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Prestige Striping Services, Inc. - 2021-05-17 (2)
RECEIVED BY: ` CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) �4 CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: SUBJECT: Bond Acceptance n I have received the bonds for r-elj he ,; S11 Ipi'na, )O / yfloL/ V U (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. y� TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved (Council Approval Date) CC No. ��/� Agend�m-No. o)/-37-0 MSC No. City Clerk Vault No. &0U' LSD Other No. SIRE System ID No. S16/ 1.30J gJforms/bond transmittal to treasurer �J.M CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION DATE: 11/22/2021 TO: THOSE LISTED HEREON FROM: Jo ClaudioyyySenior Civil Engineer SUBJECT: Retention Release Payment- PO#27066 OJ Supplier#124506 Co.#314 Alley Rehabilitation (from Del Mar Ln.to Graham St.), Project# 1617 Contractor's Name: Prestige Striping Services, Inc. Address: 1054 Railroad Street City, State and Zip Code: Corona, CA 92882 Phone Number: (951) 270-2999 City Business License Number: A310386 Notice of Completion (Date by City Clerk): (Enter Date Recorded by City Clerk's Office Here) /O/2 z./202/ The conformed copy of the Notice of Completion for the above contract has been filed. The thirty-five (35) day waiting period has elapsed or will elapse before payment is made. Processing of the retention payment is recommended so long as no stop notices or outstanding invoices are on file with the City. I certify that no stop notices are on file. ate Sean Crumby, Dire or Public Works I certify that there are no outstanding invoices on file. �s )cdlnA 0,4eL— Date Joyce(Zacks, 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. Date R bin anislau, Coy Clerk 121t"lw ayt � �, ) 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 Batch 12314799 Confirmation Page 1 of 1 I ' Recorded in Official Records,Orange County Hugh Nguyen,Clerk-Recorder PLEASE COMPLETE THIS INFORMATION III IBIJIIyIII�IIII�III�II�III III IOI III III IOI II iJ0 FEE . s R 0 0 1 3 3 0 6 5 8 8 $ . RECORDING REQUESTED 8Y: 202100066906511:14 am 11/04121 371 R'W10A N12 1 r 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 z I 3 WHEN RECORDED MAIL TO: f CITY OF HUNTINGTON BEACH i PUBLIC WORKS DEPARTMENT Ann:Anthony Trujillo i P.O.Box 190-2000 Main Street Huntington Beach,CA 92618 i THIS SPACE FOR RECORDER'S USE ONLY TITLE OF DOCUMENT i 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 Prestige Striping Services,Inc.,who was the company thereon for doing the following work to- cull: Alley Rehabilitation)from Del Mar Ln,to Graham St.),Project%1617 i 1 iThat said work was completed 10/2212021 by said company according to plans and speufiralions 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 1 02 212 0 21,per City Council Resolution No.2003-70 adopted October 6,2003. I That upon said contract Ohio Casualty Insurance Company,was surety for the bone given by the said company as required by law. 4 This document is solely for the official business of the City of Huntington Beach,as contemol ' w r Govern nt Code Section 27383 and should be recorded free of Marge. i 11 Dir ctor of Pu arks or City ineer ate City of Huntington Beach,Califom I STATE OF CAnr'ORMA) ' 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 unner penalty of perjury that the foregoing is true and correct.and that said NOTIC r-cs PLETION was duly and regularly ordered to be recorded in the Office of the Counly Recorder of Oran ounly. This document is solely the oHlcfal business of the City of Huntington Beach,as contemplated 11 under Government code section 27383 and Dir ctor of Public works or City ineer 0 to ' City of Huntington Beach,Califo 'a � should OC recorded Tree of charge. i I THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording lee applies) I i I i hitos://es.secure-recordine.corrVBatch/Confirmation/I2314799 11/4/2021 Bond No. 24252177-M MAINTENANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: That Prestige Striping Services,Inc.dba Prestige Paving Company (contractors name) 1054 Railroad St_Cwona,CA 92882 (contractors street address,city and state and zip code) as Principal(hereinafter called Contractor),and: 'nrc Ohio Czcoatry Insurance Company (surety's name) 790 The City Do,South Suite 200 Orange CA 92868 (surety's street address,city and state and zip code) a corporation organized and existing under the laws of the State of 14e Hampshire with its principal office in the City of Orange as Surety(hereinafter called Surety),are held firmly bound unto CITY OF HUNTINGTON BEACH as Obligee (hereinafter called Owner), in the amount of one hundred ninchw,=thousand right hundred' Dollars ($ t97808A8 ), 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,finely by these presents, 'right and 48100 WHEREAS,Surety is a duly admitted surety insurer under the laws of the State of Califomia; 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 Surely 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 Allcv rchah from Dd Mar Lane to Graham Street in accordance with drawings and specifications prepared by which contract is by reference made a part hereof(hereinafter referred to as the Contract);and The Contract provides that the principal will guarantee, for a period of one year, the work performed as part of the Contract from and against all defects in materials and workmanship;and The Contract also provides that the Contractor shall secure ContraGor's obligations during the one-year period with a bond executed by a surety duly admitted in the state of Califomia;and The Contract has been completed,and the Owner,Contraclor and Surety agree that the commencement date for this Guarantee and Bond shall be hove*1 ,2021, 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 andlor 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 daims, 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. 154594n l s 138 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 Surely 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 Surely 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 are or remedy of the Principal's default(s)of its performance of the Contract. If the Surety does issue its Notice of Election and does not proceed to cure or remedy the Principal's default(s)of its performance of the Work within thirty(30) days after receipt of a written notice from Owner, Surety shall be deemed to be in default on this bond,and the Owner shall be entitled to enforce any remedy available to Owner. No right of action shall accrue on this bond to or for the use of any person or corporation other than the owner named herein or the successors of Owner. Signed and sealed this 1st day of November Z0 21 Principal Raised Corporate Seal Prestige Striping Services,Inc dba Prestige Paving Company [MUST BE AFFIXED) (Contractor Name) By. (Seal) i i Principal Raised Corporate Seal [MUST BE AFFIXED] ,n0 (Title) {'N( The OhioC sually Insurance Company (Surety-tdame) By: % (Seal) �ScotrSalandi,Attornev-imfact APPROVED AS.TO-FORM:,-- BY ✓✓ i?/ NOTES: Michael E. Gafes, City Attorney t. Acknowledgments must be completed and returned yp as par of the bond. — l a'1pf ZD1� 2. Raised Corporate Seals are mandatory. 3. Please anach Power of Adorney. 15 4584/118139 2 This Power of Attorney limits the acts of those named herein,and they have no authority to 10� bind the Company except In the manner and to the extent herein stated. Liberty Liberty Mutual Insurance Company MUtU11. The Ohio Casualty Insurance Company Certficate No:8202672-977490 SURETY West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duty organized under the laws of rie State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duty organized under the laws of the State of Massachusetts.and West American Insurance Company is a corporation duty organized under the laws of the State of Indiana(herein collectively raged the'Companies'),pursuant to and by authority herein set fond,does hereby name,constitute and appoint David S. Jzcobson;Scour Salundi;Lconard E.Zirniaskv all of the cry of Irvine state of CA each individually if there be more than one named,its rue and lawful albmeyinfad to make, execute,seal,acknowledge and deliver,for and on is behalf as surely and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shag be as binding upon the Companies as if they have been duly signed by he president and attested by the secretary of the Companies in their awn proper Persons. IN WITNESS WHEREOF,ths Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 3rd day of December 2019 Liberty Mutual Insurance Company L{Y rN3V a \NSOq, The Olio Casualty N5a2nce Company '4 'hiy +•. "sin West American Insurance Company (0 (0 (9 3 e � +� a1919 a 1991yoa crNsitu w.MVVr'P D ! Moux D'''q2 . Fed �"�M • hNd By: David M.Carey,Assistant Secretary -m State of PENNSYLVANIA to County of MONTGOMERY as m c 6 cat On rids 3 h day of December 2019 before an personalty appeared David M.Carey,who acknowledged himself o o,the cute the Secretary of rumen Aortal Insurance o o Camparry,The Ohio Casual?Company,and West American bsurarhce Company.and that he,as such,being authorized so b do,execute the foregoing instrument for the purposes—U) m > therein contained by signing on behalf of the corporations by himself as a duty authorized officer. c1Oi w T at� IN WITNESS WHEREOF,I have hereunto subscrihod my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year fast above written. oh E — c a 0 Oct p4'S yu Pwe tF� COMMONWEALTH OF PEHNSYLVAUNM NaWd Send 'O Tara PxW,NOMry PWfc //^,^,1 / O no O m uro Cemrer Mexen T,. Mmromoery Co By: /'� My E,p Mp 28 20. 21 3 E .y_nyyLv>' eresa""Pastelta,Notary Public O m ao m ca coo rnm This Power of Aroney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insuance Company,Liberty Mutual r O C insurance Company,and West American Insurance Camparry which resolutions are now in fiID force and effect reading as follows: o 0 Ern ARTICLE IV-OFFICERS:Section 12.Power of Attorney. .�3 O Any ofcer or Wits 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 a ;o President may prescribe,shag appoint such aMmeys4n-fact as may be necessary to act in behalf of the Corporation to make,""cute,seat.acknowledge and deliver as surety >o m aei any and al undertakings,bonds,recognizances and other surety obligations.Such attorneys-in subject to the limitations set fah in their respective powers of attorney,shalt L N haw hug power to bid the Corporation by their signature and execution of any such instruments and to attach theneb the seal of the Corporation.When so executed,such Z inStivmens shot be as boding as it sighted by Ind President and attested b M the Secretary.Any power cur authority gaoled b any represenlahve or attomey4n�fact under the n provisions of the article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or aurierity. o 0 ARTICLE XRI-Execution of Contracts:Section 5.Surety Bonds and Undertakings. n'tp Any officer of the Canpany authorized for that purpose in writing by the chairman or the president,and subject to such fenitati s as the chairman or the president may prescribe, 0 shag appoint such attomeys:rHfact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings, bonds,recogrizauces and other surety obligations.Such attomeysmin-fad subject to the Lmitatons set fond in their respective powers of anamey,shalt rare lug pourer to bind the Company by Ow signature and execubon 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 atlrsted by the secrelary. Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of he Company,authorizes David M.Carey,Assistant Secretary to appoint such a0omeys4n. fact as may be necessary to air on behalf)of the Company to make,execute,seal,acknowledge and deliver as surety any and at undertakings,bonds,recognvances and other surety obligations. Authorization-By unanimous consent of the Company's Board of Doectas,the Company consents that facsin ifs or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by IN Company in connection with surety bads,shall be valid and binding upon the Company with the same force and effect as NWgh 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 cerufy that the original paver of allomey of which the loregoN is a log,true and cared copy of lie Power of Attorney executed by said Companies,is in hID farm and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto satiny hand and affixed the seas of said Companies this IS.y day of j��y%yr P`\NSUgq P�tY WaV d \NSUq, �3�•vo,rx�o9� yJ joa o,y fh'yn LY ov.vo,yvogn , f '•,912 0 0 1919 s j 1991 c % ex(•`�y" 6 s° > O dq7) what ,9Nr"'Nvh'�D� lsg�°i•"FNds B Renee C.Llewellyn,A555lanI Secretary LMS-12973 LMIC OCIC VVNC Muth Co_W2018 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 �Oh"iti '/� / . 7u z/ before me, Annette Lisa Romero, a Notary Public (insert name and title of the officer) personally appeared Scott Salandi, Attorney-in-Fact who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/aFa subscribed to the within instrument and acknowledged to me that he/%ha#1a!ay executed the same in his/heKUair authorized capacity(ie*, and that by his/hextthek signature(%) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. _ ANNETTE LISAROMERO ` WITNESS my hand and official seal. COMM.#2244076 NOTARY PUBLIC CALIFORNIA 3 ORANGE COUNTY ti 'I Mycamm opu=s May.26,20221t i Signature _ p (Seal) CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of—Ei NiM.) A� On 1(T���p z) before me, . T r , i-. b,i Date Here Insert Name and Title of the O icer personally appeared A -nnh f Tra1 IID Names)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ibhky LIDlc GUADALUPE 134F41 SflA?a4Naary Public-Californ,, WITNESS my hand and official seal. Riverslae CountyCommission a 2J10022 Comm.Expires Jun Il,202� Signature Place Notary Seal and/or Stomp 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 Att ed Document Title or Type ofof Dcum t:,_ Document Date: NumberofPages: 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 ❑ Genef ❑ Partner — ❑ Limited ❑ General Cl Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee "Uardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: / ❑ Other: Signer is Represe t1ng: Signer is Representing: 02018 Nat onal Notary Association 11/15121,9:55 AM Company Profile COMPANY PROFILE Company Profile Company Search Company Information Company Search Results OHIO CASUALTY INSURANCE COMPANY (THE) Company 175 BERKELEY STREET Information BOSTON, MA 02116 Old Company Names Agent for Service Old Company Names Effective Date Reference Information Agent For Service NAIL Group List Melissa DeKoven Lines of Business 2710 Gateway Oaks Drive, Suite 150N Workers' Sacramento CA 95833-3505 Compensation Complaint and Reference Information Request for Action/Appeals Contact Information NAIC #: 24074 Financial Statements PDF's California Company ID #: 15133-4 Annual Statements Date Authorized in California: 111/17/2008 Quarterly Statements License Status: I UNLIMITED-NORMAL Company Complaint Company Company Type: I Property & Casualty Performance &Comparison Data State of Domicile: I NEW HAMPSHIRE Company Enforcement Action back to top Composite Complaints Studies Additional Info NAIC Group List Find A Company Representative In NAIC Group #: 0111 LIBERTY MUT GRP Your Area View Financial Lines Of Business Disclaimer The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. AUTOMOBILE BOILER AND MACHINERY BURGLARY COMMON CARRIER LIABILITY CREDIT FIRE LIABILITY MARINE MISCELLANEOUS PLATE GLASS SPRINKLER SURETY WORKERS' COMPENSATION https:/interactive.web.insurance.ca.gov/wmpanyprofile/wmpanyprofile?event=wmpa nyProfte&doFunction=getCompanyProflle&eid=2980 1/2 , / . - , � % . a } : / ( ci LDco ) \ \ ID / a E Ci - __ § / / \ z f \ - - - - - \- k f § } ; ! E 2 y } ) \ / \ \ \ ƒ Certification of Compliance with Prevailing Wage Laws To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Prevailing Wage Laws Contract: CC-1617 Project: Alley Rehabilitation CC-1617 The undersigned contractor on the ahove-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 _day of rltjrGNIW r 20 1-L, at fj)Yphp California. (Co raclor!Jame) APPROVED O FO By: Ivt' I E. Gates y Attomey 1 Certification of Compliance with Title VII of the Civil Rights Act and Fqual Employment Opportunity Act of 1972 Jo: City of Huntington Beach Department of Public Works 20( ) Main Street/P.O. Box 190 I luntington Beach. CA 92648 Re: Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 Contract: CC-1617 Project: Alley Rehabilitation CC-1617 the undersigned contractor on the above-referenced project ("Project") hereby certifies that it has complied with title VII of the Civil Rights Act, the Equal Opportunity Act of 1972 and Executive Order 11246, and has not discriminated against any employee or applicant for employment because of race. color. religion, sex, sexual orientation, gender identity, national origin, age or disability. The undersigned contractor also certifies that it has not maintained any segregated facilities at its establishments on the basis of race, color, religion, sex, sexual orientation, gender identity. national origin. age or disability (with the exception of access for the disabled). I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this_41�n day of n\CM14' . 20 2I , at _C0J&Tg_ _-• California. (C rtractor:NamO l APPROVED T F RM� i By.. a •tic rell E. Gates Ci* Attorney 1 CONTRACTOR'S CERTIFICATE I, Lidia Ibarra state and certify that: (Name of Declarant/ 1. Prestige Striping Services, Inc. is the general contractor to the City of Huntington Beach ("City")on Contract No. CC-1617 (the"Contract') for the construction of the public work of improvement entitled: Alley Rehabilitation CC-1617 Del Mar Ln. to Graham St.,Huntington Beach CA (the"Project"). 2. All work to be performed pursuant to the Contract has been completed in accordance with the Contract Documents (as such term is defined in the Contract). 3. Except for the claims listed below and the disputed claims listed in paragraph five (5), all persons supplying labor, services, materials and equipment to the Project, including all claims against the contractor arising from the performance of the Contract, have been paid and satisfied(list unpaid debts and claims; if none, write "NONE"): NONE 4. Attached hereto are the lien waivers required by the Contract Documents, which lien waivers have been executed by all persons who performed work on or supplied labor, services, materials, and/or equipment for use at the Project. 5. Set forth below is a list of disputed claims or claims that are the subject of a Notice to Withhold filed pursuant to the Civil Code of the State of California(list all disputed claims; if none, write "NONE"). NONE I declare under penalty of pedury under the laws of the State of California that the foregoing is true and correct. Executed at (0117M (A on this_q,�I_day of 1JO*,Mtx)- , 20 2 I . pl'(Signature of Declarant) APPROVED AS RM Michae . Gates City Attorney 1 PRESTIGE Prestige Striping Services 1054 Railroad St PPIPP—A STRIPING SERVICES INC Corona, CA92882 /h,r Kr, rrr; -% ir i' ! th. ! License# 827632 UNCONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT (CIVIL CODE § 8134) OTICE: THIS DOCUMENT WAIVES THE CLAIMANT'S LIEN, STOP PAYMENT NOTICE, ND PAYMENT BOND RIGHTS EFFECTIVE ON RECEIPT OF PAYMENT. A PERSON HOULD NOT RELY ON THIS DOCUMENT UNLESS SATISFIED THAT THE CLAIMANT AS RECEIVED WMENT. ame of Claimant: Prestige Striping Services ame of Customer: City of Huntington Beach 1b Location: Alley Rehabilitation CC-1617 Del Mar Ln. To Graham St., Huntington Beach CA wner: City of Huntington Beach trough Date: 9/30/21 -zference: Job #54198 This document waives and releases lien, stop payment notice and payment bond Ihts the claimant has for labor and service provided, and equipment and material (livered. to the customer on this job through the Through Date of this document. Rights tsed upon labor or service provided, or equipment or materials delivered, pursuant to a -itten change order that has been fully executed by the parties prior to the date that this rcument is signed by the claimant, are waived and released by this document, unless ted as an Exception below. The claimant has received the following progress payment: 34,588.26 :ceptions: This document does not affect any of the following: (1 ) Retentions. (2) Extras for which the claimant has not received payment. (3) Contract rights, including: (A) a right based on rescission, abandonment. or breach of contract. and (B) the right to recover compensation for work not compensated by the payment. aimant's Signature: — '0 0� i� " aimant's Title: Aleiandra S las Accounts Receivable Ite of Signature: 10/27/2021 lone 951 .270.2999 Fax 951 .270.2899 Certification of Compliance with Title V II of the Civil Rights Act and Fqual Fmploymcnt Opportunity Act of 1972 To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach, CA 92648 Rc: Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 Contract: CC-1617 Project: Aft Rehabilitates CC-1617 __. i he undersigned contractor on the above-referenced project (-Project") hereby certifies that it Itas complied with title V Il 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 hecause 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 establishinents on the basis of race,color, religion, sex, sexual orientation. gender identity, national origin. age or disability (with the excepiion of access for the disabled). I aeclare under penalty of perjury under the laws of the state of California that the turcgoing is true and correct. Lxecuted this_ iA day of hO)w ZO 2) . at CJ)y(mg California /t' rracmr aamc: r APPROVED F 11M By: Mic I E. Gates City Attorney Consent of Surety OWNER ❑ to Final Payment ARCHITECT ❑ CONTRACTOR ❑ SURETY ❑x AfA DOCUMENT G707 OTHER ❑ TO OWNER: City of Huntington Beach ARCHITECTS PROJECT NO.: (N..a.,d�l 2000 Main Street Huntington Beach,CA 92648 CONTRACT FOR: Alley Rehabilitation Project No. 1617 PROJECT: Alley Rehabilitation (from Del Mar Ln. to (Nerve end address) Graham St.) Project No. 1617 Bond No. 24252177 CONTRACT DATED: In accordance with the provisions of the Contract between the Owner and the Contractor as included above, the The Ohio Casualty Insurance Company, 790 The City Drive South, Suite 200, Orange, CA 92868 (Insert nacre mrd adds.of Suwy) SURETY,on bond of Prestige Striping Services, Inc.dba Prestige Paving Company (Insert nare and aid .of conirso" 1054 Railroad Street, Corona, CA 92882 . CONTRACTOR. hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to City of Huntington Reach, 2000 Main Street, Huntington Beach, CA 92648 iln.d fume a,w addn•.d 0�) OWNER, as set forth in the said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: November 16, 2021 fI in wrbg ins mhrtn lobwed by the and Mar.) The Ohio Casualty Insurance Company ( , Attest,Attos /�„_ (Seal)_ i (SwriGavrefaudicifzed repnesentative) Scott Salandi, Ahomey-in-fact (Rutted name and rifle Printed in cooperation with the American Institute of Archit"(ALA)by the CNA q'muaiim Co nparues. The language m thhs document conforms exactly to the language horsed in ALA Doaarherd G707-Consent of Surety Company to Final Payment- 1994 Edition. 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 /V CVW."h-el ! 4< < I before me, Annette Lisa Romero, a Notary Public (insert name and title of the officer) personally appeared Scott Salandi, Attorney-in-Fact who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/sss subscribed to the within instrument and acknowledged to me that he/Wmifldaay executed the same in his/kexUaK authorized capacity(**. and that by his/Mer[tMair 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 11 ANNErrE LISA ROMERO WITNESS my hand and official seal j� COMM = '`aap-„ ORAN Signature (Seal) This Power of Attorney limits the acts of those named herein,and they have no aut onty to �Q bind the Companymner except in the an and to the extent herein staled. Liberty Mutual Insurance Company Mutum The Ohio Casualty Insurance Company Certificate No:8202672-977490 West American Insurance Company SURETY POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation dub organized under he laws of tle Stale of New Nanlpi bat Liberty Muhtal Ireuarwe Carpany is a axporabm day anymed under the laws of the State of Massachusetts.ad West Artnencan Insurance Canpany s a corporator duly agermed under he Laws of 6e Stale of Indena Iheren m1ectively calm me'Cmperaes�,pursuant to and by whony,neren set forth,does hereby name,constitute and appo.u, David S. Jacobson;Sinn Salarich,L euriard I..7hmmsky am of the City of Irvine state of CA each indmduaty if mere be more than ore named,its bue and lawful adxney.h-faci to make, aeale.seal,arlanwledge am delver,br and on its behalf as suety and as ids ad and aeon,any and al undertakings bonds.revngnizaees ad other surety abNgelws.in pastoxxxi of New presents and end be as berdng upon the Cornpa em as if they have been day signed by the President and attested by he secretary of the Canpanes in beer own proper persons IN WITNESS WHEREOF,thhs Pawn of Atoney his been subscribed by an alhonlad officer or official of he Cahpanes and he corporate seals of the Carpanes have been affixed hereto this lyd day of December , 2019 Liberty MubA Insurance Canpanry tY tNsy, '� tNsuq* The Deep Casualty Insurance Caryary cdeO*. c, d'O*..e m West Menan Insurance Carpany 1919 ^ : 1991 ^ (9 (00 r � W /1 i O l O /wry m sx.wraD4 ♦p3Apww.�aD4 �:m yt a h M w F / t^ C DAW M.Carey.Assistant Secretory a Stale of PENNSYLVANIA m County of MONfGOMERY $ to 0 On his 3rd day of ❑oe mbor . 2019 before me personally appeared David M.Carey who adnowled hosed to be he Assistant Secretary of Leerry Mutual Insurance Co O m Company.The Oh Casualty y,a Oho Caalty Company, West Azunr urai an Irsce Corrpany,and that he,as such.being authmm z w to dt,exea men le he foregoing instrut for tle purposes=� m > herein contared oy sgiq on b"of be corpaaaors by hirrself as a duty autlmzed officer w m 16 IN WITNESS WHEREOF,I have hereurtb%bscnM.H m E my mane and affixed my notarial seal at King of Prussa.PemsyNaVa,m de corer and Yea first above wrhtlerh. �a o e x „„r -� corowwe.ux as reNenvu.e /t ¢v C 4W o� rerr sr (y// _� m s w Tuxt.waeY4 Wlwy N�eo /4�./�// O a m We rvr�[rrraxaort �' 3 E eresa Pastels.NaYry Public p to do— v.�.I++..senmer`7 ao 0 LDS N . m This Power of Money is made and executed pursuant to and by auha of he NN ily following By-laws and m d Audzaoas of The Oho Casualty Insurance Cortpany, Liberty Mutual t eh 0.5 Insurance Corrpary,and West Arnencan Insurance Company~rewktims are rate in M lace and effect reaping as blows: o � E m ARTICLE N-OFFICERS:Section 12.Power of Attorney o Any officer or oho ofRcial d t e Corporation aumaized for that purpose n w*ibg by 6e Ctaerman or he President,and subted to such kmnlation as he Charman or the v _ President may prescribe.shell appose oat atlaneysTMfat_as may to necessary,o ad in behalf of he Corporation In make,exe le.seal adnowledge and deliver as%rely >o A C any and all a dertaia gs,balls,rerDgl®ntl.K and other surely obligations.Such attorr"s Fad,subted to he wntabon5 sel forte in bee rescoMe pavers of albmey,shal w N > m have hid power to land the Corporation by her sx;abxe and execution of dry such nsWmens and to attach hereto to seal of the Corporation When so exedrled such.-Op o instruments shall be as ti rrdrg as d sgred by he Presided and attested to by he Secretary Any power or autMmy grantor to any representative or atomeya lad uda than m provisions of this article may be revoked at any one by the Board.the Chaman,the President a by the offerer or officers granting such power or au" C o ARTICLE XW-Execution of Contracts:Section 5 Surely Bonds and Umaakags Any officer of he Congany authorized for thal Wrpose^ fo wrtig by he charntan a he President.ad object m ors ireatiers as he dwnan a the President may Ixeaaibe,H.- shal appose such alomi as may be necessary to ad in behalf of me Cmpany o make,exeaAe seal,adunwaedge and deliver as wrey any and all undertalmgs, lems,recD7xz: ties and odes wrey obligations Such aroxrays�Fad%ibjed o he kmatims set font in her nespec.Ae powers of a",shad have furl power to bind 6a Company,by their signature and execution of any such nsaurrens and to aback hereto the seal of he Company When w executed such instruments;shall be as bderg as it sgred by he president and atested by he secretary. Certificate of Designation-The President of the Carparry,acing Pasant to he Bylaws of he Cunpany.whonzes David M Corey,Assisi Secretary to appoint such aticrreys fad as may be necessary o ad on behalf of he Corparry to nake,execute,seal,ad iaMedge ad deliver as surety any and all undertakings,bads,recogwarries and other surety obligations Authorization-By unairous consent of he Company's Board of Directors.he Catparry,consents mat facsimile a nhechaxraq'reproduced signature of any assistant secretary of he Corrpanv wteaever appearing upon a certified copy of shy paver of attorney wood by the CarYany in cornaAon watt%rey bads snarl oe valid and wing upon the Canpany watt he sale one and effect as dhoLg h inimically affixed. I,Renee C.Llewellyn,the undersigned,Assaare Secretary,The Chia Casualty insuraau Corn parry,Liberty Mutual Yt%rmice Corpany.and West American Insurance Corrpary do hereby caay that he onWW power of attorney of whim he foregoing is a ful,true and coned Copy of he Power of Abney exacted by said Conpahies.is in full force and effect and has nor been revoked IN TESTIMONY WHEREOF,l nave hereuho set my had and arrored the seas of sad Canpahes hi 14'ek day d N C"kj,� k zj `nN9UR� ter INapq � 1N80,r� .1912 c c 1919 n �' 1991 c 6� Br_ Aida 41,_ 'e is to�. *fie oft,. a�n �p�°TM�•�+aa Renee C.lkwely+h.Assistant Secretary uxs.nze)a taiK OCK wort ten�OBMta RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) Inc? CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: SUBJECT: Bond Acceptance I have received the bonds for lre-A- i (C&hpany Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. Warranty or Maintenance Bond No. r,)yo�5�/ TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved _ (Council Approval Date) CC No. 1�/ 7 A hLfNa Agenda-ttem-Ne. �"{o MSC No. City Clerk Vault No. Other No. SIRE System ID No. g)forms/bond transmittal to treasurer Batch 12314799 Confirmation Paec 1 of 1 I Recorded in Official Records,Orange County Hugh Nguyen,Clerk-Recorder j NO FEE PLEASE COMPLETE THIS INFORMATION IlIuI �II�II II�III CIIIIIII�,II III II I'll lli till • ax00 „ sDesaat • ' RECORDING REQUESTED BY: 2021000669065 11:14 am 11104121 371 RW10A NI 1 i 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 I WHEN RECORDED MAIL TO: 1 CITY OF HUNTINGTON BEACH i PUBLIC WORKS DEPARTMENT Attn:Anthony Trujillo 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 Prestige Striping Services.Inc.,who was the company hereon for doing the following work to- wit: I Alley Rehabilitation(from Del Mar Ln.to Graham St.),Project a 1617 I That said work was completed 101220021 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 erode was accepted by the Director of Public Works on 10222021,per City Council Resolution No.2003-70 adopted October 6,2003. i That upon said contract Ohio Casualty Insurance Company,was surely 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 conlem •u0-u r Govern nt Code Section 27383 and should be recorded free of charge. I II � Dir "Or of Pu o.s or City near at City of Huntington Beach,Californ STATE OF CAUFORNIA) 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 conlents thereof;the same is true of my knowledge. I declare under penalty of perjury that the loregoing is true and correct,and that said NOTIC r-ea PLETION was duly and regularly ordered to be recorded in the Office of the County Recorder of Oran ounly- This document is solely the official business of I i J the City of Huntington Beach,as contemplated / under Government code section 27383 and Dv ctor of Public works or City -ineer D to should be recorded free of ciri City of Huntington Beach,Califo 'a i THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) i i f I htths://gs.sccurc-rccording.com/13ntch/Con 1 irmation/12314799 1 1/4/2021 RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Llah) CITY OF HUNTINGTON BEACH i INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk l DATE: // , SUBJECT: Bond Acceptance I have received the bonds for 4A:5116 N,-`7.;r irt.t:S&xizzCL-S �i f (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) / -7-7 Performance Bond No. Z / Payment Bond (Labor and Materials) Bond No. J�vZ J Z 7 Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved -5/ / 74% � (Council Approval Data) CC No. Agenda Item No. MSC No. City Clerk Vault No. _ .001 Other No. SIRE System ID No. jj- gi omnstond transmittal to treasurer CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND PRESTIGE STRIPING SERVICES, INC. FOR ALLEY REHABILITATION PROJECT, CC-1617 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 PRESTIGE STRIPING SERVICES, INC. , a California corporation, hereinafter referred to as "CONTRACTOR." WHEREAS, CITY has solicited bids for a public works project, hereinafter referred to as "PROJECT," more fully described as ALLEY REHABILITATION PROJECT, CC-1617 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 home by CITY, and for well and faithfully completing the work within the stipulated time and in the manner shown and described in this Agreement, and in accordance with the requirements of CITY for the compensation set forth in the accepted bid proposal. 2. ACCEPTANCE OF CONDITIONS OF WORK; PLANS AND SPECIFICATIONS CONTRACTOR acknowledges that it is fully familiar with all the terms,conditions and obligations of this Agreement and the Contract Documents(as defined below in this Section), has inspected the location of the job site, and the conditions under which the work is to be performed, and that it enters into this Agreement based upon its thorough investigation of all such matters and is relying in no way upon any opinions or representations of CITY. It is agreed that the Contract Documents are incorporated into this Agreement by this reference, with the same force and effect as if the same were set forth at length herein, and that CONTRACTOR and its subcontractors, if any, shall be bound by the Contract Documents insofar as they relate in part or in any way, directly or indirectly, to the work covered by this Agreement. "Contract Documents" as defined herein mean and include: A. This Agreement; B. Bonds covering the work herein agreed upon; C. The CITY's standard Plans and Specifications and special contractual provisions, including those on file in the office of the Department of Public Works of CITY, and any revisions, amendments or addenda thereto; 2 16-5195/City Funded Construction Contract.docx—revised 042016 D. The edition of Standard Specifications for Public Works Construction, published by Builders'News, Inc., 10801 National Boulevard, Los Angeles, CA 90064. and all amendments thereto, written and promulgated by the Southern California chapter of the American Public Works Association and the Southern California District Associated General Contractors of the California Joint Cooperative Committee as specified in the particular Plans, Specifications, Special Provisions and Addendum applicable to the Project; E. Bid documents including the Notice Inviting Bids, the Special Instructions to Bidders and the CONTRACTOR's proposal,(which is attached hereto as Exhibit "A" and incorporated herein by this reference); F. The particular Plans, Specifications, Special Provisions and Addenda applicable to the PROJECT. Anything mentioned in the Specifications and not indicated in the Plans or indicated in the Plans and not mentioned in the Specifications, shall be of like effect as if indicated and mentioned in both. In case of a discrepancy between any Plans, Specifications, Special provisions, or Addenda, the matter shall be immediately submitted by CONTRACTOR to the Director of Public Works of CITY or his or her written designee (hereinafter referred to as "DPW"), and CONTRACTOR shall not attempt to resolve or adjust the discrepancy without the decision of DPW, save only at its own risk and expense. Should there be any conflict between the terms of this Agreement and the bid or proposal of CONTRACTOR, then this Agreement shall control and nothing herein shall be considered as an acceptance of the terms of the bid or proposal which is in conflict herewith. 3 16-5195/City Funded Construction Contract.docx—revised 04/2016 3. COMPENSATION CITY agrees to pay and CONTRACTOR agrees to accept as full compensation for the faithful performance of this Agreement, subject to any additions or deductions made under the provisions of this Agreement or the Contract Documents, a sum not to exceed One Hundred Ninety-Seven Thousand Eight Hundred Eight and 48/100 Dollars (S 197,808.48 ), 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 Forty ( 40 ) consecutive Working days from the day the Notice to Proceed is issued by DPW, excluding delays provided for in this Agreement. 5. TIME OF THE ESSENCE The parties hereto recognize and agree that time is of the essence in the performance of this Agreement and each and every provision of the Contract Documents. CONTRACTOR shall prepare and obtain approval as required by the Contract Documents for all shop drawings, details and samples, and do all other things necessary and incidental to the prosecution of its work in conformance with the progress schedule set forth in the Contract Documents. CONTRACTOR shall coordinate its work with the work of all other contractors, subcontractors, and CITY forces working on the PROJECT in a manner that will facilitate the efficient completion of the PROJECT and in accordance with the terms and provisions of this Agreement. CITY shall have complete control of the premises on which the work is to be performed and shall have the right to decide the time and order in which the various portions of the work shall be performed and the priority of the work of other contractors, 4 16-5195/City Funded Construction Contract.docx—revised 04/2016 subcontractors and CITY forces and, in general, all matters concerning the timely and orderly conduct of the work of CONTRACTOR on the premises. 6. CHANGES CONTRACTOR shall adhere strictly to the plans and specifications set forth in the Contract Documents unless a change therefrom is authorized in writing by DPW. CONTRACTOR agrees to make any and all changes, furnish materials and perform all work necessary within the scope of the PROJECT as DPW may require in writing. Under no condition shall CONTRACTOR make any changes without the prior written order or acceptance of DPW, and CITY shall not pay any extra charges made by CONTRACTOR that have not been agreed upon in writing by DPW. When directed to change the work, CONTRACTOR shall submit immediately to DPW a written cost proposal reflecting the effect of the change. Should DPW not agree to such cost proposal, the work shall be performed according to the changes ordered in writing by DPW and the proper cost thereof shall be negotiated by the parties upon cost and pricing data submitted by CONTRACTOR; thereupon, CITY will promptly issue an adjusted change order to CONTRACTOR and the contract price will be adjusted upward or downward accordingly. 7. NOTICE TO PROCEED No work, services, material, or equipment shall be performed or furnished under this Agreement unless and until a Notice to Proceed has been given to CONTRACTOR by CITY. CITY does not warrant that the work will be available on the date the Notice to Proceed is issued. In the event of a delay in commencement of the work due to unavailability of the job site, for any reason, relief to CONTRACTOR shall be limited to a time extension equal to the delay due to such unavailability. 5 16-5195/City Funded Construction Contract.doex—revised 04/2016 8. BONDS Only bonds issued by California admitted sureties will be accepted. CONTRACTOR shall, prior to its performance of this Agreement, famish the following two (2) bonds approved by the City Attorney: One in the amount of one hundred percent (100%) of the contract price to guarantee the CONTRACTOR's faithful performance of the work, and one in the amount of one hundred percent of the contract price to guarantee payment of all claims for labor and materials furnished. In addition, CONTRACTOR shall submit to CITY a bond in the amount of one hundred percent (100%) of the final contract price, including all change orders, to warrant such performance for a period of one (1) year after CITY's acceptance thereof within ten (10) days of filing of the Notice of Completion. 9. WARRANTIES CONTRACTOR unconditionally guarantees all work done under this Agreement including, but not limited to, any workmanship, installation, fabrication, material or structural facilities constructed. CONTRACTOR, within ten (10) days after notice by CITY of any defect in the work, shall have the option to make appropriate repairs or replace the defective item or items. Upon expiration of such ten (10) day period, CITY may then make appropriate repair or replacement at CONTRACTOR's risk and own cost and expense. 10. INDEPENDENT CONTRACTOR It is understood and agreed that CONTRACTOR is,and shall be, acting at all times hereunder as an independent contractor and not an employee of CITY. CONTRACTOR shall secure at its own cost and expense, and be responsible for any and all payment of all taxes, social security, state disability insurance compensation, unemployment compensation and other payroll 6 16-5195/City Funded Construction Contract.docx-revised 04/2016 deductions for CONTRACTOR and its officers, agents and employees and all business licenses, if any, in connection with the PROJECT and/or the services performed hereunder. It. LIQUIDATED DAMAGES/DELAYS It is agreed by the parties hereto that in case the total work called for hereunder is not in all parts and requirements finished or completed within the number of calendar days as set forth herein, damage will be sustained by CITY; and that it is, and would be, impractical and extremely difficult to ascertain and determine the actual damage which CITY would sustain in the event of and by reason of such delay. It is, therefore, agreed that CONTRACTOR will pay to CITY, as liquidated damages and not as a penalty, the sum of Five Hundred Dollars (S 500.00 ) per each calendar day's delay in completing the work in excess of the number of working/calendar days set forth herein, which represents a reasonable endeavor by the parties hereto to estimate a fair compensation for the foreseeable damages CITY would sustain in the event of and by reason of such delay; and CONTRACTOR agrees to pay these damages herein provided, and further agrees that CITY may deduct the amount thereof from any monies due or that may become due to CONTRACTOR hereunder. CONTRACTOR will be granted an extension of time and will not be assessed damages for any portion of the delay in the completion of the work due to unforeseeable causes beyond the control and without the fault or negligence of CONTRACTOR, including, but not limited to, acts of God or of the public enemy, fire, Floods, epidemics, quarantine restrictions, strikes, unsuitable weather,or delays of subcontractors due to such causes. CONTRACTOR shall, within fifteen (15) days from the beginning of any such delay(unless DPW shall grant a further period of time), notify DPW in writing of the cause of the 7 16-5195/City Funded Construction Contract.doex-revised 0412016 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, it respective of the cause thereof, and including without limitation the furnishing of materials by CITY or delays by other contractors or subcontractors will be allowed and an extension of time for completion shall be the sole remedy of CONTRACTOR. 12. DEMANDS FOR ADDITIONAL TIME OR MONEY. A. Definitions. (1) "Change Order"means a document signed by the CONTRACTOR and CITY which authorizes an addition, deletion or revision in the work, or an adjustment in the Compensation under Section 3, or the Completion Time specified at Section 4. (2) "Demand" means a written demand for a Change Order by the CONTRACTOR for any of the following: (a) A time extension; 8 16-5195/City Funded Construction Contract.docz-revised 04/2016 (b) Payment of money or damages arising from work done by, or on behalf of, the CONTRACTOR pursuant to this Agreement and payment of which is not expressly permitted pursuant to Section 3 of this Agreement; (c) Payment of an amount the CITY disputes; (d) Any disputes and other matters relating to the acceptability of the work performed or the interpretation of the Contract Documents; (e) A request for a time extension or additional payment based upon differing site conditions, such as subsurface or latent physical conditions at the job site differing materially from those indicated in this Agreement or the Contract Documents, or unknown physical conditions at the job site, of an unusual nature, differing materially from those ordinarily encountered and generally recognized as inherent to work of the PROJECT; or (f) A request for a time extension or additional payment based upon acts of neglect by CITY or due to fires, floods, labor disputes, epidemics, abnormal weather conditions or acts of God. B. A Demand for a time extension or payment of money or damages may only be granted by a Change Order. C. No Change Order may be granted except where the Contractor has submitted a Demand to the DPW(or his or her written desibmce). All Demands shall be submitted promptly,but in no event later than thirty(30)days after the occurrence of the event giving rise to the Demand. The Demand shall be in writing and include all documents necessary to substantiate the Demand. The DPW shall act on the Demand within fifteen (15) days after receipt, including by requesting additional information from the CONTRACTOR to determine whether to approve the Change Order the Demand seeks. The DPW shall act on the Demand within fifteen (15)days 9 16-5195/City Funded Construction Contract.dmx—revised 04/2016 after receipt of the additional information or within a period of time no greater than the time the CONTRACTOR took to produce the additional information requested, whichever is greater. D. Notwithstanding the thirty (30) days to submit a Demand under Subparagraph C, in the case of differing or unknown site conditions, immediately upon encountering the conditions, CONTRACTOR shall notify the DPW in writing of the conditions, so that the CITY may promptly investigate the conditions. E. If the CONTRACTOR disputes the DPW's written response on the Demand, or the CITY fails to respond within the time prescribed, the CONTRACTOR may so notify the City Engineer, in writing,either within fifteen(15)days of receipt of the City Engineer's response or within fifteen (15) days of the DPW's failure to respond within the time prescribed, respectively,and request an informal conference to meet and confer for settlement of the Demand. Upon the CONTRACTOR's request,the DPW shall schedule a meet and confer conference within thirty (30)days to seek to resolve. F. CITY and CONTRACTOR shall execute appropriate Change Orders covering changes to the time or price by executing the Change Order by mutual agreement. If the CITY and CONTRACTOR are unable to reach a mutual agreement, then the City Engineer shall issue a written decision on the claim within a reasonable time. G. Following the meet and confer conference, if the Demand remains in dispute, the CONTRACTOR may file a claim with the City as provided in Chapter 1 (commencing with Section 900)and Chapter 2 (commencing with Section 910)of Pan 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.dmx—revised 0412016 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 arc 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 or the work performed by CONTRACTOR and the value thereof. From each progress estimate, five percent (5%) will be deducted and retained by CITY and the remainder of the progress estimate, less the amount of all previous payments since commencement of the work, will be paid to CONTRACTOR. When CONTRACTOR has, in the judgment of DPW, faithfully executed fifty percent (50%) or more of the value of the work as determined from the bid schedule, and if DPW Finds that satisfactory progress has been and is being made, CONTRACTOR may be paid such 11 16-5195/City Funded Construction Contract.docx—revised 0412016 sum as will bring the payments of each month up to one hundred percent (100%) of the value of the work completed since the commencement of the PROJECT,as determined in its sole discretion by DPW, less all previous payments and less all previous retained amounts. CITY's final payment to CONTRACTOR, if unencumbered,or any part thereof unencumbered,shall be made thirty-five (35) days after the acceptance of the work and the filing of a Notice of Completion by CITY. Provided, however, that in the event of a dispute between CITY and CONTRACTOR, CITY may withhold from the final payment an amount not to exceed 150 percent of the value of any disputed amount of work. Payments shall be made on demands drawn in the manner required by law, each payment to be accompanied by a certificate signed by DPW, affirming that the work for which payment is demanded has been performed in accordance with the terms of the Agreement and that the amount stated in the certificate is due under the terms of the Agreement. Partial payments on the contract price shall not be considered as an acceptance of any part of the work. 15. WITHHELD CONTRACT FUNDS. SUBSTITUTION OF SECURITIES At the request and at the sole cost and expense of CONTRACTOR,who shall retain beneficial ownership and receive interest, if any thereon, CITY shall permit the substitution and deposit therewith of securities equivalent to the amount of any monies withheld by CITY to ensure performance under the terms of this Agreement. 16. AFFIDAVITS OF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall file with DPW its affidavit stating that all workers and persons employed, all firms supplying materials and all subcontractors working upon the PROJECT have been paid in full and that there are no claims outstanding against the PROJECT for either labor or material, except certain items, if any,to be set forth in CONTRACTOR's affidavit covering disputed claims, 12 16-5195/City Funded Construction Convact.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 (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. 18. CALIFORNIA PREVAILING WAGE LAW A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by 13 16-5195/City Funded Construction Contract.docx—revised 04/2016 resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code, CONTRACTOR shall, as penalty to CITY, forfeit twenty-five dollars (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 EIGHT-HOUR LAW A. California Labor Code, Sections 1810 et seq,shall apply to the performance of this Agreement; thereunder, not more than eight (8) hours shall constitute one day's work and CONTRACTOR and each subcontractor employed by its hereunder, shall not require more than eight(8) hours of labor per day or forty(40) hours per week from any one person employed by it hereunder, except as stipulated in California Labor Code Section 1815. CONTRACTOR and each subcontractor employed by it hereunder shall, in accordance with California Labor Code Section 1812, keep an accurate record, open to inspection at all reasonable hours, showing the name and actual hours worked each calendar day and each calendar week by each worker employed in connection with the PROJECT. B. Pursuant to this Agreement and in accordance with California Labor Code Section 1813, CONTRACTOR shall, as a penalty to CITY, forfeit twenty-five dollars (525) 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 0412016 (1) calendar day or forty(40)hours in any one(1) calendar week in violation of California Labor Code Section 1815. 20. PAYMENT OF TRAVEL AND SUBSISTENCE ALLOWANCE Section 1773.8 of the California Labor Code, regarding the payment of travel and subsistence allowance is applicable to this PROJECT. 21. EMPLOYMENT OF APPRENTICES Section 1777.5 of the California Labor Code, regarding the employment of apprentices is applicable to this PROJECT. 22. PAYROLL RECORDS CONTRACTOR agrees to keep accurate payroll record showing the name, address,social security number, work classification, straight time and overtime hours worked each day and week, and the actual per diem wages paid to each journeyman, apprentice or worker employed by it in connection with the PROJECT and agrees to require each of its subcontractors to do the same. CONTRACTOR further agrees that its payroll records and those of its subcontractors, if any, shall be available at all reasonable times to the CITY, and the employee or his representative, and the Division of Labor Standards Enforcement and the Division of Apprenticeship Standards, and to comply with all of the provisions of California Labor Code Section 1776, in general. 23. INDEMNIFICATION, DEFENSE, HOLD HARMLESS CONTRACTOR hereby agrees to protect, defend, indemnify and hold harmless CITY, its officers, elected or appointed officials, employees, agents, and volunteers from and against any and all claims, damages, losses, expenses, judgments, demands, defense costs, and consequential damage or liability of any kind or nature, however caused, including those resulting from death or injury to CONTRACTOR's employees and damage to CONTRACTOR's property, 15 16-5195/City Funded Construction Contract.docx—revised 04/2016 arising directly or indirectly out of the obligations or operations herein undertaken by CONTRACTOR, caused in whole or in part by any negligent act or omission of the CONTRACTOR, any subcontractors, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, including but not limited to concurrent active or passive negligence, except where caused by the active negligence, sole negligence, or willful misconduct of the CITY, its officers, elected or appointed officials, employees, agents, and volunteers. CONTRACTOR will conduct all defense at its sole cost and expense and CITY shall approve selection of CONTRACTOR's counsel. This indemnity shall apply to all claims and liability regardless of whether any insurance policies arc 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 fumish 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 fumish to CITY a certificate of waiver of subrogation under the terms of the workers' compensation and employer's liability insurance and CONTRACTOR shall similarly require all subcontractors to waive subrogation. 16 16-5195/City Funded Construction Contract.docx—revised 04/2016 25. INSURANCE In addition to the workers' compensation and employer's liability insurance and CONTRACTOR's covenant to defend, hold harmless and indemnify CITY, CONTRACTOR shall obtain and furnish to CITY,a policy of general public liability insurance, including motor vehicle coverage covering the PROJECT. This policy shall indemnify CONTRACTOR, its officers, employees and agents while acting within the scope of their duties, against any and all claims arising out or in connection with the PROJECT, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including products/completed operations liability and blanket contractual liability, of One Million Dollars ($1,000,000) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit,the aggregate limit must be no less than One Million Dollars($1,000,000) for this PROJECT. This policy shall name CITY, its officers, elected or appointed officials, employees,agents,and volunteers(the"Additionally Insured Parties")as Additional Insureds,and shall specifically provide that any other insurance coverage which may be applicable to the PROJECT shall be deemed excess coverage and that CONTRACTOR's insurance shall be primary and non-contributory with any other valid and collectible insurance or self-insurance available to the Additionally Insured Parties. Any available insurance proceeds in excess of the minimum coverage amount specified herein shall be available to the Additionally Insured Parties. All coverage available to CONTRACTOR shall also be available to the Additionally Insured Parties. Under no circumstances shall said above-mentioned insurance contain a self-insured retention without the express written consent of CITY; however an insurance policy "deductible" of Five Thousand Dollars (S5,000.00) 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 Constriction Contract.docx—revised 04/2016 26. CERTIFICATES OF INSIJRANCE; 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: l. 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 hereinabovc required. CONTRACTOR shall provide a separate copy of the additional insured endorsement to each of CONTRACTOR's insurance policies, naming CITY, its officers, elected and appointed officials, employees, agents and volunteers as Additional Insureds, to the City Attorney for approval prior to any payment hereunder. 27. NOTICE OF THIRD PARTY CLAIM Pursuant to Public Contracts Code §9202, CITY shall provide notice to CONTRACTOR of receipt of any claim filed with CITY or a court of competentjurisdiction which arises out of performance of this agreement within ten(10)days of receipt of such claim or claims. 18 16-5195/City Funded Construction Contract.docx—revised 04/2016 28. DEFAULT AND TERMINATION If CONTRACTOR fails or refuses to prosecute the work hereunder with diligence, or fails to complete the work within the time specified, or is adjudged bankrupt or makes an assignment for the benefit of creditors or becomes insolvent, or violates any provision of this Agreement or the Contract Documents, CITY may give CONTRACTOR notice in writing of its intention to terminate this Agreement. Unless the violation is cured within ten (10)days after such Notice of Intention has been served on CONTRACTOR, CITY may, without prejudice to any other remedy it may have, terminate this Agreement upon the expiration of that time. Upon such default by CONTRACTOR, CITY may elect not to terminate this Agreement; in such event CITY may make good the deficiency in which the default consists and deduct the resulting costs from the progress payments then or to become due to CONTRACTOR. If it is subsequently determined by a court of competent jurisdiction that CITY's termination of this Agreement under this Section was wrongful, such termination shall be converted to a termination for convenience under Section 29 and any damages shall be assessed as set forth in Section 29. 29. TERM INATION FOR CONVENIENCE CITY may terminate this Agreement for convenience at any time with or without cause,and whether or not PROJECT is fully complete upon seven(7)calendar days written notice to CONTRACTOR. In the event of termination, under this Section CITY shall pay CONTRACTOR for value of work in place on the PROJECT through the termination period less all such payments already made. In case of such termination for convenience,the CONTRACTOR shall be entitled to receive payment for work executed, and costs incurred by reason of such termination. In no event shall CONTRACTOR be entitled to recover overhead, profit or CONTRACTOR's fee on work not performed. Such payment by CITY shall be CONTRACTOR's 19 16-5195/City Funded Construction Contract.docx-revised 042016 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 of whether or not CITY is named in an action to enforce such stop notices. CITY may set off any unrcimbursed 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 scaled 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 PRESTIGE STRIPING SERVICES, INC. A'[-FN:Jonathan Claudio , Public Works ATTN: Anthony A. Trujillo 2000 Main Street 1054 Railroad Street Huntington Beach, CA 92648 Corona,CA 92882 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 1324u regarding employment verification. 37. LEGAL SERVICES SUBCONTRACTING PROHIBITED CONTRACTOR and CITY agree that CITY is not liable for payment of any subcontractor work involving legal services, and that such legal services are expressly outside the scope of services contemplated hereunder. CONTRACTOR understands that pursuant to Huntington Beach City Charter Section 309, the City Attorney is the exclusive legal counsel for CITY; and CITY shall not be liable for payment of any legal services expenses incurred by CONTRACTOR. 38. ATTORNEY'S FEES In the event suit is brought by either party to construe, interpret and/or enforce the terms and/or provisions of this Agreement or to secure the performance hereof, each party shall bear its own attorney's fees, such that the prevailing party shall not be entitled to recover its attorncy's fees from the non-prevailing party. 39. INTERPRETATION OF THIS AGREEMENT The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of the parties. If any provision of this Agreement is held by an arbitrator or court of competent jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the 22 16-5195/City Funded Construction Contract.docx—revised 04/2016 context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act contrary to law, and wherever there is any conflict between any provision contained herein and any present or future statute, law, ordinance or regulation contrary to which the parties have no right to contract, then the latter shall prevail, and the provision of this Agreement which is hereby affected shall be curtailed and limited only to the extent necessary to bring it within the requirements of the law. 40. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of Cali fomia. 41. DUPLICATE ORIGINAL The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals, each of which so executed shall, irrespective of the date of its execution and delivery, be deemed an original. Each duplicate original shall be deemed an original instrument as against any party who has signed it. 42. CONSENT Where CITY's consent/approval is required under this Agreement, its consent/approval for one transaction or event shall not be deemed to be consent/approval to any subsequent occurrence of the same or any other transaction or event. 43. SURVIVAL Terms and conditions of this Agreement, which by their sense and context survive the expiration or termination of this Agreement shall so survive. 44. MODIFICATION No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties. 23 16-5195/City Funded Construction Contract.docx—revised 04/2016 45. SIGNATORIES Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify CITY fully for any injuries or damages to CITY in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. 46. ENTIRETY The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive arm's length negotiation,and that each has had the opportunity to consult with legal counsel prior to executing this Agreement. The parties also acknowledge and agree that no representations, inducements, promises,agreements or warranties, oral or otherwise, have been made by that party or anyone acting on that party's behalf, which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement, promise, agreement, warranty, fact or circumstance not expressly set forth in this Agreement. This Agreement, and the attached Exhibit "A", contain the entire agreement between the parties respecting the subject matter of this Agreement, and supersede all prior understandings and agreements whether oral or in writing between the parties respecting the subject matter hereof. 24 16-5195/City Funded Construction Contract.doex—revised 04/2016 IN WITNESS WHEREOF,the parties hereto have caused this Agreement to be executed by and through their authorized officers on June 8,2021 ,goiAQa✓.a, airyC�Dutucta- Mi9Y, /y CONTRACTOR: CITY OF HUNTINGTON BEACH,a municipal do le State of ifomia By. i' Saban Trujillo 7U.ti aygf (print name) 4q� e•? ITS: Chairman President Vice-President City Cleric (circle one VV INIT AN PPRO AND Aw BY Director of Publi orks Sabas Trujillo &et6D �POVED: Chief Financial Officer / Asst. 4... ttrer (circle one) City Manager APPROV D AS T FORM: 1 - City Attomey 25 16-5195/City Funded Construction Contramdocx—revised 0412016 E X og1,61 7- 'All SECTION C PROPOSAL for the construction of ALLEY REHABILITATION from Del Mar Ln.to Graham St. CC No. 1617 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 !a working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site. Plans, Specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire Work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will re-advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govem 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 AGI NCY's option. be considered null and void. Accompanying this proposal of bid, find 9i69 &4- t in the amount 4 M.$ which said amount is not less than 10% of the aggregate of the total bid price, as required byte 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 Nn. Date Received Ridder's Signature C-2 ALLEY REHABILITATION, CC No. 1617 PROJECT' 1311) SCHEDULE Item Contract Bid Item Description Unit Price Extended AmountNn. Quantity I 1 Mobilization LS 5 21ztl3 s _ per LS 2 1 Furnish 1'nrjcct Traffic Control LS S /-)eil S Z ih per LS 3 700 Unclassified Excavation cv s s_7 7c7q per CY 4 916 Construct Concrete Alley(iutler per City Std, Plan 107. I F modified per Plan s S �.0' per IT J_L( S 400 Construct'type III-C3-PG 64-10 Asphalt Concrete PayemCnt 'I.N (depth varies per flan) S l21. di S 4111 36 per'I N 6 400 Crushed Miscellaneous Base CY s_3G.Q-;� s f4' 712— per CY 7 4 Furnish K Install Composite Manhole Riser with 11-25 Rated EA Composite Manhole Frmic and Corer(GM] Composite 260( S 4 04 Z S 6� or equal) If per FA 8 700 Construct Concrete Alley Approach per City Sid. flan 211. SI; nnxlilied per Plan(including adjacent CurbR Gutter per City s4+ 4— S 30 133 Sid flan 202.and Sidewalk per City Sid. flan 207) 1 per SF 9 1 Prepare Storm Water Pollution Prevention flat I.S s 2��� s 2 per LS III 1 Water Pollution Control LS S 1+ s Ir 15 per LS Total Amount Bid in Figures; !iI q 711018-1 41' r ..tot__al_A..m...ount. ......B.id....in....W.orcls:. U�.C�..._� ��PJ1..._r.1'.W�...N!..".�'1.). Sit'n....l..{1Cus�!^1.....F..( .`.1 ....�.ktu:�! ..5a�f._ !`JF.... 011�✓S............ _ . .... .... .. ............_.h^� w��y G-,ftil Cep+S C-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000. whichever is greater, and the portion of the Work to be done by such subcontractor. Bid Name and Address of State Class DIR Dollar % of Item(.$) Subcontractor License Number Amount Contract Number fg3 04,.E1'e3 hl�usa;hj :m. 34i Qk .n SF. 1Llal @-0�< `13?�98 Q � 4z56 �L�f68 V/0 cA yzs �5 tpR o� 733 Ave,C4rr,'C/ 71�36 C31 Joe y35� � 7 2. p (Oh Me (A 10040 D42 So Cti 1 _4,,�14y S G62CS2 A Iouji- 2 421151 , (7jb I zG2� �pgle L�,h� � Yt3 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 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 20 at Corona I CA Date City State being first duly swom, deposes and says that he or she is RMO PrN0p�Svprq Servw�.inc of o6APM"OPavnOCmli 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. Prestige Striping Services. Inc DBA Prestige Paving Company Name of Bidder Signature of Bidder 1054 Railroad Street, Corona, CA 92882 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 ALLEY REHABILITATION, CC No. 1617, (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. Prestige Striping Services, Inc. DBA Prestige Paving Company Contractor Anthony A. Trujillo B RMO Title Date:4/20/21 C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162. the Bidder shall complete. under penalty of perjun. the following questionnaire. QUESTIONNAIRE las 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 EJ 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. Prestige Striping Services, Inc. DBA Prestige Paving Company Contractor Z/� Anthony A. Trujillo By RMO Title Date:4/20/21 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Prestige Striping Services, Inc. DBA Prestige Paving Company Bidder Name 1054 Railroad Street Business Address Corona CA 92882 City. State /ip ( 951 )270-2999 info@prestigecompany net Telephone Number Email Address 827632 Class A, C32,and C12 State Contractor's License No. and Class 11/19/2003 Original Date Issued 11/30/2021 Expiration Date The work site was inspected by t Aok.CiriSkk9 n. of our office on 4111 iiilaJat 20A. The following are persons, firms,and corporations having a principal interest in this proposal: Prestige Striping Services, Inc DBA Prestige Paving Company -Anthony A Trujillo 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. Prestige Striping Services, Inc DBA Prestige Paving Company Company Name G� Signature of Bidder Anthony A. Trujillo Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this A day of ApC 1� , 20fi. 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 N 1k K V1%A-I ) Countyof �IVc�ICJP ) On 1l Z0 ZQ21 before meA l Qf)a V l(�P() NO�Ca( �! N�l( T - Month, Day,and Year Insert Name',&W Title of Nota personally appeared . T 'Ilku Na (o of Signer(95 who proved to me on the basis of satisfactory evidence to be the person(y) whose name(r) is/ape subscribed to the within instrument and acknowledged to me that he/Ae/jkt:y executed the same in his/hor/ Kir authorized capacity Wi), and that by his/W/tr signature(� ).on the instrument the person(s or the entity upon behalf of which the person(yacted, executed the instrfiment. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS m hand d official l. AAW4 LLEGAS my an o sea Notary Pubix-GtAurm, • Rry Ude County Comb w a 1307014 - Mry Comm.EyOirn'JC 24 1013 $IgnfltUre Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 BIDDER'S PROJECT HISTORY AND PUBLIC AGENCY REFERENCES The bidder shall provide information to demonstrate his/her past work experience on projects of similar (or greater) size and scope of the ALLEY REHABILITATION, CC No. 1617. Bidders may submit additional sheets, using the format shown, to further demonstrate his/her history of similar work experience. 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. Riverside County Transportation Commission - 4080 Lemon Street, Riverside, CA 92507 Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Gorge Salas - 951-453-5037 Metrolink La Sierra Station Lot B Parking Lot Removal 8 Replacement $370,355.00 12/08/2020 Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: Asphalt Paving and New Layout Striping 2. Coast Community College District - 1370 Adams Avenue, Costa Mesa, CA 92626-5429 Name and Address of Public Agency Name and Phone # ol'Agency's Project Manager: Joseph Dowling - 714-892-7711 Golden West College- 15744 Goldenwest Street, Huntington Beach, CA $195.085.00 08/19/2019 Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: Asphalt Paving, Remove and Replace Concrete Sidewalk and Curb, Striping 3. Orange County, Public Works - 300 N. Flower Street, Santa Ana, CA 92703 Name and Address of'Public Agency Name and Phone # of Agency's Project Manager: Benjamin Oviedo - 714-667-8800 John Wayne Airport Phase 3 $1,146,090.00 1/26121 Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: Concrete, Striping, Beadblasting C-10 BIDDER'S CRITICAL STAFF The bidder shall provide information to demonstrate that both the Construction Project Manager (office staff) and Construction Superintendent (field staff proposed for ALLEY REHABILITATION, CC No. 1617 have had similar wort: experience on at least 3 different projects within the past five years. The proposed critical staff members need not have been employed by the bidder at the time the referenced projects were completed. I. Anthony A. Trujillo Name of proposed Construction ['reject Manager Phone # of proposed Construction Project Manager: 714-400-4927 Metamorphosis $148,135.00 Concrete and Asphalt Paving, 1/15/21 Project Name & Contract Amount "type of Work Date Completed Giant RV-Downey $448,536.00 Concrete, Asphalt Paving and Striping 02/04/21 Project Name & Contract Amount Type of Work Date Completed Amazon DLX9 $387,325.00 Asphalt Paving, Seal, and Striping 10/18/20 Project Name & Contract Amount Type of Work Date Completed 2. Anthony A. Trujillo Name of proposed Construction Superintendent Phone # of proposed Construction Superintendent: 714-400-4927 Wateridge $212,150.00 Concrete and Seal 03/16/19 Project Name & Contract Amount Type of Work Date Completed Burlington-Lancaster $210,000.00 Asphalt Paving 08/04/18 Project Name & Contract Amount Type of'Work Date Completed Covina West Apartments $174,300.00 Asphalt Paving, Concrete, and Striping 11/8/17 Project Name & Contract Amount Type of Work Date Completed C-II 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 5300. 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/DLSEfPublic Works/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/P W CR/Action Servlet?action=display P W CRegistrationForm DIR's Contractor Registration searchable database: https://efr I ing.d i r.ca.gov/P W C R/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." 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. Prestige Striping Services, Inc. DBA Prestige Paving Company Contractor Anthony A. Trujillo B info@prestigecompany.net Email RMO Title Date:4/20/21 PWC Registration 4: 1 OW015267 C-12 BID BOND Bond KNOW ALL 13Y TI IESE PRI SENfS, That we, prestige Striping Services Inc. dba Prestige Paving Company of Corona, CA (hereinafter called the Principal), as Principal, and The Ohio Casualty Insurance Company (hereinafter called the Surely), as Surety, are held and firmly bound unto City of Huntington Beach (hereinafter called the Obligee) in the penal sum of ten percent of amount bid — -----------------—-------------------------—---------------------------------------- Dollars (S 10% ) for the payment of which the principal and the Surety bind themselves; their heirs, executors, administrators, successors and assigns,jointly and severally, fimily by these presents. 71 IE CONDITION OF THIS OBLIGATION IS SUCI1. That WIIEREAS, the Principal has submitted or is about to submit a proposal to the Obligee on a contract for Alley rehabilitation from Del Mar Ln to Graham Street NOW, TH REPORE, If the said Contract be timely awarded to the Principal and the Principal shall, within such time as may be specified, enter into the Contract in writing, and give bond, if bond is required, with surety acceptable to the Obligee for the faithful performance of the said Contract, then this obligation shall be void, otherwise to remain in full force and effect. Signed and scaled this 19th day of April 2021 Prestige Striping Services, Inc. dba Prestige Paving Company (Seal) Principal Witness � . poy q.l�ujillo, rM0 "I'itic The Ohio Casua4 Insurance Company 13y Scott Salandi Attorney-in-Pact S-1561/GE 10199 XOP CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California '} County of On l LI before me. Dote Here Insert Nam and Title of the Office personally appeared 1 1 "'l ' ` I1 l)�1�'L ame(sjof Si ner(i) who proved to me on the basis of satisfactory evidence to be the personX whose names) is/Xe subscribed to the within instrument and acknowledged to me that he/5Ne/ttxfy executed the same in his/jar/twir authorized capacity(ieys), and that by his/[Xr/thRfr signature(2rfon the instrument the persona, or the entity upon behalf of which the personysf acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing ANA'14LECAS NotaryARI Publi[-California paragraph is true and correct. = Riverside County Commission�2302014 WITNESS my hand and official seal. 0M y Comm.bores Oct 24,2023 ' rI Signature i Place Notary Seal and/or Stomp 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 Docurre t n, Title or Type of Do�umen(: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: i A M) t � Signer's Name: ¢Corporate Officer - Tii e(s): t'-O t ❑ 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: i� )nA.' 1tf_rl^t L\,- I Signer is"Representing: •1 C4 �i. 4Jl P. 02019 National Notary Association ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On A. a i % =1 before me, Annette Lisa Romero, A Notary Public (insert name and title of the officer) personally appeared Scott Salandi who proved to me on the basis of satisfactory evidence to be the person(s) whose name($) is/anx subscribed to the within instrument and acknowledged to me that he/sAUMlmgy executed the same in his/haMthek authorized capacity(k)*, and that by his/haMhek signature(s) on the instrument the person($), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ANNETTE LISA ROMERO WITNESS my hand and official seal. C0NIM.X 2244076 < NOTARY PUBLIC CAL6GRNIA 3 ORANGE COUNTY ti Mp wm .e.pas May.26,2022 If Signature AaZZ142 /7 (Seal) 1 1 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:8202672-977490 West American Insurance Company SURETY POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:Thal The Ohio Casualty Insurance Company is a corporatim duty 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 Slate of Massachusetts,and West American Insurance Company is a corporation duty organized under the laws of the Stale of Indiana(herein collectivety,called the'Canpaniesl,pursuant d and by authority herein set forth,does hereby name,constitute and appoint, David S. Jacobson;Scott Salandi:Leonard E.ZiminsLv all of the city of Irvine 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,recognizance and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as ff they have been duty signed by the president and arrested by the secretary of the Companies in their own proper Persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 3rd day of December 2019 . Liberty Mutual Insurance Company P`hNsuq, P`tY IHSpq A h vow ky The Ohio Casualty Insurance Company �J ° .e'rn y ^•° -A �P .e'fo West American Insurance Company . : .41912 o cr °1919 � s 1991 0 /v ,n ^'3 s e4 ri;• 3 � (sum. y O 6 N N b�++cwps�olio O ...vs as YS 'rou+� 2a ' C David M.Carey,Assistant Secretary a N Stale of PENNSYLVANIA a Z1 County of MONTGOMERY w m N L) m in C On this 3rd day of 13ccembcr 2019 before me persorhalty,appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance o o CornpanyThOhio Casualty Cornpeny,and West Amencan Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes=i— m > therein contained by signug on behalf of the corporations by himself as a duty authorized officer. W Ow T m no IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pemsyhania,on the day and year first above written. n cOr Q) yy, ,a�nE c� COMMONWEALNM�OF�VeEINNSYLVANW Q9 Q1 F ia�oa PaaMW.Hoary Putic /� m N upper Moron Trrp..MmYpmery Carly By: �" `�""^� N C N '� r' My Cprexnisilpn Exp.es MmU�28.ta21 3 E "src-�v c Teresa Pasleaa,Notary Public o m plm -�4RY P�� Marow.Fu.srNau Aafcdebpnd NdaRa Q.O C d This Power of Attorney is made and exealed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual o,c Insurance Company,and West American Insurance Company which resolutions are now in flu force and effect leading as follows: o a E 6ARTICLE IV-OFFICERS:Section 12.Power at Attorney. +T 3 o Any officer or other official of the Corporation authorized for that purpose in wnling by the Chairman or the President,and wbjec to such limitation as the Chairman or the a President may prescribe,shad appoint such a0omeysin-fact,as may be necessary to act in behalf of the Corporation to make,exetule,seal,acknowledge and deliver as surety, a o m c any and all undertakings,bonds,recognimrces and other surety obligations.Such allomeys-in4acl,subject to do limitations set ford in their respective powers of attorney.shall s N have full power to bird the Corporation by their signature and execuoon of any such instruments and to attach Hereto the seal of do Corporation.When so executed, such -'m Z u insWments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative a money-in-fact under the`" provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or au0orty. o 0 ARTICLE lull-Execution of Contracts:Section 5.Surety Bonds and Undertakings. ex m Any officer of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairman or the president may prescribe,�'- shall appoint such attomeys+n-fact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and d In er as surety any and all undertakings, bonds,recognaances and other surety obligations.Such mcmeys4n-fact subject to the limitations set forth in their respective powers of momey,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company.When w executed such instruments shall be as binding as if signed by the president and masted by the secretary. Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,aulhorizes David M.Carey,Assistant Secretary to appoint such mcmeys-in- fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognaarces and other surely obligations. Authorization-By unanimous consent of the Companys Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed. I,Renee C.Llewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Compalry,Liberty Mutual Insurance Company,and West Amencm Insurance Company do hereby certify that the original power of allomey of which the foregoing is a full,true and correct copy of the Power of Atlomey executed by said Companies,is in full force and effect and has not been revoked. ._ • n IN TESTIMONY WHEREOF,I have hereunto set my hard and affixed the seals W said Companies this day of - - - `iNB:/A. �p INSp 0 tNSUA, {�'1912 a� so�1319F t; Y Y 199:p e By tit) . F� ,,tut }ea S''M xaa Renee C.LJ wIfyn,Assistant Secretary u S-n 2eza LMiC WC wac Moab Ca 062018 Y n � � W ko = a U O Co�-1 } Q �_ LLJ Z CO a u w c'I v Z � w 0 o c) O ? u Z (D u.) w w 2 O O m Z S w N Q ~ U w LLI m LLJ3 J _ z Q J Z ~ O N m w w w � 2 O O f- Z Z U ui ~O � z � Z w o O > o. _ w 0 I N � � Q. n a! E v N u o v10 � 00 ✓1 N cto m o a g� d _ U 3 t`� ` i m v o ao o v 'Fos s Q v CO a p 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 Cl e k DATE: —`"Y '—`—r— SUBJECT: Bond Acceptance I have received the bonds for (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) / Performance Bond No. 77 Payment Bond (Labor and Materials) Bond No. 6�S�aJ`a/ 7 7 Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved iz (Council Approval Date) CC No. Agenda Item No. / �, t MSC No. City Clerk Vault No. o, ✓ D Other No. SIRE System ID No. J 120 gJforms/bond transmittal to treasurer Executed in Duplicate Bond No. 24252177 PERFORMANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS,City of Huntington Beach(hereafter referred to as'City')has, by written agreement dated 20 ,entered into a contract with Prestige Striping Services Inc. dba Prestige Paving Company 1054 Railroad Street Corona. CA 92882 (name and address of Contractor) (hereinafter referred to as'Principal'),for performance of the work described as follows: —Affey e a I I a lot n r�DeTlVla n o Goa IF am 5 reet (Project Title) WHEREAS, said contract, and all documents referenced therein (hereinafter collectively 'Contract'), are incorporated herein by this reference made a part hereof as though set forth herein in full;and Said Principal is required under the terms of the Contract to furnish a bond guaranteeing the prompt, full and faithful performance of said Contract, by a duly admitted surety insurer under the laws of the Slate of California(hereinafter referred to as"Surety');and Surety is certified and listed in the U.S. Department of the Treasury Circular 570, and has provided proof of sufficient bonding limitations as shown in said circular to provide bonds in the amount required by said Contract;and Surety has provided financial strength ratings from reputable companies,such as from A.M. Best,Moody's,or Standard& Poor's,to validate that Surety has positive ratings of being secure or Stable;and Surety is registered and fisted with the California Department of Insurance, NOW,THEREFORE,we,the undersigned,as Principal,and The Ohio Casualty Insurance Company 790 The (.ItV ) P, Rnufh Snite 300, Ornn©g, CA g2868 (name and address of Surety) as Surely,are held and firmly bound unto City in the penal sum of one hundred ninety seven thousand eight hundred eight and 48 00 --- Dollars(S 197,808.48 ),this amount being not less than one hundred percent of the price set forth in the Contract,in lawful money of the United States,for the payment of which sum,well and truly to be made, we bind ourselves,our heirs,executors,administrators and successors,jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT if the Principal shall promptly,fully and faithhrlly perform each and all of the covenants,obligations and things to be done and performed by the Principal in strict accordance with the terms of the Contract as said contract may be altered,amended or modified from time to time;and if the Principal shall indemnity and save harmless City and all of City's officers,agents and employees(hereinafter collectively referred to as"Obligees fromany and all losses,liability and damages, claims,judgments,slop notices,fees and costs of every description,whether imposed by law or in equity, which may be incurred by the Obligees by reason of the failure or default on the part of the Principal in the performance of any or all of the terms or the obligations of the Contract,including all alterations,amendments and modifications thereto,and any warranties or guarantees required thereunder,then this obligation shall be void; otherwise,it shall be and shall remain in full force and effect. Surety stipulates and agrees,for value received,that no adjustment of the time or price in the Contract or any alteration,change,deletion,addition or other modification to the Contract, or the work to be perfonned thereunder,shall in any way affect,limit, restrict,impair or release the obligations of the Surety under this Bond. Surety waives notice of any adjustment of contract or contract price,and any other alteration,change, deletion,addition or other modification to the Contract,or the work to be performed thereunder,and agrees 15a5 84/1 1 71 74 Bond No. 24252177 to automatically adjust the penal sum of this Bond to reflect such adjustments, alterations. changes, deletions,additions or other modifications Surety agrees to provide written confirmation of such adjustments in the penal sum to City on not less than a quarterly basis. Surety also warves the provisions of Civil Code§§2945 and 2849 The obligations of this Bond shall survive the completion of the work described in the Contract as to all obligations and liabilities of the Principal which survive completion of the work. IN WITNESS WHEREOFr each party represents and warrants that this instrument has been duly executed by Pnmpal and Surety,on the dale set forth below,that the name of each corporate party being affixed hereto is such party's proper legal name and that the individuals signing this instrument have been duly authonzed pursuant to the authority of its governing body Surety,by execution of this bond.waives any defense which Surety has or may have by reason of any failure of the Principal to execute or property execute this bad. Dated: May 25.2021 ATTEST Presf Sfri ServiCBS Inc. fe3 age aving pang (Corporate Seal) Pnnopal Name) By Nam + Trite. Q�Q ATTEST The Ohio Casualty Insurance Company (Corporate Seep T��) BY m n-fad of Attorney.n-Fact for Surety) (Attach Adomey-n Fact Certificate) j) 562-631-6436 (Area Code 6 Telephone Number for Surety) APPROVED AS TOFWO INeN E.Oelee.City Albrney� r Note This bad must be executed in&O"fe and dared ail signatures must be ro Wzed.and ewdaice of the But"of any parson awarw as arromeyan laG must be anached PERFORMANCE BOND Page 2 of 2 15-45WI17174 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 +a�ieeoeeee A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California \ County of On before me, t to 11 re Insert No a and Title of a Officer personally appeared ' v NordeK of Signer(pf who proved to me on the basis of satisfactory evidence to be the person whose name M is/are subscribed to the within instrument and acknowledged to me that he/Oe/tt�y executed the same inhis�er/11,reiir authorized capacity(ieA), and that b his/h r/tWir signaturb(�on the instrument the person�;�or the entity upon behalf of whit the person(yfacteexecuted the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing ARIA NA VILLE GAS paragraph is true and correct. Notary Vubnc-CalAanw RrvenideCmnry WITNESS my hand and official seal. •'' it Co,sstw 9 2107014 rr;ann Expires Oct 74,7027 � Signature Place Notary Seal and/or Stomp Above Signature of Notary Public -- - OPTIONAL Completing this information con deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Docrent�, ) Title or Type of Doc ment: Y 1G(4-fl(&Wou L/9] Document Date: Number of Pages: nv Signer(s) Other Than Named Above Capacity(ies) CIqi,m��gd� by Sign r(s Signer's Name: +yk Ib Signer's Name: ❑ Corporate Officer - Title( ): ❑ Corporate Officer - Title(s): ❑ Partner - ❑ Limited ❑ General ❑ Partner - ❑ Limited O Ge O Individual ❑ Attorney in Fad ❑ Individual ttorney in Fact 0 Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator O Other: ❑ Other: Signer is Representing:M111111re Sign epresenting: D Q 02019 National Notary Association ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On MAY 7 5 9071 before me, Annette Lisa Romero, A Notary Public (insert name and title of the officer) personally appeared Scott Salandi who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/am subscribed to the within instrument and acknowledged to me that heliius tey executed the same in his/MeMNek authorized capacity(ieeo, and that by his/knFA ek signature(%) on the instrument the person(:), or the entity upon behalf of which the person(s) acted, executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official Seal. ANNETTE LISA ROMERO ` n COMM.#2244076 NOTARY PUBLIC CAL IFORMA ;O 3 ORANGE COLIN Signature jo (Seal) This Power of Attorney limits Ind acts of thote named herein and tney have no sutNonty to �LL bind the Company excWpf in the manner and to the extent herein salad. Libee'M Liberty Mutual Insurance Company N Mule l4Jl• The Oho Casualty Insurance Company Cefirate No $202672-977e90 West American Insurance Company SURETY POWER OF ATTORNEY MOM All PERSONS 6Y THESE PRESENTS:That The Oho Casualty Ymuarce Cdnpaty 6 a corporation duly orgraaed udef 6te lass of the State d'New Hampslre that Lb"Mhos Ytefaatoa Cdngry a si tdrpdtafon daily s a cerporatior iu 73anuec tsar M sess d M Stata d Yntfarte ptanean doeedltMy ve110 b Catpraad'I.psetrane b ism q auednty heron sr bin.does rereby name ca+stm,Ie arc appoint Irv,.�� Jacobean:Scott Salmdi:Leonard F.Ziminsky -- III of ee city d Irvine Wta Of t'A eKh e,dviurady if dere be more than One named Its In.e and ukA1 anomey-n-fact Ic make "u l&.no,atlunwiedpe and def+r,tr rid n belte8 r surety arc as its ad and deed,am rid al utoertaaegs.bonds.leagrvartces and other wrery obgaons n p,,rwance of ewe preeaee and shad be as brdag upat Ind Cmprwes as d they have been ddy spud by that pwdane and aveetad by the secretary of de Congarnes n thew oern proper pascru M VXTNM HEREOF.tore Pd d Aeony ho been wbsdued by an&AvL ed ofttrw m o6ga d ee Cdnpaks rid ee cdr9 soy d the Companies hand been affixed ew do 3rd days Deccnnber , 2019 'carry MAsasa ataaance Convert,to CasueM urau rr nnuu The Oty Iwarxe Conparry a �4 ten, ? ° r fw•w +�� west NmIX1n ram"Cangaty of1912 n 1919{� 1991 � n u Dana M Carey Ass,stwi Seaeary n N State of PENNSYLVANIA m j County of MONTGOMERY ss c a a On this Ind day of Ihtiemher 2n19 halore mepwmmit appsaned Dad M Carey wnc ad,noydeck^rmseO to be ee Assistant Secretary of Liberty,Mutual Insurance G o m Conry.pe The Oho Casualty Conpary n and Wed Maat Yfeuarde Cdpary.if and dal he such .as berg audanzec so to do execute t e foregoing eneur ent for the purposes = y > mast mttamd by sgwig m bdad of be m pulft by ltl a a dxY auerdued officer Its m3 IN WITNESS eunto WISS WHEREOF,I have her sutsod my in ant ant~my eal oens note s at Kehg of ssaems Pru .Pytvwe on the day andea y first above eraan. �E n7 p 02 2e''a Pe arFr p�OMwKnla rllaleYLNSraA Qs7 cower m 0 ' s ) sw.rswrr sawn ssea O� or h.etrw at.n,ya.�eanr..y rusq By: �✓�^'^"� � re e m abd.rsaw, e,o•.nswe,x.xm+ 3 E ,,.fy,(, aesa Pasbaa.Notary Public O M 0 N � �T IY�R Iw�M.w�I.csas�a,YYr a p co re Ya N O C m TNs Pover o'Attorney K made and exists puaafa b ant by aubay ofM 106DItktp Byiara ant Anlb6yaear of The Oho Casuady Ms,aarce Canpny. Liberty Mural 5 c o c Insurance Company and west Amenoan Insurance Conpaty which resokrbn m nor a U lave rd~is e0atq w lbws Is E m ARTICLE N-OFFICERS:Section 12 Poser of Atbmey F� O Any officer or other official of the Corporation ail onzed kr dud purpose at autag by fad ChMse en or M Presdent and sub)W to such amabon as Its,Chrmn or ate a 8 g Presdent may prescribe,shad appoint welt anomeys+n-tat.n may be mlaadry b ed at behell of b Capaaaen b make.execute.sot.aicro bdpe and deliver as surety >o me all bonds and other Badly ANWWp4Aa > a nave fur power et8 Coirttoretion by tharW mar signature amide d any vain wid b.IfWt eweb the sea of Corporation When w e. ,coat �� z D instruments Shad be as bndng as d signed by ore Presddm and amsted to by ore Secretary Any poser or autoriy Qafbd b my representative or Money n y in-fad under the gons,ms disks Made may be revoked at any are by ee Board.die Chairman the Prsadre or by the OMM or olkven Vag%m power or sudnrry £ ARTICLE XR-Exatdbn of Caroecss:Section 5 Surety Bonds and uroaaki gs Any ofkcer 01 the Company aAprued to that purpose in wr,ag by de dasrrn a the prescient.and wgea to sudt YrYatsors a5 de darnrun or ate presdae may pre19 svw. H seal appoea such morteysnfad,as may be necessary to at in behalf of the Company to make execute seal ack owfodge and deliver as surety arty and as undertakings. bonds,recogrsza,us ad otter surety obligations Such aaateys+ facl sugeci to ete amations sad fora in dwrr respect a powers of aoney,shal hero hA proper to bed the Conpeny by our sgabure and execution of any such instruments;and to aW dereo the seal of 1*Company When so executed wad nalemenb rep be as badeg as it sged by Ind prescient and atbsasa by ma seoetay CaeXlvest a1006VAMn-The President of the Company.acang pursuers to ore Bysi of the C vrpary,audenzes David M Corey Assistant secretary to appoint such attcn eys�n fad as may be necessary to ad m behalf of the Cdrtpany to nuke.exeare.seal at*mwledge and dek M as surety,any ant cur undertakngs bards,recogwwces am dew surefy cbbPbons AutlerUsharh-By unaanars consent d ee Company's Board of Directors,de company,miens what fa®rnea or nedtaecary,rep duced signature d any assistant secretary of one Congny wherever appeang upat a ceraaed catty of any pose of Wormy issued by the Cor parry in msecew with surely bands,seal be read and banding upon this Ccnpany end ore same force and weed as too manually affixed 1,Renee C Llewellyn.se undersgW.Assume Secretary,The Oro Campy Insurance Compaq,Liberty Mua,a Insurance Company.and west American insurance Carpaty do hereby ceMy out tle o(WW power of aftrwy of sfadh Be kre Wq is a full,true and carted copy of Ce Pdser of Abney executed by said Corryaeas is in full inn ant effect and has not been'"o`eyj MAY 2 5 2021 IN TESTIMONY WHEREOF I have t e ID sec d a my had affixed the seas of Said Corrpans tlas day of ��.,�u�.rsw+u,,,y4 �}r fMau �nsauq, 1912,t� �enp+ 19w1+9" n a 1991 r+ �"^' �„ •e fie• of �.Ranee AmaentSecretary. h,}s 3rz . k er . k+a Ues'sesn, WStSe)d sus[aC wA1C nob�daAte Executed in Duplicate Bond No. 24252177 PAYMENT BOND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS,City of Huntinggton Beach(hereafter referred to as'City')has awarded to Prestige StnPIng Services, Inc. dba Prestige Paving Company 1054 Railroad Street Carona, CA 92882 (name and address of Contractor) (hereinafter referred to as'Principal a contract('Contract')for the work described as follows: Alley Reha ilitation from Del Mar Ln to Graham Street (Project Title) WHEREAS, Principal is required under the terms of the Contract and the California Civil Code to furnish a bond to secure the payment of claims of laborers,mechanics,materialmen,and other persons as provided by law, by a duly admitted surety insurer under the laws of the State of California (hereinafter referred to as 'Surety); and Surety is certified and listed in the U.S. Department of the Treasury Circular 570, and has provided proof of sufficient bonding limitation, as shown in said circular to provide bonds in the amount required by said Contract:and Surety has provided financial strength ratings from reputable companies,such as from A.M. Best, Moody's or Standard 8 Poofs, to validate that Surety has positive ratings of being secure or stable;and Surety is registered and listed with the California Department of Insurance. NOW THEREFORE,we,the undersigned Principal,and The Ohio Casualty Insurance Company 790 The City Drive South, Suite 300 Orange. CA 92868 (name and address of Surety) as Surety,are held and firmly bound unto City in the penal sum of one hundred ninety seven thousand eight hundred eight and --- -- - - — — dollars($ 197 808 48 ),this amount being not less than one hundred percent If 00%)of the total price set forth in the Contract,in lawful money of the United States of America,for the payment of which sum,well and truly to be made,we bind ourselves,and each of our heirs, executors, administrators,successors,and assigns,jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT,if the Principal, his,her,or its heirs,executors, administrators,successors or assigns,or subcontractors shall fail to pay any of the persons named in Section 3181 of the California Civil Code('Claimants)for all labor,materials or services used or reasonably required for use in performance of the work described in the Contract,or any amounts due under the Unemployment Insurance Code with respect to work or labor performed by any such Claimant,or prevailing wages due and penalties incurred pursuant to Sections 1774, 1775, 1813 or 1815 of the Labor Code,or any amounts required to be deducted,withheld and paid over to the Employment Development Department from the wages of employees of the Principal and Subcontractors pursuant to Section 13020 of the Unemployment Insurance Code with respect to the work or labor performed under the Contract, Surety will pay for the same, in an amount not exceeding the penal sum specified in this bond;otherwise,this obligation shall be null and void. This bond shall inure to the benefit of any of the persons named in Section 3181 of the California Civil Code so as to give a right of action to such persons or their assigns. In case any action is brought upon this bond, Surety further agrees to pay all court costs and a reasonable attorney's fee in an amount fixed by the court. PAYMENT BOND Page 1 of I5-15941117357 Surety stipulates and agrees for value received.that no change.extension of time.alteration, addition or modification to the terms of the Contract.or any contract document or any work to be performed thereunder,whether made after notice or not, shall in any way affect impair of release the obligations of Surety under this bond Surety hereby wares notice of any such change. extension of time,alteration,addition,or modification to the terms of the Contract,the Contract documents or the work thereunder Surety also wanes the provisions of California Crvd Code§§ 2845 and 2849 IN WITNESS WHEREOF each party represents and warrants that this instrument has been duly executed by Principal and Surety,on the date set forth below, that the name of each Corporate parry being affixed hereto is such party proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body. Surety, by execution of this bond.waives any defense which Surety has or may have by reason of any failure of the Principal to execute or properly execute this bond Dialed May 25,2021 ATTEST Prestige Striping Services, Inc. dEa restige aving moann�_ (Corporate Seal) (Principal Name) Namep(� I&�—�SAA," �T� lyJ_lle Title F#—AQ T� ATTEST The Ohio Casualty Insurance Company (Corporate Seal) ) By Na (Signature of Attomey-in-Fact r Surety) (Attach Ano-ney-m-Fad Cenirxate) tJ 562-631-6436 (Area Code 6 Telephone Number for Surety) APPROVED AS T By �Iflidael E.Gaties,12y7bormy / slj0ly rf � 1 Note This bond must be executod in&V I cafe and defect a8 signatures must be norenzed,and evidence of tie authority of any person signing as eifomey-in4a t must be attached PAYMENTBOND Page 2 of 15.4S84/11735" CALIFORNIA ACKNOWLEDGMENT CIVIL CODE 4 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness.accuracy,or validity of that document. State of California County of ,� On 21Z02-)i before me, Date Mere Insert e. Title o1 the Oyc personally appeared Nome of Sigr/er(s) who proved to me on the basis of satisfactory evidence to be the person14 whose nameW is/aj2e subscribed to the within instrument and acknowledged to me that he/so/th,Wexecuted the same in his/h6r/t>efr authorized capacity(iqgl, and that by his/Xr/tWr signatureW on the instrument the personX, or the entity upon behalf of whit the persons) acted, executed the instrument. (( I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. LNIANA YILLECa$ Notary Pub,.CaOfWM,A WITNESS my hand and official seal. *� z` ARIANVCommnsion f 2307014 Y Comm.ExPres Oct N.20I3 Signature ILA 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 DocumentTitle or Type of Document: i Wk LA Document Date:T�2 Number of Pages: 2 Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: "Is" !A IYU,ItID Signer's Name: O Corporate Officer - Titl s): u ❑ Corporate Officer - Title(s): ❑ Partner- ❑ Limited ❑ General ❑ Partner - ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Ano y in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ ardian or Conservator D Other: ❑ Other: gner is Representing:17 Signer is Represe g: (7f L se ©2019 National Notary Association ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validdy of that document. State of California County of Orange ) On MAY 2 5 2021 before me, Annette Lisa Romero, A Notary Public (insert name and title of the officer) personally appeared Scott Salandi who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/an subscribed to the within instrument and acknowledged to me that he/a*eRloiay executed the same in hls/kax0eir authorized capaaty(ieo, and that by his/herAhaW signature(s) on the instrument the person(z), or the entity upon behalf of which the person(a) 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 - - - - - - - - - -- -- - WI TNESS my hand and Official seal. T ANNETTE LISA ROMERO Q COMM.It 2244076 f NOTARY R&IC MIFORNIA� ORANGE COON rY .. ' Y,,q e. n Va, A.2.,22 Signature t7 (Seal) 7nis Power of Attorney limits the act of these named Mrcm.and they heve no aumonry to bind the Company except in the manner and to the extent herein stated. Liberty Mutual Insurance Company Mutual. The Ohio Casualty Insurance Company Certificate No 8202872.977490 West Amencan Insurance Company SURETY POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The oleo Casualty eiWarda Camp"a a tapaabn duty or9aprec uroer the laws or h Sue of New Hartgstre,that Liberty M,tcal Iry rmx Corrpary as a mporaaon duly agarced woo eggs Naves of to Sage of Maa/xluaeQa,ma West Amencan Insua ce Company is a Corporation duty ofwux Leader the laws of she Staked hMru(train mlacfvey sled M'Carlganiesl.IAirsYala lif avid q aulNaty ham set ford, aoes hereby name constitute anc appoint Du.id ti 1anlbs.e.Sort tialnub.Lrwrsrd h.7.imituk) am of h city of Irnne sage of CA earn nannowly,if there be more Nan ore vaned its true and lawful attorney n-lac to mare exeoue,90,adulawkeape alto deliver.Jor and m d befall as surely and as tb ad and deed any and al urgcrtakngs boons recugrxzances ark other surety,odgaticns in NmarCe of eeae presents and reel be as binding loan the Carparaes as a by have been dUy Wed by h presdatl are attested by the secretary of day Companies in trier own 1>oper persons 0 YNtNEU WHEREOF.eggs Pacer of Asoney bes been sdwaed by m signior ed Am a dual of the Conpsien and Ike capable seas of the Corporate nave beat affixed Clercto On trig day d December 2019 LOrly MIAIIN Irswarde Carprty G (De IIIaU '�\MiU The Glop Caaely ltnuraroe Convany ^e.6'Ilt� a s`oae1r.�� WON Amalwn Ynfaarde Cmgary19p ; � 1991�ke �o�M"F+aa� in C Davie M Carey,Assistant Seaetay n m State of PENNSYLVANIA jounn w Cty of MONTGOMERY nom Gas Ird day of Deember :019 betas rwers paMIly appeared Deed M Carey he.w aomowledged himself to be the Assisted Secretary of Ls nw erty Mutual Irake 0 H i m Co npany1lo Caw�atpr .atl Walt knWM I M CMWq.and tot he.as SUCK being authanred so to Leo.exeate de fonsgprg Instranent for the purposes — m > slam conlalnM M sgrg on brirl d h mpaaaWr by!i as a duly auIltion:ed offxxr c�w m IN WITNESS WHEREOF.I hne herrnb a*motW ny rlaren ad allied nW rs01arW NO at King of Prussia.Pmnsyhaua.on the day are year first above written E E m A s Oy� Og,,�po�e..w JET W�pr�KiNAFINSLri1NM n Leo �e mO Try r . wog Nave - 'lam// c `r`c ten"et:w rw amr By: E 'Ibf ssrvr Iv..wo..w�errlrrw rhea Paekees,No"Public ab ro 'tW NS al This Power of Aemsey,is made and eltedAM puarra b am q wishonty,of eggs kaowag ey, n and!AuBnrvaarn of The ono Casualty bnura Ce Company. Liberty MAW c rn p= farce Comparry,and sues Amtakn tiruarpe Caryarry rltdr tlMoarearn arc nor n tr taw and elbd reading;as follows 0 ro m Eon ARTICLE IV-OFFICERS:Sedan 12.Power of AlKaggi O m Arty officer or dshr dfinal of h Ddrpaaem alAUIaM for Ilrt pupaae in w91g by that Gorman a the Ptesldaw.and egged b such aneraoon as the Ctaetnari or she $ g Pteadra mry PrOSvege.00 WPWN and SSrMyyAYct M Only be reoeaary,to ad n behalf of the Corporation In make,twKWe,seal.adupwkedge ad deem as wrery >o ant!all misragemp.bonds, saw clear only fig f attorney " CO A ' err have a t8 pow CapaaBon q es 39OU a lit ad asy,rwA.Such apt rued law 9fe Lewd Capawm,wlWwoexewNa. son 4 CN i 3 aeaawrb Nee be r betrysg r If sprig by the Fission and narked to q to Saidestary Any power a swilhoselly,learned b ay repsaraaYvs a atk reya.Iad vied ere €M Provisions;of In arade map be revoked Many We by due BOard,h CIWmWL Ilse PfSWO I or by the office a shale 9-As such poor or slAbay, CC o ARTICLE A-Eaaet--- MCrraeke:Section 5.Suety Bondi and Udwhift . Any of w d Ike ConWI vitaUed br tsar pupae o wdit q h drama a h prrdent.and wgecl b suds araketipe as h dMYtrMrs a h pnesroare may pteavege, 019 sage eppoae arh amnteya4giM IN;may be newasery,b as in bete of h Cmpery,to make,execule,s W,arlunaMdpe and deher we sally any mrl are udrkektlpe, bads.retopeanae aM ollwr ra*obapetians Such a0m eys4wh t aqW b h mike i M Nett in Mw respective powers of aemary,stage hege ha power to bind to CWTWM by tw agMtle and egetafam of any such nstnarwlb am to stadh t s h seal of the Conlprre.tMwl to e:eprbd spiel i sates rKs and be as binding r t SQW by h pleaded and 920 M by the secretary C&Wkw of DealiNatlm-The Ptwidre of she Canpany acting pursuant to the Bytaws of the Company aumonres David M carer,Asysunt Seas"to opposed such aeortryen fact as may be necessary b ad on behalf of Ilse Company to make exewte.seat.acinowltdW and oekver as surety any are are uuderleksgs.boon.reooprasws and oho shy obligabox; AAtaiaatbn-By unwnosn i:Orlaera d tie Company's Boars of Deectn tie Cw"ny omwb ego%cwW w medwK*rtpmd xM tlpvMre of dry anew secretary of h Company wnae ar appear"upon a owefied copy of any power of aeoney need by h Carpary,in conectm wish surely,bond shal be vaM and bedeg upon she Company will, Ilse same form and effect as a x i masuYy affixed I Renee C _kwelr h urdanityied.AssISWN Seaaary. The oho Casually elsurrce Conpery.LsDerly%k"6 wage Cor part'.and West Mserran M\wrrne Carpany do hereby crety Vat the on"power of&Wm"of eexrls h taegag n a tie.trA rig Cared Copy d h Power d ACorroy exe t"bysad Carpaxes,is in lull farce and Into and has not been revoked MAY 2 5 2021 Ill TESTIMONY WHEREOF I have hemir t0 sr my hand and a%ed the Saab of sad Cor glom es she dry of INaUs 1NaU //Jf (0 (00 r°e.°o`!�n ��.N°4.6�n919 r?va 1991 nv�rj ,F j� `Oa• ay:e"',AA• ro��•'Mara Rase C Lbw am,n.Asrsunt Secretary LMS 121173 L M1C OCIC WAIC Ma Co 0620ta PATE(MMIDO/YYY11 D CERTIFICATE OF LIABILITY INSURANCE 614nD21 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 pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. It 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 Ilou of such ondorsement s . PRODUCER Patriot Risk & Insurance Services CONTACT AME, Annette Romero 2415 Cam us Drive, Suite N200 PHONELAIC y�B. 949-086-7904 LAIC.Na Irvine, CA 92612 E-MAIL ADDRESS: aromero@ atrisk.com INSURERS AFFORDING COVERAGE NAICI www.palrisk.com 01C07568 INSU RER A: XL Insurance America, Inc. 24554 INSURED INSURER 9: Greenwich Insurance Company_ 22322 Prestige Striping Services, Inc. dba:Prestige Paving Company INSURER C: 1054 Railroad Street INSURER U: Corona CA 92882 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 62303143 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITH3'rANOING ANY REQUIREMENT, TERM OR CONLAHON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE S BR POLICY EFF POLICY E%P LIMI15 L Nc0 yry POLICY NUMBER MMIUDIY MMIDOIYYYY A COMNERCIALOENERAL LIABILITY / NPC-1004758-00 6/1/2021 6/11`2022 FACHOCCURRENCE $1000000 CLMM9 MADE O OCCUR PREMISES IE. r $500 000 _ MEo EKP An oro $10 000 PERSONAL B ADV INJURY $1,000000 CENT.AGGREGATE LIMIT APPLIES PER: GENE RAL AGGREGATE $2,000,000 _ POLICY PE,T n LOU PRCOUCTS-COMPIOPAGG $�OOOOOO _ OIIIEH: B AUTOMOBILEIIARIUrf , NBA-1004757-00 6/l/2021 6/1/2022 EOMeI.ED SINGLeL,\!II 31000000 MY AUTO BODILY INJURY(Per Carson) $ OWNED SCHEWLEC BODILY INJURY(Per rocs a l) S AUTOS ONLY _ AUTOS HIRED .\ON-OWNED PROPEAIYOAANGE s AU 109 ONLY AUIUSONLY (PO,accIrlon is B UMBRELLA LAB OCCUR NEC-6006507-00 8/1/2021 6/1/2022 EACH OCCURRENCE $5,000,000 EXCESS LIAR CLAIMS MADE AGGREGATE $5,000,000 DEU I I RETENTION$ S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN _ STATUTE ER ANYPROPRIETCRIPARTNER/EXECUnVE NIA El EACH ACGOENT S OFF ICERIM EMS ER E%O W DED) El tfrandalerY In NH) E.L.DISEASE-EA EMPLOY[ 4 ws,desMbo Order CR R'TION OF OPERATIONS bclw F..I-DISEASE-POLICY LWIT $ DESCRIPTION OF OPERATIONS[LOCATIONS I VEHICLES (ACORD 101.Additlonal Remarks Schadu!a,may W allachad It more space Is raqulrod) Re:Alley Rehabilitation Project,CC-1617 The City of Huntington Beach,lts officers,elected or appointed officials,emplo�Res,agents and volunteers are additional Insureds,Includes primary and non-contributory and waiver of subrogation applies and In favor of the additional insureds per endorsements attached as required by Written contrail. APPROVED AS TO FORM '30-day notice of cancellatlon/10-days for non-payment of premium. CHAEL E.GATES CERTIFICATE HOLDER CANCELLATION CITY ATT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Huntington Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2000 Main Street ACCORDANCE WITH THE POLICY PROVISIONS, Huntington Beach 92W AUTHORIZED REPRESENTATIVE Dave Jacobson @ 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 62303143 121122 - eL/Ae/NIB I MrcLte Raxa co 16/14/2021 8156701 A: IPVT) I Page 1 Of 10 A� CERTIFICATE OF LIABILITY INSURANCE OATEtMMOOYYVYI Am». 2e6s374 6/8/2021 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 pollcy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in IIBu of such endorsements). PRODUCE0. ON NA Locklon Companies PNONE FAX 84 444 W 47th Street,Suite 900 �lC.tio_ELW 4-290.4908 INC Ncl Kansas City,MO 64112-1906 Eoo less: BBSiceds®Iocktonaf0nity.com INSURERS)AFFORDING COVERAGE NAIC0 INSURER A: Ace Amedcln Insurance Co. 22867 INSURED INSURER B: Barrett Business Servlcos,Inc. L/CIF PRESTIGE STRIPING SERVICES,INC.OBA:PRESTIGE PAVING INSURER C: COMPANY 1064 RAILROAD STREET INSURER D; CORONA,CA 92882 INSURER E; INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE. POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF ADD S➢-0 POLICY EFF POLICY UP 11MIT9 Llfl POLICYNUMBER MMIODIYYYY MMIDOMI Y COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE. 5 CLAIMS MADE. 1-1 OCCUR -bmMGrTOwPREMISES(Ea � $ MEU EXP(My 2n pwecn) 5 _ PERSONAL B AnV INJURY 5 GERL AGGREGATE LIMIT f APPLIES PER: GENERALAGGREGATE 5 _ POLICY❑ PEST LOC PRODUCTS AGG $ OTHER S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S Ea acckenH _ ANY AUTO BODILY INJURY(P.,pmwn) $ AU OMMED AUTOS LEU BODILY INJURY(Porea fti, 5 AUTOS NON O NON PROPERTYllAMAGE S HIRED AUTOS AUTOS nr nxJda S 'UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR _ CLAIMSNIAUE AGGREGATE $ DED RETENTIONS S WORKERS COMPENSATION X Pr:R OTH- AND EMPLOYE RS'LIABILI TY YIN A O C MBER EXCLUDED]ECUnvE X C68661018 6/1/2021 6/1/2022 F..L.EACH ACCIDENT $ 2.000,0c0 (M.W.tary In NH) EA_DISEASE-EA EMPLOYE 5 2.00D.000 ff desaa under DESCRIPTION OF OPER ATICNS be OF E.L.DISEASE-POLICYLIMIT S 2.000.000 DESCRIPnON OF OPERATIONS I LOCATIONS I VEHICLES (ACORD lei,Addalonal Ram+rks 9drodule,my ba Mlaohad II mme apue b raqulml) POcy SIMe=CA V et eSubm MW Infnva oI cene"ta IwUor when regmed by wnnm mnuaa 30 D.y Nol»n al C. lalion RE: City of Hwdrg!on Saa N'y RehabRtatlw Pm;oc1,CC 1617 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Huntington Beach THE EXPIRATION DATE THEREOF, NOTICE VALL BE DELIVERED 2000 Main Stroot Huntington Beach,CA 92648 IN ACCORDANCE MTH THE POLICY PROVISIONS. Huntington Beach,CA 92648 AUTHORIZED REPRESENTATIVE v 4 M B 19888-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD i Presage Striping Services,Inc. dba:Presliea Pavi Company POLICY NUMBER: NPC-1004758-00 COMMERCIAL GENERAL LIABILITY CG 2010 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) Location(s)Of Covered Operations The City of Huntington Beach,lis officers, Re:PJIe Rehabilitation Project,CC-1 a17 elected or appointed officials.employees, y I agents and volunteers 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 organizations) shown In the Schedule, but only exclusions apply: with respect to liability for "bodily Injury", This Insurance does not apply to "bodily Injury"or "property damage" or "personal and advertising "property damage'occurring after: Injury"caused, in whole or In part, by: 1. Your acts or omissions; or 1. All work, Including materials, parts 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 1. The Insurance afforded to such additional Injury or damage arises has been put to Its applies to the extent permitted b intended use by any person or organization Insured only PP Y other than another contractor or law;and subcontractor engaged In performing 2. If coverage provided to the additional Insured operations for a principal as a part of the same Is required by a contract or agreement, the project. 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 0413 ©Insurance Services Office, Inc., 2012 Page 1 of 2 62303143 1 21122 - Gldatll NB I N,ne[[e Roato ro 1 6/14/2021 B:56:09 AM (PDT) I Pane 2 or 20 i 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 Pacts 2 of 2 ©Insurance Services Office, Inc.,2012 CG 2010 0413 62303143 1 21/22 - GL/m/=H I N n.tt• Lamm 16/1V]ox] 815609 NI (P=) I PmW 3 u1 10 i Prestige Striping Services, Inc. dba:Prestige Paving Company POLICY NUMBER: NPC-1004756.00 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed Or Organizatlon(s) Operations The City of Huntington Beach,lls officers, Re:Alley Rehabilitation Project,CC-1617 elected or appointed officials,employees, agents and volunteers information required to complete this Schedule,If not shown above,will be shown In the Declarations, A. Section If - 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 addltlonal Insured and Included In the"products-completed operations hazard". 1. Required by the contract or agreement; or However: 2. Available under the applicable Limits of 1. The Insurance afforded to such additional Insurance shown In the Declarations; Insured only applies to the extent permitted by whichever is less. law; and This endorsement shall not Increase the 2. If coverage provided to the additional Insured applicable Limits of Insurance shown In the Is required by a contract or agreement, the Declarations. 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 addltlonal Insured. CG 20 37 0413 ©Insurance Services Office, Inc., 2012 Page 1 of 1 62103I43 1 21/2. - GL/AWUM I An,ntte PooeM 16/t9/2t21 8,56:09 R9 IPUTI 1 Poan 4 of 10 i Pre stlgo Striping Services,Inc. dba:Prestige Paving Company Policy Number: NPC•100476e-00 j COMMERCIAL GENERAL LIABlUTY CG 20 01 1219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY OTHER INSURANCE CONDITION This endara ment modl9es Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed In writing In a contract or Condition and supersedes any pravlslon to the agreement That this Insurance would be contrary: primary end would not seek contribution Primary And Noncontributory Insurance from any other Insurance available to the This Insurance Is primary to and will not seek additional Insured. contribution from any other Insurance available to an additional Insured under your policy provided that: (1) The additional Insured Is a Named Insured under such other Insurance;and CO 20 01 1219 ®Insurance Services Office,Inc.,2019 Pago 1 of 1 j?1031.3 l ?t122 - cl./AUIWY I Nmatce Q 1v ro 6111/]0]1 fz"109 u. (P") I Parye $ of 10 1 Workers'Compensation and Employers' Liability Policy j Named Insured Endorsement Number Barrett Business Services, Inc. L/C/F PRESTIGE STRIPING SERVICES, INC. DBA: PRESTIGE PAVING C Policy Number 1054 RAILROAD STREET symbol: Number:C68661018 CORONA,CA 92882 Policy Period Effective Date of Endorsement 6/1/2021 TO 6/1/2022 6/8/2021 Issued By(Name of the Insurance Company) Ace American Insurance Co. Insert the policy number.The remainder of the Information Is to be completed only when this endorsement Is Issued subsequent to the preparation of the policy, CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Vern 3.A. of the Information Page. We Have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule, where you are required by a written contract to obtain this waiver from us. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. Schedule 1. ( ) Specific Waiver Name of person or organization: (X) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: 3. Premium: The premium charge for this endorsement shall be INCLUDED percent of the California premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described. 4. Minimum Premium: INCLUDED Authorized Agent WC 99 03 22 I Prestige Sldping Services,Inc. dba:Presllge Paving Company I ENDORSEMENT# POIfCy No. NPC-1004758-00 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY XL Plus Endorsamenf This endorsement modifies Insurance provided under the fallowing: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE -This endorsement broadens coverage. The following Usting is a general coverage description only. Limitations and exclusions may apply to these coverages. Read this endorsement carefully to determine rights,duties,and what Is and Is not covered. A. Reasonable Force—Bodily Injury or Property Damage B. Damage To Premises Rented To You Extension • Perils of fire, Oghtning,explosion,smoke,aircraft or vehicles,dot or civil commotion, vandalism,leakage from fire extinguishing equipment or water damage • Limit Increased to$300,000 C. Aircraft Chartered with Crew D. Non-Owned Watercraft E. Personal and Advertising Injury—Assumed by insured Contract F. Increased Supplementary Payments • Coat for ball bonds increased to$5,000 • Loss o1 earnings increased to$1,000 per day G.Broadened Named Insured H. Blanket Addtttonal insured—Managers or Lessors of Premises I. BlanketAddttionalInsured—LessorofLeasedEquipment J. Injury to Co-Employees and Co-Volunteer Workers IC Knowledge and Notice of Occurrence or Offense L Unintentional Omission M.Llberellmllon ON Blanket Waiver of Subrogetlon O, Incidental Medical Malpractice Injury P. Extension of Coverage—Bodily Injury Q.Coverage Territory Form xIL 43s 120a 0 2008,XL America,Inc. fnm mpydgkad rr�ndal d Irmloa+ra BmWrun Onfao,Irm.,WMr Im pmmhUrn 6ll01143 1 ll/]l - GL/AU/UH0 I Annetto RCen C I 6e1412021 8:51;09 M< JIM) I Van 6 01 10 NO. BLANKET WAIVER OF SUBROGATION The following Is added to Section N-Commerclal General Liability Conditions: Waiver of Subrogation We waive any right of recovery we may have against any person or organlratlon because of payments we make for Injury or damage arising out of premises owned or occupied or rented or loaned to you;ongoing operations performed by you or on your behalf,done under a contract with that poison or organization;your work';or your products'. We waive this right where you have agreed to do so Be part of a written contract,executed by you prior to loss. O. INCIDENTAL MEDICAL MALPRACTICE INJURY 1. For insurance applicable to this Article O, the definition of'bodily Injury In Section V- Definitlons Is amended to Include,'Incidental Medical Malpractice Injury, 2. The following definition Is added to Section V-Definitions: 'Incidental medical malpractice Injury means"bodily Injury%mental anguish,sickness or disease sustained by a person, Including death resulting from any of these at any time, arising out of the rendering of,orfallure to render,the following services: a. Medical, surgical, dental, laboratory,x-ray or nursing service or treatment, advice or Instruction,or the related furnishing of toad or beverages; b. The furnishing or dispensing of drugs or medical, dental or surgical supplies or appliances; c. Mrst aid;or d. 'Good Samaritan Services'. As used in this Article 0.,'Good Samaritan Services'are those medical services rendered or provided In an emergency and for which no remuneration Is demanded or received. 3. Paragraph 2.s.(1)(d) of Section II -Who Is An Insured does not apply to any registered nurse,licensed practical nurse,emergency medical technician or paramedic employed by you, but only while performing the services described In Paragraph 2.above and while acting within the scope of their employment by you. Any"employees' rendering 'Good Samaritan Services"will be deemed to be acting within the scope of their employment by you, 4. The following exclusion Is added to Paragraph 2. Exclusions of Coverage A.—Bodily Injury And Property Damage Liability of Section 1—Coverages: [This Insurance does not apply to:) Willful Violation of Penal Statute Liability arising out of the willful violation of a penal statute or ordinance relating to the sale of pharmaceuticals by or with the knowledge or consent of the Insured. 5. For the purposes of determining the applicable Limits of Insurance, any act or omleslon, together with all related acts or omissions In the furnishing of services described In Paragraph 2.o.through 2.d.above to any one pemon,will be considered one'occurrence% 6. This Article O.does not apply If you are In the business or occupation of providing any of the services described in Paragraph 2.above. Form XIL 438 1208 ®200a,XL America,Ina Indudw copAWod matuArd or irwxs aorvtm ORlax bin.,MM Ito pomdneton. enmu2 121/22 - oe./w/u,o I Moot[e awero 1 4114/2021 8,56109 N, ivml I Page 7 or 10 i POLICY NUMBER: NBA-1004757-00 COMMERCIAL AUTO CA 70 0100 IS THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED - PRIMARY AND NONCONTRIBUTORY - COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM With reaped to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement This endorsement Identifies persons)or organization(s)who are°Insureds°for Covered Autos liability Coverage under the Who Is An Insured provision of the Coverage Farm. This endorsement changes the policy effective on the Inception date of the policy unless another date Is Indicated. Named insured: Prestige Striping Services,Inc. dba:Prestige Paving Company Endorsement EtfecUve Data: 06/012021 SCHEDULE Name Of Parsons)Or Organiration(s): Any Person or organization you are required to add as an additional insured under a written contract or agreement in effect prior to any accident,injury,loss or damage Information required to complete this Schedule,if not shown above,will be shown In the Declarations. A. Each person or organization shown In the B. Primary And Noncontributory Insurance Schedule Is an °insured' for Covered Autos This Insurance to primary to and will not seek Liability Coverage, but only to the extent that contribution from any other auto Insurance Issued person or organization qualities as an 'insured" to the person or organtration In the schedule under the Who Is An Insured provision contained under your policy provided that In: (1) Paregraph A.1.of Section 11-Covered Autos (1) The person or other Insurance, la a Named Insured Uebllity Coverage In the Business Auto and under such other Insurance;and Motor Carder Coverage Forms:or (2) Prior to the 'aoddenr you have agreed In h D 2 of Section I -Covered Autos wing In a contract or agreement that this (2) Paragraph insurance would be primary and would not Coveragee of the Auto Dealers Coverage seek contribution from any other insurance Form. avallabie to the person cr argenizallon. CA 76 010615 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 A0173134 with its permission. 061211 sl MJddlWu 1 m001 0000000000 rib 0 M QOb1O9®rIWN99 17101141 11/22 - G./AJ/WR Nnet[n .o ro 1 1114/1021 6:5609 AN (PM) i Peoa 8 o[ 10 i Prestige Striping Services,Inc. dba:Prestige Paving Company POLICY NUMBER: NBA-t004757-00 XIC 421 1013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. XL PLUS BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies Insurance provided under the fogowing: BUSINESS AUTO COVERAGE FORM COVERAGE DESCRIPTION A. Temporary Subadhda Auto Physical Damage e. Who to An Insured 1. Broad Form Insured z Employees As Insureds 3. Additional Insured By Contract,Agreement or Permit 4. Employee Hired Autos C. Supplementary Payments O. Amended Fellow Employee Exclusion E. Physical Damage Coverage 1. Rental Reimbursement 2. Extra Expense—Broadened Coverage 3. Personal Effects Coverage 4. Looso Gap 5. Glass Repair—Waiver Of Deductible F. Physical Damage Coverage Extensions 1. Additional Transportation Expense 2, Hired Auto Physical Damage 6O. Business Auto Condhions 1. Notice Of Occurrence OWaiver Of Subrogation 3. Unintentional Failure To Disclose Hazards 4. Primary Insurance H. Bodily Injury Radeflned L Extended Cancellation CondMan XIC 421 1013 C 2013 X.L.America, Inc. All Rights Reserved. May not be copied without permission. Includes copyrighted materiel of Insurance Services Offloe,Inc,,with Its permission. a¢303113 1 p1112 - cc/au/LyW I eonecaa Ro ors 6/14/0021 6ae:09 ui )wr) L?RAa R Of :0 S. Glass Ropalr—WelvorOfDeductible No deductible applies to glass damage If the glass Is repaired rather than replaced. F. Physical Damage Covomgo Extensions SECTION III—PHYSICAL DAMAGE COVERAGE,A.Coverage,4.Coverage Extensions Is emended by the following: 1. Additional Transportation Expense Soctlons a.and b.are emended to provide a limit of$50 per day and a maximum limit of$1,000. 2. Hired Auto Physical Damage The following section is added: Any 'auto' you lease, hire, rent or barrow Is doomed to be a covered 'auto'for physical damage coverage. The most we wpi pay for each covered'aufo'Is the leaser of. (1) the actual cash value; (2) the coat for repalror replacement or (3) $50,000, or higher limit If shown on the Declarations for Hired Auto Physical Damage Coverage. For each oovered 'auto' a deductible of $100 for Comprehensive Coverage and $1,000 for Collision Coverage will apply. G. Bualnese Auto Conditions SECTION IV—BUSINESS AUTO CONDITIONS,A.Loss Conditions Is changed by the following: 1. Notice Of Occurrence Soetlon 2.—Dulles In The Event Of Aeddonl,Claim,Suit Or,Lose,a. Is changed by adding the following: If you report an Injury to an 'employee' to your workers' compensation carrier and If It Is subsequently determined that dte Injury Is one to which this Insurance may apply, any failure to comply with this condition will be waived It you provide us with the required notice as soon thereafter as practicable after you know or reasonably should have known that this Insurance may apply. OWaiver Of Subrogation Section S.Trenafor Of Rights Of Recovery Against others To Us Is changed by adding the following: However, this Condition does not apply to any pemon(s)or orgenlzation(s)with whom you have a written contract, but only to the extent that subrogation Is waived prior to the'soddent'or the'loss' under such contract with that person or orgenlzatlon. XIC 421 1013 ®2013 X.L.America,Inc. All Rights Reserved. May not be copied without permission. Includes copyrighted malodsl of Insurance Sarvfoes Of floe,Ino.,wfth its permisson. 623 DllU ?1122 - CL/AO/W13 I An-Lt. Pmam 1.6/11/2021 6.56.09 A{ 4P ) Pie 10 0[ 10 City of Huntington Beach \ _ 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ iN,%N .huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk June 22, 2021 Prestige Striping Services, Inc. Attn: Anthony Trujillo 1054 Railroad Street Corona, CA 92882 Re: Alley Rehabilitation Project — CC-1617 The City Council awarded the bid to your company for the above referenced project. Enclosed is a copy of the executed contract with the City of Huntington Beach, A Certification of Compliance with Title VII of the Civil Rights Act, Certification of Compliance with Prevailing Wage Laws and Contractor's Certificate form must be returned to this office after the project is completed but prior to the release of retention funds. In addition, the following item must also be on file, with this office before the City can release any retention funds: A warranty bond guaranteeing the final amount of work and materials for one year. If your performance bond does not include specific wording for a one-year warranty, then a rider or separate bond must be submitted. Should you have any questions or concerns regarding the enclosures or items that must be on file in this office prior to release of retention funds, please call the Public Works Department at 536-5517. �f Sinqel'y',� Q �\ 1�6t�ClILfQ�C� Robin Estanislau, CIVIC City Clerk RE:ds Enclosures: Copy of Contract including Proposal Copies of insurance/bonds Bid Bond (original) Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand City of Huntington Beach File #: 21-376 MEETING DATE: 5/17/2021 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 Subiect: Award and authorize execution of a construction contract in the amount of $197,808.48 to Prestige Striping Services, Inc., for the Alley Rehabilitation Project, CC-1617, and authorize change orders not to exceed 20 percent Statement of Issue: On April 22, 2021 , bids were opened for the Alley Rehabilitation Project. CC-1617 Staff requests that the City Council award the contract to Prestige Striping Services. Inc.. the lowest responsive and responsible bidder. Financial Impact: Funds for the project are available in the Infrastructure Fund Account No. 31440003.82300. The total estimated project cost is $300,000, which includes the construction contract. 20% contingency, and supplemental expenses Recommended Action: A) Accept the lowest responsive and responsible bid submitted by Prestige Striping Services, Inc.. in the amount of $197,808 48: and, B) Authorize the Mayor and City Clerk to execute a construction contract in a form approved by the City Attorney: and. C) Authorize the Director of Public Works to approve up to twenty percent (20%) in construction change orders, as required. Alternative Action(s): Reject all bids and provide staff with alternative direction. Analysis: The City hired a consultant to evaluate the condition of all publicly-maintained alleys utilizing the same methodology in the City's adopted Pavement Management Program. The consultant City of Huntington Beach Pag" 1 Printed on 5112/2021 po ,e&3 Legota," File #: 21-376 MEETING DATE: 5/17/2021 determined that the subject alley, located north of Heil Avenue between Del Mar Avenue and Graham Street, had a Pavement Condition Index (PCI) of 6. For reference purposes, PCI values ranging between 86 and 100 are considered to be in "Very Good" condition; whereas PCI values between 0 and 40 are considered to be in "Very Poor" condition. The project's scope of work will be to remove and replace the existing asphalt concrete pavement and concrete v-gutter, with ancillary work as necessary. Bids were opened publicly on April 22, 2021. Staff reviewed the bid package received from Prestige Striping Services, Inc., verified the total amount bid, and found their documentation and references to be acceptable. Given the relatively low bid amount, a twenty percent contingency is requested to cover additional construction costs, which may arise due to unforeseen conditions. The verified bid amounts are listed below: Final Bidder Verified Bid Rank Amount 1 Prestige Striping Services, Inc. $197,808.48 2 All American Asphalt $199,931.00 3 Sequel Contractors, Inc. $222,070.00 Onyx Paving Co. $234,000.00 5 R.J. Noble Company $235,598.00 6 Heed Engineering $273,298.00 7 Fame Legacy $280,282.38 8 Hardy & Harper, Inc. $282,000.00 9 Beador Construction Company $296,300,00 10 1Towo Enterprise, Inc. $296,340.00 11 Excel Paving $298,708.00 12 Fido Samarzich, Inc. $681,260.00 The total estimated cost of this project is $300,000, as outlined below: Bid $197,808.48 20% Construction Contingency $ 19,780.84 Supplemental Expenses $ 82,410.68 Total Estimated Cost $300,000.00 Public Works Commission Action: The Public Works Commission reviewed and approved CC-1617 on March 17, 2021, with a vote of 6- 0-1 (Nguyen absent). Environmental Status: City of Huntington Beach Page 2 of 3 Printed on 5/122021 p erecB4 Legis:al- File #: 21-376 MEETING DATE: 5/17/2021 This project is categorically exempt pursuant to Class 1 , Section 15301(c) of CEQA. Strategic Plan Goal: Infrastructure & Parks Attachment(s): 1. Location Map City of Huntington Beach Page 3 of 3 Printed on 5/12/2021 wwerec85 Legistar" e� S ���c 9yQi pP BO SA IAw. �— " u FT "AE. EDINGER AVE EOIN F- ' 1 �r AVE. / HE LAVE. o \NAILVE AVE, p n \ " SLATER �I J.x AVE. 405 J \ PROJECTi AEBEFi AYE s =AREA PAC81C Q EWS AVE. W CC GAREIEID < AVE. HEIL AVE y OFKi0N1 11 I " YE. I CO�Sl 0�; Y \ 1 ADAuS AVE.AK. ^� �r INDIAN�OIIs o AVEAYE. TL _ \\ ¢ ANTA� 6I . HAUILtON AV� I 1 O 4yy ANNI,� / WARNER AVE VICINITY MAP LOCATION MAP N.T.S. N.T.S. RESIDENTIAL ALLEY REHABILITATION, CC-1617 LOCATION MAP ,L-MAI l' 31-25/2/ SECTION A Pas , yl' 121 N/8 I.2/ NOTICE INVITING SEALED BIDS 411SIZI for the construction of ALLEY REHABILITATION from Del Mar Ln. to Graham St. CC No. 1617 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 project and will receive such bids in the office of the City Clerk, Second Floor, 2000 Main Street, Huntington Beach, California 92648, up to the hour of 10:00 A.M. on April 22, 2021. Due to the COVID-19 pandemic, hand delivered bids will only be accepted between the hours of 9:00 A.M. and 10:00 A.M., immediately outside of City Hall Civic Center entrance,on the day of bid. Bids will be publicly opened in the same area to allow for social distancing. It is advised that bidders arrive earlier than normal to deliver bids and allow for additional bid processing and acceptance times due to the safety measures described above. The bid opening for the above stated project will be held at 10:00 A.M. on April 22, 21121. Copies of the Plans, Specifications, and contract documents may be mailed to a prospective bidder upon that bidder's submittal to the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648 of a written request and pre-paid, self-addressed mailing label. Alternatively, the AGENCY does not charge a fee for copies of the Plans, Specifications, and contract documents downloaded from the AGENCY website at: ham://www.huntingtonbeachca.gov/govermnentidei)artments/public works/Bids/ Open website,then click on"Current Advertised Projects"tab. Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California, the minimum prevailing rate of per diem wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial Relations of the State of California, which are on file at the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. The AGENCY will deduct a 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. A-1 The AGENCY hereby allirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race. color, national origin, ancestry, sex, or religion in any consideration leading to the award of contract. No bid shall be considered unless it is prepared on the approved Proposal forms in conformance with the Instructions to Bidders as determined by the AGENCY. All extensions of unit prices will be subject to verification by the AGENCY. In the case of a discrepancy between the unit price and the extended amount, the unit price will govern. 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. Project Description: The project consists primarily of the removal and replacement of the existing asphalt concrete pavement, concrete alley gutter, and concrete alley approaches. with ancillary work as necessary. The contract shall allow the Contractor 40 working days to complete the contract. The engineer's estimate of probable construction cost for the Work included in the basis of award is 5275,000. The AGENCY reserves the right to reject any or all bids, to waive any irregularity and to take all bids under advisement for a maximum period ol'60 days. BY ORDER of the CITY COUNCIL of the CITY OF HUNIINGfON BEACH. CALIFORNIA, the 29th day of June 2020, by Resolution No. 2020-39. Attest: /s/ Robin Estanislau CITY CLERK OF THE CITY OF HUNfINGfON BEACH A-2 Switzer, Donna From: Christine Gonzalez <cgonzales@scng.com> Sent: Thursday, March 25, 2021 3:48 PM To: Switzer, Donna Cc: Claudio, Jonathan Subject: Re: NISB - CC No. 1617 Attachments: 11451664.pdf Here you go Cost $1 .800.00 / Pub HB Wave 4/1 , 4/8, 4/15 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 Thu, Mar 25, 2021 at 3:22 PM Christine Gonzalez <ccRonzales(iuscne.com> wrote: Thank you for your kind words Donna. I will not include the blank page. I will send you a proof shortly 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 Thu, Mar 25, 2021 at 3:17 PM Switzer, Donna <Donna.Switzer(&surfcity-hb.ore> wrote: Hi Jo. I saw that and I do not think that will be an issue. Chrissy at The Wave is fantastic and I'm sure she will not include it in the ad. 1 SECTION A NOTICE INVITING SEALED BIDS for the construction of ALLEY REHABILITATION from Del Mar Ln.to Graham St. CC No. 1617 in the CITY OF HU NTI NGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH,as AGENCY, invites sealed bids for the above stated project and will receive such bids in the office of the City Clerk, Second Floor,2000 Main Street, Huntington Beach, California 92648, up to the hour of 10:00 A.M.on April 22, 202). Due to the COVID-19 pandemic, hand deliv- ered bids will only be accepted between the hours of 9:00 A.M. and 10:00 A.M., immediate- ly outside of City Hall Civic Center entrance,on the day of bid. Bids will be publicly opened in the some area to allow for social distancing. It is advised that bidders arrive earlier than normal to deliver bids and allow for additional bid processing and acceptance times due to the safety measures described above. The bid opening for the above stated project will be held at 10:00 A.M.on April 22, 2021. Copies of the Plans, Specifications,and contract documents may be mailed to a prospective bidder upon that bidder's submittal to the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648 of a written request and prepaid, self-addressed mail- ing label. Alternatively, the AGENCY does not charge a fee for copies of the Plans, Specifi- cations,and contract documents downloaded from the AGENCY website of: htt p://www.hunt i natonbeachco.gov/government/dem rtmenWpubl is works/Bidsv Open website,then click on"Current Advertised Proiects"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 a 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 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. All extensions of unit Prices will be subject to verification by the AGENCY. In the case of a discrepancy between the unit price and the extended amount, the unit price will govern. The bid must be accom- panied by a certified check,cashiers check, or bidders 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 Contractors 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. Project Description: The project consists primarily of the removal and replacement of the existing asphalt concrete pavement, concrete alley gutter, and concrete alley ap- proaches,with ancillary work as necessary. The contract shall allow the Contractor 40 working days to complete the contract. The engineer's estimate of probable construction cost for the Work included in the basis of award is S275.000, The AGENCY reserves the right to reject any or all bids, to waive any irregularity and to fake all bids under advisement for a maximum Period of 60 days. BY ORDE R of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH,CALIFORNIA, the 22th day of June 7070,by Resolution No.2070-39, Attest: /s/Robin Estanislau CITY CLERK OF THE CITY OF HUNTI NGTON BEACH Published Huntington 9Mah Wave April 1.B.15,2021 11451664 Donna From: Claudio, Jonathan <JClaudionasurfcity-hb.org> Sent: Thursday, March 25, 2021 3:10 PM To: Switzer, Donna<Donna.Switzerrasurfcity-hb.org>. Christine Gonzalez<cgonzales(a�scng.com> Cc: Esparza, Patty <PEsvarza@surfcity-hb.org>; Moore, Tania<Tania.MooreAsurfcity-hb.org> Subject: RE: NISB - CC No. 1617 Hello all, I apologize, but the Word document has a third page which is blank. Thanks, Jonathan From: Switzer, Donna <Donna.Switzer(&surfcity-hb.org> Sent: Thursday, March 25, 2021 2:56 PM To: Christine Gonzalez<ccgonzales(dIscng com> Cc: Claudio, Jonathan <IClaudio .surfcity-hb.ora>; Esparza, Patty <PEsparzaAsurfcit�g>; Moore, Tania<Tania.Moore(a,surfcity-hb.org> Subject: NISB - CC No. 1617 Hi Chrissy, Please publish the attached NISB for CC No. 1617, in The Wave, on April 1s', 8'" and 15'°, 2021. Thank you! DonnwSWitW' CMC Senior Deputy City Clerk-City of Huntington Beach 2 2000 Main Street- Huntington Reach, CA 92648 (714)374-1649 3 Huntington Reach Wave PROOF OF PUBLICATION 1771 S. Lewis Street Anaheim, CA92805 Legal No. 0011451664 714-796-2209 5190751 HUNTINGTON BEACH, CITY OF CITY CLERK DEPARTMENT 2000 MAIN ST HUNTINGTON BEACH, CA 92648-2763 FILE NO. NISEI CC-1617 rev 3.25.21 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: 04101/2021, 04/08/2021, 04/15/2021 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: April 15, 2021. CKl''� Signature ,Lo,-,:"v,a 1 SECTION A NOTICE INVITING SEALED BIDS for the construction of ALLEY REHABILITATION from Del Mar Ln.t0 Graham St. CC No.1617 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 Prolect and will receive such bids in the office of the City Clerk, Second Floor, 2000 Main Street. Huntington Beach, California 92648, up to the hour of 10:00 A.M. on April 22, 2021 . Due to the COVI 0-19 pandemic, hand deliv- ered bids will only be accepted between the hours of 9:00 A.M. and 10:00 A.M., immediate- ly outside of City Hall Civic Center entrance, on the day of bid. Bids will be Publicly opened in the some area to allow for sociol distancing. It is advised that bidders arrive earlier than normal to deliver bids and allow for additional bid Processing and acceptance times due to the safety measures described above. The bid opening for the above stated Prolect will be held at 10:00 A.M. on April 22,2021 Copies of the Plans, Specifications, and contract documents may be mailed to a prospective bidder upon that bidder's submittal to the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648 of a written request and pre-paid, self-addressed malt- ing label. Alternatively, the AGENCY does not charge a fee for copies of the Plans, Specifi- cations,and contract documents downloaded from the AGENCY website at: httq:://www.huntingtonbeachco.goy/government/departments/public works/B ids_/ Open website,then click on"Current Advertised Proiedis"lab. 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 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 a 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 surely 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. All extensions of unit Prices will be subiect to verification by the AGENCY. In the case of a discrepancy between the unit price and the extended amount, the unit price will govern. The bid must be accom. ponied by a certified check, cashier'scheck, or bidder's bond made payable to the AGENCY for on amount no less than 10%of the amount bid. The successful bidder shall be licensed in accordance with Provisions at 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. Proiect Description: The Proiect consists Primarily of the removal and replacement of the existing asphalt concrete pavement, concrete alley gutter, and concrete alley ap- Proaches,with ancillary work as necessary. The contract shall allow the Contractor 40.working days to complete the contract. The engineer's estimate of probable construction cost for the Work included in the basis of award Is 5275,000_. The AGENCY reserves the right to reiect 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 291h_day of June-2020_,by Resolution No. 2020-39 . Attest: /s/Robin Estanislou CITY CLERK OF THE CITY OF HUNTINGTON BEACH Public HPntirtnon Beoch Wave April 1,8,15.2021 114516W ,.LPI.111v16 2 CC 1\1D lot-+ o N N ` f*0M TFL VA-10 LANE -T-D G tWtM sweCT AA?t L 22, 2021 l0: D0AN( LIi2Z IZ► CITY OF HUNTINGTON BEACH ALLEY REHABILITATION C.C. No. 1617 BID OPENING DATE: April 22, 2021 TIME: 10:00 A.M. ENGINEER'S ESTIMATE: $275,000 BIDS SUBMITTED (AS READ AT OPENING) BIDDER'S NAME APPPAARENT APPARENT BID AMOUNT NK All American Asphalt Z 1 , Beador Construction Company EBS General Engineering, Inc. Excel Paving (I 2 Fame Legacy 2 2 Heed Engineering Z I E General Engineering Inc , I Onyx Paving Co. Pavement Recycling Systems Prestige Paving Company R.J. Noble Company 2 Sequel Contractors, Inc. Speedy Fix, Inc. Vido Samarzich, Inc. 1 2 3 Q T i C6 10 2ill1(A Bid Results CC-1617 UNSUCCESSFUL BIDS CC — 1617 Alley Rehabilitation From Del Mar Lane to Graham Street City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ Aivw.huntingtonbeachca.gov Office of the City Clerk Robin Gstanislau, City Clerk December 15, 2021 All American Asphalt PO Box 2229 Corona, CA 92878-2229 RE: Alley Rehabilitation from Del Mar Lane to Graham Street — CC No. 1617 Enclosed please find your original bid bond for CC No. 1617. Sincerely, 4&�andj� Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of ALLEY REHABILITATION from Del Mar Ln. to Graham St. CC No. 1617 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEYIBERS 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 f-luntington 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 fork within0 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. 131DDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the followine 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 S THE RIGHT TO DELETE ANY ITEM FROM THE' CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties. fees. etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will re-advertise the project. In the case of' discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract. the undersigned agrees that in the event of the 131DDI R'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 AGINCY's option, be considered null and void. Accompanying this proposal of bid, find Bidders Bond in the amount of 10% which said amount is not less than 10% of the aggregate of the total bid price. as required by the Notice Inviting Scaled Bids. payable to the AGENCY. (Please insert the words "Cash". "Certified Check", or "Bidder's Bond for_% ". as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here. if any: Addenda No. Date Received Bidder's Signature MIA 1,11 rt N fl C-2 ALLEN' REHABILITATION, CC No. 1617 PROJECT BII) SCHEDULE Item Contract No. Qunntih Bid Item Description Unit Price Extended Amount � I Mobilization LS S L,`�00 5 i 5,$00 per IS 2 I Furnish I'n{ject'I ra I Iic Control LS s9,f�o S 4,42-0 per I.S 3 700 Unclassified Excavation CY per CY 4 916 Construct Concrete Alley Cutter per City Sid. Plan 107. + I1: modified per flan S ' S per LP 5 400 Construct Type III-C 3-PG 64-10 Asphalt Concrete Facentent t� TN (depth varies per Ilan) _�S S WOJ'0 per TN 6 400 Crushed Miscellaneous RWSc CY S 3G,090 per C\ 7 4 Furnish x Install Composite Manhole Riser with 11-25 Rated r-/' / EA Composite\lanholc Frame and Cover(CMI Composite 260 S �ISG S b_,dW or equal) per FA 8 700 Construct Concrete Alley Approach per City Std. Plan 211 SI: modified per Ilan(including adjacent Curb R Gutter per City S S Sid. flan 202.and Sidewalk per City Sid. flan 207) —vv —J. per SF 9 1 Prepare Storm Water Pollution Prevention flan LS 5 1,g00 5 IA00 per LS 10 1 Water Pollution Control IS s�{1900 S `I1900 p y per IS "Folal Amount Bid in Figures: SS I'"1 '1 n 31.00 ..Fohd Amount Bid in SS'ordsSJ1�Q� �' d �1�Qf� Itly Kl__.1 5 �1� r'YP"(�( . .................................................................................. y �. .................. I LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104. the Bidder shall set forth the name and hUSineSS 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 Dollar % of ltem(s) Subcontractor License Number Amount Contract eYumber 13y submission of this proposal, the Bidder certifies: I. "I'hat 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 ont Corona ,CA Date City State Edward J. Carlson being first duly swom, deposes and says that ® or she is Vice President of All American Asphalt the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived,or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Edward J. Carlson, Vice President Name of Bidder %� Signature of Bidder 400 East Sixth Street, Corona , CA 92879 Address of Bidder C4 CALIFORNIA JURAT OOV CODE ; 8202 A notai public or other ofticer completing this certificate verifies onh the identiq of the individual who signed the document to which this certificate is attached.and not the truthfulness,accurai or validity of that document. State of California County of Riverside Subscribed and sworn to (or affirmed) before me on this 21st day of April 2021. Date Morth By (1) Edward J Carlson Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me (and (2) Name of Signer KEMOM/NAIARI ~ 4 M pouy boc-C+Hforna Proved to me on the basis of satisfactory evidence RrvNndl County _ be the person who appeared before me.) Ea"'n4np^ 27tl601 MY CeTn Eapves Jae f0.2024 Signature C� ai«.Notary se4 Reov Signature of Nolary Publi OPTIONAL Though the information below is not required by law it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document Further Description of Any Attached Document Title or Type of Document Non-Collusion Affidavit Document Dale 04-21-2021 Number of Pages Signer(s)Other Than Named Above None 7 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 ALLEY REHABILITATION, CC No. 1617, (Ixwe)(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 he performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. All American Asphalt Contractor T7 By Edward J. Carlson, Vice President l itlr Date: YAlu lv+ ( -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. anv 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 ol'a violation of law or a safety regulation? ❑ Yes XNo Ifthe answer is yes. explain the circumstances in the space provided. N/A Note. This questionnaire constitutes a part of the Proposal. and a signature portion of the Proposal shall constitute signature of this questionnaire. C-G 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 I will comply with such provisions before commencing the performance of the work of this contract. All American Asphalt Contractoi 13% Edward J. Carlson, Vice President I itic Date:—i�o96/d e Q C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: All American Asphalt Bidder Name 400 East Sixth Street Business Address Corona CA 92879 City, State Zip ( 951 )736-7600 publicworks@allamericanasphalt.com Telephone Number Email Address 267m1 A P -1 2- State Contractor's License No. and Class 01/19/71 Original Date Issued 01/31/2022 Expiration Date The work site was inspected by Kim Bird, PM of our office on April 15, 2021 ®_. The following are persons, firms, and corporations having a principal interest in this proposal: Mark Luer, President Edward J. Carlson, Vice President Michael Farkas, Secretary The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed Work and improvements in accordance with the Plans and Specifications set forth. All American Asphalt Company Name Signature of Bidder Edward J. Carlson Vice President Printed or Typed Signature C-8 CALIFORNIA JURAT OOV CODE f 8202 Llnom,ar� public or other officer completing this certificate%critics only the identity of the individual who signed the ent to which this certificate is attached and not the truthfulness,accuracy.or validit;of that document. State of California County of Riverside Subscribed and sworn to (or affirmed) before me on this 21st day of April 2021 . Date Month By (1) Edward J Carlson Name of S,gner Proved to me on the basis of satisfactory evidence be the person who appeared before me (and (2) —---- Name of Signer KENONA NASA" N0t'ry a "f4 1 Proved to me on the basis of satisfactory evidence to - / commffslonirl318601 be the person who appeared before me ) Signature � ji l a�au,�✓�nr} a M..N.0 i s.N AI it Signature of Notary P b is OPTIONAL Though the information below is not required by law it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document Further Description of Any Attached Document Title or Type of Document Bidder s Informaiton .x ,� T__p,p .. Document Date 04-21-2021 Number of Pages 1 Signerts)Other Than Named Above _.None NOTARY CERTIFICATE Subscribed and sworn to before me this_day of 201_ A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of ) County of ) On before e Month. Day, and Year Insert Name and Title of Notary personally appeared Name(s) of Signer(s) who proved to me he basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within i rument 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 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 official seal. Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 BIDDER'S PROJECT HISTORY AND PUBLIC AGENCY REFERENCES The bidder shall provide information to demonstrate his/her past work experience on projects ol'similar (or ,greater) size and scope of' the ALLEY REHABILITATION, CC No. 1617. Bidders may submit additional sheets. using the format shown, to further demonstrate his/her history of similar work experience. 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. City of Ontario 303 B St Ontario CA 91764 Name and Address of Public Awicy Name and Phone 4 of Agency's Project Manager: Ariana Kern 909-395-2401 2020 Fall Pavement Rehabilitation Project $2,499,333.00 12/2020 Project Name Contract Amount Date Completed Detailed description of bidder's scope of«vork to demonstrate similar work experience: Pavement Rehabilitation City of Jurupa Valley 8304 Limonite Avenue Suite M, Jurupa Valley, CA 92509 Name and Address of Public Agency Name and Phone H of Agcncy's Pro ect Manager: Chase Keys 951-332-6464 Granite Hill Drive Pavement Rehabilitation Project $999,777.00 10/2020 Project Name Contract Amount Date Completed Detailed description of bidders scope of work to demonstrate similar work experience: Rehabilitation City of Loma Linda 25541 Barton Road, Loma Linda, CA 92354 Name and Address of Public Agency Name and Phone €i of Agency's Project Manager: T. Jarb Thaipejr 909-799-4400 Pavement Rehabilition - Barton Road $768,677.00 12/2020 Project Name Contract Amount Date Completed Detailed description of bidder's scope of'work to demonstrate similar work experience: Rehabilitation C-10 2020 PAST WORK REFERENCES City of Ontario 2020 Fall Pavement Rehabilitation Project 303 East B Street Contract Amount: $2,499,333.00 Ontario, CA 91764 Start Date: 07/2020 Contact: Ariana Kern (909) 395-2129 End Date: 12/2020 a kern(a)ontarioca.gov Pavement Rehabilitation — Barton Road 25541 Barton Road City Loma Linda Contract Amount: $768,677.00 Start Date: 04/2020 Loma Linda, CA 92354 End Date: 12/2020 Contact: T. Jarb Thaipejr (909) 799-4400 jthaipeir(o)lomalinda-ca.gov City of Jurupa Valley Granite Hill Drive Pavement Rehabilitation 8920 Limonite Avenue Contract Amount: $999,777.00 Start Date: 04/2020 Jurupa Valley, CA 92509 End Date: 10 /20 0 Contact: Chase Keys (951) 332-6464 ckevs(@iurupavalley.org County of Orange JOC Pavement Maintenance 601 N. Ross Street, 411 Floor Contract Amount: $2,584,747.69 Santa Ana, CA 92701 Start Date: 07/2020End Date: 08/2020 Contact: Albert Rodriguez (714) 667-8800 albert.rodriguez(o)ocpw.ocgov com City of Compton Annual Residential Street Rehabilitation — Phase 1 205 S. Willowbrook Avenue Contract Amount: $5,295.068.00 Compton, CA 90220 Start Date: 0512020 Contact: Brittany Duhn (310) 605-5505 End Date: 11/2020 bduhn(azandkconsultants.com City of Huntington Beach Arterial Rehabilitation of Graham St, Slater Ave, Newland St and Atlanta Ave 2000 Main Street Contract Amount: $5,181,955.00 Huntington Beach, CA 92648 Start Date: 05/2020 Contact: Joe Fuentes (714) 536-5259 End Date: 1 5/20 0 ifuentes @surfcity-hb.org 2020 PAST WORK REFERENCES City of Newport Beach Cameo Highlands Street Reconstruction Contract Amount: $2,425,694.00 100 Civic Center Drive Start Date: 07/2020 Newport Beach, CA 92660 End Time: 11/2020 Contact: Patricia Kharazmi (949) 644-3344 pkharazmi(c�newportbeachca.gov City of Westminster Citywide Overlay Street Improvements Contract Amount: $1,131,621 8200 Westminster Boulevard Start Date: 02/2020 Westminster, CA 92683 End Date: 06/2020 Contact: Theresa Tran (714) 548-3460 ttran(a)westminster.ca.gov Final Paving of Pennsylvania Ave Crescenta Valley Water District Contract Amount: $82,620.00 2700 Foothill Boulevard Start Date: 02/2020 La Crescenta-Montrose, CA 91214 End Date: 04/2020 Contact: Brook Yared (818) 236-4117 byared(o-)cvwd.com 2020 HUD Street Improvements Project City of Alhambra City S. Street Contract Amount: $300,433.00 Start Date: 06/2020 Alhambra, CA 91801 End Date: 10/2020 Contact: Robert Bias (626) 580-5000 rbias(a)cityofalhambra.org Yerba Buena Rd. (South) Pavement County of Ventura Resurfacing 800 S. Victoria Avenue, #1600 Ventura, CA 93009 Contract Amount: $2,298,467.40 Start Date: 03/2020 Contact: Matt Maechler (805) 477-1911 End Date: 06/2020 matthew.maechler(o)ventura.org City of Camarillo Earl Joseph Drive Paving Contract Amount: $681,901.50 601 Carmen Drive Start Date: 06/2020 Camarillo, CA 93010 End Date: 07/2020 Contact: Thang Tran (805) 388-5345 ttran(a)cityofcamarillo.org 2019 PAST WORK REFERENCES City of Simi Valley Simi Valley Minor Street Rehabilitation 2929 Tapo Canyon Rd Contract Amount $510.124 25 Simi Valley, CA 93063 Start Date 07/2019 Contact. Sarah Sheshebor (805)583-6792 End Date 08/2019 sshesheb(aDsimivalley org County of Ventura Yerba Buena Area Resurfacing Project 501 Poli Street Contract Amount $3.919.808 95 Ventura, CA 93001 Start Date 06/2019 Contact: Christopher Solis (805) 654-2054 End Date 12/2019 chns solisC@ventura org City of Stanton 2019 Citywide Street Resurfacing 7800 Katella Avenue Contract Amount $1,206.869 00 Stanton, CA 90680 Start Date 10/2019 Contact Guillermo Perez (714) 890-4204 End Date 12/2019 gperez(5ci stanton ca us City of Compton Road Repair Service (Pothole Repair) 205 S Willowbrook Avenue Contract Amount $1.019.100 00 Compton. CA 90220 Start Date 0812019 Contact. John Strictland (310) 605-5505 End Date 11/2019 IstnctiandCdcomptonaty orq City of San Clemente Street Rehabilitation for S Avenue LA 910 Calle Negocio Esperanza San Clemente, CA 92673 Contract Amount: $384,055.00 Contact. Darra Koger (949) 361-3138 Start Date 09/2019 kOgerDCQ75an-clemente org End Date 10/2019 City of South Gate Circle Park Driveway Project 8650 California Avenue Contract Amount $268.576 00 South Gate, CA 90280 Start Date 06/2019 Contact: John Rico (323) 563-9594 End Date 09/2019 Iricoasogate org 2019 PAST WORK REFERENCES Pardee Homes Railroad Canyon Widening 1250 Corona Pointe Court, Ste, 600 Contract Amount $5.062,746 00 Corona. CA 92879 Start Date 11/2018 Contact: Nick Lasher (951) 428-4442 End Time 08/2019 nick lasher(Dpardeehomes com City of Fontana Citrus Avenue Improvements 8353 Sierra Avenue Contract Amount $502.730,00 Fontana. CA 92335 Start Date 08/2018 Contact. Kimberly Young (909) 350-7632 End Date 10/2019 kYoung(a fontana orq DR Horton Singlton Road 2280 Wardlow Circle Ste 100 Contract Amount. $1.684.000.00 Corona, CA 92880 Start Date 07/2018 Contact. Keith Alex (951) 830-5872 End Date 12/2019 kalexC@drhorton com Irvine Community Development Company Portola Springs PA-6 Enclave 5B Phasel 2 550 Newport Center Dr Ste 550 B2 Contract Amount $2.055.055 00 Newport Beach. CA 92660 Start Date 09/2018 Contact. Mike Morse (949) 720-2560 End Date 12/2019 City of Downey FY 18119 Slurry Seal Project 11111 Brookshire Avenue Contract Amount $313.425.87 Downey. CA 90241 Start Date 06/2019 Contact: Desi Gutierrez, (562) 904-7110 End Date 12/2019 dgutierrCd�downevca orq 2019 PAST WORK REFERENCES City of Chino Slurry Seal Maintenance Work 13220 Central Ave Contract Amount. $372.805.00 Chino CA 91710 Start Date: 1/2019 Contact. Dustin Postovoit (909) 334-3415 End Date: 12/2019 apostovoitCa)cityofchino orq City of Lancaster 2018 Pavement Management Program 44933 Fern Avenue Contract Amount $2,720.103 65 Lancaster. CA 93534 Start Date 3/2019 Contact. Greg Wilson (661) 570-8003 End Date 12/2019 gwilson(,cityoflancasterca orq City of Colton FY 18-19 Asphalt Paving Project 650 N La Cadena Dr Contract Amount $1,377.700.00 Colton. CA 92324 Start Date 3/2019 Contact. Victor Ortiz (909) 370-5099 End Date 11/2019 vort¢CoDcoltonca gov City of Cathedral City Ortega Road Widening 68700 Ave Lalo Guerrero Contract Amount $459,998 00 Cathedral City. CA 92234 Start Date: 2/2019 Contact John A Corella (760) 770-0349 End Date 12/2019 Icorella(Qcathedralcity gov City of San Clemente Arterial Street Pavement Maintenance 910 Calle Negocio Contract Amount: $1.187.187.00 San Clemente. CA 92673 Start Date. 3/2019 Contact: Gary Voborsky (949) 361-6132 End Date 7/2019 voborskyg(cDsan-clemente orq BIDDER'S CRITICAL STAFF The bidder shall provide information to demonstrate that both the Construction Project Manager (ollice staff) and Construction Superintendent (field staff) proposed for ALLEY REHABILITATION, CC No. 1617 have had similar work experience on at least 3 difTerent projects within the past five years. The proposed critical staff members need not have been employed by the bidder at the time the referenced projects were completed. I. Kim Bird, Project Manager Name of proposed Construction Project Manager Phone # of proposed Construction Project Manager: 951-736-7600 Street Rehabilitation Via Pico Plaza, Ave Pico , $ 1,990,098.13 03/31/2021 Project Name & Contract Amount Type of Work Date Completed Slurry Seal Project 19/20 ArterialSlurry #1319 $1 897 897.00 02/2021 Project Name & Contract Amount Type of Work Date Completed Del Aire Community Rd Improvement $987,579.79 04/2021 Project Name & Contract Amount Type of Work Date Completed Rick Selph , Superintendent Name of proposed Construction Superintendent Phone # of proposed Construction Superintendent 951-453-4645 Street Rehabilitation Graham, Slater, Newland, Atlanta 5,181,955.00 4/01/2021 Project Name & Contract Amount Type of Work Date Completed Street Rehabilitation Via Pico Plaza Ave Pico $ 1,990,098.13 03/31/2021 Project Name & Contract Amount Type of'Work Date Completed Slurry Seal Project 19/20 ArterialSlurry #1319 $1,897,897.00 02/2021 Project Namc & Contract Amount Type of Work Date Completed C-It 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/SB854FactShect-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efi l i ng.di r.ca.gov/P W C R/ActionSery let?action=d i splay P W C Registration Form DIR's Contractor Registration searchable database: htips://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. All American Asphalt Contractor By publ icwo rks@a llamericanasph alt.corn Email Edward J. Carlson, Vice President ,t Title Date: G/dl �d�+r' PWC Registration #: 1000001051 C-12 Registrations Page 1 of 2 State of Caldo, Back to DI »(hops I)WwN du a gov) r ;r(fmp1 ca govp Department of Industrial Relations h . Contractor Information Lase,E.K,Name ALL AMERICAN ASPHALT Cwporaton 4Me IOD0001051 07I011 M 06/30123 PO a0K 2229 CORONA 9MM U U— AW E SU(M 57 COPONA 9M79 U united Staln oi Amen[e pWecwMsM4martiannl✓�nt tom Lbrre Nunes(al C"MM73 CSta M7073 Legal Entity Information Corporation Entity Number C0570879 Federal Employment Identification Num Der: 952595043 Presgent Name MARK LUER Vrte Presrdeat Name EDWARD)CARLSON treasurer Name MICHAEL FARKAS secretary Name MICHAEL FARKAS CEO Name Agency for Sery ce Agent of Service Name MICHAEL FARKAS Agent of Service Mailing Addres,. 400 E SIa7H ST CORONA 92879 CA United StMes of Amenca Worker's Compensation Do you Mast empleyeas Mrough Professional Employer Organization(PEO)7. No Please povide your curmrt wdrkor's compenYtion insurance information Dllow'. PEO PEO PEO PFO lnforma0onName Phone Ema, Inswed of Carrier Policy Holder Name: ALL AMERICAN ASPHALT Insurance Carrier: ZURICH AMERICAN INSURANCE COMPANY Policy Number: WC593205701 lnceptlon data. 08/01/19 Esprtafion Date'. 08/31120 About DIR Vano vie are(htlps Iwww dir ca gov/a0outdir htm0 DIR Drvryons.Boards 8 Commnalons(hops IlYrerw du ca gov/qrna,ons_anq_programs html) Conlaa DIR(https IPwLaw der ra goy/ConfaCus h0o0 Work YAM Us Jobs at DIR(hops Ilwww du ra gov/digobsldlgobs him) Loensing.registrations cemfiCatons 8 perrnits(https IA,Ww dir html) Required Notifications(hops/loupes dir ca gov/dosh)Regorreo-NODfo cons html) Pubbc Reoods Requests(hops I/AN9w dir ra gov/pra_request hlml) Learn More Acceso at dloma(hhp IAvww der ca gov//Bilingual-Services-ACUdefault htrol) Frequently Asked Questions(hops IAvww der ra govdagskst html) Site Map(hays Ib7Y7w dir W gov/6ltemaplsitemap html) https://cadir.secure.force.corn/ContractorSearch/registrationSearchDetails?id=al RtOOOOOO... 2/10/2021 o D Fidelity and Deposit Company of Maryland BID BOND KNOW ALL\MEN BY THESE PRESENTS: That we, ALL AMERICAN ASPHALT BOND NO. 035 97 423 as Principal,(hereinafter called the"Principal"), and FIDELITY AND DEPOSIT CONIPANY OF MARYLAND .a corporation duly organized under the laws of the State of Illinois ,as Surety.(hereinafter called the "Surety"), are held and firmly bound unto City of Huntington Beach as Obligee, (hereinafter called the "Obligee"), in the sum of Ten Percent of Total Amount Bid----- Dollars($ 10% Of Bid ), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. 1VIIEREAS,the Principal has submitted a bid for Alley Rehabilitation from Del Mar Ln. To Graham St. CC No.1617 Bid Dale:April 22, 2021 NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a contract with the Obligee in accordance with the terms of such bid and give such bond or bonds as may be specified in the bidding or contract documents with good and sufficient surety for the faithful performance of such contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter into such contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another patty 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 scaled this 5th day of April A.D., 2021 � ALL Ah7 LF2ICAN ASPHALT�� Principal M;�l-.y..�l�a�.k..,s se.,l...(•ev-�liritaess ��L.-a��/z�� (SEAL) I'IDELITY AND DEPOSIT COMPANY OF `-PRYLAND sur By (SEr11,) &,dX= kin _ drmnae;,-in-Fact n ID70000770701f CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached. and not the in ithfulness. accuracv.or validity of that docu meant. State of California County of Riverside On April 21, 2021 before me, Kenona Nazari. Notary Public Date Hera Inson name ape Tale of Itar OaKOr personally appeared Edward J. Carlson and )Michael Farkas Name(.)of Spner(st f 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�shefthey 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. KENONA.NAZARI :e` 4. ,Notary Public California I certify under PENALTY OF PERJURY under the laws of the State of Riverside Public worry _ California that the forgoing paragraph is true and correct. Commission 9 L18601 '' vy Comm.Expires Jan ;o,?Ota WITNESS my ha/Ind and official seal. Signature Place Notary Seal Above Signature of Notary Public I OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Bid Bond— City Of 1-11111tin g toll Beach Document Date: April J. 2021 Number of Pages: 3 Signer(s) Other Than Named Above: William Sorkin Attorney-in-Fact Capacity(ies) Claimed by Signer(s) Signers Name: Edward J. Carlson Signers Name: Michael Farkas o Individual in Individual X Corporate Officer—Title(s): Vice President X Corporate Officer—Title(s): Secretary ❑ Partner D ❑Limited o General in Partner❑ ❑ Limited c General _ ❑Attorney in Fact ❑Attorney in Fact •Trustee Top o1 thumb Hero Top of Numb Here ❑Trustee a Other: o Other: Signer is Representing: Signer is Representing: All American Asphalt All American Asphalt CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 ••-rzcsc- _ _ �aor_re��^.w..T...-^_- - ----- r:t:rma A notary public or other officer completing :his certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy, or validity of that document. State of California ) County of Orange ) On 04/05/2021 before me, Liliana Gomez,Notary Public Date Here Insert Name and Title of the Officer personally appeared William Syrkin NameKof Signerrs) 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/haE/their authorized capacity(Is), and that by his/heu heir 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 laws of the State of California that the foregoing paragraph is true and correct. LILIANACOMEZ WITNESS m h Notary Public-California y and and official seal. Orange County _ ///��� Commission e 22a3326 , / �lYl My Comm.Expires Mal 2q 2022 ' Signature {r7K, Signature oANota Publi Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Bid Bond Document Date: 04/05/2021 Number of Pages: One 1 Signer(s) Other Than Named Above: All American Asphalt Capacity(ies) Claimed by Signer(s) Signer's Name: William Sorkin Signer's Name: ❑Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑General ❑ Partner — ❑Limited ❑General ❑Individual W,Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: Fidelitv and Dcposit Company of Marvland r�rcc:c:.u,'s•;esasrzzx�c�.::�a��z ©2014 National Notary Association - www.NationalNotary.org • 1-800-US NOTARY(1-800-875-6827) Item N5907 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V,Section 8.Attorneys-in-Pact. The Chief Executive Officer,the President.or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority, to execute bonds, policies, recognizances, stipulations. undertakings, or other like instruments on behalf of the Company. and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto:and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE 1, the undersigned. Secretary of the -ZURICII AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY Ol' NIARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and 1 do further certify that Article V, Section 8, of the By- laws of the Companies is still in force. 'Ibis Power of Attorney mid Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the I nit day of December 1998. RESOLVED: "'that the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such Facsimile signature and seal shall be valid and binding on the Company." '1-his Power of Attorney and Certificate may be signed by facsimile under and by authority of following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 51h day of ::\lap. 1994, and the following resolution of the Hoard of Directors of the FIDELITY AND DEPOSIT COMPANY 01 \L\RYLAN1 at a meeting duly called and held on the I0th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manual Iv affixed. IN TESTIMONY WHEREOF. I have hereunm subscribed my name and affixed the corporate seals of the said Companies, this 5th day of April 2021 uwaq ' ;gf seat � +n.1 By: Brian M. Ilodges Vice President '1'0 REPORT A CLAIAI )YITII REGARD TO A SURETY BOND. PLEASE SU101I'I A CO:VII'I,E'I'E DESCRIPTION OF"PIIE CLALNI INCLUDING TnE PRINCIPAL ON'I'llE HOND,TIIE BOND NUMRER,AND YOUR CONTACT INFORMATION'FO: . Zurich Surety Claims 1299 -Zurich Way Schaumburg, II,60196-1056 ww1y.re p0 its fc I a i m sfr�zuri ch n a.corn 800-6264577 ZURICII AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEI'OSI'I'COAII'ASN'OF MAIZN'LAND POWER OF AVI'ORNEY KNOW ALL MEN BY THUS[ PRLSTNTS: Thus the 7URIC1I AMERICAN INSURANCE COMPANY,a corporation of the State of New York. the COLONIAL AMERICAN CASUALI-Y AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert 1).Mun ay, Vice President,in pursuance of authority granted by Article V,Section S. of the By-Laws of said Companies.which are set forth on the reverse side hereof and are hercbv certified to be in full force and effect on the date hereof, do herebv nominate, constitute, and appoint William SYRKIN, Rebecca IIIALAS-BATES, Sergio 1). BECHARA and Richard ADAIR. all of Irvine, California, EACH, its true and lawful agent and Attorney-in-Pact,to make.execute,seal and deliver, for,and on its behalf as surety,and as its act and deed: any' and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents. shall be as binding upon said Companies,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of ZURICH AMERICAN INSURANCE COMPANY at its ollice in New York,New York.,the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills. Man land.,and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland.,in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a ante copy of Article V, Section 3,of the By-Laws of said Companies,and is now in fora. IN WITNESS Wilk"REOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AM E.RICAN INSURANCE COMPANY, COLONIAL AME-RICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DFPOSIT COMPAM'OP MAILVLAND,this I Ith day oLJune.A.D. 2019. ,y a era. U�Mth ;s O 86AL,(�FR A'ITES'I': ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SUR FTY COMPANY FIDELITY ANU DEI'OSII'COMI',\N\'OF dl.\R1'L,\NI1 By: Robert D.Murrov Tice President) BY: Down E. Brown S'ecreiary State of\land:md Count'of Baltimore On this I Ith day of June, A.D. 2019, before the subscriber, a Nota, Public of the State of Maryland,duly commissioned and qualified, Robert 1). ,\lurray,Vice President:md Da.rn E. Rrown,Secreuu'v of the Companies,to me personally known to be the individuals and officers described in and"ho executed the preceding instrument,and acknowledged the execution of saint,and being by me duly sworn,deposeth and with,that he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,1 have hereunto set my hand and affixed my Official Seal the day and year first above written. ;'',' r ' u,",,:: Constance A.Dunn,Notary Public \Jy Commission Expires'.July 9,2023 O - won — c - _ c „ r ' _ r I t"" i• _ _ f c m a Z rn IO I tIJ City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 _ (714) 536-5227 ♦ NvNv%v.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk December 15, 2021 Beador Construction Company, Inc. 26320 Lester Circle Corona, CA 92883 RE: Alley Rehabilitation from Del Mar Lane to Graham Street — CC No. 1617 Enclosed please find your original bid bond for CC No. 1617 Sincerely, Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand CONTRACT DOCUMENTS SPECIFICATIONS AND STANDARD DRAWINGS for the construction of ALLEY REHABILITATION from Del Mar Ln. to Graham St. CC No. 1617 in the CITY OF HUNTINGTON BEACH 2000 MAIN STREET HUNTINGTON BEACH,CALIFORNIA 92648 (714) 536-5431 BIDS DUE: April 22, 2021 10:00 A.M.,2nd FLOOR City Clerk's Office SEAN CRUMBY, DIRECTOR DEPARTMENT OF PUBLIC WORKS SECTION C PROPOSAL for the construction of ALLEY REHABILITATION from Del Mar Ln. to Graham St. CC No. 1617 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 40 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. 13IDDER understands that a bid is required for the entire Work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will re-advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern overextended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY's notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY's option, be considered null and void. Accompanying this proposal of bid, find Bidder's Bond in the amount of 10% which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Scaled Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature N/A C-2 ALLEY REHABILITATION, CC No. 1617 PROJECT BID SCHEDULE Item Contract Bid Item Description Unit Price Extended Amount No. Quantity 1 1 Mobilizulion LS S 25,000.00 S 25.000.00 per I'S 2 1 Furnish Project'I ratlic Control IS S 35,173.00 S 35.173.00 Per I.S 3 700 Unclassified Excavation CY S 105.00 S E"500.00 per CY 4 916 Construct Concrete Alley Gutter per City Sid.Plan 107. LF modified per Plan S 47.00 S 43,052.00 per LF 5 400 Construct Type III-C3-PG 64-10 Asphalt Concrete Pavement TN (depth varies per Plan) S 115.00 S 46,000.00 per TN 6 400 Crushed Miscellaneous Base CY S 85.00 S 34,QQQ,00 per CY 7 4 Famish&Install Composite Manhole Riser With 11-25 Rated FA Composite Manhole Frame and Cover(GMI Composite 260CS 2,625.00 S 10,500.00 or equal) per EA 8 700 Construct Concrete Alley Approach per City Sid.Plan 211, SF modified per Plan(including adjacent Curb&Gutter per CAN S 25.00 S 17.500 00 Sid.Plan 202.and Sidewalk per City Sid. Plan 207) per SF 9 1 Prepare Storm Water Pollution Prevention Plan IS S 157500 S 1,575.00 per I,S 10 1 Water Pollution Control I.S S 10.000.00 S 10-000.00 per LS Total Amount Bid in Figures:S 296,300.00 Total Amount Bid in Words: Two I-lundred Ninetv Six thousand Three I-lundred dollars and zero cents C-2.1 LIST OF SUBCONTRACTORS In accordance with Govemment 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 Dollar % of Item(s) Subcontractor License Number Amount Contract Number 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-7 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 04/22/21, at Corona , CA Date City State David Beador being first duly sworn, deposes and says that he or she is President of Beador ConstructionCompany, 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. Beador Construction Company. Inc. Name of Bidder S re of Bidder (David Beador) 26320 Lester Circle, Corona, CA 92883 Address of Bidder C-a UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the Work specified in the contract, known as the ALLEY REHABILITATION, CC No. 1617, (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 Tide 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, i.sfamiliar 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. Beador Construction Copmany Con actor BY (David Beador) President Title Date: April 22 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 ® No Ifthe 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. Beador Construction Company, Inc. ConItor BY avid Beador) President Title Date: April 22,2021 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bcador Construction Company. Inc. Bidder Name 26320 Lester Circle Business Address Corona CA 92883 City, State Zip 951 674-7352 dabeador(@beador.com Telephone Number Email Address 720483 A State Contractor's License No. and Class 03/26/1996 Original Date Issued 07/31/2022 Expiration Date 2021 The work site was inspected by David Beador of our office on April 12 _10'T—, The following are persons, firths, and corporations having a principal interest in this proposal: Beador Construction Company, Inc. - David Beador 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. ador Construction Company, Inc. pany Name ture of Bidder David Bcador Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this day ofN91, k , 20L1 . 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 Cc.rl�1 .1 a ) County of e Z l a ) 1 On A99L, 1:1- 107 before me, Y--0 .re 7,,, h NU-NAe,oy \�Jb�1 L Month, Day, and Year \\ Insert Name and Title of Notary personally appeared c"-\ a i3ecya�tL Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OE PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. R.QUELD,1 Hw.ry Pub k-Crllldnlr t91.ersidr County _ Commilriw t 2274239 - +y Comm.Emrn w i9,iC21 Signature � gignature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 BIDDER'S PROJECT HISTORY AND PUBLIC AGENCY REFERENCES The bidder shall provide information to demonstrate his/her past work experience on projects of similar (or greater) size and scope of the ALLEY REHABILITATION, CC No. 1617. Bidders may submit additional sheets, using the format shown, to further demonstrate his/her history of similar work experience. 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: See attached sheet "Attachment A" I. Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: 2. Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: 3. Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: C-10 BIDDER'S CRITICAL STAFF The bidder shall provide information to demonstrate that both the Construction Project Manager (office staff and Construction Superintendent (field staff) proposed for ALLEY REHABILITATION, CC No. 1617 have had similar work experience on at least 3 different projects within the past five years. The proposed critical staff members need not have been employed by the bidder at the time the referenced projects were completed. I. David Beador Name of proposed Construction Project Manager Phone # of proposed Construction Project Manager: 951-674-7352 See Attached Sheets "Attachment A" Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed J Adam Prieto Name of proposed Construction Superintendent Phone # of proposed Construction Superintendent: 714-552-5818 SEE ATTACHED - list of projects 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/[)LSE/Public Works/SB854['actSheet_6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiIing.dir.ca.gov/PWCR/ActionServIet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://cfiIing.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. 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Kl r..nss a«r:'>}mn AIA Document A310TM - 2010 Bid Bond CONTRACTOR: SURETY: (;\'one•. legnl.cunu.c crud addrersj (Vance, legal crams and principal place Bcador Construction Company, Inc rl b«cine.c.c) 2fi320 Lester Circle, Nationwide ibfutual Insurance Company 6320Corona,L CA 9 Circle, One West Nationwide Blvd. This document has important legal Columbus,Ohio 43215-2220 consequences.Consultation with OWNER: an attorney is encouraged with (oonc. le'val srntus and address) respect to its completion or City of Huntington Reach modification. 2000 Main Street,Huntington Beach,CA 92648 Any singular reference to Contractor.Surety, Owner or BOND AMOUNT: TEN PERCEN'I'(10e,&) of the"I'olal Amount Bid other party shall be considered plural where applicable. PROJECT: Alley Rehabilitation(from Del\far Ln. to Graham tit.),CC No. 1617 (\-one. locarian or address, and Prujeci number, ijanv) Project Number. if arty: The Contactor and Surety are bound to the Owner in the amount set forth aboyc. for the payment of which the Contactor and Surety-bind themselves. their heirs.executors. administrators. successors and assigns.jointly and severally.its provided herein.The conditions of this Bond arc such that if file Owner accepts the bid of the Contractor \vifhin the time specified in the bid documents. or within such tittle period as nvay be agreed to by the ON\her and Contactor,and the Contractor either(I)enters into a contact with file Owner in accordance irith the len is of such bid and gives such bond or bonds as may be specified in the bidding or Contact Documents.with a surety ado»ued in the Jurisdiction of the Project and othem ise acceptable to the Owner. for the faithful performance of such Contract and for five prompt payment of labor and material furnished in the prosecution thereof:or(2)pays to the Owner the difference, not to exceed the amount of this Bond.betaken the amount specified in said bid and such harger amount for which file Owner ntav in good faith contact with another pare' to perform the wort;coycred 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 agneemem bem een the Owner and Contractor to extend the time in\%Inch the Owner may accept the bid.Waiver of notice by the Surety shall not apply to airy extension exceeding sixty (60)days in the aggregate beyond file lime for acceptance of bids specified in the bid documents.and the Owner and Contactor shall obtain the Surety's convent for an extension beyond sixty (60)days. If this Bond is issued in connection\with if subcontractor's bid to a Contactor, the lema Contractor in this Bond stall be deemed to be Subcontractor and the term 0%%ner shall be deemed to be Contractor. When this Bond has been furnished to comply \with if statmor'or other legal requirement in the location of the Project. any provision in(his Bond conflicting\with said statutoq or legal requirement shall be dcented deleted Iciefronl and provisions confom\ing to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished the intent is that this Bond shall be constnled as a saunory bond and not its a common law bond. Signed and scaled this 20th (I,v of April,2021 JBe- Construction Company, Inc. l) (Seal) e Mutual Insurance ©Company g 11 ,1 0 Seal) ( .. Christine Maestas,Witness (Ti •) Edward N. Hackett,Attorney-in-Fact AIA Document A310"-2010.Copyright 0 1963,1970 and 2010 by The American Insl,tule of Arch Aecls All rights reserved. CALIFORNIA :ALL-PURPOSE CLWF1111CArl'E 01, ACKN0NVLE DIG iIENT A n0 ,,,public or other oflrer completing this certificate verified only the identin,of the individual it t o signed Slate Lit ( ;111 rt,111 a die dncument to lrhidt this certificnre is attached, and not the truthfulness, acclvacv, or validity ofthar document. ( Jll ill,'IrI Orange APR 2 0 2021 On before ale. _ C. Maestas. Notary Public I lkr,iu:2II n.Im:aullit l:.•i Ih.nliial prr.<urltdly a1111CMcd Edward N. Hackett 1,ho pro',cd ❑1 ale kill the hnsis ol',:uisl;lclory C. idcilu lu h0 the pcecol>N-J ,vhosc nanh'(s7 i Trc suhseribed to IhC „iihin instmfllcnt and nckno%• ledged to tile Ihut hr;ar;trc e.xmiled (lie same in his Irrifrre- aulhrnized c:lpacilN-j 1s1. ;uxl th;a by his: c ;}rt n si naturetsj on the in;lrumrn( the pci on{;j,ar the cntiiv upon bchalfo(which the pervnq:-1 acicd•UNCcuted the inSlrtlnlcnt. I certik, tuldel N-NtAL I' OF PERJURY under the la,cs ill'IIIC Stale(it CZ1106Ini❑ 111M the Iuregoill parr„r;lph is tRe and correct. C.WESTNS i. COMtvY. ?229S090 ! y�f ` ; f ViiTAR'lIPUBLIGCALIF0RIA,',.{t \1'I'I'\IfSS my hand and u(ficial seal. 1_; �;z;;.,�, ORANGE COUNTY MY1, Lt1.ERP.JULY 24 2023 . I Culan\;:111 ' s:,. rnFVln.n nh; 0 A 01)ITIO0;:\1 OP Ilk):\AI- INPORIINIA'IION INS]RIK I IONS FUR ('(I\Illl FI IN(i I I IIS 6u,.A,I..:.n.'r,, Imgol,..1..!in (e I ,_rnr ,•.mrin I.,l. I'll ,. DVS( RIIII ION I.IP I Ill: A1_1A(IILI) DLI('UMI NI :.p/.ru".dv.�:,r:It r......rs......... ...........;. Ill 4"•o!or,m;n/!.nm......I n: dal umrm. T4, . dl ....... •,: is If Beador Consmiction Bid Bond .!,,,.,•,,.,,,i,:., •d d I:,I,,;.r..:;(t.!r„•,,:a, /„ .;..'I: %Iid;,rt.k•:upu.Iu.d nlachcd.In.,L.ynII �..6,. o Id:.. .;rh.:, h.,.,,.,r nn ...r6.,.b,. .,., . ,r,,. „I., ,. I,nI ec f^. h...i rh.� .r... I.n;r„r,I ,:.............•,.:.,,,;n,.I.r:n:•.,nlr.�.,,n.;:r,l:,r,.t,:...rd...i I I Itl..n dc.:1 gnv,n nI a::nclw�.l.4 aonum c,Inll:uud I . N IIII IIKr I'.( I (p',..n..•..nl .: un nm. hh.,lrr Lu,.`l.uLa): mrh is lln.ldrx n+lvdenl.n rr .m.aLc, 1),xinlienl DdtCA p 2 0 0 21 l I<:u:J mlh.: an pr I,aa of IL.L,,Ic,u•In u'."Iw'the Ja1c th.Il:L:. .uJ h' , LJI+.qqs ..;d wludl ""Ili.IIv L:Ibe.aurr Jna Illr.trAun.,ItJen:uuLn.,nrp:rl:d. I Wditi..n.II inf•mu Ln i.�nr 'Ih.ron:I r, pnhlic Inn"print hi.ar Irct 11:..nL :I.It appc:u..is ilhin Ili..n hc, I` m..nk,ttll hllleo pl h%a.onnu,Jill thcIt+. 11 Itoc l ln.taL pnhllcl. I lnt Ill, T..In.l a nl d—urinun.' ,It•I v.hu y:r..•n.,lh :yllv:II .II Ih,:bul.of .0 P.n v;n I�III CAPA('I I*Y L A 1.\IFD [I)'-II If SIGNER In,f..u. Ih:olrr.c.In Id;,r nr pllr.J l•,rm.11% 11 •1111' nit lnrnr:a'I h1l.111 it c. I /.e.hrµay. I.-.-r)Ill Iilrine�Ihr r•Iu c:l I'.M.II..Farb..,...nreeh Inal::u.I III, I lull':I all I.,l Illhnnl.nl...........I:aJ Lu:ha w...d III lcoll'flll nllil,e. rI CutIk II:IIC(/11l l:el' Ih; nnt.In vII nuprc..eln anal b: dc.v anJ I:hnlnclnphlcJl:. rcl:nuh¢Ib:c. Imprr.ann ..ul o.",,\I III Inrr.. I:'w.d unpcec...v1 anuJ,�.., Ilhr Llll ll'MIII]rca 4',wfl .111.I+u..rlrmpba[.I JI I.I pIIt.I:h...S. "I.helll I,Iu:I P(11'IOerISI ]i n.um: oilhr nlnan pubbc nu,"l"ilch Iha.zna:utc ou Iilc :+..h Ih;1,11io•of X Ih.rn:ua+ dcI'. A IIuI'I1C C-III-I':It'l re :1J:hmnl..I m:i.Iuxamnl r. It'll ...161 Imp 1.• cu.:n. Ihi. II ru,flay.,) a;lul.wlr,l•,r.zlll n not 11.\tII'l III 1140l,d W.I'fiflo.a:l&'llanl [Ilh.r It In AIM ILnuIn:nl.Ill"W"l••1pa ."•Ln: ,a uLli:-.Im th;,:gra:its clmm;J h. III, 'i...l".li l It,, nl.J...... ;ml a wlpol:tc nliir:r.Ind,calr ill talc I.1.(T.U,('11).\.errl"ur•:I. �:n..cly al:aclt II•a:duauncm oI II1r.Inuit J.Icum:m yu.\7I'll",( tl'.\J] Ill 11C uura'f:;,Sb; nu+ ......(!u..,,,,.nn 1053392 Power of Attorney :KNOW ALL MEN BY THESE PRESENTS THAT: Nauonwiae Mutual insurance Company,an Ohio corporation hereinafter referred to severalty as the"Company"and collectively as"me Companies"does hereby make.constitute and appoint: Edward N. Iinckeft each in their individual capacity,its true and lawful al:brney-in-fact,with full power one authority to sign,seal,and execute on its behalf any and all bonds and undertakings,and other obligatory instruments of similar nature,in penalties not exceeding the sum of UNL1tV91TED and to bind the Company thereby.as fully and to the same extent as if such instruments were signed by the duty authorized officers of the Company:and an acts of said Attorney pursuant Id Ine authority given are hereby ratified and confi-med. This power of attorney is made antl executed pursuant to and by aulnomy of the Tolle•.wing resolution duly adopted by fire board of directors of the Company: "RESOLVED,that the preswent•or any vice ores dent be,and eacn hereby is,authorized and empowered to appoint attorneys-in-fact of the Company. and to authorize Inem to execute and deliver on behalf of the Company any and 0 bonds,forms,applications,memorandums,undertakings. recogn izdnces,transfers.contracts of indemnity,policies.contracts guaranteeing file fidelity of persons holding positions of public or private trust,and other writings obligalory in nature that the business of the Company may require; am to modify or revoke,with or without cause,any such appointment or aulhziny,provided,however,mat Vie authority granted hereoy shall in no way limit the authority of other duly authorized agents to sign and countersign any Of said dOCLments on behalf of the Company.' 'RESOLVED FURTHER.Thal such attorneys-in-face shall have lull power antl authority to execute and deliver any and all such documents and to bind the Company subject to tie terms and limitations of the power of attorney issued to them,and to affix the seal of the Company Iherelo:provided,rowever.;hat said seal shall no:be necessary for the validity of any such documents' This power of attorney is signed anC seated under antl by the follo•mng bylaws duty adopted by the board of directors of the Company Execution of Inslumems.Any vice president, any assistant secretary or any assistant treasurer shall have the power and oufhanty to sign or a:test all approved documents,instruments,contracts,of other papers in connection vdlh II-e operation of the business of the company in addition to the chairman of the board,me chief executive off per,president.treasurer or secretary:provided,however,the signature of any of[hem may be printed.engraved,or stamped on any approved document, contract,instrument.or other papers of the Company. IN WITNESS WHEREOF.the Company has caused this instrument to be sealed and duty attested by the signature of its officer the 2T- day of February. 2019. Q {,,._ C z*--- Anlonio C.Albanese,Vice President of Nalianwide Mutual Insurance Company 4101111,\, ACKNOWLEDGMENT ptYu 4 STATE OF NEW YORK.COUNTY OF NEW YORK:ss ,f On This 27"day of Feonuary 2019,belore me Game the adove-named officer for fire Company p,iSEAL aforesaid,to me personally known to be the officer described in and who executed the preceding `m in m acknowledged the execution of the same,and bein struent.and he acknowlea g g by me duly sworn,tlepases All,,ndisn.a`� and says.that he is the officer of[me Company aforesaid,that the seal affixed hereto is the corporate seal of said Compa'ty. and the said corporate seal and his signature were poly affixed and subscribed to said instrument by the authority and direction of said Company. CERTIFICATE 4nTr...imp I.Laura 2.Guy.Assistant Secretary of me Company.do hereby certify that the foregoing is a full,true and correct copy of the original power of attorney Issued by ore Company:that the resolution included therein is a true and correct transcript from the minutes of the meetings of the boards of direcers and the same has not been revoked or amended in any manner;that said Antonio C.Albanese was on the date of the execution of the foregoing power of attorney the duty elected officer of:he Company,and the corporate seal and his signature as officer were duty affixed and subscribed to the said Instrument by the authority of said board of directors,and the foregoing power of attorney is still in full force amid effect. IN WITNESS WHEREOF,I nave hereunto subscribed my name as Assistant Secretary, and affixed the corporate seal of said Company this 20th day of _aril 2021 Assistant Secretary BDJ 1(02 19100 a.r .�� No. 1805-1 STATE OF CALIFORNIA DEPARTMENT OF INSURANCE SAN FRANCISCO Amended Certificate of Authority THIS IS TO CERTIFY that,pursuant to the Insurance Code ofthe Stare ofCalifornia, Nationwide Mutual Insurance Company of Ohio, organized under the laws of Ohio,subject to its Articles of broorporarion or other fundamemal organizational documents,is hereby authorized to transact within this Store,subject to all provisionsofods Certificate, the following classes of insurance: Fire,Marine,Surety,Disability,Plate Glass,Liability,Workers' Compensation, Common Carrier Liability,Boiler and Atachinerv, Burglary,Sprinkler, Team and Vehicle,Automobile,Aircraft,Legal,and Miscellaneous as such classes are now or mm,hereafter be denied in the Insurance Laws of the.State of California. TI[IS CERTIFICATE is expressly conditioned upon the holder hereof now and hereafter being in fill compliance with all, and not in violation ofap� ofthe applicable hrvs and/mvjid requirements made corder authority ofthe Imes ofthe State of California as long as such Imes or requirements are in eject and applicable, and us such Imes and requirements note are, or may hereafter be charged or amended. IN WITNESS 1VI IEREOF,effective as ofthe 22nd deco ofMuv,2013, i hm,e 4ereunuo set mr hard and caused my official seal to be aJTxed this 22'day of May, 2013, DaveJoncs lnnranu Co.....ancr By Valerie J.Sarfa[v" for Nettie Hoge ChiefD puny NOTICE: Qualification with the Secretary of State must be accompl ishcd as requ wed by the California Corporations Code promptly after issuance of this Certificate of Authority. Failure to do so will be a violation of Insurance Code section 701 and will be grounds for revoking this Certificate of Authority pursuant to the covenants made in the application therefor and the conditions contained herein. i T 9 a s Y 4 0 0 U •J J � � 1 f� bo f "> r,�rr Cam. u -= r T V = 9 uumm � J m� � z o u o w � N ry o in T c n p a d U, u i `o a m w m J City of Huntington Beach �., 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ N%ti%w•huntingtonbeachca.gov 'F•. Office of the City Clerk Robin Estanislau, City Clerk December 15, 2021 Fame Legacy 20745 Archwood Street Winnetka, CA 91306 RE: Alley Rehabilitation from Del Mar Lane to Graham Street — CC No. 1617 Enclosed please find your original bid bond for CC No. 1617. Sincerely, e&�eza� Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan • Waitakere, New Zealand SECTION C PROPOSAL for the construction of ALLEY RELIA III L ITATION from Del Mar Ln. to Graham St. CC No. 1617 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 ofthc City Ingincer ol'the City of Huntington Beach. '['tic undersigned agrees to perlorm the Work therein to the satisfaction of and under the supervision of the City Fnginccr of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the Work within 40 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 swn prices set forth in the lollowing Bid Schedule. BIDDIiR 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. T I IF AGENCY RESERVES THE: MGI TT TO DELI:-H." ANY ITEM FROM TI 117 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 AGhNCY will reject all bids and will re-advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract. the undersigned agrees that in the event of the 131 DDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGINCY'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. Accompanving 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 Scaled Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond fix_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt ofall Addenda here, ifany: Addenda No. Date Received Bidder's Signature C-2 ALLEY REHABILITATION, CC No. 1617 PRO.IECT BID SCHEDULE Item Contract Bid Item Description Unit Price Extended Amount No. Quantity I I Nlohiliiutiun Ls S 17.625.00 S 17.625.00 per LS 2 1 Furnish Project i rallic Control LS S 40,482,00 S 40AX2.00 Per I.S 3 700 Unclassiiicd li.ceavation CY S G2.7G S 43 932.00 per C1 4 916 Construct Concrete Alley Gutter per City Std. Plan 107. LF modified per flan $37.93 S 34,743AX Ter LF .100 Construct'type III-C 3-PG 64-10 Asphalt Concrete Pavemmnl .I-N, (depth varies per flan) S 152.75 S 61.100MO rwr'1"\ 6 400 Crushed Nliscclluncuus Itau CY S 47.90 s 19.I6(M)O per CY 7 4 Furnish R Install Composite Manhole Kiscr with 11-25 Rated FA Coutrxsite Manhole Frame and Cover(GNll Comlar9ilu 26011 S 9.243.00 $ 36.972.00 or equal) per FA X 700 Construct Concrete Alley Approach per City Std.flan 21 I. SF modified rwr flan(including adjacent Curb K Gutter per City $ 17.115 119351111 Std.Plan 202.and Sidewalk rwr Co., Sid. flan 207) per S1 9 I I'rcputo Storm Water Pollution Prevention Plan LS S 5,323.50 S 5.323.50 per I'S 10 1 Water Pollution Control LS S 9.009.00 S 9.009.110 per I.S 'Focal Amount Bid in Figures: S 28U82.38 'total ,\mount Bid in N'urds: Two Hundred Nighty Thousand Two Hundred Eighty Two dollars and Thirty Bight Cents C-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set lorth 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 Dollar % of Item(e) Subcontractor License Number Amount Contract Number Subsurface Imaging 1134683 100003XX97 $5000.00 16257 Illinois Ave. Paramount, CA 90723 Associated Concrete \qix 4,8 1620 19th Street 1000039570 S46678.88 '1116.7 Santa iiMonica. CA 90404 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 AGI:iNCY will be ILrnishcd copies ol'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 4121/21 , at Winnetka CA Date City Slate Ghazaleh Hafizi being first duly sworn, deposes and says that he or she is President of Fame Legacy 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. Fame Legacy Name of Bidde Sig ure of Bidder 20745 Archwood Street,Winnetka,CA 91306 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 ALLEY REHABILITATION, CC No. 1617, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards irrvotved." 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. Fame Legacy Contractor (Ghazaleh Hafi_i) 13 President Title Date: April 21,2021 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 ® No If the answer is yes, explain the circumstances in the space provided. Note: "phis questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. t16 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. Fame Legacy Contractor hazaleh Hafizi By President Title Date: April 21, 2021 ('-7 c BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Fame Legacy Bidder Name 20745 Archwood Street Business Address Winnetka, CA 91306 City, State Zip ( 818 ) 451-5160 famelegacy@famelegacy.com Telephone Number Email Address 876522 A.B, C-31 State Contractor's License No. and Class 4/20/2006 Original Date Issued 12/31/2021 Expiration Date The work site was inspected by erCrMWof our office on o4pn / , 2021. The following are persons, firms, and corporations having a principal interest in this proposal: Fame Legacy Ghazaleh Hafizi, President Fahim Shahram, R.M.O. The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed Work and improvements in accordance with the Plans and Specifications set forth. Fame Legacy Company Name Signature Ghazaleh Hafizi Printed or Typed Signature C-9 r NOTARY CERTIFICATE Subscribed and sworn to before me this 21 day of 1 ( 2011 . A notary public or other officer completing this certificate verifies only the identity of the individual who signed the dOenment, to which this certificate is attached. and riot the truthfulness, accuracy, or validity of that document. State of kow 6 ('� ) County of On �Qi11 l� ��ti� beforeme.o"aa 'jj(Ar$L 1.4t/ti NQ�G11 �_�J�)11L Month, Day, and Year Insert Nano and Title of Notary personally appeared_L`'A(,w IQ� �I LI Name( of Signcr(s} 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/hcr/rhr7n- authorized capacity(ies), and that by his/her/their-signature(-.+) on the instrument the person(^}, or the entity upon behalf of which the personH acted, executed the instrument. I certify under I FNALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ctw m:Ju+ae:.ROC, K'v'�p. '�a:arj >I•, Ce1i!orn�e �V'I"fNESS my hand and official seal. - c Si mature L Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 BIDDER'S PROJECT HISTORY AND PUBLIC AGENCY REFERENCES The bidder shall provide information to demonstrate his/her past work experience on projects of similar (or greater) size and scope ol' the ALLEY REHABILITATION, CC No. 1617. Bidders nary suhnhit additional sheets, using; the format shown, to further demonstrate his/her history ofsimilar work experience. Listed below arc the names. address and telephone numbers for three public agencies for which the bidder has performed similar work within the past live years: I. MTA / MARRS Services (Consultant firm): Resident inspector of project Name and Address of Public Agency Name and phone 4 of Ao gency's Project Manager: Raul Pedroza (951) 2 36-6957 CMF Bldg. 5. CI 167: Dust Collection Svstem $1.500.000 01/31/2021 Project Name Contract Amount Date Completed Detailed description of bidders scope ol'work to demonstrate similar work experience: Two Duet Collector Systern Two Boilers and dust collection sysiern and comnutrrived equipment installed over roncrr•te pad poured and err reel with hnllarrdc lneidt' huildinu 10 overhead Festoon installed, slide gates at ceiling level, and 12 hose reels at ceiling and wall installed. Name and Address of Public Agency MTA / MARRS Services (Consultant Firm): Resident inspector of project Name and Phone P of-Agency's Project Manager: Awny Malak (626) 538-4889 C 1 173: Cesar Chavez Pavilion Bus Stop $1,700.000 12/3 1/2020 Project Name Contract Amount Date Completed Detailed description of'bidder's scope of work to demonstrate similar work experience: Underground dry wet utilities and installation and hook up ol'septic tank to collect storm water to direct to City storm water system. Wide and ornamental sidewalks with curb and gutters placed in. 10 canopies with solar panel as rool'cover installed. 3. Name and Address of Public Agency VITA / MARRS Services (Consultant Firm): Resident inspector of'project Name and Phone 4 of Agcncy's project Manager: Raul Pedroza (951) 236-6957 Div. 8 10 Electrical Bus Charging Station $1.800,000 10/31/2019 Project Name Contract Amount Date Completed Detailed description of bidder's scope of'work to demonstrate similar work experience: Excavation (removal of existing bus parking area) and placing back about 48,000 sf of 4000 psi concrete with V-Gutter. Installation of 10 Bus Charging station with concrete pad and canopy dor each. Installation of transformer and connection to DWI' power line. Installation ofover 28 conduits feeding charging stations from transformer laid in trench. Installation of Bollards around transformer pad and 10 charging stations. C-10 BIDDER'S CRITICAL. STAFF The bidder shall provide information to demonstrate that both the Construction Project Manager (oil-ice staff) and Construction Superintendent (field staff) proposed for ALLEY REHABILITATION, CC No. 1617 have had similar work experience on at least 3 different projects within the past five years. The proposed critical staff members need not have been employed by the bidder at the time the referenced projects were completed. 1 . Ghazaleh Hafizi Name of proposed Construction Project Manager Phone 4 of proposed Construction Project Manager: (818) 4S1-S160 West LACCD Mechanical Deficiencies Demolition, backfill, compaction, new concrete, & Hydronic Leaks$98K slurry fill, soil &waste hauling w/heavy equipment. Nov, 2020 Project Name & Contract Amount Type of Work Date Completed Irvine Great Park Concrete Breaking/Demo, compaction, new concrete footings Sign Installations $10OK& related for the removal and replacement of traffic signage and lighting Oct, 2020 Project Name & Contract Amount Type of Work Date Completed Springbrook E.S. Remove and replace Skylight Replacement S219K Skylights Scp, 2020 Project Name & Contract Amount Type of Work Date Completed German Reyes Jame of proposed Construction Superintendent Phone d of proposed Construction Superintendent: (626) 408-4577 6 St Via Duct Project $1.6 M Side walk improvement Feb. 2021 Project Name & Contract Amount Type of Work Datc Completed Westwood Bike Improvment $1.3 M Road Improvement Jan. 2020 Project Name & Contract Amount Type of Work Date Completed Allen Street Improvement St.3 M Road Improvement March. 2019 Project Name & Contract Amount Type of Work Date Completed (-'-I I 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://efiling.dir.ca.gov/PWCR/ActionServiet?action=displayP W CRegistrationForm DIR's Contractor Registration searchable database: hUps://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. Fame Legacy Contractor (Gh zaleh Hafizi) BN' Fam egacy@famelegacy.com Email President Title Date: April 21, 2021 PWC Registration #: 1000390594, EXP.6/30/221 C-12 21102021 Registratims ❑ Iron Worker ❑ Laborer ❑ Landscape Q Marble Mason/Finisher ❑ Operating Engineer ❑ Painter ❑ Parking/Highway/Improvement ❑ Plasterer/Tender Q Plumber Q Roofing ❑ Sheet Metal Worker ❑ Stator Rewinder ❑ Teamster Q Terrazzo Worker/Finisher ❑ Tile Setter/Finisher ❑ Water Well Driller Apply Registrations Search Results: 1 found Showing Page 1 of 1 Previous Next Print PDF 8 Export* Add all to my list My List(2)� FAME LEGACY Vew Details Remove from My List Detail: B�gistration History Registration PW-LR-1000390584 Effective Date Expiration Date Number: Status: Active 7/6/2020 6/30/2021 CSLB Number: 876522 7/1/2019 6/30/2020 Legal Entity Type: Corporation Mailing Address: 20745 ARCHWOOD STREET WINNETKA CA 91306 County: Los Angeles Craft: General Building;General Engineering Email: famelegacy@famelegacy.com DBA Name Mtpsllcodir.sarwe.fm .corNContradorSearch?inputSearchiame legacy 213 !2 CONTRACTORS STATE LICENSE BOARD OContractor's License Detail for License # 876522 DIS(LAIME e:A he enw status check provides Information taken Irons the CSL8 license data Na se.Before relying on this mformation,you should lie aware of the following limitations. vea.wr-,a .awu.NuP ...o..•mm....�n.�n a�,I.,�o•w�•:...n.,n.,..a.,,n�e..�„ee•. -.,... fawmaw[41 Nrf a EiwNw•a�d awbW aws iwer:marwts ruwe rM Ea0^^'a•wwrtN b[Lew.a.bwa UP 111:r .Neni don w.�4 are unNw ief.wvwm Y b m.Yv wnii llv nry • ou•babe•a.IM.mry YnM•n MumaMn niMmrw a•b.MM,iu WCUOstenr CM.br Data current as of 2/10/20216:48:17 AM EAME tfU p o 110E nel MMNEIWCA911 eumrecs plgre Numher'.IBIe)lOD W80 lanky CorpwatiRn is.Date OeRO11006 Ybiwe Orte 11/011/ID11 E,pve Urtf Il�gl/ML w�na,mrtw.•www srwla w,e.ewed . . b[Ni w: NglMliwYbI kappa eGENERu eunlwec cokrgAcroB CJt-C(wSINUCIgN LONE LRMhN CONiN(h Caitbasmra fewa rhn Le 14 filed A Cisetranorr eoM wth SUANr SSAI I"CC INSUM6CE CDe1pANy ewI/Mw14w:G I c I im19)ian ewMMwR:sis' 0 Eftaatlw palm,:12,W 20L Cunuaalo,) dHlyoiy goal d Qualifying ksdrsdual IIIe Oual,fpng,ndrvMual SNAHRIIN FANNY renlM1ad Mat hse,tie ions 10 grrpnl or mory d d Ina omluny.trrefore.the EoM of Qualifying IMm Ai ie"r ,ed. affe[tha,Wb:11 M2011 rhn k nine is wampl Nan having waken they certified that they n.w np eir,i eMthis time glbitM OMY.1 G4SIN19 feake lab:Nare wonen"Compmtat.Hneory • ILAd't011 iMENU INWIAD10AN01KRENTM 10,1;2020 Supplier Profile Printed on: 10/1/2020 9:14:35 AM To verify most current certification status go to: hftps://www.caleprocure.ca.gov 7GS Office of Small Business & DVBE Services Certification ID: 2009832 Email Address: Legal Business Name: Famelegacyconstruction@gmail.com Fame Legacy Trade Style(s): (Formerly: ROBERT Business Web Page: FAME INC) Business Phone Number: Doing Business As (DBA) Name 1: 818/451-5160 Business Fax Number: Doing Business As (DBA) Name 2. Business Types: Address: Construction Service 20745 Archwood Street CALIFORNIA Wmnetka CA 91306 Certification Type Status From To DVBE Approved 04/09/2020 04/30/2022 SB(Micro) Approved 04/09/2020 04/30/2022 SB-PW Approved 04/09/2020 04/30/2022 Stay informed! KEEP YOUR CERTIFICATION PROFILE UPDATED! -LOG IN at CaleProcure.CA.GQV Questions? Email. OSDSHELP@DGS.CA.GOV Call OSDS Main Number 916-375-4940 707 3rd Street. 1-400. West Sacramento, CA 95605 fittps://wleprooure.ca.govlpages/Su pplierProfile/supplier-profile-print.trtml Bond No. NIA BID OR PROPOSAL BOND KNOW ALL MEN BY THESE PRESENTS, that we Fame Legacy 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: Alley Rehabilitation 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 22nd day of April 2021 Fame Legacy Principal Name By: Princ' I Western National Mutual Insurance Company Name of Surety Company By: 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—L0-s-Angeles ) On APR 2 2 2021 before me, Elisabete Salazar, Notary Public Date Here Insert Name and Title of the Officer personally appeared Pietro Micciche Name(s)of Signers) who proved to me on the basis of satisfactory evidence to be the personQQ whose nameQQ is/aYe subscribed to the within instrument and acknowledged to me that he/}MW executed the same in his/)(Qt/,t Xauthorized capacityokA, and that by his/X0L7#*Xsignature0Q on the instrument the personoo, or the entity upon behalf of which the person¢Q 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. ELISA9Ei E SALAZAR Notary Public•CaUcrnia WITNESS my hand and official seal. Los Angeles County — = ` Commission a 2142511 I l My Comm.Expires Jan 19, 2025 - Signature Stigna ure of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies)Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑ Partner — ❑ Limited LJ General L Partner — ❑ Limited ❑General ❑Individual ❑Attorney in Fact C, Individual ❑Attorney in Fact 0 Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association •www.NationalNotary.org • 1-BOG-US NOTARY(1-800-876-6827) Item#5907 W WESTERN NATNDHAL 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 (#9760) Its true and lawful Attorneys)-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 Companv 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 bends, 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 00f100 ($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 on 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 Attomey 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 attorney-in-tact 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. 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. L�"` JENNIFER A.YOUNG NOTARY PUBLIC U td INNESOTA !�+y Comrnsson Expses otr3t�zo2e ennifer A.Young, Notary Public MNI 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 forgoing and attached Power of Attorney remains in full force and has not been revoked; and furthermore, that the Resolutions of the board of directors set forth in the Power of Attorney,are now in force. :'ham"."ati.f�'•.. W,SEAL " Signed and sealed at the City of Edina, MN this zzad day of April 2021 Jennifer A. Young, ssls an ecre ary ' 1 I ' Q N x F- Z J cr ! a � x E 1 o a W o W j Z m c p Z oo Uc m v �+ a N o v z a °' o m E J ~ a < > a M CD m Z U �j U tD Q D r C Q U Q T W �^y x '� 0W w Y m N J Q W w L OD Ln p C a Y Z O O 3 Q CD00 Z m 00 Q Z U N x LL N 1 LL O O m C p o W m CC m rz p H w — LL z J m 0 m 0 LLI 0 {N i • City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ Nvw�v.huntingtonbeachca.gov r Office of the City Clerk Robin Estanislau, City Clerk December 15, 2021 Hardy & Harper, Inc. 32 Rancho Circle Lake Forest, CA 92630 RE: Alley Rehabilitation from Del Mar Lane to Graham Street —CC No. 1617 Enclosed please find your original bid bond for CC-1617. Sincerely, Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand CONTRACT DOCUMENTS SPECIFICATIONS AND STANDARD DRAWINGS for the construction of' ALLEY IREHABILITA'r1ON from Del Mar [-it. to Graham St. CC No. 1617 in the CITY OF HUNTINGTON BEACH J . 2000 MAIN STREET HUNTINGTON BEACH, CALIFORNIA 92648 (714) 536-5431 131DS DUF.: April 22, 2021 10:00 A.M., 2nd FLOOR City Clerk's Office SEAN CRU.IBY, DIRECTOR DI PARTBII NT OF PUBLIC WORKS CITY OF HUNTINGTON BEACH PLANS SPECIFICATIONS AND CONTRACT DOCUMENTS for the construction of ALLEY REHABILITATION from Del Mar Ln. to Graham St. CC No. 1617 Prepared Under the Supervision of: IeOFESS/p� \a R. w O No. 61999 m f Exp. 09/30/2) it CIVIL �Q 9TF OF CA\- Jonathan R. Claudio, R.C.E. No. 61999 Date Approved by: Thomas M—l�ierbel, PF, City Engineer, R.C.E. No. 53300 Date SECTION C PROPOSAL for the construction of ALLEY REHABILITATION from Del iAgar Ln. to Graham St. CC No. 1617 in the CITY OF HUNTING TON 13EACII TO THE HONORABLE i7AYOR AND NIFNIBERS 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 olTice of the City Engineer of the City of Hunting_ton 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 it contract at the following prices. The undersigned agrees to complete the Work within 40 working days. starting from the (late of the Notice to proceed. BIDD1=R 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. 131DDI R 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 it contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that it 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 DELFITE ANY ITEM FROM THF 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 it period of sixty days from the bid opening date. If at such time the contract is not awarded. the AGENCY will reject all bids and will re-advertise the project. In the case of discrepancies in the amounts hid. unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY's notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY's option, be considered null and void. Accompanying this proposal of bid, find Bidder's Bond - 10% 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. Duty Received Bidder's Siwuuurr Michael rray - Vi resident c -z ALLEY REHABILITATION,CC No. 1617 PROJECT BID SCHEDULE lcm ( untract Bid Item Description l nil Price h:vlcndcd *,mount\n. Quanlih I I , $ l5t 419 J 11 S 5i per LS '- I Furnish Project Trefc Control �1 I, s �1OQ0 s I U Per LS 3 -00 Unclassified Excavation O�I O h 1' S� S V per CY J 916 Construct Concrete Alley Gutter per City Std.Plan 107, LF modified per Plan $ S per LF 5 400 Construct Type III-C3-PG 64-10 Asphalt Concrete PavementTN cook OO (depth varies per Plan) S S per TN 6 400 Crushed Miscellaneous Base ^�q O� CY $ u I S ` " per CY 7 4 Famish&Install Composite Manhole Riser with H-25 Rated D O� EA Composite Manhole Frame and Cover(GMI Composite 2 S ( 1 J� S t t or equal) per EA N 700 Construct Concrete Alley Approach per City Std.Plan 211, SI' modified per Plan(including adjacent Curb&Gutter per Cil) S 33 $ 2�1 Std.Plan 202,and Sidewalk per City Std. Plan 207) per SF '1 I Prepare Storm Water Pollution Prevention Plan I.`; S113Z° S 1131() M LS In I Water Pollution Control I ti :q3� s q3s per LS o0 folal :+.moon[ Bid in Fiy,u res: S 1�11 OOO hoial :\mount Bid in N urds: O r '� 1y %N.�V.4 o sAd TM C.2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the Rork to be done by such subcontractor. Sid Name and Address of State Class DIR Dollar % of Item(+) Subcontractor License ,Number Amount Contract Number Nlf� 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-J 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 Goss D/R Dollar % of Item(s) Subcontractor License Number Amount Contract Number 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 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 Lake Forest ,—CA 0412012021 Date City State Michael Murray being first duly sworn, deposes and says that he or she is Vice President of ll the party making the foregoing bid that the bid is not made in the interest of, or on a behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Hardy & Harper, Inc. Name of Bidder Signature o der Mic Murray - Vice President 32 Rancho Cir ake Forest, CA 92630 Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH,CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the Work specified in the contract. known as the ALLEY REHABILITATION, CC No. 1617, (l)(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. Hardy & Harper, Inc. ( unr:�rt +r E3� Michael Murray - Vice President I itlr Date: 04/20/2021 r _: 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 it proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal. State or local government project because of a violation of law or a safety regulation? ❑ Yes A N'o If the answer is yes. CXplain the circumstances in the space provided. N/A Note: This questionnaire constitutes it part of the Proposal. and it 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 1 will comply with such provisions before commencing the performance of the work of this contract. Hardy & Harper. Inc. Contractor F3� Michael Murray - Vi resident Title Date: 04/20/2021 Ca BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Hardy & Harper, Inc. Bidder Name 32 Rancho Circle Business Address Lake Forest. CA 92630 City. Statc /ill ( 714 )444-1851 ablanchard0hardyandharper com Telephone Number Email Address 215952; A, C-8 & C12 State Contractor's License No. and Class 03/13/63 Original Date Issued 12/31/2021 Expiration Date Mike Amundson - Sr. Estimator The work site was inspected by of our office on 04/16/2021 201_. The following are persons, firms, and corporations having a principal interest in this proposal: Please see the attached. The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed Work and improvements in accordance with the Plans and Specifications set forth. Hardy & Harper, Inc. Company Name Signature of Bidder Michael Murray - Vice President Printed or Typed Signature C-8 Wardy & Harper, Inc. 32 RANCHO CIRCLE LAKE FORM,CA 92630 (214)IA6C651 FAX(716)4 -Ml SLATE IIC.NO.215952 DIR NO.1000000076 Hardy & Harper, Inc. S. Corporation 32 Rancho Circle. Lake Forest, CA 92630 Dan T. Maas — President, Chief Financial Officer Michael Murray —Vice President Tanner Hambright—Vice President Kristen S. Paulino — Corporate Secretary CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE§8202 X See Attached Document (Notary to cross out lines 1-6 below) See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) x x x x x x Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness,accuracy,or validity of that document. State of California Subscribed and swom to (or affirmed) before me County of Orange on this 20 day of April , 20 21 , by Date Month Year (1) MI C�1CA� mvrr u� (and (2) J, ASHLIE BLANCHARD� Name()of Signer( COMM.M2279550 n 2'- Notary PublicLalifomia "a proved to me on the basis of satisfactory evidenc ORANGE COUNTY '� to be the person(s) who appeared before m . My Comm.&Fires March 3.2023 Signature A i t� Signature of Notary Public Seal Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s)Other Than Named Above: cu�:ccz.�:caw:ctxccarzrc�c�acccccr.�cszrccc:�;c�,;cszz^c:.rr:Y:ccvsctz. c;cc:c. 02014 National Notary Association •www.NationaiNotary.org • 1-800-US NOTARY(1-800-876-6827) Item s5910 NOTARY CERTIFICATE Subscribed and sworn to before me this day of . 201 . A notary public or other officer completing this certificate verifies only the identity of the individual who sieved the document_. to which this certificate is attached._ and not the u-uthfulness. accuracy. or validity of that document. State of ) County of ) On before me. ,Month. Day, and Year Insert Name and Titic of Notate• personally appeared Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed w the within instrument and acknowledged to me that he/she/thev CX(cUled the same in his/her/their authorized capacitv(ics)- and that by his/her/their signature(s) on the instrument the person(s). or the entity Upon behalf ol'which the person(s) acted. executed the instrumcnt. I ccrtifv 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. Sig,nature Signature ol-Notary Public (PLACI3 NOTARY SCAL ABOVE) G9 BIDDER'S PROJECT HISTORY AND PUBLIC AGENCY REFERENCES The bidder shall provide information to demonstrate his/her past work experience on projects of similar (or greater) sire and scope of the ALLEY REHABILITATION. CC No. 1617. Bidders may submit additional sheets. using the format shown, to further demonstrate his/her history of similar work experience. Listcd 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 Please see attached - Hardy & Harper, Inc. References. Namc and Address ol'Public Agency Name and Phonc # of Agency's Project iA-tanager: 1'roject Name Contact Amount Date Completed Detailed description ofbidder's scope of work to dcmonsu'atc similar work experience: Name and Address of Public Awicy Name and Phone # of Agency's Projcct Manager: Project Name Contact Amount Datc Completed Detailed description ol'biddcr's scope of work to demonstrate similar work experience: 3. Name and Address ol'Public Aaencv Name and I'hone # of Agency's Project i\9anager: Project Name Contract Amount Date Completed Detailed description of bidders scope of work to demonstrate similar work experience: C-10 PUBLIC WORKS REFERENCES Attachment 2017/2019 Owner/Agency Contact Project (Amount & Completion Date) City of Jurupa Valley Mike Myers T.R.I.P Pavement Rehab, 8930 Limonite Ave (951) 332-6464 Phase I Juru a Valley, CA 92509 mm ers "uru avalle .or $1 ,254,012.21 03/17 City of Newport Beach Frank Tran MacArthur Blvd Pavement 100 Civic Center Drive (949) 644-3340 Rehabilitation Newport Beach, CA 92660 ftran@newportbeachca.gov $2,142,045.66 3117 City of Rancho Cucamonga Romeo M. David Red Hill Park Pedestrian Trail 10500 Civic Center Drive (909) 477-2740 Renovation Project Rancho Cucamonga, CA 91730 Romeo.David cit ofrc.us $171 .888.70 3/17 City of Signal Hill Anthony Caraveo Willow Street Improvement 2175 Cherry Ave (562) 989-7352 Project Signal Hill, CA 90755 acaraveo(cDcitvofsignalhill.orq $922,100.43 6/17 City of Laguna Hills Frank Tran Arterial Pavement Mngmt. 24035 El Toro Rd (949) 644-3340 Project Street Rehabilitation Laguna Hills ftran@newportbeachra.gov $1 ,375.406.90 6/17 City of Highland John Egan West Highland Bikeways 27215 Base Line (909) 890-1255 Infrastructure & Pavement Imprv. Highland, CA 92346 e an erscinc.com $2,678,788.77 7/17 City of Irvine Brian Brown Yale Ave Rehabilitation Irvine One Civic Center Plaza (949) 724-6000 Center Drive Bid No. 17-1160 Irvine, CA 92623 bbrown cit ofiryine.or $2.453,343.83 7/17 City of Pasadena Tony An Preventative Maintenance of 100 N. Garfield Ave (626) 744-7403 Street 2016 Pasadena, CA 91109 tant7acityofoasadena.net $945,932.59 8/17 City of Ontario Miguel Sotomayor ATP Cycle I Safe Routes to 303 East B Street (909) 395-2108 School Sidewalk Imprv. Ontario, CA 91764 msotomayor@ontarioca.gov $824,850.88 10/17 City of Inglewood Hunter Nguyen Streets & Alleys Rehabilitation One Manchester Blvd (310) 412-5333 Project Inglewood, CA 90301 hhunter cit ofin lewood.or $2.639,330.06 11/17 PUBLIC WORKS REFERENCES Attachment A 2017/2019 Owner/Agency Contact Project (Amount & Completion Date) City of Covina Chris Marcarello Grand Ave. Street 125 E. College (626) 384-5490 Rehabilitation Fed Project Covina, CA 91723 pw(d)covinaca.00v NO. :STPL-5118(020) $3,030.000.00 5/18 City of Rancho Palos Verdes Ron Dragoo Residential St. Rehab. Project 30940 Hawthorn Blvd. (310)544-5252 Rancho Palos Verdes, CA 90275 kwolek icf.ca. ov $2.227.000.00 5/18 City of Downey Edwin. Norris CIP No. 18-02 Residential St. 11111 Brookshire Ave. (562) 904-7110 Pavement Rehab. Project Downey. CA 90241 enorris downe ca.or $1 .808.000.00 03/19 City of Dana point Matthew Sinacori Arterial Roadway Resurface & 33282 Golden Lantern (949) 248-3500 Pavement Preservation Project Dana Point, Ca 92629 msinacori Jana oint.or $3.993,000.00 1/18 City of Fountain Valley Fatana Temory Resurface & Rehab. Of Euclid 10200 Slater Ave. (714)593-4433 Street from Slater Ave. to Fountain Valley, CA 92708 fatana.Temorv(cDfountianvallev.org Warner ave. No. TI-271 $1 ,077,000.00 9/18 City of Pomona Public Works Major Street Improvements 505 South Garey Ave. (909)620-2261 Pomona, CA 91766 wen ineerin ci. omona.ca.us $3,839,000.00 8/18 City of Lancaster Luis Garibay 2018 Sidewalk, Curb & Gutter 44933 Fern Ave. (661)723-6110 Repairs Lancaster, CA 93534 I arbiba cit oFlancaster.or $1,976,000.00 12/18 City of Tustin Mario Medina FY 2017-18 Roadway Rehab. & 300 Centennial way (949)394-8955 Sidewalk Repair Project Tustin,CA 92780 mmedina tustinca.or $1,575,125.00 10 /18 City of Vernon Daniel Wall Downey Road Improvements 4305 S. Santa fe Ave. (323) 583-8811 x305 Vernon, CA 90058 PublicWorksBids ci.vernon.ca.us $2,584,000.00 1117 City of Diamond Bar Jason Williams Residential &Collector Road 21810 Copley Drive (909)839-7050 Rehab. Project PUBLIC WORKS REFERENCES Attachment A 2017/2019 (Diamond Bar, CA 91765 IJwilliams(adiamondbarca.gov $1 ,551 ,000.00 121111 Owner/Agency Contact Info Project Title, Amount & Completion Date City of Huntington Beach Joseph Fuentes Nichols Lane Rehabilitation 2000 Main Street 714-536-5431 From Slater Ave to Warner Ave Huntington Beach, CA 92648 jfuentes@surfcity-hb.org $644,000.00 9/2016 City of Cathedral City Bill Simmons Date Palm Dr& Cathedral Canyon 68-700 Avenida Lalo Guerrero 760-770-0340 Pavement Rehabilitation Cathedral City, CA 92234 bsimmons@cathedralcity.gov $939,000.00 11/2016 City of Moreno Valley Henry Ngo Edgemont Neighborhood 14177 Federick Street 951-413-3100 Pavement Rehabilitation Moreno Valley, CA 92552 henryn(cDmoval.org $383,000 12/2016 City of Chino Hills Fe Rama FY 2016-2017 Street Improvement 14000 City Center Drive 909-364-2600 Project Chino Hills, CA 91709 frama@chinohills.org $1,039,000.00 12/2016 County of San Bernardino Melinda Barnes Slover Ave Phase II 825 East 3rd Street 909-387-7920 San Bernardino, CA 92415 mebarnes@dpw.sbcounty.gov $2,405,020.32 1/2017 City of Newport Beach Frank Tran MacArthur Blvd Pavement 100 Civic Center Drive 949-644-3340 Rehabilitation Newport Beach, CA 92660 ftran@newportbeachca.goy $2,142,045.66 3/2017 County of Los Angeles lose Pou 124th Street Et. Al 900 S Fremont Ave 626-458-2191 RDC0013372 Alhambra, CA 91803 jpou@dpw.lacounty.gov $4,304,600.00 12/2014 City of Palos Verdes Estates Jack Rydell FY 14/15 Street Resurfacing 340 Paloo Verdes Dr. West 310-378-0383 Project 14-07 Palos Verdes Estates, CA 90274 jackrydell@caaprofessionals.com $1,187,987.00 12/2014 City of Tustin Eddy Jan 2013-14 Roadway Rehabilitation 300 Centennial Way 714-573-3157 & Sidewalk Repair project Tustin, CA 92780 ejan@andpen.com $1,491,543.00 12/2014 City of Pasadena Richard Yee Preventitive Maintenance Street 100 N. Garfield Ave 626-744-4643 Fed ID NO. STPL-5064�081) Pasadena, CA 92570 Richardyee@cityofpasadena.net $1,518,231.24 8/2015 City of Cypress Nick Mangkalakiri 2008/09 Overlay Project 5275 Orange Ave 714-229-6729 Cypress, CA 90630 nmangkalakiriC@cvpressca.orQ $1,366,000.00 6/2009 City of Huntington Beach Eric Charlonne Rehabilitation of Center 2000 Main Street 714-536-5430 Magnolia & Springdale Huntington Beach, CA 92648 echarlonne@surfcity-hb.org $2,393,000.00 8/2012 City of Laguna Niguel Frank Borges 10-11 Overlay& sub Drain 27791 La Paz Road 949-362-4325 Improvement Laguna Niguel, CA 92677 fborges@ci.laguna-nigueLca.us $1,573,000.00 4/2011 City of Desert Hot Springs Hal Goldenberg 2012 Street Rehabilitation 65-950 Pierson Blvd 760-329-6411 Program Phase 2 Desert Hot Springs, CA 92240 hgoldenberg@cityofdhs.org $1,212,000.00 11/2012 City of Perris Chris Sunde 2012 Grind & Overlay 101 N "D" Street 951-943-6504 Rehabilitation Perris, CA 92572 Chris@trilakeconsultants.com $789,000.00 11/2012 City of Pasadena Elvin Jiang 2009 Resurfacing of Streets 100 N. Garfield Ave 626-744-6912 Pasadena, CA 92570 elvinjiang@citvofpasadena.net $4,473,000.00 12/2010 City of Laguna Niguel Frank Borges Marina Hills Neighborhood 27791 La Paz Road 949-362-4325 Pavement Rehabilitation Project Laguna Niguel, CA 92677 fborges@ci.laBu�a.us $3,738,000.00 5/2018 County of Riverside Trai Nguyen Murrieta Hot Springs Road 3525 14th Street 951-961-5363 Riverside, CA 92501 tnguyen@dpw.sbcounty.Boy $1,305,000.00 4/2014 City of Westminster Tuan Pham Brookhurst Street 8200 Westminster Blvd 714-549-3456 Westminster, CA 92683 tpham@westminster-ca.gov $1,116,920.00 3/2014 City of Riverside Steve Howard Arterial Street Maintenance 3900 Main Street 951-826-5708 Riverside, CA 92501 showard@riversideca.Rov $4,444,000.00 3/2014 City of Jurupa Valley Mike Myers TRIP Pavement Rehabilitation 8939 Limonite Ave 951-332-6464 Phase I Jurupa Valley, CA 92509 mmyers@iurupavalley.or8 $1,254,012.21 3/2017 City of Laguna Hills Kenneth H. Rosenfield Arterial Pavement Management 24035 El Toro Rd (949) 707-2655 Project Street Rehabilitation Laguna Hills, CA krosenfield@laaunahillsca.Bov $1,275,406.90 5/2017 City of Highland John Egan West Highland Bikeways 27215 Base Line 909-890-1255 Infrastructure & Pavement Improv Highland, CA 92347 jeBan@erscinccom $2,679,788.77 7/2017 City of Irvine Brian Brown Yale Ave Rehabilitation Irvine One Civic Center Plaza 949-724-6000 Center Drive Irvine, CA 92623 11 own@ citvofirvine.or8 $2,453,343.83 7/2017 City of Riverside Steve Howard Minor Street Maintenance 3900 Main Street 951-826-5708 Riverside, CA 92501 showard@riversideca.aov $1,543,000.00 4/2014 County of San Bernardino 1.D Cayman San Bernardino Ave 825 East 3rd Street 909-387-7924 San Bernardino, CA 92415 idaavman@dpw.sbcounty.aov $1,577,000.00 6/2014 City of Inglewood Hunter Nguyen Street & Alleys Rehabilitation One Manchester Blvd 310-412-5333 Project Inglewood, CA 90301 hhnter@cityofinglewood.org $2,639,330.06 11/2017 City of Laguna Niguel Frank Borges St. Christopher Neighborhoods 30111 Crown Valley Parkway 949-362-4325 & Via Vetti Pavement Rehabilitation Laguna Niguel, CA 92677 fborgesC@ci.laauna-niguel.ca.us $1.226.861.00 9/2015 City of Norco Bill Thomas FY 2015-16 Annual Minor Street 2870 Clark Ave 951-735-3900 Rehabilitation Phase I Norco, CA 92860 bthomas@ci.norco.ca.us $777,000.00 10/201S City of Simi Valley Fuad Shamout FY 2015-16 Annual Minor Street 2929 Tapo Canyon Road 805-318-0661 Rehabilitation Simi Valley, CA 93063 fshamout@simivalley.org $1,213,960.50 11/2015 City of Walnut Natalie Avila Area 1 & 2 Street Resurfacing 21201 La Puente Rd 909-594-9702 project �Walnut,CA91789 InaviIa(@rkaeroup.com I$1,076,200.00 11/2015I BIDDER'S CRITICAL STAFF I-he bidder shall provide information to demonstrate that both the Construction Project iIMana.cr (office staft) and Construction Superintendent (field staff) proposed for ALLEY REHABILITATION, CC No. 1617 have had similar work experience on at least 3 different projects within the past five years. The proposed critical stafl' members need not have been employed by the bidder at the time the referenced projects were completed. I. Please see attached resumes and Hardy & Harper, Inc. References. Namc ol'pioposcd Construction Project Manager phone # of proposed Construction Project Manager: Project Name & Contract Amount 'type of Work Date Completed 1'n�jcct Name CK Contact Amount -I'ypc of Work Date Completed Project Namc R Contact Amount Type of\fork Date Completed Name ot'proposed Construction Superintendent Phone # of proposed Construction Superintendent: Project Name K Contact Amount 'I'vpe of Work Date Completed Project Name & Contract Amount -type of Work Date Completed Project Namc S: Contract Amount 'I}vpe of Work Date Completed Gtl Michael Amundson 246 Chaumont Circle Foothill Ranch, Ca 9M10 Amu ndson29@hotmai I.corn Phone: (949)-305-443 OBJECTIVE: To contribute my experience, education and motivation to a dynamic organization that is focused on excellence in the field of construction management. EDUCATION: University of San Diego B.A. Communicaticas/Business Administration 6/2000 GPA: 3.3 Honor Rall: 1998, 1999, 2600 LSD Men's Baseball team Lettered 1996-2000. All WCC i`Team 1998/99, 1998/1999 season Team MVP EXPERIENCE: Sequel Contractors, Inc. Santa Fe Springs, Ca 4/2003 - Current Project wlanager/ Project Estimator • Currently managing over 6 million dollars in roadway, concrete, electrical and landscape projects. • Estimating' Jobs at 9%, Average returns of 12-14% per project for FY 2004-2005 Estimated over 200 projects with extensive paving„grading, excavation, electrical, concrete, underground and landscaping. Managed over 30 projects containing paving, grading, excavation, electrical, concrete, underground and landscape. • Manage all aspects of projects horizontally from inception to completion. • Responsibilities include: Negotiating change orders, Contracts, Bonds, Insurance, Scheduling, Coordinating subcontractors, Gathering quantities, Billings and Quarterly closings. Currently managing 5 teams of 6 to 15 employees. Current Monthly eumatng load of 10 million dollars approx. 5-10 bids per week Proficient using Primavera Project Manager, Microsort Excel and Nlord Erperience with Microsoft Project Certified Advanced SWPPP training Piave cmduc_d 1C fully-functional SWPPP'SMP Plans this year Registered Notary Public in Me state of California Current Projects: • City of Laguna Beach: PM, Pavement Rehabilitation Program; $710,000.00, Current • Ciry of South Pasadena: PM, Orange Grove Avenue improvements; $2,341,000.00 Job Status: Current • Cit/ of Palos Verdes Estates: PM/Estimator, Annual Pavement Overlays Project; $210,000.00 10/OS -lob Status: Current • City of Diamond Bar: PM, Grand Avenue Beautification Project; $1,921,000.00 lob Status: Current • City of Fullerton: PM/Estimator, Residential Street Rehabilitation Project; $880,000.00 Job Status: Current • City of Seal Beach: PM/ Estimator, Annual Pavement Rehabilitation Project; $675,000.00 9/05 - 11/OS • Los Angeles County Public Works Division: PM/Estimator, Various Street Rehab; $1,375,000.00 3/05 - 8/05 • City of Pasadena: PM/Estimator., Orange Grove Median Improvements; $150,000.00 8/OS - 9/O5 Recently Completed Projects: • Or/of Cypress: PM/Estimator, Cypress Acres Street and Storm Drain Improvements 12/04 - 3/05; $651,000.00 • City of Rancho Palos Verdes: PE, Residential Streets Overlay 9/04 - 12/O4; $2,150,000.00 • City of Pasadena: PNI/ Estimator, Walnut Ave. Reconstruction Project 7/O4- 10/04; $510,000.00 • City of Laguna Hills: PE, Reconstruction of Various Streets in Nelly Gail Ranch 6/03 - 10/03; $2,350,000.00 • City of Fullerton: PNI/Estimator, City Hall Parking Lot Construction 8/04-10/04; $350,000.00 • Cit/ of Anaheim: PM/Estimator, Anaheim Resort Area Intersection Project 6/04-8/04; $200,000.00 • City of Irvine: PM/Estimator, Michaelson Dr. Rehabilitation 8/03-10-/03; $350,000.00 • Cit/ of Fountain Valley: PM, Harbor Blvd. Reconstruction 5/04 - 8/04; $500,000.00 TEN, Inc- Santa Ana, Ca 9/2001 - 4/2003 Sales;Nlanager, Existing and Developing Accounts • Averaged 75,000. per mo. Sales, total company sales 110,000. • Responsible for driving sales in both San Diego and Orange Counties • Developed flagship etching design and fabrication for Orange County Drum and Percussion Acrylics division; Blink 182, No Doubt and New Found Glary designs. Private Projects Included: Design,'Buile 3-Dirnesional Chemical Compound display, AT&T Building: San lose Ca $85,000.00 Designer: Confidential Design/Build Main Class Laminate Displays Nordstrom'; Fashion Show Mall, Las degas $120,000.00 Designer: HeartNaod Construction Design/Build: GI?<_s Countertops/Splashes for Montbiva Cons ;u,,icn an Diego 65,000.00 Glass Showcases;Displays for Orleans Casino LV, Tumberr/ Towers LV, Wyland A,t Galleri6, Pnzer Building San Diego MEGAN MANLOVE Riverside, CA 92506 ♦ 949-672-8682 ♦ manlomeg(a)g mail.com Objective To obtain a position with an established company that provides opportunity for growth. Key Attributes • Ability to Multi-task and • Proficient in Microsoft • Written and Verbal Manage High Stress Office Communication Skills • Meticulous Attention to • Excellent Relationship • Outstanding Team Detail Skills Player • Problem Solving Skills • Clerical Duties • Goal Oriented Professional Experience Hardy & Harper, Inc. 0212016 to Present Project Manager Assist Project Superintendent(s), Submit and maintain submittals/product data, Schedule projects and subcontractors, Order materials and equipment, Build and maintain budgets Service 1" 0812014 to 0412015 Dispatcher Dispatch technicians, Track and manage fleet, Customer service, Process work orders, Collect POs, Prep payroll Ambassador Veterinary Hospital 0412014 to 0812014 Receptionist Greet clients, Data entry, Prepare estimates, Manage Doctors' schedules, Prepare and process medical charts and documents Sea Country Towing and Recovery 0812013 to 0112014 Dispatcher Dispatch AAA OCSD and CHIP calls, Manage tow truck drivers, Process and release impounded vehicles, Process service orders and administrative paperwork, Customer service Effie & Company 1012012 to 0812013 Receptionist/Assistant Stylist Schedule appointments, Serve clients, Assisting stylist Education Williamsport High School 2010 References available upon request DENNIS BEYLE PROFESSIONAL EXPERIENCE Hardy & Harper, Lake Forest, CA 1999 to Present Construction Superintendent Supervise Construction sites for several communities. Establish and manage closing and production schedules for completion of projects. Organize contracts and coordinate with subcontractors to meet production deadlines. Adjust products to meet specific needs ofcustomers. Adapt construction practices to meet the needs of harsh climate. Monitor work completed by subcontractors to ensure product qualit%. Collaborate with utility companies-. Answer service calls and take corrective measures to resolve conflicts. Mana;cd and directed overall construction of multi-million dollar projects. Organize scheduling of sub-contractors and monitored work efficiency, quality and performance. Directed and supervised projects from inception to completion. Track time comparison reports and construction production reports. Hired qualified personnel from designated union labor pool. Work effectively with architects, engineers. and developers. blaintain budgets and schedules. Responsible predominantly for phases ofconstruction from ground breaking to final project. Schedule subcontractor work. material delivery, and material returns. Attend weekly meetings with Management of the customer relating to updates on construction of each individual phase. Organize and see through accelerated schedule to meet needs and deadlines ofcustomers with tight closing dates. b;nsure the construction project is completed on time and safely. 'hack project materials requisitions from the date they were ordered to delivery to consu-uction site to ensure timely delivery. Daily inspections of all ongoing construction projects to ensure all work is being performed in a sal'c manner and adhere to QA and QC guidelines. Updates on projects such as reaching milestones and achieving customer satisfaction. Industrial Asphalt, Irwindale, CA 1994 to 1999 Procured and maintained necessary cquipmcnt and materials. Operated & Maintained equipment used on high volume paving ie.. residential & arterial. highways & freeways Performed progress reports for city & state inspectors. Was responsible for safety on the job. Responsible fOr seeing that all work metjob specifications and deadlines. Union Paving, Stanton, CA 1987 to 1994 Nlechanics Assistant -achieved -c icral knowledge of equipment used in grading and paying. General Laborer- Hands on training of field operations. Journeyman Asphalt Lutcman -Advancement of specialized asphalt placement. Grade Checker- Understanding ol'slopes. elevations. percentage of active drainage. Operating Engineer- Roller- Sub.-race and finish surface. Skiploader- Subgrade and finish surface. Paving Machine- Parking Lots and minor streets. 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.govIDLSE/Public Works/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link— Call (844) 522-6734 hops://efiling.dir.ca.gov/P WCR/ActionServiet?action=displayP WCRegistrationForrn 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. Hardy & Harper, Inc. Contractor By ablanchard h dhar er.com Email Michael Murray - Vice President l itlr Date: 04/20/2021 PWC Registration k: 1000000076 ( -12 7129/2020 Intros://cadir.secure.force.corn/Contractor5earct✓PrintReg Details Contractor Information Registration History Legal Entity Name Effective Date Expiration Date HARDY& HARPER, INC. Legal Entity Type 6/15/2018 6/30/2019 Corporation Status 5/9/2017 6/30/2018 Active Registration Number 6/8/2016 6/30/2017 1000000076 Registration effective date 6/19/2015 6/30/2016 7/1/2020 Registration expiration date 7/2/2014 6/30/2015 6/30/2021 Mailing Address 7/1/2019 6/30/2020 32 Rancho Circle Lake Forest 92630 CA United 5... Physical Address 7/1/2020 6/30/2021 32 Rancho Circle Lake Forest 92630 CA United 5... Email Address Trade Name/DBA License Number(s) CSLB:215952 CSLB:215952 Legal Entity Information Corporation Number: C0443071 Federal Employment Identification Number: President Name: Daniel T Maas Vice President Name: STEVEN M KIRSCHNER Treasurer Name: Secretary Name: KRISTEN S PAULINO CEO Name: DANIEL T MAAS Agent of Service Name: DANIELT MAAS Agent of Service Mailing Address: 32 Rancho Circle Lake Forest 92630 CA United States of America Workers Compensation hips:I/cadir.secure.force.coMContractorSearch/PdniRegDetails 1/2 712 912 0 2 0 https://cadir.secure.force.coMC ontractorSearchlPrintRegDetails Do you lease employees No through Professional Employer Organization (PEO)?: Please provide your current workers compensation insurance information below: PEO PEO PEO PEOlnformationName Phone Email Insured by Carrier Policy Holder Name:HARDY & HARPER, INC.Insurance Carrier: FEDERAL INSURANCE COMPANYPolicy Number:543100191nception date:9/30/2019 Expiration Date:9/30/2020 hit ps://cadir.secure.force.conVContractorSearch/PrintRegDetails 2/2 Bid Bond Bid Bond Number.CSBA-17265 CON'I'R.-\CI'OR: SURETY: (Name,ltSal rtatur and addnrr) (dame, legal staras and prinuipal plan of burfnerr) Hardy& Harper, Inc. Fidelity and Deposit Company of Maryland 32 Rancho Circle 777 South Figueroa Street,Suite 3900 Lake Forest,CA 92630 Los:Angeles,CA 90017 OW1TR: This document has important legal (.Name,legal rtatur and addnrr) consequences. Consultation with City of Huntington Beach An attorney is encouraged with respect 2000 Main Street its completion or modification. Huntington Beach,CN 926,18 Any singular reference to Contractor,Surety,Owner or other party shall be considered Plural where applicable. BOND AMOUNT: Ten Percent(10%)of Amount Bid PROJI-Cl":alley Rehabilitation From Del Mar Ln.to Graham St.,CC No. 1617 Project Number,if any The Contractor and Surety are bound to the Owner at the amount set forth above,for the payment of which the Contractor and Surety bind themselves,their heirs,executors,administrators,successors and assigns,jointly and severally,as provided herein.The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contact and for the prompt payment of labor and material furnished in the prosecution thereof,or(2)pays to the Owner the difference, not to exceed the amount of this Bond,between the amount specified at said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full Force and effect.The Surety hereby waives any notice of an agreement between the Owner and Contactor to extend the time in which the Owner ntay accept the bid.Waiver of nonce by the Surety shall not apply to any extension exceeding sixty(60)trays in the aggregate beyond the time for acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Smerv's consent for an extension beyond sixty(60)days. If this Bond is issued in connection with a subcontractors 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 Contactor. When this Bond has been Furnished to comply with a statutory or other legal requirement in the location of the Project,any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted here from and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.When so furrushed, the intent is that this Bond shall be construed as a statutoy bond and not as a common law bond. - Signed and sealed this liday of April 7011 Hardy& Harper. Inc. (Prrmipao (Seal) i v.T Fdir4o naiiy ' Nlarviand (S—N (Seal) (If%itnerr) Melissa Ann Vaccaro (Fir )Dwight Reilly,Anorney-in-Fact By arrangement with the American Institute of Architects, the National Association of Surety Bond Producers(NASBP) (www.nasbp.orl:)makes this form document available to its members,affiliates,and associates in Microsoft Word format for use in the regular course of surety business. NASBP vouches that t the original text of this document conforms exactly to the text in AIA Document A370-2010, Bid Bond. Subsequent modifications may be made to the original text of this document by users,so careful review of its wording and consultation with an attorney are encouraged before its completion, execution or acceptance. ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On 04/13/2021 before me, Melissa Ann Vaccaro, Notary Public (insert name and title of the officer) personally appeared Dwight Reilly who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. MELISSA ANN VACCARO WITNESS my hand and official seal. 0--alyco"I Notary PublicCalitomia n ORANGE COUNTY m.Expires/,fay 32,2022 Signature\ (Seal) Melissa Ann Vaccaro Bond No.CSBA-1 7265 "ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETYCOMPANY FIDF,LIT'Y AND DEPOSIT'COpll',L\}'OF\L\RI'LA\D PO\VER OF A'170RNEY KNOW ALI.MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE, COMPANY. a corporation.of the State of New York,the COLONIAL.AMERICA:N CASUALTY AND SURETY COMPANY,a corporation of the State of Illinois,and the FEDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois(herein collectively called the "Companies"), by Robert D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8,of the By-Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof,do hereby nominate,constitute, and appoint Daniel IIUCK_.kHAY, Dwight REILLY, Arturo AYALA, Shaunna RO-ZELLE OSTROM, Frank MORONES, Ben STONC, Michael D. STON(i and R.NAPPI,all of Orange,California,EACH its true and lawful agent and Attomey-in-Fact to make,execute,seal and deliver, for,and on its behalf as surety.mid as its act and deed:any and all bonds and undertakings,and the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Companies,as fully and amply, to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN [:NSIJR4NCE CONIPAN'Y at its office in New York, New fork., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills,Nlwr land.,and the regularly elected officers of the FIDELITY AND DEPOSIT CO:MPA:\'Y OF MARY'LAND at its office in Owings Mills.Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 3, of the By-Laws of said Companies,and is now in force. IN 'WITNESS MESS WHEREOF. the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSMANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY A:YD DEPOSIT COMPANY OF MARYLA:YD,this 15th day of January. A.D.2020. f >ller,� `_�O i SEAL 2 a �r\ o Old A I-f FST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUAL']WAND SURETY COMPANY FIDELITY AND DF,POSI'I COMPANYOF MARYLAND By:Hobert D. ,bfurroy Vice President iJ By:Dmvn F. Brown Secretary State of Maryland Count),of Baltiniore On this 15th day of January, A.D. 2020,before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified.Robert 1).bl urrac, Vice President and Dawn E. Brnn'n. Secretary of the Companies,to me persormlly known to be the individuals and officers described in and who executed the preceding instrument,mid acknowledged the execution of same,and being by me duly sw'orq deposeth and.saith,that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authoritv and direction of the said Corporations. IN TESTLMONY WHEREOF,l have hereunto set my hand and affixed my Official Seal the day and year first above wrinen. �' ,ti,iti Constnrice A.Dunn,Notary Public My Commission Expires:July 9,2023 ,u mv. EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V,Section 8,Attomevs-in-Fact. The Chief Executive Officer,the President,or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instmments on behalf of the Company, and may authorize any officer or any such artornev-in-fact to affix the corporate seal thereto:mid may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned. Secretary of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY r4ND SURETY CO; IPANY, and the FIDELITY A-ND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate: and I do further certify that Article V, Section 8,of the By- Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Auomey...Any such Power or any certificate thereof bearing such Facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COSIPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DI?POSIT COMPANY OF MARYLAND at a meeting duly called and held on the I0th day of May,1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company mid facsimile or mechanically reproduced signature of any Vice-President. Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid mid binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF, I have hereunto subscribed my name mid affixed the corporate seals of the said Companies, this 13th day of April , 2021 �. -•�S ,� 31 By: Brian M. Hodges Vice President TO REPORT A CLAIN9 WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A CONIPL,ETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON ']'HE BONI),']'HE BOND NUNIBER. AND VOURCONTACT INFORNIATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg, IL 60196-1056 www.reportsfci ai ms r^a—=ri chna.corn 800-626-4577 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 N r 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 ADril 13 2021 before me, Ashlie Blanchard, Notary Public Date Here Insert Name and Title of the Officer personally appeared Michael Murray Name() of Signer(J who proved to me on the basis of satisfactory evidence to be the person(s) whose name(a) is/axe subscribed to the within instrument and acknowledged to me that he/sKe/they executed the same in his/her/their authorized capacity(iec), and that by his/hsr/their signature(s)on the instrument the person(:4, 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 fficial seal. / 0. ASFILIE&LANCNdRO � cornet.4227o5f.cNoisy Public-CaliforniaSignature ORANGE COUNTYycoinn,.Erpiresnlard�3_20z31 Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑Partner — ❑Limited ❑General ❑ Partner — ❑ Limited ❑General ❑Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association • www.NationaiNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 \ } � < \ 66oa j \ « § � \ - ' ) §2 7: } \ City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ �NrNv�Nv.huntingtonbeachca.gov ,Fe Office of the City Clerk Robin Estanislau, City Clerk December 15, 2021 Heed Engineering PO Box 16301 Irvine, CA 92623 RE: Alley Rehabilitation from Del Mar Lane to Graham Street— CC No. 1617 Enclosed please find your original bid bond for CC No. 1617. Sincerely, Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan • Waitakere, New Zealand SECTION C PROPOSAL for the construction of ALLEY REHABILITATION from Del Mar Ln. to Graham St. CC No. 1617 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 Cite 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 hollowing prices. The undersigned agrees to complete the Work within 40 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 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 of work satisfactorily completed. THE AGENCY RESERVES "THE RIGHT TO DELETE ANY ITEivt FROM THE CONTRACT. It is agreed that the unit and/or lunnp sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will re-advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY's notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY's option, be considered null and void. Accompanying this proposal of bid, find in the amount of 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 am Addenda Na. Date Receiver! Bidder'v Signature C-2 ALLEY REHABILITATION, CC No. 1617 PROJECT BID SCHEDULE Item Contract Bid Item Description Unit Price Extended Amount No. Quantity I I Mobilization LS S 53,000 S 3000 per LS 2 1 Furnish Project Traffic Contml LS S $2.000 S 2,000 per LS 3 700 Unclassified Excavation CY S 102 S 71.400 per CY 4 916 Construct Concrete Alley Gutter per Cay Sid.Plan 107. LF modified per Plan S 40.5 S 37.100 per LF 5 400 Construct TN pe III-C3-PCs 64-10 Asphalt Concrete Pavement TN (depth varies per Plan) 5 227.5 S 91,000 per'I'N 6 400 Crushed Miscellaneous Base Cy, S 56 S 22,400 per Cl 7 4 Famish& Install Composite Manhole Riser with 11-25 Rated EA Composite Manhole Frame and Cover(GM]Composite 260C S $5.000 S 20.000 or equal) per EA g 700 Construct Concrete Alley Approach per City Sid. Plan 211. SF modified per Plan(including adjacent Curb R Gutter per Cih $ 27 $ 18,900 Sid.Plan 202.and Sidewalk per City Sid. Plan 207) per SF 9 I Prepare Stomh Water Pollution Prevention Plan ,7 LS S 2,500 S 1500 per LS 10 1 Water Pollution Control LS 5 5.000 5 5,000 per LS Total Amount Bid in Figures:s 273,300 'I'olal Amount Bid in words: I'wo hundred seventy-three thousand eight three hundred C-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10.000. whichever is greater, and the portion of the Work to be done by such subcontractor. Bid Name and Address of State Class DIB Dollar % of Item(s) Subcontractor License Number Amount Contract Number R P GENERAL 921361 A 1000034037 B 0 CONSTRUCTION INC $70,000 28/0 460 CORPORATE DR STE B 92 ,)9 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 on 04/21/2a.2At Irvine CA Dale City State f3ehrooz Seyedin being first duly sworn, deposes and says that he or she is President of Heed Engineering 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 indirectIv induced or solicited any other bidder to put in a titlse 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 lee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Heed Engineering Name of Bidder Ak\ Signatur jBid er 481 Duranzo Aisle, Irvine Ca 92606 Address of Bidder C-J 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 ALLEY REHABILITATION, CC No. 1617. (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 R, California Administrative Code. Section 2700. as follows: "Qualified Person: A person who, b' 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. Heed Engineering Contractor Behrooz Seyedin - Bv President Title Date: 04/21/2021 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 salety regulation'? ❑ Yes ZI No If the answer is yes, explain the circumstances in the space provided. N/A Note: This questionnaire constitutes a part of*the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each Contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 1700 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. Heed Engineering Contractor Behroo-r_ Seyedin By President Title 04/21/2021 Date: C-7 BIDDER'S INFORMATION 13I1)1)1 2 certifies that the following information is true and correct: Heed Engineering Bidder Name 481 Duranzo Asile . Business Address Irvine CA 92606 Citv. State Zip 949 ) 300-2751 ben a heedengineeringinc.com "telephone Number Email Address 1042614 State Contractor's License No. and Class 08/02/2018 Original Date Issued 05/31/2022 Expiration Date The work site was inspected by Behrooz Sevedin ofour office on 04/15/21 The following are persons, firms, and corporations having a principal interest in this proposal: The undersigned is prepared to satisfy the Council of the Citv of l-luntington 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. Heed Engineering Company /Name Signature o idder Behrooz Sevedin Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this (44� day of 4gL, , 201_ A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of ) County of X On 1q 2 o Z t before me, H-sue i�� , i✓rJ f��r` b Month, Day, and Year Insert Name and Title of Notary personally appeared 1?e L f 00 Z (Se:g d, yt Name s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of &PNWAI*Ijiq the foregoing paragraph is true and correct. s g WITNESS my hand and official seal. Q" fs - z - e Z. U L cook a♦ J . Signature Signature of Notary Public (PLA ;j ABOVE) ��lllllll�( C-9 BIDDER'S PROJECT HISTORY AND PUBLIC AGENCY REFERENCES The bidder shall provide information to demonstrate his/her past work experience on projects of similar (or greater) size and scope of the ALLEY REHABILITATION, CC No. 1617. Bidders may submit additional sheets, using the format shown, to further demonstrate his/her history of similar work experience. 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 Orange County Public works Name and Address of Public Agency Name and Phone # of Agency's Project Manager. Karen Chieng( 657)260-0968/(949)923-3758 Office IRVINE WINCI I ItISTORIC PARK UTILITY CONNEC FIONS&SITE WORK FOR OFFICE S95,000 1 1/5/2020 TRAILFRS Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: Excavation, Grading,CAB placement and contpaction.Concrete paving, Asphalt paving and Underground Utilities LA County Sanitation District Nance and Address of Public Agency Jenny Tanphanich, 562-321-1471/ 310-830-8050 Name and Phone # of Agency's Project Manager: SOUTH GA I E TRANSFER STATION STORNIN'ATER CAPTURE SYSTEM MODIFICATIONS $949,150 In progress Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: Trench Excavation, Asphalt paving , concrete vaults 3, LA County Public Works ( working as site superintendent and project manger for Kaveh Engineering Name and Address ol'Public Agency Name and Phone # of Agency's Project Manager: Samir 626-476 43 15 Hacienda channel and invert access ramp and drainage extension $380,000 12/2017 Project Name Contract Amount Date Completed Detailed description of bidders scope of work to demonstrate similar work experience: Channel Concrete Demo, Sub-Grade Compaction. CAB placement and concrete flat works C-10 BIDDER'S CRITICAL STAFF The bidder shall provide information to demonstrate that both the Construction Project Manager (office staff) and Construction Superintendent (field staff) proposed for ALLEY REHABILITATION, CC No. 1617 have had similar Nvork experience on at least 3 different projects within the past (ive years. The proposed critical staff members need not have been employed by the bidder at the time the referenced projects were completed. 1 Behrooz Sevedin Name of'proposed Construction Project Manager 949-300-2751 Phone 4 of proposed Construction Project Manager: Orange County Public $95.000 Excavation, Grading Asphalt paving 1 1/2020 I ro�ect Name & Contract Amount Type of Work Date Completed LA county Sanitation District $949.150 Excavation, Paving and Concrete works Inprogress Project Name & Contract Amount Type of Work Date Completed Amin Residence $2.500.000 Excavation. Grading . Concrete works Asphalt paving 06/2020 Project Name & Contract Amount Type of Work Date Completed Behrooz Sevedin. Name of proposed Construction Superintendent 949-300-2751 Phone # of proposed Construction Superintendent: Skinner solids handling Area improvement (Metropolitan water District). 8/201 5 Project Name & Contract Amount Type of Work Date Completed Behner WTP Access Road slope repair (City of Pasadena DWP) 12/206 Project Name & Contract Amount Type of Work Date Completed La Verne Water Quality Lab HVAC Chiller Replacement (Metropolitan water District). 10/2017 Project Name & Contract Amount Type of Work Date Completed C-II 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 .tune 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $100. Each Contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://wxvw.dir.ca.gov/DLSE/Public%Yorks/SB854FactSheet_6.30.14.pdf' DIR's Contractor Registration Link— Call (844) 522-6734 https:Hefiling.dir.ca.go\,/PWCR/ActionServlet?action=displayl'WClZcListrationForm DIR's Contractor Registration searchable database: hops:Hefiling.dir.ca.L,ov/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 anv 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 17255 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 ALI., subcontractors at the time of submitting the bid. Heed Engineering Contractor Behrooz Seyedin By ben@hcedenLinceringiric.com heedengineeringinc.com Email President Title Date: 04/21/2021 PWC Registration #: 1'W-1-R-1000628321 C-12 Bid Bond No. TS21-244 Document A31OTM - 2010 Conforms with The American Institute of Architects AIA Document 310 Bid Bond CONTRACTOR: SURETY: (A'nnre, legalmarav and addrecl) (\'lute,legalsta(us andprincipal placenfhuciuece) Heed Engineering American Contractors Indemnity Company PO Box 16301 801 South Figueroa St., Suite 700 This document has important Irvine, CA 92623 Los Angeles, CA 90017 legal consequences.Consultation with an attorney is encouraged with respect to its completion or OWNER: modification. (Nome.le gal slams and address) Any singular reference to Contractor,Surety,U•mer or City of Huntington Beach other party shall be considered 2000 Main Street plural where applicable. Huntington Beach, CA 92648 BOND AMOUNT: s 10% of Amount Bid PROJECT: CC No. 1617 -Alley Rehabilitation from Del Mar Ln. to Graham St. (Name, locadar or address andilroject number. !fwii7 The Contmctor and Study arc bound to the Ol\mer 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 seyerollyt as provided herein.The conditions of this Bond arc such that if the Owner accepts Ile bid of the Contractor within the lime 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 eith the Owner in accordance with the terms of such bid,and rives such brand or bonds as nay be specified in the bidding or Contract Documents,with a surely admitted in the jurisdiction of the Ilroject and othemise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof'.or(2)pays to the Owner the difference,not to exceed the amount of this Bond between the amount specified in said bid and such larger annount for which the Omer may in good faith contract\with another party to peribrm the work covered by said bid.then this obligation shall be null and void,otherwise to rennin in full lorcc and of ircl.The Surety hereby waives any notice(,fail agreement betncen the Owmer and Contmctor to extend the tine in which the Owncr may accept the bid.moral\'Cf gt n1111CC in,the$llrCtV s}lath not apply Ill any CSlCnsanl Cxl'CCding 11St'(60)(L'IVl In I}IC a_l`_lfCgale be\weld Isle linic lllf acccplance of bids 1pCclfled in[lie bid documents,and the 0oocrand Contmctor shall obtain(lie Surety's consent for all extension beyond sixty(60)days. If this Bond is issued in connection with a subcoruractor's bid ton Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be dccnicd to be Contractor. When(Ills Blllld has been tarnishes it)comply wllh a statutory of other legal requirement in lire location o the project,ally provision in this Blllld conflicting\\i(h laid solulory of legal requirement shall be dCcined deleted herel Ruth and provisions confllnning.to such statutoy or other legal requirement shall he deemed incorporated heroin. When\o tarnished.the Inenl Is that this Bond shall be construed us a statutoy bond and not as a cununon Imv bond. Signed and scaled this 12th day of April, 2021 Heed Engineering (Priudpal) (Seal) (II'foressl 9 L (Tide) American Contracto ni Com an Please see attached Newt,Acknowledgment (•la"4') (Seal) By: b Mile) Kerissa Ricciardi, ttorneyin-Fact S-00541AS of 10 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 t �Oa before me, Tanis Zavala, Notary Public (insert name and title of the officer) personally appeared Kerissa Ricciardi who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. TANISZAVALA Conenissmn 0 2320021 F' Ndry Pubic C nia ORANGE Couwntynty Mr Wmm.E+pues JAN 28,2024 Signature (Seal► �I 3 TOKIOMARINE HCC POWER OF ATTORNEY AMERICAN CONTRAC.TORS INDEMNITY COMPANY TEXAS'BONDINGvCOMPANY J///-- UNITED`TAu i l.SUe,_V_YC101VIP1�.A}NY U.S. SPECIALITY IN�v-4 ` ` MPANY : !/� j�( ! )J ' 7� KNOW ALL MEN BY THESE PRESENTS`-That American Contractors Indemnity Company a California corporation;Texas Bonding h Company, an assumed name of American Contractors Indemnity Company, United States Surety Company,a M aryland corporation and U.S. Specialty Insurance Company, a Texas corporation (collectively, the "Companies"), do by these presents make, constitute and appoint Andrew Waterbury or Kerissa Ricciardi of Santa Ana-California )/A Its'tnle,and IawfullAttoIt mey(s) n-fact, each in thseparate capacity if more than dne5s named aiove, will full p\er and authority ~� hereby conferred in its name, place)and stead, to execute, acknowledgeJandf deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include riders, amendments, and consents of surety, providing the bond penalty does not exceed -—Five Million""' Dollars ( ""$5 000 000.00'"- ).This Power of Attorney shall expire without further action on April 23"',2022.This Power of Attorney is granted under and by authority of the following resolutions adopted by the Boards of,Directors.ofthe Companies: _ I rr \ \t x'I I t V/A 1, 1't+.:?. /' 1 I 1 / n 1 / , \ --1 n DQb,�yf6e itResolveb,�thatthe President,anyNlcejPresident,any Assistant Vice-President,any Secretary orany Assistant Secretary shal)lbe and is Ivesied'wilh�full power and auNoritY�d�aPpoinl ariy`�rLmore:suitable Persons)asfAvUomey(sj-itiF�t�iepresenl and act for antlon tielialt Company'subject to the following provision's:�t9 �' lJ lJ Afforney-in-Fact may be given full power and authority for and in the name of and on behalf of the Company,to execute,acknowledge and deliver,any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings, including any and all consents for the release of retained percentages andlor final estimates on engineering and construction contracts,and any and all notices and documents cancelingor terminating Ile Company's lialilily thereunder,and any such instruments so executed by any such Attorney-in-Fact shall be binding upon Cthe Company as if signed by the President antl`sealed and effected by the Corporate Secretary�j�� f.n\ �—\ �n� 9 t-J r x f i.l n I t t l 1/ T e ! I l lJ {Bed ResoHed, Ihkt�the signature of ahy;autBoirzetl officer and seal of the Company heretofore or hereaftenaffixed to any powerlol attorney or any certi0ieure'latmg thereto by facsimile�andlany pmverof'attorney'or cenificate beannglfaUirmile slgnatuurepr facsimile seal shall b and binding upon the Company with respect to any bond or undertaking to which it is attached. U IN WITNESS WHEREOF, The Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 1"day of June, 2018. AMERICAN CONTRACTORS INDEMNITY COMPANY 7E7CA5 BON DINGIOMPANY -� UNITEDSJ(xYTEI{S\,SrURETf.COMyPANY U.S..SPECl/AyLTy IN§.UR�A/NIC/ 'E COMPANY ` ; �� r �,,ff4�Ii01 € eNL,+O, �COR (�lrl„S SV9��'•1/ /d 7-^ Z `U V :)c ��Stateof California �; +!- ff �$ o•, aq ` County of Los Angeles i �' :• a 1 , r y: .E.? 'o, w,..i' - .+ Daniel P.Aguilar,Vice President A Notary Public or other ofFcer completing this certificate verifies only the identity of the individual who signed the document to �.� which this ceiti(cate is attached, and,noLfhe'lruthrulness' acourac or vabdlf .of;thaf documahG'�. 1 /� '1 I L n i t t I r I i A r h l r a 'I f['t my l--.f I `�. On t�M1is 1N,I y oflJune, 2018,before me,Sonia 0. Garzejo,a notary public(personally,,appeared Daniel P.Aguilar Vice President of J •-�' k mencan•Cbhtra`ctors Indemnity,`ompanyy, Texas•Bonding Company, Unite`dl' tat,es Surety Com1-11 pany and U.S. Spedaltyl Insurance Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person,or the entity upon behalf of which the person acted,executed the instrument. f certifyunder PENALTY OF PERJURY-under laws of the State of California foregoing paragraph is t e•and-comect. /- \J1 �t UI 1INm�o, in hand and official seal'4 � 1 L �sw.abxw `-' ol, U 11::..DD xa.r nav-c.ud 1 cae...nw„nnmr Signature - (seal) I, Kio Lo, Assistant Secretary American Contractors Indemnity Company, Texas Bonding Company, United Stales Surety Company and'U.S. Specialty Insurance Company,.do hereby certify that the above.andxforegoinglis a true and correct copy rof a Power of Attomey executed by said Companies,wtiichls still)In full fr.rce and eff l ore 'the+) (resolutions of the B ;lot Directors, set\ �te owes of Attomey are tutu rce �eHec fir' yJ In �A4[p�ss Whereof, I have hereeuuntJo set my tan, affixed the seals of said Companies at Los Angeles, California this It day of p f ( Corporate Seals T 1 I dam'"'-' ti —\"•'w ma`s . •""'[ +; //,f�\� j( LA"genc oInd`No. '.ro.-m �+' 1- , is l :ll / /yN19709 �_ � r, `S)�� ':M..`�"" ��"•.:=NJt71'a-(� .j/✓� Kio Lo, AssijcrU rYt=J� L. Nccsruwvanosrza+a visit tmhcc.comisurety for more information ���� a� : a .� u (m� i � .t r. r r t o ,"t' .. �. .t`l T..r � 1 •..�.�f' .'•7 r , �t. � tf' r ! a t 1� r t�L c r•1;.:( � '„ ter � t SEALED BID for ALLEY REHABILITATION, CC No. 1617 in the CITY OF HUNTINGTON BEACH DO NOT OPEN WITH REGULAR MAIL L` �i Heed Engineering City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ �Niv-%v.huntingtonbeachca.gov FB• �;;;� Office of the City Clerk Robin Estanislau, City Clerk December 15, 2021 Onyx Paving Company, Inc. 2890 E. La Crest Ave. Anaheim, CA 92806 RE: Alley Rehabilitation from Del Mar Lane to Graham Street—CC No. 1617 Enclosed please find your original bid bond for CC No. 1617. Sincerely, Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan • Waitakere, New Zealand SECTION C PROPOSAL for the construction of ALLEY REHABILITATION from Del Mar Ln. to Graham St. CC No. 1617 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 Cite of Huntington Beach. The undersigned agrees to perform the Work therein to the satisfaction of' and under the supervision of the Cite 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 40 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 [lid 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 RESERVE'S THE RIGHT TO DELETE ANN' ITEM PROM THE CONTRACT. It is agreed that the unit and/or lump SLIM prices bid include all appurtenant expenses. taxes, royalties. fees. etc.. and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded. the AGENCY will reject all bids and will re-advertise the project. In the case of discrepancies in the amounts bid. unit prices shall govern over extended amounts. and words shall govern over f 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. BIDDER'S BOND 10% OF TOTAL Accompanying this proposal of bid, find 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 an\ Addenda No. Date Received Kidder's Si>narure C-2 ALLEY REHABILITATION, CC No. 1617 PROJECT BID SCHEDULE Item Contract Bid Item Description Unit Price Extended Amount No. Quantity I I Mobilization I.S S 1M S per LS 2 1 Furnish Pmjcct Traffic Control LS 5 371coo s 37,000 per LS 3 700 Unclassified Excavation Cv s b0 s q Z, 00p per Cl' q 916 Constmct Concrete Alley Gutter per Cite Std. Plan 107. LF modified per Plan 5 55 S �0f 370 per LF 5 400 Cmtemuct.i'cpe III-C3-I'G 6.1-10 Asphalt Concrete Pa%ement r TN (depth caries per flan) 5 I-LS S J o f per I 6 .100 Crushed Miscellaneous Base uu�J C 1' S`_l S I 7 1 600 per Cl' 7 4 Furnish A Install Composite Manhole Kiser pith I I-25 Rated FA Composite Manhole Frame and Cover IG\II Composite 260( S 3'000 S 1000 or equal) per 17A S 700 Construct Concrete Alley Approach per City Std. flan 211. SI: modified per Plan(including adjacent Curb K Gutter per Cits S S 1 Z0O Std.flan 202.and Sidewalk per City Std. I'Imt 207) per SI 7 I prepare Slomt Water Pollution Prevention I'hm I_S S 2i GDO S Z10o0 per LS 10 1 Water Pollution Control I-S 5 2'000 5 Z1000 per LS lbtal Amount Bid in Figures: S Z-541000 "Focal Amount Bid in Words: IWO Nxtlrtb, Alvl� TMtA' - rW! ........................................................................................................................................i....................f �....... .�b�l.......................Zu ...... CefWA C-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104. the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10.000. whichever is greater, and the portion of the Work to be done by such subcontractor. Rid !lame and Address of State Class DIR Dollar % of Item(s) Subcontractor License Number Amount Contract Number 66S QY,1(s MJostl/#} JAC. Q p 7 134S Gtw(4 s}. #10> I JZ� 10 I�4� Q 11 oCb 1 U 010 cow cA `IZV 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. '['hat 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 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 on4/22/2021 ANAHEIM CA Date City State COREY R. KIRSCHNER being first duly sworn, deposes and says that he or she is CEO. PRES,VP. SEC, TREA of ONYX PAVING COMPANY, INC. the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired,connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. ONYX PAVING COMPANY, INC. Name of Bidder )10 COREY R. KIRSCHNER - CEO, PRES, VP. SEC. TREA Signature of Bidder 2890 E. LA CRESTA AVE, ANAHEIM, CA 92806 Address of 11idder 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 ALLEY REHABILITATION, CC No. 1617, (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 she 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. ONYX PAVING COMPANY, INC. Contractor lip COREY R. KIRSCHNER - CEO, PRIES, VP, SEC. TREA I itlr Date: 4/22/2021 ( -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 oilicer 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. NIA Note. This questionnaire constitutes a part of the Proposal. and a signature portion of the Proposal shall constitute signature of this questionnaire. GG 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. ONYX PAVING COMPANY, INC. Contractor N B� COREY R. KIRSCHNER - CEO, PRES, VP, SEC, TREA I itlr Date:4/22/2021 c -- BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: ONYX PAVING COMPANY, INC. Bidder Name 2890 E. LA CRESTA AVE Business Address ANAHEIM CA 92806 City, State Zip ( 714 )632-6699 COREY@ONYXPAVING.NET Telephone Number Email Address 630360 State Contractor's License No. and Class 10/09/1991 Original Date Issued 10/31/2021 Expiration Date T The work site was inspected by COREY KIRSCHN_o our office on APRIL 16, 20211201 _. The following are persons, firms, and corporations having a principal interest in this proposal: COREY R. KIRSCHNER - CEO, PRES, VP, SEC, TREA ONYX PAVING COMPANY, INC. The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed Work and improvements in accordance with the Plans and Specifications set forth. ONYX PAVING COMPANY, INC. Company Name 4 Signature of Bidder COREY R. KIRSCHNER - CEO, PRES, VP, SEC, TREA Printed or Typed Signature C-a CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 0 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of bRA+J I GE 1 On 412oIwzi before me, I"ramALAI NOLN�` FL4E5LIC Dote Here Insert Name and Title of the Officer personally appeared \_�I`- r " �C1�SC4NEQ- Nome(s)of Signer 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. MAR EAIA`A I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing -mot•`�,T.-.• s::-.=:;•�a3; paragraph is true and correct. EaDres Feb 16 2:2a WITNESS my hand /and official seal. Signature Place Notary Seal arrdror Stamp Above Signature of N tary Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: �IDDE12 S �IJ Fnrz N1A77DQ 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): o Partner - ❑ Limited ❑ General ❑ Partner - ❑ Limited ❑ General Ci Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian of Conservator ❑ Trustee ❑ Guardian of Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: C2017 National Notary Association BIDDER'S PROJECT HISTORY AND PUBLIC AGENCY REFERENCES The bidder shall provide information to demonstrate his/her past work experience on projects of similar (or greater) size and scope of the ALLEY REHABILITATION, CC No. 1617. Bidders may submit additional sheets. using the format shown. to further demonstrate his/her history of similar work experience. 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: PLEASE SEE ATTACHED Name and Address of Public Aacncv Name and Phone # of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: PLEASE SEE ATTACHED Name and Address of Public Aeencv Name and Phone # of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description of bidders scope of-work to demonstrate similar work experience: 3. PLEASE SEE ATTACHED Name and Address of Public Aeencv Name and Phone # of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description ol'bidder's scope of work to demonstrate similar work experience: C-10 BIDDER'S CRITICAL STAFF The bidder shall provide information to demonstrate that both the Construction Project Manager (office stall) and Construction Superintendent (field staff) proposed for ALLEY REHABILITATION, CC No. 1617 have had similar work experience on at least 3 different projects within the past five years. The proposed critical staff members need not have been employed by the bidder at the time the referenced projects were completed. f PLEASE SEE ATTACHED Name of proposed Construction Project \Manager Phone # of proposed Construction 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 PLEASE SEE ATTACHED Name of proposed Construction Superintendent Phone # ol'proposcd Construction 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-tt 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/DLSEfPublic Works/SB854FaciSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov[PWCR/ActionServlet?action=displayP WCRegistrationForm DIR's Contractor Registration searchable database: hnps://efiiing.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. ONYX PAVING COMPANY, INC. Contractor Y COREY@ONYXPAVIN G.N ET Email COREY R. KIRSCHNER - CEO, PRES, VP, SEC, TREA Title Date: 4/22/2021 PWC Registration #: 1000004798 C-12 Wk REFERENCES PROJECT NAME:PAVING THE WAY-PHASE 3 - PROJECT DESCRIPTION: CITYWIDE STREET IMPROVEMENTS APPROXIMATE CONSTRUCTION DATES: 2020-2021 CONSULTING COMPANY: CITY OF MONTEBELLO-1600 W. BEVERLY BLVD, MONTEBELLO, CA 90640 CONTACT PERSON:JAMES ENRIQUEZ 323-887-1462 ORIGINAL CONTRACT AMOUNT:$1,929,000 FINAL CONTRACT AMOUNT: $3,149,848.10 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT, PLEASE EXPLAIN:ADDITIONAL SCOPES OF WORK DID THE AGENCY FILE ANY CLAIMS AGAINST YOU? NO PROJECT NAME: PAVEMENT REPAIR PROJECT PROJECT DESCRIPTION: PAVEMENT REPAIR APPROXIMATE CONSTRUCTION DATES:JAN 2020 AGENCY: CITY OF CLAREMONT-207 HARVARD AVE, CLAREMONT, CA 91711 CONTACT PERSON: ENRIQUE VILLALOBOS 909-399-5479 ORIGINAL CONTRACT AMOUNT:$105,000 FINAL CONTRACT AMOUNT: $120,727.40 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT, PLEASE EXPLAIN: FIELD QUANTITIES DIFFERED FROM BID SCHEDULE QUANTITIES. DID THE AGENCY FILE ANY CLAIMS AGAINST YOU? NO PROJECT NAME: 2019-2020 PAVEMENT REHABILITATION PROJECT DESCRIPTION:VARIOUS PAVEMENT REHABILITATION APPROXIMATE CONSTRUCTION DATES: MAY 2020-SEPTEMBER 2020 AGENCY: CITY OF ARCADIA-240 W. HUNTINGTON DR,ARCADIA, CA 91007 CONTACT PERSON:JAN BALANAY 626-254-2726 ORIGINAL CONTRACT AMOUNT: 52,128,000 FINAL CONTRACT AMOUNT: $1,980,917.60 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT, PLEASE EXPLAIN:AGENCY HAD ADDITIONAL SCOPES IN ORIGINAL BID TO COVER FOR EXTRA WORK. DID THE AGENCY FILE ANY CLAIMS AGAINST YOU?NO ONYX PAVING COMPANY, INC. 2890 EAST LA CRESTA AVE, ANAHEIM, CA 92806-TEL (714) 632-6699- FAX (714) 632-1883 Wk PROJECT NAME: DESERT VIEW AVENUE PROJECT PROJECT DESCRIPTION:CITYWIDE STREET IMPROVEMENTS APPROXIMATE CONSTRUCTION DATES: 2019 AGENCY: CITY OF DESERT HOT SPRINGS-11999 PALM DRIVE, DESERT HOT SPRINGS,CA 92240 CONTACT PERSON: DANIEL PORRAS 760-329-6411 ORIGINAL CONTRACT AMOUNT:$741,330.98 FINAL CONTRACT AMOUNT: $741,330.98 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT, PLEASE EXPLAIN: N/A DID THE AGENCY FILE ANY CLAIMS AGAINST YOU? NO PROJECT NAME:TWEEDY LANE STREET IMPROVEMENT PROJECT PROJECT DESCRIPTION: STREET IMPROVEMENTS APPROXIMATE CONSTRUCTION DATES:JULY 2020-AUG 2020 AGENCY: CITY OF DOWNEY-11111 BROOKSHIRE AVE, DOWNEY,CA 90241 CONTACT PERSON: DESI GUTIERREZ 562-622-3468 ORIGINAL CONTRACT AMOUNT:$308,000 FINAL CONTRACT AMOUNT: $308,000 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT, PLEASE EXPLAIN: N/A DID THE AGENCY FILE ANY CLAIMS AGAINST YOU? NO PROJECT NAME:CHICAGO AVE RECONSTRUCTION PROJECT PROJECT DESCRIPTION: STREET REHABIILITATION AND RECONSTRUCTION APPROXIMATE CONSTRUCTION DATES:AUG 2020-OCT 2020 AGENCY: RIVERSIDE COUNTY TRANSPORTATION DEPARTMENT-3525 14TH STREET, RIVERSIDE, CA 92507 CONTACT PERSON: MEHRAN SANATI 951-255-2762 ORIGINAL CONTRACT AMOUNT:$ 1,424,000 FINAL CONTRACT AMOUNT: $1,445,396 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT,PLEASE EXPLAIN:ADD'L SCOPES OF WORK BY AGENCY DID THE AGENCY FILE ANY CLAIMS AGAINST YOU?NO ONYX PAVING COMPANY, INC. 2890 EAST LA CRESTA AVE,ANAHEIM, CA 92806-TEL(714) 632-6699- FAX (714) 632-1883 • Y PROJECT NAME: 2018/19 ARTERIAL AND MINOR STREETS MAINTENANCE PHASE 1&2 PROJECT DESCRIPTION: CITYWIDE STREET IMPROVEMENTS APPROXIMATE CONSTRUCTION DATES:AUG 2020-MARCH 2O21 AGENCY: CITY OF RIVERSIDE-3900 MAIN ST, RIVERSIDE,CA 92501 CONTACT PERSON:STEVEN HOWARD 951-826-5311 ORIGINAL CONTRACT AMOUNT:$5,050,000 FINAL CONTRACT AMOUNT: N/A IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT,PLEASE EXPLAIN: IN PROGRESS DID THE AGENCY FILE ANY CLAIMS AGAINST YOU? NO PROJECT NAME:FY 18-19 RESIDENTIAL STREET REHABILITATION PROJECT DESCRIPTION:VARIOUS STREET IMPROVEMENTS APPROXIMATE CONSTRUCTION DATES:07/18/2019-12/11/2019 AGENCY:CITY OF PLACENTIA-401 E. CHAPMAN AVE, PLACENTIA, CA 92870 CONTACT PERSON: MASOUD SEPAHI 714-920-7604 ORIGINAL CONTRACT AMOUNT:$606,000 FINAL CONTRACT AMOUNT:$616,241.42 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT, PLEASE EXPLAIN: C/O DUE TO EXISTING FIELD CONDITIONS. DID THE AGENCY FILE ANY CLAIMS AGAINST YOU? NO ONYX PAVING COMPANY, INC. 2890 EAST LA CRESTA AVE,ANAHEIM, CA 92806-TEL(714) 632-6699-FAX (714) 632-1883 AddMlhL • Y LARGE PROJECT REFERENCES PROJECT NAME: RESIDENTIAL STREET IMPROVEMENT PROJECT PROJECT DESCRIPTION:STREET IMPROVEMENTS APPROXIMATE CONSTRUCTION DATES: SEPT 2020-NOV 2020 CONSULTING COMPANY:CITY OF ANAHEIM-200 S.ANAHEIM BLVD,ANAHEIM, CA 92805 CONTACT PERSON: KAL LAMBAZ 714-765-6935 ORIGINAL CONTRACT AMOUNT:$1,711,000 FINAL CONTRACT AMOUNT: $1,733,320 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT, PLEASE EXPLAIN:C/O DUE TO ADDITIONAL SCOPES DID THE AGENCY FILE ANY CLAIMS AGAINST YOU?NO. PROJECT NAME: PAVEMENT REHABILITATION FOR VARIOUS LOCAL STREETS-CDBG FISCAL YEAR 19/20 PROJECT DESCRIPTION:CITYWIDE PAVEMENT REHABILITATION APPROXIMATE CONSTRUCTION DATES:JAN 2020-MARCH 2O20 CONSULTING COMPANY: CITY OF MORENO VALLEY CONTACT PERSON:QUANG NGUYEN 951-413-3159 ORIGINAL CONTRACTAMOUNT:$1,576,000 FINAL CONTRACT AMOUNT: $1,445,035.72 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT,PLEASE EXPLAIN: REDUCTION IN QUANTITIES DID THE AGENCY FILE ANY CLAIMS AGAINST YOU? NO PROJECT NAME: FY 2017-18 RESIDENTIAL STREETS REHABILITATION PROJECT PROJECT DESCRIPTION:CITYWIDE STREET REHABILITATION APPROXIMATE CONSTRUCTION DATES: MARCH 2O20-JUNE 2020 AGENCY: CITY OF WEST COVINA-1444 W. GARVEY AVE S., WEST COVINA, CA 91790 CONTACT PERSON:OKAN DEMIRCI OKAN.OEM IRCI@TRANSTECH.ORG ORIGINAL CONTRACT AMOUNT:$1,009,000 FINAL CONTRACT AMOUNT: $1,360,000 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT,PLEASE EXPLAIN:SCOPES OF WORK CHANGED BY AGENCY DID THE AGENCY FILE ANY CLAIMS AGAINST YOU? NO ONYX PAVING COMPANY, INC. 2890 EAST LA CRESTA AVE, ANAHEIM,CA 92806-TEL(714) 632-6699- FAX (714) 632-1883 REFERENCES GENERAL CONTRACTORS: JOBS PERFORMED: LOCATION: AMOUNT: Fullmer Construction Centerpointe Moreno Valley $3,187,914.00 1725 S. Grove Ave. Sycamore Bus. Park Riverside $999,708.00 Ontario,CA 91761 Hillwood Hofer Ranch Ontario $603,600.00 Ph: 909-947-9467 Interchange A-E San Bernardino $1,288,615.00 Fax: 909-947-2970 San Michelle Logistics Moreno Valley $670,674.00 Contact: Casey Jones Terra Francesco Ontario $524,216.00 KCS West, Inc. BP Refinery Maintenance Shop Carson $896,357.00 901 Corporate Ctr, Dr, 3`d flr Monterey Park, CA 9174 Ph: 323-269-0020 Fx: 323-263-4576 Contact: Matthew Vawter GMC Engineering, Inc. Edison Romoland $1,623,480.00 1401 Warner Ave Tustin, CA 92780 Ph: 760-744-133 Fx: 714-247-1041 Contact: Gennady Lusardi Construction FEDEX—Otay Mesa San Diego $1,335,530.00 1570 Linda Vista Dr. Team Nissan Oxnard $669,075.00 San Marcos, CA 92064 Edge at Campus El Segundo $541,385.00 Ph: 760-744-3133 Carmax Oxnard $606,443.00 Fax: 760-744-9064 Seabridge Oxnard $329,460.00 Contact Scott Staley ONYX PAVING COMPANY, INC. 2890 EAST LA CRESTA AVE,ANAHEIM, CA 92806—TEL(714) 632-6699— FAX(714) 632-1883 Haagen Company, LLC Empire Polo Club Indio $1,036,745.00 12302 Exposition Blvd Los Angeles, CA 90064 Ph: 310-820-1200 Fx: 310-820-1225 Contact: Chris Fahey ARCO National Construction Co. Scannell FEDEX Burbank. $1,125,958.00 900 N. Rock Hill Rd St. Louis, MO 63119 Ph: 314-963-0715 Fx: 314-963-7114 Contact: Chris Wilson Grant General Contractors Whittier Area Community Whittier $625,920.00 5051 Avenida Encinas Church Carlsbad, CA 92009 Crevier BMW Santa Ana $30,600.00 Ph: 760-438-7500 Fx: 760-438-3056 Contact: Pete Burrows ONYX PAVING COMPANY, INC. 2890 EAST LA CRESTA AVE,ANAHEIM, CA 92806—TEL(714) 632-6699—FAX(714) 632-1883 • Y ASPHALT RUBBER HOT MIX REFERENCES: GENERAL CONTRACTORS: JOBS PERFORMED: LOCATION: AMOUNT: GMC ENGINEERING, INC. Katella Ave. St. Improv Los Alamitos $120,000.00 1401 Warner Ave, Ste B. Various Projects Tustin, CA 92780 Ph: 714-247-1040 Fx: 714-247-1041 Contact: Gennady Chizik R.D OLSON CONSTRUCITON, INC. Lido House Hotel Newport Beach $193,105.00 2955 Main Street, 3`d Floor Irvine, CA 92614 Ph: 949-474-2001 Fx: 949-474-1534 Contact: Jeremy Dunn IF YOU HAVE ANY QUESTIONS, PLEASE FEEL FREE TO CONTACT COREY KIRSCHNER AT 714-632-6699 OR VIA EMAIL AT COREYL7a ONYXPAVING.NET ONYX PAVING COMPANY, INC. 2890 EAST LA CRESTA AVE,ANAHEIM, CA 92806—TEL(714) 632-6699—FAX(714) 632-1883 CREDIT REFERENCES ONYX PAVING COMPANY,INC 2890 E. LA CRESTA AVE ANAHEIM,CA 92806 PHONE: (714)632-6699 DATE ESTABLISHED 1/4/90 CORP.TAX ID.#33-0394344 FAX: (714) 632-1883 TYPE OF WORK-ASPHALT PAVING CONTRACTORS LIC.#630360-A PRESIDENT:COREY R. KIRSCHNER 14029 SPRINGWATER I.N. EASTVALE,CA 92880 BANK: BANK OF THE WEST 4501 E. LA PALMA AVENUE,ANAHEIM, CA 92807 PHONE: (714) 777-9620 BRYAN PLOESSEL INSURANCE AGENT:WOOD GUTMANN & BOGART 15901 RED HILL AVE.,STE. 100,TUSTIN,CA 92780 PHONE:(714)824-8384 MICHAEL TRAN SURETY AGENT: TURNER SURETY AND INSURANCE BROKERAGE, INC. 5 HUTTON CENTRE,STE.730,SANTA ANA, CA 92707 PHONE: (714)915-4032 JEREMY PENDERGAST CREDIT REFERENCES: MATICH CORP. P.O. BOX 10, HIGHLAND, CA 92346 (909) 382-7400 Steve Matich ALL AMERICAN P.O. BOX 2229,CORONA,CA 92878 (951) 736-7600 Cari KELTERITE CORP. 12231 PANGBORN AVE.DOWNEY, CA (562) 401-0011 Gladys VULCAN MATERIALS CO. 16013 E. FOOTHILL BLVD, IRWINDALE,CA 91702 (858) 530-9414 Debbie GENERAL CONTRACTOR REFERENCES: FULLMER CONSTRUCTION 1725 S.GROVE AVE.,ONTARIO,CA 91761 (909) 947-9467 Casey Jones BYROM-DAVEY, INC. 13220 EVENING CREEK DR.SOUTH#103,SAN DIEGO (858)513-7199 Steve Davey PACIFIC CONST.GROUP 17895 SKY PARK CIR., IRVINE,CA 92614 (949)748-1500 Mark Bundy ERICKSON-HALL CONST. CO. 500 CORPORATE DR., ESCONDIDO,CA92069 (760) 796-7700 Justin Sinnott ONYX PAVING COMPANY, INC. 2890 EAST LA CRESTA AVE, ANAHEIM, CA 92806—TEL (714) 632-6699— FAX(714) 632-1883 Wk RESUME Corey Kirschner has over 20 years of experience both as an estimator and CEO. Corey is an experienced estimator and lead a majority of those years being the Chief Estimator before becoming CEO and President of Onyx Paving Company, Inc. Over the short period of time here at Onyx Paving, Corey has completed over 3,000 paving projects, allowing the company to gross over $SO million dollars in the previous year. Jay Kirschner, Senior Project Manager, holds a Bachelor's Degree from Chapman University and has 7 years of experience upholding the maintenance supervisor and lead estimator position for Onyx Paving. He leads our team, with the project managers under his direct supervision, in managing our productions and coordinating our field mobilizations for all projects. Tyler Henry, Field Superintendent, serves as the core of all field related matters. He has over 20 years of paving experience performing jobs that stretches from San Diego County to Ventura County. Tyler has been with Onyx in completing all of our Public Works projects. Overseeing the on-site laborers, cement masons, and operating engineers is one of his many responsibilities. BACKLOG ALLOCATION: Corey Kirschner,Jay Kirschner, and Tyler Henry oversee 100%of all current project in attached backlog. ONYX PAVING COMPANY, INC. 2890 EAST LA CRESTA AVE, ANAHEIM, CA 92806—TEL(714) 632-6699—FAX(714) 632-1883 Wk CEO/President llrSch Senior Project Manager - Field Superintendent Key Individual Responsibilities: Corey Kirschner - Manage overall operations and resources of company - Decision maker of corporation Jay Kirschner - Lead project management team with organization - Overseeing overall project scheduling, budgeting, and dispatching on all projects - Main point of communications between company and agencies Tyler Henry - Lead and manage on-site labors and operators - Coordinate daily operations and project production - Ensuring project quality expectations are met ONYX PAVING COMPANY, INC. 2890 EAST LA CRESTA AVE, ANAHEIM, CA 92806—TEL(714) 632-6699—FAX (714) 632-1883 � I � 7 i ♦ Y I N Q 0 p � I O I v I O_ o m m m � I • � m c � a c ' 3 Si. m fA - 7J .n-. n X' �7 cD .� „ � on � o I CD DD ' = c c 3 Z CDkfA O o _ a Z Z o N 0 2 n 0 Z n w 6v _ � Om o 30 � a m n N m (D O 31 61 fD O c < m O N D Z o r a n m m cD O1 G) O Im o a a 1 N > O n O D. ' = m a D Z m CO ril m W z m cn m to D _ O n m yo D 6 Co I CC) f p m g o Irfl m m cl O U 0 T I = o CQ rrl ti7 D CD W r I m _ I O ® T I ➢ f p � � O � 7 L , OCa STATE LICENSE BOARD k` -- ^•�--^••— ACTIVE LICENSE - 630360 CORP M. ONYX PAVING COMPANY INC A C12 10/31/2021 wvnv.cslb.ca.gov 09 , 2 > < , 2n - 7 % � § / & ro/ ®± % > 8 ! ! ¢ ƒ » 3 3 ( \ ( )# @I �§ , ® / : eeee p } . - : . ) } \ ) ` [ (} : } : { / ( - „ mzz - a � , ° .. § 3 \ ( / \ • . \ 0 . ® ( { 1 G G § ° o / \ < ( , (10 co | \ ® y \ ƒ 0. 2 t, Y ONVX PAVING COMPANY, INC. License# 630360—DIR# 1000004798 UNANIMOUS WRITTEN CONSENT OF THE BOARD OF DIRECTORS OF ONYX PAVING COMPANY, INC. (a California corporation) October 28, 2020 "rhe undersigned director, constituting the entire board of directors (the "Board") of Onyx Paving Company, Inc., a California corporation (the "Corporation"), hereby takes the following actions, adopts the following resolutions, and transacts the following business, by written consent without a meeting, as of the date above written, pursuant to Section 307(b) of the General Corporation Law of the State of California and the Corporation's Bylaws: Approval of Loan Transaction WHEREAS, Corey Kirschner is currently the Corporation's Chief Executive Officer, and Chief Financial Officer (the "Officer") with authority to enter into contracts on behalf of the Corporation. WHEREAS, the Corporation opportunities from time to time to bid on various governmental and non-govemmental projects; WHEREAS, after careful consideration, the Board has determined that the terms and conditions of the proposed project in the form of the bid attached hereto as Exhibit A (the "Project") are just and equitable and fair as to the Corporation and that it is in the best interests of the Corporation and its stockholder to submit the bid and complete the Project subject to the terms agreed upon by the parties. NOW, THEREFORE, BE IT RESOLVED, the Board on behalf of the Corporation hereby approves and ratifies the Project in all respects, and hereby authorize and direct the Corporation to negotiate, execute, deliver and perform the terms of all documents, required in connection with the Project, together with such changes thereto as may be approved by the Officer executing the same on behalf of the Corporation (pursuant to the authorization provided herein), such approval of the Officer to be conclusively evidenced by its execution and delivery of same. RESOLVED FURTHER, that the Officer may execute and deliver any and all agreements and any and all other documents and instruments, and take such further actions as may be necessary or appropriate, for the financing of the Corporation. RESOLVED FURTHER, that the Officer is hereby authorized, directed, and empowered to execute and deliver any and all agreements and any and all other documents and instruments; and take such further actions as may be necessary or appropriate, for the consummation of the Project. 2890 East La Cresta Ave,Anaheim, CA 92806—PI-1: (714) 632-6699— FX (714)632-1883 RESOLVED FURTHER, that the Officer, in the name of the Corporation, is hereby authorized, directed, and empowered to negotiate, execute and deliver to the applicable counter- party, any and all documents with respect to the Project and other instruments as may be reasonably requested, and the Officer on behalf of the Corporation is authorized from time to time to execute renewals or extensions or other instruments as may be necessary. RESOLVED FURTHER, that the authority given hereunder shall be deemed retroactive and any and all acts authorized hereunder performed prior to the passage of this resolution are hereby ratified and affirmed. The Secretary of the Corporation is directed to file the original executed copy of this Consent with the minutes of proceedings of the Corporation. [Signature page follows] 2 ONYX PAVING COMPANY, INC. } License#630360—DIR # 1000004798 IN WITNESS WHEREOF, the undersigned has executed this Unanimous Written Consent of the Board of Directors as of the date first above written. Corey Kirschner Form V�o Request for Taxpayer Give Form to the (Rev.October 2018) Identification Number and Certification requester.Do not Deportment of the Treasury send to the IRS. internal Revenue Service ►Go to wwvv.irs.gov/FormIN9 for instructions and the latest information. f Name(as shown on your Income tax return).Name is required on this line;do not leave this line blank. ONYX PAVING COMPANY INC 2 Business name/disregarded entity name,it different from above m 3 Check appropriate box for federal tax Classification of the person whose name Is entered on tine 1.Check only one of the 4 Exemptions(codes apply only to following seven boxes certain entitles,rot IndWlduals;see a instructions on page 3): c ❑ Individuallsole proprietor or ❑ C Corporation 0 S Corporation ❑ Partnership ❑ Trust/estate w single-member LLC Exempt payee code(if any) c u ❑ Limited liability Company.Enter the tax classalcation(C-C corporation,S=S corporation,P=Partnership)►o 2 Note:Check the appropriate box in the line above for the lax classification of the single-member owner. Oo not check Exemption from FATCA reporting z LLC Y the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is code(if any) 'C E another LLC that Is not disregarded from the owner for U.S.federal tax purposes.Otherwise,a single-member LLC that 4 f Is disregarded from the owner should check the appropriate box for the tax classification of its owner. . Other 0 ❑ rax+.•n.cvne,re.:vawrr•.v.usJ a rA 5 Address(number,street,and apt.or suite no.)See instructions. Roquesler's name and address(optional) 2890 EAST LA CRESTA AVE 6 City,state,and ZIP code ANAHEIM, CA 92806 7 Ust account numbers)here(optional) Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid I Social security number backup withholding.For individuals,etrrthis this is generally your social security number(SSNr.However,fora m - resident alien,sole proprietor,or disregarded entity,see the instructions for Part 1,later.For otherFM entities,it is your employer identification number(EIN).If you do not have a number,see How fo get a TIN,later. or Note:If the account is in more than one name,see the instructions for line 1,Also see What Name and I Employer Identigcatlon number Number To Give the Requester for guidelines on whose number to enter. 3 3 - 0 1 3 9 4 3 4 4 Certification Under penalties of perjury,I certify that: 1.The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2.1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding;and 3.1 am a U.S.citizen or other U.S.person(defined below);and 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have tailed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid, acquisition or abandonment of secured pr y,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you ar no required to sign the certification,but you must provide your correct TIN.See the instructions for Part 11,later. Sign Signature of 22(2(J2 Here U.S.pesen► Date General Instructio s •Form 1099-01V(dividends,including those from stocks or mutual funds) Section references are to the Internal Revenue Code unless otherwise •Form 1099-MISC(various types of income,prizes,awards,or gross noted. proceeds) Future developments.For the latest information about developments •Form 1 D99-B(stock or mutual fund sales and certain other related to Form W-9 and its instructions,such as legislation enacted transactions by brokers) after they were published,go to www.irs.gov/FomnW9. •Form 1099-S(proceeds from real estate transactions) Purpose of Form •Form 1099-K(merchant card and third party network transactions) An individual or entity(Form W-9 requester)who is required to file an •Form 1098(home mortgage interest),1098-E(student loan interest), information return with the IRS must obtain your correct taxpayer 1098-T(tuition) identification number(TIN)which may be your social security number •Form 1099-C(canceled debt) (SSN).individual taxpayer identification number(ITIN),adoption •Form 1099-A(acquisition or abandonment of secured property) taxpayer identification number(ATIM,or employer identification number (EIN), to report on an information return the amount paid to you,or other Use Form W-9 only if you are a U.S.person(including a resident amount reportable on an information return. Examples of information alien),to provide your correct TIN. returns include,but are not limited to,the following. If you do not return Form W-9 to the requester with a TIN,you might • Form 1099-INT(interest earned or paid) be subject to backup withholding.See What is backup withholding, later. Cat.No.10231X Form W-9(Rev. 10-2018) A �® CERTIFICATE OF LIABILITY INSURANCE DA 3112r202tl1rn 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 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 AME:CT Michael Tran Wood Gutmann&Bogart PHONE FA% 15901 Red Hill Ave., Suite 100INC-u. E.1r 714-82"384 ac Ne:7ta-573-1770 Tustin CA 92780 ADDRESS, mtran(Mvigbib.com INSURERISI AFFORDING COVERAGE NAIC s .OfiZ8263 INSURER A:West American Ins Co 44393 INSURED oNYXP-1 INSURER B:Zurich American Insurance Co. 16535 Onyx PavingC Company, Inc. 2890 E. La resta Avenue INsuaeac:AMERICAN ZURICH INS CO 40142 Anaheim CA 92806-1816 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1512732609 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DDL SUBRI ,POLICY EFF POLICY UP LIMITS TYPE OF INSURANCE POLICY NUMBER MMmO MMfD A X COMMERCUILGENERALUABIUTY 8IM593270 V142D21 Y142= EACH OCCURRENCE $?0M,M0 GE TO RENTED CLAIMS-MADE 1-71 OCCUR A REM05-CEI, v n SIW OW. MED EXP(An one arson) 3 10," PERSONAL&ADV INJURY $2,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S a OW,000 JEo- �LOC PRODUCTS-COMPIOP AGO E4,000,OW POLICY Ex OTHER 1S C AUTOMOBILE UABRIIY BAPIM3M602 10/12020 IOn2021 COMBINED ISINGLE LIMIT S20W.0Q-0 X ANYAUTO III BODILY INJURY(Par pmson) S ALL OWN SCHEDULED AUTO ED I--I AUTOS NON-0OMED PROPERTY DAMq eremCont) s HIRED AUTOS HAUTOS Par acadenl f UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE $ DED FI RETENTIONS $ g WORKERS COMPENSATION WC10BD00502 10/12020 1011/2021 X STATUTE ER AND EMMOYERsIUABILITY YIN ANY PROPRIETORrPARTNERi ECUTIVE EL.EACH ACCIDENT 51 OW." OFFICERIMEMBER EXCLUDED? NIA lmy.a story N NMI EL DISEASE-EA EMPLOYE S LM0,000 IDESCRIP710N OF OPERATIONS bolo+: EL.DISEASE-POLICY LINK 3I,ODOOW 09SCMPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,nuy be etG "If monspew b rtqulmdl Certificate holder(s)is/am named as additional insured per the attached endorsements as required by written contract subject to the terms 8 Conditions of the policy: GL Additional Insured Form#CG 20 10 04 13 and CG 20 37 04 13 GL Additional Insured State-Permits Form#CG 20 13 04 13 GL Primary and Non-Contributory Forth#CG 20 Ot 04 13 GL Waiver of Subrogation Form#CG 88 10 04 13 GL Per Project Forth#CG 88 70 12 08 See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. On Paving Company, Inc. 28E E. La Cresta Ave. AUTHORIZED REPRESENTATIVE Anaheim CA 92806 I 01998-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Bid Bond No. TS21-261 Document A31 OTM - 2010 Conforms with The American Institute of Architects AIA Document 310 Bid Bond CONTRACTOR: SURETY: (Nitnie, legalstattis and tukbxecv) (Maine, lrgal.wtr+nrwnndprincipnlpJacerjbuoine<t9 Onyx Paving Company, Inc. Harco National Insurance Company 2890 E La Cresta Ave 4200 Six Forks Road, Suite 1400 This document has important Anaheim, CA 92806 Ralel h, NC 27609 legal consequences.Consultation g vnth an attorney is encouraged with respect to its completion or OWNER: modification. (Nana, legal statirs and aMross) Any singular reference to City of Huntington Beach Contractor,Surety,Owner or ty g other party shall be considered 2000 Main St. plural where applicable. Huntington Beach, CA 92648 BOND AMOUNT: 5 10% of Amount Bid PROJECT: Alley Rehabilitation (Yanm, location or address mid Project number.Ijmn) 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,exwutors.administrators,successors and assigns,jointly and severally.as provided herein.The conditions of dtis 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 niay be agreed to by the Owner and Contractor,and the Contractor tither(1)enters into a contract with the Owner in accordance with the terms oCsuch bid,and rives such bond or bonds as nmv be speci tied in the bidding or Contract Documents,with a surery 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 pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amonnl for whic It the Owner may in good faith contract with another party Ill perlbrin the whirl(covered by Said bid,then this abligatitln shall be roll and void,wherwlsc to remain In lull InteC acid cfleet.The Surety herehy w'aivus ally'notice of an agreenictiL bell Cecn LIm Owlier mid Contractor it,extend IIIe time in which the Oivller may accept[Ile bid.Waivcrol notice by LIM Surety Shall not apply to any extension excccding sixty(00)days in(lie aggregate beyolid the Little for acceptance of bids specified In Ile bid documents,acid[lie Ommr and Contractor shall obtain the Sorelyrs consent Illy all exiellsirn beyond sixty(60)days. If this Bond is issued in connection with n subcontractors bid ma Contractor,the Latin Contractor in this Bond shall be deemed to be Subcontractor and the torn Owner shall be decried to be Contractor. When this Blind has been Banished to comply with a statutory ornlher legal requirement in[lie Ilicatinn of-Lhe Project,any Pmvisinn in this Bond collltKblls with said stattaory or Ieleal reyureolent shall be devoted deleted licrefruni and provisinns;cottlomiing,Lot melt statutory or other legal requirement shall be deellied Incorpgraled herein.Wien so famished,(lie intent Is that this lhllld xha11 be construed as a stalmturyy bond mid not as a cumniun law hand. Signed and scaled this 19th day of April, 2021 Onyx Paving Company. Inc. See ACk-i,xnJl.t:GGNEJf (Principal) (S-0 pl'irnessJ By: ir col R klaxtuea (Title) CEO, Flze5' V Pr SEC, T17-E5 Harco National Insuranc Lem n Please see attached Notary Acknowledgment llnrr ) (Send) (f19a+co) By: (Title) Kerissa Ricciardi, A orney4n-Fact S-00541AS 8110 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 .. :!45.;rB:S�tY::rK t'. .:�:.}'.'v,i�� 1..�.5:� _i!•._..f;i i. _.. _... ;C ..-._:+"L':J';..., .t v. ..._-.:5.iScy: A notary public or other officer completing this certificate verifies onlythe 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 ORANGE J} On M-WU 20 r 2021 before me, MARIE AYALA, NOTARY PUBLIC Date Here Insert Nome and Title of the Officer personally appeared COREY R. KIRSCHNER Signer(sJ who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s),or the entity upon behalf of which the person(s)acted, executed the instrument. I certify under PENALTY OF PERJURY under the MARlr A1'ALA laws of the State of California that the foregoing nbcarvPeblic-Cali,orria paragraph is true and correct. t Los Ageles Cccncy commission:237,135 WITNESS my hand and official seal. .My Ccmm. Expires Feh s6, 2024 Signature /Y V �G W Wvl /�"-', Place Notary Seal and/or Stamp Above Signature of Nolary Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to on unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: - Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: 0 Corporate Officer —Title(s): ❑ Corporate Officer —Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner— ❑ Limited ❑ General o Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: ,. ..�:YC;<p:::iS,ti,i;C•0•c a.e:..r:ca;:;:!.a•eE>4.:;; ..sz;v; 4T•:$Sc?..•.�c[cseteW>T.t;cic�Kcz-�•er.�xc5:e'�.:zF::xi:-a.c.:.:t=:�.Ka'.::_.. 02019 National Notary Association ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On f�i � Q�) before me, Tanis Zavala, Notary Public (insert name and title of the officer) personally appeared Kerissa Ricciardi who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. aves ZAVALA WITNESS my hand and official seal. �*WMYC0MExPmJAN28.2024 � yPuNw-Cahfun1 Notary PublK.C320021ORANGE County Signature (Seal) POWER OF ATTORNEY Bond# TS21-261 HARCO NATIONAL INSURANCE COMPANY INTERNATIONAL FIDELITY INSURANCE COMPANY Member companies of IAT Insurance Group, Headquartered: 702 Oberlin Road, Raleigh, North Carolina 27605 KNOW ALL MEN BY THESE PRESENTS:That HARCO NATIONAL INSURANCE COMPANY,a corporation organized and existing under the laws of the State of Illinois,and INTERNATIONAL FIDELITY INSURANCE COMPANY,a corporation organized and existing under the laws of the State of New Jersey,and having their principal offices located respectively in the cities of Rolling Meadows, Illinois and Newark, New Jersey,do hereby constitute and appoint ANDREW J. WATERBURY, KERISSA RICCIARDI, JAMES BALDASSARE, JR., JEREMY PENDERGAST Santa Ana, CA their true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof,which are or may be allowed,required or permitted by law,statute, rule, regulation, contract or otherwise, and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY, as fully and amply,to all intents and purposes,as if the same had been duly executed and acknowledged by their regularly elected officers at their principal offices. This Power of Attorney is executed,and may be revoked,pursuant to and by authority of the By-Laws of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY and is granted under and by authority of the following resolution adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting duly held on the 13th day of December, 2018 and by the Board of Directors of HARCO NATIONAL INSURANCE COMPANY at a meeting held on the 13th day of December,2018. "RESOLVED, that (1) the Chief Executive Officer, President, Executive Vice President, Senior Vice President, Vice President, or Secretary of the Corporation shall have the power to appoint,and to revoke the appointments of,Attomeys-in-Fact or agents with power and authority as defined or limited in their respective powers of attorney, and to execute on behalf of the Corporation and affix the Corporation's seal thereto, bands, undertakings, recognizances,contracts of indemnity and other written obligations in the nature thereof or related thereto; and (2)any such Officers of the Corporation may appoint and revoke the appointments of joint-control custodians, agents for acceptance of process, and Aftomeys-in-fact with authority to execute waivers and consents on behalf of the Corporation;and(3)the signature of any such Officer of the Corporation and the Corporation's seal may be affixed by facsimile to any power of attorney or certification given for the execution of any bond,undertaking,recognizance,contract of indemnity or other written obligation in the nature thereof or related thereto,such signature and seals when se used whether heretofore or hereafter, being hereby adopted by the Corporation as the original signature of such officer and the original seal of the Corporation,to be valid and binding upon the Corporation with the same force and effect as though manually affixed' IN WITNESS WHEREOF,HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY have each executed and attested these presents on this 31st day of December,2018 , INS t\DE 'ys(i STATE OF NEW JERSEY STATE OF ILLINOIS O��'pvOA 1' PPg'pq Count of Essex `�° arm r�„ n Y County of Cook SEAL / • Z[ Y�6 l ER`'� <c�nods•aa'r: Kenneth Chapman •, H " 1• Executive Vice President,Harco National Insurance Company ..•••' and International Fidelity Insurance Company On this 31 st day of December, 2018 ,before me came the individual who executed the preceding instrument,to me personally known,and, being by me duly swom,said he is the therein described and authorized officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY;that the seals affixed to said instrument are the Corporate Seals of said Companies;that the said Corporate Seals and his signature were duly affixed by order of the Boards of Directors of said Companies. E •" ��A.0" IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seal,at the City of Newark, EV ... �GT S New Jersey the day and year first above written. F _ o<Ue,,c l o ''•FW JEµSk.` Shirelle A.Outley a Notary Public of New Jersey My Commission Expires April 4,2023 CERTIFICATION I,the undersigned officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit,and the copy of the Sections of the By-Laws of said Companies as set forth in said Power of Attorney,with the originals on file in the home office of said companies,and that the same are correct transcripts thereof,and of the whole of the said originals,and that the said Power of Attorney has not been revoked and is now in full force and effect. IN TESTIMONY WHEREOF,I have hereunto set my hand on this day. April 191h,2021 A02699 P' F Irene Martins,Assistant Secretary cc O O J J W Q p C Z cr O I � W N D L W W W CC CA ¢ %D Z O � O 3 0 z w u a c H u ¢ O o .� p Z O N N lfl O W Z Y N W O Q F O W N ¢ W J ? O uuj J Lnn m x ¢ Q u a x W W cc co x Z LL ¢ O O p Q W p Z V co Z O W x W F / z 00 V� W O H N p unmmm o dgWMmA I o M u Z m Z r O N ¢ ^ J City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ %Nr%N,% .huntingtonbeachca.gov fe 17.110 A Office of the City Clerk Robin Estanislau, City Clerk December 15, 2021 Palp Inc. dba Excel Paving Company 2230 Lemon Ave. Long Beach, CA 90806 RE: Alley Rehabilitation from Del Mar Lane to Graham Street — CC No. 1617 Enclosed please find your original bid bond for CC No. 1617. Sincerely, q4�QnoJ4,4d Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of ALLEY REHABILITATION from Del Mar Ln. to Graham St. CC No. 1617 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 40 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 hump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will re-advertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY's notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY's option, be considered null and void. 'TiN pEfICEMT OF A11011MT BlD' Accompanying this proposal of bid, find 11 AAF i 6oho 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: tXAL Addenda No. Dare Received Bidder's Si nswre C-2 ALLEY REHABILITATION, CC No. 1617 PROJECT BID SCHEDULE Item Contract Bid Item Description Unit Price Extended Amount No. l)uantitN I Mobilization Iti S S L1UuLC per LS '_ 1 Furnish Project Traffic Control 1 S I0wUO S UV per LS 3 700 Unclassified Excavation CY St3to Sgh2.00,, per CY 4 916 Construct Concrete Alley Gutter per City Sid.Plan 107, LF modified per Plan per LF S 400 Construct Type III-C3-PG 64-10 Asphalt Concrete Pavement TN (depth varies per Plan) S q 4 .' S per TN 6 400 Crushed Miscellaneous Base CY S mil . 122 �00 ' per CY 7 4 Furnish&Install Composite Manhole Riser with H-25 Rated Composite Manhole Frame and Cover(GMI Composite 260C S � wo 1 1 L D 00 or equal) per EA x 700 Construct Concrete Alley Approach per City Sid.Plan 211, SF modified per Plan(including adjacent Curb&Gutter per Ci S Z 2_ S IS Ll OV Sid.Plan 202.and Sidewalk per City Sid.Plan 2071 per SF 9 1 Prepare Storm Water Pollution Prevention Plan LS $15 pbo S 000 per LS to I Water Pollution Control LS S2� k)\dZ S 11�. hOU per LS Total Amount Hid in Fi urea: S .Total.Amounl Hid in Nor ..... D� C-2.t 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 Dollar % of Item(c) Subcontractor License Number Amount Contract Number Q (tjS �1tY1C �G 1 rti�'�" A �77 V�� livG+�r�1S� .,tilUI �2��� 1 IOUoou52q ( oo�rn CIS qz��q 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 pedury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed one _ q-iWit I mr. RFArH ,_ ;�Cp!' A F�� Date City State Curtis P. Brown III being " '' �, r7S't dulyy wom, deposes and says that he or she is President of • „ the party making the foregoing bid that the bid is not made in the interest o{,`ter oe the bbltalf 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. INZ CIA EXCEL PAVING COh1=."- Name of Bidder Curtis P- Brown III President gnature of Bidder 2230 LEMON AVE LONG BEACH, CA 9M 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 Notary 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/aateNlo>dy executed the same in his/lqliWM*r authorized capacity(ies), and that by his/he:iAhmr signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the Instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. R.COVINGTON WITNESS my hand and official seal. COMM 023396e2 Notary PubhcCabfomta a LOS ANGELES COUNTY Ms Comm Eases Dec S.2024 Notary Public Signature (Notary Public Seal) � I ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Thu form rompliea'xilh current California si t zt regarding notary wording and DESCRIPTION OF THE ATTACHED DOCUMENT if needed,should be completed and attached to the document AcknoMedgments from other sites mar he completed for documents being sent to that state so long an.the%mast i does nor require the California notary m vlolair Calnfornia mi lax. I (Title a daslriplm of eltaehad tbeurMM) a State and County mformanm mart be the State and Caunry,what the dacummr cgma(s)personally appeared befo%the noary public for acknowledgment. (f4k me description of attached document mnlinu c) • oats,of notarization must be the date that the signer(sI personally appeared whirl. must also be the same date the acknowledgment is completed • Time notary public must prior his ,r her marine as it appears xnthm his or her Number of Pages_Document Date nmmwim followed b) a comma and them you title(notary public). • Prim the names) of documcm stgnrr(s) wbo pasumally appear at the lime of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forma by crossing off mcus— forms Is li.c. ❑ Individual (s) hdsheJshey,is are)or circling the correct forma.Failure to correctly indicate this Information may lead to rejection of document recording. $)( COporate Officer • The notary seal impression most be clear and photographically reproducible. President Impression.. must not cover text or fines. If seal impression strai re-seal if a Ile suRaent area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signairue of the notam public most match the signatrta on file with the office of the county clerk. ❑ Attorney-in-Fact P Additional mfomsation is not required but could help to ensure this p Trustee(s) acknowledgment is nor misused or attached to a different document. ❑ Other 4 Indicate title or type of attached document,numbs of pages and date. ee Indicate the capacity claimed by the sigma. If the clamed capacity is a corporate officer,indicate the title(it,CEO,CFO,Secretary). L2015 Vers-o,www NolaryC,is s corn R00J7/3-PR6b • Secureh ansch this document to die 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 ALLEY REHABILITATION, CC No. 1617, (l)(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. FxrFL PAVING C0%1 Contractor �s �I By Curtis P Brown III President Title Date: &PR 2 2 7071 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 GTNo If the answer is yes, explain the circumstances in the space provided. 0\p� Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each Contractor to whom a public works contract has been awarded shall sign the following certificate. 1 am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self-insurance in accordance with the provisions of that code, and 1 will comply with such provisions before commencing the performance of the work of this contract. F.-M_P. I\:.09"' Contractor Curtis P. Brown III President Title Date: AVR 2p21 Ca BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name PALP, INC DBA EXCEL PAVING :30 LEmON AVE Business Address LONG BEACH. CA 90b06 City, State Zip 062)599-5841 aatl Telephone Number Email Address STATE LIC#688659 State Contra(Itnr'c License No. and Class A. Original Date Issued t I2„► 2_p'11, ExpT n Date David A. Drukker Vice President The work site was inspected by of our office on _ j'C 111 201_, The following are persons, firms, and corporations having a principal interest in this proposal: !.,, t' N. CS. —fxf'El-pltMl��6 bah?r" ,t Curtis H Yrorm III 0r"Wom end OW["Yuma eftw DwW A.Drukkar Vice Prmld*M ruu Marcie S.M1kr secretary Cdm A.Philips 1 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. (=4Lf•, Ifs;, CSA EXCEL PAVING COMPA%Y Company Name q01L- Siiii0ature of Bidder Curtis P. Brown III President Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this _day of APR 2 2 1011 , 201_ . A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of CA-=FCRK:A ) County of Los Angeles ) On APR 2 2 1071 before me, R.(',OJtA� Month, Day, and Year Insert Name and Title of Notary personally appeared GUft R Brown III Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. N COVINGTON COMM.•2339692 t � Norarr PuD1�cCalifpmle C ' .`S•. LOS ANGELES COUNTY L Mr Comm Gpttes Dec B.2024 Signature Signature Notary Public (PLACE NOTARY SEAL ABOVE) C-9 SEE ATTACHED BIDDER'S PROJECT HISTORY AND PUBLIC AGENCY REFERENCES The bidder shall provide information to demonstrate his/her past work experience on projects of similar (or greater) size and scope of the ALLEY REHABILITATION, CC No. 1617. Bidders may submit additional sheets, using the format shown, to further demonstrate his/her history of similar work experience. 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 Phone # of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: C-10 BIDDER'S CRITICAL STAFF The bidder shall provide information to demonstrate that both the Construction Project Manager (office staff) and Construction Superintendent (field staff) proposed for ALLEY REHABILITATION, CC No. 1617 have had similar work experience on at least 3 different projects within the past five years. The proposed critical staff members need not have been employed by the bidder at the time the referenced projects were completed. SEE ATTACHED I. Name ol'proposed Construction Project Manager Phone # of proposed Construction 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 Name of proposed Constnction Superintendent Phone # of proposed Construction 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 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each Contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https:Hefiling.dir.ca.gov/P WCR/ActionServiet?action=displayPWCRegistrationFonn DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/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." 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. l X cL F' Contractor Curtis P Brown III le44_� y, President B vat imetlt19e4Erieluavinamet Email Title Date: APR 7n7i PWC Registration #: 10()00 5$31 C-12 w w w wlw w w w w w w w ww w w w' f a 'w w w w wow wow w w w'w w w w w w w w w w a w w w w!P iiv � P I o_ oo � �._ P 0 0 m P P P P P P P P P 91 19 � gill 10i,1i1310111ElbiH Hill "'o^ ...c�-Ac�� c nmm�,cc��, ..gg rr�gg6r�ttt gg y§ MeHl _ ^ ^_^ am ^ $ st Sao _ a � 8 � s 6 N � g TS ac3 � aga ffiffia Ya '�, g �di� g��� � ffi .� 9 ffi8,dia� ag .$aE9$t)2�c� �L°�� $� n LLJp ulaN 30H nN gg �NN 7 �. ggOv�i r�'f` N A 5 � I tR � �� Bond No. Bid Bond BID BOND The Amcrican Institute of Architects, AIA Document No.A310(February, 1970 Edition) KNOW All.MEAN 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 stm of Indiana as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach as Obligee,hereinafter Called the Obligee,in the Sntn 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, administrators, successors and assigns,jointly and severally, firmly by these presents. WHEREAS,the Principal has submitted a bid for Alley Rehabilitation(CC1617) NOW, 'IHEREI•'ORE, 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 fiunished in the prosecution thcwol, 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 15t day of April 2021 n PALP Inc.dba Excel Paving Company PIIDCtpat (Seal) wlrneSS ' MARCIA S. MILLER, CORP. SECRETARY By: Q Curtis P. Brown III President NamdTift Federal Insurance Company Surety (Seal) C� `L Ct'• ��i) Witness By: Douglas . Rapp Attorney-inFad ORSC 21329(5/97) ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or -validity of that document. State of California County of Orange ) On April 01, 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(a) whose name( is/are subscribed to the within instrument and acknowledged to me that he/t4e4lH@y executed the same in his/4ef--4,mew authorized capacity(i ), and that by hislheNt ei signature(* on the instrument the personf,), or the entity upon behalf of which the persona) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. N V a . DEBRASwANSON COMM. #2335630 p °=o •o HOT0.4Y PUBLIGCAUFOIiNU� �� I � • `'�^"' MY OMM ESP NOY 0,202/N Signature ��L11 rlv� +�l�Mati'� (Seal) Cf—IUBB Power of Attorney Federal Insurance Company I Vigilant Insurance Company I Pacific In Lie mnity Company Westchester Fire Insurance Company I ACE American InsuranceConlpany Know All by These Presents,Ihot FEDERAL INSURANCE COMPANY an Indiana OaTundi.r,VIC I CANT INSURANCE COMPANY,a New York corporation,PACIFIC IN DE.M NIT COMPANY,a Wisconsin corpora lion,W ESTCH ESTER FIRE INS URA.NCE COMPANY and ACE AMERICAN INSURANCE COM PAN Y corporations of the Comm mvealth of Pennsylvania, do each hem by constitute and appoint Douglas A.Rapp and Timothy D.Rapp of Ladera Ranch,California--------------------------------------------- each as their iron and lawful Atlarucy-In-Feel to execute under such desiguatiou in their names Radio affix their corWrate seals to and deliver for and on the lr behalf as surety thereon or otherwise.bonds and undcrualdngs and other writings obligatory In the nature tbereof(other than bail bonds)given or cxmu led in the course of business,and any Instruments amending car almring the same,.Od Consents 1p the modiflcat Ion or alteration of any instrument referred to in said bonds or obligations. In Witness Wlsereuf,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC].ND EMS ITY COMPANY,WESfCli ESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY have each executed and attested these presents and affixed their corporate seals on this Su day of April,2021. kv,11 Aephssl 11.1lanq',Via•1'1'Lstderit 4,%, STATE.OF NEW JERSEY Countvol llu0lcrdon SS On this 5- day Dr April,2021 before me,a NOW,Y Public of New Jersy,personally came Down M.Chloms and Stephen M.Hoary,to tie Brown to be Assistant Secretary and Vice President,respectively,oFFF.DERAI.INSURAN(E CONIPMY,VIGII.VJT INSURANCE COMPANY,1PANY,PACIFIC INDEMNITY COMPANY,WEWCHE.rER FIRE INSURANCE:COMPANYa0d ACE AMERICAN INSURANCE COMPANY,the companies which executed the foregoing Power of Attorney,and the said Dawn M.Chbms and Stephen M.Raney,belog by me duly avocn, severally and each for herself and himself did depose and say that they are Assistant Secretary and Vice President,respectively,of FEDERAL.INSURANCE;COMPANY,VIOLAS I INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WFSTCIIESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE.COMPANY anal know the corporate seals thereof,that the seals affixed to the foregoing PoweroLAttorney are such corporate suxls and overe 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,. KATHEFINE J.h➢EIAM per b R ERSEY NOTARY PUBLIC OF NEW J No 231BUS 11..PLl Lie C.O.—E. '•a Jup'a'202e nraary PW k CERTIFICATION Resolutions adopted by the Boards of Directors of FEDERAL INSIIRANCF.COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY..August 30.2016; V TST(HFSTER FIRE INSURANCE COMPANY ou December 11,2006;and ACE AMERICAN INSIIRANCF,COMPANY on March 20,2009: 'RF]DLVED,that she fallmring eutharimtnm relate co the execution.for end on behalf of the Compeny,of hoods,undermkings,meognisences,contracts and other written commitments of the Company entered into in tie ordinarysouneofbusiteas(racha-wtluen Commitanclu): (1) Each of the Chairman.the Pre Nent and the Vitt Presidents of the Company Is hereby am ortai to execute cry Wruten Commitment for and on behalfNNe CompanY.vMer tie seal of the Company or othenyise. (2) Each dulyaplammedauameyin-hoafthe Companyittiondy aurhomed WexecateanytYnuen Commnment for and on r.halfomrt Company.under the veal of the Companyormthen+ae. to du eaem that such action is authorized by 0ie grant of powers provided for Inspirit person's parren appolnsment u such morney In-fact. (3] Fsch of the Chairman.the President and the vice Prrohmse of the Compeny is herebyeuthoru i.forand oa behalfof the Company.to appoint awraing any person the snorney in. fan of the Company with full power and authority m evecvne,for and on behalf of the Company,under:he seal of the Company or otherwise,seds lVrmen Comm uments ofihe Company as may be spadfed in such winners appointment,whim specification maybe by general type or dens of Wrtnen Commitments or by speciffntlon of one or mom particular Wdetis Commitments. (a) Eerh of the Chairmen, the President and the Vke Presidents of the Company is hembyauthurood.for and on Uehairofthe Cotnpuy.rodeiegetn m.nnng matt.dicr olDcer of the Compeny the authority to ececute.foratM onbehaif of the Company,under the Company's sealo otherwise.such Written Commitments ofthe Company as arespeci0ed lnsuchwrinen de.Iegnionwbth specification may pa,by general typear dassd pennon Commitments or bysperifea ti nofoneor marepankular .Written Commitments. (5) The vignemre ofinyollicet.c.der person neeoung any Wrtnen Commamen:orar,ormamenturdeiegatlan pursuant t.:his Pesolutbn.enduniatil ofthe Compeny.maybe offeed by fammalie on such Writers Commitment or written appoint mere or ddegatbn. FURTH F.R RLS LVED,that the far r,dag Resoional shall not he deemed m be an exclusive stetemem ofihe powers end mMoriry of offrers,empbyees end other person to an far end on behalf o(she Corp.,,end curs Resdutlon shall rot limn or osherwse alfen the exercise o(any such power or suthersay otherwise solidly granted or nested' 1,Dawn M.Chlotes,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGHANf INSURANCE COMPANY,PACIFIC INDEhunrY COMPANY.WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY(the-Companies')do fu rebv certify that (I) the foregoing Resolutions adopted by the Board of Directors critic Companies are true,correct and In full force and eflect, (II) the foregoing Power of Allomey is urne,cormc't and in full fume and effect. Given under my hand and seals of said Companies at Whitehouse Station,NJ.this April O1, 2O21 (trv:n tLChbx,e:.Asusanl irrtvlryJ IN THE EVENT YOU WISH TO VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER.FLEASF.CONTA US AT: Tele hane(c)WI903-3493 Fax noun 903-3c56 null: tiodyllithtiblocion combined:FED-VIC PI AFIC-AAIC Be,11-19) 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. R.COVINGTON State of California ) n COMM.#2339692 n ¢ 3 Notary Public-California z e sf.p�c..:r,•• LOS ANGELES COUNTY n County of Los Angeles } My Comm.Expires Dec 8,2024 On oPP 7 ? ?A?l before me, R. Covington Notary PubliC ( mT�evuatrinma and ea'Ifb a9cnr personally appeared Curtis P. Brown III and Marcia S. Miller who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that h�xlife/they executed the same in htsif wltheir authorized capacity(ies), and that by h /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 WITNESS my hand and official seal. H _ COMM.#2339692 a t—eae Notary Public-California LOS ANGELES COUNTY MyComm.Expires Dec 8,2024— N Notary Public Signature (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORna This form complies with cancel California smtules regarding notan,wording and, DESCRIPTION OF THE ATTACHED DOCUMENT fneeded,should be completed and attached to the document Acknowledgments from other slates maybe completed far documents being sent to that state so long as the wording does not require the California notary ro violate California notary law. (Title or description of alached document) • State and County information must be the State and County where the document signals)personally appeared before the notary public far acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which (Title or description of at•.arhed document conlimted) must also be the same date the acknowledgment is completed. • Tine notary public most print his or her name m it appears within his or her Number of Pages_Document Date commission followed by a comrtu and then your title(notary public). • Print the name(s) of document signer(s) who personally appear at the time of aotannnon. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by cussing off incorrect forms(i.e. Wshdthew is lwe)or circling the correct fortes.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 tent or lines. if seal impression smudges, re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of tire notary public must match the signature on file with the office of the county clerk. ❑ Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is nor misused or attachrd to a different document. Other Indicate fitle or type of ached document,number of pages and date. ❑ r Indicate the capacity chimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). 2015 Version•,re ,,NolaryClasses,mrn 800-873-9865 Securely arch this document to the signed document with a staple. f) �} :! � � � �i �! � � & a. : �, g \ � �; z 2 � � m \ \ \ ® RE \ / . / . j \ /\ / \ j ! ' City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 _ (714) 536-5227 ♦ Nv%NTNvhuntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk December 15, 2021 R.J. Noble Company 15505 E. Lincoln Avenue P.O. Box 620 Orange, CA 92856 RE: Alley Rehabilitation from Del Mar Lane to Graham Street — CC No. 1617 Enclosed please find your original bid bond for CC No. 1617 Sincerely, Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of ALLEY REHABILITATION from Del Mar Ln. to Graham St. CC No. 1617 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 `,Fork 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 40 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 ANN' ITEM FROM TIIE 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 3 period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will rej'L jail jliids and will re advertise ihe;projectl Inj the case of discrepancies in the amounts bid, uni� pr Fesl shall govern ojer extended'amounts, and words shall govern over figures. ' r 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 a ithin 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 `"-H1t)BON') in the amount of---- which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Si natrre C-2 i ALLEN' REHABILITATION, CC No. 1617 PROJECT BID SCHEDULE Item Contract Bid Item Description Unit Price Extended Amount No. Quantity I I Mobilization LS S m o oo S 11; wy o0 per LS i 2 1 Furnish Project Traffic Control LS Sj ,000.40 SIZ,000.ot.) per LS 3 700 Unclassified Excavation CY s56 50 s60, 550•vo per CY 4 916 Construct Concrete Alley Gutter per City Sid.Plan 107, 1.1: modified per Plan S 5 3 oo S y8, 5 H8•vo per IT 5 400 Construct Type II I-C3-PG 63-10 Asphalt Concrete Pavement TN (depth varies per Plan) S 101.00 S 40j yOO, 00 per TN 6 400 Crushed Miscellaneous Rase CY S 70.00 S 25100.00 per CY 7 4 Furnish&Install Composite Manhole Riser with H-25 Rated FA Composite Manhole Frame and Cover(GMT Composite 26 S l' V00 oL S i 6i000,00 or equal) per FA 8 700 Construct Concrete Alley Approach per City Sid.Plan'_1 I. 1 SP modified per Plan(including adjacent Curb&Gutter per City S i'3.pp S lz/(,0, OU Sid.Plan 202,and Sidewalk per City Std.Plan 207) per SP 9 1 Prepare Storin Water Pollution Prevention Plan LS S 1/5-00.00 S 1�5vo.00 per LS 10 1 Water Pollution Control LS S I oo eo S 1, 5yo,v U q per LS Total Amount Bid in Figures: S 23 6 B • )o f� I ...Total Amount,Bid in SS;ords.[. 9....hu.C?.�.[CZ..._!.h�.{f.l...'2'.!..V2...... YIO..usG/l.b,..... !�e......_�!,u!�. .le�........ �;,tel• ¢; k� d�ilafi and 2ePc - nls C-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000. whichever is greater, and the portion of the Work to be done by such subcontractor. Bid Name and Address of State Class DIR Dollar % of Items) Subcontractor License Number Amount Contract Number W4 ,g N�beS� YnG 35162Z A lonoo11514 22 o 76a) /jcae A AV e,)6riteen 53,634.00 (1(oYL� CA g21bW 1 i I 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. Gs 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 thisdeclaration is executed on "'222021, at "RAN(' — Date City State SII,YLN(_ M(:NDO/A being first duly swam, deposes and says that he o[Nskc is SLCRLIARY of R) NnRIJ (UMPAN't _ the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding, that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. R J NOPI.I.COMPANY Name of Bidder Signature Bidder `11 `1 N 1 `0%lX)/` sit Ri i`Rt I WOIN \\INu ((RINGI ( :\`11"N Address of Bidder C-.t CALIFORNIA ACKNOWLEDGMENT CIVIL CODE 4 1189 9Narla eae:e� A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document Io which this certificate Is attached,and not the truthfulness,accuracy,or validity or that document State of California 1 County of QRANC;F J 04 „ (),1 J. DF.IONGtI.NOTARY PUBLIC On before me. DUFe STEVEN L. MENDOZA here Insert Name andTrrle tithe Officer personally appeared Nome(s)of Srgner(s) who proved to me on the basis of satisfactory evidence to be the persona) whose names{is/are subscribed to the within instrument and acknowledged to me that he/sheAhey executed the same in his/hentfi" authorized capacity(res).and that by his/herltheu signatures) on the instrument the person(s), 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 WITNESS my hand and official seal. 4noSignaturePlace Notary Seal ond/a Stomp Above ture of Notary Public OPTIONAL -- Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document Description of Attached Document Title or Type of Document. --- Document Date. __ _Number of Pages: Signer(s) Other Than Named Above. Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer - Title(s). ❑ Corporate Officer - Title(s). ❑ Partner - ❑ Limited ❑ General ❑ Partner - ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other ❑ Other. Signer is Representing- Signer is Representing: C2018 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 ALLEY REHABILITATION, CC No. 1617, (lxwe)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. R 1 NOBLE COMPANY Contractor X By SUVEN L MENDOZA.SECRETARY Title u']'_u'i Date: C-S DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes Q No If the answer is yes,explain the circumstances in the space provided. n 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. R J NOBLE COMPANY Contractor By !/ 51EVEN L MENDOZA.SECRETARY Title Date: C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: R1 N01411 (I)MI-\NY Bidder Name I;Wir IINIUINAVI Business Address ()RAN(11-.(A 92W City, State Zip \! '14 n47.1$5n stevenw")n a rlmrhleu,mpam .oni Telephone Number Email Address State Contractor's License No. and Class A'ulxi Original Date Issued ON 11 M42 Expiration Date The work site was inspected by PRANIR 1N,I'll R, of our office on "' 1"="=1 201 The following are persons, firms, and corporations having a principal interest in this proposal: R) NUHI I (OMP:\NY N(Al 11 ORNI:N('nRIK)RA III tN \I I I\M (':\RVI K PRl SIDI.N I K%M rN11R.\i (K)%/%I 1/ %K I c PRI>IDI \I til l \I%I. %U NIX)/A.NJ I,RI I.%R1' 1\COIt FIRE I-DI 0\'1 %�111 I:\N 1 11 1 HI I \R5 JAW N N Dt (()11. C t n 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. K I %OIAI I I. I\II'AXY Company Name r Signature of idler I I I V1 N I NII-NIA r/:\ N1 ItRI'I \RV' Printed or Typed Signature C-a NOTARY CERTIFICATE Subscribed and sworn to before me this ''Noday of \1*11 201-" A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of CALIEORNIA ) County of ORANGE: __) On'":"1 Q i _ before me, J UEIONGII.NOI ARY PI'RI.IC -- Month, Day,and Year Insert Name and Title of Notary STI VEN 1._MI.NOOZA.SECRETARY personally appeared__ — Name(s)of Signer(s) 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/shoU*r executed the same in his/hav*win authorized capacity(iaA, and that by his/heKdwix signature(A) on the instrument the person(s), or the entity upon behalf of which the person(*) 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 m hand and official seal. Y P p j];Nat Oct?8.7^23 cjL��- Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) J 0I WNGH C-9 BIDDER'S PROJECT HISTORY AND PUBLIC AGENCY REFERENCES The bidder shall provide information to demonstrate his/her past work experience on projects of similar (or greater) size and scope of the ALLEY REHABILITATION, CC No. 1617. Bidders may submit additional sheets, using the format shown, to further demonstrate his/her history of similar work experience. 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. (IIN01(,%RSOA.7,nI ( ARSUA N I RI I L MARSOA l:A w171: Name and Address of Public Agency S\NDI R IIA[ ANIi Name and Phone # of Agency's Project Manager: S147h N 14 \I I11R1(1NIN I RI I RI 11\14II 11 MIl ', Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: SIRII I RI IIARII I IA IION. A(' [)A\'I N6.(01 D ME I . I RATE It I0 )PS-SIRIPIN6 R&R(-ON('kill Z. CITY OF LAAFW(x)D,5050 CLARK AVE.I.AAt:W(X)D.CA 90712 Name and Address of Public Agency \1AS NIII{RI rN ter.]-XM,.v"I Name and Phone # of Agency's Project Manager: \1(X IDRI II I'll[Nl, SI.Xi7'.+i ixi 1172.0, Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: 1C 11:\VING OI \hO IDRI 11.AM MANIII11 1 S I I I( IRK %1 l'1 [LIMIT L 3. 111111 \10.1YM I It[ \(1{ I(XI CIVIC CI N I I R DRI\'I \I\S IYIRI REACH,CA 926W Name and Address of Public Agency Name and Phone # of Agency's Project ;Manager: RAN NII,'ND KEYES 949-6 4-3321 M:\CARI IIIR ITT.\'DR I'NIVI RSI I ' DRI SI '.I 2i'I'+ FAVI-%II N I RI II\1111 I I:\I ION 71X1-_' S'_.319.iN111M1 Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: AC PAVING.. ..CLEAR&GRUB. SIFAL.COLD MIT I_ C-10 BIDDER'S CRITICAL STAFF The bidder shall provide information to demonstrate that both the Construction Project Manager (office staff) and Construction Superintendent (field staff) proposed for ALLEY REHABILITATION, CC No. 1617 have had similar work experience on at least 3 different projects within the past five years. The proposed critical staff members need not have been employed by the bidder at the time the referenced projects were completed. 1. KORI PORi2R.GLNERAL MANAGER OF CONS[RUCHON Name of proposed Construction Project Manager Phone #of proposed Construction Project Manager: 714-637-Iss4l 1 \1 354 FY 2019 STREET&SLURRY SEAL PROGRAM SI 512.170 35 AC/SLURRY SEAL w 2u.0 Project Name & Contract Amount Type of Work Date Completed RLSIDL.NnAI_ROADWAY RI'HAB $1 978 413 84 ?IRII I RII1ARII II AI[ON 10201q Project Name& Contract Amount Type of Work Date Completed RIIIIABOFWARNFRAVE SI668A6600 REIIAB&RIS1'RFACING IN 21)2u Project Name&Contract Amount Type of Work Date Completed CHUCK SPIERS,GENERAL SUPERINTIfNUI \I Name of proposed Construction Superintendent Phone #of proposed Construction Superintendent: 714-637-15.50 C'IIYOLONIAR10, S6I MILLION AC PAVFMENTOF VARIOUS LO('AI'IONS ni]iil4 Project Name & Contract Amount Type of Work Date Completed CIIYOI II.511N St 6 MILLION PARK AVE REHABILITATION Ui 2W.K Project Name& Contract Amount Type of Work Date Completed CITY OF SAN JUAN CAPISTRANO S2 I MILLION STREff IMPROVEMENTS 0i21)I9 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/S B854FactShect-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efi ling.dir.ca.gov/P WCR/ActionServiet?action=displayP W CRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary Contractor, as well as for ALL subcontractors at the time of submitting the bid. R J NOBLE COMPANY Contractor X By stevemendozaNiitjwbl"=Pam cum Email STEVEN L MENDOZA.SECRETARY Title Date: (4/2212011 PWC Registration q: 1000004235 C-12 2/2 212 0 2 1 https://cadir.secure.force.coMContractorSearch/PrintRegDetails Contractor Information Registration History Legal Entity Name Effective Date Expiration Date R.J. NOBLE COMPANY Legal Entity Type 6/7/2018 6/30/2019 Corporation Status 5/8/2017 6/30/2018 Active Registration Number 6/16/2016 6/30/2017 1000004235 Registration effective date 6/16/2015 6/30/2016 7/1/2019 Registration expiration date 12/22/2014 6/30/2015 6/30/2022 Mailing Address 7/1/2019 6/30/2022 P.O. BOX 620 ORANGE 92856 CA United States ... Physical Address 15505 E. LINCOLN AVE ORANGE 92865 CA Unit... Email Address Trade Name/DBA R.J. NOBLE COMPANY License Number(s) CSLB:782908 Legal Entity Information Corporation Number: C2168590 Federal Employment Identification Number: President Name: MICHAELJ CARVER Vice President Name: CRAIG PORTER Treasurer Name: JAMES N DUCOTE Secretary Name: STEVE MENDOZA CEO Name: MICHAELJ CARVER Agent of Service Name: MICHAELJ CARVER Agent of Service Mailing Address: 15505 E. LINCOLN AVENUE ORANGE 92865 CA United States of America Workers Compensation https:llc dir.secure.force.com/ConLractorSearch/PrintRegDetails 1/2 2/22/2021 https://cadir.secure.force.com/ContractorSearchiPrinIRegDetaiIs Do you lease employees No through Professional Employer Organization (PEO)?: Please provide your current workers compensation insurance information below: PEO PEO PEO PEO InformationName Phone Email Insured by Carrier Policy Holder Name:R.J. NOBLE COMPANYInsurance Carrier: ZURICH AMERICAN INSURANCE COMPANYPolicy Number:WC017436303Inception date: 6/30/2018Expiration Date:6/30/2019 https://cadir.secure.force.com/ContractorSearchIP6ntRegDetaiis 2/2 C LIC!ECTSEORS L^7Ca STATE f LICEN BOARD ^� ••� ACTIVE LICENSE . w ,,.. 7S29O$ x- CORP R J NOBLE COMPANY A C12 E,..� 08/31/2022 w ,cslb.ca.gov Any changed d vness addresslname mvu D ropwnvc to p,e Re,avarw in 90 dal Tbls Ilcen.la nd t anVoe .ble,and shall De reNmb M Me ReglWar upon Eem ne wnen suepeiwae,revoked,p invalkated!or any reason. Ta,a pecker<aM is valk Trough me eapinbon Eats onry, n bmW,dmp m any mailbox Postage qu.rant.by. Canbaclvra Sate Lireme Board PO 8030b= Sa<om m^a& 140d Lcensee Sgnatare 1 VI K m m V T _ _ o a Z m O --4 r O C) D 05 Z Z M T m S ➢ O n � D + 4t. D + N N V = m C (� r z -1 O .}f % .` r� m N zz 00 < Z . O m OZM cm C f. ,, . '•, 1 Z3 � mz n Z C) W 1 � 0C) p m Z Z _ w0 H DNS No , 5 n m D _ O o y m z o0 n � oo zN m ' N n m I A = > I, I i Ool Western Surety Company BID BOND (Percentage) Bond Number: N/A KNOW ALL PERSONS BY THESE PRESENTS, That we R. J. NOBLE COMPANY of Orange California hereinafter referred to as the Principal, and Western Surety Company as Surety, are held and firmly bound unto City of Huntington Beach hereinafter referred to as the Obligee, in the sum of ( 10 °/o) percent of the greatest amount bid, for the payment of which we bind ourselves, our legal representatives, successors and assigns, jointly and severally,firmly by these presents. WHEREAS, Principal has submitted or is about to submit a proposal to Obligee on a contract for Alley Rehabilitation (from Del Mar Ln to Graham St.) NOW, THEREFORE, if the said contract be awarded to Principal and Principal shall, within such time as may be specified, enter into the contract in writing and give such bond or bonds as may be specified in the bidding or contract documents with surety acceptable to Obligee: or if Principal shall fail to do so, pay to Obligee the damages which Obligee may suffer by reason of such failure not exceeding the penalty of this bond, then this obligation shall be void;otherwise to remain in full force and effect. SIGNED, SEALED AND DATED this 2nd day of April 2021 R. J. NOBLE COMPANY (Principal) T %1 BY X � � �'�•-.�— (Seal) STEVEN L.�,NF.ND,OZA, SECRETARY Western Surety Company _- - (Surety) By /ice' _ (Seal) J 'Scotl•Salandi Attorney-in-Fad Fo"F5876 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 �y31�0yy o�a,r� ooneoy� - 4yy[ae� A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California 1 County of QRAN(,F J} 04/05/201-1 J. DI-IONGH. NOTARY PUBLIC On before me, a e STPVBN L. MENDOZA Here Insert Name and Title ofthe Officer personally appeared Names)of Signer(s) who proved to me on the basis of satisfactory evidence to be the persons) whose name(s)is/afe 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/herhAeir signatures) on the instrument the person(s), or the entity upon behalf of which the person(Q acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing �.r paragraph is true and correct. Public Cali`ornia � WITNESS my hand and official seal. County > Cc-;miss,cn:2i0iaa; [.pire ?3 Signatur - &r=- Place Notary Seal and/or Stamp Above USignature of Notary Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to on unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer - Title(s): ❑ Corporate Officer - Title(s): ❑ Partner - ❑ Limited ❑ General ❑ Partner - ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: fogy: ooree�oaoay3eetiioa 02018 National Notary Association ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On APR 0 2 2021 before me, Annette Lisa Romero, A Notary Public (insert name and title of the officer) personally appeared James Scott Salandi who proved to me on the basis of satisfactory evidence to be the person(s) whose name($) is/am subscribed to the within instrument and acknowledged to me that helehamw/ executed the same in his/hexMhek authorized capacity(ies), and that by his/hefMhek signature(%) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. �I _ ANNME LISA ROMERO WITNESS my hand and official seal. o CONua.-22aao76 `< NOTARY PUBLIC CALrORNIA o 3 ORANGE COUNTY 'I ?,Ai ccmm.exp'ves uay.26,2022 Ir Signatur J (Seal) Western Surety Company POKER OF ATTORNEY APPOINFLNG ENDIVIDUAL ATTORNEY-IN-FACT Know All Men By'ITese Presents,That WISTERN SURETY COMPANY.a South Dakota corporation,is a duly organized and existing corporation having its principal office in the City of Sioux Falls,and Stare of South Dakota,and that it does by vinne of the sigruture and seal herein affixed hereby make,constinne and appoint .lames Scutt Salandi, Leonard 7.iminsky, David Jacobson, Individually of Irvine.CA,its we aid lawful Auonrcy(s)-in-Fact with full power and authority hereby conferred to sign,seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts- and to bind it thaeby as fully and to the same extent as if such uatmments were signed by a duly authorized officer of the corporation and all the acts of said Attorney,pursuant to the authority hereby given.we hereby ratified and cons' mcd. 'Ibis Power of Attorney is made and executed pursuant to am]by authority of the By-Law printed on the reverse hereof,duly adopted,as itdicated,by the shareholders of the corporation. In Witness RTermf, NESTERS SURETY COMPANY has caused these presents to be signed by its Vice Presideut and its corporate seal to be hereto affixed on this 13th day of June,2015. gy,tn..e WESTERN SURETY COMPANY wo�vo��\°e � �i i�SC n�r: • — / �F na� — ail T.RnnBaL Vice President State of South Dakota 55 County of MiMehaha On this I Sth day of Juno,2015.before me personally came Paul T.BmOal,to me known.who.being by me duly swum,did depose and say. that he resides in the City of Sioux Falls,Stale of South Dakota;that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument;that he knows the seal of said corporation;that the seal affixed to the said instrument is such corporate seal;that it was,so affixed punsuarn to authority given by the Board of Directors of said corporation and that he signed his name lereto pursuant to Id;e authority,and acknowledges same to be the act vd deed of said corporation. My commission ayucs �"""—•`-•`••"--�`- S.ET CH (\ Febmary 12.2021 "MO TM aMTA C(SW S.Eich.Notary Public CERTIFICATE 1, L.Nelson, Assistant Scaelary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in face,and further cmify Qat the By-law of the corporation Printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed affixed my name and axed the seal of the said corporation this day of APB 0 2 2021 WESTERN SURETY C0IMPANY =�voq,L\a o e;. jQ'M od^P L.Nelson.Assistant Secretary Form F423o-1-2012 Authorizing By-Law ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY This Power of Attorney is made mid r<ecuted pursuant to and by authority of the following By-Law duly adopted by the shareholders of the Company. Section 7. All bonds, policies, undertalangs, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary,and Assistant Secretary,Treasurer, or any Vice president, or by such other officers as the Romd of Directors may authorize. The President,any Vice President,Secretary,any Assistant Secretary,or the Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds,policies, or undertakings in the time of the Company The corporate seal is not necessary for the validity of any bonds, politics, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. I � t it i f co < S 7 QN z W t:♦'t ' t I ca p0 Z W V '��; ,� ♦ 10, oa f P cc ♦ �� 1 A I fA,j< jp I+. Z l: z U z U a �lLAa � V O Q LL m Z Z O O F- z ry O m Z a x x w m ❑ r u au mcA •� City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ Nv�Niv.huntingtonbeachca.gov �FB`U.❑0 �� Office of the City Clerk Robin Estanislau, City Clerk December 15, 2021 Vido Samarzich, Inc. 6829 Billings Place Rancho Cucamonga, CA 91701 RE: Alley Rehabilitation from Del Mar Lane to Graham Street — CC No. 1617 Enclosed please find your original bid bond for CC No. 1617. Sincerely, Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL. for the construction of M.I.E.Y RFAIABILITATION from Del Afar I n. to Graham St. CC No. 1617 in the CITY OF lliuvaINCION BE.NCll "10 "III[: IIONORABLF. MAYOR AND AlEMIMMS OF THE COUNCIL OF NUNTINGI'ON BF.ACIi: In compliance kith the Notice Inviting Sealed Bids. the undersigned hereby proposes and agrees to perform all the Work therein described. and to banish all labor. material. cyuipmcnt and incident insurance necessary therefor. in accordance with the Plans and Specifications on file in the office of the City Fnginecr of the Chy of Huntington Beach. The undersigned agrees to perform the Work therein to the satisfaction of and under the supervision of the City iingineer of the City of Huntington Beach. and to enter into a contract at the following prices. The undersigned agrees to complete the Work within 40 working days. starting from the date ofthe 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 ;Huard- BIDDI_.R agrees to enter into a contract with AGENCY at the unit and/Or lump sum prices set Bath in the following Bid Schedule. BIDDIT understands that Nilurc to enter into a contract in the manner and time prescrihed will result in kv-62iturc• to ACiLiNC'Y of the guaranty accompanying this proposal. BIDDER understands that a bid is required Air the entire Work. that the estimated yuantitics set forth in the Bid Schedule arc solely for the purpose of comp;oin, [)ids and that final compensation under the contract will be based upon the actual yuantitics of kork salislaclo6k completed. "FlIH MikNC'Y kI SI RVFS I lL RKil l'I" 'f0 Dl[I.I.,T ANY 1'1'1{ l I k0\9 '1-1II: CON'I kr\C'I It is agreed that the unit and/or lump SLAM price, hid include all appurtenant expanses. taxes. royalties. Iccs. etc.. and will be euar:uucc l lilt a period of sixt� days from the bid opening date. Ifat such time the contract is not awarded, the r\(TNcY kill r(ject all bids and \yill N-achertise the project. In the case of discrcpancics in the amount, hid. unit prices shall govern over extended amountn and words shall govern over ligures. C-I If awarded the Contract. the undersigned a.,rees that in the event of the BIDDIERS dclault in cXecuting the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGE'NCY's notice of award of contract to the BIDI)BR, 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 anunmt of to%ortotaibid whh ic said amount is not less than 10% of the aggregate of the total bid price. its required by the Notice Invitin Sealed Rids. payable to the AGENCY. (Please insert the words "Cash" "Certified Check". or "Bidder's Bond fcr_% ", as the case ntay be) Any standard Surety Bid Bond firm is acceptable. Bidder shall signity receipt ofall Addenda here. it'anv: Addeadu No. Dale Received Bidder's Si iralure C-2 ALLEY REHABILITATION, CC No. 1617 PROJECT BID SCHEDULE Item Contract ItiJ Item Description I nit frier uended \mount No. Quantih 1 I S4hihraoun IS occ. a0 per LS 2 1 Furnish Project Traffic Control is S 10 000.00 S 101000. 00 per I.S 3 700 1 ncla,,ified I %cueuuon t y S70.00 s y 9/ads. 00 per CY 4 916 (construct Concrete Alle) Gutter per Cit)Std.Plan 107. 1 F modified per Plan S 9 S 00 S '8 71 0't 0, 00 . 1wr I I S 400 Construct Type III-C3-P(i 64-10 Asphalt Concrete (casement TN (depth varies per Plan) S J 70.00 S At.000,yq 6 400 Crushed Miscellaneous Psasc pe C'Y S. SQ.O¢ S 3 000.00 7 J Furnish S Install Composite Manhole Riser with II.25 Rated LA Composite Manhole Frame and Cover(GMI Composite 2t" S LS00.00 S 10/ 000. 00 or cyual) per FA 8 700 (construct Concrete.Alley Appnwh per CnN Sul.Plan 211. SF modified per Plan(including adjacem Curb&Gutter per C'it S 30.00 S Z 1, Gov. o0 Sid.Plan 202.and Sidewalk per C'in Std.Plan 2071 per SF 9 1 Prepare Storm Water Pollution Prevention Plan LS S S 0+e.r6 S S aoo- 00 per LS 10 1 Pater Pollution Control IS s J o.te.0o s 3 0 / per I S I utal %mount laid in 1-iurev: S t NO. 00 V. Dina% %mount laid in %%ord,: -WifCr &f P -rHo4JAAi-b J t -] I 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 Fork to be done by such subcontractor. Bid .Fame and Address of State Class D/R Dollar % of Item(y) Subcontractor License Number Amount Contract Number 5 I s505 tArr uN.a�, 4vs1i1t0Y A t~ogtlf stcleo i6.,5 Q?ANGE cA 9aiPb5 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 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 oaorn 2i , at Covina , CA Dare city State Wo L. Samarcich being first duly sworn, deposes and says that he or she is Vice President of Vido Samarzieh, Inc. the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner. directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Vido Samarzich, Inc Name f Bidder y I / IJ Signature ofE%Udcf 6829 Billings Place. Rancho Cucamonga,CA 91701 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 ALLEY REHABILITATION, CC No. 1617. (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: .d person who, by reason oferperience or instruction, isfamiliar with the o1wration to he performed and the hazards imbived." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements. Public Utility Commission orders. and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned. and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Vido Samarzich, Inc. Contrac , /.- / By Vice President I itic Date:04/07/2021 C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Scction 10162. the Bidder shall complete, under penalty of perjury. the following questionnaire. QUESTIONNAIRE liits 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 governnunt project bCCatISC of a violation of law or a salety rcgulatiod' Ej Yes M No If the answer is yes. explain the circumstances in the space provided. Note This questionnaire constitutes a part of the Proposal. and a signature portion of the Proposal shall constitute signature of this questionnaire. C-G 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 I will comply with such provisions before commencing the performance of the work of this contract. Vido Samarzich, Inc. Contractor /J(, ,, u 11% Vice President l itle Date:04/07/2021 Ca BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Vido Samarzich, Inc. Bidder Name 6829 Billings Place Business Address Rancho Cucamonga CA 91701 City, stale Zip 909 ) 987-6377 vidosam@yahoo com Telephone Number Email Address 433210 Class A State Contractor's License No. and Class 12/31/1982 Original Date Issued 12/312022 Expiration Date The work site was inspected by Vido L. Samarzich of our office on April 6, 2021 The following are persons, firms,and corporations having a principal interest in this proposal: Vido Samarzich, Inc. Vido Samarzich-President Vido L. Samarzich-Vice President Monika Samarzich -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. Vido Samarzich, Inc. Comp r y Name I Z� I //I Signature off de Vido L Samarzich Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to bclorc me this day of . 201 A notary public or other oflicer completing this certificate verifies only the identity of' the individual who signed the document. to which this certificate is attached, and not the truthlLlness, accuracy, or validity ohthat document. State of ) County of ) On belore me. Nlonlh. Day. and Year Insert Name and Titic ol'Notary personally appeared Name(s) of'Siper(s) who proved to me on the basis of'satisfactory evidence to be the person(s) whose nantc(s) is/arc subscribed to the within instrument and acknowledecd to me that he/she/they CSCCalcd the same in his/her/their authorized capacity(ics). and that by his/her/their signature(s) on the instnunent the person(s), or the entity upon behall of which the person(s) acted, esccutecl the instrument. I ccrtifv under ITNALTY OF PLR.IURY Under the laws of the State of' California that the loregoing paragraph is if and correct. WITNESS my hand and official seal. Sienmure Signature of Notary Public (PLACI: NOTARY SEAL ABOV1 ) c-9 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 valift of that document. State of California County of Los Angeles ) On April 7, 2021 before me. Desmond G. Warren, Notary Public (insert name and title of the officer) personally appeared Vido L. Samarzich who proved to me on the basis of satisfactory evidence to be the personM whose named is/gce subscribed to the within instrument and acknowledged to me that helyke/t>--7 executed the same in his/per/}her authorized capacity(es), and that by his/berl(perr signatureysi on the instrument the personal, or the entity upon behalf of which the perso%aracled. 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 niiv=�EG MM N car.anos� WITNESS my hand and official seal Pown, .cC n, r,ww. c+r,.n„ s x„ Signature (Seal) BIDDER'S PROJECT HISTORY AND PUBLIC AGENCY REFERENCES hhc bidder shall provide information to demonstrate his/her past work experience on projects of similar (or greater) sire and scope of' the ALLF,Y RF11ABILITATION. CC No. 1617. Bidders nmv submit additional sheets. using the lornlat shown. to further demonstrate his/her history of similar work experience. Listed below are the names. address and telephone numbers for three public agencies ter which the bidder has perlormcd similar work within the past five years: City of Santa Ana-20 Civic Center Plaza, Santa Ana, CA 92702 N4une and Address of Public Anaov Nan1c and Phone # of,f\gcncv's Project klanaeer: Michael Ortiz- (714) 615-0892 Local Street Curb Rarnp Improvements $577,000 2020 Project Vane Contract rAnwunt Oatc Completed Detailed description ofbiddci's scope ollvork to demonstrate similar work experience: Concrete Work 2. City of Palm Springs-3200 E. Taquitz Canyon Rd, Palm Springs, CA 92262 Nance and Address of Public Aecncv Name and Phone a of Agcncv's Project Manager: Donn Uyeno - (760) 323-8253 Sidewalk Gap Closure Project S1,250,000 2020 Project Nan1c Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: Concrete Work 3. City of Rialto- 150 S. Palm Ave, Rialto, CA 92376 Name and Address of Public rA,_cncv Name and Phone i? of Agcncv's Project i\9anager: Fred Alipanah-(714)381-2410 Etiwanda Corridor Improvements Project $1,100,000 2020 Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: Concrete Work C-10 BIDDER'S CRITICAL STAFF The hidder shall provide inlbrmation to demonstrate that both the Consu'uction Project �Nlanager (office stall) and Construction Superintendent (field staff) proposed for ALLEY REHA131LITATION. CC No. 1617 have had similar work experience on at least 3 different projects within the past live vcars. The proposed critical staff members need not have been employed by the bidder at the time the referenced projects were completed. I. Vido Samarzich, Inc. Name of proposed Construction Project Mana�cr Phone g of proposcd Construction Project Manager: (626) 926-2216 Santa Ana - Local Street Curb Ramp Improvements - $577,000 - Concrete Work - 2020 Project Name K Contract Amount -1 ypc of Work Date Completed Palm Springs - Sidewalk Gap Closure Project - $1,250,000 - Concrete Work - 2020 Project Name K Contract Amount Type of-Work Date Completed Rialto - Etiwanda Corridor Improvements - $1,100,000 - Concrete Work - 2020 Project Name & Contract Amount "hype ofWork Date Completed Noe Tinajero N811C of proposcd Construction Superintendent Phone # ofproposcd Construction Superintendent: (951) 923-3050 Santa Ana - Local Street Curb Ramp Improvements - $577,000 - Concrete Work - 2020 1'roject Name fi Contract Amount 1'%pe of Work Date Completed Palm Springs - Sidewalk Gap Closure Project - $1,250,000 - Concrete Work - 2020 Project Name K Contract Amount I-N,pe of Work Date Completed Rialto - Etiwanda Corridor Improvements - $1,100,000 - Concrete Work - 2020 Project Namc K Contract Amount Type of Work Date Completed C-II CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.[(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://efiling.dir.ca.gov/PWCR/ActionServlet?action=displayP WCRegistrationForm DIR's Contractor Registration searchable database: htips://cfiling.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. furthermore will comply by providing proof of registration with DIR as the primary Contractor, as well as for ALL subcontractors at the time of submitting the bid. Vido Samarzich, Inc. Contractor 1/,B ) 1JJ vidosam@yahoo.com Email Vice President Title Date:04/07/2021 PWC Registration it: 1000013213 C-12 OLD REPUBLIC SURETY COMPANY BOND NO: VIDSA-2139 BID BOND KNOW ALL MEN BY THESE PRESENTS: That we, VIDO SAMARZICH, INC., (hereinafter called the Principal), and OLD REPUBLIC SURETY COMPANY , a corporation organized and doing business under and by virtue of the laws of the State of WISCONSIN, and duly licensed for the purpose of making, guaranteeing or becoming sole surety upon bonds or undertakings required or authorized by the laws of the State of CALIFORNIA, as Surety, are held and firmly bound unto CITY OF HUNTINGTON BEACH, hereinafter called the obligee) in the sum equal to 10% of the accompanying bid of the Principal, not, however, in excess of TEN PERCENT OF THE TOTAL AMOUNT OF THE BID Dollars (10% OF THE BID AMOUNT), for the payment of which, well and truly to be made, we hereby bind ourselves and our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT WHEREAS, the above bounden Principal as aforesaid, is about to hand in and submit to the obligee a bid for the ALLEY REHABILITATION FROM DEL MAR LN. TO GRAHAM ST., CC NO. 1617, in accordance with the plans and specifications filed in the office of the obligee and under the notice inviting proposals therefore. NOW, THEREFORE, if the bid or proposal of said principal shall be accepted, and the contract for such work be awarded to the principal thereupon by the said obligee, and said principal shall enter into a contract and bond for the completion of said work as required by law, then this obligation to be null and void, otherwise to be and remain in full force and effect. IN WITNESS WHEREOF, said principal and said Surety have caused these presents to be duly signed and sealed this 2ND day of APRIL, 2021. VIDO SAMARZI INC. BY: I — V I DO . A z a OLD-REPUBLIC SURETY COMPANY BY: tRANYOH tt ney-in-Fact OLD REPUBLIC SURETY COMPANY * * POWER OF ATTORNEY :. KNOW ALL MEN BY THESE PRESS\fS: That OLD REPUBLIC SURETY COMPANY,a Wisconsin stock insurance corporation,does make,constitute and .. - appoint: - RANDY SPOHN,MATTHEW R.DOBYNS,HAMILTON KENNEY,ASHLEY M.SPOHN,OF SANTA ANA,CA its we 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),bonds,undertakings,reeognizances or other written obligations in the nature thereof, (other than hail hoods,hank deposuon bonds,mortgage dcliciency bands,mortgage guaranty bonds.guamnleeS of installment paper:md note guaranty bonds,self-insurance workers - eompensalion bands guaranteeing payment of benefits,asbestos abatement contt=act bonds,waste management bends,hazardous waste cinedi;uion bonds - or black lung bonds), as follows: - ALL WRITTEN INSTRUMENTS and to bind OLD REPUBLIC SURE 1'Y COMPANY thereby,and all of the acts of said Attorneys-in-Facq pursuant to these presents,arc ratified and confirmed. 'Ibis appointment is made under and by authority ofthe board of directors at a special mecting held on February 18, 1982. This Power of Attomey is signed and, scaled by facsimile under,and by the authority of the following'resolutions adopted by the board of directors of the OLD REPUBLIC SURETY COMPAN Y'on - .. February 18, 1982. RESOLVED that,.the president,any Bice-president,or assisant vice president,in conjunction with the secretary or any assistant Sccretmy,May appoint ' attomeys-in-factor agents with authority as defined or limrtcd in the instrument evidencing the appointment in each case,for and on behalf of the company to execute and deliver and affix the scai'of the company to bonds,undertakings,recognizaitees,and suretyship obligatimis_of all kinds;and said officers may remove attome y-i an such n-fact or agent and revoke any Power of ARome previously a`Y ) g y } p y granted to such person. -- RESOLVED FURTIIER;that any bond,undertaking,recognizance,or suretyship obligation shall be valid and binding upon the Company (i)when signed by the president,anv vice president or assistant vice president,and attested and scaled(if a seal be required)by any secretary or assistant secretary;or . I I - (it)when signed by the president,any vice president or assistant vice president,secretary or assistant secretary,and countersigned andscaled(if a seal be required)by a duly authorized atiomey-in-fact or agent;or - (iii)when duly executed and sealed(ifa seal be required)by one or more attorneys-in-fact or agents pursuant to and within the limits ofthe authority evidenced by the Power of Attomey issued by y 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 - r certification there of authorizing the execution and delivery of any bond,undertaking,recognizance,or other suretyship obligations of the cumpanv; and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF,OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper ,oMeer,and its corporate sad to be , affixed this 21 ST day of SEPTEMBER,2020. OLD REPUBLIC SURELY-COMPANY -<.oe C)'.v�.SJ is n4.. � / W4 V `f y Assistant Secretary °{ $HAL .�F: Vo h STATE OF WISCONSIN,COUNTY OF WAUKESHA-SS •>•"•,..'.,. "� President On this 215T' day of SEPTEM BER,2020 personally came before me, Alan Pavlic and Karen J Haffner ,to me known to be the individuals and offers of the OLD REPUBLIC SUREIY COMPANY who executed the above instrument,and they each acknowledged the execution of the same,and being by me duly swom,did severally depose and say; that they are the said officers of the • corporation aforesaid,and that the seal affixed to the above instrument is the seal of the corpoation,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. r ptag` Notary Public My commission expires: 9Q3/2022 CERTIFICATE (Expiration of notary commission does not invalidate this Instrument) I,the undersigned,assistant secretary of the OLD REPUBLIC SURETY COMPANY,a Wisconsin 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 the board of directors set fonh in the Power of Attorney,are now in force. 74-7097 Signed and sealed at the City of Brookfield,Wl this grid davof April - 2021 ,1 SEAL ). ?c Assistant Secretary B.S.BONDING&INS AGENCY INC. '2851-W POAOM 012020 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 validit-Y of that document. State of CALIFORNIA County Of ORANGE On April 2nd, 2021 before me, ERIKA GUIDO, NOTARY PUBLIC, personally appeared RANDY SPOHN ® who proved to me on the basis of satisfactory evidence to be the persons) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/heF/theiF authorized capacity (ies), and that by his heF/thei signatureH 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 laws of the State of y ERIKAGUIDO 6 California that the foregoing paragraph is true and correct. o _ COMM.k 2190052 z WITNESS m hand and official seal. NOTARY PUBLIC CALIFORNIA o y ORANGE COUNTY Sl riy come.e+gres wy 5,2021 l 1�1 Signature of'N66t&ry y�7_ jF 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) z U �' �o s r cisp� ' Lc7 O i Q = i z � � P U - a y Z Pp rW K O LL � LL x a LL O V V a W Oz JQ A d V o O + U P ZU Z Q r Q Q m V d P Z W J Q l,J O K r City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ NN,�,w.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk December 15, 2021 Sequel Contractors, Inc. 13546 Imperial Ave. Santa Fe Springs, CA 90670 RE: Alley Rehabilitation from Del Mar Lane to Graham Street —CC No. 1617 Enclosed please find your original bid bond for CC No. 1617. Sincerely, Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand Sequel Contractors, Inc. SECTION C PROPOSAL for the construction of ALLEY REHABILITATION from Del Mar Ln. to Graham St. CC No. 1617 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 [lids, 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 40 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. 131DDLR 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 arc 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. T HF., AGF..NCY RESERVES ll lF 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 AGENCI` will reject all bids and will re-advertise the project. In the case of discrepancies in the amounts bid. unit prices shall govern over extended amounts, and words shall govern over ligures. C-1 Sequel Contractors, Inc. 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 AGL'NCY's notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may. at the AGENCY's option, be considered null and void. Accompanying this proposal of bid, find Bidders Bond in the amount of 10 % which said amount is not less than 10% of'the aggregate of the total bid price, as required by the Notice Inviting Scaled Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ". as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here. if any: Addenda No. Date Received Bidder's Signature C-2 ALLEY REHABILITATION, CC No. 1617 PROJECT 1311) SCHEDULE. Item Contract Bid Item Description Unit Price EstendeA Amount No. Quantih I I Mobilization 00 LS 510 Ut oO S_j-0-z0c0 per l"S 2 1 Furnish Pmjcct Irallic Control I.S s2}� s-2-,500 per I"S 3 700 Unclassified Escavution CY $ 10H s_Lz)800 per CY 4 916 Constnicl Concrete Alley Gutter per Cit% Std. Plan 107. 11 LF mudified per Plan $ q— 5 per LF L 5 400 Construct Ivpc III-C3-PG 64-10 Asphalt Concrete Pavement �_ .I.` (depth varies per Plan) 5 j3 .� 5 2 V7) g,]O per TN 6 400 Crushed Miscellaneous Ilmse CY s_45 - s 0 0 per CY 7 4 Furnish R Install Composite Manhole Riser with II-25 Rated 0, In FA C'omposile Manhole Prams and Cover(GMI Compsite 2601 55 050, 5 2C) 200. or equal) —� ? per FA X 700 Construct Concrete Alley Approach per Citq Sid. Plan 211. SF modified per Plan(including adjacent Curb& Gunter per C'i(} Sid. Plan 202.and Sidewalk per City Sid.Plan 207) --I" per SF 9 1 Prepare Stonn Water Pollution PrCeentlon Plan IS s2000 s 2,000 per IS 10 1 Water Pollution Control -7 1315, 13 op LS S _ S per I S 00 Total Amount Bid in Figures; 5 2 0 . :Fot ......................... vN. .. .eD....7U.WE1�-!`�.... T W....... L..............fir'......................... C-2.1 Sequel Contractors, Inc. 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 Dollar % of Ilem(s) Subcontractor License Number Amount Contract 1 Number p .''IMM'Alt12 GOACV. A `i 4a 22, a�o y , Lo '- II Nvl , -M`171 !` 10000%160 E{3S 93z-19S /� l00000 134s Quq�zn� ST. yzeb C- L1 L'DP-0tJ A, C-A Si\NCcfr1 131791 tp� I o/yo�o S�LS T E T Dr-- 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 Sequel Contractors. Inc 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 4/22l21 , at Santa Fe Springs California Date City State Thomas S Pack being first duly sworn, deposes and says that he or she is President of Sequel Contractors, Inc. 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. Sequel Contra o Inc 'dame of id r Signa Idder Thomas S Pack President 13546 Imperial Hwy. Santa Fe Springs California 90670 Address of Bidder C-4 Sequel Contractors, Inc. 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 ALLEY REHABILITATION, CC No. 1617, (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 tern "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. A tors, Inc. Thomas S Pack President I isle Date:4/22/21 C-5 Sequel Contractors, Inc. DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162. the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE I]as the Bidder. any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified. removed or otherwise prevented from bidding on or completing a Federal. State or local government project because of a violation of law or a safety regulation? ❑ Yes m No If the answer is yes. explain the circumstances in the space provided. n/a Note: This questionnaire constitutes a part of'the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. GG Sequel Contractors. Inc 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 I will comply with such provisions before commencing the performance of the work of this contract. Sequel Contr rs, Inc. Contracto 13% Thomas S Pack President I itic Date:3122/21 c -, Sequel Contractors, Inc BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Sequel Contractors, Inc Bidder Name 13546 Imperial Hwy. Business Address Santa Fe Springs . California 90670 City. State /ip 562 I 802-7227 Mike@sequelcontractors com Telephone Number Email Address 610600A State Contractor's License No. and Class 1131/91 Original Date Issued 1/31/23 Expiration Date 21 The work site was inspected by " "i 5 °" ° i01' of our office on 4/6 , 201. The following are persons, firms, and corporations having a principal interest in this proposal: Thomas S Pack President Abel Magallanes Vice President Michael A Mahler 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. Sequel ContrZonc. Cum 7 . gnat der Thomas S. Pack President Printed or Typed Signature C-8 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 tcX'afn>FY.c:(YX�-<SYc�a:GaYkX'c.'h:Gcy<C4Y(Y.GfC.CGfC-Cc.-f.'GYwY.CY1G<'cr.(YcfChY,a1CKCfaYaYIOCIDC.0 eCC 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 CaliforniaA 1 ) County of Lei N►.alcc ) On 41 before me, Daniel Bu3teme,4e, Notary PUM Date Here Insert Name and Title of the Officer personally appeared 1�ftyj is., Q.'I'tr P(tis:L"r e Name(s)of Signers) who proved to me on the basis of satisfactory evidence to be the person(o whose nameW is'am subscribed to the within instrument and acknowledged to me that he/$l;;i&Ut er executed the same in hisltaerrtb*0 authorized capacity('lee), and that by hisyheAtWirsignatureW on the instrument the person(si, 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. �=? DANIEL BUSTAMANTE WITNESS my hand and official seal. 21 COMM. #2349514 W NOTARY PUBLIC CAUN ORNIA • 4W �;y, lOSANG(LLSCOUNTY : Signature i•••.••n•••••r i��.•••�•i•�����t�..r��i•• Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages. Signer(s) Other Than Named Above: Capaeitypes) Claimed by Signers) 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: xcrcccsrescrcccccccccccczccY:cccccrcuczccccaccccccurcrccsxzrcccc�.a:rccccus:crcccrr.cca:cc:ccccc� 02016 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 SEQUEL CONTRACTORS, INC. ST. LIC A610600A 13546 IMPERIAL HWY SANTA FE SPRINGS, CA 90670 Fax (562) 802-7499 (562) 802-7227 Office ACTION BY UNAN[MOUS WRITTEN CONSENT OF THE BOARD OF DIRECTORS OF SEQUEL CONTRACTORS, INC. The undersigned being all of the Directors of SEQUEL CONTRATORS, INC. a California Corporation,do hereby take the following action by this written consent at a meeting of the Board of Directors held on April 4, 2019 in accordance with the Bylaws of the Corporation and the California Corporation Code. WHEREAS, the Board of Directors deems it advisable to authorize the officers of the Corporation. Abel Magallanes, Thomas S. Pack and Michael A. Mahler, respectively, to execute bid bonds on behalf of the Corporation with any agency, person, company or municipality; RESOLVED FURTHER, that Abel Magallanes, Thomas S. Pack and Michael A. Mahler are authorized to execute labor, material, and faithful performance bonds in connection with contracts to be entered into with any agency, person; company or municipality; RESOLVED FURTHER, that Abel Magallanes, Thomas S. Pack and Michael A. Mahler are authorized and directed to execute and deliver street improvement contracts and related agreements with any agency, person, company or municipality on such terms conditions as they deem advisable in their sole discretion; RESOLVED FURTHER, that Abel Magallanes, Thomas S. Pack and Michael A. Mahler be, and they hereby are authorized by their sole signatures on any document to bind this corporation to contract, bids, bonds, etc.; RESOLVED FURTHER, that Abel Magallanes, Thomas S. Pack and Michael A. Mahler be, and they hereby are authorized and directed to take any and all such other actions and execute such other documents as may be necessary or appropriate to carry out the purposes of the foregoing authorizations. In witness thereof, he undersigned Directors have executed this unanimous written consent to indicate this adoption of the s tt of the foregoing resolution and the action set forth therein. Dat : A k Thomas ac Abel Magallanes Director& President Director, Vice President & Assistant Secretary Mic ael A. Mahler Director& Secretary BIDDER'S PROJECT HISTORY AND PUBLIC AGENCY REFERENCES The bidder shall provide information to demonstrate his/her past work experience on projects of similar (or ereater) size and scope of' the ALLEY REHABILITATION, CC No. 1617. Bidders may submit additional sheets. using the format shown. to further demonstrate his/her history of similar work experience. 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. City of Montebello 1600 West Beverly Blvd. Montebello, CA 90640 Name and Address of Public Agency Name and Phone # of Agency's Projcct Manager: Hormoz Vahid (323 887-1200 Arroyo Street Improvements $984,215.00 12/20 Project Name Contract Amount Date Completed Detailed description of'bidder's scope of'work to demonstrate similar work experience: Asphalt and Concrete Improvements 2. Los Angeles County Department of Public Works 900 Fremont Ave. Alhambra, CA 91803 Name and Address of Public Agency Name and Phone # of Agency's Project ?Manager: Joel Zaragoza (626)458-5100 103rd Street Rehabilitation Project $2,395,473.00 3/21 Project Name Contract Amount Date Completed Detailed description of bidders scope of work to demonstrate similar work experience: Asphalt and Concrete Improvements 3. City of San Gabriel 425 South Mission Drive, San Gabriel CA 91776 Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Angela Chang (626) 308-2825 Annual Great Street Improvements Project $2,186,520.00 11120 Project Name Contract Amount Date Completed Detailed description of bidder's scope of%vork to demonstrate similar work experience: Asphalt and Concrete Improvements C-10 Sequel Contractors, Inc. BIDDER'S CRITICAL STAFF The bidder shall provide information to demonstrate that both the Construction Project Manager (office stall) and Construction Superintendent (field staff) proposed for ALLEY REIIABILITATION, CC No. 1617 have had similar work experience on at least 3 different projects within the past five years. The proposed critical staff members need not have been employed by the bidder at the time the referenced projects were completed. I. Daniel Bustamante Name of proposed Construction Project Manager Phone # of proposed Construction Project Manager. (562) 802-7227 103rd Street Rehabilitation Project $2,395,473.40 Asphalt and Concrete Improvements 12/20 Project Name & Contract Amount Type of Work Date Completed Peach Street Improvements and Le Sage Street and Water Improvements $1.712.264.12 Asphalt and Concrete Improvements 3/20 Project Name & Contract Amount Type of Work Date Completed Ila Soot ImeneC Imprpramani at R...Ba O.d one Bev"aaDe $l,zso.no.00 Asphalt and Concrete Improvements 7/20 Project Name & Contract Amount Type of Work Date Completed 2. Michael A. Mahler Name of proposed Construction Superintendent Phone . of proposed Construction Superintendent: (562) 802-7227 103rd Street Rehabilitation Project $2.395.473.40 Asphalt and Concrete Improvements 12/20 Project Name & Contract Amount Type of Work Date Completed Peach Street Improvements and Le Sage Street and Water Improvements $1.712,264.12 Asphalt and Concrete Improvements 3/20 Project Name & Contract Amount Type of Work Date Completed Hot Spot Intersection Improvement at Rosmead Boulevard and Beverly Boulevard $2,395,473.40 Asphalt and Concrete Improvements 7/20 Project Name & Contract Amount Type of Work Date Completed C-II 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 hups://efiling.dir.ca.gov/P WCR/ActionServlet?action=displayPWCRegistrationFortn DIR's Contractor Registration searchable database: https://cfiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.I(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." 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. Sequel CWctors,,*- Contracto 74 Y Mike@sequelcontractors corn Email Thomas S Pack President Title Date:4/22/21 PWC Registration #: 1000003521 C-12 Bond No. Bid Bond. BID BOND The American histitute of Architects, AIA Document No.A310(February, 1970 Edition) KNOW ALL MEN BY THESE PRESENTS,that we Sequel Contractors.Inc. as Principal hereinafter called the Principal,and Travelers Casualty and Surety Company of America a corporation duly organized under the laws of the state of Connecticut as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach as Obligee,hereinafter Called the Obligee,in the Smn 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, administrators,successors and assigns,jointly and severally, fuaily by these presents. WHEREAS,the Principal has submitted a bid for Alley Rehabilitation(CC No. 1617) NOW,THEREFORE, if the Obligce 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 Co¢tmct Documents with good and sufficient stnety for the faithful performance of such Colnaad and for the prompt payment of labor and material fiumshed in the prosecution thereof; or in the event of the failure of the Principal to enter such Commet 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 fora and effect. Signed and Sealed this 6th day of April ?Q21 Se u of to nc. �1mCSS ' By: _ Thomas ack, President n(y1 Travelers Casualty and Surety Company of America / Slaery (Seal) Wimess Dougla i A Rapp Adomey-in-Fact ORSC 21328(5/97) 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—L On 41112I before me, Daniel Bustamarte, Notary Public Date Here Insert Name and Title of the Officer personally appeared I1a,^_r_1" P�,.� Qom_.{( Names) of Signer(s) who proved to me on the basis of satisfactory evidence to be the personK whose nameid) is/;,O-- subscribed to the within instrument nand acknowledged to me that he/$a' dtl-�executed the same in his/F,er j +r authorized capacity((s , and that by his/Ler,'t signature( on the instrument the person(s}, or the entity upon behalf of which the persona} acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph �+n�nnn�+���n����+r��u������n+r���r♦ Is true and Correct. I ®r! DANIEL EUSTAMANTE WITNESS my hand and official seal. COMNi. t12349514NOTARY PUBLIC CALIFORNIAnLOS ANGELES COUNTY Signature d/ 6Aey Comm.E+pfres MARCH t,2025 Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: i! Corporate Officer — Title(s): - Corporate Officer — Title(s): ❑ Partner — ❑ Limited :D General _ Partner — ❑ Limited ❑General G Individual ❑ Attorney in Fact Individual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator Trustee G Guardian or Conservator ❑Other: Other: Signer Is Representing: Signer Is Representing: 02016 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 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 06, 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(It) whose name( is/are subscribed to the within instrument and acknowledged to me that he/e4e44" executed the same in his/4er,44& authorized capacity(iee,), and that by his'„efAkei signature(a) on the instrument the person(gj, or the entity upon behalf of which the persona) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. DEBRASWA,NSON w = _ COMM. # 2335630 A 3 =s' •o NOTARY PUBLIGCAUFORNLA X Ir ORANGE COUNTY N MY COMK EXP.NOV 70,2024 Signature �!\tN� 'hwZ�;r�lk�1 (Seal) Travelers Casualty and Surety Company of America AA` 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 duty organized under the laws of the State of Connecticut (herein collectively called the "Companies"),and that the Companies do hereby make,constitute and appoint Douglas A Rapp Of LADERA RANCH 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 17th day of January, 2019. o 'O �h•r�r State of Connecticuttf� ! 4 Fy: City of Hartford ss. Robert L.Rane enior Vice President On this the 17th day of January, 2019, 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 said Companies by himself as a duly authorized officer. •'`�'. IN WITNESS WHEREOF, I hereunto set my hand and official seal. .W fit: My Commission expires the 70th day of June,2021 r pp6�o Anna P.Nowik,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 Casualty 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 Attomeys-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 Attorneys-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 Attomeys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. 1, 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 6th day of April 2021 �rrwy,, ,yWE f L ��� � � CmOtrrl� �(✓ ��� rr Kevin E. Hughes,Assi tant Secretary ro verify the authenticity of this Power ofAttorney,please tail us at 1-800-421-3880. Please refer to the above-named Attorney-in-Fact and the details of the bond to which this Power of Attorney is attached \` `1 l �J �� \� / `�J �1 _ C. —� `1 � \ > �-/� 1, /� `�\ � \_\ c� /i C C, �� \�\ - \__; 1 �—. �� �_ �� J �� \ ` �� 1 \� ��_ � �^ �� s � � ��� J c — �l ��'�� '_ � V 'J � �� J l 1 y,. Yam` \� d , f,j j / ` � �' __ '-i _ . . '� �1 U J\ ��. �.� City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA92648 (714) 536-5227 ♦ 1vltitiv.huntingtonbeachca.gov FB Office of the City Clerk Robin Gstanislau, City Clerk December 15, 2021 Towo Enterprise, Inc. 2536 Fender Ave., Suite D Fullerton, CA 92831 RE: Alley Rehabilitation from Del Mar Lane to Graham Street —CC No. 1617 Enclosed please find your original bid bond for CC No. 1617. Sincerely, Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of ALLEY REHABILITATION from Del Mar Ln. to Graham St. CC No. 1617 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 Cit y. 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 40 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site. Plans. Specifications. Instructions to Bidders and all other contract documents. If' this proposal is accepted for award. BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire Work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses. taxes. royalties. fees, etc.. and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded. the AGENCY will reject all bids and will re-advertise the project. In the case of discrepancies in the amounts bid. unit prices shall govern over extended amounts. and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY's notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY's option, be considered null and void. Accompanying this proposal of bid, find Bidders Bond in the amount of to%of G.A.B 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: 4ddenda.\o. Dale Received Rid er'sSignature NIA NIA ( -2 ALLEY REHABILITATION, CC No. 1617 PROJECT BID SCHEDULE Item Contract Bid Item Description Unit Price Extended Amount No. Quantity 1 I Mobilization I-S $ 29,000.00 s 29,000.00 per LS, ? 1 Furnish Project T'raflic Control 1 S S 10,000.00 $ 10,000.00 per LS 3 700 Unclassified Fxcavation CY S 131.00 S 91,700.00 per CY 4 916 Construct Concrete Alley Gunter per Ciln Std.Plan 107. I I; modified per Plan S 40.00 S 36,640.00 per IJ' 5 .100 Construct Type III-C3-PG 64.10 Asphalt Concrete Pavement TN (depth varies per Plan) s 120.00 S 48,000.00 per'I N 6 400 Crushed Miscellaneous Base CY s 55.00 s 22,000.00 per CY 7 4 Furnish& Install Composite Manhole Riser kith 11-25 Rated 17 A Composite Manhole Frame and Co%er(GN❑Composite 260( S 5,500.00 S 22,000.00 or equal) per EA R 700 Construct Concrete Alley:Approach per Citv Std.Plan 211. SF modified per Plan(including adjacent Curb& Gutter per City S 40.00 S 28,000.00 Std.Plat 202.and Sidewalk per City Std.Plan 207) per SF 9 1 Prepare Storm Water Pollution Prevention Plan LS S 4,000.00 S 4,000.00 per LS 10 1 Water Pollution Control LS $ 5,000.00 s 5,000.00 per LS Total Amount Bid in Fi ures: S 296.340-00 Total Amount Bid in Mlords: Two Hundred Ninety-Six Thousand Three Hundred Forty Dollars and Zero Cents C-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater. and the portion of the Work to be done by such subcontractor. Bid Name and Address of State Class DIR Dollar % of Item(s) Subcontractor License Number Amount Contract Number #5 Prestige Paving Company C12 0 #6 1054 Railroad St 827632 A 000015267 $70,000.00 23.62/0 Corona, CA 92882 C-8 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 I declare under penalty of pedury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on04/16/211 at Fullerton , CA Date City State Yun Su Chung , being first duly swom, deposes and says that he or she is President of Towo Enterprise 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. Towo Enterprise Inc Name of Bidder Signature of Bi er 7244 Morning Hills Dr., Corona, CA 92880 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 ALLEY REHABILITATION, CC No. 1617, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Towo Enterprise Inc Contractor Yun Su Chung y. President Date: 04/16/2021 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 &(No If the answer is yes. explain the circumstances in the space provided. N/A Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each Contractor to whom a public works contract has been awarded shall sign the following certificate. 1 am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self-insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Towo Enterprise Inc Contractor Yun Su Chung _ R� President I itl� Date: 04/16/2021 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Towo Enterprise Inc Bidder Name 7244 Morning Hills Dr. Business Address Corona CA 92880 City, State /i p ( 714 ) 313-0909 luichung@towoenterprise.com Telephone Number Email Address 986567, A - General Engineering State Contractor's License No. and Class 09/06/2013 Original Date Issued 09/30/2021 Expiration Date The work site was inspected by Yun Su Chung of our office on April 13 2021 The following are persons, firms, and corporations having a principal interest in this proposal: Yun Su Chung, President Michael S. Song, Secretary Yun Su Chung, Treasurer Yun Su Chung, Manager 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. Towo Enterprise Inc Company Name Signature of Bidder Yun Su Chung Printed or Typed Signature C-8 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On April 16th, 2021 before me, Jeannie N. Mun, a Notary Public (insert name and title of the officer) personally appeared Yun Su Chung who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. JEANNIE N.MUN Notary Public-California Orange County E Commission C 2242054 z OMY Comm.Expires May 11,2022 Signature (Seal) BIDDER'S PROJECT HISTORY AND PUBLIC AGENCY REFERENCES The bidder shall provide information to demonstrate his/her past work experience on projects of similar (or greater) size and scope of the ALLEY REHABILITATION, CC No. 1617. Bidders may submit additional sheets. using the format shown, to further demonstrate his/her history of similar work experience. 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: Orange County Public Works, 601 N Ross St., Santa Ana, CA 92701 Name and Address of Public Agency Name and Phone # of Agency's Project Manager: Mansour Katany, 949-585-6428 OCPW Muth Amphitheater Renovations $60,000.00 December 4, 2020 Project Name Contract Amount Date Completed Detailed description of bidders scope of work to demonstrate similar work experience: Remove and Replace Concrete and Asphalt Rancho Santiago Community College District, 2323 N Broadway, Santa Ana, CA 92706 Name and Address of Public Agency Name and Phone # of Agency's Project Manager. Gustavo Ibarra, 626-476-1768 Santiago Canyon College-Barrier Removal-E. Chapman Entry Repairs $90,000.00 February 28, 2020 Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience: Sidewalk Remove and Replace, ADA, Cross Gutter �. Los Angeles County Development Authority, 700 West Main Street, Alhambra, CA 91801 Name and Address of Public Agencv Name and Phone # of Agency's Project Manager: Eric Chow, 626-437-4099 LACDA/Joc 39 Century&Wilton Site Improvements $70,000.00 May 31, 2019 Project Name Contract Amount Date Completed Detailed description of bidder's scope of work to demonstrate similar work experience. Sidewalk Remove and Replace C-10 BIDDER'S CRITICAL STAFF The bidder shall provide information to demonstrate that both the Construction Project Manager (office staft) and Construction Superintendent (field staff) proposed for ALLEY REHABILITATION, CC No. 1617 have had similar work experience on at least 3 different projects within the past five years. The proposed critical staff members need not have been employed by the bidder at the time the referenced projects were completed. Yun Su Chung Name ol'proposed Construction Project Manager Phone # of proposed Construction Project Manager: 714-313-0909 OCPW Muth Amphitheater $60,000.00 Remove and Replace December 4, 2020 Renovations Concrete and Asphalt Project Name & Contract Amount Type of Work Date Completed Santiago Canyon College - Barrier Removal - Sidewalk Remove and Replace, E. Chapman Entry Repairs $90,000.00 ADA, Cross Gutter February 28, 2020 Project Name & Contract Amount Type of Work Date Completed LADCA Joc 39 Century & Wilton Site Improvements $70,000.00 Sidewalk Remove and Replace May 31, 2019 Project Name & Contract Amount Type of Work Date Completed Jay Kim Name of proposed Construction Superintendent Phone H of proposed Construction Superintendent: 714-313-2095 OCPW Muth Amphitheater Remove and Replace Renovations $60,000.00 Concrete and Asphalt December 4, 2020 Project Name & Contract Amount Type of Work Date Completed Santiago Canyon College- Barrier Removal - Sidewalk Remove and Replace, E. Chapman Entry Repairs $90,000.00 ADA, Cross Gutter February 28, 2020 Project Name & Contract Amount Type of Work Date Completed LADCA Joc 39 Century & Wilton Site Improvements $70,000.00 Sidewalk Remove and Replace May 31, 2019 Project Name & Contract Amount Type of Work Date Completed C-II 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 W orks/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efrl ing.dir.ca.gov/P W CR/ActionServlet?action=displayP W CRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary Contractor, as well as for ALL subcontractors at the time of submitting the bid. Towo Enterprise Inc Contractor Yuri Su Chung (% By luichung@towoenter ise.com Email President Title Date: 04/16/2021 PWC Registration #: 1000041158 C-12 Bond No.: CMG800010453 e *A1 Document A310TM — 2010 Bid Bond CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status and principal place TOWO ENTERPRISE,INC. of business) 2536 Fender Ave., Suite D Argonaut Insurance Company This document has important legal Fullerton CA 92831 C/o CMGIA consequences.Consultation with 20335 Ventura Blvd., Suite 426 an attorney is encouraged with Woodland Hills, CA 91364 respect to its completion or modification. OWNER: Any singular reference to (Name, legal status and address) Contractor, Surety,Owner or City of Huntington Beach other parry shall be considered 2000 Main Street plural where applicable. Huntington Beach CA 92648 BOND AMOUNT: Ten Percent of Their Greatest Amount Bid ( 10% of G.A.B.) PROJECT: (Arame, location or address, and Project number, ifanj) Alley Rehabilitation from Del Mar Ln.to Graham St. CC No. 1617 The Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surety bind themselves,their heirs,executors.administrators, successors and assigns,jointly and severally,as provided herein.The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terns 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 fumished in the prosecution thereof,or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall to null and void,otherwise to remain in full force and effect.The Surety hereby waives arty notice of an agreement between the Otvrter and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time for acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty(60)days. If this Bond is issued in connection with a subcontractor's bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been fumished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished,the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 13th day of April , 2021 TOWO ENTERPRISE INC. (Principal) (Seal) (Witness) (ridelP.esi�.t Aryq aut Insure a Company (Witness) (fide) Ste�e Hope Shear,Attorney-in-tact CAUTION: You should sign an original AIA Contract Document,on which:his 1pzt appoars in RED.An original assures that changes will not be obscured. Init AIA Document A310"—2010.Copyright O 1963.1970 and 2010 by The American Institute of Arclutects.All rights reserved.WARNING:This AIA, Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA`Documont,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law. ( Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents.e-mad The American Institute of Archdects'legal counsel,copyright®aia.org. on"o 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 16th, 2021 before me, Jeannie N. Mun, a Notary Public (insert name and title of the officer) personally appeared Yun Su Chung who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. s� JEANNIE N.MUM Notary Public-California Oringe County je Commission r 2242054 My Comm.E,DI(es May 11,2022 Signature (Seal) Bond No.: CMGB00010453 Argonaut Insurance Company Deliveries Only: 225 W. Washington, 24th Floor Chicago, IL 60606 United States Postal Service: P.O. Box 469011, San Antonio, TX 78246 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the Argonaut Insurance Company,a Corporation duly organized and existing under the laws of the State of Illinois and having its principal office in the County of Cook,Illinois does hereby nominate,constitute and appoint: � Gabriella Grady.Shilo Lee Losino.Steohauic Hone Shear Elizabeth Santos Staccv an;in.Matthew IJ onisio Their true and lawful agent(s)and attomey(syin-fact,each in their separate capacity if more than one is named abo !0 make ecute,seal and deliver for and on its behalf as surety,and as its act and deed any and all bonds,contracts,agreements of indemnity and other.un i.dermkin;in sureryship provided, however,that the penal sum of any one such instrument executed hereunder shall not exceed the surn of C 515.0P�1 ,gL0.00 ' This Power of Anorney is granted and is signed and sealed under and by the authority of the follmsing Resolution adopted by the Board of Directors of Argonaut Insurance Company: "RESOLVED,That the President.Senior Vice President,Vice President,Assistant Vice Resids�Secretary,Treasurer and each of them hereby is authorized to execute powers of attorney,and such authority can be executed by use of facsimile signature,which may be attested or acknowledged by any officer or attomey,of the Company, qualifying the attorney or atiomc s named in the t p q fy g y ) given power of attorney,to execute in behalf of,and acknowledge as the act and deed of the Argonaut Insurance Company,all bond undertakings and contracts of suretyship,and to affix the corporate seal thereto." IN WITNESS WHEREOF,Argonaut Insurance Company has caused its o- f c,k seal to be hereunto affixed and these presents to be signed by its duly authorized officer on the 8th day of May,2017. I\{ ,J/\!} - .,, 1.•A••., Argonaut Insurance/yCompany 1SU 11 c . ` - °. ° s= �pp�Q�\? :_[:SEAL!;= bY: STATE OF TEXAS ..2�MO .. Joshua C.Betz, COUNTS'OF HARRIS SS: Senior Vice President On this 8th day of May,2017 A.D.,before me,allotary Public of the State of Texas,in and for the Couny of Harris,duly commissioned and qualified, came THE ABOVE OFFICER OjTFI�CO1r1PANY,M to me personally known to be the individual and officer described in,and who executed the preceding inswmen[,and he acknowledged the execution of same,and being by me duly swam,deposed and said that he is the officer of the said Company aforesaid,and that the sea4affixcd to the preceding instrument is be Corporate Seal of said Company,and the said Corporate Seal and his signature as officer were dul aBfxed and subscribed to the said instrument by the authority and direction of the said corporation,and[hat Resolution adopted by the Board of Directors of said Company,reRrred to in the preceding instrument is now in force. ,Y n� IN TESTIMONY WHEREOF,I have hereunto set my hand,and affixed my Official Seal at the County of Hams•the day and year first above written. FE[KS cr-r .. c;.'s-zc•t r' (Kmuy Public) o . ;na:.e 1,the undersigned Officer of the Argonaut Insurance Company,Illinois Corporation,do hereby certify that the original POWER OF ATTORNEY of which the foregoing is a full,we and count copy is still in full force and effect and has not been revoked. IN WITNESS WHEREOF,[have hereunto set my hand,and affixed the Seal of said Company,on the 13H1 day of APnI , 2021 .•t S.,••�SU Rqh,''. CF;..0. _ 'S SEAL ' [zd., tsae s: James Bluzard, Vice President-Swery r IF YOU HAVE QUESTIONS ON AUTHENTICITY OFTHIS DOCUMENT-CALL(833)820-913'. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 ./-�/-FN.?nN Msl`NNNNNY`Ml!-�NNN ^ 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 I OR ANGFI FS ) On APR 13 2021 before me, SHILO LEE LOSING, NOTARY PUBLIC Date _ Here Insert Name and Title of the Officer personally appeared STEPHANIE HOPE SHEAR Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the persons) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/shefthey 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 alifornia that the foregoing paragraph is true and cor a t. SHILO LEE LOSINO WITNESS my a nd official seal. v Notary Public-California iLas Angeles County is Commission A 2259919 Signature My Comm,Excium Oct 24.2022 Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑General ❑Individual ❑Attorney in Fact ❑Individual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: ��:�cc^>�rYe;�•��craz�.ec�:�.z.�a�z._ . �.use_zv-esccs��> �c�zxxz��zzxre 02014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY(1-800-B76-6827) Item #5907 C� ? 73, W Z W Q n = ti r-i O N O Z w a u O 1 = v O Z ~O } O m O aj Z H LL 0 o Q y O W o Q ~ � w I O / m = LL U LU Q U O {n Q W w w u p� m } Z LL I w O O J J W Q Z F— l! I- c = Z F c _ D m ry 2 LU a C a LL > Q V O J O i c W 3 c ~ H n V U I