets. r r • Directly supervised over 25-2o employees and organized their daily tasks. Ca yarozaGcn Construction Foreman Budgeting I&C Underground,Burbank, CA,2008-2020 EDUCATION work on private jobs where we installed complete storm drain systems like rain catchers. • Installed sewer,grease separator's,septic tanks,leach Imes and other LA Trade Tech College specialty sewer systems 2000-2002 • Installed complete domestic and reclaimed water systems. Long Beach City College • Supervised 5-2o employees and organized their daily tasks 1998 z000 Construction Foreman Clarke Corporation,Manhattan Beach,CA,zoos 2008 • Sewer and storm dram install • Sewer pump stations and water pump stations • Bulkhead wall installations to retain hillsides for fire and small hillside roads • Supervised 5-io employees and organized their daily tasks Document A31OTM - 2010 Conforms with The American Institute of Architects AIA Document 310 Bid Bond CONTRACTOR: SURETY: (Name,legal stales and address) (Name,legal slates and principal place r jbrairusv) Liberty Mutual Insurance Company Colich & Sons, L.P. 790 The City Drive South, Suite 200 This document has Important 547 W. 140th Street Orange, CA 92868 legal consequences.Consultation Gardena, CA 90248 Mailing Address for Notices with an attorney is encouraged 790 The City Drive South Suite 200 with respect to its completion or OWNER: Orange, CA 92868 modification. (Nance,legal s(anur and addr w) Any singular reference to City of Huntington Beach Contractor,Surety.Owner or tY 9 other party shall be considered 2000 Main Street plural where applicable. Huntington Beach, CA 92648 BOND AMOUNT: 10% Ten Percent of Amount Bid PROJECT: (Narue.location or addnrst:andl'rojecumuber.ijaar% Edwards /Varsity Water Main Replacement The Contractor and Surety arc bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surety bind themselves.their heirs,executors,administratom successors and assigns.jointly and severally,as provided heroin.The conditions of this Bond arc such that if the Owner accepts the bid of the Contractor within the time specified in the bid daeUtrre]lls,or within such lime period as nlay be agreed to by the Owner and Contractor,and the Contractor tither(I)enters into a contract with tile Owner in accordance with the termsofsuch bid,and gives such bond or bonds as may be specified in tire bidding or Contract documents, with a surctvadmined in thejurisdiction of the Project and otherwise acceptable to the Omer,for the faithful performance of such Contract and for the prompt pavntart 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 pony to peribrin the work cowered by said bid.then this obligation shall be null and void,otherwise to remain in full force and clIccl.The Surety hereby waives any notice al•an agreement Intween the Owner and Contractor to extend the time in which the Owner may accept the bid.Waiver of notice by the Surely shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time liar ue:eptance of bids sin cilied in tie bid documents,and the Owner and Contractor shall obtain the Surety's consent liar an extension beyond sixty(60)days. If this Bond is issued in connection with a subcontraetoes 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[ills been furnished to comply with a statutory orother legal requrrernelt in die location of the Project any provision In this Ikmd conllictine with said statutory or legal requirement shall be deemed deleted herefmm and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.When so lumished,the intent is that this Bond shall be construed as a stalulury hand and not as a cumnon law bond. Signed and scaled this 26th day of March, 2021. Colich & Sons, L.P. (Principal) (seal) (rl rtrass) Paul Ma)Ich Vice President of Operations Coretco Inc..General Partner (Title) Liberty Mutual Insurance Company 4 0 atesq aria en' ` 1912 (Title)Noen*Quiro2 Attorney-in- act S•0054/AS 8110 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 Doll before me, Luis A. White, Notary Public I � II ere,rese. me od,wl personally appeared RI-Ij e-H who proved to me on the basis of satisfactory evidence to be the person( whose name(_is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/RerJtheir authorized capacity(tes), and that by his/h'edtheir signaturet&) on the instrument the personN, or the entity upon behalf of which the persori(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. F—^----- j LUIS A.WHITE WITNESS my hand and official seal. t , ; Commission No. 2217893 �- NOTARY PUBLIC.CA IFORNIA n q n LOS ANGELES COUNiv My Camm.Eyves Octocu 12.2021 Notary Public'Sigrfatuire v (Notary Public Seal) U INSTRUCTIONS FOR COMPLETING THIS FORM ADDITIONAL OPTIONAL INFORMATION Thisformcomphrswith current California smnrres regarding nown•rrording and. DESCRIPTION OF THE ATTACHED DOCUMENT if needed.should be completed and attached to the document Acknmeledgments from other states may be completed for documents being sent to that state so long as the wording does not"quire the Cal forma notary to violate Cal forma notary low, (Tile or description of attached document) • State and County information muss be the State and County where the document signers)personally appeared before the notary public for acknowledgment. (Title or descnpbon of attached document continued) • Date of notarization must be the date that the signer(s)personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her Number 0}Pages Document Date commission followed by a comma and then your title(notary public). • Print the name(s) of document signer(s) who personally appear a1 the time of notarization, CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. helshclt4e;, islore)or circling the correct forms.Failure to correctly indicate this ❑ Individual (s) information may lead to rejection ofdocument recording. ❑ Corporate Officer • Thc notary seal impression must be clear and photographically reproducible. Impression must not cover test 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 most 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 u 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 tide(i.e.CEO,CFO.Secretary). .w .NotaryClassas.com 800-873-9865 Securely attach this document to the signed document with a staple. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT Civil Code § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy or validity of that document. State of California ) ss County of Los -Angeles ) On �) Z ' Z( , before me, Natalie K. Trofimoff, Notary Public, personally appeared Noemi Quiroz ,who proved to me on the basis of satisfactory evidence to be the person(s4 whose name(o is/are subscribed to the within instrument and acknowledged to me that hefsheAthey executed the same in 4is/herA46r authorized capacity4es-), and that by h4gher/4 signature(o on the instrument the person(-,), or the entity upon behalf of which the person(O 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. — NATALIE K. 30812 FF_ COMM k-3 Wl 29 a . LOS ANGELES COUNTY Atv Gomm.E,q C T 22,2023 I Signature: (Seal) Natalie K. Trofimoff, Notary Public This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein staled. Not valid for mortgage,note,ban,letter of credit,bank deposit currency rate,Interest rate or residual value guarantees.For bond andlor Power of Attorney(POA)verification Inquiries,please WI1610-632-8240 or email HOSUR@6benymutual.com. Liberty Liberty Mutual Insurance Company The Ohio Casualty Insurance Company 10� Mutual. west American Insurance Company SURETY POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire.that Liberty Mutual Insurance Company is a corporation duly Organized under the a'ws at the Slate of Massachusetts,and West Amencan Insurance Company is a corporation duly organized under the laws of the State of Indana(herein collectively called tho'Companies'),pursuant to and by authority herein set forth,does hereby name,consfiMe and appointNoemt Ouiroz Of the city of Los Angeles ,state of CA its true and lawful atlorneyAn-fact.with lull power and authority hereby conferred to sign,execule and ackroMedge the following surety bond: Principal Name: Cohen 8 Sons JL.P. Obligee Namo: City of Huntington Beach Surety Bond Number: Bid Bond Bond Amount: See BOnd FOrm IN WITNESS WHEREOF,this Power of Aflomey has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 12—day of Marti,2021. Y INSU� ANINSURd The Ohio Casualty Insurance Company O�gallFtir. e��WavOknl��.^ Liberty Mutual Insurance Company (0 (0 (0 1919 ° aW 31991 0 o Wes .efjcan Insurance Company s ��,tab '^,� yHSMihv"T? Ti �,fiIAN� Y BY: / • fDavid V.Carey,Assistant Secretary STATE OF PENNSYLVANIA ss COUNTY OF MONTGOMERY On this 120 day of March 2021 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance Company,The Ohio Casualty Company,and West Americen Insurance Company,and that he,as such,being authorized so to do,oxamle the foregoing instrument for the purposes therein mnatned by signing on behalf of the comoratons by himself as a duly authorized officer. W WITNESS WHEREOF.I have hereunto subscrribed my name and affixed raw notarial seal in low of Prussia.Pennsvlvaria.on the day and veer final above wram. OPId. Commomxveatth of Pennsylvania-Notary SealTeresa Pastella,Notary PublicMontgomery County By:My commission expires March 28.2025 Teresa Pastella,Notary Public Commission number 1126044 Member,Pennsylvania Assoeietlon of NoranesThisPowef exeW7ed pursuant to and ny aumonty at me tolowng By-laws and Amnonzations at Liberty Mutual insurance Company,I he mar uasualty insurance Company,and West American Insurance Company which resoiuta ns are now in full force and effect reading as foams' ARTICLE M-OFFICERS-Section 12.Power of Attorney.Any officer or other official of the Corporation autforumd fa that purpose in wnang by the Chalram or the President and subject to such limitation as the Chairman or Ole President ray prescribe,stag appoint such attomeysin-fact,as may be necessary to act in behalf ol the Corporation to make.execute, seal,acknowledge and delivu as surely any and all undertakings,bonds,recogn izances and other surety obligations. Such adorneysynnact,subject to the Innations set form in their respective powers;of attorney,shall nave Ng power to bind tine Corporation by their signature and execution of any such instruments and to aaach therein the seal of the Corporation. ".on so executed,such hiswnanls she]be as binding as it signed by the president and masted to by the Secretary.Any power or authority granted to any representative or atorney- in act uncer the provisions of this article may be revoked at any fime by the Surd,the Chairman,the President or by the officer or officers grenbrg such Power or authority. ARTICLE Xlll-Erection of Conaaca-SECTION 5.Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in wrishrg by.a chairman or&he president, and subject to such limitations as the chairman or the president may prescribe.shag appoint such attorneys-in-act:as may be necessary to act in behalf of the Company to make,execute, seal,acknowledge and deliver as surety and and all lnderaldngs,bonds,reoognizmces and other surety obligations. Such atomeys+n-fact subject to the fcniatiors set fond in their respective powers of ebomey,shall have fug power to bird the Company by their signature and execubon of any such msbuments and to attach thereto the seal of the Company. When so executed such instruments shag be as binding as if signed by the president and attested by the secretary. Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,authoriizes David M.Carey,Assistant Secretary to appoint such attorneys-in- act as may be necessary to act an behalf of the Company to make,execute.seal,acknowledge and deliver as surety any and al undertakings.ponds,recognizances and other surety obiigations. Authorization-By unanimous consent of Me Company's Board of Directors,the Company consents that facsimile or mechancally reproduced signature cc any assistant secretary of the Company,wherever appearing upon a certified copy of any pmver of attorney issued by the Company in connection with surety bonds,shag be valid aria binding upon the Company wrath the same force and effect as M o gh manually affixed. I,Renee C.Llewellyn,the undersigned,Assistant Secretary,of Liberty Mutual hsurance Company,The Ohio Casualty Insurance Company,and West American Insurance Company do hereby cerdty,Mat this power of attorney executed by said Companies is in fug force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals ofsaid Companies this 26th bey of March 2021 000 Y INSUr(f �rf INSU�N,OPPgr4l��L(`a, .,P y�C�d'Wr�r�s� W 1997 aRenee C.Llewellyn,Assistant SecrearyMxM�[2 > AfouN� t f f Colich & Sons L.P. 547 W I40'" St Gardena, CA 90248 Lie. No 783522- A City of Huntington Beach City Clerk 2000 Main Street,Second Floor Huntington Beach,CA 92648 Sealed Proposal for the Construction of: Project CC No. 1558—EdwardslVarsity Tract Water Main Replacement Bid Date: 3/30/2021 @ 10:00 AM DO NOT OPEN WITH REGULAR MAIL City of Huntington Beach ' 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ NviN,�v.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk May 26, 2021 Dominguez General Engineering, Inc. 11096 Pipeline Avenue Pomona, CA 91766 RE: EdwardsNarsity Tract Water Main Replacement— CC No. 1558 Enclosed please find your original bid bond for CC No. 1558 Sincerely, Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE F or EDWARDS — VARSITY TRACT WATER MAIN REPLACEMENT CC 1558 March 25, 2021 Notice to All Bidders: Please note the following clarifications to the Project Plans, Specifications, and Special Provisions There will be no adjustment to the listed bid date of 10:00 AM, March 30'", 2021 1) Sheets C-01 through C-10 have been modified. Construction Note 8 has been changed. a. ORIGINAL. INSTALL NEW 1" PLASTIC COATED SOFT COPPER TYPE K SERVICE AND CONNECT TO EXISTING'/."METER PER CITY STD PLAN 601. b. REVISED: INSTALL NEW 1" PLASTIC COATED SOFT COPPER TYPE K SERVICE AND 3/."METER PER CITY STD PLAN 601. 2) Bid Schedule Sheet C-2.1, Bid Item 9, has been changed a ORIGINAL: Furnish and install new 1-inch plastic coated copper water service and meter box, and connect to existing %-inch water meter. b REVISED: Furnish and install new 1-inch plastic coated copper water service, 3/."or 1"water meter, and meter box. 3) Bid Schedule Sheet C-2.3, Bid Item 30, has been deleted. 4) Specification Sheet E-27 and E-28, Bid Item Description 7-6.30 Temporary Water Services has been deleted. This is to acknowledge receipt and review of e m N I umber One, dated March 25, 2021. DlAtllnflllC/ General Engineering, Inc. Company Name By 03/29/2021 Date 1 of 1 of Addendum No. 1 SECTION C PROPOSAL for the construction of EDWARDS / VARSITY TRACT WATER MAIN REPLACEMENT in BALMORAL DRIVE; SCOTIA CIRCLE; CALEDONIA CIRCLE; SKVE LANE; BRANIAR DRIVE; HIGHLAND LANE; ORKNEY CIRCLE; VARSITY DRIVE AND EDWARDS STREET CC No. 1558 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL. OF HUNTINGTON 13EACH: In compliance with the Notice Inviting Scaled 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 120 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. It' 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. 13IDDER 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 RIGI IT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties; fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. GI If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may,at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find Bid Bond in the amount of 10% which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidders Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Si natare 01 03/26/2021 C-2 SECTION C PROJECT BID SCHEDULE—REVISED PER ADDENDUM#1 EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT PROJECT,CC 1558 BID ITEMS Ittm No. Deatrotlon Quantity Unit Unit Cost Total Cost (Extension) I Mobilization and setup I LS S__ $ 2 Demobilization and cleanup I LS S. 5 3 Fumish traffic control in accordance with City of Huntington Beach requirements, complete and in place, including preparation. design, and submission of site specific Traffic Control plans. I LS 4 Conduct preconstruction survey of existing homes and street as required by the Contract Documents, including preparation and submission of all required reports, videos and photographs complete I LS S 10,OW.- S _Lot 000 5 Fumish and install 6-inch diameter DR-14 PVC AWWA C900 pipeline, including and not limited to trenching,backfill,potholing, shoring, pipe supports and fittings 2,'_50 LF S /30. S �gZ , Sco 6 Furnish and install 8-inch diameter DR-14 PVC AWWA C900 pipeline, including and not limited to trenching,backfill,potholing, shoring, pipe supports and finings 930 LF S 00 . S I j`� 6 J) 7 Furnish and install 12-inch diameter DR-14 PVC AWWA C900 pipeline, including and not limited to trenching, backfill, potholing, shoring, pipe supports and finings 20 LF S_ :_ S vuu 8 Fumish and install 6-inch diameter Steel CMUC pipeline,Class 150, fully welded all joints, including and not limited to trenching, backfill, potholing,shoring,pipe supports and finin s 20 LF S $ 'f,OOu 9 Fumish and install new I-inch plastic coated copper water service, ':'or I"water meter, and meter box. 90 EA S 17� S 12 Z Oa' 10 Construct 6-inch resilient wedge gate valve 10 EA S i 5 u $ /S�ot.; 1 I Construct 8-inch resilient wedge gate valve 5 EA $ ,,)of S C-L I SECTION C PROJECT BID SCHEDULE—REVISED PER ADDENDUM MI EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT PROJECT,CC 1558 Item No. Description Quantity Unit Unit Cost Total Cost (Extension) 12 Construct 12-inch resilient wedge gate %ahe 4 EA S� Sic, u 13 Remove and salvage existing fire hydrant including removing bury valve and appurtenances 6 EA S 3,000 S 14 Construct 6-inch fire hydrant assembly,pipe, valve box assembly,concrete pad,complete and in place per City Std Plan 607 15 Construct 4-inch blow-off assembly,pipe, valve box assembly,complete and in place per City Std Plan 608 4 EA S ( S 14� ff o 16 Construct 2-inch air and vacuum release valve assembly, 2-inch plastic coated copper pipe,complete and in place per City Std Plan 611 3 EA S . S IS,UoD. 17 Connect to existing water mains with Transition Couplings per details on Dwg C-14. 1 LS S S 18 Snap cut, remove, handle and legally dispose of existing interfering Asbestos Cement(AC) pipe and cap, slurry fill,and abandon existing non-interfering AC pipe in place. I LS S $ tj?4 ". 19 Remodel existing sewer house connection laterals conflicting with proposed waterline 10 EA S v✓- S 5 20 Chlorination and testing of all new water mains and appurtenances,end caps, temporary blowoffs, appurtenances and treatment and disposal of test water per regulations I LS S S ' 21 Construct aggregate base(6" thick minimum) to repair mainline and service trenches per Repavement Schedule on Dwg G-03, including removal and disposal of existing aggregate base 100 CY S S 22 Construct asphalt concrete base paving(6" thick minimum)to repair mainline and service trenches per Repavemcnt Schedule on 200 TON S $ C-2.2 SECTION C PROJECT BID SCHEDULE-REVISED PER ADDENDUM#1 EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT PROJECT, CC ISSB Item No. Description Quantity Unit Unit Cost Total Cost (Extension) Dwg G-03, including saw cutting, removal and disposal of existing paving 23 Install 1 !2"(0.12')Type III C3-PG-64-10- R.AP Asphalt Concrete Overlay 1450 TON SI , $ /7O, 24 Cold mill full width of asphalt section at 1 depth 150,000 SFT S - S (ece 25 Install geosynthetic paving fabric with tack coat per specifications 150,000 SFT S S 26 Adjust City Sewer and Storm Drain Manhole to grade 20 EA S S 20r0vo 27 Replace and adjust Water Valve Box and Cover to grade 12 EA S $ 1 b,opD 28 Remove and reconstruct curb and gutter per City Sid Plan 202 on Balmoral Drive, Dwgs C-02 and C-03. Grade to be determined by Engineer in field. 200 LF S 29 Install geotextile fabric around sand bedding envelope for Edwards Varsity Tract streets r Trench Re air and Dcwaterin Notc I 1200 LF S $ t 30 NOT USED- DELETED PER ADDENDUM S S 31 Construct temporary fire hydrant lateral per Detail 9 on Dwg C-15 I LS $ ' $ 32 Remove and replace miscellaneous concrete tlatwork including cross gutter,curb, gutter and sidewalk. 200 SF S S 33 Survey Monument Preservation 15 EA $ 3,Jn' 34 Replace Striping I LS S 4oroDD S 40JX SUB-TOTAL BID AMOUNT IN WORDS: 162(Cr bJ C'NL NILLtOhI 5) ,< %IaM4Zrn TwLwy 3,,ir T31Dr,;A.w, EiaNl IuWtwwci7 Oaccry.4 No �rvfj Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. c-2.s 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 S10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Cws DIR PWC Dollar %of Item(s) Subcontractor License Registration a Amount Contract Number ON poles LANs 5UR,CJIrv.,, 114 1 5 33 Ig0b og.W"C lUf LArL, 5cA'41 $133 POLrr', cA g2-31 Ceo-c4D-L 5�L T100il c. I $ zbbtN hWf~ Av6 g3g053 �_g la, ,., .1ysv Os/. r-peswo, c► g 3a za .. , ALL A MCf i tMJ Mfl+A.T ILI P00ax oouloSl zt cuRotiA? cA g2gI8 263033 L Z PCr }S rJ Is' s tz+s4 2 8232OL c3 Ic0ooa7db� 6"' 2 `I AZu5A , -A 411-Z By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID 1 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 on03/30R02)at Pomona CA Date City State Adolfo Dominguez being first duly swom, deposes and says that he or she is President Of Dominguez Gcneral Engineering. Inc. the party making the foregoing bid that the bid is not made in the interest of,or on the behalf of,any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are we; 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. Adolfo Dominguez, Dominguez General Engineering,Inc. Name of Bidder I J-IL Signatur of Bidder 11096 Pipeline Ave, Pomona CA 91766 Address of Bidder C4 J U RAT 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 Subscribed and sworn to (or affirmed) before me on this day of h 20 by Adolfo Dominguez proved to me on the basis of satisfactory evidence to be the person($) who appeared before me. % Notary iub4c-Caerorma Los Angeles County Commissar a 2214099 Q- MYt Signature (Seal} om m.EapresSep 14.20tt OPTIONAL INFORMATION INSTRUCTIONS The wordip of aN Juals completed n California after January f,2015 musf be iri bye form as set krdr wlfMn this Juref. There are ro exceptions If ii Juyat to be completed does not know On form,die rotary maf eorred tie verbiage by usag a(oral stamp eo Wwg me coned wording of amchmg a separate feat form such as fits one mm does motan fhe proper wordag. In aridaon, the rotary must region an oath or of irmseon from fM DESCRIPTION OF THE ATTACHED DOCUMENT dbdnrent sglw regardag dte trunduhess a Itle cordents of the dbnrmerd. The docurro"mot be signed AFTER fM oast or af�m lion.0 me duc'unenf was previously signed.a mist be re-signed n hnlf of the notary pubes dump the furat process (TAa or dm on of atuched document) • State and county information must be the stale and county where the (Tdb or description of allao'md doaanent continued) document sgner(s)personally appeared before the notary public. • Dale of notaruaoon must be the date the signers) personally appeared which must also be the same date the lurat process is competed. Number of Pages_ Document Date • Print the names) of the document signer(s) who personally appear at the time of nolanzabon. • Signature of the notary public must match the signature on file with the Add,tonal.nfonnatan office of the county dark. • The rotary seal impression must be clear and photographically reproducible. Impression must not cover text or Imes. d seal impression smudges, re-seal if a sufficient area permits, otherwise complete a different(urat form. 9 Additional information la not required but could help to ensure this furat Is not misused Or attached to a different document. a Indicate title or type of attached document.number of pages and date. • Securely attach this document to the signed document with a staple. www.NotaryClasses.com 800-873-9865 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 EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT, CC NO. 1558,(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. Dominguez General Engineering, Inc. Contractor I" By President Title Date: 03/30/2021 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 rceulation? 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. Dominguez General Engineering, Inc. Contractor r1C" By President Title Date: 03/30/2021 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Dominguez General Engineering, Inc. Bidder Name 11096 Pipeline Ave Business Address Pomona,CA 91766 City, State Zip ( 909) 461-3658 Dominguezgeneral@aol.com Telephone Number Email Address 814046-A State Contractor's License No. and Class 10/25/02 Original Date Issued 12/31/2022 Expiration Date The work site was inspected by Adolfo Dominguez of our office on 3/27/2021 201_. The following are persons, firms, and corporations having a principal interest in this proposal: Adolfo Dominguez, President Alejandro Dominguez, Vice-President Adolfo Dominguez,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. Dominguez General Engineering, Inc. ,1 111Company Name Signature of Bidder Adolfo Dominguez Printed or Typed Signature C-8 CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of San Berardino On Par,, , 3,) , ZGV before me, N.L.Dominguez (Here instant tome and title of the officer) I personally appeared Adolfo Dominguez who proved to me on the basis of satisfactory evidence to be the persons}whose name d are subscribed to the within instrument and acknowledged to me that®she/they executed the same i h /her/their authorized capacity(4es), and that by her/their signature(&) on the instrument the person(*), or the entity upon behalf of which the personal 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.L DOMINGUE2 WITNESS my hand and official seal. Notmy Pabke-C'1-z'L. Los Angeles County _5 Commission a 2214089 (Notary Scal) MY Comm.Expnes Sep 14.2021 Signal=of Notary ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Am' acknowledgment completed in California insist contain wrrbtage exacrfv ar DESCRIPTION OF THE ATTACHED DOCUMENT appears abase in than isorary seen. or a separate acknowledgment form not he ptriperh cotpleted and attached to that ilo.wment The onh excepiton is if a dsnwmeat is to he recorded outride of California. In soh tarmnces,any altemahte acknowledgment serb age a., ay be printed on such a documenr so long as the (Title or description of aun<htd document) m verbiage does not require the notary to do something that is illegal for a natary in California ft.e certifying the authorised uaparac of the.signer) Please check the (Title or description of attached doci®ent continued) dosvmenr carefully for proper notarial warding and attach this form if required • State and County information must be the State and County where the document Number of Pages Document Dell signerls)personally appeared before the notary,public for acknowledgment. • fate of nutanntion most be the date that the signcrts)personally appeared which mast also be the same date the acknowledgment is completed (Additional information) • The notary public must print his or her riamc as it appears within his or her commission followed by a comma and then your title(notary public)_ • Print the sings) of document signer(q) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing on incorrect films p e. ❑ individual(s) Mshenhr*-its ants I or circling the correct forma Failure to correctly indicate this information may lead to rc)tttnon of document recording. ❑ Corporate Officer • The unary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re-cal if a (Tim) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Parmer(s) • Signature of the notary public mast match the signature on file with the ogee of the county clerk ❑ Attorney-in-Fact O Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a dnffercm document. ❑ Odw + Indicate title or type of attached document,number of pages and date O Indicate the capacity claimed by the signs. If the claimed capacity is a corporate office,indicate the ink(ie.CEO,CFO,Secretary). • Securely watch this document to the signed document 2009 Version CAPAv12.10.07 8006873-9863 www.NotaryClasses.com NOTARY CERTIFICATE Subscribed and sworn to before me this_day of 202_ . 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 Names)of Si s) who proved to me on the b/adisfactory evid cc to be the person(s) whose name(s) is/are subscribed to the within innd acknowl ged to me that he/she/they executed the same in his/her/their authorized cs),and th y his/her/their signature(s)on the instrument the person(s), or the entity upof which a person(s)acted executed the instrument. I certify under PENALTYPE under the laws of the State of California that the foregoing paragraph is wecWITNESS my hand and of Signature ignature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History "PLEASE SEE ATTACHED" For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of potable water pipelines within the public right of way, working within major arterials and streets and in close proximity to other underground utilities, and in areas containing high ground water. 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. ( 1�4 J �6" hh Name and Address of Public Agency Name and Telephone No. of Project Manager: OA VJ,1 rwJJ AI 31 u - 629 93( 49 � 3- CS— tNKt MK0M 7 4�fcrjv��, #4L Z,,U 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 Dominguez General Engineering, .Inc. PO ROX 2504 Pomona CA . 91766 PI10NE 909-461-3658 FAX 909-461-3678 WATER JOB HISTORY/REFERENCES .lobs Completed recently .lob Name. Ada Ave Main Replacements Plan 1266-1267 Owner: City of Glendora Type of Work: installation of 2,450 LF of S-inch DIP/2,200 LF of 6-inch DIP water main. inverts below RCB storm drain work also includes ,excavation,backtill, trench resurfacing, installation of water services, fire hydrants, blow offs,air-vacs,traffic control,and other appurtenant work. Supervisor Jose H. Gomez Contract amount:S1,127,594.70 completed 02/2020 Contact: Nlaliha Ansari(626)914-8294 Supervisor lose Gomez Job Name: Alley water Main Conversion. Liberty Court Owner: Long Beach Water Dcparuncnt Type of Work: installation of I,195LF of 8-inch DIP TR-FLEX water main . Installation off 901-F.of"4-inch Water main work includes,excavation,backtill.trench resurfacing, installation of water services,customer private services, fire hydrants traffic control, and other appurtenant work. Supervisor.lose Gomez Contract amount:S950.000.00 completed 06/2017 Contact: Jacob Flestcr(714) 713-2975 Supmvisor Jose H. Gomez Job Name: Amclia Avenue-Route 66 to Country Club Drive Water Main Replacement Owner: City of Glendora Type of Work: installation of 2,000 LF of 16-inch DIP water main , Installation of(2)30-inch casings and inverts below RCB storm drain work also includes,excavation,backtill,trench resurfacing, installation of water services, fire hydrants,blow ofts. air-vacs. traffic control. and other appurtenant work. Supervisor Jose H. Gomez Contract amount: S542.000 completed 09/2016 Contact: Nlaliha Ansari(626)914-8294 Supervisor Jose Gomez .lob Name: Construction of flinch and 10-inch water Main Project E-960 S E-961 Owner: Crescenta Valley Water District Type of Work: installation of 1,625 LF of 8-inch steel water main . Installation of 920LF. of 10-inch Water main work includes ,excavation, backfill, trench resurfacing, installation of water services, fire hydrants traffic control,and other appurtenant work. Supervisor-Jose Gomez Contract amount: S616,350.00 Completed 08/2016 Contact: Christina Ohnedo 818-248-3925 ext.4115 Supervisor Jose 11.Gomez Job Name: Cast Iron Main Replacement Owner: Long Beach Water Department 1800 B Wardlow Rd., Long Beach CA 90807 Type of Work: Furnish and install 12"DIP 123117 S-DIP 1071 I-F.,6-DIP 2156LF. 10"casing and 6-DIP 151-F. Install Gate valves,9-S'valves and 7-6"valves., install 10 new lire hydrants, install 4-4"Iireline and 1-8' lireline., install 29 1"copper services,5- 1.5-services and 9-2"services, reconnect 2-3/4 water services,6- 1-water service,7- 1.5-water services and 9-T'water service. 2- Hat top to exist 20"main .connect to existing 12".8-and 6'mains.Slurry seal and restriping. Contract amount: S1,125,050.00 Completed 5/2016 Contact: Azhar Khan 323-401-7830 or Abelardo Rcndon P.E. 562-570-2341 Supervisor Jose Gomez .lob name Water stain Replacements various locations Project g 10101 Owner: City of Beverly Hills 345 Foothill Rd, Beverly frills, CA. 90210 "1.ype Work: installation of 11,185 LF. of 8-inch DIP push onjoints,shiny installed, 7868 LF.of flinch Dip restrained joints,slurry in place, 1500 12 inch 1)11) push upjoiuts .985 Minch DIP restrai tied joi[its,66 buacrlly valves, 26 12inch butterfly valve, 200 ]inch short domestic service , 218 long domestic service,40 2inch short domestic services, 57 long domestic services, 300 traffic rated meter box with bolted lid for I inch service,45 traffic rated meter box With bolted lid for 2inch service, remove and dispose of 2000LF of interfering pipe, 120 sewer lateral connections,48 inch PCC remove and reconstruct alley approach, Contract: $4.012356.39 Completed: 10/2015 Contact: Charles Gettler Inspector 310-925-0702 or Tristan Malabanan Civil Engineer Supervised by.lose Gomez Job Name: Stagecoach Park Reclaimed Waterline Owner: City of Corona,400 S. Vincent Ave,Corona CA 92882 Type of Work: Installation of approximately 7,300 LF of 20" DIP,connection of mainlines to existing, installation of services, Air Vacs. Blow offs. Flow Control Smion Contract amount: $2,443,000 Completed 05/05/2015 Contact: Mayra Cabrera 951-739-4842 Supervised by.lavier.Mendoza .lob Nance: David Lane Pipeline Replacement Owner: Eastern Municipal Water District, 2270 Truntble Rd. Perris Ca 92570 "I ype of AVork: Installation of approximately 1885 PVC,connection of mainlines to existing, installation of services. PRV's DCDA and abandonment of 4" ACP pipe Contract amount: 925,000 Completed 11/29/2014 Contact: %lario Rodriguez 951-300-3087 Supervised by.lavier Mendoza .lob name Waterline Replacements in alleys and Streets Project# 10094 Owner: City of Beverly Hills 345 Foothill Rd., Beverly Hills,CA.90210 -rvpe of Work: 13527 LF.of 8" DIP class 52 push on joints.2000 I.F.of 8"class 52 restrained joints, Valve box, reconnect of lire hydrants. Fire services, domestic services, traffic meter boxes,sewer laterals, PCC alley approach, Polyethylene encasement around pipe. Contract: S2296,500 Completion date: 7/31/2013 Contact : Charles Gettler Inspector 310-925-0702 or Juan Martinez Civil Engineer Supervised by Victor Dominguez Job Name: Cast Iron Hain Replacement (honer: Long Beach water Department, 1800 E. Wardlow Rd. Long Beach Ca. 90807 Type of Work: Installation of 12"4.920Lf. 8"360LF,6"892LF,4"35LF Ductile Iron Pipe, Installation of New Fire hydrants, Butterfly Valves, New Vales, Copper Service Laterals, 20" inch steel pipe casing, Blow off assembly. line stop,and pipe dewatering. Contract: $2.109.125-93 Contact Wendy Chen civil Engineer 562-570-2324 Began: 5/I 1/2012 Ended 12/2012 Supervised by: Victor Dominguez .loh Name 12" inch Transmission Main Relocation Owner: City of Seal Beach Type of Work: installation of 12inch Ductile Iron pipe 479 Lf. installation of 2158 LC Ofi-R-flex restrained Joint Ductile iron Pipe, new Fire hydrant assembly, Blow oil assembly, 18inch CM L& Steel end cap and abandonment of IS inch CMI_& Steel water stain. Contract: S453,094.00 Contact:Tom Casulas 562-431-2527 Exl. 1346 Began 5/11/2012 Ended 6/29/2012 Supervised by Adolfo Dominguez .lob Nance; Water Main Improvement phase 2 Owner: City of Inglewood one Manchester Blvd. Inglewood CA.90301 Type of work: furnish and install S"(23101f). 12"(36001f) D I P cl 350 pipe, installation of S"(35)& 12"(34)GV, installation of 1"(92)and 1 %:"(3)services, Fire hvdrants and Tic-in works Contract: $889,090.00 Contact: Boytrese Osias at 310-412-5333 Jose Ramirez 310-412-5333 began 2/6/2012 Ended 5/25/2012 Supervised by Adolfo Dominguez Job Name: Water system Intprovcntent Owner: City of Bell Gardens 9327 Garfield Ave. hell Gardens,CA.90201 'type of Work: installation of 6",8".& 12" DIP class 52 water main. Installation of 6', 8"& 12"Gate valve & Box. Water service connections for I' & 2"services. New Fire hvdrants Contract: S730,229.00 completed 10/2011 Contact: rlrjan Aidnani #626-780-8154 project rnanager./Sid Mousavi #562-806-7770 Engineer Supervised by Adolfo Dominguez Job name Waterline Replacements in alleys and Streets Project# 10091 Owner: City of Beverly Hills 345 Foothill Rd.. Beverly Bills,CA.90210 Type Work: installation of 10,330 LF. of 8"inch DIP class 52, push onjoints,slurry installed,9.034 I-F.of flinch Dip class52 , restrainedjoints,slurry in place. Polyethylene encasement around DIP. 36 -Sinch Butterfly valve with valve box, 14inch and Minch butterfly valve replacement, install and remove traffic rated Meter box with bolted cover for 1"& 2"service,abandonment of interfering portions of 4",6"& 8"pipe, remodel sewer house connections.reconstruct PCC alley approach. lincstop for 14"& 16" butterfly valve replacement, reconstruct 9 tire hydrants, re-connect 1,23 &4 inch domestic services Contract: $3.197,670.00 Completed: 7/8/2011 Contact: Charles Geuler Inspector 310-925-0702 or Juan Martinez Civil Iatuincer Supervised by Vic lot-Dominguez&Adolfo Dominguez .lob Name: Foothill Blvd. Water Improvement(Grand Ave. to Cullen Ave) Owner: City of Glendora 116 F. Foothill Blvd.,Glendora,CA. 91741 T vpe Work: install 4699 If.Of 16"ductile iron pipe CL 350, 74 If. Of 30"steel pipe casing1/2" wall thickness under railroad way. 17 of 16"buttertly valves, 10 6"fire hydrant assembly, 6" blow offs, I"& 2"water service assemblies. Contract: SI 276,752.00 Cnntact: Civil Engineer Jason Rocghrbom 626-914-8253 cell 626-374-5336 Supervised by Adolfo Dominguez Completed:3/201 1 ,lob Name:Cast Iron \lain Replacement—Artesia Blvd Owner. Long Beach Water Department 1800 E. Wardlow Dr., Long Beach CA.90807 Type wnrk: Furnish an install 4", 6", 8'. & 1 2" Ductile Iron water line. Installation of cooper service Laterals, reconnections ofservices, fire hydrants,and installation ofvalves. Contract: SL665,824.82 completed:June IS. 2010 Contact: Azhar Khan 323-401-7830 consultant engineer CI12M Mill, Inspector Ed Mendoza 562-577-6560 Inspector: Mike White 805-302-5375, Wendy Chen 562-570-2324 civil engineer,Supervised by Adolfo Dominguez Job Name: AIIcy Service Connection Conversion Owner: Long Beach Water Dpt. 1800 Wardlow DR., Long Beach Ca. 90807 Type of Work: I", 2". 3",water service connections.4",6",and 8" DIP water main installation, hot tap including gate valves,and fire service installation Contract: S729,950.00 completed: 9/2009 Contact: Ed Mendoza 562-5776560, Dave Stuctzel # 714-665- 4500, Supervised By Adolfo Dominguez .lob Name: 2008/2009 Water main Replacement Owner: City Of Monterey Park 320 W. Newmark Ave, Monterey Park,CA. Type of work (description): Installation of 270Lf. IT% 25201-17. 8"cement mortar ductile iron pipe with fittings and appurtenances. Furnish and install new fire hydrants and connections. Contract: $586,847.74 completed 3/09/2009 Contact: Vennic Bermudez Enaincer 4310-749-9309 Adolph Villalpando 626-307-1294 Water Disu'ibution Supervisor, Supervised by Adolfo Dominguez .lob Name: Artesia Pilar Neighborhood Water main Improvements Owner: City of Santa Ana 20 Civic center plazas. Santa Ana,CA. 92701 Type of Work (description): installation of 70281-f. Of 12" 8560 Lf. 8", class200 AW WA c900. PVC water main. Construct water services, fire line connections,and new fire hydrant assembly Contract Amount: $1,855,549.60 completed: 1/2009 Contact: Ed Torres# 714-647-5018 engineer cell 626-378-1372 Supervised By: Adolfo Dominguez Job Name: \\later System Improvement Owner: City of Bell Gardens 8327Garfield Ave,Garfield CA. 90201 Type Of Work: (description) installation of 401-I: 01'6" DIP class 52. 1 1801-F. 8" DIP class 52,0, 5801-f. DIP class52. Water service connections,gate valves,and box, new fire hydrants. Contract Amount: $314,650.0 Completed 1 MOM Contact: Adolph Villapando#562-322-5495 inspector(engineer no longer with the city) Supervised by: Adolfo Dominguez. Job Name Edmonton Rd \\later Main Owner: City of Glendale water and power 141 N Glendale Ave, Glendale.CA. 91206 Type of Work description) install 885011 Of 8"Pressure class 350 ductile iron pipe with fittings and appurtenances. Furnish and install copper tube services to new main. new fire hydrants,sewer laterals 8"&6"gate valves, blow off assemblies. Contract Amount: S1,191,905.00 completed 11/05/2008 Contact: CarloO 661-644-2263 inspector Contact: Ken 1-long k 818-548-3904 engineer Supervised by: Adolfo Dominguez "Completed with no claims, Mediation, Arbitration of lawsuits" Bidder's Critical Staff "PLEASE SEE ATTACHED" Listed below arc 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 the last five vcars. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. I. [Fame of proposed Project Manager Telephone No. of proposed Project Manager: Project Name & Contract Amount Type of Work Date Completed Project Name S 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: Project Name K Contract Amount Type of\Fork Date Completed Project Name R Contract Amount Type of Work Date Completed Project Name R Contract Amount Type of Work Date Completed C-II DOMINGUEZ GENERAL ENGINEERING, INC. Key Personnel. As an emerging small business, Dominguez General Engineering, Inc. has looked for every possible way to facilitate our growth and provide you, the customer, the best in technical experience and construction professionalism. Our construction personnel will be able to provide you the client, with the experience and resources of a proven successful company. Our key personnel have great experience in the construction industry including numerous years in the public work area. Adolfo Dominguez(President): Responsibilities: contract administrator, project manager, soliciting, screening and selection of sub-contractors: coordinating, scheduling, and compliance procedures. Safety Procedure trained Experience: over 30 years of total construction experience, 20 years of constructions supervision and management over $7,000,000 projects . Have received letters of recommendations and overall appreciation from customers. Alejandro Dominguez (Vice President): Responsibilities: Onsite management, scheduling, daily reporting, project coordinating, compliance procedure. Experience: 5 years Heavy equipment operator. Supervise small crew of 5 Reyes Cervantes (Project Administrative Manager): Responsibilities: Project engineer/project manager, project estimating, soliciting, coordinating, produce submittals, RFI`s, safety Procedure knowledge, Progress invoicing, experience with MUTCD, Watch manual and Greenbrook Experience: Shoup Ave Area main replacement for GSWC $3,385,598.00. Pioneer& Devlin Area Main for GS WC $2,94,774.34. Long Beach Water Alley Water Main $950,000, Crescenta valley Water District $616,350.00. Lawndale Area Main Replacement Phase Ill $3,299,795.14. .Jose Gomez (Superintendent): Responsibilities: On-Site management, scheduling, daily reporting, and safety experience. multi task worker. Experience: 16 years in construction experience, 10 years construction foreman, project reporting, quality assurance and supervision on site management. Supervised up to 2 crew of 6 for over $3 million dollar projects. Trench Safety, Cal Osha, & First Aid trained Jorge Aguilar (Foreman): Responsibilities: On-Site management, scheduling, daily reporting, and safety experience DOMINGUEZ GENERAL ENGINEERING, INC. Experience: 10 years in construction experience, 6 years construction foreman/ pipelayer, project reporting, quality assurance on on-site management, fast learner. Supervised a small crew of 6 people on a little over $4 million dollar project. First Aid. Cal osha & safety trained. Martin Nava (Foreman): Responsibilities: construction labored skilled, safety certified and progressive worker Experience: 17 years in water, sewer and storm drain projects. Supervises small crew of 3 people for emergency projects for Golden State Water Company, City of Santa Ana, and City of Fullerton. Has worked in a $3 million dollar project as a labor and pipefitter, is a multitasker worker. Safety Trained Mariano Lazaro Hernandez I(_'ipelayer): Responsibilities: construction labor skilled, safety certified, progressive worker and promptly completes assigned task Experience: 15 years in water, sewer and storm drain improvement projects. Has worked in projects of over $3 million dollars. Responsible and multi tacker. Safety 'Drained Juan Miguel Franco (Operator Responsibilities: Heavy Equipment operator Experience: 1 1 years skilled in operating excavators, backhoes, skid steers, Certification & Training: ALL our employees are certified and trained of the following: - safety - competent trench & excavation - confined space - asbestos - first aid - Cal osha CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July I through June 30 state fiscal year) with the California Department of Industrial Relations(DIR).Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/Public Works/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efrling.dir.ca.gov/PWCR/ActionServlct?action=displayP WCRegistrationForTn 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. Dominguez General Engineering, Inc. Contractor ./7-7� By F Dominguezgeneral@aol.com Email President Title Date: 03/30/2021 PWC Registration u: 1000006121 C-I2 C-13 Bond No.: DOMGE-621 Swiss Re North American Specially lnsuranceCompany Washington Inlcmalional Insurance Company Corporate Solutions Westport Insurance Corporation 1450 American Lane,Suite 1100 Schaumburg,❑. 60173 Bid Bond Dominguez General Engineering, Inc. KNOW ALL MEN BY THESE PRESENTS,that we 11096 Pipeline Ave, Pomana, CA 91766 Ifull name and address or legal title of Principal) as Principal, hereinafter called the Principal,and North American Specialty Insurance Company (select Surety) a corporation duly organized under the laws of the state of New Hampshire as Surety, hereafter called the Surety,are (select state) held and firmly bound unto City of Huntington Beach, 2000 Main Street, Huntington Beach, CA 92648 (full name and address of legal title of Obligee) as Obligee, hereinafter called the Obligee, in the sum of Ten Percent Of The Total Amount Bid Dollars ($10% Of Bid ) for the payment of which the Principal and the Surety bind ourselves,our successors and assigns,jointly and severally, firmly by these presents. Edwards and Varsity Water Main WHEREAS,the Principal has submitted to the Obligee a bid for Replacement, Job No. 1558 (full name,address and descOpilon of project) NOW,THEREFORE, the condition of this obligation is such that if the Obligee shall accept the bid of the Principal, and the Principal either 1) shall enter into a contract with the Obligee 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 good and sufficient surety, or 2) shall pay to the Obligee the difference, not to exceed the amount of this bond, between the amount specified in said bid and such larger amount for which 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. The Surety hereby waives any notice of an agreement between the Obligee and Principal to extend the time in which the Obligee 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 Obligee and Principal shall obtain the Surety's consent for an extension beyond sixty(60)days. 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 requirements shall be deemed incorporated herein. When so furnished,the intent is that this bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 29th day of March 2021 omin uez General Engineering, Inc. (Principal) BY By: t (Witness) Nam,/ride:V North American Specialty Insurance ompany Is b) BY (' f lfy. • By: (Witness Name. and S n (At:omy- Facf Y CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of San Bernardino On 3DI1oIt before me, N.L.Dominguez (lien insert name and title of the oftieer) personally appeared Adolfo Dominguez who proved to me on the basis of satisfactory evidence to be the persons) whose name(s)�are subscribed to the within instrument and acknowledged to me thatl'_`Jshe/they executed the same in tij erftbeir authorized capaciry(ies), and that by(oher/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(-&) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. N.L.DOMINGUEZ WITNESS my hand and official seal. Notary Public-California .p Los Angeles County Commission r 22r4 089 My Comm.Expires 5ep la,2021 Signature of Notary (Notary Seal) ADDITIONAL OPTIONAL INFORINIATION INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in California must contain verbiage exnaly 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 acknowledgment verbiage as may be printed on such a document so long as the (Title or description of attached document) verbiage does not require the notary to do something that is illegal for a notary in California (ie. certifying the authorized capacity of the signer). please check the (Title or description of attached document continued) document carefullyfor proper notarial wording and attach this form frequired. Number of Pages_ Document Date - State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment. - Date of notarivation 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). - Prim the namc(s) of document signer(s) who personally appear at the time of notarisation. CAPACITY CLAIMED BY THE SIGNER - Indicate the correct singular or plural form by crossing off incorrect farms(i.e. ❑ Individual (5) helsheithoyr 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. ❑ Attomey-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 2008 Version CAPA v12.10.07 800.573-9865 ...NotaryClasses.com S`NASS RE CORPORATE SOLUTIONS NORTH AMERICAN SPECIALTY INSURANCE CONIPANY WASHINGTON INTERNATIONAL INSURANCE? COMPANY GENERAL PONVER OF ATTORNEY KNOW ALI, MEN BY'IIIGSl: PRESENT'S,l'I IA I'North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire.and having its principal office in the City of Overland Park,Kansas,and Washington International Insurance Company,a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Overland Park.Kansas.each does hereby make,constitute and appoint: RANDY SPOHN.NIATFFIE\V R. DOBYNS,and ASHLEY M.SPOHN JOINTLY OR SEVERALLY Its true and lawful Aitomey(s)-in-Fact,to make,execute,seal and deliver, for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behall`of each of said Companies,as surety,on 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 or suretyship executed under this authority shall exceed the amount of: FIFTY MILLION(S50.000,000.00)DOLLARS 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 North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9'n of May.2012: -RESOLVED,that any two of the Presidents,rat' Managing Director,any Senior Vice President,any,Vice President. any Assistant Vice President. the Secretan or am'Assistant 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 hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTFIER RESOLVED, that the signature of such officers and the seal of the Compact may be affixed to an)'such Power of Aitomcy or to any certificate relating thereto by facsimile.and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond.undertaking or contract of surety to which it is attached." \61WHIJ1111p1 \�a�Ov,t1TY/Ai p kp '}TION,tf Tr SEAL�:Ys Ily f.' `SEAL iS _m� Slnve P.Aedrnne,tirnior\irr Pr.+idrnl of\\'a+6lnSmn lmrmlbual lemnnn Cemp.m '7'r 5���': .i+ 1973 py O\ d Senior\ire Prtridtnl of North American SptdAlt)lreruronre Compan) Anrhael A.Ila.Serer tit r�+idi�e 1i;3;nyTee Fie w 1"Iun—Cmm�•n, h Gnie.+'i<e Pryidml of N.r,h Amrn<an St—n q lereran<r Compare, IN'WITNESS W1 11REOF,North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this 14 day of FEBRUARY .2018 . North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook ss' On this 14 day of FEBRUARY .201S .before me.a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Michael A. Ito. Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company,personally known to me.%yho being by me duly swom,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. CIFFIOAL S X Y.KENYY '`JX—')_ Nwry pudgy[ vale o141na:+ M)Gvmm�tlon E.pi�O M.Kenny,Nornry Public I,) rmwon I, Jeffrey Goldberg , the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a cower of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company.which is still in full force and effect. IN WITNESS MIEREOF,I have set my hand and affixed the seals of Companies this 29111 dae of March ,20 71 Jenny Wdune ymr Pmidml S Amvm Sic,.of N'Mtinyom Imemaoo�ut I.toc, A North Amen.Speaalry lruuranrc Corroan) 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 March 29th, 2021 before me, ERIKA GUIDO, NOTARY PUBLIC, personally appeared RANDY SPOHN ❑x who proved to me on the basis of satisfactory evidence to be the persons) whose nameH is/are subscribed to the within instrument and acknowledged to me that he/5he/they executed the same in his/ber/their authorized capacity (ies , and that by his"hn eF/t eir signature(s) on the instrument the personH, 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 5I ERIKA GUIDO California that the foregoing paragraph is true and correct. VV COMM.#2190052 5 NOTARY PUBLIC CALIFORNIA o _.., / ORANGE COUNTY N my`an an official seal. F lk A� h1y Comm.expires play 5,2021 av igriature of a Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL ❑ CORPORATE OFFICER ❑ PARTNER(S) ❑ LIMITED © ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) fJJ ON�NC,UEZ GENZ�A� 6NGN��itiNU� 7;,�L. i1� I1090 ?iPEl.ir3b A\1srJLAE �OMa NA, CP Cl1 66 i /fN .p ' SEALt� B10 ` If EDwa�osf VA�iiry TTLr,� WA'tti'R MAiN "TYtE CI Ty or (1UN Tl NL To 6CAtla — -7a:lvl L -CD -Rt Ciij CLt;"R-K/ 20oO MP11'11 51, Sa,,,,D r' o,?- t pR% '03I301),otl airy f L �jb f1ME: �D'.Oq Mn 2400 M I4SiPICLfi }�1 M"iW 4M.1 Bp"tUILA QL64d City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ NNw%v.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk May 26, 2021 Ferreira 10370 Commerce Center Drive, Suite B-200 Rancho Cucamonga, CA 91730 RE: EdwardsNarsity Tract Water Main Replacement— CC No. 1558 Enclosed please find your original bid bond for CC No. 1558 Sincerely, 7�Q fG�ZlQ�GQ,f.C/ Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431. Fax (714) 374-1573 ADDENDUM NUMBER ONE For EDWARDS — VARSITY TRACT WATER MAIN REPLACEMENT CC 1558 March 25, 2021 Notice to All Bidders: Please note the following clarifications to the Project Plans. Specifications, and Special Provisions There will be no adjustment to the listed bid date of 10:00 AM, March 30', 2021 1) Sheets C-01 through C-10 have been modified, Construction Note 8 has been changed a ORIGINAL INSTALL NEW 1' PLASTIC COATED SOFT COPPER TYPE K SERVICE AND CONNECT TO EXISTING '/." METER PER CITY STD PLAN 601. b. REVISED: INSTALL NEW 1" PLASTIC COATED SOFT COPPER TYPE K SERVICE AND '/." METER PER CITY STD PLAN 601. 2) Bid Schedule Sheet C-2.1. Bid Item 9. has been changed a ORIGINAL: Furnish and install new 1-inch plastic coated copper water service and meter box. and connect to existing '/.-inch water meter. b REVISED: Furnish and install new 1-inch plastic coated copper water service, '/."or 1-water meter, and meter box. 3) Bid Schedule Sheet C-2.3. Bid Item 30, has been deleted 4) Specification Sheet E-27 and E-28. Bid Item Description 7-6.30 Temporary Water Services has been deleted. This is to acknowledge receipt and review pf4cqklenclum u ber One, dated March 25, 2021. Ferreira Construction Co. Inc. dba Ferreira Coastal Construction Co Company Name Brandon Pensick By President 03.30.2021 Date 1 of 1 of Addendum No. 1 SECTION C PROPOSAL for the construction of EDWARDS / VARSITY TRACT WATER MAIN REPLACEMENT in BALMORAL DRIVE; SCOTIA CIRCLE; CALEDONIA CIRCLE; SKYE LANE; BRAMAR DRIVE; HIGHLAND LANE; ORKNEY CIRCLE; VARSITY DRIVE AND EDWARDS STREET CC No. 1558 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE, MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Scaled 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 120 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. 10ga of total Accompanying this proposal of bid, find bidders bond in the amount off amount which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, il'any: Addenda No. Daft Received r is Signature 1 03.25.2021 c-z SECTION C PROJECT BID SCHEDULE— REVISED PER ADDENDUM #1 EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT PROJECT, CC 1558 BID ITEMS Item No. Description Quantity Unit Unit Cost Total Cost (Extension) 1 Mobilization and setup I LS $43.p0.00 $ 43,00.00 2 Demobilization and cleanup 1 LS $ 45 740.00 $ 45,740.00 3 Fumish traffic control in accordance with City of Huntington Beach requirements, complete and in place, including preparation, design, and submission of site specific Traffic Control plans. I LS $ 2,000.00 S 2.000•00 4 Conduct preconstruction survey of existing homes and street as required by the Contract Documents, including preparation and submission of all required reports,videos and photographs complete I LS $12,000.00 $ 12,000.00 5 Fumish and install 6-inch diameter DR-14 PVC AWWA C900 pipeline, including and not limited to trenching, backfill, potholing, shoring,pipe supports and fittings 2,250 LF $ 135.00 $ 303,750.00 6 Furnish and install 8-inch diameter DR-14 PVC AWWA C900 pipeline, including and not limited to trenching, backfill, potholing, shoring,pipe supports and fittings 930 LF $ 152.00 S 141,360.00 7 Fumish and install 12-inch diameter DR-14 PVC AWWA C900 pipeline, including and not limited to trenching, backfill, potholing, shoring,pipe supports and fittings 20 LF S 442.00 S 8,840.00 8 Fumish and install 6-inch diameter Steel CML/C pipeline,Class 150. fully welded all joints, including and not limited to trenching, backfill, potholing, shoring, pipe supports and fittin s 20 LF $ 460.00 $ 9,200.00 9 Fumish and install new I-inch plastic coated copper water service. '/:'or I"water meter, and meter box. 90 EA $ 4,537.00 S 408,330.00 10 Construct 6-inch resilient wedge gate valve 10 EA $ 2,067 00 $ 20.970.00 11 Construct 8-inch resilient wedge gate valve 5 EA I $ 2,617.00 $ 13,085.00 C-2.1 SECTION C PROJECT BID SCHEDULE—REVISED PER ADDENDUM #1 EDWARDS/ VARSITY TRACT WATER MAIN REPLACEMENT PROJECT, CC 1558 Item No. Description Quantity Unit Unit Cost Total Cost (Extension) 12 Construct 12-inch resilient wedge gate vale 4 EA S 4,107.00 S 16,428.00 13 Remove and salvage existing fire hydrant including removing bury valve and appurtenances 6 EA $1,526.00 S 9,is6.00 14 Construct 6-inch fire hydrant assembly, pipe, valve box assembly, concrete pad, complete and in place per City Sid Plan 607 6 EA $9,752.00 $ 58,512.00 15 Construct 4-inch blow-off assembly,pipe, valve box assembly, complete and in place per City Sid Plan 608 4 EA $4,857.00 $ 19,428.00 16 Construct 2-inch air and vacuum release valve assembly, 2-inch plastic coated copper pipe,complete and in place per City Sid Plan 611 3 EA $6,774.00 $ 20.322.00 17 Connect to existing water mains with Transition Couplings per details on Dwg C-14. 1 LS $ 3a,soo.00 $ 38,5o0.00 18 Snap cut, remove, handle and legally dispose of existing interfering Asbestos Cement (AC) pipe and cap, slurry fill,and abandon existing non-interfering AC pipe in place. 1 LS $33,731.00 S 33,731.00 19 Remodel existing sewer house connection laterals conflicting with proposed waterline 10 EA S 2J50.00 $ 21,500.00 20 Chlorination and testing of all new water mains and appurtenances, end caps, temporary blowoffs,appurtenances and treatment and disposal of test water per regulations 1 LS $16.900.00 S 16,900.00 21 Construct aggregate base (6"thick minimum) to repair mainline and service trenches per Repavement Schedule on Dwg 6-03, including removal and disposal of existing aggregate base 100 CY $ 44.so S 4 450.00 22 Construct asphalt concrete base paving(6' thick minimum)to repair mainline and service trenches per Repavement Schedule on 200 TON $ 195.51 $ 37,102.00 C-2.2 SECTION C PROJECT BID SCHEDULE— REVISED PER ADDENDUM #1 EDWARDS/ VARSITY TRACT WATER MAIN REPLACEMENT PROJECT, CC 1558 Item No. Description Quantity Unit Unit Cost Total Cost (Extension) Dwg 6-03, including saH cutting, removal and disposal of existing paving 23 Install I ''/2"(0.12')Type III C3-PG-64-10- RAP Asphalt Concrete Overlay 1450 TON S 107.00 S 155,150.00 24 Cold mill full width of asphalt section at 1 ''/i' depth 150,000 SFr $ 0.32 S 48,00.00 25 Install geosynthetic paving fabric with tack coat per specifications 150,000 SFT S. o.12 S 18.000.00 26 Adjust City Sewer and Storm Drain Manhole to grade 20 EA S 645.00 S 12,900.00 27 Replace and adjust Water Valve Box and Cover to grade 32 EA $ 313.00 S 10,016.00 28 Remove and reconstruct curb and gutter per City Std Plan 202 on Balmoral Drive, Dwgs C-02 and C-03. Grade to be determined by Engineer in field. 200 LF $ 98.00 $ 37,102.00 29 Install geotextile fabric around sand bedding envelope for Edwards/Varsity Tract streets r Trench Repair and Dewaterinj 3,200 LF $ 3.58 S 11 456.00 311ANOT USED— DELETED PER ADDENDUM I S S 31 Construct temporary fire hydrant lateral per Detail 9 on Dwg C-15 1 LS $ 18.090.00 $ 18,090.00 32 Remove and replace miscellaneous concrete flatwork including cross gutter,curb, gutter and sidewalk. 200 SF $65,00 $ 13,000.00 33 Survey Monument Preservation 15 EA $1,100.00 S 16,500.00 34 Replace Striping I LS S1,704.00 S 1,704.00 SUB-TOTAL BID AMOUNT IN WORDS: One million six hundred eight thousand seven hundred twenty Note: Refer to Section 9. Measure and Payment for description of each Item on Bid Schedule. ( -2.3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or 510,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar % of Item(.$) Subcontractor License Registration # Amount Contract Number 23-25 Hardy & Harper 215952 A 1000000076 $223,400 14% 28,32 32 Rancho Circle C8 Lake Forest, CA 92360 C12 18 Cell Crete Corp 135 E Railroad Ave 243404 C8 1000000265 $7,235 .5% Monrovia, Ca 91016 By submission of this proposal, the Bidder certifies: I. That he is able to and will perfonn the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID 1 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 03.30.21 , at Rancho Cucamonga , CA Date Crh, State Brandon Pensick being f effe ral& mwu°ew sworn, oscg and says that he or she is Vice President of Ferreira coasia ccnsuumn Co. 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. Ferreira Construction Co., Inc dba Ferreira Coastal Construction Co. Name of Bidder Signature of Bidder 10370 Commerce Center Drive, Suite B200 Rancho Cucamonga, CA 91730 Address of Bidder C4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the EDWARDS/ VARSITY TRACT WATER MAIN REPLACEMENT, CC NO. 1558, (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 g, 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. Ferreira Construction Co., Inc dba Ferreira Coastal Construction Co. Contractor 1'-�77 By -- Brandon Pensick - Vice President Title Date: 03.30.2021 C-S DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes lX 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. Ferreira Construction Co., Inc dba Ferreira Coastal Construction Co. Contractor 11 ��L By Brandon Pensick - Vice President Title Date: 03.30.2021 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Ferreira Construction Co. Inc, dba Ferreira Coastal Construction Co. Bidder Name 10370 Commerce Center Drive, Suite B200 Business Address Rancho Cucamonga CA 91730 City, State Zip ( 909 )606-5900 bpensick@ferreiraconstruction.com Telephone Number Email Address 985180 A, C-10, C-13 State Contractor's License No. and Class 07.12.2013 Original Date Issued 07.31.2021 Expiration Date The work site was inspected by Phillip Palomino of our office on 03.18 20121. The following are persons, firms, and corporations having a principal interest in this proposal: Ferreira ConstructionCo- Inc, dba Ferreira Coastal Construction Co. . Nelson Ferreira - President Nancy Well Cucco - Senior Vice President Brandon Pensick - Vice President Lou Pocheco - Secretary/Treasurer The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Ferreira Construction Co. Inc, dba Ferreira Coastal Construction Co. C ny Name Signature of Bidder Brandon Pensick - Vice President Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this_day of 202_ . 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 f ) County o ) On before me, Month, y, and Year Insert Name and Title of Notary personally appe Name(s)of Signer(s) who proved to me on the bast f satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrum t and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity s),and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf o hich the person(s) acted, executed the instrument. 1 certify under PENALTY OF PERJUR 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 LACE NOTARY SEAL ABOVE) C-9 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 rGY�'Sd(Yh'C.Ltd:('LCLYl1.CSd�'ASS.1X`.(:fS'.('[:Q@y`LYL'.AX:C[:CdS:[Ml'(.(4fA A notary pubic or other officer completing this certificate verifies only the identity of the individual who signed the docurrant to whidh this certificate is attached,and not the huthhAness,asasaty,or validity of that docurnent. State of California ) County of San Bernardino ) On March 30, 2021 before me, Marla K. Khan. Notary Public Date Here Insert Name and Title of the Officer personally appeared Brandon Pensick Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person( whose nam4)) is/� subec} to the within instrume t and acknowledged t me that he/ j(e/ttexecuted the same in hi /t hr authorized capacity(i7)), and that by hisRy�r/t;iir signature�on the instrument the person or tKe entity upon behalf of which the person(fi acted, executed the instrument. / I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph 00, is true and correct. MARLA K.K_x" µ,,,ryooa�c ^'' WITNESS my hand and official seal. hno S �pnmNWn 7 �y Y MY�a'^,R.hOx„MAY 17 701h Signature Signature of Notary Public Place Notary Seal Above OP77ONAL 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: Capacfty(ies) Claimed by Signer(s) Signer's Name: Signer's Name:_ I )Corporate Officer — Titie(s): Corporate Officer — Title(s): ❑Partner — 1 Limited I I General I I Partner — I I Limited I l General Individual I Attorney in Fact Individual I I Attorney in Fact ❑Trustee Guardian or Conservator Trustee I Guardian or Conservator I Other: Other: Signer Is Representing: _ Signer Is Representing: ._ 02014 National Notary Association • www.NationalNotary.org • 1.800-US NOTARY(1-800-878-M7) Item #5907 Document A31OTM - 2010 Conforms with The American Institute of Architects AIA Document 310 Bid Bond CONTRACTOR: SURETY: (Nave.legulslnlnr andaddrxcv) (Nave,legal.vinlosmrdprineipolplacc rjharineev) Ferreira Construction Co., Inc. dba Ferreira Berkshire Hathaway Specialty Insurance Company Coastal Construction Co. 1314 Douglas Street, Suite 1400 Omaha,NE 68102-1944 This document has important 10370 Commerce Center Drive, Suite B-200 legal consequences.Consultation Mailing Address for Notices with an attorney is encouraged Rancho Cucamonga, CA 91730 1314 Douglas Street, Suite 1400 with respect to Its completion or OWNER: Omaha,NE 68102-1944 modification. (Name,legal slams cord nddnsr) Any singular reference to City of Hunting Beach Contractor,Surety,Owner or other party shall be considered Huntington Beach City Hall plural where applicable. Huntington Beach„ CA 92648 BOND AMOUNT: $Ten Percent Of The Total Amount Bid (10%) PROJECT: Wank.locadori or address and Project munber.ijn/nj EdwardsNarsity Tract Water Main Replacement The Contractor and Surety am bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surcry bind lhenudces,their heirs,executors,administrators,successors and assigns,jointly and severally,as provided heroin.The conditions of this Bond arc such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding 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 famished in the prosecution thereof,or(2)pays to die Owner the difference,not to exceed the amount of this Bond,Irehveen the amount specified in mid bid and such larger aruount for which the Owner may in good faith contract with another party In perlimm the work covered by said bid,then this obligation shall be null and void,otherwise hm remain in full Ibme and ellect.The Surely hereby waives any notice of an agreement between the Owvcr and Qmlractor to extend the time in which the Owner may u=cpt the bid.Waiver of notice by the Surely shall not apply In any extension exceeding sixty(60)days in the aggregate beyond the time liar acceplance of bids.specilicd in the bid documents,and the Owner and Contractor shall obtain the Surclyrs consent liar an extension beyond sixty(60)days. If this Bond is issued in connection with a subcontractors bid to a Contractor,the tern Contractor in this Bond shall be deemed to be Subcontractor and the term Owner stall be deemed to be Contractor. When this Bond has been furnished it,comply with a xlulutory or other legal requirement in lie location of the project,any provision in this Bond conflicting with said slahnory or legal requirement shall be deemed deleted herefrom unit provisions confirming to such statutory or other legal requirement shall be deemed incorporated herein.When su famished,the intent is that[his Brain shall be construed as a statutory bond and not as a common lmv bond. Signed and scaled this 301h day of March,2021 Ferreira Constru o., Inc. dba Ferreira Coastal Construction Co. v -6� (Principal) (Seal) (Irirrrcss) U U U - I i�t Berkshire Hathaway Specialty Insurance Company ' / �rnrenl (Seal) (li'lumcr) K vin 7.Wals ,Jr. _ (1I110 Michael Marino Attorney-In-Fact S-00541AS 8110 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of San Bernardino ) On_Mauch 3Q,_2921 before me,_Marla_K._Khan,_No.tary P-ublic Date Here Insert Name and Title of the Officer personally appeared Brandon Pensick Name(s) of Signer(s) tt who proved to me on the basis of satisfactory evidence to be the per onO whose name(4 is/a)4 subsc ibed to the within instrumegnt and acknowledg d t me that he/�Yfe/th executed the same In his/VrAhA authorized capacity(ips),and that by his/t /tt r signature)on the instrument the person j, or the entity upon behalf of whit{{ 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. .r MARLA K.KHAN _ �-.7_. Notary Public-CaliforniaY —C<1J"? San Bernardino County _ Signature Commission+2196976 My Comm.Expires May 13,2021 Signature of Notary Public Place Notary Seat 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: fJ Corporate Officer — Title(s): fl Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑General Cl Individual U Attorney in Fact n Individual I Attorney in Fact ❑Trustee 17 Guardian or Conservator ❑Trustee El Guardian or Conservator ❑Other: n Other: Signer Is Representing: Signer Is Representing: _ �c 020114 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item 95907 ACKNOWLEDGEMENT OF SURETY COMPANY STATE OF New Jersey COUNTY OF Morris ON THE 30th DAY OF March, 2021 BEFORE ME PERSONALLY APPEARED Michael Marino TO ME KNOWN, WHO BEING BY ME DULY SWORN, DID DEPOSE AND SAY; THAT (S)HE IS THE ATTORNEY-IN-FACT OF Berkshire Hathaway Specialty Insurance Company, THE CORPORATION THAT EXECUTED THE FOREGOING INSTRUMENT, AND ACKNOWLEDGED TO ME THAT SUCH CORPORATION EXECUTED THE SAME. IN WITNESS WHEREOF, I HAVE HEREUNTO MY AND XED ICIAL SEAL, AT MY OFFICE IN THE ABOVE COUNTY,THE DAY AND AB f/ KRYSTAL L. STRAVATO NOTARY PUBLIC STATE OF NEW JERSEY MY COMMISSION EXPIRES AUGUST 29,2021 19780 Berkshire Hathaway Specialty Insurance Power Of Attorney BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY NATIONAL INDEMNITY COMPANY/NATIONAL LIABILITY& FIRE INSURANCE COMPANY � E Know all men by these presents,that BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY a corporation existing under and by virtue of the laws of the State of Nebraska and having an office at One Lincoln Street,23rd Floor, Boston, Massachusetts B 02111,NATIONAL INDEMNITY COMPANY a corporation existing under and by virtue of the laws of the State of Nebraska and having an �` m office at 3024 Harney Street,Omaha,Nebraska 68131 and NATIONAL LIABILITY&FIRE INSURANCE COMPANY a corporation exisdng _ under and by virtue of the laws of the State of Connecticut and having an office at 100 First Stamford Place, Stamford,Connecticut y 06902(hereinafter collectively the'Companies"), pursuant to and by the authority granted asset forth herein,do hereby name, dFZ constitute and appoint:Michael Marino Kevin T.Walsh.Jr Thomas MacDonald,Krrstal L.51mvalo 100 South Jefferson Road Suite F '° 191 of the city of Whiooanv State of New Jersey their true and lawful atiorneyis)-infact to make,execute,seal, acknowledge,and EflE ° deliver, for and on their behalf as surety and as their act and deed,any and all undertakings,bonds,or other such wrongs obligatory 3 in the nature thereof,in pursuance of these presents,the execution of which shall be as binding upon the Companies as if it has been p 'i duly signed and executed by their regularly elected officers in their own proper persons.This authority for the Attorney-in-Fact shall B ¢ be limited to the execution of the attached bonds)or other such writings obligatory in the nature thereof. xC =xC In witness whereof,this Power of Attorney has been subscribed by an authorized officer of the Companies,and the corporate seals of C the Companies have been affixed hereto this date of December 20,2018,This Power of Attorney is made and executed pursuant to and by authority of the Bylaws,Resolutions of the Board of Directors,and other Authorizations of BERKSHIRE HATHAWAY SPECIALTY > n INSURANCE COMPANY,NATIONAL INDEMNITY COMPANY and NATIONAL LIABILITY&FIRE INSURANCE COMPANY, which are in full force and effect,each reading as appears on the back page of this Power of Attorney,respectively.The following signature by an authorized officer of the Company may be a facsimile,which shall be deemed the equivalent of and constitute the written signature o _ of such office,of the Company for all purposes regarding this Power of Attorney,including satisfaction of any signature requirements on any and all undertakings,bonds,or other such writings obligatory in the nature thereof,to which this Power of Attorney applies. m � £ 3 BERKSHIRE HATHAWAY SPECIALTY NATIONAL INDEMNITY COMPANY, INSURANCE COMPANY, NATIONAL LIABILITY&FIRE INSURANCE COMPANY, o. 8n o � � By: By: m David Fields,Executive Vice President David Fields,Vice President B X x s[CuµrY OEMNr srmCiN u ♦x°�.Oexl W �.r09x Y �p'� 4 SlII1rIY ri az'�S CFETI'OIn 3I SS_E1L u S SEAL � - O B Y NOTARY rd State of Massachusetts,County of Suffolk,ss: S 8 On this 20th day of December,2018,before me appeared David Fields,Executive Vice President of BERKSHIRE HATHAWAY SPECIALTY B 9 INSURANCE COMPANY and Vice President of NATIONAL INDEMNITY COMPANY and NATIONAL LIABILITY&FIRE INSURANCE COMPANY, who being duly sworn,says that his capacity is as designated above for such Companies;that he knows the corporate seals of the y Companies;that the seals affixed to the foregoing Instrument are such corporate seals;that they were affixed by order of the board of B a directors or other governing body of said Companies pursuant to its Bylaws.Resolutions and other Authorizations,and that he signed L g said instrument in that capacity of said Companies. [Notary Seal] GEOF tar Public DELISIO N tary No Pulflle � 5 cum ricam" l•Js of Massachusetts L r My Demur.Expires November 29,2024 Notary Public b 0 8 0 r m 1,Ralph Toncrella,the undersigned,Officer of BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY,NATIONAL INDEMNITY COMPANY and NATIONAL LIABILITY&FIRE INSURANCE COMPANY, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies which Is in full force and effect and has not been revoked.IN TESTIMONY WHEREOF, see hereunto affixed the seals of said Companies this March 30,2021. erin9ftY pfMN/) `yPel rNL ' e)x. T SSLY o) sUKCIY�a: SIiRETY $E1L i `�SELL S officer BHSIC,NICO&NLF POA(2018) BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY(BYLAWS) ARTICLE V. CORPORATE ACTIONS EXECUTION OF DOCUMENTS: Section 6.(b)The President,any Vice President or the Secretary,shall have the power and authority: (1) To appoint Attorneys-in-fact,and to authorize them to execute on behalf of the Company bonds and other undertakings,and (2) To remove at any time any such Attorney-in-fact and revoke the authority given him. NATIONAL INDEMNITY COMPANY(BY-LAWS) Section 4.Officers,Agents,and Employees: A. The officers shall be a President,one or more Vice Presidents,a Secretary,one or more Assistant Secretaries,a Treasurer, and one or more Assistant Treasurers none of whom shall be required to be shareholders or Directors and each of whom shall be elected annually by the Board of Directors at each annual meeting to serve a term of office of one year or until a successor has been elected and qualified,may serve successive terms of office,may be removed from office at any time for or without cause by a vote of a majority of the Board of Directors,and shall have such powers and rights and be charged with such duties and obligations as usually are vested in and pertain to such office or as may be directed from time to time by the Board of Directors;and the Board of Directors or the officers may from time to time appoint,discharge,engage,or remove such agents and employees as may be appropriate,convenient,or necessary to the affairs and business of the corporation. NATIONAL INDEMNITY COMPANY(BOARD RESOLUTION ADOPTED AUGUST 6,2014) RESOLVED,That the President,any Vice President or the Secretary,shall have the power and authority to(1)appoint Attorneys- in-fact,and to authorize them to execute on behalf of this Company bonds and other undertakings and(2)remove at any time any such Attorney-in-fact and revoke the authority given. NATIONAL LIABILITY&FIRE INSURANCE COMPANY(BY-LAWS) ARTICLE IV Officers Section 1.Officers Agents and Employees: A.The officers shall be a president,one or more vice presidents,one or more assistant vice presidents,a secretary,one or more assistant secretaries,a treasurer,and one or more assistant treasurers,none of whom shall be required to be shareholders or directors,and each of wham shall be elected annually by the board of directors at each annual meeting to serve a term of office of one year or until a successor has been elected and qualified,may serve successive terms of office,may be removed from office at any time for or without cause by a vote of a majority of the board of directors. The president and secretary shall be different individuals. Election or appointment of an officer or agent shall not create contract rights. The officers of the Corporation shall have such powers and rights and be charged with such duties and obligations as usually are vested in and pertain to such office or as may be directed from time to time by the board of directors;and the board of directors or the officers may from time to time appoint,discharge,engage,or remove such agents and employees as may be appropriate,convenient,or necessary to the affairs and business of the Corporation. NATIONAL LIABILITY&FIRE INSURANCE COMPANY(BOARD RESOLUTION ADOPTED AUGUST 6,2014) RESOLVED,That the President,any Vice President or the Secretary,shall have the power and authority to(1)appoint Attorneys- in-fact,and to authorize them to execute on behalf of this Company bonds and other undertakings and(2) remove at any time any such Attorney-in-fact and revoke the authority given. BHSIC,NICO& NLF PDA(2018) BERKSHIRE HATHAWAY SPECIALTY I N SURANCE COMPANY 1314 Douglas Street, Suite 1400, Omaha, Nebraska 68102-1944 ADMITTED ASSETS' 12131/2019 1213112018 12/31/2017 Total invested assets S 5,172.183,338 S 4,313,185.189 S 4.516.104,907 Premium&agent balances in 368,086.012 301,849.144 297.141.264 All other assets 127.524,677 140,930,406 137,220,394 Admitted Assets S 5,667.794,027 S 4,755,964.739 S 4.950,466,565 LIABILITIES & SURPLUS' 12/31/2019 12/3l/2018 12/31/2017 Loss&lass exp.unpaid $ 634,745.558 $ 463,103.223 S 327,823.391 Unearned premiums 314.117.549 241.835,588 209,113,536 All other liabilities 744.738.458 570,628.148 663,892,150 Total Liabilities 1,693,601.565 1,275,566.959 1.200,829,077 Total Policyholdem'Surplu! 3,974.192 463 3.480,397,780 3,749.637,488 Total Liabilities&Surplus $ 5,667,794,028 S 4.755.964,739 S 4.950.466.565 Assets,liabilities and surplus are presented on a Statutory Accounting Basis as promulgated by the NAIL and/or the laws of the company's domiciliary state. Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of potable water pipelines within the public right of way, working within major arterials and streets and in close proximity to other underground utilities, and in areas containing high ground water. 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. California Water Service Company - 2000 S. Tubeway Ave, Commerce, CA 90040 Name and Address of Public Agency Name and Telephone No. of Project Manager: Bree Scott (909) 606-5900 $1 ,219,039.25 Water January 2019 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 934 LF of 24" DI (Mechanical Joint) Pipe; 1,590 LF of 12" DI Pipe (Push-On); 685 LF of 24" CL&C Steel Pipe; 15LF of 6" PVC Pipe; 24" CL&C Steel Pipe offset 12" CL&C Steel Pipe Offset; 24" tie-in to existing 24"; 12"tie-in to existing 12"; 24" tie-in to existing 24"; 8"tie-in to existing 8' 2. Inland Empire Utilities Agency - 12645 6th St. Rancho Cucamonga, CA 91739 Name and Address of Public Agency Name and Telephone No. of Project Manager: Scott Johnson (909) 606-5900 $5,332,122.00 Recycled Water June 2020 Contract Amount Type of Work Date Completed Provide additional pro).ect description to show similar work: Design Build Napa Lateral- Install 5,000 LF of 24", 2900 of 16" and 1 ,600LF of 12" CML&C steel pipe 3. City of Anaheim - 200 S. Anaheim Blvd., Anaheim, CA 92805 Name and Address of Public Agency Name and Telephone No. of Project Manager: Bree Scott (909) 606-5900 $2,059,782.00 Water May 2019 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Install 16"-8" PVC Water Main, 24 tie-ins 24 water services, 12 fire hydrants 1 PRV Vault 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. I. Please see attached resume's. Name of proposed Project Manager Telephone No. of proposed Project Manager: Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed 2. Please see attached resurne's. Name of proposed Superintendent Telephone No. of proposed Superintendent: Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed C-II tFERREIRA PROJECTOMAN GER Professional Summary Scott has over 20 years experience in all facets of commercial water and waste water facilities. Scott has managed numerous projects for many of the California utility agencies,projects valued as high as$25 million. Scott's experience includes estimating and analysis of budgets, developing scopes of work; planning, preparing,and scheduling;coordinating personnel,equipment,and materials;personnel management;directed and evaluated project safety; overall project management; client, agency, and labor union negotiations; coordination with subcontractors and vendors;Federal,State and local permits;and tracking labor and material costs. Professional Experience Ferreira Construction Co.,Inc. October 2015 - Present Project Manager MCC Pipeline, Inc. 2013 to August 2015 Vice President Scott was primary responsible for managing client accounts and assisting in growth and development of staff as well as the overall firm. This involved expanding and securing new business, managing project portfolio that meets or exceeds projections,and participating in the internal management of the company. He guided staff development through identifying skills needs, delegating tasks appropriately and motivating project staff to provide outstanding client service. Inland Empire Ctilities Agency Chino,Ca. 2002 to February 2013 Construction Project Manager Scott was responsible for planning, organizing and managing the overall capital improvement construction projects for the agency. His responsibilities included budget preparation and forecasting along with compliance and monitoring of California's propositions,California State Water Resource, EPA and United States Bureau of Reclamation funding through their grants and loans. Scott planned,directed and evaluated with a systematic document tracking control system for construction related documents including request for information,change order request and price review and negotiation,technical submittals,consultant and contractor schedules and Federal, State and local permits. United Inspection and Testing 1"2 to 2002 Civil and Structural Inspector/Inspector of Record Seismic and Reinforced Concrete Foundation and Site Grading Tunnel Inspection Surface Blasting S. Johnson Rcsume I of 4 Major Project Experience North West 1630 Zone Recycled Water System: Location: Rancho Cucamonga,Ontario, Upland Employed by: IEUA Role: Construction Project Manager Construction Value: S 24 Million Completed Cost: S 21.5 Million The project consisted of the construction of three 250Hp pump stations with system control and data acquisition, eight miles of 24"cement motor lined and coated steel pipe and one three million gallon reservoir. The project was split into five different contracts to accommodate the various scopes of work and activities that were being performed through three cities. Funded by Proposition 50 and a matching grant from the United States Bureau of Reclamation, substantial efforts were made to properly coordinate with all local and state agencies on each project being constructed though out the various cities,while ensuring public safety. North East 12" and 1630 Zone Recycled Water Systems: Location: Rancho Cucamonga, Fontana Employed by: IEUA Role: Construction Project Manager Construction Value: S 28 Million Completed Cost: S 24.3 Million The construction of the project included but was not limited to: two 2501ip,one 400Hp and two 450Hp pump stations with system control and data acquisition; five miles of 30"cement motor lined and coated steel pipe with two remote telemetry units and recycled water discharge stations; a three million gallon potable water reservoir converted to recycled water; and three wells and ten lysimiters were placed, as well as two groundwater recharge basins. 1159 and 12"Zone Recycled Water Systems: Location: Rancho Cucamonga, Fontana Employed by: IEUA Role: Construction Project Manager Construction Value: S 15 Million Completed Cost: S 14.6 Million The projects consisted of expanding an existing pump station. The expansion included of new 15 kVA power station, seven 250Hp new horizontal split case pumps, three 300Hp vertical turbine pumps and modifications to four existing vertical turbine pumps; installation of two altitude anti leak valves and remote telemetry units; and approximately 2.2 miles of 48"cement motor lined and coated steel pipe. In addition, conversions were made to(2) three million gallon fuel sludge storage tanks for recycled water including structural modifications to bring them up to the current code requirements. Regional Plant No.4 Expansion to 14 MGD Location: Rancho Cucamonga Employed by: IEUA Role: Construction Project Manager Construction Value: S 47.5 Million Completed Cost: S 42.3 Million Modifications were made to an operational plant that currently treats seven million gallons a day of waste water. The difficult aspect of this project was that it had to stay operational at all times during construction. S. Johnson Rcsume 2 of 4 In fact, every existing operation of the plant had to be modified without loss of operation. Major construction activities included: modification to the wet well and four new vertical turbine pumps, new grit removal system,two new primary clarifiers,conversion of B.O.A.T clarifiers to dissolved oxidation, three new secondary clarifiers,two new waste sludge pumping stations,new disk filters and a new chlorine contact tank. Inland Empire Utilities New Headquarters: Location: Chino Employed by: IEUA Role: Construction Project Manager Construction Value: S 1 I Million Completed Cost: $ 10.1 Million This design-build project was constructed to be one of the most environmentally responsible structures in the United States. This structure was constructed to accommodate the Chino Waste Water Treatment Facility administrative, executive,and engineering offices. Two buildings 33,000 SF each were constructed using tilt-up concrete. Some of the more prominent environmentally friendly features of the building include skylights, absorption chillers,radiant floor heating, dual flush toilets, low voc glues/paints/caulk,cool roof, and day lighting controls. In addition to the buildings environmentally friendly components, the exterior of the building is also eco-friendly. The landscape around the property contains approximately 12 acres of native plantings,extensive drip irrigation system with over 12,000 drip heads, use of 100%recycled water for irrigation, 12,000 SF water feature, pervious parking lots, locally harvested, decomposed granite walkways, and the use of rubberized mulch. It is because of the use of green technology that this project received the prestigious US Green Building Council, LEED 2.0 Platinum Award, only three of these awards have been given in the United States. This project also received the 2003 Govemors Environmental and Economic Leadership Award. Carbon Canyon Hypochlorite and Bisulfate Modifications: Location: Chino Hills Employed by: IEUA Role: Construction Project Manager Construction Value: S 3 Million Completed Cost: S 2.4 Million The project consisted of converting the existing maintenance building into two chemical rooms and one control room. Structural modifications were made to the building for code and safety requirements. Eight new chemical metering pumps were installed, four for each system. Four new double walled fiberglass tanks were fabricated and installed,two for each system. A new control room was also modified from the existing building that included full system control and data acquisition with a new human machine interface console and cabinet. Licenses and Certifications FEMA ICS 100, 1CS 200, ICS 300, ICS 400 S. Johnson Resumc 3 of 4 Troxler Nuclear Gauge Safety Training ICC Reinforced Concrete ACI Level 1 Confined Space CAL-OSHA OSHA 40-Hour HAZWOPER Education University of Phoenix S.Johnson Resume 4 of 4 DAVID BR FRRRRIRA GE ERAL SUPERINTENDENT Professional Summary David has 25 years of experience in the construction industry. David has been a supervisor on numerous construction projects. His work included connections, traffic signal installations, underground utilities and transmission mains. During his tenure as a project superintendent,David has overseen the installation of over 164,000LF of conduit for traffic signal and streetlight upgrades, and over 76,000LF for various types of utilities ranging in size from 6" to 42". David' responsibilities include positioning and coordinating multiple crews; coordinating the delivery of materials; equipment and material inspections; providing the foreman and crews with scope of work instruction and establishing performance expectations; reviewing project constructability, schedule, trouble shooting, and value engineering with the project manager; supervising safety including tool box talks with the site safety officer and the owner's safety personnel;continuous scope of work lay-out and adjustments for multiple crews and operations;on- going scope of work performance management with the owner using plan of day(POD)and look- ahead meetings; escorting and serving as project liaison with regulatory inspectors; general site safety monitoring; documenting daily scope of work progress; personnel management including employee hiring,dismissal,and disciplinary action;direct interaction with labor unions;and punch- list evaluation, negotiation, execution, and documentation. His experience in underground utilities in addition to his high standards of safety and craftsmanship make him a true asset to Ferreira Coastal Construction. Professional Experience Ferreira Coastal Construction Co. June 2013 - Present Project Superintendent Currently responsible for project supervision on heavy highway/utility construction projects. Responsibilities include management and coordination of field crews and subcontractors;managing labor and equipment on-site, resolution of construction problems; J. Fletcher Creamer and Son, Inc 19"-2013 Project Superintendent / Foreman Project Superintendent on various heavy civil and utility construction projects,working directly with the Project Manager to identify,troubleshoot, and mitigate and issues in the field. David was responsible for the day to day operations, coordinating manpower, equipment and materials, as well as cost control and interfacing with the owner on a day to day basis. ARB Inc. 1994 — 1999 Field Laborer/Teamster Provided CPM schedules and weekly updates with superintendents input, reviewed submittals going to and from the architect, priced change orders for each project, purchased materials for the job sites per budgeted job costs, performed all required tasks in a timely and professional manner, ran weekly project meetings with owners and architects, developed a good working relationship with owners, architects, and subcontractors, developed a computer networking system to help the company run efficiently and responsible for answering any questions regarding construction documents. Project Hi¢hliehts Foothill ATSAC Project Install approx. 82,000 LF of 2"and 3"conduit with interconnect cable and traffic signal/streetlight upgrade Contract Value, approx. $6,300,000 Canoga Park ATSAC Project Install approx. 82,000 LF of 2"and 3"conduit with interconnect cable and traffic signal/streetlight upgrade Contract Value approx. $5,900,000 Golden State Freeway ATSAC Project Traffic Signal Automation Contract Value: 510,119,300 Reseda ATSAC Project Traffic Signal Automation Contract Value approx. S 7,000,000 City of Oxnard Install 10,400 LF of 16 PVC, 3,940 LF of42"CML&C 26,150 LF of 20"-22"HDPE by method of pipe bursting and Slip lining. Contract Value S 13,673,224 Upper San Gabriel Valley Water District Install 17,553 LE of 24"-6" DIP Contract Value $4,398,051 IA DWPJ Sepulveda Trunk Line Install 3,900 LF of 42" CML&C Contract Value $3,858,000 City of Riverside Tippecanoe Well 16 Transmission Main Install 1,920 IF of 16" DIP, 1,100 IF of Jack and bore. Contract Value $587,854 City of Banning Install 9,050 LF of 30" and 24"CML&C Contract Value $2,694,450 Chino Basin Desalter Authority 18"& 24" raw water line, pressure reducing station Contract Value $5,500,000.00 Certifications/Training OSHA 30 OSHA 10 Trenching and Excavating Confined Space Training Traffic Control Class A License Rigging Forklift Certification Self Propelled Booms and Scissors Storm Water Compliance Asbestos Pipe HDPE Pipe Fusion CA Anti-Harassment Prevention Workplace Drug and Alcohol Awareness and Reporting First Aid/CPR 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/SB854FactShect-6.30.14.pdf D1R's Contractor Registration Link—Call (844) 522-6734 https://efi ling.dir.ca.gov/P WCR/ActionServiet?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." 1 furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submining the bid. Ferreira Construction Co. Inc, dba Ferreira Coastal Construction Co. Contractor By bpensick@ferreiraconstruction.com Email Brandon Pensick -Vice President title imtr: 03.30.2021 P%%C Registration ~ 1000001634 C-12 3125/2021 https://cadir.sewre.force.coaVContractorSearWPrintRegDetalls Contractor Information Registration History Legal Entity Name Effective Date Expiration Date FERREIRA CONSTRUCTION CO INC Legal Entity Type 5/30/2018 6/30/2019 Corporation Status 5/16/2017 6/30/2018 Active Registration Number 5/31/2016 6/30/2017 1000001634 Registration effective date 612/2015 6/30/2016 7/1/2020 Registration expiration date 9/30/2014 6/30/2015 6/30/2023 Mailing Address 7/1/2019 6/30/2020 10370 COMMERCE CENTER DRIVE,SUITE B 200 RANCHO CUCAMONGA... Physical Address 7/1/2020 6/30/2023 10370 COMMERCE CENTER DRIVE,SUITE B 200 RANCHO CUCAMONGA... Email Address Trade Name/DBA FERREIRA COASTAL CONSTRUCTION CO License Numbers/ CSLB:985180 CSLB:985180 Legal Entity Information Corporation Number: 3548901 Federal Employment Identification Number: President Name: NELSON FERREIRA Vice President Name: BRANDON PENSICK Treasurer Name: LOU PACHECO Secretary Name: LOU PACHECO CEO Name: NELSON FERREIRA Agent of Service Name: ANNA M.CARNO Agent of Service Mailing Address: 24031 EL TORO ROAD,SUITE 210 LAGUNA HILLS 92653 CA United States of America https:Hr dir.secure.force.mnVContractorSearch/PrintRegDetails 112 i . t ci.31 anti. FFRRRIRA $ 31 1 C6P FFPPFIPI CdtSTP[f.'OMSTPUCi10M CO 10370 Commerce Center Drive,Suite 8-200 ap Rancho Cucamonga,CA 91730 "SEALED BID" for EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT in the CITY OF HUNTINGTON BEACH-DO NOT OPEN WITH REGULAR MAIL DELIVER TO THE OFFICE OF THE CITY CLERK,2000 MAIN STREET,SECOND FLOOR S Bid Proposal of Ferreira Construction Co.Inc.dba Ferreira Coastal Construction Co.for City of Huntington Beach—Edwards/Varsity Tract Water Main Replacement March 30.2021 @ 10:00 AM i i i City of Huntington Beach - 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ w-vvw.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk May 26, 2021 Kana Pipeline, Inc. 12620 Magnolia Avenue Riverside, CA 92503 RE: EdwardsNarsity Tract Water Main Replacement — CC No. 1558 Enclosed please find your original bid bond for CC No. 1558 Sincerely, Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For EDWARDS — VARSITY TRACT WATER MAIN REPLACEMENT CC 1558 March 25. 2021 Notice to All Bidders: Please note the following clarifications to the Project Plans, Specifications, and Special Provisions There will be no adjustment to the listed bid date of 10 00 AM, March 30"', 2021 1) Sheets C-01 through C-10 have been modified. Construction Note 8 has been changed a. ORIGINAL INSTALL NEW 1" PLASTIC COATED SOFT COPPER TYPE K SERVICE AND CONNECT TO EXISTING %'METER PER CITY STD PLAN 601 b. REVISED: INSTALL NEW 1" PLASTIC COATED SOFT COPPER TYPE K SERVICE AND /." METER PER CITY STD PLAN 601. 2) Bid Schedule Sheet C-2.1, Bid Item 9, has been changed a. ORIGINAL: Furnish and install new 1-inch plastic coated copper water service and meter box, and connect to existing '/.-inch water meter. b. REVISED: Furnish and install new 1-inch plastic coated copper water service, %"or 1" water meter, and meter box. 3) Bid Schedule Sheet C-2.3. Bid Item 30, has been deleted 4) Specification Sheet E-27 and E-28. Bid Item Description 7-6.30 Temporary Water Services has been deleted. This is to acknowledge receipt and review of Add!" Number One, dated March 25, 2021. �(L` P) Company Name By Date 1 of 1 of Addendum No. 1 SECTION C PROPOSAL for the construction of EDWARDS / VARSITY TRACT WATER MAIN REPLACEMENT in BALMORAL DRIVE; SCOTIA CIRCLE; CALEDONIA CIRCLE; SKYE LANE; BRAMAR DRIVE; HIGHLAND LANE; ORKNEY CIRCLE; VARSITY DRIVE AND EDWARDS STREET CC No. 1558 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 Ille in the office ol' the City Engineer ol' the City of I-luntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the Cih, of I'luntington Beach. and to enter into a contract at the following prices. The undersigned agrees to complete the work within 120 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 followim, Bid Schedule. BIDDER understands that lailure to enter into a contract in the manner and time prescribed will result in forfeiture to AGI'NCY 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 okvork satislactorily completed. THE AGENCY RESERVES THE RIGIII' TO DELETE ANY ]'ITi 1 I--ROM11 '1111- CONTRACT. It is a,,rccd that the unit and/or lump sum prices bid include all appurtenant expenses. taxes. royalties. fees. etc.. and will be guaranteed for a period ofsixty days from the bid opening date. If-at such time the contract is not awarded. the AGENCYwill 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 ligures. 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. r I. / Accompanying this proposal of bid, find 13tVPT- ��in the amount of l at 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: .I ddenda No. Date Received Bidder's Si narure C-2 SECTION C PROJECT BID SCHEDULE—REVISED PER ADDENDUM #1 EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT PROJECT, CC 1558 BID ITEMS Item no. Description Quantity Unit Unit Cost Total Cost (Extension) Mobilization and setup l LS $C�y Ot0 S OW 2 Demobilization and cleanup l LS $ 3 Furnish traffic control in accordance with City of Huntington Beach requirements, complete and in place, including preparation, design,and submission of site specific Traffic Control plans. I LS $15 $ 1;0'e ao 4 Conduct preconstruction survey of existing homes and street as required by the Contract Documents, including preparation and submission of all required reports, videos and 44 t� �yy� G° photographs complete 1 L I2A S $ $12iD� 5 Furnish and install 6-inch diameter DR-14 PVC AWWA C900 pipeline, including and O not limited to trenching,backfrll,potholing, shoring,pipe supports and fittings 2,250 LF $ $ I� 6 Furnish and install 8-inch diameter DR-14 PVC AWWA C900 pipeline, including and not limited to trenching,backfrll,potholing, os shoring,pipe supports and fittings 930 LF $ 7 Furnish and install 12-inch diameter DR-14 PVC AWWA C900 pipeline, including and not limited to trenching,backfrll,potholing, shoring,pipe supports and fittings 20 LF $ 02_ S e20 04-7 8 Furnish and install 6-inch diameter Steel CML/C pipeline,Class 150,fully welded all joints, including and not limited to trenching. backfrll, potholing,shoring,pipe supports and fittings 20 LF $ 70i 9 Fumish and install new I-inch plastic coated copper water service, or I"water meter, meter bo . 90 EA $ 1 4CD S 10 Construct 6-inch resilient wedge gate valve 10 EA $ 2r?'a $ =,DA2i I I Construct 8-inch resilient wedge gate valve 5 FA $ 2,1ot� S r3.sw — C-2.1 SECTION C PROJECT BID SCHEDULE— REVISED PER ADDENDUM #1 EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT PROJECT, CC 1558 Item No. Description Quandty Unit Unit Cost Total Cost (Extension) 12 Construct 12-inch resilient wedge gate valve 4 EA $ 3Sapo F S 1 5"( 13 Remove and salvage existing fire hydrant including removing bury valve and 0-0 09 appurtenances 6 EA $ L &D $ )0;9W 14 Construct 6-inch fire hydrant assembly,pipe, valve box assembly, concrete pad,complete 04 and in place per City Std Plan 607 6 EA S 7 900 $ 41G 600 15 Construct 4-inch blow-off assembly, pipe, valve box assembly, complete and in place 00 per City Std Plan 608 4 EA $4 ft S 19 r 16 Construct 2-inch air and vacuum release valve assembly, 2-inch plastic coated copper as Sao pipe,complete and in place per City Std Plan — 611 3 EA $ 1,600 $ 16, 4900 17 Connect to existing water mains with Transition Couplings per details on Dwg C-14. t LS $ IVIOX $ 1,7,310W 18 Snap cut, remove,handle and legally dispose of existing interfering Asbestos Cement(AC) pipe and cap,slurry fill,and abandon existing non-interfering AC pipe in place. 1 LS $ 68OW $ 0100 19 Remodel existing sewer house connection as00 laterals conflicting with proposed waterline 10 EA S 19 $ 219 t oepo 20 Chlorination and testing of all new water mains and appurtenances,end caps, temporary blowoffs,appurtenances and treatment and disposal of test water per O-C CC regulations 1 LS $;Za,000 S V1--Co 21 Construct aggregate base(6"thick minimum) to repair mainline and service trenches per Repavement Schedule on Dwg G-03, including removal and disposal of existing aggregate base 100 Cy $ 7g) I $ g,�J O 22 Construct asphalt concrete base paving(6' o thick minimum)to repair mainline and Q" service trenches per Repavement Schedule on 200 TON $ 'yjic~ $ 85 pOD C-2.2 SECTION C PROJECT BID SCHEDULE —REVISED PER ADDENDUM #1 EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT PROJECT, CC 1558 Item No. Description Quantity Unit Unit Cost Total Cost (Extension) Dwg 6-03, including saw cutting, rcmocal and disposal of existing paving 23 Install 1 '/2"(0,12')Type III C3-PG-64-10- RAP Asphalt Concrete Overlay 1450 TON $ 7 - $ )40,65z� 24 Cold mill full width of asphalt section at 1 %:" 'LSt� depth 150,000 SFT $ $ Jf 25 Install geosynthetic paving fabric with tack 10 coat per specifications 150,000 SFT I $ $ �t 26 Adjust City Sewer and Storm Drain Manhole to grade 20 EA IS it 56D $ 31 r 27 Replace and adjust N'ater Valve Box and C O ��pp over to grade 32 EA $ -5V $ Z 41-00 28 Removc and reconstruct curb and gutter per City Std Plan 202 on Balmoral Drive, Dwgs C-02 and C-03.Grade to be determined by Q^d0 Engineer in field. 200 LF S _ W $ COO 29 Install geotextile fabric around sand bedding envelope for Edwards/ Varsity Tract streets r Trench R air and Dewaterin Note 1 3,200 LF $ ?'s ^ $ 30 OT USED— DELETED PER DD N S S 31 Construct temporary fire hydrant lateral per Cd Detail 9 on Dwg C-15 1 LS S I.21 CD $ 32 Remove and replace miscellaneous concrete flatwork including cross gutter,curb,gutter o� and sidewalk. 200 SF $ 60 ^ $ 33 Survey Monument Preservation 15 EA $ 5t0 $ 7-M0_ 34 Replace Striping 1 LS $ Q $ SUB-TOTAL BID AMOUNT IN WORDS: $ C44W M I LIA0*-1 'eAOWT' HL4-� 51 RS4%f Note: Refer to Section 9. Measure and Payment for description of each Item on Bid Schedule. C-2.3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10.000. whichever is greater. and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class D/R PWC Dollar % of frem(s) Subcontractor License Registration a Amount Contract Number �i 24 Zg, 32- Feo+to ctRuV�- 24' QW U2 �000"-1(0 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 1Z4 tea, Date City State T� pAl`It:l� Ln-yes being first duly sworn, deposes and says that he or she is - 4�P1 sr tT Of pt%1Ak4ff We— 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. �+No PIt`GU1 Name of Bidder Signature of Bidder 12620 M 0s, 4,. L-.;�-4J15i lZt-t�t� . cb q zsa3 Address of Bidder C-4 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 OHM 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 �"S On AJILW IF ✓�1 before me, QrtYDI /!� S' ate Here Innserr Name and Title oI the r personally appeared jt/s,��`(jL4.2 Names)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s)acted, executed the instrument. certify under PENALTY OF PERJURY under the w,yM DIANAACEVE1 laws of the State of California that the foregoing Npury Public-Oldmn'a paragraph is true and correct. Amrsiae Canty CpmmisS�Orl a 2334940 W Comm.Exporn Oct 6.2024 WITNESS my hand and official seal. Signature -17?d(r3/1 9 Place Notary Seal and/or Stamp Above Si#ature 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: --4 106,/1(ifrl�j? 14w;Fdaut1 Document Date:O.L Numberof Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signers) Signer's Name: Signer's Name: o Corporate Officer - Title(s): _ ❑ Corporate Officer - Title(s): o Partner- ❑ Limited ❑ General ❑ Partner - ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual o Attorney in Fact o Trustee ❑ Guardian or Conservator ❑ Trustee o Guardian or Conservator o Other: ❑ Other: Signer is Representing: Signer is Representing: 2019 National Notary Association UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT, CC NO. 1558, (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 instnrction, 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. kbd-Ib PI��UN6� 1►-1C�• Contractor V& BN � 1 Title Date: C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalt% of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes 3<0 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 B% Title Date: C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name 12l>2o Mo.41401.4y- 4y6)`►c36 Bu�sjiness Address /� _1C.I�LE�S1D� l.en Cl City, State Zip (114 ) al(86 - 1 4-00 'Dl oQc�GP K��+P►P�1,Iwlta.c�N� Telephone Number Email Address 461407 bt State Cmra�r'$i iicccen�. and Class Original 1Date Issued 4 � ' a /1 Expiration Date The work site was inspected by _NICK 'tUL of our office on M•404A- 23 , 20W. The following are persons, firths,and corporations having a principal interest in this proposal: P-4ut SU914s I y5p t .Mr 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. i4diJ& E I 1 ti1C. Company Name Signature of Bidder D.&Nl6L WCKG Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this_day of 202_ . 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 T' a of Notary personally appeared Name(s)of 'gne who proved to me on the basis of satisfacto v' nce to be the person(s) whose name(s) is/are subscribed to the within instrument an kn ledged to me that he/she/they executed the same in his/her/their authorized capacity(', hat by his/her/their signature(s)on the instrument the person(s), or the entity upon bebelf o'f ich the person(s)acted,executed the instrument. 1 certify under PENA ERJURY under the laws of the State of California that the foregoing paragraph i d correct. WITNESS my ban d official seal. Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE §1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of Californi l County of On �/,3/d7 before me, A�IA43,1 Date eret Insert Name and title of th fcer personally appeared Nome(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) islare 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 j laws of the State of California that the foregoing ( w'yQ'auu�ctvts paragraph is true and correct. 4ry publx-CAW,,e } i R""Wecounry j WITNESS my hand and official seal. Cbmmnsion a 271e940 Etpvn Oct 6. 2026 Signature A QDca�,ccs Place Notary Seat and/or Stamp Above nature of Notary Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Oocu ent Title or Type of Documen� ►-K �itfa Document Date: 3��. 2l Number of Pages: Signer(s) Other Than Named Above: Capacity(lies)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: 02019 National Notary Association Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of potable water pipelines within the public right of way, working within major arterials and streets and in close proximity to other underground utilities, and in areas containing high ground water. 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: C MY OF NoRr�lst 1. 1270o µ2SM4N, �.�y ►-1a�wat lc C� �06 Sty Name and Address of Public Agency Name and Telephone No.of Project Manager: J(1 W,& 1 tr,-G ks-62) gzct-sr-j24=' 00 Contract Amount Type of Work Date ompleted Provide additional project description to show similar work: � UI P .SaCK Cc�ta L_ FS�IS t�RoiT 2 ctvlc, csz Hnzn. Sn, srn. s.�A tw `1�701 Name and Address of Public Agency Name and Telephone No. of Project Manager: _ M11� 0fciz =O8g2 mo Contract Amount Type of Work Date C mpleted Provide additional project description to show similar work �� t?-e oP `8 r C'�cLCft�o War-ts.l►� 46S 6F l S/, kGQ SFiye n- 4�A ' a(' 12t' j 4l" SAt�sEv f SE��rz ASS A SP+rs.CT' 6" OF, I Zfu0 3. 2f ?go f_t-o� 6Y�l iz l�oSzc o tc n °`?�BEf� Name and Address of Public Agency Name and Telephone No. of Project Manager: _: ` 061-5o1� qsl) 2?0 - SG77 48G=� 'C `1—J 4Xes WaW-LdE 2�- 201J Contract Amount Type of Work Date Co leted Provide //additional project description to show similar work- {�3, t [1r 6F I4'1 �Il ' Du� Ir WYICJ 1P�tF' t ��1' �.4tT�771 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. I. DL*►-IEY L Name of proposed Project Manager Telephone No. of proposed Project Manager: G(4� 2- O -7 7 Project Name& Contract Amount Type of Work Date Completed �D(ss;1 S�- CloI--J PI RU4 CrZy 6F Project Name& Contract Amount Type of Work Date Completed wq�+-�� �_ c�j �so•� cam, Project Name& Contract Amount Type of Work Date Completed 2. 5 C,=-V (as K I Name of proposed Superintendent Telephone No.of proposed Superintendent: ( I I+J 2 It-D n 43io �aPK--slnC— sue., Project Name& Contract Amount Type of Work Date Completed \A-JJIZI ,, Gt1Y aF stww-� t 3,�1 ' (7 Project Name& Contract Amount Type of Work Date Completed 14 5 STDVIIA 9 ZV0--�0 Y00&-uwVs- Pfc0+3 Poo se'-az, I ')6FM— 4 I l�IZo Project Name& Contract Amount Type of Work Date Completed C-ll CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.l(a)), passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July I through June 30 state fiscal year) with the California Department of Industrial Relations(DIR).Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/Public W orks/SB854FactShect-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efil ing.dir.ca.gov/P WCR/ActionServlet?action=displayP WCRegistrationFonn DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action 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. I l 6 1 Contractor 9di,.sl � By p1���Ka�-+c�IPEu�� . cord Email t�c'S1Dt�� Title Dalc: P%VC Registration C-12 Contractor Information Registration History Legal Entity Name Effective Date Expiration Date KANA PIPELINE.INC Legal Entity Type 6/15/2018 6/30/2019 Corporation Status 6116/2017 6/30/2018 Active Registration Number 6/8/2016 6/30/2017 ]000000223 Registration vnective data 6/24/2015 6/30/2016 711/2019 Registration expiration dale 7/8/2014 6/30/2015 613012021 Mailing Address 7/1/2019 6/30/2021 12620 MAGNOLIA AVE RIVERSIDE 92503 CA United Stales of America Physical Address 12620 MAGNOLIA AVE PIWPSIDE 92503 CA U led States of America Email Address Trade Name/DBA KANA PIPELINE.INC. License Numberls) CSL84611.87 Legal Entity Information Corporation Numbac C1775296 federal Employment IsI.Miffcation Number: President Name: DANIEL LOCKE Vice Presidenl Name: Treasurer Name: ABIR ALAMEDDINE Secretary Name: DANIEL LOCKE CEO Name: DANIEL LOCKE Agent of Service Name: DANIEL LOCKE Agent of Service Mailing Address: 12620 MAGNOLIA AVE RIVERSIDE 92503 CA Untied Stales of America Workers Compensation Do you lease employees through No Professional Employer Organization (PEO)?: Please provide your current workers compensation insurance information below: PEO PEO PEO PEO Information Name Phone Email Insured by Carrier Policy Holder Name: KANA PIPELINE,INC. Insurance Carrier: ASTRUS INSURANCE SOLU LIONS.LLC Policy Number: 0054303189 Inception date: 7/3112018 Expiration Date: 7/3 112 019 Contractor Information Registration History Legal Entity Name Effective Dale Expiration Date HARDY g HARPER,INC. Legal Emit,Type 6/15/2018 6130/2019 Corporation Status 5/9/2.017 6/3012018 Active Registration Number 618/2016 6/3012017 1000000076 Registration of ltf edate 6/19/2015 6/30/2016 711/2020 Registration expiration date 7/2/2014 6/30/2015 613012021 Mailing Address 7/1/2019 6/30/2020 32 Panch.Circle Late Forest 92630 CA United Sates of America Physical Address 7/1/2020 6/30/2021 32 Rancho Circle Lace Fareu 92630 CA Untied Slates of nmw¢a Email Address Trade Name/DBA License Numba h) CSLB 215952 CSLS 215952 Legal Entity Information Corporation Number: C0443071 Federal Employment Idemintalion Number: President Name: Daniel T Maas Vile President Name: STEVEN M KIRSCHNER Treasurer Name: Secretary Name: KRISTEN 5 PAULIND CEO Name: DANIEL 1 MAAS Agent of Service Name: DANIEL T MAAS Agent of Service Mailing Adores¢ 32 9ancho Circle W to Forest 92630 CA Untied Stahel of Amen. Workers Compensation Do you lease employees through No Professional Employer Organization (RED)?: Please provide your current workers compensation insurance information below: RED RED RED RED lnformationName Phone Email Insured by Carrier Policy Holder Name: HARDY g HARPER,INC. Insurance Carrier: FEDERAL INSURANCE COMPANY Policy Number: 54310019 Inception date: 9/30/2019 Expiration Date: 9/30/2020 Document A31OTM - 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 of havoea's) United States Fire Insurance Company Kana Pipeline, Inc. 305 Madison Avenue This document has important 12620 Magnolia Ave. Morristown, NJ 07962 legal consequences.Consultation Riverside, CA 92503 Mailing Address for Notices with an aaorney is encouraged Same as Above with respect to its completion or OWNER: modification. (Name.legal slalus mad address) Any singular reference to City of Huntington Beach Contractor,Surety,owner or other party shall be considered 2000 Main Street plural where applicable. Huntington Beach, CA 92648 BOND AMOUNT: 10% Ten Percent of Amount Bid PROJECT: (Ymne, location or address,mad Nroject number.ijm{v) Edwards /Varsity Tract Water Main Replacement CC No. 1558 The Contractor and Surety arc bound to file O+vner 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 is provided herein.The conditions of this Bond arc such that if the Oivner accepts the bid of the Contractor w'ilhin the time specified ill t,he bid documents,or within such time period as may be agreed to by the Owner and Contractor,aid the Contractor either(I)enters inio a contract with the Owner in accordonce will] the terns of such bid,aid eives such bond or bonds as may be specified in die bidding or Contract Documents,with a surety adnlined in the jurisdiction of the Project aid otherwise acceptable to the Owner,for the faithful performance of such Contract and for the pronipt payment ot'labor and nmledal famished in the prosecution thereof:or(2)pays to the Owner the difference,not to exceed the aniount of this Bond,between the aniount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perhlrlll Ilse work covered by laid bid,then this obligation shall be null and void,otherwise to remain In lull force and elIccl.The Surely hereby waives ally notice al all agreelllClll bkao'l-en the Owner and Contractor III extend the time in which the owner may accept Ilse bid.Waiverol notil'e by Isle Surety shall out apply it,any extension CScccdillg sixty(60)days in Ilse aggregate lleyond(lie time hlr acceptance tit bids specified ill the bid documents,and Iie Owner and Contractor shall obtain the Smel\'s consent for all extension beyond sixty(60)da)'s. If this Bond is issued in connection with a subcontractor's bid to a Contractor,the term Contractor in this Bond shall be decnicd to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been lunlixbed to comply with a statutory or ulller legal requirement in lire location of the Project any provision in this Road caallictnig with lard stalulor\'or legal requirenicn1 shall he decined deleted licrelrom and provisions conllmnnlg to such statultlry or tither Iegal regUitemcal shall he deemed inco pwilled herein.When so luml5hed,the laleml Is lust this flund shall be consi❑Ied as a slalnntory bond and nal as a common law holed. Siencd and scaled this 16th day of March, 2021. Kana Pipeline, Inc. (Principal) �V (Sea0 By pits H1I L— (Title) PP-Z-54--iP4:—:: United States Fire Insurance Company (y-�kl Y�.vl J�-- �✓1Z,e Q.I (Snarl) (Seal) OPiareeq Heather Saltarelli By: j (Title)Kim Luu Attorney-in-Fact S-00541AS 8/10 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 Califomia ) County of Orange ) On MAR 16 20 before me, Reece Joel Diaz, Notary Public Date Here Insert Name and Title of the Officer personally appeared Kim Luu Names)of Signers) who proved to me on the basis of satisfactory evidence to be the person(s) whose name($) 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 Califomia that the foregoing paragraph is true and correct. WITNESS my hand and official seal. 0 >,CrJ- Camminfcn:22;:i]2 S ,.2c,1 7 Signature 4c4r n {IIr Sig t re of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: Corporate Officer — Title(s): Corporate Officer — Title(s): Partner — Limited General Partner — Limited General Individual x Attorney in Fact Individual Attorney in Fact Trustee Guardian or Conservator Trustee Guardian or Conservator Other: Other: Signer Is Representing: Signer Is Representing: ©2014 National Notary Association • www.NationaiNotary.org • 1.800-US NOTARY(1-800-876-6627) Item #5907 POWER OF ATTORNEY UNITED STATES TIRE INSURANCE COMPANY PRINCIPAL OFFICE-MORRISFON'N,NEW JERSEI' S7921416121 RNOw'ALL AIEN BY THESE PRESENTS:That United States Fire Insurance Company,a corporation duly organized and existing under the laws of the slate of Delaware,has made,constituted and appointed,and does hereby make,constitute and appoint: Rhonda C.Abel,Jeri Apodaca,Aim Lau,Michael D. Parf:ino,Rochelle Rhea ll, Henrher Solrnrell4 James A.Schaller,,Norm Coise,Reece Joel Dian,Leigh C %fenanough each, its true and lawful Attomey(s)-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 ofsurety 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:Soren Million,Fire Hundred Thousand Dollars(S7,500.000). This Power ofAttomey limits the act of those named therein to the bonds and undertakings specifically named therein,and they have no amhoray to bind United States Fire Insurance Company except in the manner and to the extent therein stated. This Power of Attorney revokes all previous Posers of Attorney issued on behalf of the Attorneys-In-Fact named above and expires on January 31,2022. 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, one Assistant Vice President,the Seerctarv,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 torn,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 maybe 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\PI'I:SESS"'HEREOF,United Stales Fire Insurance Company has caused these presents to be signed and attested by its appropriate officer and its corporate seal hereunto affixed this jjp°day of August 2019. UNITED S'I'A I'ES FIRE INSURANCE COMPANY GO Amhoriv R. Slimowicz]'resident State of Pennsylvania } County of Philadelphia l On this 22aa day of August 2019.before me.a Notary public of the State of Pennsylvania,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. Common,,eodlh of l'ennolvania—Notan'Seal J0.1911i.�4.. Tamura Watkins,Nolan Public Philadelphia County Tamara Watkins (Notary Public) My commission expires August 22,2023 Commission number 1348843 1,the undersigned officer of United States 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 in force and effect and has not been revoked. IN WITNESS NCIIEREOF. I have hereunto set my hand and affixed the corporate seal of United States Fire Insurance Company on the day of 20 UNITED STATES FIRE INSURANCE COMPANY MAR 16 2021 AI Wright,Senior Vice President CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California'/J l County of On '3 .36� before me, _M/RWYG� Date Here Insert Name and Title of the ffice/rr personally appeared � -� p - h f,W.", Nome(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/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 persons) acted, executed the instrument. I certify under PENALTY OF PERJURY under the a MAYRA DIANA ACEVES laws of the State of California that the foregoing Notary Public-California Riverside Counry E paragraph is true and correct. Commission 9 2334940 My Comm.Expires Oct 6, 20j WITNESS my hand and official seal. Signature Place Notary Seal and/or Stamp Above S ature 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: 97� a,_1 Ps/ Document Date:__4&fl.fZ/ 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: ©2019 National Notary Association low KANA PIPELINE, INC. 12620 MAGNOLIA AVENUE �° ° (;rl7in — RIVERSIDE, CA 92503 TEL# (714) 986-1400 Ll "SEALED BID" � s for EDWARDSNARSITY TRACT WATER MAIN REPLACEMENT in the CITY OF HUNTINGTON BEACH - DO NOT OEPN WITH REGULAR MAIL DELIVER TO THE OFFICE OF THECITY CLERK, 2000 MAIN STREET, SECOND FLOOR BID DATE: TUESDAY, MARCH 30, 2021 UNTIL 10:00 A.M. " I i ' City of Huntington Beach ' 2000 Main Street ♦ Huntington Beach, CA 92648 �714) 536-5227 ♦ �N1rlv.huntingtonbeachca.gov ` - Office of the City Clerk F \ Rohin Estanislau, City Clerk May 26, 2021 T.E. Roberts, Inc. 306 W. Katella Ave., Unit B Orange, CA 92867 RE: EdwardsNarsity Tract Water Main Replacement — CC No. 1558 Enclosed please find your original bid bond for CC No. 1558 Sincerely, Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan • Waitakere, New Zealand City of Huntington Beach Public Works Department 2000 Main Street Tel (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For EDWARDS — VARSITY TRACT WATER MAIN REPLACEMENT CC 1558 March 25, 2021 Notice to All Bidders: Please note the following clarifications to the Project Plans. Specifications, and Special Provisions There will be no adjustment to the listed bid date of 10:00 AM, March 30' . 2021 1) Sheets C-01 through C-10 have been modified, Construction Note 8 has been changed. a ORIGINAL. INSTALL NEW 1" PLASTIC COATED SOFT COPPER TYPE K SERVICE AND CONNECT TO EXISTING '/." METER PER CITY STD PLAN 601. b REVISED INSTALL NEW 1" PLASTIC COATED SOFT COPPER TYPE K SERVICE AND '/." METER PER CITY STD PLAN 601. 2) Bid Schedule Sheet C-2.1. Bid Item 9, has been changed. a. ORIGINAL. Fumish and install new 1-inch plastic coated copper water service and meter box, and connect to existing '/.-inch water meter. b. REVISED Fumish and install new 1-inch plastic coated copper water service, '%"or I"water meter, and meter box. 3) Bid Schedule Sheet C-2.3, Bid Item 30, has been deleted 4) Specification Sheet E-27 and E-28. Bid Item Description 7-6.30 Temporary Water Services has been deleted i This its tortacknowledge receipt and review of Addendum umber Ore,dabd mt 5,2021. Company Name By T I MO�4 kulaeA5 Marrh H 71D2- Dab 1 of 1 of Addendum No. 1 SECTION C PROJECT BID SCHEDULE—REVISED PER ADDENDUM Ml EDWARDS1 VARSITY TRACT WATER MAIN REPLACEMENT PROJECT,CC ISM BID ITEMS Item No. Deseriptloa Qmmft Usk Ulllt Cop Total Cod (Exteadoo) I Mobilura0on and setup 1 LS $ S 2 Demobilization and cleanup 1 LS $ S 3 Furnish traffic control in accordance with City of Huntington Beach mquvements, complete and in place,including preparation, design,and submission of site specific Traffic Control plans. 1 LS S S Conduct preconstruction survey of existing homes and street as required by the Contract Documents,including preparation and submission of all required reports,videos and photographs complete I LS S S S Fumiah and install 6-inch diameter DR-14 PVC AWWA C900 pipeline,including and not limited to trenching,backf ll,potholing, shoring,pipe supports and fittings 2,250 LF S S 6 Furnish and insull 8-inch diameter DR-14 PVC AWWA C900 pipchnc,including and not limited to trenching,backfill,potholing. shoring,pipe supports and fittings 930 LF S $ 7 Furnish and install 12-inch diameter DR.14 PVC AWWA C900 pipeline.including and not limited to trenching,backfill,potholing, shoring,pipe supports and fittings 20 LF $ $ S Furnish and install 6-inch diameter Steel CMLC pipeline.Class 150,fully welded all joints,including and not limited to trenching, backfill,potholing,shoring,pipe supports and limns 20 LF S S 9 Fumish and install new 1-inch plastic coated copper Water service,Y:'or V water meter, and meter box. 90 EA $ S 10 Construct 6-inch resilient wedge gate valve 10 EA S S 11 Construct 8-mch resilient wedge gate valve 5 EA S S C41 SECTION C PROJECT BID SCHEDULE-REVISED PER ADDENDUM MI EDWARD&VARSITY TRACT WATER MAIN REPLACEMENT PROJECT,CC I558 Item No. Dewdpdm Quwtlly Ush Ue t Cat Teal Cat (Exlensim) 12 Construct 12-mch resilient wedge gate vahe 4 EA S $ 13 Remove and salvage existing fire hydrant including removing bury valve and appurtcnanc s; 6 EA S $ 14 Construct 6-inch fire hydrant assembly,pipe, valve box assembly,concrete pad,complete and in place per City Sid Plan 607 6 EA S $ iS Construct 4-inch blow-off assembly,pipe. valve box assembly,complete and in place Per City Sid Plan 608 ♦ EA S $ 16 Construct 2-inch air and vacuum release valve assembly,2-inch plastic coated copper pipe,complete and in place per City Sid Plan 611 3 EA S S 17 Connect to existing water mains with Transition Couplings per details on Dwg C-14, 1 LS $ $ I0 Snap cut,remove,handle and legally dispose of existing interfering Asbestos Cement(AC) pipe and up,slurry fill,and abandon existing non-interfering AC pipe in place. I LS S S If Remodel existing sewer house connection laterals conflicting with proposed waterline 10 EA S S 20 Chlorination and testing of all new water mains and appuricnarrces,cnd caps. temporary blown fs,appurtenances and treatment and disposal of test water per regulations I LS S S 21 Construct aggregate base(6-thick minimum) to repair mainline and service trenches per Repavcmeni Schedule on Dwg G-03, including removal and disposal of existing aggregate base 100 CY $ S 22 Construct asphalt concrete base paving(6" thick minimum)to repair mainline and service trenches per Repavettent Schedule on 200 TON S S C-23 SECTION C PROJECT BID SCHEDULE-REVISED PER ADDENDUM MI EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT PROJECT,CC 1558 Item No. Description Qaaat@y Uaft Unit Con Total Cost mAtemim) Dwg G-03,including saw cutting,removal and disposal of existing paving 23 Install I 'V'(0.12')Type III C3-PG64-10- RAP Asphalt Concrete Overlay 1450 TON S S Z♦ Cold mill full width of asphalt section at 1 %i' depth 150.000 SFr $ $ 25 Install geosymbetic paving fabric with tack cost per specifications 150.000 SFT S S 24 Adjust City Sewer and Strum Drain Manhole to grade 20 FA S S 27 Replace and adjust Water Valve Box and Cover to grade 32 FA S S 28 Remove and reconstruct curb and gutter per City Sid Plan 202 on Balmoral Dnvc,Dwgs C-02 and C-03.Grade to be determined by Engircer in field. 200 LF S S 29 Inuall geotextile fabnc around sand bedding envelope for Edaarda/Varsity Traci streets r Trcnch Iterea and Dewatenn Norc I 3.200 LF S S M NOT USED—DELETED PER ADDENDUMI $ S 31 Construct tempo nary fire hydrant Istesel per Detail 9 on Dwg C-I S I LS S S 32 Remove and mplacc miscellaneous concrete flatwork including cross gutter,curb,gutter and sidewalk. 200 SF $ f 33 Survey Monument Preservation 15 EA S S 34 Replace Striping 1 LS f S SUB-TOTAL BID AMOUNT IN WORDS: Note: Refer to Section 9. Measure and Payment for description of each Item on Bid Schedule. (.23 SECTION C PROPOSAL for the construction of EDWARDS/ VARSITY TRACT WATER MAIN REPLACEMENT in BALMORAL DRIVE; SCOTIA CIRCLE; CALEDONIA CIRCLE; SKYE LANE; BRAMAR DRIVE; HIGHLAND LANE; ORKNEY CIRCLE; VARSITY DRIVE AND EDWARDS STREET CC No. 1558 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 120 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 far 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. e D /7,f,65r//3 Accompanying this proposal of bid, find Bidders Bond in the amount of which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Dare Received Bidder' re C-2 SECTION C PROJECT BID SCHEDULE-REVISED PER ADDENDUM#1 EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT PROJECT,CC 1558 BID ITEMS Item No. Description Quantity Unit Unit Cost Total Cost (Extension) 1 Mobilization and setup I LS $ $ 1 { ,0 u 2 Demobilization and cleanup I LS $a97L 4o $LZUk, � 3 Furnish traffic control in accordance with City of Huntington Beach requirements, complete and in place, including preparation, design,and submission of site specific Traffic Control plans. 1 LS $ 1 /.LV 4 Conduct preconstruction survey of existing homes and street as required by the Contract Documents, including preparation and submission of all required reports, videos and photographs complete 1 LS $k j60,00 $ 0 5 Furnish and install 6-inch diameter DR-14 PVC AWWA C900 pipeline, including and not limited to trenching,backfill,potholing, shoring,pipe supports and fittings 2,250 LF $ 0 06 $ 6 Furnish and install 8-inch diameter DR-14 PVC AWWA C900 pipeline, including and not limited to trenching,backfill, potholing, shoring,pipe supports and fittings 930 LF $ I a •DO $ d 7 Furnish and install 12-inch diameter DR-14 PVC AWWA C900 pipeline, including and not limited to trenching,backfill, potholing, shoring,pipe supports and fittings 20 LF $iftan $ALM 00 8 Furnish and install 6-inch diameter Steel CML/C pipeline,Class 150, fully welded all joints, including and not limited to trenching, backfill,potholing,shoring,pipe supports and fittin s 20 LF $77 .00 $a 9' 0. 0a 9 Furnish and install new 1-inch plastic coated copper water service, ''%"or 1"water meter, and meter box. 90 EA s-0.00 $ 10 Construct 6-inch resilient wedge gate valve 10 EA S147 Od $ •OD 1 I Construct 8-inch resilient wedge gate valve 5 EA $Z, -64 $ ffl.UO C-2.1 SECTION C PROJECT BID SCHEDULE— REVISED PER ADDENDUM #1 EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT PROJECT,CC 1558 Item No. Description Quantity Unit Unit Cost Total Cost (Extension) 12 Construct 12-inch resilient wedge gate valve 4 EA $ &t� $1-64 5 Ge' 13 Remove and salvage existing fire hydrant including removing bury valve and appurtenances 6 EA $y(2ZA $ 3Z •D 1 14 Construct 6-inch fire hydrant assembly,pipe, valve box assembly,concrete pad,complete and in place per City Std Plan 607 6 EA $4 9 ,Ob $ 77,5 .0� 15 Construct 4-inch blow-off assembly,pipe, valve box assembly,complete and in place per City Std Plan 608 4 EA S-2 16 Construct 2-inch air and vacuum release valve assembly, 2-inch plastic coated copper pipe,complete and in place per City Std Plan 611 3 EA $/ 90 $ 9y .Q0 17 Connect to existing water mains with Transition Couplings per details on Dwg C-14. I LS SM420 $ AW4-2.�O 18 Snap cut,remove,handle and legally dispose of existing interfering Asbestos Cement (AC) pipe and cap,slurry fill,and abandon existing non-interfering AC pipe in place. I LS $n.&3 K,u $ y9 z y,[� 19 Remodel existing sewer house connection �'+ laterals conflicting with proposed waterline 10 EA S3jN.04 $33,B�O1 20 Chlorination and testing of all new water mains and appurtenances,end caps, temporary blowoffs,appurtenances and treatment and disposal of test water per regulations I LS S� ZQO $ �lyz.00 21 Construct aggregate base(6'thick minimum) to repair mainline and service trenches per Repavement Schedule on Dwg G-03, including removal and disposal of existing aggregate base 100 CY $921 ba $ 22 Construct asphalt concrete base paving(6 thick minimum)to repair mainline and service trenches per Repavement Schedule on 200 TON $ 00 $ C-2.2 SECTION C PROJECT BID SCHEDULE— REVISED PER ADDENDUM#1 EDWARDS/ VARSITY TRACT WATER MAIN REPLACEMENT PROJECT,CC 1558 Item No. Description Quantity Unit Unit Coat Total Cost (Extension) Dwg G-03, including saw cutting,removal and disposal of existing paving 23 Install I ''A"(0.IT)Type III C3-PG-64-10- RAP Asphalt Concrete Overlay 1450 TON $ 00 o 24 Cold mill full width of asphalt section at 1 'b" depth 150,000 SIFT $ b•SB $ rf��E 25 Install geosynthetic paving fabric with tack coat per specifications I50,000 SFT $&,Is S ji: .fG 26 Adjust City Sewer and Storm Drain Manhole to grade 20 EA $ 0 S 27 Replace and adjust Water Valve Box and Cover to grade 32 EA $I NZ.UO $yj381 28 Remove and reconstruct curb and gutter per City Std Plan 202 on Balmoral Drive,Dwgs C-02 and C-03.Grade to be determined by Engineer in field. 200 LF $A db $SLX0•00 29 Install geotextile fabric around sand bedding envelope for Edwards/ Varsity Tract streets Trench R /rand Dewaterin Note I 3200 LF S -00 S 0 •[0 301 NOT USED- DELETED PER ADDENDUM 1 $ $ 31 Construct temporary fire hydrant lateral per p Detail 9 on Dwg C-15 1 LS S Z/O $ 32 Remove and replace miscellaneous concrete ilatwork including cross gutter,curb,gutter r� t and sidewalk. 200 SF $ 7 -AD $ /�.[aA a 33 Survey Monument Preservation 15 EA $ �V6 S 1AZ0.00 34 Replace Striping 1 LS S dd $ S!133-do SUB-TOTAL BID AMOUNT IN WORDS: 0/)/' �, umki•idid yal (_Sh( nr.s��.y11�>�hu���fir�r�� Note Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. C-2.3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or S10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class D/R P W C Dollar %of Item(s) Subcontractor License Registration N Anwunt Contract d Number f VO.&X 2229 6�73 � /GYJGba/its &5$,p'! 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 pequry under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on So-Zt , atOrAnIC Dare tity Stare Timothy Roberts being first duly sworn, deposes and says that he or she is Pre:si ent of T.E. KobcrtS, 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. T. r Robots Inc Name of Bidder C Signature of Bidder `"'10't`Y KO �cbw. KAtellaAvenye, Unit 5. Orangt,CA 12al Address of Bidder C-3 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 EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT, CC NO. 1558, (Ixwexit)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 g, 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. T. E . RD bats, I nc. C for By n AV*j K*M3 ['resident Title Date: 3-3 0-2-1 C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162,the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal. State or local government project because of a violation of law or a safety regulation? O Yes 10 No If the answer is yes, explain the circumstances in the space provided. NIA 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. Tie . Roberts, Inc, Co ntractor By Ttmcthy Fe4ns president Title Date: a7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: T E . Roberts. Ino- Bidder Name 3c6 W. Katelfa Avenue, Unit B Business Address Grange CA 123b7 City, State Zip ('114 ) 60-00.72 tmbcrtz tcmban.com Telephone Number Email Address Ioo30o3 - A e-cneral c- i State Contractor's License No. and Clas se-4-cmbGr 21 . IC1`lo Original Date Issued GGMbcr 3t , 2622 Expiration Date scut The work site was inspected by YUP M;4V of our office on KarcA 2.0� , 201_ The following are persons, firms, and corporations having a principal interest in this proposal: T. C. Roberts, I nc. Tmothy Rober is F�esi dent K1nibertec, KC)berts Treasurer Jusilrl Roberts SecretarU 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. T. be,( is I nc. Co p'anyj(7 1� L Signature of Bidder Tko�Lj Roberts Printed or Ty d Signature G8 NOTARY CERTIFICATE Subscribed and sworn to before me this 2.day of &WN 202.L . 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 U--661 A. ) County of OfaW ) On March 2-% ZQZ t before me, _pmrptx y��AW P'AM' f I� Ib1i Month, Day, and Year Insert Name and Title of Notary �r�1 personally appeared 1 imAk}tvl�r o)2f6+S Naomi e(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. 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. . . -A klxnu In•,y,�.,cwn ca. ..w.nose, M,Cc+ry Eqe,N 15.]Ol1 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 potable water pipelines within the public right of way, working within major arterials and streets and in close proximity to other underground utilities, and in areas containing high ground water. 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. Ctiy Ie pua Feach I06 Uvf(, Cutter Dnr2, Newport- bWc;h,CA 0I26bo Name and Address of Public Agency Name and Telephone No. of Project Manager: AIFPcd GXtaaQn l q9. 64 4.33I ti 2-, 22-2, 5cc WC \NaWIIr)C 5/214/2c1 c1 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3 tao' 11, WG, loo' 8' PVC, 85U V PVc,and 3o µ' PVC watcrltnc and 0.PPUYtenanceS with AC"(1+CrIni and Yesn)Yatton 2. C±j of Rtvarfdc 3'19p Univcrst Avenue. {dycrst'dc ,CA Name and Address of Public Agency Name and Telephone No. of Project Manager: KotW Craw{brd 1151-826. 543-1 215ciq bZO•- Die R4fIVIe -7/IL+ /2o2.0 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2,53c IVU?IP Lnd 2,510' S' DIP pttxltric and ORpWt-enanceS _wiTh yestpration 3. C±1 of P=Kclm 2do S. hrlAhet m Blvd. , Awhetrvm . CA 92-905 Name and Address of Public Agency Name and Telephone No. of Project Manager: Stey,11 f N o61e. -114 165. 4541 I 11915, 160." C"LIC and DIP t7taehne 6/k04019 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2,°l16' tT-lb cMl_/C and 3,c3pd 12°- IV hIP �ieCltnc and Cquttcr,ances wtTh YCst-Oration 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. I• _�U54;n ,t�f�s Name of proposed Project Manager Telephone No. of proposed Project Manager: M-559- Z2-i 1 fi t �II�STfG 1�l2r�r tw � 2t9�1.L?2w -8U-VFVCtlT7r-le' I -i9-LD Project Name& Contract Amount Type of Work Date Completed 7Lxw14671htifCS bNk.n nxBywrl�Sl�(n49SL0.1'fl81�4lPICNarif� 12.-i-2o Project Name& Contract Amount Type of Work Date Completed 011v! Ilk E=Jgk u�, b 1,122 01) SO- LSfO`-le W.Le•rnf+tn , a-(S-2,Z Project Name & Contract Amount Type of Work Date Completed 2. Dcve K1P i o Name of proposed Superintendent -1 ff Telephone No. of proposed Superintendent: 1 4- 0 j —124p) VVIAsC 2/5830 1�a11na 1 slard Wa}er kbin .k1�271,30o T Wakr!w n ReAacaME 5-ZA-19 Project Name & Contract Amount Type of Work Date Completed CVA kar-,fkdwaiH &WgnP 261,375' IrAkL,3so-u" I'YC 5-27-1) Project al e& Contract Amount Type of Work Date Completed phcse Z 157o 141 56d,uou.eu �IE2Y..�5\�yd�t�IfAlEt'�{tiAt�/r191(1L00'-12"PYC�50'-lo'�VG,ZLt1f•P''PYC360'•L°p1C �-Ix-IB Project Name & Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854(citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July I through June 30 state fiscal year) with the California Department of Industrial Relations(DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/Public Works/SB854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (944) 522-6734 httpsJ/efiling.dir.ca.gov/P W CR/ActionServiet?action=di splayP W CRegistmtionForm 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." 1 furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. T.�. Fcberts, lnC for \ 1 By Trnorny ►errs troberts& tMbats -CDYn Email President Title Date: 3-3 o -z 1 PWC Registration #: I0000002gO__ C-12 2JI012021 httpsJlcedir.secure.force.mmlConlmctorSearch/PrintRegDetails Contractor Information Registration History Legal Entity Name Effective Date Expiration Date T.E.ROBERTS,INC. Legal Entity Type 6114/2018 6/30/2019 Corporation Status 515/2017 6130/2018 Active Registration Number 5/16/2016 6130/2017 10DOD00280 Registration effective date 6/24/2015 6/30/2016 7/1/2019 Registration expiration data 7/912014 6/30/2015 6/30/2022 Mailing Address 711/2019 6/3012022 306 WEST KATELLA AVENUE.UNIT B ORANGE 92867 CA United Sta... Physical Address 306 W.KATELIA AVENUE.UNIT B ORANGE 92867 CA United States... Email Address Trade Name/DBA T.E.ROBERTS,INC. License Numbed,) CSLB.603008 Legal Entity Information Corporation Number: 2148722 Federal Employment Identification Number: President Name: TIMOTHY ROBERTS Vice President Name: NICHOLAS ROBERTS Treasurer Name: KIMBERLEE ROBERTS Secretary Name: IUSTIN ROBERTS CEO Name: Agent of Service Name: TIMOTHY ROBERTS Agent of Service Mailing Address: 106 W.KATELLA AVENUE.UNIT B ORANGE 92867 CA United States of America Workers Compensation Do you lease employees through No Professional Employer Organization(PEO)?: Please provide your current workers compensation insurance information below: PEO PEO PEO PEO Information Name Phone Email Insured by Carrier Policy Holder Name:T.E.ROBERTS,INC.Insurance Carrier:Old Republic General Insurance CorpPalicy Number: A1CW139718001nception date:8/31/2018Expiration Date:8131/2019 https://cadicse,cure force,wm/ContractorSearch/PrintRegDetails t/t C-13 i .. BID BOND TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA f Hartford, Connecticut 06183 I Bond No. 10-3, Premium Nil KNOW ALL MEN BY THESE PRESENTS, Thatwe, T. E. Roberts, Inc . as Principal, hereinafter called the Principal, and TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, of Hartford. Connecticut a corporation duty organized under the laws of the State of Connecticut, as Surety, hereinafter called the Surety, are held and firmly bound unto I City of Huntington Beach 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 Edwards/Varsity Tract Water Main Replacement Project No. : CC - 1558 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, otherwise to remain in full force and effect. Signed and sealed this 26th day of March 2021 . T.E. 2oberts, Inc. (Witness) \ (Principal)(Seal) rlrnCthy Robeets-- (rule) TRAVELERS CASUA AND SURETY COMPANY OF AMERICA (Wnrwss) B Char L. Flake (Attorney n-Fact) Printed in cooperation with the American Institute of Architects (AIA) by Travelers Casualty and Surety Company of America. The language in this document conforms exactly to the language used in AIA Document A310, February 1970 edition. S-1369-G(07-97) CALIFORNIA 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 nor the truthfulness.accuracy,or validity of that document. State of California ) I County of n-C ) On �tnt t�rl ��_+zOLI before me, — I!..,r nun rem-and;,:Ie pl;ne cl.'.;e'I personally appeared �ar&,/ )- � t I I who proved to me on the basis of satisfactory evidence to be the persons) whose names) 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 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ANDIZEAVALDEKNA Ngary Putli-CAebma WITNESS my hand d,offici seal. a •L^Z. m y,nciiiinly ! commwm r rmsaar My Comm.E.dm N 15.a@t Signature (Seal) Optional Information All rough u,e I:Lol mr.;lon In;hi<Section is not recur:ed by la•-q it could prevent fraudulent,emoval and ci;tat Fmer.I cl ehis ecknotvleco_went to a undulhowlSo documen:and mac prove useful;o persons Tel/ino pn:h2 attached cccumem. Description of Attached Document The preceding Certificate of Acknowledgment is attached to a document Nle;hod of Signer Identification - tit led/for the purpose of P'o:ed m me or.the bash U saGsfzc ec•y evidence -- - - N-0-dial even;Is delailed n"Clary rnun,al on: Containing pages, and dated Pager Eno,9 The signer(s)capacity or authority is/are as: m ':conlaLl. 1,10 oduai(s) Othe: —I Ano:ney-mFactCoipo-a;e Officer(s) _ _ — a;dr:wnalilyne:::, -� S.yn..•rbr Thun+corv.asl !� Gua:dianr'Conservalor r. Penner Llrnlled/General I... 1eew 01hei, representing: .—V1 V.nG;1nGr 1nI p,rnt,4�—,r...;i-�,.✓.I , p tcprnCn:;IWI:V :(rwr.L']:er, r�_p.el:CG ee...Or..e. l<)Oir't2e! MI FnI'•r•Nr^.er:ry r.e ...un... 10V .ale[mt.0 :1 uuq.a 11 is]r:ntlerm. 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 3/26/2021 before me, Erin Sherwood Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Charles L. Flake Names)of igner(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the em person(s), or the entity upon behalf of which the person(s) ERIN SHERWOOD t acted, executed the instrument. COMM. :2292388NOTARYPUSLIC-CALIFO.nN1A� I certify under PENALTY OF PERJURY under the laws of ORANGE COUNTY the State of California that the foregoing paragraph is true MYCOMM.EXPIRES JULY06,2023 and correct. Witness my hand and official seal Signature Sherwood OPTIONAL Place Notary Seal Above Sig ,.a c(Notary PUG efWic Erin 1�0 OPTIONAL Though the information below is not required by law it may Prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Tille(s): ❑ Corporate Officer —Ttle(s): ❑ Partner ❑Limited ❑General ❑ Partner ❑Limited❑General ❑ Attorney in Fact ® ❑ Attorney in Fact M. ❑ Trustee • ❑ Trustee • ❑ Guardian or Conservator top of thumb here ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: Travelers Casualty and Surety Company of America �$. Travelers Casualty and Surety Company TRAVELERS J St. Paul Fire and Marine Insurance Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America,Travelers Casually and Surety Company,and St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the "Companies"),and that the Companies do hereby make,constitute and appoint CHARLES L FLAKE of Anahelm , California . their true and lawful Attorney-in-Fact to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF,the Companies have caused this instrument to be signed,and their corporate seals to be hereto affixed,this 3rd day of February, 2017. o'/N Y9`'•r� � yfat l` k, coiu. State of Connecticut �--'% By City of Hartford ss. Robert L.Raney, Sehlor Vice President On this the 3rd day of February,2017.before me personally appeared Robert L.Raney,who acknowledged himself to be the Senior Vice President of Travelers Casualty and Surety Company of America,Travelers Casualty and Surety Company,and St.Paul Fire and Marine Insurance Company, and that he,as such,being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. In Witness Whereof,I hereunto set my hand and official seal. p 7A My Commission expires the 30th day of June, 2021 � ♦ syL%0 F• Mane C.Tetreault,Notary Public This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casualty and Surety Company of America,Travelers Casually and Surety Company, and St.Paul Fire and Marine Insurance Company,which resolutions are now in full force and effect,reading as follows: RESOLVED, that the Chairman,the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Abomeys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her,and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary;and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance,or conditional undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or(b) duly executed (under seal,if required)by one or more Attomeys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority;and it is FURTHER RESOLVED,that the signature of each of the following officers:President,any Executive Vice President,any Senior Vice President,any Vice President,any Assistant Vice President,any Secretary,any Assistant Secretary,and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid arid binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company,and St.Paul Fire and Marine Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which remains in full force and effect. Dated this 20th day of March 2021 3 �. � con. — t Kevin E.Hughes,Assistant Secretary To verify the authenticity of this Power ofAltomey,p/ease callus at 1-800-421-3880. Please refer to the above-named Attorney-in-Fad and the details of the bond to which the power is 3ttacbed. 306W.X.Iela Ave. Roberts unit nCoavoAN Orange.nenobmco rn .i C.(t03[o8 D121 WOOD 0280 gym. City Clerk Huntington Beach City Hall 2000 Main Street Huntington Beach, CA 92648 ED WARDS/VARSITY TRACT WATER MAIN REPLACEMENT CC No.1558 Bids 3.30-2110:00am City of Huntington Beach - 2000 Main Street ♦ Huntington Beach, CA 92648 _ (714) 536-5227 ♦ w-NNiv.huntingtonbeachca.gov Office of the City Clerk / Robin Estanislau, City Clerk May 26, 2021 Tryco General Engineering P.O. 391 Rimforest, CA 92378 RE: EdwardsNarsity Tract Water Main Replacement — CC No. 1558 Enclosed please find your original bid bond for CC No. 1558 Sincerely, e .� ' '&�dnzdj� Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand City of Huntington Beach Public Works Department 2000 Main Street Tel (714) 536-5431 Fax (714) 374-1573 ADDENDUM NUMBER ONE For EDWARDS —VARSITY TRACT WATER MAIN REPLACEMENT CC 1558 March 25, 2021 Notice to All Bidders: Please note the following clarifications to the Project Plans, Specifications, and Special Provisions There will be no adjustment to the listed bid date of 10 00 AM March 30". 2021 1) Sheets C-01 through C-10 have been modified, Construction Note 8 has been changed a ORIGINAL INSTALL NEW 1' PLASTIC COATED SOFT COPPER TYPE K SERVICE AND CONNECT TO EXISTING'/." METER PER CITY STD PLAN 601 b REVISED INSTALL NEW 1" PLASTIC COATED SOFT COPPER TYPE K SERVICE AND '/.' METER PER CITY STD PLAN 601 2) Bid Schedule Sheet C-2.1, Bid Item 9, has been changed a ORIGINAL Furnish and install new 1-inch plastic coated copper water service and meter box, and conned to existing'/.-inch water meter b REVISED Furnish and install new 1-inch plastic coated copper water service, '/."or 1" water meter and meter box 3) Bid Schedule Sheet C-2 3, Bid Item 30, has been deleted 4) Specification Sheet E-27 and E-28, Bid Item Description 7-6 30 Temporary Water Services has been deleted This is to acknowledge receipt and review of Addendum Number One, dated March 25, 2021. h(vlw l)�'nooAzlj, g4�'-)"% 2"'r _H i41 UG�I C rKpq Name J By &l Fate �7 1 of 1 of Addendum No. 1 SECTION C PROPOSAL for the construction of EDWARDS / VARSITY TRACT WATER MAIN REPLACEMENT in BALMOR.AL DRIVE; SCOTIA CIRCLE; CALEDONIA CIRCLE; SKYE LANE; 13RAMAR DRIVE; HIGHLAND LANE; ORKNEV CIRCLE; VARSITY DRIVE AND EDWARDS STREET CC No. 1558 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 ol'the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 120 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 AGL'-NCY 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. BIDDF..R 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 smn prices bid include all appurtenant expenses, taxes. royalties. fees. etc.. and will be guaranteed for a period of sixty days ftom the bid opening date I fat 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 ��v�c�P,vf Ba nd ' in the amount of lu •/ 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 S nature � o2S � C-2 SECTION C PROJECT BID SCHEDULE — REVISED PER ADDENDUM N1 EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT PROJECT,CC 1558 BID ITEMS Item No. Description Quantity Unit Unit Cost Total Cost (Extension) Mobilization and setup 1 LS $5 rSaD $ 2 lo.-mobilization and cleanup I LS $ 3 Furnish traffic control in accordance with City of Huntington Beach requirement%, complete and in place, including preparation, design,and submission of site specific Traffic �(� Control plans. 1 Is $ZW $ 3 010 4 Conduct preconstruction survey of existing homes and street as required by the Contract Documents, including preparation and submission of all required reports, videos and O photographs complete I LS $ 6rQO0 $ 151900 5 Furnish and install 6-inch diameter DR-14 PVC AWWA C9(M pipeline, including and not limited to trenching,backfill, potholing. G shoring, pipe supports and fittings 2,250 LF $ 1 $ a 6 Furnish and install 8-inch diameter DR-14 PVC AWWA C9(N) pipeline, including and not limited to trenching,backfill, potholing, shoring,pipe supports and fittings 930 LF $lL� Q $ 13�i°20� 7 Furnish and install 12-inch diameter DR-14 PVC AWWA C900 pipeline, including and not limited to trenching, backfill, potholing. shoring,pipe supports and fittings 20 LF $ $ S/fl0A 8 Furnish and install 6-inch diameter Stccl CMI/C pipeline,Class 150, full} %%sided all joints, including and not limited to trenching, backfill, potholing, shoring, pipe supports and fittings 20 LF $ $?t SaO 9 Furnish and install new 1-inch plastic coated copper water service, %"or I"water meter, and meter box. 90 EA $ $ DD 10 Construct 6-inch resilient wedge gate valve 10 EA $ 9600 $ Do0 11 Construct 8-inch resilient wedge gate valve 5 EA $ 'S $ v0 C-2.1 SECTION C PROJECT BID SCHEDULE — REVISED PER ADDENDUM 41 EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT PROJECT, CC 15-M Uem No. Description Quantity Unit Unit Cost Total Cost (Extension) 12 Construct I'-inch resilient Acdgc gale valvc 4 EA $ $ u Cn 13 Remove and salvage existing fire hydrant including removing bury valve and (' appurtenances 6 EA $ 7_J� $ 14 Construct 6-inch fire hydrant assembly, pipe, valve box assembly,concrete pad, complete and in place per City Std Plan 607 6 EA S?3pa S 19" 15 Construct 4-inch blow-off assembly, pipe, valve box assembly,complete and in place per City Std Plan 608 4 FA $ $ O o 16 Construct 2-inch air and vacuum release valve assembly, 2-inch plastic coated copper pipe, complete and in place per City Std Plan 611 3 EA S oo $ o� 17 Connect to existing water mains with Transition Couplings per details on Ehvg C-14. I LS S �1 ?moo S y8�3°O 18 Snap cut, remove,handle and legally dispose of existing interfering Asbestos Cement(AC) pipe and cap,slurry fill,and abandon existing non-interfering AC pipe in place. 1 LS $ PL OM $ 4 0 OD 19 Remodel existing sewer house connection laterals conflicting with proposed waterline 10 EA $ S� $ 20 Chlorination and testing of all new water mains and appurtenances,end caps, temporary blowofts,appurtenances and treatment and disposal of test water per regulations I LS $ ( Afl $ ( SID 21 Construct aggregate base(6"thick minimum) to repair mainline and service trenches per Repavemcnt Schedule on Dwg 6-03, including removal and disposal of existing aggregate base 100 Cy $ $ a0 22 Construct asphalt concrete base paving(6' thick minimum)to repair mainline and service trenches per Rcpavement Schedule on 200 TON S S 34(C*J C-2.2 I SECTION C PROJECT BID SCHEDULE— REVISED PER ADDENDUM H1 EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT PROJECT, CC 1558 Item No. Description Quantity Unit Unit Cost Total Cost (Extension) Dwg G-03, including ,a%% cutting. removal and disposal of existing paving 23 Install I %¢"(0.12')Type III C3-PG-64-10- RAP Asphalt Concrete Overlay 1450 TON $ 1 l $ 9' rP2 24 Cold mill full width of asphalt section at 1 %z" depth 150,000 SET $ $AS OOV 25 Install gcosynthetic paving fabric with tack coat per specifications 150,000 SFT $ 0 at- $ , Sod 26 Adjust City Sewer and Storm Drain Manhole to grade 20 EA $ If too $ 00 27 Replace and adjust Water Valve Box and Cover to grade 32 EA $J__1�0 $ Q (.00 28 Remove and reconstruct curb and gutter per City Std Plan 202 on Balmoral [hive, Dwgs C-02 and C-03.Grade to be determined by Engineer in field. 200 LF $_0 $ 29 Install geotextile fabric around sand bedding envelope for Edwards/Varsity Tract streets r Trench Re it and Ih waterin Note I 3,200 L F $ c)- $ O A 30 NOT USED— DELETED PER ADDENDUM 1 $ $ 31 Construct temporary fire hydrant lateral per Detail 9 an Dwg C-15 1 LS $ s $ 32 Remove and replace miscellaneous concrete flatwork including cross gutter,curb,gutter 2 and sidewalk. 200 SF $ $ -0O 33 Survey Monument Preservation 15 EA $ &DO $ U90 3a Replace Striping 1 LS S $_ `Oo SUB-TOTAL BID AMOUNT IN WORDS: Ury hijo^r to Se ;ce\At/ �dr --�9U$A Ad -y'V hW�4, PCO' Note. Refer to Section 9. Measure and Payment for description of each Item on Bid Schedule. t -2.s 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 he done by such subcontractor. Bid Fame and Address of .State Class DIR PWC Dollar % of Items) Subcontractor License Registration if Amount Contract Number ch Se-4i F ,a•c r L S 33 h-, liJ 7s2c1 600A0-ISOL /a�o00 N Rr�1w4e.d dw. ,, gW1y,r�l� f72 i/U/dcp-le>' Avetrrx,nr 3� 53/L C,Yt)4e v' 1 ' Ob (i C 32 10 0 0 00147( d y, 0 L' rf A- qo 'b 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 fumished 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 pedury under the laws of the tat of California that the foregoing is we and correct and that this declaration is executed on Wq 1 ,at T ail A"gA r .12� Dare City Slate i/ beingfirst duly sworn, deposes and says that 04 or she is of -)j4co �'/Ae of A;ipye / he party making the foregoing bid than a bid is not made in the iwt rest 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. Navic of Bidder Sig i re of B erL,�; Address of C4 CALIFORNIA JURAT GOVERNMENT CODE 4 8202 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California f Countyof(l�' gL(�1Ctt'Aln� Subscribed and sworn to(or affirmed) before me on nA^ this r25 Jul day of 20-2 1 , by Date Month 11// Year (and(2) ), Nome(s)of Signer(s) SUSANNA HEBERT NwxyPubbc-Cabiornu proved to me on the b is of s isfactory evidence to Benar°^OcOh^h be the person(s)who ppeare before me. Commission l 2346755 YI Carom.ErDNee Feb 13,20I5 �- Signature Place Notary Seal and/or Stamp Above Signature of Notary Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document `, L� Title or Type of Do44ume t: t' Ow' - �y5t0EJ ��'1 ii4Aoil �o executed -bu b ide4 �fl 'Sitb51'Fk4 IAJIA' , 1 n Document Date: ND IllL t1 1' Number of Pages: Signer(s)Other Than Named Above: N D Vit11r >10]nL(S 2019 National Notary Association UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH,CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the EDWARDS/VARSITY TRACT WATER MAIN REPLACEMENT, CC NO. 1558, (1)(wexit)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. i Cont By Title Date: 3 a7 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? —/ El1r 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. Cfi COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1961 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. CorActor By Title Date: 3 C-7 Mom' BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: �r� 6e""Yz4 rt9j leala S Bidd Name Business �ivr�9rc f f �iJ 923 hP City, State Zip Telephone Number Email Adress 9tva29S "R " State Contractor's License No. and Class W-7�,-/7-,/l Original D to I sued _a��/ Expiration Date -2oY I The work site was inspected b'�-& of our office on MAAck fit-) The following are persons, firms, and corporations having a principal interest in this proposal: 7 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. Compan� ' Signature of Elldder rI/YQ 11 [ , f'dq Printed or Typid Signature C-a -m+* NOTARY CERTIFICATE Subscribed and sworn to before me this Z,�day of . 2021 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 L 1 County 1W(� ) Counof� &nardrw ) On Nlflflh 25* 2�2 beforem5&�-1 r'i Na r4 �wp�rc Month. Day, and Year r 1 Insert Name and Title of Notary personally appeared SH l ULtI� M V-4�-+J,q 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 certifv under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and o rcial al. wy�uHEeERr j t _ �7'ubk-Cowomm CommC" sbn a 2346755 MY Comm Ejprm Feb 11.2025 Signature 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 potable water pipelines within the public right of way, working within major arterials and streets and in close proximity to other underground utilities, and in areas containing high ground water. 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: Nam d Address of Public Agency Name and Telephone No.of Project Manager: n."-}Vt,vt 6w (go91) 998 - 75U3 C X 2 l�SS�I2Sno ",L� Vail&& Airmd1a,V% Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. C,*Lj L4 r'jvrtk_ Lrnda. Name,ind Address of Public Agency Name and Telephone No. of Project Manager: �da SL /khc t f 90 g-) I'l yyn s� ��i /Oy . od L✓af� min ll�3t �i 9 Contract Amount Type of Work Date Completed Provide additional project descri tion to show similar work: sw 3. C..,W Name a Address of Public Agency Name and Telephone No.of Project Manager: AJft-,h ,st J7!){rN- `O4/0Z V75 oa ldai- n rrrs�nt 3�201 Contract Amount Type of Work Dat6 Completed Provide additional project description to show similar work: on ,�rL2— •/�' - 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. I. �ja&L J aA)I S Name of proposed Project Manager Telephone No. of proposed Project Manager: q0Q Z&O — /00(P T Project Name & Contract Amount Type of Work Dale Completed /L• lriv�, GI/af� -xr O /f9, /60 00 GJd bay irta I Itl?tl/ 9 Project Name & Contract Amount Type of Work Date Completed a' F�trrcrr u¢re �Mold0. tn'z��� hva� (1�:2 oject Name &Contract Amount Type of Work Date Completed Nam4 ofpropo- Superintendent Telephone No.of proposed Superintendent: ( g0q) 253- 19 Project Name & Contract Amount Type of Work at Completed I ndlt�Jvn GtlntL�.rl,�3e d' [Jt',/cam A_ bnoa �uafi�- a,n ���?/l/9 Project Name & Contract Amount Type of Work DatclComplcted UJn+z4 M<,N l)a1J 4v, `h&12Z. go-D, uiaf& vtia 3/2eIG Project Name&C ntract Amount Type o� Date Co pleted C-11 Try Kirtley Tryco General Engineering Lic #960285 P.O. Box 391, Rim Forest, CA 92378 Phone: (909)337-3336 — Email: trykirtley@yahoo.com General Engineering Construction Specializing in Public Works, Residential and Commercial Profile Results-oriented, hands-on construction and development professional with 20 years of experience in multiple areas in the industry. Works efficiently with quality, has strong time management skills, self-motivator, great skills in motivating others, can operate all types of equipment, tools, and machinery. Has experience in water/sewer pipeline, building boosters for water companies and improvements on water reservoirs, concrete and asphalt paving. Areas of Expertise • Water Pipeline • Sewer • Storm drains • Hydrants/Services • Managing jobs as well as the crew • Relocating water mains • Paving/Concrete Employment History Tryco General Engineering, Rimforest, CA 03/10-Present President, Owner, Operator & Project Manager TK Construction, San Bernardino, CA 03/02-02/10 Vice President, Superintendent, Operator, & Project Manager First employee, helped build and grow to a large company. Main foreman, organized and planned daily duties for the crews working in the field, and managed jobs on day to day basis. El-CO Contractors, San Bernardino, CA 6/98-6/02 Labor & Operator Started as a laborer then became main truck driver and eventually promoted to assistant foreman Certifications Certified Pipeline Welder 05/03 Certified Gas Fuser 10/04 Certified D 1 05/06 Class A Driver, DMV 02/00 Certified CAL/OSHA-Trench Safety 06/18 Certified Confined Spaces 06/18 Cal Osha 10 Hour Certified 05/13 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/SB854FactShect_6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/PWCR/ActionServiet?action=displayP WCRegistmtionForm 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. �ni('n (_#AJeYal Cordractor7 By (�J,IdILaG� _O/ Email Title Date: 3 2 ? PWC Registration #:_1 UUUDo�q S C-12 C-13 Bond No. NIA BID OR PROPOSAL BOND KNOW ALL MEN BY THESE PRESENTS, that we Tryco General Engineering as Principal, (hereinafter called the Principal), and Western National Mutual Insurance Company . a corporation duly organized under the laws of Minnesota and authorized to transact a general surety business in the State of California as Surety, (hereinafter called the Surety), are held firmly bound unto: City of Huntington Beach 2000 Main Street Huntington Beach CA 92648 as OBLIGEE, (hereinafter called the Obligee), in the sum equal to 10% of the accompanying bid of the Principal, not, however, in excess of Ten Percent of the Total Amount of the Bid 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. THE CONDITIONS OF THIS OBLIGATION IS SUCH, That, whereas, the Principal has submitted or is about to submit to the Obligee a Proposal or bid, dated on or about the date mentioned below, for: (1) the performance of the designated work, or(2)the furnishing of the specified goods, supplies or products, to-wit: Edwards I Varsity Water Main Replacement NOW, THEREFORE, if the Principal shall not legally withdraw said bid within or at the times permitted therefor, but shall duly make and enter into a written contract with the Obligee, in accordance with the terms of said proposal or bid, or any amendment thereof acceptable to the Principal, within the time permitted therefore after such contract forms are presented to the Principal for execution, should the Obligee award the Principal the said work or contract or any part thereof and if the Principal shall give bond or bonds for the faithful performance thereof, and/or for payment for labor and materials going thereinto, as in the specifications or contracts provided: or if the Principal shall in case of failure so to do, pay the Obligee the damages which the Obligee shall have actually suffered by reason of such failure, not exceeding the penal sum of this bond, then this obligation shall be null and void, otherwise to be and remain in full force and virtue. PROVIDED, HOWEVER, that no action shall lie, or claim be enforced hereunder, unless the award on the basis of said bid shall have been made within thirty (30) days after the formal opening of said bid, or within the time specified within the bid provisions, whichever time shall be greater, and unless the Obligee hereunder shall give notice to Surety of said award at the time of notification to the Principal; and unless legal action to enforce any claim hereunder shall have been commenced within six (6) months from the date of the formal opening of said bid. PROVIDED, always, that this Bond shall not be valid and binding upon Surety unless accompanied by a Certified Copy of a Power of Attorney authorizing the undersigned Attorney-in-Fact to execute such a bond, the Serial Number upon which Copy of Power of Attorney shall correspond with the Bond Number set out above. Signed, sealed and dated this 30th day of March 2021 Tryco General Engineering Principal me L' By: ncipal Western National Mutual Insurance Company Name of et Company Attorney-in-Fact, Pietro Micciche 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 MAR 3 0 2021 before me, Elisabete Salazar, Notary Public Date Here Insert Name and Title of the Officer personally appeared Pietro Micciche Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the personm whose name(s) is/M subscribed to the within instrument and acknowledged to me that heNkQq )(wy executed the same in his/)10p,V ti k authorized capacityM, and that by his/)(OPXG 0signature(yi)on the instrument the person(g), 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. ELISABETE SALAZAR WITNESS my hand and official seal. Notary Public-California >: 8 Los Anyeln County — Commission a 1342511 My Comm.Expires Jan f9, 2025 Signature - ---lL riature-of-Notary Public Place Notary Seat 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 — 0 Limited 0 General 0 Partner — ❑ Limited 0 General J Individual n Attorney in Fact 0 Individual ❑Attorney in Fact Li Trustee 0 Guardian or Conservator 0 Trustee D.Guardian or Conservator l Other: 0 Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 W WESTERN NATIONAL IM nlnri.uGN^^4'�°Y POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That Western National Mutual Insurance Company,a Minnesota mutual insurance company,does make, constitute, and appoint: Patricia Zenizo, Pietro Micciche, Manuel Reguerra,and Elisabete Salazar, Preferred Bonding Services(99760) Its true and lawful Attomey(s)-in-Fact, with full power and authority 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)bond, undertakings recognizances or other written obligations in the nature thereof, (other than bail bonds, bank depository bonds, mortgage deficiency bonds, mortgage guaranty bonds, guarantees of installment paper and note guaranty bonds, self-insurance workers compensation bonds guaranteeing payment of benefits, hazardous waste remediation bonds or black lung bonds),as follows: All written instruments in an amount not to exceed an aggregate of Seven Million Five Hundred Thousand and 00/100($7.500,000.00)for any single obligation, regardless of the number of instruments issued for the obligation. and to bind Western National Mutual Insurance Company thereby, and all of the acts of said Attorneys-in-Fact, pursuant to these presents, are ratified and confirmed. This appointment is made under and by authority of the board of directors at a meeting held on September 28, 2010. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of Western National Mutual Insurance Company on September 28,2010: 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 in each case, for and an behalf of the company to execute and deliver and affix the seal of the Company to bonds. undertakings, recognizances, and suretyship obligations of all 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 and binding upon the Company (i) when signed by the president,any vice president or assistant vice president,and attested and sealed(if a seal be required)by any secretary or assistant secretary;or (ii) when signed by the president,any vice president or assistant vice president,secretary or assistant secretary,and countersigned and sealed (if a seal be required)by a duly authorized attomey-in-fact or agent;or (iii) when duly executed and sealed (if a seal be required)by one or more attorneys-in-fact or agents pursuant to and within the limits of the authority evidenced by the 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 of any bond, undertaking, recognizance,or other suretyship obligations of the Company;and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF,Western National Mutual Insurance Company has caused these presents to be signed by its proper officer and its corporate seal to be affixed this 16th day of December, 2020. 9......., U C/ Jon R. Hebeisen, Secretary Larry A. Byers, Sr.Vice President STATE OF MINNESOTA,COUNTY OF HENNEPIN On this 16th day of December, 2020, personally came before me,Jon R. Hebeisen and Larry A. Byers and to me known to be the individuals and officers of the Western National Mutual Insurance Company who executed the above instrument,and they each acknowledged the execution of the same, and being by me duly sworn,did severally dispose 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. " •• JEIJNIFER A.YOUNG NO IARY PUBLIC 'd JN!`' M11NNESOTA I/ ,jc` °1v Con"'uEXP'mgtdt'2026 Jennifer A.Young, Notary Pubic My commission expires January 31, 2026 CERTIFICATE I, the undersigned, assistant secretary of the Western National Mutual Insurance Company, a Minnesota corporation, CERTIFY that the foregoing and attached Power of Attorney remains in full force and has not been revoked: and furthermore, that the Resolutions of thF board of directors set forth in the Power of Attorney,are now in force. Signed and sealed at the City of Edina,MN this 30_n day of March 2021 -Jennifer A. oung, ssls an ecre ary I i li � (I n L u 3 a 0 n � o 0 p v E m (r) G I 1 � ^ m Z m W Z! 44 p o W u E d w - w. Q O W p Z