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Home My WebLink AboutParsam Construction - 2021-09-07 (2) RECEIVED B CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) CITY OF HUNTINGTON BEACH z INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: 9/e�12 Z SUBJECT: Bond Acceptance I have received the bonds for (CWVWW Hama) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. 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. 4 319/1/ Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved �� 7 /Z (Cowx#Awmvw Da") CC No. Agenda Item No. MSC No. City Clerk Vault No. COO D. Sb Other No. SIRE System ID No. 'SjO0g?y7� g'torms/bond transmittal to treasurer CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION DATE: 5/2/2022 TO: THOSE LISTED HEREON FROM: Keegan Olds, PW Contract Administrator SUBJECT: Retention Release Payment - PO#27553 OJ Supplier#75075 Co. #507 Peck &Springdale Reservoir Facility Improvements, Project#CC 1590 Contractor's Name: Parsam Construction Inc Address: 3334 Barnes Circle City, State and Zip Code: Glendale, CA 91208 Phone Number: 818-236-3633 City Business License Number: A311238 Notice of Completion (Date by City Clerk): 3/15/2022 The conformed copy of the Notice of Completion for the above contract has been filed. The thirty-five (35) day waiting period has elapsed or will elapse before payment is made. Processing of the retention payment is recommended so long as no stop notices or outstanding invoices are on file with the City. I certify that no stop notices are on file. ate Sean Crum hector 01 Wo s I certify that there are no outstanding invoices on file.' Date I Joyce Zacl s, Deputy City Treasurer I certify that no stop notices are on file, and that a guaranty bond has been filed with the City yClerk's Office. ✓��a oaf �-�---w ��a�-�X�� Date Robin Estanislau, City Clerk S/04/22 0-k � Attachments � pro 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 VI of the Civil Rights Act and Equal Employment Opportunity Act of 1972 6. Consent for Release letter from the Surety Company f Recorded in Official Records, Orange County I Hugh Nguyen, Clerk-Recorder I IIIIIIIIfJ�ll�llllllll11111111 ill 11111 Jill 1111111111111111111 NO FEE + S R U 0 1 3 5 9 8 Y 2 2 $ + PLEASE COMPLETE THIS INFORMATION 2022000100523 9:04 am 03115122 i 371 RW10A N12 1 RECORDING REQUESTED BY: 0,00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 i 7 j I j WHEN RECORDED MAIL TO: i CITY OF HUNTINGTON BEACH i PUBLIC WORKS DEPARTMENT Attn:Keegan Olds t P.O.Box 190-2000 Main Street { Huntington Beach,CA 92640 i j THIS SPACE FOR RECORDER'S USE ONLY i TITLE OF DOCUMENT � NOTICE OF COMPLETION i i NOTICE IS HEREBY GIVEN by the City of Huntington Beach,owner In fee,2000 Main Street,Huntington Beach,CA 02648.that the contract heretofore awarded to Parsam Construction Inc,who was the company thereon for doing the following work to-wil: ! Pack A Springdale Reservoir Facility Improvements,Project s CC 1690 That said work was completed 03102/2022 by said company according to plans and specifications and to the satisfaction of the City Engineer of the City of Huntington Beach and that said work was accepted by the Director of Public Works on 03M212022,per City Coundl Resolution No.2003-70 adopted October 6,2003. I That upon sold contract North American Spocially Insurance Co,was surety for the bond given by the said company as required by law. I TNs document is solely for the official business of the City of Huntington Beach,as contemplated under Government Code Section 27383 and should be recorded free of charge. � Dlr .lo .c WOMB or Ciry Engmeer Date City of Huntington Beech,California STATE OF CALIFORNIA) County of Crange )as: City of Huntington Beech ) 4 1,the undersigned,say:I am an Agent of the City of Huntington Beach,owner In fee,In the foregoing NOTICE OF COMPLETION. I have read said NOTICE OF COMPLETION and know the contents thereof;the same is true cf my knowledge. 11 I deUere under penalty of perjury that the foregoing Is true and correct,and that said NOTICE OF COMPLETION was duty and regularly ordered to be recorded In the Ofltce of the County Recorder of Orange County. This document is solely the official business the City of Huntington Beach,as contemplated under Government code section 27383 end Dirc r o u uc Wo cs or City Engineer Date e. Ctly of Huntington Beach,California should be recorded free of chang I THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) {S I r I I VONSTARSAM —��Q�— CTION, INC. 3334 BARNES CIRCLE,GLENDALE,CA 91208 •TEL.: (818) 236-3633 • FAX: (818)236-3634 TRANSMITTAL LETTER April 14, 2022 Keegan Olds Contract Administrator City of Huntington Beach 2000 Main Street Huntington Beach. CA 92648 PROJECT NAME: Peck and Springdale Reservoir Facility Improvements Project No.: 1590 The following documents are included are included in this submittal OF • DATE DESCRIPTION 2 4/13/2022 Maintenance Bond z AS REQUESTED FOR REVIEW FOR APPROVAL Remarks If you have any questions. please feel free to contact the undersigned at (818) 236-3633. Respectfully Submitted. /s/Arpineh Hovanessian Arpineh Hovanessian, Office/ Contracts Manager CC: FILE April 14, 2022 EXECUTED IN DUPLICATE BOND NO. 2321635 PREMIUM INCLUDED IN PERFORMANCE BOND MAINTENANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: That PARSAM CONSTRUCTION INC. (contractors name) 3334 BARNES CIRCLE GLENDALE CA 91208 (contractors street address,city and slate and zip code) as Principal (hereinafter called Contractor),and: NORTH AMERICAN SPECIALTY INSURANCE COMPANY (surety's name) 777 SOUTH FIGUEROA STREET SUITE 3700 LOS ANGELES,CA 90017 (surety's street address, city and state and zip code) a corporation organized and existing under the laws of the State of NEW HAMPSHIRE with its principal office in the City of NEW HAMPSHIRE as Surety(hereinafter called Surety), are held firmly bound unto CITY OF HUNTIINNGTOONS� BEACH as Obligee (hereinafter called Owner), in the amount of EI v€oUR THpOU5A,I&THREE HUNDRED Dollars ($ 54367.68 ), equivalent to the entire contraEcttENamVoOu6nBtl including all orders, for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators, successors,and assigns,jointly and severally,firmly by these presents, WHEREAS, Surety is a duly admitted surety insurer under the laws of the State of California;and Surety is certified and listed in the U.S. Department of the Treasury Circular 570, and able to provide proof of bonding limitation shown in said circular is sufficient to provide bonds in the amount required by said Contract; and Surety has provided financial strength ratings from reputable companies, such as from A.M. Best, Moody's, Standard 8 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 SEPTEMBER 7 , 20 a+,entered into a contract with Owner for the PECK AND SPRINGDALE FACILITY IMPROVEMENTS 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 Contractors obligations during the one-year period with a bond executed by a surety duly admitted in the state of California; and The Contract has been completed, and the Owner, Contractor and Surety agree that the commencement date for this Guarantee and Bond shall be MARCH 12 . 2022, NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that if Contractor shall, for a period of one year from and after the date of completion and acceptance of the Contract by Owner, repair and/or replace any and all defects arising in the Work, whether resulting from defective materials or defective workmanship, then this obligation shall be null and void; otherwise it will remain in full force and effect. The Surety hereby waives notice of any alteration or extension of time made by the Owner. Whenever Contractor shall be, and declared by Owner to be in default under the Contract, the Surety shall, within thirty (30) days following Owners written notice of default, either: (a) remedy the default, or (b) shall promptly complete the Contract in accordance with its terms and conditions. Surety shall save the Owner harmless from any claims, judgments, liens or losses arising from the Surety's failure to either remedy the default or to complete the Contract in accordance with its terms and conditions in a timely manner. 154584/113138 1 Whenever the Pnncipa shall be, and declared by the Owner to be in default under the Contract, which shall include without Imitator any breach or default of the Contract, then, after written notice from the Owner to the Surety. as provided for below, the Surety shall either (a)remedy the default or breach by the Principal,or(b) shall promptly and faithfully take charge of the Work and complete the Work in accordance with the requirements of the Contract with a contractor other than the Principal,at its own expense, and make available as work progresses sufficient funds to pay the cost of completion less the unpaid balance of the Contract including other costs and damages for which the surety may be liable hereunder, provided however, that the procedure by which the Surety undertakes to discharge its obligations under this Bond shall be subject to the advance written approval of the Owner Within thirty (30) days after Suretys receipt of a written notice from Owner of the failure of performance of the Contract by the Principal, it shall tie 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 stale 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 ansmg from Surety's actions or failure to ad and liquidated damages (or 1 no liquidated damages are specified in the Contract, actual damages caused by delayed performance or non-performance by the Principal) The Surety shall give prompt written notice to the Owner upon completion of the cure or remedy of the Principal's defauh(s)of its performance of the Contrail. 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 sha;1 be deemed to be in default on this bond, and the Owner shalt 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 12TH day of APRIL 2022 Principal Raised Corporate Seal PARSAM CONSTRUCTION, INC. [MUST BE AFFIXED] (Contractor Name) By (Seal) Principal Raised Corporate Seal Arbil 401rareSSio.4 [MUST BE AFFIXED] Rrr l f l cez- (Title) NORTH AMERICAN SPECIALTY INSURANCE COMPANY (Surety Name) By - :Shag MARK O IATAROIA.ATTORNEY-i%. -FACT APPROVED AS TCO�61RM By. NOTES Michael E. Ga es, City Attomey Arkrowleogments must be compieled and returned 1 t as par.of the bond 2 Raised Co'pon+.e Seals are mandatory 3 Please attacr Power of Attorney 1 5 4 594/11 8138 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document State of California County of SAN DIEGO On 4/12/2022 before me, TRACY LYNN RODRIGUEZ, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared SANDRA FIGUEROA Nome(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s)whose name(Q is/aFe-subscribed to the within instrument and acknowledged to me that iu/she/they executed the same in bk/her/Mreir authorized capacity(ies), and that by-hisfherkheiF slgnature(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 TRACY LYNN RODRIGUEZ laws of the State of California that the foregoing COMM02319838 SAN paragraph is true and correct. NDIE DIEGOCCUN COUNTY NOTARY PUBLICLAUFORNIAZ MY COMMISSION EXPIRES WITNESS my hand and official seal. JANUARY 11.2024 Signature VeLt Ir' Place Notary Seal and/or Stamp Above Si to NdQ>Publk 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: CapachWies)Clalmed by Signer(s) Signer's Name: SANDRA FIGUEROA Signer's Name: ❑ Corporate Officer-Titie(s): ❑ Corporate Officer - Title(s): ❑ Partner- D Limited ❑ General ❑ Partner- ❑ Limited ❑ General ❑ Individual m Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee D Guardian of Conservator ❑ Trustee ❑ Guardian of Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: 02017 National Notary Association SWISS RE CORPORATE: SOLUTIONS NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY WESI'PORT INSURANCE CORPORATION GENERAL POWER OF ATTORNEY KNOW AU,MEN BY T[ESE PRESENTS.TI IA'h North American Specialty Insurance Company, a corporation duly organized and gist ing under laws of the State of New Hampshire.and having its principal office in the City of Kansas City. Missouri and Washington International Insurance Company a corporal ion organized and existing under the laws of the State of New I Iannpsh ire and having its pri nc 1pal office in file City of Kansas Cite, Missouri,and Westport Insurance Corporation,or�•alined under the Imes of the Stale of Missouri,and having its principal office in the Gt of Kifnsas City. (Missouri, each does hereby make constinlle and appoint: JOEIN G. MALONEY, I IELEN MALONEY, SANDRA FIGUI�;ROA, MARK 1). IATAROLA, JESSICA SCI1MAL, and'I'RACY LYNN RODRIGUI'.Z JOIYI'LY OR SHVI:RALLY Its true and lawful Attomev(s)-in-Pact.to make,execute.seal and deliver, for and on its behalf and as its act and deed.bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surely. on contracts of suretyship as are or may be required or permitted by lane,regulation.contract or otherwise. provided that no hood or undertaking or contract or suretyship executed under this authority shall exceed the amount of. ONE HUNDRED TWENTY FIVE MILLION(S125,000,000.00)DOLLARS '['his Power of Auorncy is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of North American Specialty Insurance Company and Washington International insurance Company at meetings duly called and held on March 24,2000 and Westport Insurance Corporation M' written consent of its ESCCmtI\C Committee dated July 18, 2011. "USOLVED,that any two of the President,any Senior Vice President.any Vice President,any Assistant Vice President. the Secretary or anv Assistant Sec«fary be.and each or anv of them hereby is authorized to execute a Power of Attorney qualil)•ing the auornev named in file given Power of Attorney to execute on hchall of the Company bonds,undertakings and all contracts of surety•and that each or arty 01'them hereby is authorized to attest to the execution of any such Po(vcr of Attorney and to attach therein the seal of the Company: and it is FURTHER RESOLVED. that the signature of such officers and the seal of the Company nay be of f ixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such Gcsimile signatures or facsimile srd shall be binding upon the Compam•when so affixe(I and in file future with regard to any bond.undertaking or contract of surety to which it is attached •�ECaL>Y� p(t0`U liv S*iib ljE.V�y 1tR,�;'`oAPoi( BG�r. su.rnP.Anaer.nn.Senior vice Prnidenl or w..elePmn lmrrn,lbn.l haunt..Co.,.., t [C..f^5{'. j 22 SEAL ';X Asrninrvla rrnmenl nfxarle nmednn sped.u,hour....eumP.n� Seek,yin Pro idrm or weapon lour.... forpuoeoo 'O ' i •�:x `f'.... *.Je -'-.. ..�,t+ Zit. .. f:eiY J.mssn.,lemur win Pmidem of\1'uNinRlon lnurnaional lmmmnre Compaq •�..... F acne-r ere Preode orsnrm Amedn spedmo Inrnr.nce Comp.q S Senior vicemwnlpunm I a por.lion IN WITNESS WHEREOF. North American Specialty Insurance Company, Washington International Insurance Company and Westport Insurance Corporation have caused their oflicial seals to be hereunto affixed.and these presents to be signed by their aathori-zcd otTcers[his this 1201 day of November , 20 21 North American Specialty Insurance Company Washington International Insurance Company State of,Illinois Westport Insurance Corporation Count\of-cook SS: On this 12th day of Noycmber . 20 21, before fine,a Notary I'uhlic personally appeared Steven P. Anderson , Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation and Erik Janssens Senior Vice['resident of Washington international Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation- personally known to one. who being by one duly sworn, acknowledged that they signed the above Pourer of Attorney as ollicers of and acknowledged said instrument to be the volunmry act and deed of their respective companies. vASMIN A.PniEl %/ K�7�uiX/�` ��Cu OPTIC IAI SEAL _ ✓// C! nary Pvt4[.An.oI Nina. u♦Cnm fin F.pbq u.,re�ro» Yxsmm A. Patel,Notary I.Jelliev Goldberg,the duly elected Senior Vice President and Assistant Secretary of North American Specialty Insurance Compan\, Washington International Insurance Company and Westport Insurance Corporation do hercbv certil*v that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Compam\. Washington International Insurance Company and Westport Insurance Corporation which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 12111 day of APRIL 70 22 mraey(iomnny,senior vme renidem.e A..i.I..,Snrn.�.;ofw.:hinp ci Imernmion.I mlonnn(-",pony x s-nh Amednn shninlly m.-nn.e C-rap.ny A rn Peeddenl.c A1d11.m Sme.n.r wnlgm ln1-nnre C-epoe.u-n i 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 i Contract: 159D Project: Beek aPa The undersigned contractor on the above-referenced project ('Project') hereby certifies that all laborers; mechanics; apprentices, trainees, watchmen and guards employed by him or by any subcontractor performing work under the contract for the Project have been paid pursuant to the minimum wage and bona fide fringe benefit requirements specified for each particular classification of work, as set forth in the wage-rate determinations of the State of California, Department of Industrial Relations, and/or the United States Department of labor. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this day of Nlcir�h 20 2'Z_, at C-)l lr California. �Gt_ q m CAY1 str., (Contractor Name) APPROVED ' -1"Ol 170 Bv: Mrty ael E. Gates Attomey 1 CONTRACTOR'S CERTIFICATE i I. LY L- nV 1GS5iCAn state and certify that: (.lame of Declarant) 1 _WC. is the a neral contractor to the City of Huntington Beach ("City") on Contract No. 1 59cp (the "Contract') for the construction of the public work of improvement entitled: cK CArnd S,p^ dct.le Ftu l i --7�12r-nvif M Ot Z, (the"Project"). _. All work to be performed pursuant to the Contract has been completed in accordance with the Contract Documents (as such tern is defined in the Contract). 3. Except for the claims listed below and the disputed claims listed in paragraph live (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"): j_M,IIu - 1q 4 5 CReirx fiitn) 7y�_�inc to _S f�Qili✓�q �`135 . (Pa n}pp3, fjcicn+sC%I•LC�oz) 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. 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"). WO(Y, I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at C-t lery k-e C A on this —tom daffy o�ffNae-ch 20 22 . (SiKr rrur f Declarant) APPROVED AS _r(ORN4 ` MichaehE. Gates City/torney t Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 To: City of Huntington Beach Department of Public Works 2000 I4ain Street/P.O. Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 Contract: � p Project: tewiri-(t}-,-,— SYn�mV2vrl Cn Yl S 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 day of_tn(AriLI , 20 22 , at Etl� California. (Grsam crcn / (Cunrrucfur Name.) APPROVED FPPM By. (� Vlic cl E. Gates Ci , Attorney 1 EXECUTED IN DUPLICATE BOND NO 2321635 OWNER ❑ CONSENT OF SURETY ARCHn-ECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ Conforms with the American Institute of SURETY ❑X Architects, AIA Document G707 OTHER ❑ TO OWNER. CITY OF HUNTINGTON BEACH ARCHITECT'S PROJECT NO.: Marrc wW aJdn»r 2000 MAIN STREET HUNTINGTON BEACH. CA 92648 CONIRACTFOR: PROJECT. PECK AND SPRINGDALE CONTRACT DATED: FACILITY IMPROVEMENTS In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the /burn non,n,d admen a/Sarey/ NORTH AMERICAN SPECIALTY INSURANCE COMPANY 777 SOUTH FIGUEROA STREET, SUITE 3700 LOS ANGELES. CA 90017 SURETY, on bond of oven mm�e and odL,r,of. .ininxr-.n PARSAM CONSTRUCTION, INC. 3334 BARNES CIRCLE GLENDALE. CA 91208 ,CONTRACTOR hereby approves of the foul payment to the Contractor,and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to r7v,n nun,and odmeu o/Ornery CITY OF HUNTINGTON BEACH 2000 MAIN STREET HUNTINGTON BEACH, CA 92648 OWNER, as set forth in said Surety's bond TN WITNESS WI IEREOF,the Surety has hereunto set its hand on this date: APRIL 25. 2022 Qruen n wnn,yr rh,month Jorlo.ed by the nunen dry onJ yea,� NORTH AMERICAN SPECIALTY INSURANCE COMPANY (S Iy) BY: lqk�— 6 rslgnanve of wlhurud,rprrnnlunve 1 Attest (Seal) MARK D. IATAROLA,ATTORNEY-IN-FACT 'Pnl d r,unr urul wk) S-21WGEEF 10101 FRP CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 O.".000"o poet 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 Callfomia County of SAN DIEGO On 4/25/2022 before me, SANDRA FIGUEROA. NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared MARK D. IATAROLA Names)of Signers) who proved to me on the basis of satisfactory evidence to be the person(s)whose name(6)is/are subscribed to the within Instrument and acknowledged to me that he)eheO"executed the same in hisAverft,& authorized capacfty(lei),and that by his/hen4heir signature(s)on the instrument the persons), or the entity upon behalf of which the person(g)acted,executed the Instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing SANDRA FIGUEROA paragraph is true and correct. COMM.r 2334108 z SAN D COUNTY NOTARY PUBLIC-CALIFORNIA WITNESS my hand and official seal. QQ C-CALIFORNIA MY COMMISSION EXPIRES SEPTEMBER 22,2024 Signature Ploee Notary Seal and/or Stamp Above Signature of N ary 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: Capecit"es) Claimed by Signers) Signer's Name: MARK D. IATAROLA Signer's Name: ❑Corporate Officer - TiUe(s): ❑ Corporate Officer - Title(s): ❑ Partner- ❑ Limited ❑ General O Partner- ❑ Limited O General ❑ Individual 19 Attomey In Fact O Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian of Conservator ❑ Trustee ❑ Guardian of Conservator ❑ Other. ❑ Other. Signer is Representing: Signer Is Representing: 02017 National Notary Association SWISS RE CORPORATE,SOLU7'10NS NORTH ANiERICAN SPECIALTY INSURANCE COMPANY W'ASHINGTON INTERNATIONAL INSURANCE COMPANY WESTPORT INSURANCE CORPORATION GENERAL POWER OF ATTORNEY KNOW ALL MEN [IN' H IFSE PRESENTS,IIIA'I'North American Specialty Insurance Company.a corporation duly organized and existing under laws ul the State of New Hampshire,and haying its principal office in the City of Kansas City.Mi>umri and Washington International Insurance Company a corporation organized mid existing under the la\as of the State of New I Imnpshire and having its principal office ire the Cit of Kansas Cm.Missouri.and Westport Insurance Corporation,organized under the laws of the State nl'Missouri,and having its principal office in the City of Kansas City.Missouri.each dues hereby'make constitute and appoint: JOHN G. MALONEY. HELEN MALONEY. SANDRA FIGUEROA. MARK D. IATAROLA.JESSICA SCHMAL. and IRACy INNSRODRIGIJU JOIVTINOR SEVERALLY Its true and lawful Anomec'(.,)-in-Fact.to make,execute,seal and deliver, fur and on its behalf and as its act and dad.bonds or other writings ohligaton'in the nature of a bond on hehalfuf each of said Companies.as surety,on contracts of suretyship as are or only be required or pemnitted by law,regulation.contract or olhen%isc.provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the anuatut Of. ONE I IUNDRED'1'WENTY FIVE MILLION(S125.000,000,00)DOLLARS this Po"cr of Attorney is granted and is signed by facsimile under mad by the authority of the tblloteing Resolutions adopted by the Boards of Directors of North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on March 24.2000 and Westport Insurance Corporation by written consent of its lixecutive Committee dated July 18, 201 I. RFSOLVIiD,that any two of the President.any Senior Vice President,am'Vice President.am'Assistant Vice['resident. the Secretary or ay Assistant Secretan'be,and each or any of them hereby is authorized to execute a Power nl Auumey qualifying the attorney named in the given Po\cer of Auomey to execute on behalf of the Company'bonds,undertakings and all contracts ul'surety.and that each or mhy of them hereby is authorized to attest to the execution of any such Power of Auolne.v and to attach therein the seal of the Company: and it is FIJRTHIiR RESOLVED.that the signature ot'such officers mid the seal of the Company'may he affixed to any such Po\%cr of Attomcy or to any' certificate relating thereto by facsimile and any such Po\yer of Altomey or certificate fearing such Iacsiniile signatures or facsimile seal shall be binding upon the Company when see affixed mid in the future with regard Io any bboo od.undertaking or contract of surety it)\\'hick it is attached" C cvarr p` ��lPtiorru ` y � `ptiItIJQ;,'y;y}, 14}'L�ELPO% wSG Slnen P.,\nd—re.Snin,Nice lic-drnl of"ohicie lnurnuin..[lmunnre COmpao. $: 5�4Le' Aarmorviceerm4le.Ie(xnnnxmninnSpni.11l1....ece,cemwn• ( "' a i ;Ty �E .� 64wr\'ice P.eudme awnlpeel I—or,nee l:oryeralion Y.ri4 Jawem.feeler Vitt PmbmlO/wMinDOn lnlemauonY lmunntt Canpan, y �a d ynier\ur Prnidm,O(]On0 Ann—S,mcblh Imanar C'a.p.m AS—le,\an Pomd-1 art Wolper(Imurantt Coryonnm IN %VTI NP.SS%V11FREOF.North American Specialty Insurance Company.Washington International Insurance Compam'and Westport Insurance Corporation have caused their official seals to be hereunto affixed.mid these presents to be signed by their authorized otlicers this this 12th day of November .20 21 .North American Specialty Insurance Compam Washington International Insurance Company State of Illinois Westport Insurance Corporation County of Cook ss: On this 12th day of November .20_I.b etbre file.a Notary'Public persnalh'appeared Steven 1'.Anderson .Senior'Vice President of Washington International Insurance Company and Senior Vice President(if North American Specialty Insurance C'onipEny and Senior Vice President of Westport Insurance Corporation and Iirik Janssens Senior Vice President of Washington International Insurance Company and Senior%'ice['resident of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation, personally known m Inc. who being by nnc duly'swum,acknowledged that they signed the above No,er of Auomev as officers of and acknowledged said instrument to he die voluntary'act and deed of their respective companies. / 1ASMIN1.e4E1 OIRCIALSGL NOIYr IueYa.S�.1.e1114M1 M.eeTT,.rOe E.pn.. M..it.2023 Yasmin A. PatcL Notan' 1,Jet7re\ CklWberg,the duly elected Senior Vice President and Assistant Secretary of North American Specialty'Insurance Company.Washington International Insurance Company and Westport Insurance Corporation do hereby certify that the above and lieregoing is a true and correct copy of a Po\yer of Auumey'given by said North American Specialt Insurance Company'.Washington International Insurance Company'and Westport Insurance(Orporulion W'hieh is still ire full lbrc'c and cllcet. IN WITNESS 111IIiREUF. I hayc sct tan'hand mid affixed the seals ofthe Companies this 25th day of APRIL ,20 2_ term(loldEo S.Svuu\'nc Pfmlhnl A.\unLvn SecrrW%ur Nhdnei,lm In4mLmny Insmare Comps•h North Anccmc lSputall•lsculanc CompamsV—Prmdml s A.oelun SmovL of M'nlpml Inauiut Corpinum RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) 'j ,Me CITY OF HUNTINGTON BEACH IOU INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: S-/--7/2 Z SUBJECT: Bond Acceptance I have received the bonds for (��rSl a-)--)SlYUG�)dYu 11-Lo . (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. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved �� 4 (Council Approval Date) CC No. ��D Agendam No. MSC No. City Clerk Vault No. Other No. SIRE System ID No. 51OO8S�y7- 9Jformstbond transmittal to treasurer Recorded in Official Records, Orange County Hugh Nguyen, Clerk-Recorder yy III�I �� IIIII� �III��I � � �II�� IILIII� IIE �II NO FEE • s 3 0 0 1 s s 9 8 9 2 2 1 PLEASE COMPLETE THIS INFORMATION 2022000100523 9:04 am 03/15122 1 371 RW10A N12 1 i RECORDING REQUESTED BY: 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 I WHEN RECORDED MAIL TO: CITY OF HUNTINGTON BEACH PUBLIC WORKS DEPARTMENT Attn: Keegan Olds P.O.Box 190-2000 Main Street I Huntington Beach,CA 92648 I THIS SPACE FOR RECORDER'S USE ONLY TITLE OF DOCUMENT NOTICE OF COMPLETION i NOTICE IS HEREBY GIVEN by Inc City of Huntington Beach,owner in fee,2000 Main Street, Huntington Beach,CA 92648,that the contract heretofore awarded to Parsom Construction Inc,who was the company thereon for doing the following work to-wit: i Peck A Springdale Reservoir Facility Improvements,Project R CC 1590 That sold work was completed 03/02/2022 by said company according to plans and specifications and to the satisfaction of the City Engineer of the City of Huntington Beach and that said work was accepted by the Director of Public Works on 03/0212022,per City Council Resolution No.2003-70 adopted October 6,2003. i i That upon said contract North American Specialty Insurance Co,was surety for the bond given by the said company as required by law. This document is solely for the official business of the City of Huntington Beach,as contemplated under Government Code Section 1 27383 and should be recorded free of charge. �j f Dlretto is We s or City Engineer Date City of Huntington Beach,California STATE OF CALIFORNIA) County of Orange )as: f City of Huntington Beach ) ! I I,the undersigned,say:I am an Agent of the City of Huntington Beach,owner in fee,in the foregoing NOTICE OF COMPLETION. I have read said NOTICE OF COMPLETION and know the contents thereof;the same is true of my knowledge. i I declare under penalty of perjury that the foregoing is true and correct,and that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded In the Office of the County Recorder of Orange County. This document Is solely the official business o1 n I the City o1 Huntington Beach, as contemplated JU Z/ `3A1/?Z under Government code section 27383 and Dire r o u is Wo-rR5 or City Engineer D tom— { should be recorded free of charge. City of Huntington Beach,California z I I THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION 1 (Additional recording fee applies) j f i i RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to .. City Clerk's Office (Flame) after signing dating (Date) ', , aT CITY OF HUNTINGTON BEACH Z INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: 11 //P I? I SUBJECT: Bond Acceptance I have received the bonds for P/►r_Frfnt l ( o7s k-0e-h(r)t. y �/ �C.- ( Y fin) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. a3o2�(03S Payment Bond (Labor and Materials) Bond No. 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 n Re: Tract No. Approved (Council AWr"Doli CC No. Agenda Item No. ^)/— &-/ MSC No. City Clerk Vault No. e�OCILI. Other No. SIRE System ID No. .SIODSXy gAormsfbond transmittal to treasurer CC ND. /5` 0 CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND PARSAM CONSTRUCTION FOR PECK AND SPRINGDALE FACILITY IMPROVEMENTS 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 PARSAM CONSTRUCTION , 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 Peck and Springdale Facility Improvements in the City of Huntington Beach; and CONTRACTOR has been selected to perform said services, NOW, THEREFORE, in consideration of the promises and agreements hereinafter made and exchanged the parties covenant and agree as follows: 1. STATEMENT OF WORK: ACCEPTANCE OF RISK CONTRACTOR shall complete and construct the PROJECT pursuant to this Agreement and the Contract Documents (as hereinafter defined) and furnish, at its own cost and expense, all labor, plans, tools, equipment, supplies, transportation, utilities and all other items, services and facilities necessary to complete and construct the PROJECT in a good and workmanlike manner. CONTRACTOR agrees to fully assume the risk of all loss or damage arising out of the nature of the PROJECT, during its progress or prior to acceptance by CITY, from the action of the elements, from any unforeseen difficulties which may arise or be encountered in the I 16.5195/City Funded Construction Contract.docx -revised 04/2016 prosecution of work, and for all other risks of any description in connection with the work, including, but not limited to, all expenses incurred by or in consequence of' the suspension or discontinuance of work, except such as are herein expressly stipulated to be borne by CITY, and for well and faithfully completing the work within the stipulated time and in the manner shown and described in this Agreement, and in accordance with the requirements of CITY for the compensation set forth in the accepted bid proposal. 2. ACCEPTANCE OF CONDITIONS OF WORK: PLANS AND SPECIFICATIONS CONTRACTOR acknowledges that it is fully familiar with all the terms, conditions and obligations of this Agreement and the Contract Documents (as defined below in this Section). has inspected the location of the job site, and the conditions under which the work is to be performed, and that it enters into this Agreement based upon its thorough investigation of all such matters and is relying in no way upon any opinions or representations of CITY. It is agreed that the Contract Documents are incorporated into this Agreement by this reference.. with the same force and effect as if the same were set forth at length herein, and that CONTRACTOR and its subcontractors, if any, shall be bound by the Contract Documents insofar as they relate in pan 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: 16-5 195/City Funded Construction Contract.docx—revised 04/2016 D. The edition of Standard Specyications for Public Works Construction. published by Builderti 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 Five Hundred Fifteen Thousand Dollars as set forth in the Contract Documents, to be paid as provided in this Agreement. 4. COMMENCI:MENTOPPROJECT 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 Fort 4U_J 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 fumished under this Agreement unless and until a Notice to Proceed has been given to CONTRACTOR by CITY. CITY does not warrant that the work will be available on the date the Notice to Proceed is issued. In the event of a delay in commencement of the work due to unavailability of the job site, for any reason, relief to CONTRACTOR shall be limited to a time extension equal to the delay due to such unavailability. 5 16-5195/City Funded Construction Contract.docx—revised 04/2016 8. BONDS Only bonds issued by California admitted sureties will be accepted. CONTRACTOR shall, prior to its performance of this Agreement, flurnish 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 (I) 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.doex—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. if. 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 (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 clue to CONTRACTOR hereunder. CONTRACTOR will be granted an extension of time and will not be assessed damages for any portion of the delay in the completion of the work due to unforeseeable causes beyond the control and without the fault or negligence of CONTRACTOR, including, but not limited to, acts of God or of the public enemy, fire, floods, epidemics, quarantine restrictions, strikes, unsuitable weather. or delays of subcontractors due to such causes. CONTRACTOR shall, within fifteen (15) days from the beginning of any such delay (unless DPW shall grant a further period of time), notify DPW in writing of the cause of the 7 16-5195/City Funded Construction Contract.docx—revised 04/2016 delay and CITY shall extend the time for completing the work if, in its judgment, the findings of fact thereon justify the delay; and the decision of D13W 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 filteen (15) days of the commencement of such delay. No claims for additional compensation or damages for delays, irrespective of the cause thereof, and including without limitation the furnishing of materials by CITY or delays by other contractors or subcontractors will be allowed and an extension of time for completion shall be the sole remedy of CONTRACTOR. 12. DEMANDS FOR ADDITIONAL TIME OR MONEY. A. Definitions. (1) "Change Order" means a document signed by the CONTRACTOR and CITY which authorizes an addition, deletion or revision in the work, or an adjustment in the Compensation under Section 3, or the Completion Time specified at Section 4. (2) "Demand" means a written demand for a Change Order by the CONTRACTOR for any of the following: (a) A time extension; s 16-5195/City funded Construction Contract.docx—revised 04/2016 (b) Payment of money or damages arising from work done by, or on behalf of, the CONTRACTOR pursuant to this Agreement and payment of which is not expressly permitted pursuant to Section 3 of this Agreement; (c) Payment of an amount the CITY disputes; (d) Any disputes and other matters relating to the acceptability of the work performed or the interpretation of the Contract Documents; (e) A request for a time extension or additional payment based upon differing site conditions, such as subsurface or latent physical conditions at the job site differing materially from those indicated in this Agreement or the Contract Documents. or unknown physical conditions at the job site, of an unusual nature, differing materially from those ordinarily encountered and generally recognized as inherent to work of the PROJECT; or (I) 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 it Change Order. C. No Change Order may be granted except where the Contractor has submitted a Demand to the DPW (or his or her written designee). All Demands shall be submitted promptly, but in no event later than thirty (30) days after the occurrence of the event giving rise to the Demand. The Demand shall be in writing and include all documents necessary to substantiate the Demand. The DPW shall act on the Demand within fifteen (15) days after receipt, including by requesting additional information from the CONTRACTOR to determine whether to approve the Change Order the Demand seeks. The DPW shall act on the Demand within fifteen (15) days 9 16-5 195/City Funded Construction Contract.docx—revised 04/2016 after receipt of the additional information or within a period of time no greater than the time the CONTRACTOR took to produce the additional information requested, whichever is greater. D. Notwithstanding the thirty (30) days to submit a Demand under Subparagraph C, in the case of differing or unknown site conditions, immediately upon cncounterine the conditions, CONTRACTOR shall notify the DPW in writing of the conditions, so that the CITY may promptly investigate the conditions- E. If the CONTRACTOR disputes the DPW's written response on the Demand, or the CITY fails to respond within the time prescribed, the CONTRACTOR may so notify the City Engineer, in writing,either within fifteen (15) days of receipt of the City Engineer's response or within fifteen (15) days of the DPW's failure to respond within the time prescribed. respectively, and request an informal conference to meet and confer for settlement of the Demand. Upon the CONTRACTOR's request, the DPW shall schedule a meet and confer conference within thirty (30) days to seek to resolve. F. CITY and CONTRACTOR shall execute appropriate Change Orders covering changes to the time or price by executing the Change Order by mutual agreement. If the CITY and CONTRACTOR are unable to reach a mutual agreement, then the City Engineer shall issue a written decision on the claim within a reasonable time. G. Following the meet and confer conference, if' the Demand remains in dispute, the CONTRACTOR may file a claim with the City as provided in Chapter 1 (commencing with Section 900) and Chapter 2 (commencing with Section 910) of Part 3 of Division 3.6 of Title I of the Goverment Code. For purposes of those provisions, the running of the period of time within which a claim must be filed shall be lolled from the time the CONTRACTOR submits his 10 16-5195/City funded Construction Contract.docx—revised 04/2016 or her Demand until the Demand is denied as a result of the meet and confer process, including any period of time utilized by the meet and confer process. 13. VARIATIONS IN ESTIMATED QUANTITIES The quantities listed in the bid schedule will not govern final payment. Payment to CONTRACTOR will be made only for the actual quantities of contract items used in construction of the PROJECT, in accordance with the plans and specifications. Upon completion of the PROJECT, if the actual quantities used are either more than or less than the quantities listed in the bid schedule, the bid price shall prevail subject to the provisions of this Section. DPW may, at its sole discretion, when warranted by the facts and circumstances, order an equitable adjustment, upwards or downwards, in payment to CONTRACTOR where the actual quantities used in construction of the PROJECT are in variation to the quantities listed in the bid schedule. No claim by CONTRACTOR for an equitable adjustment in price or time for completion shall be allowed if asserted after final payment under this Agreement. If the quantity variation is such as to cause an increase in the time necessary for completion, DPW shall ascertain the facts and circumstances and make such adjustment for extending the completion date as in its sole judgment the findings warrant. 14. PROGRESS PAYMENTS Each month DPW will make an estimate in writing of the work performed by CONTRACTOR and the value thereof. From each progress estimate, five percent (5%) will be deducted and retained by CITY and the remainder of the progress estimate, less the amount of all previous payments since commencement of the work, will be paid to CONTRACTOR. When CONTRACTOR has, in the judgment of DPW, faithfully executed fifty percent (50%) or more of the value of the work as determined from the bid schedule, and if DPW finds that satisfactory progress has been and is being made, CONTRACTOR may be paid such II 16-5195/City Funded Construction Contract.docx—revised 04/2016 sum as will bring the payments of each month up to one hundred percent (100%) of the value of the work completed since the commencement of the PROJECT,as determined in its sole discretion by DPW, less all previous payments and less all previous retained amounts. CITY's final payment to CONTRACTOR, if unencumbered, or any part thereof unencumbered, shall be made thirty-five (35) days after the acceptance of the work and the filing of a Notice of Completion by CITY. Provided, however, that in the event of 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 Linder the terms of this Agreement. 16. AFFIDAVITS OF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall file with DPW its affidavit stating that all workers and persons employed, all firms supplying materials and all subcontractors working upon the PROJECT have been paid in full and that there are no claims outstanding against the PROJECT for either labor or material, except certain items, if any, to be set forth in CONTRACTOR's affidavit covering disputed claims, 12 16-5195/City Funded Construction Contract-docx— revised 04/2016 or items in connection with Notices to Withhold. which have been tiled 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 cacti craft or type of work needed to execute this Agreement, and the same has been set forth by resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code. CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code, CONTRACTOR shall, as penalty to CITY, forfeit twenty-five dollars (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 sey, 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 18 L3, CONTRACTOR shall, as a penalty to CITY. forfeit twenty-five dollars (S25) for each worker employed hereunder by CONTRACTOR or any subcontractor for each calendar day during which such worker is required or permitted to work more than eight (8) hours in any one 14 16-5195/City Funded Construction Contract.docx—revised 04/2016 (t) calendar day or forty (40) hours in any one(I) calendar week in violation of California Labor Code Section 1815. 20. PAYMENT OF TRAVEL AND SUBSISTENCE ALLOWANCE Section 1773.8 of the California Labor Code, regarding the payment of travel and subsistence allowance is applicable to this PROJECT. 21. EMPLOYMENT OF APPRENTICES Section 1777.5 of the California Labor Code, regarding the employment of apprentices is applicable to this PROJECT. 22. PAYROLL RECORDS CONTRACTOR agrees to keep accurate payroll record showing the name, address, social security number, work classification, straight time and overtime hours worked each day and week, and the actual per diem wages paid to each journeyman, apprentice or worker employed by it in connection with the PROJECT and agrees to require each of its subcontractors to do the same. CONTRACTOR further agrees that its payroll records and those of its subcontractors, if any, shall be available at all reasonable times to the CITY, and the employee or his representative, and the Division of Labor Standards Enforcement and the Division of Apprenticeship Standards, and to comply with all of the provisions of Califomia 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.doex —revised 04/2016 arising directly or indirectly out of the obligations or operations herein undertaken by CONTRACTOR, caused in whole or in part by any negligent act or omission of the CONTRACTOR, any subcontractors, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, including but not limited to concurrent active or passive negligence, except where caused by the active negligence, sole negligence, or willful misconduct of the CITY, its officers, elected or appointed officials, employees, agents, and volunteers. CONTRACTOR will conduct all defense at its sole cost and expense and CITY shall approve selection of CONTRACTOR's counsel. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by CONTRACTOR. 24. WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE Pursuant to California Labor Code Section 1361. 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 pertormance of the work hereunder. CONTRACTOR shall obtain and furnish to Citv workers' compensation and employer's liability insurance in an amount of not less than the State statutory limits. CONTRACTOR shall require all subcontractors to provide such workers' compensation and employer's liability insurance for all of the subcontractors' employees. CONTRACTOR shall furnish to CITY a certificate of waiver of subrogation under the terms of the workers' compensation and employer's liability insurance and CONTRACTOR shall similarly require all subcontractors to waive subrogation. 16 16-5195/City Funded Construction Contract.docx—revised 04/2016 25. INSURANCE In addition to the workers' compensation and employer's liability insurance and CONTRACTOR's covenant to defend, hold harmless and indemnity CITY, CONTRACTOR shall obtain and famish 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 (51.000,000) 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 Panics") 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 sclf'-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 Panics. All coverage available to CONTRACTOR shall also be available to the Additionally Insured Panics. Under no circumstances shall said above-mentioned insurance contain a self-insured retention without the express written consent of CITY; however an insurance policy "deductible" of Five Thousand Dollars (55,000.00) is permitted. CONTRACTOR shall be responsible for causing all Subcontractors to maintain the same types and limits of insurance coverage as that required of CONTRACTOR by this Agreement. 17 16-5195/City Funded Construction Contract.docx—revised 0412016 26. CERTIFICATES OF INSURANCE; ADDITIONAL INSURED ENDORSEMENTS Prior to commencing performance of the work hereunder, CONTRACTOR shall furnish to CITY certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverages as required by this Agreement: the certificates shall: 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 hcreinabove 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 tiled with CITY or a court ofcontpetentjurisdiction which arises out of performance of this agreement within ten (10) days of receipt of such claim or claims. IS 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 tenninate this Agreement. Unless the violation is cured within ten (10)days after such Notice of Intention has been served on CONTRACTOR, CITY may,. without prejudice to any other remedy it may have, terminate this Agreement upon the expiration of that time. Upon such default by CONTRACTOR. CITY may elect not to terminate this Agreement; in such event CITY may make good the deficiency in which the default consists and deduct the resulting costs from the progress payments then or to become due to CONTRACTOR. If it is subsequently determined by a court of competent jurisdiction that CITY's termination of this Agreement under this Section was wrongful, such termination shall be converted to a termination for convenience under Section 29 and any damages shall be assessed as set forth in Section 29. 29. TERMINATION FOR CONVENIENCE CITY may terminate this Agreement for convenience at any time with or without cause, and whether or not PROJECT is fully complete upon seven (7) calendar days written notice to CONTRACTOR. In the event of termination, under this Section CITY shall pay CONTRACTOR for value of work in place on the PROJECT through the termination period less all such payments already made. In case of such termination for convenience, the CONTRACTOR shall be entitled to receive payment for work executed, and costs incurred by reason of such termination. In no event shall CONTRACTOR be entitled to recover overhead, profit or CONTRACTOR's fee on work not performed. Such payment by CITY shall be CONTRACTOR's 19 16-5 195/City Funded Construction Contraet.docx—revised 04/2016 sole and exclusive remedy for termination by CITY for its convenience and CITY shall have no further obligation to CONTRACTOR. 30. DISPOSITION OF PLANS, ESTIMATES AND OTHER DOCUML--NTS 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. NONASSIGNA131LITY CONTRACTOR shall not sell, assign, transfer, convey or encumber this Agreement,or any part hereof,or any right or duty created herein. without the prior written consent of'CITY and the surety. 32. CITY EMPLOYEES AND OFFICIALS CONTRACTOR shall employ no CITY official nor any regular CITY employee in the work performed pursuant to this Agreement. No officer or employee of CITY shall have any financial interest in this Agreement in violation of the California Government Code. 33. STOP NOTICES: RECOVERY OF ADMINISTRATIVE COSTS CITY shall be entitled to all reasonable administrative costs and necessary disbursements arising out of the processing of Stop Notices, Notices to Withhold, or any similar legal document. This obligation shall be provided for in the labor and materials payment bond required of CONTRACTOR. CITY may charge an administrative fee of One Hundred Dollars ($100) for every Stop Notice filed in excess of two(2), regardless of whether or not CITY is named in an action to enforce such stop notices. CITY may set off any unreimbursed cost or expense so incurred against any sum or sums owed by CITY to CONTRACTOR under this Agreement. 20 16-5195/City Funded Construction Contract.docx—revised(A/2016 34. NOTICES Any notices. certificates, or other communications hereunder shall be given either by personal delivery to CONTRACTOR's agent (as designated in Section 1 hereinabove) or to CITY as the situation shall warrant, or by enclosing the same in a sealed envelope, postage prepaid, and depositing the same in the United States Postal Service, to the addresses specified below; provided that CITY and CONTRACTOR may designate different addresses to which subsequent notices. certificates or other communications will be sent by notifying the other party via personal delivery, reputable overnight carrier or U. S. certified mail-return receipt requested: TO CITY: TO CONTRACTOR: City of Huntington Beach PARSAM CONSTRUCTION ATTN:Keegan Olds Public Works ATTN: Aren Hovanessian 2000 Main Street 3334 Barnes Circle Huntington Beach, CA 92W Glendale, CA 91208 35. SECTION HEADINGS The titles, captions, section. paragraph and subject headings, and descriptive phrases at the beginning of the various sections in this Agreement arc 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 Constnietion Contract.docx—revised 04/2016 36. IMMIGRATION CONTRACTOR shall be responsible for full compliance with the immigration and naturalization laws of the United States and shall, in particular, comply with the provisions of United States Code Section 1324a regarding employment verification. 37. LEGAL SERVICES SUI3CONTRACTING 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. 34. ATTORNEY'S FEES In the event suit is brought by either party to construe. interpret and/or enforce the terms and/or provisions of'this Agreement or to secure the performance hereof, each party shall bear its own attorney's fees, such that the prevailing party shall not be entitled to recover its attorney's Pecs 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 covenantor provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the 22 16-5195/City Funded Construction Contract-docx—revised 04/2016 context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act contrary to law, and wherever there is any conflict between any provision contained herein and any present or future statute, law, ordinance or regulation contrary to which the parties have no right to contract, then the latter shall prevail, and the provision of this Agreement which is hereby affected shall be curtailed and limited only to the extent necessary to bring it within the requirements of the law. 40. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of California. 41. DUPLICATE ORIGINAL The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals, each of which so executed shall, irrespective of the date of its execution and delivery, be deemed an original. Each duplicate original shall be deemed an original instrument as against any party who has signed it. 42. CONSENT Where curs consent/approval is required under this Agreement, its consent/approval for one transaction or event shall not be deemed to be consent/approval to any subsequent occurrence of the same or any other transaction or event. 43. SURVIVAL Terms and conditions of this Agreement, which by their sense and context survive the expiration or termination of this Agreement shall so survive. 44. MODIFICATION No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties. 23 16-5 195/City Funded Construction Contract.docx—revised 04/2016 � • J 45. SIGNATORIES Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify CITY fully for any injuries or damages to CITY in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. 46. ENTIRETY" The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive arm's length negotiation, and that each has had the opportunity to consult with legal counsel prior to executing this Agreement. The parties also acknowledge and agree that no representations, inducements, promises, agreements or warranties, oral or otherwise, have been made by that party or anyone acting on that party's behalf, which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement, promise, agreement, warranty, fact or circumstance not expressly set forth in this Agreement. This Agreement, and the attached Exhibit "A", contain the entire agreement between the parties respecting the subject matter of this Agreement, and supersede all prior understandings and agreements whether oral or in writing between the parties respecting the subject matter hereof. 24 16-5195/City Funded Construction Contract.docx—revised 04/2016 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers on $r pfCrylbi , 20 21 CIE CONTRACTOR: CITY OF HUNTINGTON BEACH,a municipal corporation ftheStateofCalifornia By: v�pvd �QrSGrlia✓1 ayor (print name) ITS: Chai sident ice-President City Clerk (circle one) INITIA AND PROV AND By: / Director of Publi orks f4Yea'1 1'[DVAY1c55 iGlt�l (print name) REVIEWED AND APPROVED: ITS: Secretary Chief Financial Officer / Asst. Secretary/Treasurer 11 (circle one) City Manager APPROV M: City Attorney. 25 16.5195/City Funded Construction Contract.docx-revised 0412016 SECTION C PROPOSAL for the construction of Peck and Springdale Facility Improvements CC No. 1590 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 with Work after materials are procured. 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, ctc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govem over figures. C-I If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice.of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may,at the AGENCY'S option, he considered null and void. Accompanying this proposal of bid,find t9iddrf's brr� in the amount of Lo% of 'whieh� said amount is not less than 101/o 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 forts% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Dare Recdved Bidder's Signature 1 2 5- 7 202.1 C-z SECTION C PROJECT BID SCHEDULE A PECK AND SPRINGDALE FACILITY IMPROVEMENTS CC-15" BID ITEMS Deaerip M Quantity Unit Unit Cost Total Coat (Extension) 1 Mobilization and Demobilization 1 LS $1S,000 - $2.5000 - 2 Site Demolition Work 1 LS $15,000 - $3S,0 0p - 3 New Micro Mesh Chain Link Fence 1 LS $213 000- $213 000 - 4 New Barbed Wire Fence Top over Existing CMU Wall and $yg 000 - $ 000 - Access Gates 1 LS r 5 Electrical Conduits,Junction Boxes,and Fittings LS $111%000 - $11t pot — Base Lump Sum (includes all other work that is not included in the above Bid 5i s OQO ` Items but is required to be completed as part of the project) $ TOTAL BID AMOUNT (BASIS OF AWARD FOR SUM OF ITEMS 1-5)— S I S 0 SCHEDULE A s p0 TOTAL BID AMOUNT IN WORDS: Five H,,4t.d F,k�4.,,, T�,t ,0 4 0014,0 Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or S10,000, whichever is greater, and the portion of the work to be done by such suhcontractor. Bid .Name and Address of State Clam DIR P%l'C Dollar % of Item(s) Subcontractor License Registrations Amount Contract Number rj p.0 !or 4oVt3y 73oa%,b C 10 l00000747� 4154 He+Pe.�lk, �.A 9I)IoD 3 cj Y.o• _7051e �_yt I00000zboS S2�o1�61- t� S�, CA 11065- C 31 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 famished 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 A' •11 , at _C4 Date City State kr-yI Egon-'sn Y) being first duly sworn, deposes and says that he or she is NMIDEficr! oflbrcmm (nrisrrueFinri. zrr. 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. ?nrcn4n ��,p(,]S-IYIIc'fin/1__ 'DY'• Name of Bidder 41� Signaidy of Bidder 33a4 52rr-L r.r. . Rknr4,ie cA 912bg 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 Peck and Springdale Facility Improvements,(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 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. [pf Snrrt �sy)S1 r1A Ct 1 oPl.SY1C Contractor A4rt�vnne/mid n By yPf office,( Title Date: 6• 3p.2a21 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 Emo If the answer is yes, explain the circumstances in the space provided. NIA Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-i 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 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. �if.Y](Yl (znzt MC.ti0n 1c• Contractor AT-en NoVA✓ti e c5ia.� //��J� By �— %JP'I 1);fi crf Title Date: lc•30. 2D21 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: �.�11rY1 C�'1S•traC'tlOPl , 171G Bidder Name 3334 Rnrries Ur. Business Address Ale( rirxlt, c_A 4i2.nR City, State Zip (81$ ) 2.,-N0•21a33 �n.cem 3'��enl.r nr, �ar mcorp.c n. Telephone Number Email Address 5185 State Contractor's License No. and Class b- I - tctn Original Date Issued l2 .31 -2021 Expiration Date The work site was inspected by A�rn Amnrit4din✓1 of our office on la.1:;.20 2) 201 The following are persons, firms, and corporations having a principal interest in this proposal: FGkward ^'itc'hsenlan -CED lhra 4loynv��,Sie r1 - V�P�oFf�rrf The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, fmancially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. 1�1j[,Sam tAYl�d-n�c�t7oll, �Yl C Company Name SignatuicA Bidder k1mcl 4oyoLr1G SS i 0.p _ V fll n icrr Printed or Typed Signature C-It NOTARY CERTIFICATE Subscribed and sworn to before me this 41 day of --JZ/L 202/ . A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness,accuracy, or validity of that document. State of County of before me, �7 rA/r/ ///�� T -Month, Day, and Year Insert Name and 11t1c of Not6 personally appeared 6rco ova:;:1 r-* i 2.&I 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. SAM SOO KI OOIRMV ��cauF Los ANGELES COUN Signature \\\ N �i Signature of Notary"Public (PLACE NOTARY SEAL ABOVE) CA Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of perimeter fencing improvements, barbed wire security fencing and/or retrofitting, electrical conduit, pull boxes, and miscellaneous electrical improvements. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: I• CiE4 of NorvriYt ; 12— NDMyatk ghd. Nnrw Ik CA goi,w Name and Address of Public Agency Name and Telephone No. of Project Manager: V c4-13 l �}•tllwt,n _ rh,7 . 9zq • 5-1 2 "Oklir- Contract Amount T of Work Date Completed Provide additional project description to show similar work: /�O.00O sf faan� tii nd�•�1ied[�tctn.ni/N ,..1et11� S9nryn d2�nacs�-� z. c I-- • 9/Zo4P Name Ad Address of Public Agency Name and Telephone No. of Project Manager: ,4-r hP4 ECao�m; 416.MQ CzncP m,m sle6 RenrjLbt+er] 12. 1 )IQ Contract Amount Type of ork Date Completed Provide additional project description to show similar work: iM rnJewltw'1F inclul.n e�nn.0jr.A -FloonrJ CAnCWChr- 3. C .fv WE Baths e-lrj ILAnG TnaxtuA Avc. 13c%k..rsheld CA Q33�1 Name and Address of Public Agency Name and Telephone No. of Project Manager: W j I 1 i&AY1 14/1yFetf 1 Ojai -qrY) . 12a3 Contract Amount T of Work Date Completed Provide additional project description to show similar work: fe-i rho r .--J un 4G ryn lfl !i ytr.1. r _-kLS C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions,please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. . A_ gDJQtr1CS5 i ax-I Name of proposed Project Manager Telephone No. of proposed Project Manager: 3-71 •-Z!J! 5 tFll�,l� 20 Project Name & Contract Amount Type of Work Date Completed tI,5M,= ' Project Name& Contract Amount Type of Work Date Completed f� L+39,000 " N t Il Pro ct Name & Contra t Amount Type of Worle Date Completed 2. Vrcl !4i'tryanim) NameW proposed Superintendent Telephone No. of proposed Superintendent: LP`A Q • L4 53(, TA" Project Name & Contract Amount Type of Work Date Completed ?695e. 2 Trn.,�bm rlu+„e-�yz" - 152R.mD - Retairw3 wolLs 5.2o2v Project Name & Contract Amount Type of Work Date Completed rla So ! Pr ject Name & Contract Amount Type o ork 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 httpJ/www.dir.ca.gov/DLSE/Public Works/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://eft ling.dir.ca.gov/PWCR/ActionScrvlet?action=displayPW CRegistrationForfn DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I fiuthermore 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. hmnrYm Cws Yuction anc- Contractor ��!rv'leyi�►�1 ��i By mail Titl�CP��ff�cc�' Date: (o._3n•2D1� PWC Registration #: Incnfxx21.q C-12 City of Huntington Beach Public Works Department 2000 Main Street Tel (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For PECK AND SPRINGDALE FACILITY IMPROVEMENTS CC 1590 May 27, 2021 Notice to All Bidders: Please note the following clarifications to the Project Plans. Specifications, and Special Provisions ') The bid due date has been changed from June B. 2021 to July 13, 2021 at 10 00 AM 2) Specifications Section A — NOTICE INVITING SEALED BIDS, Project Descnption on page A-2, the date of the optional pre-bid walkthrough has been changed from June 2n0, 2012 to July 21, 2021 at 10 00 AM Please contact keegan okls@surfcity-hb org to confirm your attendance This is to acknowledge receipt and review of Addendum Number One, dated May 27. 2021. Pars-lm �_UIst -uCt7n-) 13]C. Company Name By Nen F}p JQY1G1Sib Y1 ( P • 3i• 2021 Date 1 of 1 of Addendum No. 1 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For PECK AND SPRINGDALE FACILITY IMPROVEMENTS CC 1590 May 27, 2021 Notice to All Bidders: Please note the following clarifications to the Project Plans, Specifications, and Special Provisions 1) The bid due date has been changed from June 8, 2021 to July 13, 2021 at 10:00 AM. 2) Specifications Section A — NOTICE INVITING SEALED BIDS, Project Description on page A-2. the date of the optional pre-bid walkthrough has been changed from June 2n°, 2012 to June 22, 2021 at 10 00 AM Please contact keegan olds@surfcity-hb.org to confirm your attendance. This is to acknowledge receipt and review of Addendum Number One, dated May 27. 2021. fnr-r,m GCn!�5trUr_ti !1:Yir Company Name By Aye F}pupytc y5 i 0 a 7 In. 3C- 2.021 Date �r 1 of 1 of Addendum No. 1 City of Huntington Beach Public Works Department 2000 Main Street Tel (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER THREE For PECK AND SPRINGDALE FACILITY IMPROVEMENTS CC 1590 June 16, 2021 Notice to All Bidders: Please note the following clarifications to the Project Plans. Specifications. and Special Provisions 1) Specifications Section A — NOTICE INVITING SEALED BIDS, Project Descnphon on page A-2. the date of the optional pre-bid walkthrough has been changed from June 22, 2021 to June 23, 2021 at 10 00 AM Please contact keegan olds@surfcity-hb.org to confirm your attendance Attendance is mandatory for bidders who did not attend the first pre-bid walkthrough held on April 9, 2021 This addendum supercedes the relevant portions of Addendums #1 and #2 in regards to the pre-bid walkthrough. The bid date is July 13`^, 2021 and has not changed. This is to acknowledge receipt and review of Addendum Number Three, dated June 16, 2021, and attendance of the pre-bid walkthroughs held on either April 9, 2021 or June 23, 2021. 1 r—lam C[4, tJ rnd2j D Ic Company Name By tiirt � Wpvar)e"o aw') L• 3o 2oz1Dab �/• 1 of 1 of Addendum No. 3 Swiss Re Corporate Solutions BID BOND CONTRACTOR: SURETY: (Name,legal starer amladdrers) North American Specialty Insurance Company PARSAM CONSTRUCTION, INC. 1450 American Lane, Suite 1100 3334 BARNES CIRCLE Schaumburg, IL 60173 GLENDALE,CA 91203 OWNER: This document has imponant (Name.legal.rtarur and address) legal consequences. Consultation encouraged CITY OF I IUNTINGTON 1317ACII with an attorney is completion 2000 MAIN STREET with recant to its completion or modification. ITUNTINGTON 13FACII, CA 92643 BOND AMOUNT: TEN PERCENT OF GREATER AMOUNT 131D(10%) Any singuWmfemnce to Contractor,Surey,Owner or other party shall M considered PROJECT: plural where applicable. (Name,location or address,and Project number,ifany) PECK AND SPRINGDALE FACILITY IMPROVEMENTS; CC NO. 1590 The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves,their heirs,executors, administrators,successors and assigns,jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surely admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty(60)days. If this Bond is issued in connection with a subcontractor's bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When se famished. the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 2ST11 day of JUNE, 2021 PARSAM CONSTRUCTION, INC. (Witness) (Principal) (Seal) � 'tom-vP(t>Fficu North American Specialty Insurance Company (Nrirness) (Surety)A�� rr) (Sea!) (Title) MARK D. IATAROLA,ATTORNEY-IN-FACT This Document conforms to the A/A Document A31 Pn'—2010 1 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE y 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California 1 County of SAN DIEGO J} On 6/28/2021 before me, TRACY LYNN RODRIGUEZ, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared MARK D. IATAROLA Nome(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s)whose names)isfaFe-subscribed to the within instrument and acknowledged to me that he/sHeAhey executed the same in his/hrrAhei authorized capacity(ies), and that by his/her/theh 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 TRACY LYNN RODRIGUEZ laws of the State of California that the foregoing COMM.N 2318838 paragraph is true and correct. SAN DIEGO COUNTY NOTARY PUBLIC-CALIFORNIAZ WITNESS my hand and Official seal. MY COMMISSION EXPIRES -' JANUARY 11.2024 Signature )(( Place Notary Seal and/or Stamp Above atu YN t 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: MARK D. IATAROLA Signer's Name: ❑ Corporate Officer— Title(s): ❑ Corporate Officer— Title(s): ❑ Partner— ❑ Limited ❑ General ❑ Partner— ❑ Limited ❑ General ❑ Individual M Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian of Conservator ❑ Trustee ❑ Guardian of Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: 02017 National Notary Association SWISS RE CORPORATE SOLUTIONS NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGiON INTERNATIONAL INSURANCE COMPANY WESTPORT INSURANCE CORPORATION GENERAL POWER OF ATTORNEY KNOW ALL N1EN BY TIiFSE PRESENTS,THAT North American Specialty Insurance Company, a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Kansas City, Missouri and Washington International Insurance Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Kansas City,Missouri,and Westport Insurance Corporation,organized under the laws of the State of Missouri,and having its principal office in the City of Kansas City, Missouri does hereby make,constitute and appoint: JOIIN G. MALONEY, HELEN MALONEY, SANDRA FIGUEROA, MARK D. IATAROLA,JESSICA SCHMAL AND TRACY LYNN RODRIGUE/_ 101N"ILY OR SEVERALLY Its tnlc and lawful Attorney(s)-in-Fact,to make,execute,seal and deliver, for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of ONE HUNDRED TWENTY FIVE MILLIONS 125,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on March 24, 2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18,2011. "RESOLVED,that any te'o of the President.any Senior Vice President,any Vice President,any Assistant Vice President the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of.Attorney and to attach therein the Seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such]lower of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard totoo any bond, undertaking or contract of surety to which it is attached." S��QE�\IAUGTY�NSG ,�4. ota �S fl — y.►y�F. � y.G�PP fir''y C. G .9y� Sn)n—F�Ze.wn.5 Vic. me e., info a mnnarron. mu,nab ., Si: ';Z n6ron Pang �l �ac/�1�.�O k$nio.\lee PrnYene nl Vnrth American Speciale urn C p ,e 2 2. ylm +� k Seem,\ate PraNe.,of Wen,,,lmorance73 Corponrinn ce um am + %�{.'�!�MP? `p3•� `''+Y�..""^....... .�. a Ry / !� / "•��OafTIpP•: r/rr'w�✓0 111111Na\\\`\\ * *� >1i4e A.Iw,5enbr Vice Pmidrnt of\wnhinpan lmr..mtwc.l lmunoce Company h Se"br VIc,F,.Mc.r WN.rlh Americen Speciaar Imonnre Company fi Cenur\'ice Prelideni of %evport Insurance Cnrporaaion IN WITNESS WHEREOF, North American Specialty Insurance Company, Washington International Insurance Company and Westport Insurance Corporation have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this this 19TH da'of JUKE .20 19 North American Specialty Insurance Company Washington International Insurance Company State of Illinois Westport Insurance Corporation County of Cook ss: On this tMday of JUNK .20 19.before me,a Notary Public personally appeared Steven P. Anderson . Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation and Michael A. Ito Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation, personally known to me, who being by me duly sworn,acknowledged that thev signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFlCWI S V•l }'\ Y.NE.NNY 1�.-\ \ 1 it NaupDuhGc Sueul Niio: � M. Kenny.Notanr Public iwumn 1, Jeffrey Goldberg the duly elected Vice President and Assistant Secretary of North American Specialty Insurance Company, Washington International Insurance Company and Westport Insurance Corporation do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company, Washington International Insurance Company and Westport Insurance Corporation which is still in full force and effect. IN' WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this 28th day of JUNE . 20 221 lefrny Goldberg vice Preaideni 3 AaairYm Scc+nan'of waahingrm Imemadmal Ineunnce Company 1 NOM Amennn Specialty Inmnnce Companv k Vice Preaiden:k Auinam Sear ry of Wnrpon ivurance Ccepmavon n I\'olarl,public or other officer completing this certificate verifies on!}1 the identitP of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity(f that dochonent. State of California } County of Los Angeles On JULY 12, 2021 before me, San) Soo Kin). Notary Public. personally appeared ARLN I1OVANESSIAN , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the )Within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s)acted, executed the instrument. I certifv under PENALTY OF PERJURY under the laws of the State of California that th_ foregoing paragraph is true and correct. y — WITNESS my hand and official seal S OM SOO KINt-; Q LOSPUSLIESCOU NIAQ LOS ANGELES COUNNn _ CCMId.EXPIRES FEB.3.2024" Signattirc \ —� (Seal) ----------------------------- Optional Information -------------------------- l'he informalion helow is not required br hon .limvever,it could prevent frandulent attachment of this ecknotf ledgmenl In an umurlhoriced document. CAI'ACI'rY CLAIMED I31'SIf.N'Elt(I'RI\'CII',\L)DFSCItIPI'IO\'OF s'I"I':\CITED UOCUM ENT O INDIVIDUAL ❑CORPORATE OFFICER l'I'I'LE OR'1'1'I'F:OF DOCU,MF"N"I" rrrLE(S) ❑PARTNER(S) NUMBER OF PAGES ❑A'I"I'ORNEI'-IN-FACT' ❑'rRDSrEE(S) ❑GUARDIAN/CONSERVATOR DATE OF DOCUMENT ❑O'ruER: OTIIER SIGNER IS REPRESENTING: NAME"OF PERSON OR ENITY(FS) THUMBPRINT OF SIGNER PARSA-1 rip In. MR ACO/7O CERTIFICATE OF LIABILITY INSURANCE DATE(MXVDIXYYYY) 414� F 0911312021 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 art ADDITIONAL INSURED, (lie policy(lea) must have ADDITIONAL INSURED provisions or be endorsed. It SUBROGATION IS WAIVED, subject to the terms and conditions of the Polley, cortaln policies may require an ondorsornonl. A statement on this certificate does not confer rl hts to the certificate holder In lieu of such ondcrsomont s . PRODUCER 949.865-0430 52AIACT Michelle Keough BOSWELL INSURANCE AGENCY PHONE 949-866-0430 I FAX 949-682-2983 Agents & Brokers Inc(OA96080) -LAIC,No,Ea11: (a�_Iol: 26461 Crown Valley Pkwy C200 .Michelle@boswelllnsuraiice.coin Mission Viejo,CA 92691 JOB A.Boswell INSURER(SI AFFORDING COVERAGE NAICO -INCLRERA Great American Ins Cc 16691 PSURED U .g ,Ohio Security Insurance CD 24082 am Construction, Inc 3334 Barnes CIT. Mt.Hawley Ins Co 37974 LY9URE20' Glendale,CA 91208 .INSVRER.D.:State Compensation Ins Fund 36076 .MURER.E.: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE.POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. UOSR TYPEOFINSURANCE Anci-SUER POUCYNUMBER POLICY EFF POLICY F.XP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1.000,000 CLAIMSWADE X OCCUR GLP3416120 03112/2021 03112/2022 DAMAGE TO RENTED 50,000 ❑ X P1iFUdISESJEaottmmml— X Sev of Interest MED EXP(AAM oropW4an } excluded X Contractual APP OVED AS TO F RM PERSONALa Dv I j 1,000,000 GENL AGGREGATE UNIT APPLIES PER: GENERAL AGGREGATE _5 2.100,000 POLICY 1 ypej 0 LOC By: PRODUCTS-COMP 2,000,000 OTHER [ L E. G Deductibl 5,000 B auTO.MOBILE LIABILITY CITY OF HUNTINGTON BEACH COMBINED SINGLE LIMIT $ 1,000,000 X A?IYr,AUT0 �pU BASS7186130 03/1212021 03112/2022 soaL NJVRY(Per non_ s q��ONLY AIDpN QWUILEEEDpp BOO:L NAIRV(Per acddent _j ALTOS ONLY ANNA N O�"r MAGE -j X No Ded. C UMBRELLA UAe X OCCUR EACH OCCURRENCE 2,000,000 X EXCESS LIAe CLAIMS-MADE GXSOOODB04 03112/2021 03/12/2022 AGGREGATE $ 2,000,000 DED X RETENTION 5 10,000 D WORNERSCONPENSATION R—__AND EMPLOYERS UABILITY X ,ST ER— ANY X 9039414 01/0112021 01101/2022 C H ACCIDENT a 1'000,00 OFaFnCnEM NIA yMe ) 0 1,000,000 YE -$ d a waOor 1,000,000 IPIION=vX EP.ATO MI E.L. M DESCRIPTION OF OPERATIONS ILOCATIONS)VEHICLES IACCRDIOI,Additl nal Remarks Scbadd0.r y s4tlacee4llrmraspacatsragWrad) City of Huntington Beach, Its officers,elected or appointed officials, employees,agents, and volunteers are included as Additional Insureds IncInsurance and 2572 attached. Subrogation per fomis CG2033 CG2037,GAC3649 30 Days notice of cancellation(10 days for non payment). CERTIFICATE HOLDER CANCELLATION HUNTI99 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Huntington Beach ACCORDANCE MATH THE POLICY PROVISIONS. 2000 Malin Street P 0 BOX 190 AUTROfU2EOREPRESENTAjjTIVE Huntington Beach,CA 92648 ACORD 26(2016/03) "VV 01988-2015 ACORD CORPORATION. All rights reserved. The ACORO name and logo are registered marks of ACORD Great American Assurance Company IL 70 02 (Ed. 10/07) Policy No. GLP3415120 Effective Date of Change 1 0/0 512 0 2 1 POLICY CHANGES NAMED INSURED Parsam Construction Inc. THIS ENDORSEMENT CHANGES THE POLICY. AND ADDRESS: 3334 Barnes Circle Glendale, CA 91208-1164 PLEASE READ IT CAREFULLY. POLICY ALTERNATE MAILING ADDRESS: AGENT'S NAME AND ADDRESS: CRC Insurance Services, Inc. 19000 MacArthur Blvd Ste 600 Irvine, CA 92612-1470 Insurance is afforded by the Company named below, a Capital Stock Corporation: Great American Assurance Company POLICY PERIOD: From 03/12/2021 To 03/12/2022 12:01 A.M. Standard Time at the address of the Named Insured It Is hereby understood and agreed that this policy Is amendod as follows 1. CG2010 (07/04)Additional Insured- Owners, Lessees or Contractors- Scheduled Person or Organization Is added to this policy for The City of Huntington Beach as per attached. 2. CG2037 (07/04)Additional Insured- Owners, Lessees or Contractors- Completed Operations is added to this policy for The City of Huntington Beach as per attached. All other terns and conditions remain unchanged. Change Endorsement No.: 2 FORMS AND ENDORSEMENTS hereby added : CG2010 (07/04)Additional Insured - Owners, Lessees or Contractors- Scheduled Person or Organization CG2037 (07/04)Additional Insured - Owners, Lessees or Contractors- Completed Operations FORMS AND ENDORSEMENTS hereby amended: IL 70 02 (Ed. 10/07) (Page 1 of 2) FORMS AND ENDORSEMENTS hereby deleted IL 70 02 (Ed. 10107) (Page 2 of 2) Great American Assurance Company CG 20 10 (Ed. 07/04) 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 Organlzation(s): Location(s) of Covered Operations The City of Huntington Beach, Its officers, elected or But only for the Insured work performed during this appointed officials, employees, agents and volunteers policy period for the following project: CC-1590 Peck and Springdale Facility Improvements 14621 Springdale St. Huntington Beach, CA 92647 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 include as an Additional Insured the person(s) or organlzatlon(s) shown in the Schedule, but only with respect to liability for"bodily injury," "property damage" or"personal and advertising injury"caused, in whole or in part, by: 1. your acts or omissions; or 2. the acts or omissions of those acting on your behalf; In the performance of your ongoing operations for the Additional Insured(s)at the location(s) designated above. B. WIIh respect to the insurance afforded to these Additional Insureds, the following additional exclusions apply: This Insurance does not apply to 'bodily Injury"or"property damage" occurring after: 1. all work, Including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the Additional Insured(s)at the location of the covered operations has been completed; or 2. that portion of"your work" out of which the Injury or damage arises has been put to its Intended use by any person or organization other than another contractor or subcontractor engaged In performing operations for a principal as a part of the same project. Copyright, ISO Properties, Inc., 2004 CG 20 10 (Ed. 07/04) (Page 1 of 1) Great American Assurance Company CG 20 37 (Ed. 07/04) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Schedule Name of Additional Insured Person(s) or Location and Description of Completed Operations: Organlzatlon(s): The City of Huntington Beach, Its officers, elected or But only for the Insured work performed during this policy appointed officials, employees, agents and volunteers. period for the following project: CC-1590 Peck and Springdale Facility Improvements 14621 Springdale St. Huntington Beach, CA 92647 Additional Premium: Included Information required to complete this Schedule, if not shown above, will be shown in the Declarations. SECTION II -WHO IS AN INSURED is amended to Include as an Additional Insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for"bodily Injury"or"property damage" caused, In whole or in part, by"your work' at the location designated and described in the schedule of this endorsement performed for that Additional Insured and Included in the"products-completed operations hazard." Copyright, ISO Properties, Inc., 2004 CG 20 37 (Ed. 07/04) (Page 1 of 1) Great American Assurance Company Policy #GLP3415120 GAC 3649CG (Ed. 11 06) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY NON-CONTRIBUTORY INSURANCE ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM This insurance is primary to any other insurance held by third parties with respect to work performed by you under written contractual agreements with such third parties and any other insurance which may be available to such third parties shall be non-contributory. GAC 3649CG (Ed. 11/06) XS Great American Assurance Company CG 24 04 (Ed. 05/09) Policy #GLP3415120 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART Schedule Name of Person or Organization: Any person or organization for whom or on whose behalf"you" are performing operations when "you" and such person or organization have agreed in writing in a contract or agreement to waive any right of recovery"we" may have against such person or organization. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to paragraph 8. Transfer of Rights of Recovery Against Others to Us of SECTION IV- CONDITIONS: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or"your work" done under a contract with that person or organization and included In the"products-completed operations hazard." This waiver applies only to the person or organization shown in the Schedule above. ©Insurance Services Office, Inc., 2008 CG 24 04 (Ed. 05/09) (Page 1 of 1) STATE ENDORSEMENT AGREEMENT BROKER COPY WAIVER OF SUBROGATION _ BLANKET BASIS 9039414-21 FUNRENEWAL SP HOME OFFICE 2-49-33-72 SANFRANCISCO EFFECTIVE JANUARY 1, 2021 AT 12 .01 A.M. PAGE 1 OF 1 ALL EFFECTIVE DATES ARE AND EXPIRING JANUARY 1, 2022 AT 12.01 A.M. AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME PARSAM CONSTRUCTION INC 3334 BARNES CIR GLENDALE, CA 91208 WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN INJURY COVERED BY THIS POLICY. WE WILL NOT ENFORCE OUR RIGHT AGAINST THE PERSON OR ORGANIZATION NAMED IN THE SCHEDULE. THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.00% OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION ANY PERSON OR ORGANIZATION BLANKET WAIVER OF FOR WHOM THE NAMED INSURED SUBROGATION HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND `ISSUED �ATT SSAANNFRFRANCISCO: JANUARY 6, 200221 2572 AUTHORIZED REPRESENT IVE PRESIDENT AND CEO SCIF FORM 10217 (HEV.7-2014) OLD OP 217 CONTRACTOR'S SWORN STATEMENT AND WARRANTY REGARDING CONTINUING INSURANCE OBLIGATIONS FROM: Rirc.,n l Cri?511'b�'{'�Vl� '1w.PROJECT: ?f/'L 41 S rlggel ]t- (CarrRactorflame) 33AL4 BAY-OCS Gr- (saaat Aaa..) 61C.0lollt. Ck 912.o-3 (CRY,Srar and ZIP) TO' CITY OF HUNTDIGrOM BEACH DECLARATION AlbdreV terelp U a true aM Dana mpt d the anaft Cvt/kaQ d lrorafoe and At101efel Imred Cr 3010 lld5, wNch Ca70ah cer'�Dars vent tle kauafae repukvrWlM d Or QW8d br arrd Ddrew t e CM of IMRMgIm Beach C"Y)aro the aEort+umed Cweradar(' fr the a60rtdeau0a0 pfoIa(1r *n. I dec*v miler D a&v of pe0uy vift the lows of the AY ofCaaknea Out the above waereaft is bua and mrr2. spredonSf 20-4at E11Crr6lpe rk• (wta) (//�Cty,,Sb fe) ' /- �J1C (SXlaaaaa Who k Itom Oederatlon) WARRANTY papamlr ttarakr rferraf0 and apise m rtreal Rvdtfcb rtd Can lmd Opvamnr Oaonrfn n aw"slice wo Cta ketraroa ra9uaatteCla d 0e CofrbaR fw the Ralea- Wd kurertcw$W be m*bked ItrwxOh and utl tlo atWkatloft dal trarnwom pvAftd by CatbW". SIM k"M="CKOn MMWW BMW&&MMrrt OG 3010 U4 fee"Cq ai an awtim nwrr4. M*actor rA wtppy b Otr,on at km ah atraati tnik,a Culfkate Of Iwwaaeca and se dbramafrpued &Kwvwwtt aNdrtdfrp mftkatad wo rope rttdt rmm the cw*ua rQuorm tL Signed mSG(2�.tlnbu 2011t C Ie- l�. CA— (�) CONMACFM rrna Naatc4=/1 ZfinU6 Li <sfn✓l Tow: r T i n .r vwfa 9/20/21.3:33 PM Company Profile t ' I I COMPANY PROFILE Company Profile Company Search Company Information Company Search Results NORTH AMERICAN SPECIALTY INSURANCE COMPANY Company 1200 MAIN STREET Information KANSAS CITY, MO 6410S Old Company Names Agent for Service Old Company Names Effective Date Reference Information Agent For Service NAIC Group List AMANDA GARCIA Lines of Business 330 N Brand Blvd Ste 700 Workers' Glendale CA 91203-2336 Compensation Complaint and Reference Information Request for Action/Appeals Contact Information NAIC 4: 29874 Financial Statements PDF's California Company 1D x: 3208-6 Annual Statements Date Authorized in California: 06/30/1989 Quarterly Statements License Status: UNLIMITED-NORMAL Company Complaint Company Company Type: I Property & Casualty Performance& Comparison Data State of Domicile: tl I EbV HAM PSHIRE Company Enforcement Action back to top Composite Complaints Studies Additional Info NAIC Group List Find A Company Representative In NAIC Group A: 0181 SWISS RE 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. AIRCRAFT AUTOMOBILE BOILER AND MACHINERY BURGLARY DISABILITY FIRE LIABILITY MARINE PLATE GLASS SPRINKLER SURETY WORKERS' COMPENSATION back to top https7lnteractive web insurance.na.gov/wmpanyprofile/companyprofile?event=companyProfile&doFunction=getCompanyProfile&eid=6943 1/2 9120121.3:39 PM Surety Bonds-List of Certified Companies NORTH AMERICAN SPECIALTY INSURANCE COMPANY (NAIC #29874) BUSINESS ADDRESS: 1200 MAIN ST. SUITE 800, KANSAS CITY, MO 64105 - 2478. PHONE: (816) 235-3700, UNDERWRITING LIMITATION b/: $ 26,715,000. SURETY LICENSES c.f/: AL, AK, AZ, AR, CA, CO. CT, DE. DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI. MN, MS, MO, MT, NE, NV. NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI. SC. SD, TN, TX. UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New Hampshire. https:iAnv .fiscal.treasury.gov/surety-bands/list-certified- ompanies.htmtgn 1/1 EXECUTED IN DUPLICATE BOND NO. 2321635 PREMIUM: $9,265.00 PREMIUM IS FOR CONTRACT TERM AND Is SUBJECT TO ADJUSTMENT PERFORMANCE BOND BASED ON FINAL CONTRACT PRICE KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS,City of Huntington Beach(hereafter referred to as'City') has, by written agreement dated ,20_, entered into a contract with PARSAM CONSTRUCTION, INC. 3334 BARNES CIRCLE, GLENDALE,CA 9120E (name and address of Contractor) (hereinafter referred to as'Principal"),for performance of the work described as follows: PECK AND SPRINGDALE FACILITY IMPROVEMENTS (Project Title) WHEREAS, said contract, and ail documents referenced therein (hereinafter collecUvely 'Contract'), are incorporated herein by this reference made a part hereof as though set forth herein in full; and Said Principal is required under the lemis of the Contract to furnish a bond guaranteeing the prompt, full and faithful performance of said Contract, by a duly admitted surety insurer under the laws of the State of California(hereinafter referred to as"Surety'); and Surety is certified and listed in the U.S. Department of the Treasury Circular 570, and has provided proof of sufficient bonding limitations as shown in said circular to provide bonds in the amount required by said Contract; and Surety has provided financial strength ratings from reputable companies,such as from A.M. Best.Moody's, or Standard 3 Poofs,to validate that Surety has positive ratings of being secure or Stable; and Surety is registered and listed with the California Department of Insurance, NOW, THEREFORE,we,the undersigned,as Principal,and NORTH AMERICAN SPECIALTY INSURANCE COMPANY 777 SOUTH FIGUEROA STREET,SUITE 3700.LOS ANGELES,CA 90017 (name and address of Surety) as Surety,are held and firmly bound unto City in the penal sum of FIVE HUNDRED FIFTEEN THOUSAND AND 00/100 Dollars ($ 515.000.00 ),this amount being not less than one hundred percent of the price set forth in the Contract,in lawful money of the United States, for the payment of which sum,well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors,jointly and severally,firmly by these presents. THE CONDITION OF"PHIS OBLIGATION IS SUCH THAT if the Principal shall promptly, fully and faithfully perform each and all of the Covenants,obligations and things to be done and performed by the Principal in strict accordance with the terms of the Contract as said contract may be altered, amended or modified from time to time; and if the Principal shall indemnify and save harmless City and all of City's officers, agents and employees(hereinafter collectively referred to as"Obligees")fromany and all losses, liability and damages, claims,judgments, 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 of any alteration,change, deletion, addition or other modification to the Contract, or the work to be performed thereunder,shall in any way affect, limit,restrict, impair or release the obligations of the Surety under this Bond. Surety waives notice of any adjustment of contract or contract price, and any other alteration,change, deletion,addition or other modification to the Contract, or the work to be performed thereunder,and agrees 15-15E4/1 i 7174 Bond No. 2321635 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 ouanedy basis. Surety also waives the provisions of Civil Code§§ 2845 and 2&49. The obligations of this Bond shall survive the completion of the work described in the Contract as to all obligations and liabilities of the Principal which survive completion of the work. IN WITNESS WHEREOF, each party represents and warrants that this instrument has been duly executed by Principal and Surety,on the date set forth below,that the name of each corporate party being affixed hereto is such party's proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body. Surety, by execution of this bond,waives any defense which Surety has or may have by reason of any failure of the Principal to execute or properly execute this bond. Dated: SEPTEMBER 10,2021 ATTEST PARSAM CONSTRUCTION, INC. (Corporate Seal) (Principal Name) By: Name: _ _ 2VA()GSSI W/,) Title: ATTEST NORTH AMERICAN SPECIALTY INSURANCE COMPANY (Corporate Seal) //��j�j�, (Surety Name) By: *,LC I Name: MARK D.IATAROtA.ATTORNEY-IN-FACT (Signature of Attorney-in-Fact for Surety) (Attach Attorney-in.=act Certificate) LE100) 338-0753 (Area Code d Telephone Number for Suety) .APPROVED AS 1'O FORRMy' 1-7 i ✓ 'Michael E.Gates,City Attorney i 1 .�13 Note: This bond must be executed in dupiicate and dated,all signatures must be nolanzed, and evidence of the authonty of any person signing as attorney-in-(act must be attached. PERFORMANCE BOND Page 2 of 2 IS-1594A I7i74 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,of validity of that document. State of California l County of SAN DIEGO J} On 9/10/2021 before me, SANDRA FIGUEROA, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared MARK D. IATAROLA Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the persons)whose names)is/are subscribed to the within instrument and acknowledged to me that he/slterfhey executed the same in his/hef,'fheir authorized capacity(ies), and that by his/hefitheir signature(s)on the instrument the person(s), or the entity upon behalf of which the person(e) acted, executed the instrument. I certify under PENALTY OF PERJURY under the SANDRA FIGUEROA laws of the State of California that the foregoing COMM. 2334108 paragraph is true and correct. Z SANDIEGOCOLf Q NOTARY PUBLIC-CALIFORNIA WITNESS my hand and official seal. Q MY COMMISSION EXPIRES '' SEPTEMBER22 2D24 Signature Place Notary Seal and/or Stamp Above Signature of Noto Public OPTIONAL Completing this information can deter a/terotion 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: MARK D. IATAROLA Signer's Name: ❑ Corporate Officer—Title(s): ❑ Corporate Officer—Title(s): ❑ Partner— ❑ Limited ❑ General ❑ Partner— ❑ Limited ❑ General ❑ Individual ® Attorney in Fact ❑ Individual O Attorney in Fad ❑ Trustee ❑ Guardian of Conservator ❑ Trustee ❑ Guardian of Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: 02017 National Notary Association SWISS RE CORPORATE SOLUTIONS NORTH AMERICAN SPECIALTY INSURANCE COMPANY WAS[IINGTON INTERNATIONAL INSURANCE COMPANY WF.STPORT INSURANCE CORPORATION GENERAI, POWER OF AYI'ORNEY KNO\V ALL MEN BY TIIESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the Stale of New Hampshire,and having its principal once in the City of Kansas City—Missouri and Washington International Insurance Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Kansas City.Missouri,and Westport Insurance Corporation•or anized under the laws of the Slate of Missouri,and having its principal office in the City of Kansas City.Missouri does hereby make,constitute and appoint- JOIIN G. NIALONIiY, HELEN MALONEY, SANDRA FIGUEROA, MARK D. IATAROLA,JESSICA SCHMA1. AND TRACY LYNN RODRIGUEZ JOINTLY OR SEVERALLY [is true and lawful Atiomey(s)-in-Fact,to make,execute,seal and deliver, for and on its behalf and as its act and deed.bonds or other writings obligatory in the nature of a bond on belmll'of each of said Companies,as surety,on contracts of sur:tyship as are or may be required or permitted by law,regulation,contract or otherwise.provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: ONG HUNDRED TWENTY FIVE MILLION(5125,000,000.00)DOLLARS This Power of Attomcy is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on March 24,2000 and Westport Insurance Corporation by written consent of its Executive Committee carted July Is,2011. 'RESOLVED,that any two of the President,any Senior Vice President.any Vice President any Assistant Vice['resident, the Secretary or any AssiSmrlt Secretary be,and each or any of them hereby is authorized to execute it Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds.undertakings and all contracts of surety.and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTf IFR RESOLVED,that the signature of such officers aid the seal of the Company may be affixed to any such Power of Attorney or to imy certificate relating thereto by facsimile,and any such Power of Allomcy or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to aanyy bond.undertaking or contract of surer'to which it is attached." \ a G Figy s ` "d ASecm< ,<,President m1.x.ne Ao„d<,ap«idftp insurance CamnwnrSEAL 65 3 W;Z 1973 Wj <9t y� in p A s'u-\'ia Praii-,of Wrs".o 1—rune.Co<peruion +s N p •Y.h,uvs a'�tc �yd1'N':"�u+.?�'L` 13y / / •`'��CaWp,•r• '�1i1uiaiH\\\\\` @w Mike A.I,,sni.r vice P—id<,u af11 .I.a m11-ai.n,nn,ur.nrr Cnmwn> fit6 Srdn\irt Ru m idc of fen.Mnerk,n Sprcidn Inea—C®wm d$"inr yi¢Prnidrnl.f N'nrpon Inwr.n<e c.rpor+uen IN WITNESS\19iEREOF,North American Specialty Insurance Company.Washington International Insurance Company and Westport Insurance Corporation have caused their official seals to be hereunto affixed.and these presents to be signed by their authorized officers this this 19TH day of JUNE , 20 19 ,North American Specialty Insurance Company'y Washington International Insurance Compan State of Illinois Westport Insurance Corporation County of Cook ss: On this 19TH dap of JUNE ,20 19,before me,a Notary Public personally appeared Steven P.Anderson .Senior Vice President of Washington International Insurance Company mid Senior Vice President of Forth American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation and Michael A. Ito Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specially Insurance Company and Senior Vice President of Westport Insurance Corporation, personally known to me,who being by me duly sworn,acknowledged that they'signed the above Power of Auomep as officers of and acknowledged said instrument to be the voluntary'act and deed of their respective companies. oFrtcvt s[,:t Y.KENNY rt\ '� haYry galic.Sirnn kk:nkv M. Kenny.Notary Public " r wuro:+ I. Jeffrey Goldbere the duly elected Vice President and Assistant Secretary of North American Specially Insurance Company,Washington International Insurance Company and Westport Insurance Corporation do hereby ccnifj that the above and foregoing is a true and correct copy of a Power of Attorney given by said North Anicrican Specialty Insurance Company.Washington International Insurance Company and Westport Insurance Corporation which is still in toll force mid effect. IN WITNESS R9JFREOF,1 have set my'hand and affixed the seals of the Companies this loth day of SFP7E1,l PER . 20 21 Icnrcy\M Amcreand Seper�d\'aice wPradmlC A¢�Awvrnn nk�vice dent&Asnswu IcvmYuapd W urm¢Compm A $[[tent)of w'evmort Wymce C¢pprapm �1 A"otan•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 truth uhtess, accuracy, or validity,of that document. State of California } County of Los Angeles On SEP-(EMBER ld. 2021 before me, Sam Soo him. Notary Public, personally appeared ARE\' HOVANESSIAN , svho 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(ics), 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 OP PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS mY hand and official seal SAM SOO KIM� U Cr 2378370 ' � Q �� ; MJThRY'?LcLIG11 0.RNl4� LOS ANGELES COUNTYn Signature (Seal) COMM EXPIRES FEB a' ----------------------------- Optional Information -------------------------- The information below is not required by law.llowrver,it could precen(fraudulent attachment of(his acknoaiedgment to an unauthorized document. CAPACITY CLAIMED BY SIGNER(PRINCIPAL)DESCRIPTION OF ATIbACIIED DOCUMENT ❑INDIVIDUAL ❑CORI'OR.A'I'E OFFICER 'I'1'1'LF.OR TYPE OF DOCUMENT 'I'rri'E(S) ❑PA RTN ER(S) NU\IRF.R OF PAGES ❑ATTORNEY-IN-FACT ❑-rRUSTFE(s) ❑CUARDIAN/CONSERYA'rOR DATE OF DOCUMEM' ❑0 TITER: O"I'IIER SIGNER IS REPRESENTING: NAME OF PERSON OR ENITY(IS) I'IIUNIRPRIN I' OF SIGNER EXECUTED IN DUPLICATE BOND NO 2321635 PREMIUM INCLUDED IN PERFORMANCE BOND PAYMENT BOND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS, City of Huntington Beach(hereafter referred to as"City') has awarded to PARSAM CONSTRUCTION, INC. 3334 BARNES CIRCLE,GLENDALE,CA 91208 (name and address of Contractor) (hereinafter referred to as'Principal"), a contract('Contract")for the work described as follows: PECK AND SPRINGDALE FACILITY IMPROVEMENTS (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 admilted surety insurer under the laws of the Stale 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 &Poors, 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 NORTH AMERICAN SPECIALTY INSURANCE COMPANY 777 SOUTH FIGUEROA STREET,SUITE 3700, LOS ANGELES,CA 90017 (name and address of Surety) as Surety, are held and firmly bound unto City in the penal sum of FIVE HUNDRED FIFTEEN THOUSAND AND 00/100 dollars(S 515,000.00 ), this amount being not less than one hundred percent (100%)of the total price set forth in the Contract,in lawful money of the United Stales 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 Pa.-e I of 15459-1/11,35, Surety stipulates and agrees, for value received, that no change,extension of time, alteration, addition or modification to the terms of the Contract,or any contract document or any work to be performed thereunder, whether made after notice or not,shall in any way affect, impair or release the obligations of Surety under this bond. Surety hereby waives notice of any such change, extension of time, alteration,addition,or modification to the terms of the Contract, the contract documents or the work thereunder. Surety also waives the provisions of California Civil Code§§ 2845 and 2849. !N WITNESS WHEREOF,each party represents and warrants that this instrument has been duly executed by Principal and Surety,on the date set forth below, that the name of each corporate party being affixed hereto is such party's proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body. Surety, by execution of this bond,waives any defense which Surety has or may have by reason of any failure of the Principal to execute or properly execute this bond. Dated: SEPTEMBER 10,2021 ATTEST PARSAM CONSTRUCTION, INC. (Corporate Seal) (Principal Name) By._ Name: _0-1AYYA'Sici ✓ ATTEST NORTH AMERICAN SPECIALTY INSURANCE COMPANY (Corporate Seal) (Surety Nam-) By:_ Q D Name:MARK D.IATAROLA.ATTORNEY-IN-FACT (Signature of Attorney-in-Face for Surety) (Attach,Ahorney-in-Fact Certificate) 800 338-0753 (Area Code 8 Telephone Number for Surety) i+ APPROVED AS TO FORM Michael E.Gates,'City Attorney 1 L Note: This bond must be executed in duplicate and dated,all signatures must be notarized, and evidence of the authonty of any person signing as atlomey-in-facl must be attached. P.AYNI-ENT BOND Page 2 of 2 i 5a594/11 73 5 7 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who sig ned the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California 1 County of SAN DIEGO 1} On 9/10/2021 before me, SANDRA FIGUEROA, NOTARY PUBLIC Dare Here Insert Nome and Title of the Officer personally appeared MARK D. IATAROLA Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(e)whose name(s)is/afesubscribed to the within instrument and acknowledged to me that he/ehekhey executed the same in his)lfrerAhe!r authorized capacity(i ), and that by his/hem'their signature(e)on the instrument the person(s), or the entity upon behalf of which the personH acted,executed the instrument. I certify under PENALTY OF PERJURY under the SANDRA FIGUEROA laws of the State of California that the foregoing Z COMM.02334108 paragraph is true and correct. SAN DIEGO COUNTY NOTARY PUSLIC-CALIFORNIA WITNESS my hand and official seal. MY COMMISSION EXPIRES SEPTEMBER 22,2024 SignatureC� Place Notary Seal and/or Stamp Above Signature o otory 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: MARK D. IATAROLA Signer's Name: D Corporate Officer —Title(s): ❑ Corporate Officer—Title(s): ❑ Partner— ❑ Limited ❑ General ❑ Partner— ❑ Limited ❑ General ❑ Individual ® Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian of Conservator ❑ Trustee ❑ Guardian of Conservator Other: ❑ Other: Signer is Representing: Signer is Representing: (C2017 National Notary Association SWISS RE CORPORATE SOLIiTIOINS NORTH A\1ERICAN SPECIALTY INSURANCE COMPANY WASIIIN'GfON INTERNATIONAL INSURANCE.COMPANY WESTPORT INSURANCE CORPORATION GENERAL POW'FR OF A'171'ORNEY KNOW ALI.MEN BY THESE PRESENTS.THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the Slate of New Hampshire.and having its principal office in the City of Kansas City.Missouri and Washington International Insurance Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the CaY of Kansas City.Missouri,and Westport Insurance Corporation,organized under the laws of the State of Missouri,and having its principal office in the City of Kansas City,Missouri does hereby make,constitute andappoml: JOHN G. DIALONEY, IIELFN MALONEY. SANDRA FIGUEROA, MARK D. IATAROI,A,JESSICA SCHNIAL AND TRACY LYNN RODRIGUEZ JOINTLY OR SEVERALLY Its true arnd lawful.\itomey(s)-in-Fact,to make,execute.seal and deliver, for and on its behalf and as its act and deed,bends or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety.on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of ONE I IUNDRED)TWIENTY FIVE MILLION(SI 25,000,0000)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called zinc]held on March 24.2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18,2011. "RESOLVED,that any two of the President,am•Senior Vice President,any Vice President.any Assistant Vice President. the Secrcuuy or any Assistant Secretary be.and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given[lower of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety.and that each or anyof them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seat of the Company; and it is FUR IIi ER RESOLVED,that the signature of such officers and the seal of the Company may'be affixed to any such Power of Attorney or to any certificate relating therein by facsimile.and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached:' `y�SaY�l iAt1TY��bUOi� �.1 a',IOA'gt� .`yQF'ORPGryrNSL : A4rY'.L'°RPoiy�tdJ'G Inv \, U-7 ern v .. mpron mem.,mee me anCmrSEALVice Pr"idml or wotpen lniunnce Carprmuee Ry aamr A.ae.smier Vile Pnridml orwunlnnon Inmmneend lerenen eo.np.oy ' ASM.,V'i,a Pmidenl er penh Arne dcm S pedalo lnw.anrr Company 6 Senor Vire Prnidml a Walpen Ineprmn Cerpanfim IN WITNESS \VHEREOF.North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation have caused their official seals to be hereunto affixed.and these presents to be signed by their authorized officers this this 19TI1 day of JUNE 20 i9 :North American Specialty Insurance Company Washington International Insurance Company State of Illinois Westport Insurance Corporation County of Cook ss: On this 19Tli day of JUNE •20 19.before me,a Notary Public personally appeared Steven P.Anderson .Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation and Michael A. Ito Senior Vice President of\Vashington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior \'ice President of Westport Insurance Corporation, personally known to me,who being by me duly swom,acknowledged that they signed the above Power of Attorney as officers-of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFICL1L SEr.L ��`�� Notary Gutln,Am:u'.divxi•. M. Kenny,Notary public ^��aa•unalt I. Jeffrey Goldberg the duly elected Vice President and Assistant Secretary of North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation do hereby certify,that[he above and foregoing is a true and correct copy of a [lower of Attorney given by said North American Specialty Insurance Company.Washington International Insurance Company mid Westport Insurance Corporation which is still in troll force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 10th day of SFPTEM13GR ,20 21 Jen,�Gddb ,.Van Pmidml L ApMml$m.mry pr Wzlhingµm lnlmunonal Luurnce Compun d: .1'a Amen.SGmaln hrcmrre Covpeny k V,ce Pradm,&A.,.lam Smanan vl N'm,pml immmn Cmpmauvn A Notary public or other officer completing this certificate verifies only the identify of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracl-, or validity of that document. State of California } County of Los Angeles On SEPTEMBER 14, 2021 before nle, Sail Soo Kim, Nolan, Public, personally appeared AREN 140VANESSIAN , 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 Iny hand and official seal SNCOAiOUMMiY PUS. O O�IKNANl4V; R4B# 2318d70) CC . ANGELES o . (Seal) EF932Signature CRAM 024�j ----------------------------- Optional Information -------------------------- The information below is not required by law.Iloweseo it could present fraudulent attachment of this acknowledgment to an unauthorized document. CAPACITY CI„LIMED BY SIGNER(PRINCIPAL)DESCRIPTION'OF A rrACl1ED DOCUMENT ❑INDIVIDUAL 0 CORPORATE,OFFICER TITLE.OR TYPE.OF DOCUNIEN'r 'I'1I'LF(S) ❑PARTNER(S) NUMBER OF PAGES ❑A I'1'ORNF.Y-IN-FACE ❑ 1RUSTEF(S) ❑GUARDIAN/CONSERVATOR DATE OF DOCUMIEWr ❑OrIIER: 0111 ER SIGNER IS REPRFSF\I NC: NAME OF PERSON OR ENITY(FS) THUMBPRINT OF SIGNER City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ wv iv.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk November 10, 2021 Parsam Construction Attn: Aren Hovanessian 3334 Barnes Circle Glendale, CA 91208 Re: Peck and Springdale Facility Improvements — CC No. 1590 The City Council awarded the bid to your company for the above referenced project. Enclosed is a copy of the executed contract with the City of Huntington Beach. A Certification of Compliance with Title VII of the Civil Rights Act, Certification of Compliance with Prevailing Wage Laws and Contractor's Certificate form must be returned to this office after the proiect is completed but prior to the release of retention funds. In addition, the following item must also be on file, with this office before the City can release any retention funds: A warranty bond guaranteeing the final amount of work and materials for one year. If your performance bond does not include specific wording for a one-year warranty, then a rider or separate bond must be submitted. Should you have any questions or concerns regarding the enclosures or items that must be on file in this office prior to release of retention funds, please call the Public Works Department at 536-5517. Si rely, 1, �f 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 RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) e CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk 11 DATE: 111101Z l SUBJECT: Bond Acceptance/n I have received the bonds for (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. d3� �035 Payment Bond (Labor and Materials) Bond No. a3°z &935- Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved (Council Approval Date) 10 CC No. 15910 Agenda eca No. 7Z MSC No. City Clerk Vault No. Other No. SIRE System ID No. glforms/bond transmittal to treasurer ` !i - � •. 1, '. ! Y ' . • ; , I C) W d A � OJ � W n n m ° N n � i 00 O (D I � � y ' m 3 o Q• l o V v C) a W ^ a o co Z W � � o cn _ m r l n io 1p 'y CO 00 j 00 O 0 3 qTY Op . . 7 aO f w -4 I-Ex.t_1,J4(-)0 *IrMOVED 7-0 City of Huntington Beach File #: 21-617 MEETING DATE: 9/7/2021 REQUEST FOR CITY COUNCIL ACTION SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Oliver Chi, City Manager PREPARED BY: Sean Crumby, Director of Public Works Subject: Accept the lowest responsive and responsible bid and authorize execution of a construction contract with Parsam Construction, Inc. in the amount of $515,000 for the Peck and Springdale Facility Improvements project, CC-1590 Statement of Issue: On July 13`n, 2021 bids were publically opened for the Peck and Springdale Facility Improvements project. City Council action is requested to award the construction contract to Parsam Construction, Inc., the lowest responsive and responsible bidder. Financial Impact: Total funds for the project, including contingency and supplemental expenses, is estimated at $618,000.00. Funds for the project are available in the current fiscal year budget in the Water Master Plan Fund, Account No. 50791005.82100. Recommended Action: A) Accept the lowest responsive and responsible bid submitted by Parsam Construction Inc. in the amount of $515,000: and, B) Authorize the Mayor and City Clerk to execute a construction contract in a form approved by the City Attorney. Alternative Action(s): Reject all bids, or provide staff with alternative action. Analysis: This project proposes to update and augment the existing system of fences and block walls that City of Huntington Beach Page 1 of 2 Pnnted on 9/1/2021 re+e-e18q lro sta-'" File #: 21-617 MEETING DATE: 9/7/2021 enclose the Peck and Springdale Reservoirs Site. The project will also install conduits for a future enhanced electronic security system at this site. The electronic security system is proposed to be constructed one year after the installation of the conduits. The Peck and Springdale Reservoir sites have two semi above ground reservoirs and three potable water wells. It is a critical site in providing the City with potable water. The site is unmanned, however City Water Production Staff visit the site on a daily basis. This project and the subsequent project will serve to safeguard this critical site. Bids were publicly opened on July 13, 2021 , with the following results: BIDDER'S NAME BID AMOUNT Amount Read at Bid pening and Basis of ward) Parsam Construction Inc. 5515,000 mtek Construction 557,110 Ace Construction Inc. 587,500 Kazoni Construction 649,869 Staff recommends awarding a contract to Parsam Construction Inc. in the amount of 55151000. Project reference checks have indicated that Parsam Construction Inc. has provided acceptable fence and conduit construction within the past year. The total project cost is estimated to be $618 ,000, which includes the construction contract ($515,000), contingency ($77,250), inspection and supplemental expenses ($25,750). Environmental Status: The project is categorically exempt pursuant to Class 1, section 15302.(c) of the California Environmental Quality Act. Strategic Plan Goal: Infrastructure & Parks Attachment(§): 1. Project Vicinity Map City of Huntington Beach Page 2 of 2 Printed on 9/1/2021 nowerel5l LegistaCm LWESTIVMTER — r_ %i I L J I ] I AVE. L � L Q P Gi"1iP1ER GLENWOOD PROJECT LOCATION L:RCr.VrO(Y� 5OLSA AVE. i U � J Q r M�FADDEN _ �� L AVE. cv l F-1 r-- PECK AND SPRINGDALE RESERVOIRS SECURITY PROJECT, FENCES AND CONDUIT CC-1590 152 SECTION A NOTICE INVITING SEALED BIDS for the construction of Peck and Springdale Facility Improvements CC No. 1590 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH. as AGENCY, invites sealed bids for the above stated projects and will receive such bids at the main entrance of Huntington Beach City Hall , 2000 Main Street; Huntington Beach. California 92648, LIP to the hour of 10:00 AM on Tuesday, June 8 h, 2021. Due to the COVID 19 pandemic, bids will be accepted by the City Clerk and publicly opened outside of the Main Entrance of City Hall unless otherwise posted. The City Clerk will be available to accept bids between the hours of 9:30 and 10:00 AM on the day of the bid opening. Due to the COVIDI9 pandemic, copies of the Plans, Specifications, and contract documents will not be available to review or mailed from the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. Plans, Specifications, and contract documents can be downloaded free on AGENCY website at: http://www.huntinetonbeachca.sov/sovemmenL/departments/public works/Bids/ Open website, then click on "Current Advertised Projects' tab. Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California, the minimum prevailing rate of per diem wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial Relations of the State of California, which are on file at the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. The AGENCY will deduct 5% retention from all progress payments. The Contractor may substitute an escrow holder surety of equal value to the retention in accordance with the provisions of the Public Contract Code, Section 10263. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race, color, national origin, ancestry, sex, or religion in any consideration leading to the award of contract. A-1 No bid shall be considered unless it is prepared on the approved Proposal forms in conformance with the Instructions to Bidders as determined by the AGENCY. The bid must be accompanied by a certified check, cashier's check; or bidder's bond made payable to the AGENCY for an amount no less than 10% of the amount bid. The successful bidder shall be licensed in accordance with provisions of the Business and Professions Code and shall possess a State Contractor's License Class A at the time of the bid opening. The successful Contractor and his subcontractors will be required to possess business licenses from the AGENCY. All extension of unit prices will be subject to verification by the AGENCY. In case of a variation between the unit price and the extension, the unit price will govern. Project Description: The WORK of this Contract will consist of improvements to the existing perimeter site fencing and the installation of above and below ground conduits within the site. Specifically, the WORK will include but will not be limited to the following major items: I. Removal and proper disposal of designated sections of the existing site perimeter fencing. 2. hmstallation of a new site perimeter fence in accordance with the Contract Documents 3. Installation of conduits,junction and pull boxes in accordance with the Contract Documents 4. Miscellaneous site civil and electrical work. Addenda from the previous bid have been incorporated into the project and are noted on the project plans. An optional pre-bid walkthrough will be held at 10:00 AM on June 2Id, 2021 to review existing site conditions. The project site is not accessible to the general public. The contract shall allow the Contractor 40 working days to complete the contract. Two Notices to Proceed will be issued for this contract The first Notice to Proceed will begin materials procurement. The second Notice to Proceed with Work will be issued after all materials are procured and will begin contract time. The cngineeCs estimate of probable construction cost for the work included in the basis of award is 5320.000. The AGENCY reserves the right to reject any or all bids, to waive any irregularity and to take all bids under advisement for a maximum period of 60 days. 13Y ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH. CALIFORNIA, the 29th day of June 2020, by Resolution No. 2020-39. Attest: /s/ Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH A-2 Switzer, Donna From: Switzer, Donna Sent: Thursday, May 13, 2021 10:45 AM To: Christine Gonzalez Cc: Olds, Keegan Subject: RE: NISB - CC No. 1590 Thank you, Chrissy! Have a great weekend. Donne SwXe,#-, CMC Senior Deputy City Clerk-City of Huntington Beach 2000 Main Street- Huntington Beach, CA 92648 (714)374-1649 From: Christine Gonzalez <cgonzales@scng.com> Sent:Thursday, May 13, 2021 10:37 AM To: Switzer, Donna <Donna.Switzer@surfcity-hb.org> Subject: Re: NISB - CC No. 1590 Here you go. Cost $2,055.00, pub 5/20, 5/27, 6/3 HB Wave OC Register Legal Advertising Chrissy Gonzalez 1771 S. Lewis St. Anaheim, CA 92805 714-796-6736 M-F 8:00 a.m. - 4:30 p.m. Lunch 12 Noon to 1:00 p.m. Closed Sat. and Sun. On Wed, May 12, 2021 at 5:18 PM Switzer, Donna <Donna.Switzer a surfcity-hb.ore> wrote: FIi Chrissy, Please publish the attached NISB for CC No. 1590, in The [rave, on N9ae 20th, 27th and June 3`d; 2021. Thank you! t Dorwt�Swx3R'r, CMC Senior Deputy City Clerk -City of I luntington Beach 2000 Main Street- Huntington Beach, CA 92648 (714)3 74-1649 2 Huntington Beach Wave PROOF OF PUBLICATION 1771 S. Lewis Street Anaheim, CA 92805 Legal No. 0011462680 714-796-2209 5190751 HUNTINGTON BEACH, CITY OF CITY CLERK DEPARTMENT 2000 MAIN ST HUNTINGTON BEACH, CA 92648-2763 AFFIDAVIT OF PUBLICATION STATE OF CALIFORNIA, l J1 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: 05/2012021, 05/27/2021, 06/0312021 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: June 03, 2021. Signature 11n,-M915 1 SECTION A NOTICE INVITING SEALED BIDS for the construction of Peck and Springdale Facility Improvements CC No.1590 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH ,as AGENCY, Invites sealed bids for the above stated Projects and will receive such bids at the main entrance of Huntington Beach City Hall ,2.0M Main Street, Huntington Beach, Califor- nia 92648, vp to the hour Of 10:00 AM On Tuesday, June Bth, 202L Due to the COV 1D19 Pan- demic, bids will be accepted by the City Clerk and public) opened outside of the Main En- trance of City Hall unless otherwise posted. The City Clerk will he available to accept bids between the hours Of 9:30 and 10:00 AM on the day of the bid opening. Due to the COVIDI9 pandemic, Copies of the Plans, Specifications, and contract documents will not be available to review or moiled from the Office of the Director of Public Works, 2000 Main Street, Huntl,Von Beach, CA 92648. Plans, Specifications, and contract docu- mentsCanbedownloaded ree On AGENCYwebsiteat• http:/Mnyw.huntingtonbeachca.9avIgvernment/departmentsfwblic woriWBldst Open website,then click an"Current Advertised Protects"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 rote of per them wages for each Craft, Classification or type of work- man needed to execute the contract shall be those determined by the Director of Industrial Relations of the State of California, which are on file at the Office of the Director of Public Works,2000 Main Street,Huntington Beach,CA 92648. The AGENCY will deduct 5% retention from all progress payments. The Contractor may substitute on escrow holder surety of eauol valve 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 gomst on the basis of race,color, national origin.ancestry,sex,or religion in any consider- on 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 Bidden as determined by the AGENCY. The bid must be PC- Companied by a Certified check, Cashier's check, or bidder's bond made payable to the AGENCY for an amount no less than 10%of the amount bid. The successful bidder shall be licensed in accordance with provisions of the Business and Professions Code and shall Pos- sess a State Contractor's License Class A at the time of the bid Opening. The successful Contractor and his subcontractors will be required to possess business II• Censes from the AGENCY. All extension of unit Prices will be subject to verification by the AGENCY. In case of a variation between the unit Price and the extension, the unit price will govern. Project Description: The WORK of this Contract will consist of improvements to the exi5tirl9 Perimeter site fenc- ing and the Installation of above and below ground conduits within the site. Specifically,the WORK will include but will not be limited to the fallowing motor items: 1. Removal and Proper disposal of designated sections of the existing site Perime- terfencing. 2. Installation Of a new site perimeter fence in accordance with The Contract Docum- ents 3. Installation of conduits,junction and pull boxes in accordance with the Contract Documents 4. Miscellaneous site civil and electrical work. Addenda from the previous bid have been incorporated into the Proiect and are noted On the Project Plans. An optional Pre-bid wolkthrough will be held ort 10:00 AM on June 2nd, 2D21 to review exist- Ing site conditions.The project site is not accessible to the general Public. The contract shall allow the Contractor 40 working days to Complete the contract. Two Noti- ces to Proceed will be Issued for this contract. The first Notice to Proceed will begin m0terl- cis procurement. The second Notice to Proceed with Work will be issued after air materials ore procured and will begin contract time. The engineer's estimate of probable Construction cost for the work included in the basis of award is 5320,000. The AGENCY reserves the right to reiect any or all bids, to waive any irregularity and to Coke all bids under odvisement for a maximum Period of 60 days. BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH, CALIFORNIA, the 29th day of Jurte 2020 ,by Resolution No. 3-M— 39 . Attest: /sf Robin Estanislau CITY CLERK-OF THE-CITY_OF HUr4TINGTON_BEACH 2 Published Huntington Beach Wave May 20,27.June 3.2021 11462680 civ,-ww,e 3 CITY OF HUNTINGTON BEACH PROJECT NAME: Peck & Springdale Reservoir Facility Improvements CC#: CC 1590 BID OPENING DATE: 7/13/2021 TIME & LOCATION: 10 00 AM City Hall ENGINEER'S ESTIMATE: S320,000 00 BIDS SUBMITTED (AS READ AT OPENING) BIDDER'S NAME FINAL APPARENT BID RANK AMOUNT A2Z Construction r ACE Construction Inc Alcorn Fence Company Alfaro Communications Construction Amtek Construction Calpromax Engineering Doty Bros Construction Cc Elecnor Belco Electric Fleming Environmental Inc Garza Construction 1-12110 Construction Inc JKazoni Construction vU McGrath Consulting Mmco Construction li Electric Parsam Construction Inc i5 0ot).O-D RE Chaffee Construction Red Hawk Inc Quality Fence Vantage Utility Services PTS_12062018_Version_15_CC1590 UNSUCCESSFUL BIDS CC — 1590 Peck and Springdale Facility Improvements City of Huntington Beach „. 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ ��ivxv.huntingtonbeachca.gov =Fa : Office of the City Clerk Robin Estanislau, City Clerk December 15, 2021 ACE Construction Inc. 11921 Sherman Way North Hollywood, CA 91605 RE: Peck and Springdale Facility Improvements — CC No. 1590 Enclosed please find your original bid bond for CC No. 1590. Sincerely, A;41" '&�444j4u) Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan • Waitakere, New Zealand SECTION C PROPOSAL for the construction of Peck and Springdale Facility Improvements CC No. 1590 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 with Work after materials are procured. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications. Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties. fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts. and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find13 IO[&S &NO in the amount of Q1 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: ,lddendallo. Date Received dder'sSignature 5171 Z I Z "1 Z 1 C-s SECTION C PROJECT BID SCHEDULE A PECK AND SPRINGDALE FACILITY IMPROVEMENTS CC-1590 BID ITEMS Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 1 Mobilization and Demobilization t LS S Jc. coo S j 0`) 2 Site Demolition Work 1 LS S E sayi C EO(-� 3 New Micro Mesh Chain Link Fence 1 LS S ) l �l S 4 New Barbed Wire Fence Top over Existing CMU Wall and 4 M1 S Access Gates 1 LS U� COO S tt.5 i 5 Electrical Conduits,Junction Boxes, and Fittings 1 LS S — ��J S ^33 li•l(.� Base Lump Sum (includes all other work that is not included in the above Bid Items but is required to be completed as part of the project) $ JD 71 5 00 . ob TOTAL BID AMOUNT (BASIS OF AWARD FOR SUM OF ITEMS 1-5) — n SCHEDULE $ _S � ,SLI� . 0 TOTAL BID AMOUNT IN WORDS: 1iVL' Scy21) i0u-5(WCI fi✓P hwa)rrCJ Cir-S i11C1 Z-d1. 0 (ri)-j) Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or S10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid A'ame and Address of State Clas�c DIR PWC Dollar % of Item(s) Subcontractor License Registration# Amount Contract Number Q r lil Iu)P C6f51 u(tian tc00t,u i< 10 j< J " 2 605- DC0. ,o J - mi CjrIr �30s'E8 C-fu rc0Q" 00 P) v -16 y t 00. 0 0 �� 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 on7 I i Z ,at LSD 1 S ,ll Date City State AN) being first duly sworn, deposes and says that he or she is of KC � lMU'n Nk' L 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, f ether,that the bidder has not,directly or indirectly, submitted his or her bid price or any breakdown thereof,or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Name of Bidder .1 0) - Signature of Biker yQh W1wflp wrn► ti �n'CD11�jw�7�Gi kkq Address of Bidder /11 � 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 Peck and Springdale Facility Improvements,(Ixwexit)will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 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. �e �Mwasnm ML Contractor c�c�n-Cto � By --M Title '1 Date: L1 C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes �No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code,each contractor to whom a public works contract has been awarded shall sign the following certificate- 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. f:� C1mam ln& Contractor L I By CM Title Dater 11' I ZO "1 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: M C-M=C�10_ YlU Bidder ame tsin A ess l ity, State Zip �Tel fCnC nber �� Email Address 2� �1T�. to 1\nNs [�icense No. and Class g�D Date Issued Expiration Date p am,r The work site was inspected by, 8y- QC1►m�(� of our office on W r�l "I 2M-L. The following are persons, firms, and corporations having a principal interest in this proposal: fit, \(�tt nPCn - C� ►'man �ICa� DIY SP,CI►()„y� -�P The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Company Name Signature of Bidder Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this B day of zez�' . 202Y. A notary public or other officer completing this certificate verities 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 Cell 4 ) County oflo S AVA&S ) �r On deg& /3 202/ before me, Am I i 2 e1�1-fkts y u�r �S MMtfi. Day, and Year /J Insert Warne and Title of tary /fYt personally appeared d,!, Vie G.► a-h 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 1hr siatr (if California that the foregoing paragraph is true and correct. EMILIYA SARKISYANTS WITNESS my hand and official seal. Are %Ury vubk.CaMorms LIQ Lot AngaNn County Commission / 2225501 my Comm Ea gyres tan 12.2022 r Signature Sign of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of perimeter fencing improvements, barbed wire security fencing and/or retrofitting, electrical conduit, pull boxes, and miscellaneous electrical improvements. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: hjI Cuq LP 101h Iy "tkCt)( u)` MT-Ie3 ?1 GUI` 41VO Name and Address of Public Agency J r'\ Name and Telephone No. of Project Manager: ��U�o=Qy I Q(1Y SIC .CU m �5►yIR,3Uo. 06 12pt�U QPn' Ni reir CW 1 ( I nc► lWaLI Contract Amount Type of Work Date Co leted Pro de adt onal of ct descri Lion to show sim ar work. n 2. W�IJC1 ReCC� 15�35kf) fraflat ffI Name and Address of Public Agency �y Name and Telephone No. of Project Manager: 1 �iCJ QCCU ,n(L 6S5I P=10 h C001 13X� i0 CUC1�nn mP. � �2021 Contract Amount Type of Work Date Completed Prov'de ddition 1 project d scri tion to show simr at work- i N� 1C(`i1 �rr1 P , ��a�Yl ,c�n� i� ('41C `(1 ( L�� C�11 3. �yC�1S�CCamiT \ I l u eo p c f) b1 o u,SfCI1C1(+Ifta -prIvat Name and Address of Public Agency y 7 {�� Name and Telephone No. of Project Manager: y�_n �I ) �V1 I III tCl;� LN�� t� lar Gam( i' Z I ZUZ41 Contract Amount Type of Work Date Completed REd n anal project � u o sb o s ilar work: Yy�)�lCro\ _�l � C-to Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions,please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. Ist V(1m�r P t lame of proposed Project Manager Telephone No. of proposed Project Manager: � q OP 1 CI I >N�CA%ItV� mmes $51 L� ,. �� nC14-10- hu Ia), MUZl Project Name& Contract Amount Type of Work Date Completed 1,3!b c 8V_1483 t c t,�,Offl 5 mzL Project Name & Contract Amount Type of Work Date Completed \ I uob k6 Oy offs c e Sci II � CIfn'd Q 1 VyMoll Get c 212DX) Project Name& Contract (Amount Type of Work Date Completed 2. �� Name of proposed Superintendent �r Q I ' Telephone No. of proposed Superintendent:1\11` V -�` 1 y 3`? �'�5 (ycn 5y83k c,u�Tom hc�n,e 5 at�Z,1 Project Name&Contract Amount Type of Work Date Completed wa c�v�vn �c� i Ce cwv- n h,!kF mr �► ► r�a� Project Name & Contract Amount Type of Work Date Completed ntv� n(W Uylof fal '.�4IirM LdI% a WOM Project Name& Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations(DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/Public Works/SB854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://eftling.dir.ca.gov/P WC R/ActionServlet?action=displayPWCRegistratiortForm 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." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Contractor 1 By ,q�cyikn" C�aCl `rn,IGlu��nc.c, v� Email) _C-L l.i Date: 2-U-L Title PWC Registration k: C-12 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For PECK AND SPRINGDALE FACILITY IMPROVEMENTS CC 1590 May 27, 2021 Notice to All Bidders: Please note the following clarifications to the Project Plans, Specifications, and Special Provisions 1) The bid due date has been changed from June 8,2021 to July 13, 2021 at 10:00 AM. 2) Specifications Section A — NOTICE INVITING SEALED BIDS, Project Description on page A-2, the date of the optional pre-bid walkthrough has been changed from June 2" , 2012 to July 21, 2021 at 10 00 AM Please contact keegan.olds@surfcity-hb.org to confirm your attendance. This is to acknowledge receipt and review of Addendum Number One,dated May:27,*,20 FlyT Ufl:l P'L IcTlcr1 linc bcjf(l Uil(CIaL - Company Name By -1 1171Z�L1 Date 1 of 1 of Addendum No. 1 City of Huntington Beach Public Works Department 2000 Main Street Tel (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For PECK AND SPRINGDALE FACILITY IMPROVEMENTS CC 1590 May 27. 2021 Notice to All Bidders: Please note the following clarifications to the Project Plans, Specifications, and Special Provisions 1) The bid due date has been changed from June 8, 2021 to July 13,2021 at 10:00 AM 2) Specifications Section A — NOTICE INVITING SEALED BIDS, Project Description on page A-2, the date of the optional pre-bid walkthrough has been changed from June 2"1, 2012 to June 22, 2021 at 10:00 AM. Please contact keegan.olds@surfcity-hb.org to confine your attendance. This is to acknowledge receipt and review of Addendum Number One,dated M 1' 1 IQYI Company Name By Date 1 of 1 of Addendum No. 1 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER THREE For PECK AND SPRINGDALE FACILITY IMPROVEMENTS CC 1590 June 16, 2021 Notice to All Bidders: Please note the following clarifications to the Project Plans, Specifications,and Special Provisions 1) Specifications Section A — NOTICE INVITING SEALED BIDS, Project Description on page A-2, the date of the optional pre-bid walkthrough has been changed from June 22, 2021 to June 23, 2021 at 10:00 AM. Please contact keegan.olds@surfcity-hb.org to confine your attendance.Attendance is mandatory for bidders who did not attend the first pre-bid walkthrough held on April 9,2021. This addendum supercedes the relevant portions of Addendums #1 and #2 in regards to the pre-bid walkthrough. The bid date is July 13'h, 2021 and has not changed. This is to acknowledge receipt and review of Addendum Number Three, dated J 16 21, and attendance of the pre-bid walkthroughs held on either April 9, 2021 or June 23,L I , 20 1 'l Com nyName By 11��Z I Date 1 of 1 of Addendum No. 3 - = Document A310TM - 2010 Bid Bond Bid Bond No:N/A CONTRACTOR: SURETY: (Aron,e. legal s¢:ms and address) (Vome, legal smnrs rand principal place ACE CONSTRUCTION INC o/1„ui„e.,)American Contractors Indemnity Company 11921 Sherman Way 801 South Figueroa Street, Suite 700 North Hollywood, CA 91605 Los Angeles, CA 90017 This document has important legal consequences.Consultafion with OWNER: an attorney is encouraged with (frame. legal,craned'and oddresx) respect to its completion or modification. City of Huntington Beach 2000 Main Street Any singular reference to Huntington Beach, CA 92648 Contractor,Surety.Owner or .- BOND AMOUNT: Ten Percent of the Total Amount Bid (10%of Bid Amount) other party snap be considered ' plural where applicable. PROJECT: (Vonie, locrlion or address, and Projecl number, ifanv) Peck&Springdale Facility Improvements, CC-1590 Project cumber, if any: .. The Contractor and Surety are bound to the Owner in the amount set troth 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 wldiin the time specified in the bid documents,or within such time period as may he agreed to by the Owner and .. - Contractor,and the Contractor either(1)diners into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted "' .. in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt paN"ent of labor and material furnished in the prosecution nhereoR or('_)pays to the Owner the .. difference,not to exceed the amount of this Bond,between the amount specified in said hid and such larger amount for which the Owner may in good faidi contract with another party to perform the work covered by said bid,then this obligation shall.be null and void;otherwise to remain in fill force and effect.The Surety hereby waives any notice of a i agreement bcoveen the Owner and Contractor to extend die 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 hid documents,and the Owner and Conuactnr 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 die term Owncr shall be deemed to be Contractor. When this Bond has been fumishcd to comply with a statutory or other legal requirement in the location of the Project. arty provision in this Bond cnnllicting with said stalutory or legal requirement shall he 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 bonL. Siened and scaled this 7th day of July 2021 ACE CONSTRUCTI N .... .. (Principal) (Wirfless) / r -�— .. - American Contractors one nit Co any _ (.Sar i) (Witness) __ _ _ ?`rlcJ Irene Luang, Attorney-i -Fa•� AIA Document A310'a-2010,Copyright O 19e3.1970 and 2010 by Th.American Instituteal Architoau.All rights r.servod.WAPNIN,This AIA' IniL paw ant is pmtorrM by U.S.Copyrigh:Law and ahanmiunal Thatiao.Uneuthorizod raproduaion or distrlb.d..of this:IA'pna:nent,or any portion of it,may result in saver.civil end criminal penalties.and will be prosecuted to the maximum extent possible under the law.This r document was created on 01272012 07.23:12 under me farms u1 AIA Documanbon-Demand^'order no. 2WS397463.and a riot for ,east..This document is licensed by The American Institute of AmJntects for one-time use only,and may not be reproduced prim in n%mmnleuon.--a CALIFORNIA ACKNOWLEDGMENT CIVIL CODE 1189 tars aanawawawma to" a.za �vezxuwas s .saaaucr:asmacv arrs�arsaauslr A notary public ar olhef offices Completing Ihis ce.rtificate vvooetifies only the identity of the individuaI who,sig tied the document to tvhich this certificate is attached,and not the truthfulness,accuracy.or validity of that document. State of California Orange County of On JUL 0 7 2021 before me. J. Smith, Notary Public Dote Irene Luong Here Insert Norte and title of the Officer personally appeared _-.-- _--------- -- -- - — tJome(s) or Signers) who proved to me on the basis of saus;actory evidence to be the person(s) ;vhose laine(s) is/are subscribed to the within instrument and acknowledged to me that he/she./they etcearted the same in hi5/her..their authorized capacity(ies), and that by his her/their siunatuie(s) on the instrurnent the person(s), or the entity upon behalf of which the persons) acted, er:eaited the instrurnent. I certify under PENALTY OF PERJURY under the laws of the State of California that the foreooing .�•+ "I ,,y,ri paraoraoh is true and correct. _ { '\ +ocary ruDiic-California ,..o Orange iounry WITNESS my hand and official seal. Con,r,issicn 4 2358196 try Co•T•,-.cu;ires may 19, 1025 y1 Signatured�igricfu, —LLB Pluce Notary Seat ond�or SIGntp Above e of Nolory Public ------- -- -- OPTIONAL — Cdntpletinq this information con deter alteration of the docuanent or fraudulent reettachmant a,•'this form to an unintended document. ! Description of Attached Document Title or Type of Document — DocunientDate: ----- —Number of Pages: Signer(s) Other T Iten Flamed Above: j Capacity(ies) Claimed by Signer(s) Signer's Name.: Signet's Name: O Corporate Officer - 7iUe(s}: ___. ❑ Corporate Oi6r.er - Tille(s): _ 1 i ❑ Partner - ❑ Limited ❑ General ❑ Paitner - O Limited ❑ General ❑ Individual O Attomey in Fact O (ndi•didual ClAttorney in Fact 1 ❑ Trustee ❑ Guardian or Conservator U Trustee ❑ Guardian or Conservator ❑ Other ❑ Other: Signer is Representing: ___ Signer is Representing: I 41'•.IXJrs&_aop49 aIXIXltl:•.C•.3tBb}la'.fartiUtq'.K8C`.�t�2�t:��02ii<!kCiv'.Gf+YL�tHC!#��3J3'.iti.'r7'4'}r;,�skNr3 '� 2019 National Notary Association 0, 1, �I Dr A# TOKIOMARINE H C C 1� �PW�E OF ATTORNEY NITY COMPAINWf9XAS BONDING-COMPANY k AMERICAN CONTRACTORS;INDEM ,_J UNITED STATES SURETY COMPANY U.S.SPECIALTY INSURANCE COMPANY KNOW ALL MEN BY THESE PRESENTS:That American Contractors Indemnity Company, a California corporation,Texas Bonding Company, an assumed name of American Contractors Indemnity Company, United States Surety Company,a M aryland corporation ,rand U.S.11sipif@911y�nsuranre Company-a-Texas—corl%o7ation (collectively, the "Gompanies")�d8litt these presents make,ronstitute-I ��i . d 1, 4-,A[ , V .,� I;,� " , I 'a'n, a,p oint R ,4 p U Yung T. Mullick, James W. Moilarien, Irene Luong�ERIH6,George, y It Q 16Z.A V Qri§tine Hoang, Danielle'Hanson l'or-r Austin Neff of Mission Vec California its true and lawful Attomey(s)-in-fact, each in their separate capacity if more than one is named above, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include riders,,am merits, and consents of surety, _b�hd penalty does not,,exceed M ff%_Z\ 1!*Fifteen. Ilion rs providiniFth'i Dollars ('--.,'5ie.000:dod.ob-,'- .This Powirof Attdrney)) hill i)COIreYithout further action oriApril 23rl,2022 This Power of Ahi5m6yPii'br�n'ted1*11 bhdeF—and_bj ��utfionty of the following resolutions,aclopiteci'loy the Boards o1164cidrslof,the' Companies, I It, f�)�Resof`ved,that the President,any VI`C��President,any Assistant Vice-President, any Secretary or any Assistant Secretary shall' e and shereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: Attorney-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,ffEcignizances, contracts, agreements orind6mnityland other conditional or obIiga1ory;umd&akings, including any and.atl consents i-d cd percent6ges andi6rtnal Ali'm,aies'onjengineen engineering and,construcljoniconlracts�an lo�amy and all notices aWd; men s r theorelease of retained , -1. 1 _ ,. .. . 'do.—and l-any Such instruments so executed by any such Attorney-m-Fact sha1I`b976lm:F1ngupo V ng the Company's liability, thereun cancefiab'orlerra�ml;fi" 3C6'' "� if signed 1 1,�� poratj;§e�(51heihlry. �A tRe mpany.as if signed by the Presid�ni'and,s4al�dlancf,4f�Cc�6J by the Cor Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Camaa;with respect to any bond or undertaking to which it is attached. IN WITNESS4%HEREOF,The Companies have caused thisinstrument to be signed,and their c6fpbrate seats to be hereto affixed, this ' lViJ'ayzif,linias20IR J A A r t, AMERICAN CONTRACTORS INDEMNITY COMPANYtjTEXAS BONDING OMPANY UNITED STAT SURE COMPANY U.S.S'iP.ECIA TY.IN URANCE COMPANY `� 5 G, Stare of California County or Los Angeles Qary,�Zr :or other officer complefmg this certificat�venfies only the identity of the tndrwdual who signed fhei�do"cumenl foh �,J zli�hllt tQ�ceW&�ate is attached, On this 1ii day of June, 2018, before me, Sonia O. Carrejo, a notary public, personally appeared Daniel American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that,by_pis signature on the instrument —the— t I , -Al. 71� '�entihy upon behalf of,which thePer-On"acted,executed the in-Mirurif—ent. � '; ' .. I , 'N person or the correct.�� "pt Id"M 14.rtify under PENALTY OF PERJURY ud the State of G paragraph is I ii-e.,ana a lif'onnia,that the foregoing p _4,i WITNESS my hand and official seal.. Signature (seal) Company, Unite_d��Sta't��'s7SdNFety)) 3 1,-,,Kio'Lo V Secretary ��Alsiislt 4Sc,,ta'V'?m Contractors Indemnity ompany,,f:at exas- on i _J, .0 h e re by,certify that d 0 gom' and I i - Power L bdmr 'nKY�. Specialty Insurance ffedt;'Arfir�e Ge resolutions of the Boards of Directors,- an�:ii C6mpany, the is oorrecico�y of a Power - `kZ:j*J 6l`Aita`ma`y,'e`xeCuted1 by said Companies, is siilriFlull force and set out in the Power of Attorney are in full force and effect. In Witness Whereof, I have her eur)Jo y hand and affixed the seals of said Companies at Los Angeles, California this day of_ TVry T "i 14� /Corpoiate Seals ♦ 7.s! /�y —Kio Lo, Assi&.a;k Secretary Agency No. 7715 .1l i visit L—. hci::com/surety for more i,nfordationp STATE OF CALIFORNIA DEPARTMENT OF INSURANCE SAN FRANCISCO Certificate of Authority Tms Is To CKR=, That, pursuant to the Insurance Code of the State of California, American Contractors Indemnity Company Of Los Angeles , California ., organized under the laws of California subject to its Articles of Incorporation or other fundamental organizational documents, is hereby authorized to transact within this State, subject to all provisions of this Certificate, the following classes of insurance: Surety as such classes are now or may hereafter be defined in the Insurance Laws of the State of California. Tms CstrmcATz is expressly conditioned upon the holder hereof now and hereafter being in full compliance with all, and not in violation of any, of the applicable laws and lawful requirements made under authority of the laws of the State of California as long as such laws or requirements are in effect and applicable, and as such laws and requirements now are, or may hereafter be changed or amended IN Wrrxrss WmmEoB, effective as of the—z3ra `day o f May , 1994 , 1 have hereunto set my hand and caused.my official seal to be affixed this_?4th..._ day of Mav 19 94 i i ohn E By- n= Au tonulf"n n me mu six tenon W, Num1 WIMOO6 d �C Cc ' Staled 194 1 5I "� pta Ord SQr#or ddle fac;lay 11hP�o vt"MJ In V Ut�- bt►►vtt to Inc e-f°fi c� of im G Zoeo moan st • sf no floor hurnmgtan Beach , c" g2u�g City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ NNr%,,%v.huntingtonbeachca.gov Office of the City Clerk Robin Estanislan, City Clerk December 15, 2021 Amtek Construction 946 N. Lemon Street Orange, CA 92867 RE: Peck and Springdale Facility Improvements— CC No. 1590 Enclosed please find your original bid bond for CC No. 1590 Sincerely, '&fdnoj4tj Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand General Engineering Contractor.California Corporation email: alan&amtekconstruction.com License#490312 Class A.8.( -'.(--8,l -10,( -I2 w".amtekeonstruction.com Federal l.D.#90-0937001 phone:(714)912-6722115621696-7111 D I R a1000009822 A M T Fax: (.62)696-7022 • C O N S T FZ U 0-W-6 44=7� 946 A. Lemon St., Orange, ( :A 9'807 Proposal For : CITY OF HUNTINGTON BEACH PECK AND SPRINGDALE FACILITY IMPROVEMENTS CC NO . 1590 BID DUE DATE 07/13/2021 10 :OOAM Ns+ss.amtcl.am,Iruclion.com email: utloa4mtekconstruction.com GENERAL ENGINEERING& ELECTRICAL CONTRACTORS LICENSE 490382 AMTEK CONSTRUCTION SECTION C PROPOSAL for the construction of Peck and Springdale Facility Improvements CC No. 1590 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND NIEM13ERS OF THE COUNCIL OF HUNTINGTON 13EACH: In compliance with the Notice Inviting Sealed Bids. the undersigned hereby proposes and agrees to pertonm 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_v of I luntington Beach. The undersigned agrees to perform the work therein to the satistaction of and under the supervision of the City Engineer of the Cite of I lUntington Beach, and to enter into a contract at the Iollodving prices. ']'he Undersigned agrees to complete the work within 40 working days. starting from the date of the Notice to Proceed with Work after materials are procured. BIDDI'R declares that this proposal is based upon careful examination of the work site, plans. specifications. Instructions to Bidders and all other contract documents. It' this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the Unit and/or IUtmp 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 forleiture to AGI?NCY of the ,uaranty 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 ofcomparing bids and that final compensation under the contract will be based Upon the actuial quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DI-LIiTI' ANN' lTEi%,I FRONT TfIF CONTRAC t. 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 otsixty days from the bid opening date. If at such time the contract is not awarded, the AGI.-NCI' will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid. Unit prices shall govern over extended amounts, and words shall govern over figures. • C-1 AMTEK CONSTRUCTION If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in • executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find BID BOND in the amount of 10% which said amount is not less than 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"Bidders Bond for_% ",as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda .Yu. Dare Reeeired Bidder' Signature 1 05/27/2021 2 05/27/2021 3 06/16/2021 LINE NOT USED LINE NOT USED • ( -2 City of Huntington Beach Public Works Department • 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For PECK AND SPRINGDALE FACILITY IMPROVEMENTS CC 1590 May 27, 2021 Notice to All Bidders: Please note the following clarifications to the Project Plans, Specifications,and Special Provisions 1) The bid due date has been changed from June 8. 2021 to July 13, 2021 at 10.00 AM 2) Specifications Section A - NOTICE INVITING SEALED BIDS. Project Description on page A-2, the date of the optional pre-bid walkthrough has been changed from June 2n°, 2012 to July 21, 2021 at 10,00 AM. Please contact keegan olds@surfcdy-hb org to confirm your attendance This is to acknowledge receipt and review of Addendum r One, d ted May 27, 2021. Num AMTEK CONSTRUCTION !ix� Company Name By ALAN SOCE • 07/12/2021 Date • 1 of 1 of Addendum No. 1 City of Huntington Beach Public Works Department • 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For PECK AND SPRINGDALE FACILITY IMPROVEMENTS CC 1590 May 27, 2021 Notice to All Bidders: Please note the following clarifications to the Project Plans, Specifications. and Special Provisions 1) The bid due date has been changed from June 8. 2021 to July 13, 2021 at 10 00 AM 2) Specifications Section A — NOTICE INVITING SEALED BIDS, Project Description on page A-2, the date of the optional pre-bid walkthrough has been changed from June 2n0, 2012 to June 22, 2021 at 10 00 AM Please contact keegan olds@surfaty-hb org to confirm your attendance This is to acknowledge receipt and review of Addendum Number One, d ed May 27, 2021. AMTEK CONSTRUCTION Company Name By ALAN VYCE . 07/12/2021 Date • 1 of 1 of Addendum No. 1 City of Huntington Beach Public Works Department . 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER THREE For PECK AND SPRINGDALE FACILITY IMPROVEMENTS CC 1590 June 16. 2021 Notice to All Bidders: Please note the following clarifications to the Project Plans, Specifications, and Special Provisions 1) Specifications Section A — NOTICE INVITING SEALED BIDS, Project Description on page A-2, the date of the optional pre-bid walkthrough has been changed from June 22, 2021 to June 23, 2021 at 10 00 AM Please contact keegan olds@surfcity-hborg to confirm your attendance Attendance is mandatory for bidders who did not attend the first pre-bid walkthrough held on April 9, 2021 This addendum supercedes the relevant portions of Addendums #1 and #2 in regards to the pre-bid walkthrough. The bid date is July 131h, 2021 and has not changed. This is to acknowledge receipt and review of Addendum Number Three, dated June 16, 2021, and attendance of the pre-bid walkthroughs held on either April 9, 2021 tJune 23, 2021. AMTEK CONSTRUCTION �_ . Company Name By ALZIA SAYCE 07 12 2021 Date • 1 of 1 of Addendum No. 3 AMTEK CONSTRUCTION SECTION C • PROJECT 1311) SCHEDULE A PECK AND SPRINGDALE: FACILITY IMPROVEMENTS CC-1590 BID ITEMS Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 1 Mobilization and Demobilization 1 LS 2 Site Demolition Work 1 LS $`K i`I9& $ L4 3 New Micro Mesh Chain Link Fence 1 LS $3,Z1 r D'<6 $ 4 New Barbed Wire Fence Top over Existing CMU Wall and Access Gates 1 LS r c9 6 5 Electrical Conduits, Junction Boxes, and Fittings 1 LS $I Li a,JSS $ I t-(d Base Lump Sum (includes all other work that is not included in the above Bid t > Items but is required to be completed as part of the project) $ 5 5-7 7 n TOTAL BID AMOUNT (BASIS OF AWARD FOR SUM OF ITEMS 1-5) — SCHEDULE A $ �� - 7 1 5 o TOTAL BID AMOUNT IN WORDS: L � 1 - �JLA'LjPP-1 I rr + �l S/�IiQn a, ram 4 c30 1�' �-, u t Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. • C-2.1 AMTEK CONSTRUCTION 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 Nume and Address of State Class D!R PWC Dollar % of Item(s) Subcontractor License Registration Amount Contract Number HARDER CONCRETE BREAKING A 2.3.4 5500 FEATHER GRASS LANE 747952 C-61 1000039732 V 0,01D �lI —7 1 YORBA LINDA, CA 92887 D06 I � LONG'S DIRECTIONAL BORING A 5 1476 BODIE PL 786830 C-61 1000006446 $ �l' o NORCO, CA 92860 D09 0/ N/A N/A N/A N/A N/A N,!A By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. . 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 AVITEK CONSTRUCTION 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 711 1, at ORANGE Date City State ALAN SAYCE being first duly swom, deposes and says that he or she is VICE PRESIDENT of AMTEK CONSTRUCTION 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. AMTEK CONSTRUCTION Name of Bidder SI azure of Bidd 946 N LEMON STREET, ORANGE, CA 92867 Address of Bidder • C4 CALIFORMIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE f IISO Y L("STS A'CS`liG�((J��((i 1l:EYrS:C4�l.(I.CI�C4.S{r4�YJC4:rl�if.(Y A notary pubic or other ofhcer completing aas certificate verifies any the idaluty of dis rKwil" who signed the document to which this certificate is attached,and not the to thfulr ea,aoarac .or validity of Milt document. State of California ) County,of ORANGE ) On 07/12/2021_ _ before me, _ DEENA MOORE, NOTARY Date Mere Insert Name and Tine of the Officer personalty appeared ALAN & YCE [ICE PRESIDENT Names)of Sgrlil who proved to me on the basis of satisfactZ evidence to be the person(s) whose names) Es/are subscribed to the within instrument and acknowledged to me that he/She/they executed the same in his,'herithev authorized capacitylies). and that by his/her/their sEgnaturets)on the instrument the pefson(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. WITNESS my hand ickd seal. JC E-{r009[ +purr e.m,< Cun f 1 .m{for Cnl, q � comet, .nsar�e Signature lure Of Notary PUNrc Place Notary Seat Above OPTIONA! Though this section its optional. completing this information can deter afterabon 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 819rwr(s) Signer's Name Signer's Name: _ Corporate Officer — Trtle(s): Corporate Officer — Tide(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: • ..•.:<:. :.�...�..«c<A%,a:C,a<+Anz+<.u�aa.a-{x-xex. - xx�.u.. T014 Nauonat Notary Association • www NabonalNotaryorg • 1-800-US NOTARY(1-800-876-M7) Item 15907 AMTEK CONSTRUCTION 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 Peck and Springdale Facility Improvements, (IxweXit)will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 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. AMTEK CONSTRUCTION Contractor ALAN SAYCE By VICE PRESIDENT ille Date: 07/12/2021 • ( -t AMTEK CONSTRUCTION DISQUALIFICATION QUESTIONNAIRE • In accordance with Government Code Section 10162.the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal. State or local government project because of a violation of law or a safety regulation? O Yes ® No If the answer is yes,explain the circumstances in the space provided. N/A LINES NOT USED Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the • Proposal shall constitute signature of this questionnaire. C-6 AMTEK CONSTRUCTION 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. AMTEK CONSTRUCTION Contractor ALAN SAYCE BN VICE PRESIDENT I itic Date: 07/12/2021 • AMTEK CONSTRUCTION BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: AMTEK CONSTRUCTION Bidder Namr 946 N LEMON STREET Business Addre,. ORANGE CA 92867 City. State /ip ( 562 )696-7111 ALANOAMTEKCONSTRUCTION.COM Telephone Number Email Address 490382-A,B.C7,C8,C10,C12 State Contractor's License No. and Class 04/30/1986 Original Date Issued 04/30/2023 Expiration Date The work site was inspected by CRIS EDWARDS of our office on APRIL 9TH . 2021 The following are persons, firms. and corporations having a principal interest in this proposal: STEVEN SAYCE - PRESIDENT LINES NOT USED ALAN SAYCE -VICE PRESIDENT LINES NOT USED 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. AMTEK CONSTRUCTION Compare Name Signature of Bidder • ALAN SAYCE Printed or Typed Signature C-8 ''ONTRACTORS dCa STATE LICENSE BOARD t ACTIVE LICENSE k' 490382 CORP r AMTEK CONSTRUCTION ABC-8C10C12C-7 . 04/30/2023 www.cslb.ca.gov • AWTEK CONSTRUCTION NOTARY CERTIFICATE • Subscribed and sworn to before me this12THday of JULY 202 1 . A notary public or other officer completing this certificate verifies only the identith of the individual who signed the document, to which this certificate is attached, and not the truthfulness. accuracy, or validity of that document. State of CALIFORNIA ) County of ORANGE ) On JULY 12TH. 2021 before me, DEENA MOORE, NOTARY Month, Day, and Year Insert Name and Title of Notary personally appeared ALAN SAYCE 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. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. o[[..roo,r +a.n naa ca«�r . camwwan.usln� .,Cemm [,win LC+.7011 Signature [ ature of Notary Public (PLACE NOTARY SEAL ABOVE) • C-9 AMTEK CONSTRUCTION Bidder's Project 11istory For the purposes of this project, the bidder shall provide project history of sumlar work. specifically referencing the construction of perimeter fencing improvements, barbed wire security fencing and/or retrofitting, electrical conduit, pull boxes, and miscellaneous electrical improvements. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the hidden has performed similar work within the past five years: I. OCEAN VIEW SCHOOL DISTRICT - 17200 PINEHURST LANE, HUNTINGTON BEACH Name and Address of Public Agency Name and Telephone No. of Project Manager: JIM CHOATE - (714) 847-7083 $399,333.00 BUILDING MODIFICATIONS NOVEMBER 2019 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: UPGRADES GRADING, FENCING AND CONCRETE WORK SOUTH ORANGE COUNTY COMMUNITY COLLEGE SCHOOL DISTRICT ?. 28000 MARGUERITY PARKWAY MISSION VIEJO, CA 92692 Name and Address of Public Agency Name and Telephone No. of Project ,Manager: MEDHANIE EPHREM - (562) 582-4531 $783,333.00 PERIMETER FENCING MAY 2019 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: THIS PROJECT INCLUDED PERIMETER FENCING AND GATES ALONG ENTIRE CAMPUS AS WELL AS ELECTRICAL AND CONCRETE REPAIRS 3. UNIVERISTY OF CALIFORNIA, IRVINE - ELECTRIC BUS YARD Name and Address of Public Agency Name and Telephone No. of Project Manager: CRAIG DENNEY - (949) 824-5853 $1 ,167,041.00 INSTALLATION OF 20 CHARGERS JUNE 2017 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: THIS PROJECT ALSO INCLUDED SAW CUTTING, DEMO, EXCAVATION, TRENCHING, CONDUIT INSTALLATION AND WIRE INSTALLATION THERE WAS LOW VOLTAGE WORK SUCH AS INFRASTURCTURE FOR WIRELESS ACCESS POINTS AND THE DATA • INSTALLATION FOR THE NEW GATE SYSTEM. C-10 AMTEK CONSTRUCTION Bidder's Critical Staff • Listed below are the names of the bidders proposed Construct ton Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. I. ALAN SAYCE, PROJECT MANAGER Name ofproposed Project Nlanager Telephone No. of proposed Project Manager: (562) 696-7111 ADVANCED TECHNOLOGY & EDUCATION PARK TEMPORARY FENCING PROJECT PERIMETER FENCING $783,333.00 ELECTRICAL & CONCRETE REPAIR MAY 2019 Project Name & Contract Amount Type of Work Date Completed UNIVERSITY OF CALIFORNIA, IRVINE ELECTRI BUS YARD GRADING FENCING $1 ,167.041 .00 CONCRETE JUNE 2017 Project Nance & Contract Amount Type of Work Date Completed CAMPUS SAFETY BLDG - BACKUP GENERATOR GENERATOR PROJECT AT IRVINE VALLEY COLLEGE $372,730.00 INSTALLATION OF AN EMERGENCY GENERATOR MAY 2018 Project Name & Contract Amount Type of Work Date Completed • �. MIKE PETTY, SUPERINTENDENT Name of proposed Superintendent Telephone No. of proposed Superintendent: (626) 833-5551 ADVANCED TECHNOLOGY & EDUCATION PARK TEMPORARY FENCING PROJECT PERIMETER FENCING $783,333.00 ELECTRICAL & CONCRETE REPAIR MAY 2019 Project Name & Contract Amount Type of Work Date Completed UNIVERSITY OF CALIFORNIA, IRVINE ELECTRIC BUS YARD GRADING, FENCING $1,167,041.00 & CONCRETE JUNE 2017 Pro ect Name & Contract Amount Type of Work Date Completed CAMPUS SAFETY BLDG - BACKUP GENERATOR GENERATOR PROJECT AT IRVINE VALLEY COLLEGE $372,730.00 INSTALLATION OF AN EMERGENCY GENERATOR MAY 2018 Project Name & Contract Amount Type of Work Date Completed • C-11 AMTEK CONSTRUCTION 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/Publie Works/SB854FactSheet-6.30.14.pdf DIR's Contractor Registration Link —Call (844) 522-6734 https://eri I i ng.dir.ca.gov/P W C R/ActionSery let?action=display PWC Rcgistrat ionForm 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. AMTEK CONSTRUCTION Contractor ALAN S NICE AV By ALANaAMTEKCONSTRUGTION.COM I mail VICE PRESIDENT l illc Date: 07/12/2021 • PWC Registration 4: 1000009822 ( -12 do ollPF ea Indltstrwl RBIa0on6 STATE OF CALIFORNIA APPLICATION FOR PUBLIC WORKS CONTRACTOR REGISTRATION Registration Information Type. Renewal Period. July 1,2019-June 30,2022 Contractor Information Contractor Name: AMTEK CONSTRUCTION Trade Name: AMTEK CONSTRUCTION License Type Number: 1000009822 Contractor Physical Address Physical Business Country- United States of America Physical Business City/Province: WHITTIER Physical Business Address- 12409 SLAUSON AVENUE SUITE 1 Physical Business State CA Physical Business Postal Code: 906M Contractor Mailing Address Mailing Business Country Mailing Business City/Province. Mailing Business Address Mailing Business State Mailing Business Postal Code. Contact Info Daytime Phone: Daytime Phone Ext.: Mobile Phone: Business Email. loretta@amtekconstructioncom Applicant's Email. loretta@amtekconstruction corn • Registration Services.:Page 1 of 2 6/24/2019 2:15:23 PM Workers' Compensation • Professional Employer Organization (PEO) Do you lease employees through Professional Employer Organization? Yes PEO Name: BARRETT BUSINESS SERVICES Street address: 862 E.Hospitality Lane,Ste. 150 City,State,Zip: San Bernardino.CA 92408 PIED Email Address: PEO Phone Numbers: (909)890-0100 Workers' Compensation Overview Insured by carrier Carrier: ACE AMERICAN INSURANCE Inception Date: October 1,2018 COMPANY. Policyholder Name: AMTEK CONSTRUCTION Expiration Date: October 1,2019 Policy Number: 22667 Certification Yes I certify that I do not have any delinquent liability to an employee or the state for any assessment of back wages or related damages,interest,fines,or penalties pursuant to any final judgment,order,or determination by a court or any federal,state,or local administrative agency,including a confirmed arbitration award Yes I certify that the contractor is not currently debarred under Section 1777.1 or under any other federal or state law providing for the debarment of contractors from public works. Yes I certify that one of the following is true: (1)I am licensed by the Contractors State License Board(CSLB)in accordance with Chapter 9(commencing with Section 7000)of the Business and Professions Code;or(2)my business or trade is not subject to licensing by the CSLB. I understand refunds are not authorized I,Loretta Sayce,the undersigned,am,AMTEK CONSTRUCTION with the authority to act for and on behalf of the above named contractor. I certify under penalty of perjury that all of the above information provided is true and correct.I further acknowledge that any untruthful information provided in this application could result in the certification being canceled. I certify this on:6/24/2019 2:10:42 PM Legal Entity Information Legal Entity Type: Corporation Name:AMTEK CONSTRUCTION • Registration Services::Page 2 of 2 Bid Bond Bid Bond Number.CSBA-iS166 CONTRACTOR: SURETY: (.Nranne, legal status and address) (,Name,sge/status and prinrpal place of bustnrss) Amick Construion The Ohio Casualty Insurance Company 946 N.Lemon Street 790 The City Drive South,Suite 200 Orange,C\92867 Orange,CA 92868 OWNER: This document has important legal (Name,legal status and addrtrr) consequences. Consultation with City of Huntington Beach An attorney is encouraged with respect 2000 Main Street its completion or modification. Ihluntington Beach,CA 92648 Any suigular reference to Contractor,Surety,Owner or other parry shall be considered Plural where al,plicable. BOND A MOUNT: Ten Percent(10%)of Amount Bid PROJECT: Peck and Springdale Facility Improvements CC No. 1590 Project Number,if any: The Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surety bind themselves,thcr 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 tune specified at the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof,or(2) pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work cowered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect.The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept;he 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 itnaished to compiv 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 furnished,the anent is that this Bond shall be construed as a stntutory bond and not as a common law bond. Signed and sealed this JZdLday of July.2021 Amtek C on«action (Pmrapao (Seal E (Uvirness) . A A G PRESIDENT The Ohio\� asirdb Insurance Comoanv c (S-0 (ihitnrss) Jklissa Ann Vaccaro (Title)Dwight Reilly,Attorney-in-Fact By arrangement with the American Institute of Architects, the National Association of Surety Bond Producers(NASBP) (www.nasbo.orzI 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 tent in AIA Document A310-2010, 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 7/12/2021 before me, Melissa Ann Vaccaro. Notary Public (insert name and title of the officer) personally appeared Dwight Reillv 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. " MELISSA 4N:1 V^'CM Z Cofr1N1.422-11394 m Notary Public-California X ONANGE COW,TY Signature \ \ r\ Fly Comm.Eapirvs7,fay12,2022 \�(��^\� yYZ 1 1V(Seal) Melissa Ann Vaccaro 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. Bond No.CSA.A-13166 Liberty Llbery Mutual Insurance Company Mutual. The Ohio Casualty Insurance Company Certificate Na 8205094-969561 West American Insurance Company SURETY POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Chia Casualty Insurance Company is a corporation duly organized under the laws of the Slate of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West Amencan Insurance Company is a corporation duty organized . under the lawn of the State of Indiana(herein cclectively called;he'Companies-),pursuant to and by authority herein set forth,does hereby name,consUlute and appoint Arturo 4vala' Ben Stone:Daniel Huckabav' Dwttzht Redlt':Frank Morons'Michael D.Stone' R.Nonni'Shaumuh Rozclle Ostrom all of the off of Oranee state of CA each individually if there be more than one named,its true and Lawful attorney-in-fact to make. execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duty signed by the president and arrested by the secretary of the Companies in their own prw Persons. IN WITNESS WHEREOF,this Power of Anomey has been subscMed by an authorized officer or official of the Companies and the corporate seats of the Comomies have been affixed thereto this 25th day of March 2021 ❑be try Mutual Insurance Company CDC) a YY hvs� \NSUqThe Ohio Casualty Insurance Company °nr°q� 'PvsuP °,.pyre% West American Insurance Company e rN1919 0 j1991 ° oa pa +.tnsaDr rat '^a.+� ,Dvqt t,� >`M x� By.David M.Carey.Assistant Secretary � M Slate gf PENNSYL`tANIA v ch County of MON TGOMERY o ct U � On this 251h day of March :Oval before me personalty appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty AluWal Insurance �L m Company,The Ohio Casualty Canoany,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporation by himself as a duty authorized officer. >tb_ Q ra —'o IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania.on the day and year first above\vnthen. ¢O ati r ui �-•..tvtw. Casmx a en+uf r rmame-a. orti,y r.turaaca ry Srn � o? +�mMS By: � LZdotJ yQ11, >oa Teresa Pastella,Notary Public p0 on m This Paver or Attorney is made and executed pursuant to and by authority of the following Bylaws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual 3 m 0 Insurance Company,and West Amencan Insurance Company which resolutions are new in full force and effect reading as follows: 0 ARTICLE IV-OFFICERS:Section 12.Power of Attorney, be Any officer a other offical of the Corporation authorized for that purpose in writing by the Chairman or the President. and subject to such limitation as the Chairman a the-o U President my prescribe.shall acpdnt such momeys-in-tact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety m any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys in-IacC subject to the limitations sat forth in their respective powers of attorney,shall o ; have full power ..0 bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such 0 W z instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power a authonty granted to any repesentative a attorney-in-fact under the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting sum paver or authority. — ARTICLE XIII-Execution of Contracts:Section 5.Surety Bonds and undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairman or the president may pesmice, shall appoint such attorneys-m-faa,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings, bonds,recognizances and other surety obligations.Such attorneys-in-fact subject to the limitations set forth in their respective powers of anotney,shall nave full paver to one the Company by their signature and execuaort of any sum instruments and to attach thereto the seal of the Company.When so executed such instruments shall be as dinding as if signed by the president and attested by the secretary. Certificate of Designation-The President of the Canpany,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such momeys-in- fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as%rely any and all unaertakings,bonds,recognizances and other surety obligations. Authorization-By unanimous consent of the Company's Board of Directors,the Company consents that facsimte or mechanically reproduced signature of any assistant secretary of the Company,vmerevef appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall oe valid and binding upon the Company with the same force aria effect as though manually affixed. I,Renee C.Uevtftym,the undersigned,Assistant Seaelary, The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full,We and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 12th day of July 2021 ' �\NSUq `ZY LYap p \NSUq tJ ceu°°' � yJ y.�i �.r °.rnq,r�-Yn i/I' l� a3 of e3` "e n ¢ 3` 6m � t-1912j` n c P 1919 • n r= 1991 r1 �[G�r� Rr) *Y, •,qt ^�a 4+3M *+,a Renee C.Llewelyn,Assistant Secretary LUS-12e73 LMIC OCIC A'MC Mdb Co CBt CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 :;.cc..:^.cr..�t,^�;c9cr-cccGCCCY2cY.cc.Crct;.=CCrare'C.c:ccc.�.rcrcrc_rcrcX`.r:edif.i sc.,:Gcc.�rc_rw=CcctAcrcrcrcfccccc:Qc rcri 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 07/12/2021 before me. DEENA MOORE, NOTARY Date Here Insert Name and Title of the Officer personally appeared ALAN SANCE VICE PRESIDENT James) of Signer(s) who proved to me on the basis of satisfactory evid nce 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. DENA„ RE Notary P.bfi, C.hfl -(. comml„im.IZ51736 Signature _ mm.E.,i,„s.,I.rau Si nature 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 Phan Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ,j Corporate Officer — Title(s): =.Corporate Officer — Title(s): Partner — Limited D General '1 Partner — G Limited C General E. Individual Attorney in Fact = Individual -1 Attorney in Fact Trustee Guardian or Conservator i_Trustee - Guardian or Conservator C Other: C Other: Signer Is Representing: Signer Is Representing: ©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item 05907 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 .rrccxrcr.:.r.-ccr�:crccc_rc_ccr.cccrcr rzr,crcrccc:ccr.�r.r,Frr_ccocccesrrcccc xzrccrrr_r:oc:scrcrcrce.:rcc 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 07/12/2021 before me, DEENA MOORE NOTARY Date Here Insert Name and Title of the Officer personally appeared ETTA SAYCE SECRETARY/TREASURER me(s) of Signer(s) who proved to me on,th asis of satisfactory eviden e to be the person(s) whose name(s) is/are subscribed to the within-- slrument 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. DEE II DORE } r - L O,Mi.-22527 E Signature F eem�nnelw,.usln0 Signature of Notary Public �:Com.m.Epim 5ro�.tG13 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): '7 Partner — Limited General Partner — — Limited C General Individual Attorney in Fact J Individual —'Attorney in Fact Trustee __ Guardian or Conservator Trustee ..Guardian or Conservator Other: =1 Other: Signer Is Representing: Signer Is Representing: Wit:{•-C."-(.":<":C"=�•.i'�C s'eZ:a:C`t:<t%e.'u.+.:(��(.'�(.'�L•e%:.`C:t.'�(.'«.k%C`uY-.(,'e'4`�f.`u.`«v%C't%(.•u:'e_(.'t'<.•e:e.`K:(.ti(v�-(.'t4:C•-(.'4CY.;G ©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-682 7) Item #5907 I AMTEK CONSTRUCTION 916 N LEMON STREET FFSEALED BID-1 1 ORANGE,CA 92867 (562)6%T111 - PECK AND SPRINGDALE i - FACILITY IMPROVEMENTS 'I I L }. - t I DEUVER TO THE OFFICE OF THE CRY CLERK ` 2000 MAIN STREET.SECOND FLOOR City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ �Niv�v.huntingtonbeachca.gov Fe : Office of the City Clerk Robin F..stanislau, City Clerk December 15, 2021 Kazoni Construction 150 Paularino Ave., Suite D160 Costa Mesa, CA 92626 RE: Peck and Springdale Facility Improvements— CC No. 1590 Enclosed please find your original bid bond for CC No. 1590. Sincerely, Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of Peck and Springdale Facility Improvements CC No. 1590 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF 11UN 1'ING 1'ON REACH: In compliance with the Notice Inviting Scaled Bids, the undersigned hereby proposes and agrees to per all the work therein described, and to furnish all lahor, material.equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the Ciq Engineer of the Citc of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of (lie City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. 'file undersign o undersigned agrees t complete the work within 40 working days. starting from the date of the Notice to Proceed with Work after materials are procured. 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, 131 DDER agrees to enter into a contract with AGENCY at the unit anti/or lump Stull prices set forth in the following Bid Schedule. BI DDER understands that failure to cuter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompam in,, this proposal. BIDDER understands that a hid 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 contact will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETES ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices hid include all appurtenant expenses. taxes. royalties, fees, etc., and will he guaranteed for a period of sixty clans from the hid opening date. If at such time the contract is not awarded, the AGENCY will reject all hills and will readvertise the project. In the case of discrepancies in the auuounts hid, unit prices shall govern over extended aunounts. autd wards shall govern Over figures. C-t If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER,the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may,at the AGENCY'S option.be considered null and void. Accompanying this proposal of bid, find Bidders Bond in the amount of 10% which said amount is not less than 109k 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 i uWure 1 5/27/2021 2 5/27/2021 j 3 6/16/2021 c-2 SECTION C PROJECT BID SCHEDULE A PECK AND SPIflYGDALI&FACILITY INIPROY'F.NENTS CC-1590 BID ITEMS Item Dewription QM a l>r Unit Unit Crnt Total Cost No. l Fxtrnion 1 t Mobilization and Demobilization LS 36000 s 36000 2 Site Demolition work LS S 38780 S 38780 3 New Micro Mesh Chain Link Fence 1 LS S 262528 S 262528 C New Barbed Wire Fence Top over Existing CMU Wall and S 21614 5 21614 Access Gates 1 LS 5 Electrical Conduits. Junction Boxes.and Fittings t is S 151888 S 151888 Base Lump Sum jincludes all other work that are not included in the above Bid 139,059.00 Items but are required to be completed as part of the project) $ TOTAL BID AMOUNT(BASIS OF AWARD FOR SUM OF ITEMS 1-5)— SCHEDULE A $ 649,869.00 TOTAL BID AMOUNT IN WORDS: Six hundred forty nine thousand eight hundred sixty nine dollars and zero cents Note- All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the exlension. the unit price will govern. The Owner reserves the rght to reject any or all proposals and bid items. C-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104. the Bidder shall set forth the name and business address of each Suhcontt'actor 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 he clone he such subcontractor. Bid Aaine and Address of State Cloys DIR PWC Dollar %of Iten+(s) Subcontractor License Registration p Amount Contract Number Fence Corp 886544 C13 1000000850 284,142 43% 18440 Van Buren Blvd. B 3 & 4 Riverside, CA 92508 N Forte Construction, Inc. 1032550 C10 1000054450 151,888 23% 5 8251 La Palma Ave., #377 Buena Park, CA 90620 N N N N N Bc submission of this proposal. the Bidder certifies: I. That he is able to and will perform the balance of all work which is nut covered in the above subcontractors listing. 2. That the AGENCY will he 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 71I 2021,at Casts Mreee CA Date 011. State April Kuipinski _ being first duly sworn, deposes and says that he or she is President of Kazoni,Inc.dbe:Kazoni Construction the party malting 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. Kazoni, Inc. dba: Kazoni Construction Name of Bidder iv, Signature oKidfler 150 Pauladno Ave. Suite D160, Costa Mesa, CA 92626 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 wort: specified in the contract.known as the Peck and Springdale Facility Improvements, (1Nwe)(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 27W.as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the luuards involved." The undersigned also promised and agrees that all such wort, 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. Kazoni Inc dba Kazoni Construction Contractor April Kulpinski R� President Title Date: 7/13/2021 C•s DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete- under peuah of perjw-\'. the following questioimaire. QUESTIONNAIRE I 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' rc��ulatiod, ❑ Yes �J No If the answer is %es. 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-b 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 37(X) of the La- 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. Kazoni Inc dba Kazoni Construction Contractor April Kulpinski By President Title Date: 7/13/2021 C•7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Kazoni Inc dba Kazoni Construction Bidder Name 150 Paulanno Ave. Suite D160 Business Address Costa Mesa California 92626 C45. State Zip ( 714 ) 882-1088 april@kazoni-inc.com Telephone Numher Email Address 974982 A, B State Contractor's License No. and Class 7/16/2012 Original Date Issued 7/31/2022 Expiration Date The work site was inspected by Stephanie Gonlalez of our office on June 23 . 2021 The following are persons.firms.and corporations having a principal interest in this proposal: April Kulpinski Keith Kulpinski The undersigned is prepared to salisf) the Council of the Ciq of Huntington Beach of its ability. financiall} or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Kazoni Inc dba Kazoni Construction Company N re Signatur of Nidder April Kulpinski, President Printed or Typed Signature C-8 NOTARY CERTIFICATE. Subscribed and sworn In hefore tile (his t3 clav of July 2021 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, it) which this certificate is attached, and not the truthfulness, accuracy, of validi(y of that document. State of California County of Orange ' / Q On ��' �� I before me. CVq �0A�CAA, X)P fik! /6, e- Mon( I. Day. and Year //�� / / Ins ert Name and Title of Notai personalh' appeared 4,01Z L Nante(s) of Slgnerfs) who proved di me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknrnvleelged to me that he/she/they executed the same in his/her/their auth0rizec1 capacit�(ies). and that by his/her/their Signatures) on the instrument the person(s), or the entity upon hehalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJIJRY under (he laws of the State of California that the foregoing parat raph is 1ILC and COITecl. EVALIE DUNCAN COMMISSION a 2326160 3 WITNESS np hand and official seal E Notary Public-California � Of NGE COUNTY My C—m E q .a Mry 3,2024 S lgll alLlfC (�(/moo /��N Signature of Notary Public (PLACE NOTARY SEAL .ABOVE) C-9 Bidder's Project History For the purposes of this project, the hidder shall provide project histor of similar work. specifically referencing the construction of perimeter fencing improvements, harbed wire security fencing and/or retrofitting, electrical conduit, pull boxes, and miscellaneous electrical intproventents. Bidders are encouraged to submit supplemental relevant project history' in addition to the projects listed herein. listed helow are the flames. address and telephone nunlhers for three public agencies for which the hidder has performed similar work within the past five years: 1. Santa Ana Unified School District 1601 East Chestnut Ave..Santa Ana, CA 92701 Name and Address of Public Aaencc Name and Telephone No. of Project Manager: Albert Bolanos(714)480-5265 ext.75365 S2.177,659.20 Site upgrades, interior renovation 1/15/2021 Contract Amount Type of Work Date Completed Provide additional project description to show similar walk: Exterior fencing,drainage, landscaping, site concrete(on district property and city property(Public Works Permit) Depaertment of General Services 707 Third St.,West Sacramento, CA 95605 Name and Address of Puhlic Agency Name anti Telephone No. of Project klanager: Micky Chen(916)375-4131 S526,061.39 Visitor Parking Structure Improvements 1/23/2020 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Perimeter fencing at the different parking levels, included custom steel fence panels and wire mesh fence panels New-ligh&ng_control.paaelJor-the-parking.s tructure 3. The Regents of University of California 1223 University Ave.,Suite 240, Riverside.CA 92521 Name and Address of Public Agency Name and Telephone No. of Project Manager: Blair Fickett(562)301-4644 $818 481.00 University Locker Room Renovations 6/27/2018 Contract Annxult Type of Work Date Completed Provide additional project description to show sinlilar work: New team room locker rooms(men's/womens/gender neutral) ("-11) Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project M:ulagcr, and Superintendent. For each of these critical positions. please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this Project. Bidders are encouraged submit supPleolental relevant project history in addition to the projects listed herein. I. Keith Kulpinski Name of prolosed Project Manager Telephone No. of proposed Project N9:mager: (714) 882-1088 Heninger K8 Expansion Site upgrades, interior renovation 1/15/2021 $2,177,659.20 Project Name fi Contract Amount Type of Work Date Completed 1945 La Cienega Renovation Re-roof/exterior site work 5/27/2021 exterior facade/ interior renovation $1,692,020.95 new electrical service / new HVAC Project Name K, Contract Amount Type of Wok Date Completed Perimeter fencing- custom panels Visitor Parking Structure Improvements mesh fencing, lighting controls 1/23/2020 $526,061.39 Project Name & Contract Amount Type of Work Ditte Completed Chris Weber Name ofProposed Superintendent (714)882-1088 "telephone No. of pmlxlsed Superintendent: Heninger K8 Expansion Site upgrades, interior renovation 1/15/2021 $2,177,659.20 Project Name& Contract Amount Type of Work Date Completed 1945 La Cienega Renovation Re-roof/exterior site work 5/27/2021 exterior facade / interior renovation $1,692,020.95 new electrical service / new HVAC Project Name & Contract Amount Type of Work Date Completed CSMC MOT 1190 & 1195 Medical office construction 5/14/2021 $599.476 85 Project Name& Contract Amount "tope of Work Date Completed CA 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 SM). 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 h"ps://efiling.dir.ca.gov/PWCR/ActionServiet?aclion=displa)PWCRegistrationForm 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 he 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. 1t 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. Kazoni Inc dba Kazoni Construction Contractor April Kulpinski By april@kazoni-inc.com Email President Title Date: 7/13/2021 PWC Registration 8: 1000002212 G12 C-13 City of Huntington Beach Public Works Department 2000 Main Street Tel (714) 536-5431. Fax (714) 374-1573 ADDENDUM NUMBER ONE For PECK AND SPRINGDALE FACILITY IMPROVEMENTS CC 1590 May 27. 2021 Notice to All Bidders: Please note the following clarifications to the Project Plans. Specifications, and Special Provisions 1) The bid due date has been changed from June 8. 2021 to July 13, 2021 at 10.00 AM. 2) Specifications Section A — NOTICE INVITING SEALED BIDS, Project Description on page A-2. the dale of the optional pre-bid walkthrough has been changed from June 2' . 2012 to July 21, 2021 at 10.00 AM. Please contact keegan.olds@surfcity-hb.org to confirm your attendance. This is to acknowledge receipt and review of Addendum Number One,dated May 7, 2021. Kazoni Inc dba Kazoni Construction April Kulpinski Company Name By �- 7�13l2021 Date 1 of 1 of Addendum No. 1 City of Huntington Beach Public Works Department 2000 Main Street Tel (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For PECK AND SPRINGDALE FACILITY IMPROVEMENTS cc 1590 May 27. 2021 Notice to All Bidders: Please note the following clarifications to the Project Plans, Specifications, and Special Provisions 1) The bid due date has been changed from June 8. 2021 to July 13, 2021 at 10.00 AM. 2) Specifications Section A — NOTICE INVITING SEALED BIDS, Project Description on page A-2, the date of the optional pre-bid walkthrough has been changed from June 211', 2012 to June 22, 2021 at 10:00 AM. Please contact keegan.olds@surfcity-hb.org to confirm your attendance. This is to acknowledge receipt and review of Addendum Number One,date May 27, 2021. Kazoni Inc dba Kazoni Construction April Kulpinski r Company Name By —� 7/13/2021 Date 1 of 1 of Addendum No. 1 City of Huntington Beach Public Works Department 2000 Main Street Tel (714) 536-5431 Fax (714) 374-1573 ADDENDUM NUMBER THREE :-or PECK AND SPRINGDALE FACILITY IMPROVEMENTS CC 1590 June 16, 2021 Notice to All Bidders Please note the following clarifications to the Project Plans, Specifications, and Special Provisions 11 Specifications Section A - NOTICE INVITING SEALED BIDS, Project Description on page A-2. the date of the optional pre-bid walkthrough has been changed from June 22, 2021 to June 23, 2021 at 10:00 AM. Please contact keegan.olds@surfcity-hb.org to confirm your attendance.Attendance is mandatory for bidders who did not attend the first pre-bid walkthrough held on April 9, 2021 This addendum supercedes the relevant portions of Addendums #1 and #2 in regards to the pre-bid walkthrough. The bid date is July 13"', 2021 and has not changed. This is to acknowledge receipt and review of Addendum Number Three, dat d June 16, 2021, and attendance of the pre-bid walkthroughs held on either April 9, 2021 or June 2 , 2 21. Kazoni Inc dba Kazoni Construction April Kulpinski Company Name By T 112021 Date 1 of 1 of Addendum No. 3 THE AMERICAN INSTITUTE OF ARCHITECTS AIA Document A310 Bid Bond KNOW ALL MEN BY THESE PRESENTS, that we Kazoni, Inc. dba Kazoni Construction Principal, hereinafter called the Principal, and The Ohio Casualty Insurance Company a corporation duly organized under the laws of the State of New Hampshire 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 bid amount(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 Peck and Springdale Facility Improvements CC No. 1590 NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this July 01 . 2021 Kazoni, Inc. ba Kazoni Construction (Principal) aCC q{}O CH/e r� rt v79 r�'t (Witness) to (Title) YKa1D@l.1r The Ohio Casualty Insurance Company (Surety) (Seal) See attached notary _ (Witness) -- Suzy Gold , Attorney-In-Faci (rille) ALA DOCUMENT A010•BID BOND•AIA a•FEBRUARY 1970 ED•THE AMERICAN INSTITUTE OF ARCHITECTS,1735 N.Y.AVE„N,W..WASHINGTON,D,C.20006 1 This Power of Attorney limits the ads of those named herein,and they have no authority to y.�, 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:$205749-969576 SURETY West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized undo the laws of due State of Indiana(herein collectively called the'Companies 1,pursuant to and by aulhomy herein set lath,does hereby name,constitute and appoint F.H. Seuhan;Michacl R.Strahan;Suzy Goldbach all of the city of San Dicco state of CA each indMidualty if there be more than one named,its true and lawful attorney-ln-fact to make, execute,seal,acknoniedge and deliver,for and on its behalf as surety and as its as and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seats of the Companies have been affixed thereto this 16th day of June 2021 Liberty Mutual Insurance Company P`INSU '`tr twsU \NSU� The Ohio Casualty insurance Company jJjupneoiy � PJ Pr.Py 4P�oyiPO�4�"rn West American Insurance Company H y .P1912 ; 0 1919 a 31991 � o sh . xd '�Nl . k�+ s'M • kNi By: u -f0 David M.Carey,Assistant Secretary toIA State of PENNSYLVAN c IOU County of MONTGOMERY ss c E U 0 On This 16th day of June 2021 before me personalty appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance ax o m Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument fa the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer.to `m c v IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. 17) o10 d sN n'nsr a0 eomnon.Pa P l N.r,NW Seal }/'//l // �2 O ::�±� t v ineuM-- �ry1vuNe C E m r' Mymmu .xw.MxN 28,2m25 By: p Y d eom.usiPa name,1t280x. w .pr ti:m+� y MY�a..o.nYrn.nY,nooaxn«rvaaY, eresa Pastella,Notary Public Q `o ton N 4RY NJ` D� c This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorisations of The Ohio Casual Insurance Company, Li xu c hLiberty Mutual— Insurance Company,and West American Insurance Company which resolutions are now in full face and effect m reading as follows' o tin m ARTICLE IV-OFFICERS:Section 12.Paver of Attorney. Mtn0 to 86 Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman a the u President may prescribe,shag appoint such attorneys-in-fact as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety QD d any and all undertakings,bonds,recegnizances and other surety obligations.Such attorneys-ln-fact,subjed to the lunitatiats set forth in their respective pourers of attorney,shall a u o j have fug power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Gapration. When so executed, such cc ax Z u instruments shag be as binding as if signed by the President and attested to by the Secretary.Any power or authority,granted to any representative a attorney4n-fact under the a m provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer a officers granting such power or authority. ti d ARTICLE XIII-Execution of Contracts:Section 5.Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys-in-fact,as may be necessary to ad in behalf of the Company to make,execute,seal,acknowledge and deliver as suretyany and all undertakings, bonds,recognizances and other surety obligations.Such attomeys4n-fact subject to the limitations set forth in their respective powers of attorney.shall have hill power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company.When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attomeys-in- fad as may be necessary to act on behalf of the Company to make,execute,seal,acknowedge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Authorization-By unanimous consent of the Company's Board of Directors,the Company consents that facsimile a mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same face and effect as though manually affixed. I,Renee C.Llewellyn,the undmgned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Conkvty,and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full,We and correct copy of the Power of Attorney excuted by said Companies,is in full face and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 1 st day of July `rr INSU A \NSUq, ue�a`.�n vPi OPPOq.i 'rc+ e p o F (0 (30 1919 s 1991 r' __�� Q;w•�_• MeY sA!D3 Y DI/.M. D; By: z .`x�a s�M . F�a Renee C.Liam fyn.Ass-I:anl Secretary LMS-12873 UIIC OCiC WMC Multi Co OW 1 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of San Diego ) On July 01, 2021 before me, E.B. Strahan, Notary Public (insert name and title of the officer) personally appeared Suzy Goldbach who proved to me on the basis of satisfactory evidence to be the personal whose name Is re subscribed to the within instrument and acknowledged to me that he4DOthey executed the same in his45R/their authorized capacity(ies), and that by hilt /their signature,( on the instrument the personnX, or the entity upon behalf of which the perso� acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. E.B.STP—HAN Notary Public California San Diego Counf'j _ / '•—r�':p Commission"2244+6.; , Signature r' (Seal) My Comm.Expire Jun 25. 2G22 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 0k-0 N �c s.S. County of nn = Oil (t l 3 U 2- before me, bycf �I t/CAU� /U� to �'y /-�r�6 C" //JJ [r//� hu n ,n la„e.l• I•;ado-personally appeared appeared L P�UsiC� IJmnr of$Wro;f 11 \ I1..."of$nln�I 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 i EVALIE DUNCAN true and correct. E COMMISSION if 2326160 3 a : aixl Notary Public-Calilomia a E —y<„ ORANGE COUNTY WITNESS my hand and official seal. M4Cc m Lrne+Nay 3.2024 ---- 01'11011AL INFORMATION Description of Attached Document The preceding Certificate of Acknowledgment is attached to a Method of Signer Identification document titled/for the purpose of__.R/ o C f l �✓�� L Proved to the on the basis of satisfactory eviUence: - )� ( LI fonn(s)of identification I_I uedible witness(es) containing .pages. and dated _�"r_�_ /_Z� L / Notarial event is detailed in notary jounlal on: The signer(s) capacity or authority is/are as: Page r._ Entry#_ I I Dldividln(c) NOIaly rnntarr - I_I Allomey-in-tact I I Co1Polale 011icer(s) _ Odle, Additional Siyner i Siunm(s)l'humUprintst') I GualdianlConselvalol L7 Partner-Limited/General L] Tlustee(s) D Other: representing: 2UUg-2U1 I•lula ry Lnal niug Cenlol All f2:il htE 12e solved YOU can PUn'hasr r::q+us al This Inns;bom out V+Cb site;:1 Vl"41 h:P!olarysSlov:�::ro i l i l / l O O W -u cn 1J (J 1 W N POP Q: (D m (° (D E ETD , 0 v r O. C 00 CD Q m N D D U) �_ co m C N O � v rn i = ND * n �* c 1 -n 3' � Z Z Oh o 0 O ry I O � O 0 m � COD �, ZZ to �I ! m 3N � C0 CD CD D Q -02 CD a' cD -n Z7 n I' NO0M 4 CY) o 0 00 C D _D Of i