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Nobest, Inc. - 2021-12-21 (2)
I RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) i I CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer I FROM: City Clerk DATE: i SUBJECT: Bond Acceptance I I have received the bonds for `v L f-w J !, fil �• (Company Name) � CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. /t �r Warranty or Maintenance Bond No. CAC 120,22 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 Z 1-21ZIZ�02-1 Re: Tract No. Approved ; (Council Approval Date) CC No. � Agei4da Item No. MSC No. City Clerk Vault No. ��U f)• .�� ' Other No. SIRE System ID No. g:/forms/bond transmittal to treasurer I I Fej - CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION - DATE: 6/10/2022 TO: THOSE LISTED HEREON FROM: Joseph Fuentes, Senior Civil Engineer SUBJECT: Retention Release Payment- PO#28093 OJ Supplier#39492 Co.#239 Zone 5 Curb Ramp Installation Project, Project#1637 Contractor's Name: Nobest, Inc. Address: 7600 Acacia Ave. City, State and Zip Code: Garden Grove, CA 92841 Phone Number: (714) 892-5583 City Business License Number: A1868848 Notice of Completion (Date by City Clerk): 4/9/2022 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. b.Lz� t—, ate Sean Crumby, Dirll"U,61ic Works I certify that there are no outstanding invoices on file. HIita.I. 6, Date "Joyce Z c s, Deputy City Treasurer I certifv that no stop notices are on file, and that a guaranty bond has been filed with the City Clerk's Office. Pnte Robin Estanislau, City Clerk Attachments G�a 1. Notice of Completion 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 C. Consent for Release letter from the Surety Company 4 Recorded in Official Records,Orange County Hugh Nguyen,Clerk-Recorder a I III II[I Ill1111l111IINIIIIIIIIIIIIIIVII III IIII NO FEE $ R { 111IIII1II 2022000148469 9:29 am 04/19122 PLEASE COMPLETE THIS INFORMATION 227 RW9A N12 1 RECORDING REQUESTED BY: 0,00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 1 WHEN RECORDED MAIL TO: CITY OF HUNTINGTON BEACH I PUBLIC WORKS DEPARTMENT Attm Joseph Fuentes P.O,Box 190—2000 Main Street Huntington Beach,CA 92648 THIS SPACE FOR RECORDER'S USE ONLY TITLE OF DOCUMENT NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN by the City of Huntington Beach,owner In fee,2000 Main Street,Huntington Beach,CA 92648,that the contract heretofore awarded to Nobest,Inc.,who was the company thereon for doing the following work to-wit: i Zone 6 Curb Ramp Installation Project,Project#1637 That ss!d work was completed 04/OW022 by said company according to plans and specifications and to the satisfaction of the City Engine sr of the City of Huntington Beach and that sold work was accepted by the Director of Public Works on 04108M22,per City Council Resolution No.2003-70 adopted October 6,2003. That upon said contract Merchants Bonding Company,was surety for the bond given by the said company as required by law, This document Is solely for the official business of the City of Huntington Beach,as contemplated under Government Code Section 27333 n-1 should be recorded free of charge. r e�2 Dir dor of PdMIFWorgh or City Engineer Date City of Huntington Beach,California STATE OF CALIFORNIA) I County of Orange )as: l City of Huntington Beach ) I L I,the urderstgned,say:I am an Agent of the City of Huntington Beach,owner in fee,in the foregoing NOTICE OF COMPLETION. 1 t have r 1 ?NOTICE OF COMPLETION and know the contents thereof,the same Is true of my knowledge. i I decla !u _'or penalty of perjury that the foregoing to true and correct,and that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the County Recorder of Orange County. This document Is solely the official business of t. the City of Huntington Beach,as contemplated 4liSA-P f unr±or Government code section 27383 and DlreoRcr of Public Wo a or City Engineer Date t. ';:;uld be recorded free of chame. City of Huntington Beach,California . THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) r, j. i. Issued in two(2)original counterparts Bond No. CAC720224 MAINTENANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: That Nobest Incorporated (contractor's name) 7600 Acacia Ave., Garden Grove, CA 92841 (contractor's street address,city and state and zip code) as Principal(hereinafter called Contractor),and: Merchants Bonding Company(Mutual) (surety's name) 6700 Westown Parkway,West Des Moines, IA 50266 (surety's street address,city and state and zip code) a corporation organized and existing under the laws of the State of Iowa with its principal office in the City of Des Moines as Surety(hereinafter called Surety),are held firmly bound unto CITY OF HUNTINGTON BEACH as Obligee (hereinafter called Owner), in the amount of - One Million Ninety Two Thousand Seven Hundred seventy Five and 75/100 Dollars ($1,092,775.75 ), equivalent to the entire contract amount including all orders, for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators,successors,and assigns,jointly and severally,firmly by these presents, WHEREAS,Surety is a duly admitted surety insurer under the laws of the State of California;and Surety is certified and listed in the U.S.Department of the Treasury Circular 570,and able to provide proof of bonding limitation shown in said circular is sufficient to provide bonds in the amount required by said Contract;and Surety has provided financial strength ratings from reputable companies,such as from A.M.Best, Moody's, Standard & Poor's,to validate that Surety has positive ratings of being secure or stable;and Surety is registered and listed with the California Department of Insurance;and Contractor has by written agreement dated January 28 ,2022,entered into a contract with Owner for the 7nna 5('itrh Ramp Installation, GC Nn 1637 in accordance with drawings and specifications prepared by Joseph Fuentes,P.E.and Thomas M.Herbel,P.E. which contract is by reference made a part hereof(hereinafter referred to as the Contract);and The Contract provides that the principal will guarantee, for a period of one year,the work performed as part of the Contract from and against all defects in materials and workmanship;and The Contract also provides that the Contractor shall secure Contractor's obligations during the one-year period with a bond executed by a surety 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 April 6 ,202_2 NOW, THEREFORE,THE CONDITION OF THIS OBLIGATION is such that if Contractor shall, for a period of one year from and after the date of completion and acceptance of the Contract by Owner, repair and/or replace any and all defects arising in the Work, whether resulting from defective materials or defective workmanship, then this obligation shall be null and void;otherwise it will remain in full force and effect. The Surety hereby waives notice of any alteration or extension of time made by the Owner. Whenever Contractor shall be, and declared by Owner to be in default under the Contract, the Surety shall,within thirty (30) days following Owner's written notice of default, either: (a) remedy the default, or (b) shall promptly complete the Contract in accordance with its terms and conditions. Surety shall save the Owner harmless from any claims,judgments, liens or losses arising from the Surety s failure to either remedy the default or to complete the Contract in accordance with its terms and conditions in a timely manner. 15-45 84/1 1 8 13 8 ) Whenever the Principal shall be, and declared by the Owner to be in default under the Contract, which shall include without limitation, any breach or default of the Contract, then, after written notice from the Owner to the Surety, as provided for below,the Surety shall either: (a) remedy the default or breach by the Principal;or(b)shall promptly and faithfully take charge of the Work and complete the Work in accordance with the requirements of the Contract with a contractor other than the Principal,at its own expense, and make available as work progresses sufficient funds to pay the cost of completion less the unpaid balance of the Contract including other costs and damages for which the surety may be liable hereunder, provided,however,that the procedure by which the Surety undertakes to discharge its obligations under this Bond shall be subject to the advance written approval of the Owner. Within thirty (30) days after Surety's receipt of a written notice from Owner of the failure of performance of the Contract by the Principal, it shall be the duty of the Surety to give to the Owner a notice, in writing, of the Surety's election to(a)remedy the default(s)of the Principal promptly,or(b)arrange for performance of the Contract promptly by a contractor other than the Principal, time being of essence to this Bond. In.said Notice of Election, the Surety shall state the date of commencement of its cure or remedy of the Principal's default(s) or its performance of the Contract. The Surety's obligations for cure or remedy, include but are not limited to: correction of defective work and completion of the Contract, additional legal, design professional and delay costs arising from Surety's actions or failure to act; and liquidated damages (or if no liquidated damages are specified in the Contract, actual damages caused by delayed performance or non-performance by the Principal). The Surety shall give prompt written notice to the Owner upon completion of the cure or remedy of the Principal's default(s)of its performance of the Contract. If the Surety does issue its Notice of Election and does not proceed to cure or remedy the Principal's default(s)of its performance of the Work within thirty(30) days after receipt of a written notice from Owner, Surety shall be deemed to be in default on this bond,and the Owner shall be entitled to enforce any remedy available to Owner. No right of action shall accrue on this bond to or for the use of any person or corporation other than the owner named herein or the succegsors of Owner. Signed and sealed this 25th day of May 12022 Principal Raised Corporate Seal Nobest Incorporated [MUST BEAFFIXED] (Contractor Name) By: Principal Raised Corporate Seal 1,J LA..J7 [MUST BE AFFIXED] (Title) MerchaInts Bonding Company Mutual S rety N m By: (Seal) aunna Rozelle strom, Attorney-in-Fact APPROVED AS RM: NOTES: ,Michael E. Gates, City Attorney 1. Acknowledgments must be completed and returned P l as part of the bond. 2. Raised Corporate Seals are mandatory. 3. Please attach Power of Attorney. 15-45841118138 2 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On May 25th, 2022 before me, Melissa Ann Vaccaro, Notary Public (insert name and title of the officer) personally appeared Shaunna Rozelle Ostrom 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 ANN VACCARO n COMM.#2401942 a - Notary Public-California W _ ORANGE COUNTY a ,. My Comm.Expires May 12,2026 Signature O_C (Seal) Melissa Ann Vaccaro 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 {r-LyS ) On Cc, .-t Z'0 ZZ before me, A. Young, a notary public (insert name and title of the officer) personally appeared r who proved to me on the basis of k4sfactory evidence to be the person(s)whose name((-)-s/a;e- subscribed to the within instrument and acknowledged to me that he/shaAhey executed the same in his/hsTlf-Heir authorized capacity(iesl and that by his/hentheir signature(.-ion the instrument the person(sr, 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. AYOUNG WITNESS my hand and official seal. Commission#2358448 N= Notary Public-Ealifornia ORANGE County My Comm.Expires)UNE 4,2025 Signature (Seal) Bond No.CAC720224 MERCHANT BONDING COMPANY, POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa(herein collectively called the"Companies")do hereby make,constitute and appoint,individually, Arturo Ayala;Ben Stong;Benjamin Wolfe;Chelsea Amold;Daniel Huckabay;Dwight Reilly;Frank Morones;Michael D Stong;R Nappi;Shaunna Rozelle Ostrom their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 16,2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attomeys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and aut hority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 13th day of May 2022 •;ANG•cMERCHANTS BONDING COMPANY. Z�flA�a�� �: �0 9,,.y�• (MUTUAL) MERCHANTS NATIONAL BONDING,INC. 4• 'RPO,� .9 . '. 2003 1933 =c: By � :d� • a6 ......... ;fir.` •��`�_•........•��•'�. .•+3� ��.. •`,.� President STATE OF IOWA �•.. ..•'' •.. .. COUNTY OF DALLAS ss. On this 13th day of May 2022 before me appeared Larry Taylor, to me personally known, who being by me duly sworn' did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies;and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. AQ,RSAL s POLLY MASON z .o. My Commission Expires Commission Number 750576 at r , P January 07,2023 'Pa {_Notary Public (Expiration of notary's commission does not invalidate this instrument) 1,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full force and effect and has not been amended or revoked. In Witness Whereof,I have hereunto set my hand and affixed the seal of the Companies on this 25th day of May 2022 •......11..# ♦•• .•. 2 r.2 A� :►y. -o- y'c hCsZ+�►t/ s i1°'r'e G'� y�J . 1933 Secretary 2003 -' N .•b .......-`1d; POA001e (1/20) •••,.•• Certification of Compliance with Prevailing Wage Laws To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O.Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Prevailing Wage Laws Contract: ak-" Ito 5-1 Project: Zane 5 Gu-rb Rexrw =n0+0L1164ion 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 f work, as set forth in the wage-rate determinations of the State of California, Department o 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 corre t. n Executed this �-r►� day of Zr"C_ ,2022 , atrq� Yb L&1Califarnia. (Contractor me APPROVED O FO By: M' ael E. Gates ty Attorney i Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach,CA 92648 Re: Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 Contract: '*� \u5q Project: Zone. 5 Cvrb Rarr►a —J::n--a`I a+tan The undersi ed contractor on the above-referenced project("Project") hereby certifies that it has complied vith 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 t ecause 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 and r penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this day of _UVn L , 20 72, at GAen California. (Co AamAPPROVEBy: Mic el E. Gates Ci Attorney 1 CONTRACTOR'S CERTIFICATE I, L oar f N q A%^nA ,state and certify that: (Name of Declarant) 1. N Es —XnG . is the general contractor to the City of Huntington Beach("City")on Contract No-A-' 1(03'-7- (the"Contract") for the construction of the public work of improvement entitled: Zone 5 Curb gorAp 7C05+Akta-flon (the"Project"). 2. All work to be performed pursuant to the Contract has been completed in accordance with the Contract Documents(as such term is defined in the Contract). 3. Excep L for the claims listed below and the disputed claims listed in paragraph five (5), all persons supplying labor, services,materials and equipment to the Project,including all claims against the contractor arising from the performance of the Contract,have been paid and satisfied(list unpaid debts and claims; if none, write"NONE"): N W E 4. Attactied hereto are the lien waivers required by the Contract Documents,which lien waives have been executed by all persons who performed work on or supplied labor, services,materials,and/or equipment for use at the Project. 5. Set f6ith below is a list of disputed claims or claims that are the subject of a Notice to WithhDld filed pursuant to the Civil Code of the State of California(list all disputed claims;if none,write"NONE"). WIDME I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at Gpl en on this 2^A day of 3Vn t ,20� f c aranl) APPROVED AS,,WORML r MichaekV. Gates City,Attorney 1 Issued in two (2)original counterparts CONSENT OF SURETY OWNER TO FINAL PAYMENT ARCHITECT ALA Document G707 CONTRACTOR: SURETY OTHER Bond No.CAC720224 TO(OWNER) ARCHITECTS PROJECT NO : (Name and address) CONTRACT FOR: $1,007,200.00 City of Huntington Beach 2000 Main Street Huntington Beach,CA 92648 CONTRACT DATE: January 28,2022 PROJECT: (Name and address) FINAL CONTRACT AMOUNT: $1,092,775.75 Zone 5 Curb Ramp Installation,CC No.1637 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Hen insert name and address of Suety) Merchants Bonding Company(Mutual) 6700 Westown Parkway West Des Moines,IA 50266 SURETY On bond of (Hen insert name and address of Contractor) Nobest Incorporated 7600 Acacia Ave. Garden Grove,CA 92841 CONTRACTOR Hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to (Here insert name and address of Owner) City of Huntington Beach 2000 Main Street Huntington Beach,CA 92648 OWNER As set forth in the said Surety Company's bond IN WITNESS WHEREOF,the Surety Company has hereunto set its hand this 25th day of May,2022 (Insert in writing the month following by the numeric date andyear) Merchants Bonding Company(Mutual) Surety Com any Attest Siwt&e o Au orized Representative Seal Title Shaunna Rozelle Ostrom , Attorney-In-Fact AIA DOCUMENT G707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT 1994 EDITION AIAO One Page ©THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,NW ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On May 25th, 2022 before me, Melissa Ann Vaccaro, Notary Public (insert name and title of the officer) personally appeared Shaunna Rozelle Ostrom 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 ANN VACCARO M ' COMM.#2401942 nNotary Public-California N ORANGE COUNTy a My Comm.Expires May 12,2026 Signature � (Seal) Melissa Ann Vaccaro ME RC 1 AN l� Bond No.CAC720224 BONDING COMPANY�- POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa(herein collectively called the"Companies")do hereby make,constitute and appoint,individually, Arturo Ayala;Ben Stong;Benjamin Wolfe;Chelsea Arnold;Daniel Huckabay;Dwight Reilly;Frank Morones;Michael D Stong;R Nappi;Shaunna Rozelle Ostrom their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc.,on October 16,2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and aut hority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 13th day of May 2022 1iG tSp�A.. MERCHANTS BONDING COMPANY 4PR �^�i: :+ �P©AQJ%'��4; MERCHANTS NATIONAL ONDING,(INC.(MUTUAL) • 2003 ;A= :y� 1933 cc; By •1�••• 's r •C�j •� s ..,�t�,,. •+ ,�� 11 .• President STATE OF IOWA r..,rrrr COUNTY OF DALLAS ss. On this 13th day of May 2022 before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies;and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. ,,VIA, t POLLY MASON z° 4. Commission Number 750576 My Commission Expires r ioyp. January 07,2023F6��Notary Public (Expiration of notary's commission does not invalidate this instrument) I,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 25th day of May 2022 a•11oN44•.., •�o�. .... g -� :© apQ•, '�o© ........ 9 y. ;'' ��✓" 2003 1933 c+ Secretary •.,�vt> ........... ��,• .�djy . ..•11�, POA 00 18 (1120) .....*0•*.•` '••.•... RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) F�B CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: /,0 7Z�2Z SUBJECT: Bond Acceptance I have received the bonds for A" fib"t � • (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. CSC TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved (Council Approval Date) CC No. �L037— f4�m No. MSC No. City Clerk Vault No. (�U 0. 5� Other No. SIRE System ID No. S33 3— g:/forms/bond transmittal to treasurer } Recorded in Official Records, Orange County Hugh Nguyen, Clerk-Recorder I t IIIIIIIIIII�IIIIIIIIIIIIIIIIIIIII� IIIIII� NO FEE • R 0 0 1 3 6 7 7 5 0 7 $ f r 2022000148469 9:29 am 04/19/22 C PLEASE COMPLETE THIS INFORMATION 227 RW9A N12 1 RECORDING REQUESTED BY: 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 i i WHEN RECORDED MAIL TO: CITY OF HUNTINGTON BEACH 1 } PUBLIC WORKS DEPARTMENT I Attn:Joseph Fuentes P.O. Box 190—2000 Mein Street i Huntington Beach,CA 92848 a I THIS SPACE FOR RECORDER'S USE ONLY j TITLE OF DOCUMENT NOTICE OF COMPLETION j 1 NOTICE IS HEREBY GIVEN by the City of Huntington Beach,owner in fee,2000 Main Street,Huntington Beach,CA 92648,that the cantrad heretofore awarded to Nobest, Inc.,who was the company thereon for doing the following work to-wit: I r i Zone 6 Curb Ramp Installation Project,Project N 1637 1 i That said work was completed 064/062022 by said company according to plans and specifications and to the satisfaction of the City If Engineer of the City of Huntington Beach and Net said work was accepted by the Director of Public Works on 04/062D22,per City Council Resolution No.2003-70 adopted October 6,2003. I i I I That upon said contract Merchants Bonding Company,was surety on given for the bond gi by the said company as required by low. y i ) This document is solely for the official business of the City of Huntington Beach,as contemplated under Government Code Section } 27383 and should be recorded free of charge. 1 E DI or of PCMWWorKs or City Engineer Date City of Huntington Beach, California r STATE OF CALIFORNIA) j County of Orange )m: City of Huntington Beach ) i f 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 duty and p regularly ordered to be retarded in the Office of the County Recorder of Orange County. l This document Is solely the official business of the City of Huntington Beach,as contemplated / 411P/1 z i under Govemment code sect/on 27383 and Dlrettor of Public Works or City Engineer Date i should be recorded free of chame. City of Huntington Beach,California THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION ) (Additional recording fee applies) } e I i I RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerks Office (Name) after signing/dating `ate) CITY OF HUNTINGTON BEACH z INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: SUBJECT: Bond Acceptance 1 have received the bonds for CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. 7:: Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved (Cou)cH Approval Dale) CC No. Agenda Item No. ") ( - 7c MSC No. City Clerk Vault No. boo.s(? Other No. SIRE System ID No. S-Zr 53 33 7- g:Aormsrbond transmittal to treasurer CDBG FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND Nobest, Inc. FOR Zone 5 Curb Ramp Installation, CC-1637 THIS AGREEMENT ("Agreement") 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 Nobest, Inc. a California , hereinafter referred to as "CONTRACTOR." WHEREAS, the Federal Department of Housing and Urban Development is providing partial funding for this Contract to CITY through a Community Development Block Grant; WHEREAS, CITY has solicited bids for a public works project, hereinafter referred to as "PROJECT," more fully described as Installation of Curb Ramps and adjacent concrete at Maintenance Zone 5 in the City of Huntington Beach; and CONTRACTOR has been selected to perform said services, NOW, THEREFORE, in consideration of the promises and agreements hereinafter made and exchanged, the parties covenant and agree as follows: I. STATEMENT OF WORK; ACCEPTANCE OF RISK CONTRACTOR shall complete and construct the PROJECT pursuant to this Agreement and the Contract Documents (as hereinafter defined) and furnish, at its own cost and expense, all labor, plans, tools, equipment, supplies, transportation, utilities and all other items, services and facilities necessary to complete and construct the PROJECT in a good and workmanlike manner. SF:16-5215-142605.doc/rev 12/2016 1 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 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), the location of the job site, and the conditions under which the work is to be performed, and that it enters into this Agreement based upon its thorough investigation of all such matters and is relying in no way upon any opinions or representations of CITY. It is agreed that the Contract Documents are incorporated into this Agreement by this reference, with the same force and effect as if the same were set forth at length herein, and that CONTRACTOR and its subcontractors, if any, shall be bound by the Contract Documents insofar as they relate in part or in any way, directly or indirectly, to the work covered by this Agreement. "Contract Documents" as defined herein mean and include: A. This Agreement; SE 16-5215-142605.doc/rev 12/2016 J 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 Director of Public Works of CITY and adopted by the City Council, and any revisions, amendments or addenda thereto; D. The edition of Standard Specifications for Public Workr Construction, published by Builders' News, Inc., 10801 National Boulevard, Los Angeles, CA 90064, and all amendments thereto, written and promulgated by the Southern California chapter of the American Public Works Association and the Southern California District Associated General Contractors of the California Joint Cooperative Committee as specified in the particular Plans, Specifications, Special Provisions and Addenda applicable to the Project; E. All bid documents, including the Notice Inviting Bids, the Special Instructions to Bidders, CONTRACTOR's proposal, (attached as Exhibit "A"), "Form HUD-4010." the Federal Labor Standards Provision of the United States (attached as Exhibit "B"), and "Standard Federal Equal Employment Opportunity Construction Contract Specifications," as established by Federal Executive Order 11246 (attached as Exhibit "C"). 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 SF:16-5215-142605.doc/rev 12/2016 j 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 Department of Public Works of CITY (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. COMPENSATION CITY agrees to pay and CONTRACTOR agrees to accept as full compensation for the faithful performance of this Agreement, subject to any additions or deductions made under the provisions of this Agreement or the Contract Documents, a sum not to exceed One Million Seven Thousand Two Hundred Dollars (S 1,007,200 ), as set forth in the Contract Documents, to be paid as provided in this Agreement. 4. COMMENCEMENT OF PROJECT CONTRACTOR agrees to commence the PROJECT within ten (10) working days after the Notice To Proceed is issued and diligently prosecute the PROJECT to completion within thirty five ( 35 ) 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 SF:16-5215-142605.doc/rev 12/2016 4 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, 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 SF:16-5215-142605.doc/rev t2/2016 5 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 Agreement price will be adjusted upward or downward accordingly. 7. NOTICE TO PROCEED No work, services, material, or equipment shall be performed or furnished under this Agreement unless and until a Notice to Proceed has been given to CONTRACTOR by CITY. CITY does not warrant that the work will be available on the date the Notice to Proceed is issued. In the event of a delay in commencement of the work due to unavailability of the job site, for any reason, relief to CONTRACTOR shall be limited to a time extension equal to the delay due to such unavailability. 8. BONDS Only bonds issued by California admitted sureties will be accepted. CONTRACTOR shall, prior to its performance of this Agreement, furnish the following two (2) bonds approved by the City Attorney: 1. A bond in the amount of one hundred percent (100%) of the Agreement price to guarantee CONTRACTOR's faithful performance of the work; and 2. A bond in the amount of one hundred percent of the Agreement 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 Agreement price, including all change orders, to warrant such performance for a period of one (1) year after CITY's acceptance thereof within ten (10) days of filing of the Notice of Completion. SF:16-52 15-142605.doc/rev 12/2016 6 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 deductions for CONTRACTOR and its officers, agents and employees and all business licenses, if any, in connection with the PROJECT and/or the services performed hereunder. 11. LIQUIDATED DAMAGES/DELAYS It is agreed by the parties hereto that in case the total work called for hereunder is not in all parts and requirements finished or completed within the number of calendar days as set forth herein, damage will be sustained by CITY; and that it is, and would be, impractical and extremely difficult to ascertain and determine the actual damage which CITY would sustain in the event of and by reason of such delay. It is, therefore, agreed that CONTRACTOR will pay to CITY, as liquidated damages and not as a penalty, the sum of one thousand Dollars (S 1,000 ) per each calendar day's delay in completing the work in excess of the number of working/calendar days SF:16-5215-142605.doc/rev 12/2016 7 set forth herein, which represents a reasonable endeavor by the parties hereto to estimate a fair compensation for the foreseeable damages CITY would sustain in the event of and by reason of such delay; and CONTRACTOR agrees to pay these damages herein provided, and further agrees that CITY may deduct the amount thereof from any monies due or that may become due to CONTRACTOR hereunder. For projects on the National Highway System (NHS), the local formula for liquidated damages will be provided. 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 delay and CITY shall extend the time for completing the work if, in its judgment, the Findings of fact thereon justify the delay; and the decision of DPW shall be conclusive on the parties hereto. Should CONTRACTOR be delayed in the prosecution or completion of the work by the act, neglect or default of CITY, or should CONTRACTOR be delayed by waiting for materials required by this Agreement to be furnished by CITY, or by damage caused by fire or other casualty at the job site for which CONTRACTOR is not responsible, or by the combined action of the workers, in no way caused by or resulting front default or collusion on the part of CONTRACTOR, or in the event of a lockout by CITY, then the time herein fixed for the SF:16-5215-142605.doc/rcv 12/2016 8 completion of the work shall be extended by the number of days CONTRACTOR has thus been delayed, but no allowance or extension shall be made unless a claim therefor is presented in writing to CITY within fifteen (15) days of the commencement of such delay. No claims for additional compensation or damages for delays, irrespective of the cause thereof, and including without limitation the furnishing of materials by CITY or delays by other contractors or subcontractors, will be allowed and an extension of time for completion shall be the sole remedy of CONTRACTOR. 12. DEMANDS FOR ADDITIONAL TIME OR MONEY A. Definitions. (1) "Change Order" means a document signed by 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 CONTRACTOR for any of the following: (a) A time extension; (b) Payment of money or damages arising from work done by, or on behalf of, 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 SF:16-5215-142605.doc/rev 12/2016 9 differing materially from those indicated in this Agreement or the Contract Documents, or unknown physical conditions at the job site, of an unusual nature, differing materially from those ordinarily encountered and generally recognized as inherent to work of the PROJECT; or (f) A request for a time extension or additional payment based upon acts of neglect by CITY or due to fires, floods, labor disputes, epidemics, abnormal weather conditions or acts of God. B. A Demand for a time extension or payment of money or damages may only be granted by a Change Order. C. No Change Order may be granted except where 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 CONTRACTOR to determine whether to approve the Change Order the Demand seeks. The DPW shall act on the Demand within fifteen (15) days after receipt of the additional information or within a period of time no greater than the time CONTRACTOR took to produce the additional information requested, whichever is greater. D. Notwithstanding the thirty (30) days to submit a Demand under Subparagraph C, in the case of differing or unknown site conditions, immediately upon encountering the conditions, CONTRACTOR shall notify the DPW in writing of the conditions, so that the CITY may promptly investigate the conditions. SF:16-5215-142605.doc/rev 122016 10 E. If CONTRACTOR disputes the DPW's written response on the Demand, or the CITY fails to respond within the time prescribed, 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 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, CONTRACTOR may file a claim with the City as provided in Chapter I (commencing with Section 900) and Chapter 2 (commencing with Section 910) of Pan 3 of Division 3.6 of Title I of the Government Code. For purposes of those provisions, the running of the period of time within which a claim must be filed shall be tolled from the time the time CONTRACTOR submits his 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 Agreement 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 SF:16-5215-142605.doe/rev 12/2016 11 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 solejudgment 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 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 (30) days after the acceptance of the work and the filing of a Notice of Completion by CITY. Provided, however, that in the event of a dispute between CITY SF:1 6-5 2 1 5-1 42605.doc/rev 12/2016 12 and CONTRACTOR, CITY may withhold from the final payment an amount not to exceed I50 percent of the value of any disputed amount of work. Payments shall be made on demands drawn in the manner required by law, each payment to be accompanied by a certificate signed by DPW, affirming that the work for which payment is demanded has been performed in accordance with the terms of the Agreement and that the amount stated in the certificate is due under the terms of the Agreement. Partial payments on the contract price shall not be considered as an acceptance of any part of the work. 15. WITHHELD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES At the request and at the sole cost and expense of CONTRACTOR, who shall retain beneficial ownership and receive interest, if any thereon, CITY shall permit the substitution and deposit therewith of securities equivalent to the amount of any monies withheld by CITY to ensure performance under the terms of this Agreement. 16. AFFIDAVITS OF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall file with DPW its affidavit stating that all workers and persons employed, all firms supplying materials and all subcontractors working upon the PROJECT have been paid in full and that there are no claims outstanding against the PROJECT for either labor or material, except certain items, if any, to be set forth in CONTRACTOR's affidavit covering disputed claims, or items in connection with Notices to Withhold, which have been filed under the provisions of the statutes of the State of California. SF:16-5215-142605.doc/rev 12/2016 13 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. 18. 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, 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 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. 19. WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE Pursuant to California Labor Code Section 1861, CONTRACTOR acknowledges awareness of Section 3700 et seq. of this Code, which requires every employer to be insured SF:16-5215-I42605.doc/rev 12/2016 14 against liability for workers' compensation; CONTRACTOR covenants that it will comply with such provisions prior to commencing performance of the work hereunder. CONTRACTOR shall maintain 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 Nvaive subrogation. 20. INSURANCE In addition to the workers' compensation and employer's liability insurance and CONTRACTOR's covenant to defend, hold harmless and indemnify CITY, CONTRACTOR shall obtain and &trnish 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 anv and all claims arising out or in connection with the PROJECT, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including products/completed operations liability and blanket contractual liability, of One Million Dollars ($1,000,000) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit, the aggregate limit must be no less than One Million Dollars (S1,000,000) for this PROJECT. This policy shall name CITY, its officers, elected or appointed officials, employees, agents, and volunteers as (the "Additionally Insured Parties") as Additional Insureds, and shall specifically provide that any other insurance coverage which may be SF:16-5215-142605.doc/rev 1212016 15 applicable to the PROJECT shall be deemed excess coverage and that CONTRACTOR's insurance shall be primary and non-contributory with any other valid and collectible insurance or self-insurance available to the Additionally Insured Parties. Any available insurance proceeds in excess of the minimum coverage amount specified herein shall be available to the Additionally Insured Parties. All coverage available to CONTRACTOR shall also be available to the Additionally Insured Parties. Under no circumstances shall said above-mentioned insurance contain a self-insured retention without the express written consent of CITY; however, an insurance policy "deductible" of S5,000.00 is permitted. CONTRACTOR shall be responsible for causing all Subcontractors to maintain the same types and limits of insurance coverage as that required of CONTRACTOR by this Agreement. 21. CERTIFICATES OF INSURANCE ADDITIONAL INSURED ENDORSEMENTS Prior to commencing performance of the work hereunder, CONTRACTOR shall furnish to CITY certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverages as required by this Agreement; the certificates shall: 1. provide the name and policy number of each carrier and policy; 2. state that the policy is currently in force; and 3. promise to provide that such policies will not be canceled or modified without thirty (30) days' prior written notice of CITY. CONTRACTOR shall maintain the foregoing insurance coverages in force until the work under this Agreement is fully completed and accepted by CITY. SF:1 6-5 2 15-1 42 605.doc/rev 12/2016 16 The requirement for carrying the foregoing insurance coverages shall not derogate from the provisions for indemnification of CITY by CONTRACTOR under the Agreement. CITY or its representative shall at all times have the right to demand the original or a copy of all the policies of insurance. CONTRACTOR shall pay, in a prompt and timely manner, the premiums on all insurance hereinabove required. CONTRACTOR shall provide a separate copy of the additional insured endorsement to each of CONTRACTOR's insurance policies, naming CITY, its officers, elected and appointed officials, employees, agents and volunteers as Additional Insureds, to the City Attorney for approval prior to any payment hereunder. 22. PAYROLL RECORDS CONTRACTOR agrees to keep accurate payroll record showing the name, address, social security number, work classification, straight time and overtime hours worked each day and week, and the actual per diem wages paid to each journeyman, apprentice or worker employed by it in connection with the PROJECT and agrees to require each of its subcontractors to do the same. CONTRACTOR further agrees that its payroll records and those of its subcontractors, if any, shall be available at all reasonable times to the CITY. and the employee or his representative, and the Division of Labor Standards Enforcement and the Division of Apprenticeship Standards, and to comply with all of the provisions of California Labor Code Section 1776, in general. 23. CALIFORNIA PREVAILING WAGE LAW AND FEDERAL DAVIS- BACON ACT. 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 SF:16-5215-142605.doc/rev 12/2016 17 for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code, CONTRACTOR shall, as penalty to CITY, forfeit twenty-five dollars (525) 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. C. This Agreement also is subject to the Federal Davis-Bacon Act. The minimum rate of wages for each craft or type of worker needed to execute the PROJECT shall be those as determined by the United States Secretary of Labor. If there is a difference between the minimum wage rates predetermined by the Secretary of Labor and the general prevailing wage rates determined by the Director of the Calitoria Department of Industrial Relations for similar classifications of labor. CONTRACTOR and subcontractors shall pay not less than the higher wage rate. 24. CALIFORNIA EIGHT-HOUR LAW A. California Labor Code, Sections 1810 et seq, shall apply to the performance of this Agreement; thereunder, not more than eight (8) hours shall constitute one day's work and CONTRACTOR and each subcontractor employed by its hereunder, shall not SF:16-5215-142605.doc/rcv 12/2016 18 require more than eight (8) hours of labor per day or forty (40) hours per week from any one person employed by it hereunder, except as stipulated in California Labor Code Section 1815. CONTRACTOR and each subcontractor employed by it hereunder shall, in accordance with California Labor Code Section 1812, keep an accurate record, open to inspection at all reasonable hours, showing the name and actual hours worked each calendar day and each calendar week by each worker employed in connection with the PROJECT. B. Pursuant to this Agreement and in accordance with California Labor Code Section 1813, CONTRACTOR shall, as a penalty to CITY, forfeit twenty-five dollars (S25) for each worker employed hereunder by CONTRACTOR or any subcontractor for each calendar day during which such worker is required or permitted to work more than eight (8) hours in any one (1) calendar day or forty (40) hours in any one (1) calendar week in violation of California Labor Code Section 1815. 25. 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. 26. EMPLOYMENT OF APPRENTICES Section 1777.5 of the California Labor Code, regarding the employment of apprentices is applicable to this PROJECT. 27. EQUAL EMPLOYMENT OPPORTUNITY During the performance of this Agreement, CONTRACTOR agrees as follows: A. CONTRACTOR will not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, or national origin. CONTRACTOR will take affirmative action to ensure that applicants are SF:16-5215-142605doc/rev 12/2016 19 employed, and that employees are treated during employment, without regard to their race, color, religion, sex, sexual orientation, gender identity, or national origin. Such action shall include, but not be limited to the following: Employment, upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. CONTRACTOR agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the contracting officer setting forth the provisions of this nondiscrimination clause. Q. CONTRACTOR will, in all solicitations or advertisements for employees placed by or on behalf of CONTRACTOR, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin- C. CONTRACTOR will not discharge or in any other manner discriminate against any employee or applicant for employment because such employee or applicant has inquired about, discussed, or disclosed the compensation of the employee or applicant or another employee or applicant. This provision shall not apply to instances in which an employee who has access to the compensation information of other employees or applicants as a part of such employee's essential job functions discloses the compensation of such other employees or applicants to individuals who do not otherwise have access to such information, unless such disclosure is in response to a formal complaint or charge, in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or is consistent with CONTRACTOR's legal duty to furnish information. SF:16-5215-142605.doe/rev 12/2016 20 D. CONTRACTOR will send to each labor union or representative of workers with which it has a collective bargaining agreement or other contract or understanding, a notice to be provided by the agency contracting officer, advising the labor union or workers' representative of CONTRACTOR's commitments under Section 202 of Executive Order 11246 of September 24, 1965, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. E. CONTRACTOR will comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the United States Secretary of Labor. A copy of Executive Order 11246, as amended, is attached as Exhibit C. F. CONTRACTOR will furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by the rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by the contracting agency and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations, and orders. G. In the event of CONTRACTOR'S non-compliance with the nondiscrimination clauses of this contract or with any of Such rules, regulations, or orders, this contract may be canceled, terminated or suspended in whole or in part and CONTRACTOR may be declared ineligible for further Government contracts in accordance with procedures authorized in Executive Order 11246 of September 24, 1965. and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulation; or order of the Secretary of Labor, or as otherwise provided by law. SF:16-5215-142605.doe/rev 12/2016 71 FI. CONTRACTOR will include the provisions of sub-paragraphs A through G in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each sub-contractor or vendor. CONTRACTOR will take such action with respect to any subcontract or purchase order as may be directed by the Secretary of Labor as a means of enforcing such provisions including sanctions for noncompliance: Provided, however, that in the event CONTRACTOR becomes involved in, or is threatened with, litigation with a sub-contractor or vendor as a result of such direction, CONTRACTOR may request the United States to enter into such litigation to protect the interests of the United States. 28. RECORD RETENTION Financial records, supporting documents, statistical records, and all other CONTRACTOR records pertinent shall be retained for a period of three years from the date of the City filing the Notice of Completion of the PROJECT. The only exceptions are the following: A. If any litigation, claim, or audit is started before the expiration of' the 3- year period, the records must be retained until all litigation, claims, or audit findings involving the records have been resolved and final action taken. B. When the non-Federal entity is notified in writing by the Federal awarding agency, cognizant agency for audit, oversight agency for audit, cognizant agency for indirect costs, or pass-through entity to extend the retention period- C. Records for real property and equipment acquired with Federal funds must be retained for 3 years after final disposition. SF:16-5215-142605.dodrev 12/2016 22 D. When records are transferred to or maintained by the Federal awarding agency or pass-through entity, the 3-year retention requirement is not applicable to the non- Federal entity. E. Records for program income transactions after the period of performance. In some cases recipients most report program income after the period of performance. Where there is such a requirement, the retention period for the records pertaining to the earning of the program income starts from the end of the non-Federal entity's fiscal year in which the program income is earned. F. Indirect cost rate proposals and cost allocations plans. This paragraph applies to the following types of documents and their supporting records: indirect cost rate computations or proposals, cost allocation plans, and any similar accounting computations of the rate at which a particular group of costs is chargeable (such as computer usage chargeback rates or composite fringe benefit rates). (1) If submitted for negotiation. If the proposal, plan, or other computation is required to be submitted to the Federal government (or to the pass- through entity) to form the basis for negotiation of the rate, then the 3-year retention period for its supporting records starts from the date of such submission. (2) If not submitted for negotiation. If the proposal, plan, or other computation is not required to be submitted to the Federal government (or to the pass- through entity) for negotiation purposes, then the 3-year retention period for the proposal, plan, or computation and its supporting records starts from the end of the fiscal year (or other accounting period) covered by the proposal, plan, or other computation. SF:16-5215-142605.doc/rev 12/2016 23 29. NOTICE OF THIRD-PARTY CLAIM Pursuant to Public Contracts Code Section 9202, CITY shall provide notice to CONTRACTOR of receipt of any claim filed with CITY or a court of competent jurisdiction which arises out of performance of this agreement within ten (10) days of receipt of such claim or claims. 30. DEFAULT AND TERMINATION If CONTRACTOR fails or refuses to prosecute the work hereunder with diligence, or fails to complete the work within the time specified, or is adjudged bankrupt or makes an assignment for the benefit of creditors or becomes insolvent, or violates any provision of this Agreement or the Contract Documents, CITY may give CONTRACTOR notice in writing of its intention to terminate this Agreement. Unless the violation is cured within ten (10) days after such Notice of Intention has been served on CONTRACTOR, CITY may, without prejudice to any other remedy it may have, terminate this Agreement upon the expiration of that time. Upon such default by CONTRACTOR, CITY may elect not to terminate this Agreement; in such event CITY may make good the deficiency in which the default consists and deduct the resulting costs from the progress payments then or to become due to CONTRACTOR. If it is subsequently determined by a court of competent jurisdiction that CITY's termination of this Agreement Linder 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. 31. 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 SF:16-52 1 5-142 605.doc/rev 12/2016 24 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, 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 sole and exclusive remedy for termination by CITY for its convenience and CITY shall have no further obligation to CONTRACTOR. 32. DISPOSITION OF PLANS. ESTIMATES AND OTHER DOCUMENTS CONTRACTOR agrees that upon completion of the work to be performed hereunder, or upon expiration or earlier termination of this Agreement, all original plans, specifications, drawings, reports, calculations, maps and other documents pertaining to this Agreement shall be delivered to CITY and become its sole property at no further cost. 33. NONASSIGNABILITY CONTRACTOR shall not sell, assign, transfer, convey or encumber this Agreement, or any part hereof, or any right or duty created herein, without the prior written consent of CITY and the surety. 34. 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. SF:16-5215-142605.doc/rev 12/2016 75 35. 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 (SI00) 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. 36. NOTICES Any notices, certificates, or other communications hereunder shall be given either by personal delivery to CONTRACTOR's agent (as designated in Section I hercinabove) or to CITY as the situation shall warrant, or by enclosing the same in a scaled envelope, postage prepaid, and depositing the same in the United States Postal Service, to the addresses specified below: provided that CITY and CONTRACTOR, by notice given hereunder, may designate different addresses to which subsequent notices, certificates or other communications will be sent: TO CITY: TO CONTRACTOR: City of Huntington Beach Nobest, Inc. ATTN: Joseph Fuentes Public Works ATTN: Larry Nodland 2000 Main Street 7600 Acacia Ave. Huntington Beach, CA 92648 Garden Grove, CA 92841 SF:16-52 1 5-142 605.doc/rev 12/2016 26 37. SECTION HEADINGS The titles, captions, section, paragraph, and subject headings, and descriptive phrases at the beginning of the various sections in this Agreement are merely descriptive and are included solely for convenience of reference only and are not representative of maters included or excluded from such provisions, and do not interpret, define, limit or describe, or construe the intent of the parties or affect the construction or interpretation of any provision of this Agreement. 38. 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 the Immigration Reform and Control Act of 1978 (8 USC Section 1324a) regarding employment verification. 39. LEGAL SERVICES SUBCONTRACTING PROHIBITED CONTRACTOR and CITY agree that CITY is not liable for payment of any subcontractor work involving legal services, and that such legal services are expressly outside the scope of services contemplated hereunder. CONTRACTOR understands that pursuant to Huntington Beach City Charter Section 309, the City Attorney is the exclusive legal counsel for CITY; and CITY shall not be liable for payment of any legal services expenses incurred by CONTRACTOR. 40. 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 SF:16-5215-142605.doc/rev 122016 27 bear its own attorney's fees and the prevailing party shall not be entitled to recover its attorney's fees from the nonprevailing party. 41. INTERPRETATION OF THIS AGREEMENT The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of the parties. If any provision of this Agreement is held by an arbitrator or court of competent jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the 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. 42. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of California. 43. 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 SF:16-52 15-1 42605.doc/rev 12/2016 28 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. 44. CONSENT Where CITY's consent/approval is required under this Agreement, its conscnt/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. 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 foregoing, and Exhibits "A" and "B" attached hereto, set forth the entire Agreement between the parties. No waiver or modification of this Agreement shall be valid unless in writing duly executed by both parties. The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive ami's length negotiations, 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. SF:16-5215-142605.doc/rev 12/2016 29 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers on January 10 20 22 . CONTRACTOR: CITY OF HUNTINGTON BEACkL a m al co oration ornia By: �-b 7 Ma r (print nam ) ITS: Chairman/ esident Vice-President City C1 k i/�y� (circle one) INITI D A ROVED: AND /� By: ' ! z �/` � dl"y Dire for fPublic Works fZoB��KT � DQ�� (per ) REVIEWED AND APPROVED: ITS: ecret Chief Financial Officer / Asst. Secre /Treasurer (circle one) City Manage APPROVED AS City Attorney SF:16.5215-142605.doc/rev 12/2016 30 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 Subscribed and sworn to (or affirmed) before me on this D day of (Z?CP.m ,Y , 20 2t, by LrAfrU NUA O ti a `K'in P t-1 Q1oi��� proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. Aunika K.Mugo COMM/4355738 a •• �o,orVvec--o.�saw.A '1 5 Oranpa COUNTY / "Cow E%PIRES WJIJ/p75 (Seal) Signature 6VA' SECTIOIN C PROPOSAL for the construction of ZONE 5 CURB RAMP INSTALLATION from VARIOUS LOCATIONS CC No. 1637 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting ELECTRONIC 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 35 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award,BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-t SECTION C PROJECT BID — SCHEDULE A CURB RAMP PROJECT, CC 1637 BID ITEMS Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 1 Mobilization I 1 LS S S0,,M0. S So 1100. 2 Prepare Storm Water Pollution Prevention Plan(SWPPP) 1 LS S 21,X-0. a $ 2, AV. a', 3 Install&Maintain Construction BMPs 1 LS S 260. $ 02,G00, Vg Construct Curb Access Ramp per Caltrans Std. Plan A88AIA88B as shown on Curb Ramp Detail 1 in Appendix H 4 of Specifications (Item includes all appurtenances, curb& gutter,depressed curb, sawcut, sidewalk,domes, retaining 96 N curb, slot pave, etc.) EA S "/,.. . ' S Horizontal Curb Cut Curb Access Ramp per Caltrans Sid. Plan A88A/A886 using horizontal curb cutting machine as 5 shown on Curb Ramp Detail 2 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter,depressed /' 01 curb,sawcut, sidewalk, domes,retaining curb, etc.) 19 EA S 2�7�. S SS Construct Curb Access Ramp per Caltrans Std. Plan A88A/A888 as shown on Curb Ramp Detail 3 in Appendix H 6 of Specifications (Item includes all appurtenances, curb& gutter, depressed curb,sawcut, sidewalk, domes, retaining 77 pcLie curb,slot pave, etc.) EA S yiV.r S a Y O'•s' Remove and Replace damaged concrete cross gutter as 7 shown on Curb Ramp Detail 4 in Appendix H of Specifications o (Item includes all appurtenances, curb&gutter, cross gutter, �1 y O[ sawcut,slot patch,etc.) 2,400 SF S d 7 S V 8 Remove and Replace Truncated Dome on existing Curb 8 Access Ramp per Caltrans Sid. Plan A88AIA88B as shown on Curb Ramp Detail 5 in Appendix H of Specifications (Item includes all appurtenances, domes,etc.) 7 EA S 'r 3X S Construct Truncated Dome on existing Curb Access Ramp per 9 Caltrans Sid. Plan A88AIA88B as shown on Curb Ramp Detail 5 in Appendix H of Specifications (Item includes all 86 appurtenances, domes,etc.) EA S S i Remove existing asphalt concrete/subgrade to a maximum depth 6"-12"to finished surface and replace with 6"depth of 10 asphalt concrete hot mix adjacent to new curb ramp. (Item includes all appurtenances, sawcut, unclassified excavation, OG �/4AB0 asphalt concrete etc.). 4,000 SF S S 11 Install 4"PVC Sleeve for Street Assembly Sign per City of HB A Ei0 Sid.Plan 401 9 EA S /QV. S yO�. Remove and replace existing sidewalk per City of HB Std. 12 Plan 207 at locations adjacent to ramp.(Item includes all appurtenances, sawcut) S� �Q 8,000 SF S S. ' S 6 C-2.1 SECTION C PROJECT BID —SCHEDULE A CURB RAMP PROJECT, CC 1637 Remove and replaces existing 8"-12"Curb and Gutter at 13 locations adjacent to ramp per HB Std. Plan 205(Item OLD (' 06 includes all appurtenances,sawcut, slot pave,etc.). 1,000 LF 7S. S ��� SUB-TOTAL BID AMOUNT (SCHEDULE A) $ I� 0074 ao0. o0 SUB-TOTAL BID AMOUNT IN WORDS:dne A.'Ii,"an , Se✓eo 1_At04f4ap' _rWe #unirej 900f5 4nd Z ero Cen� s 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. In addition, the City reserves the right to include or remove Bid Schedule B in the award of the contract. C-2.2 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 ofbid, find D ,4e/ 5 fl&/in the amount of 0 O which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting ELECTRONIC 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 a VffA C-2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or 510,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar % of Itent(s) Subcontractor License Registration# Amount Contract eVumber 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. 1 That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on /I-t}l] at Date City State Gaety Neellao) being first duly sworn, deposes and says that he or she is die5,a Bart of NObesf Tor, 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. ehes"- :Tnc. Name of Bidder Siena u of B dct :200 4cana Ave. Address of Bidder ca 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 On 1� NWetm�er 20V beforeme, (insert name and title oft e officer) �� ► L personally appeared 1 t�,r y v�l ti t> l QV1 , who proved to me on the basis df 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. Aur•ika K. Hugo WITNESS my hand and official seal. 1 - OroRpe COUNTv / My COMM ExPIRES W/7]ROl! Signature (Seal) 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 ZONE 5 CURB RANIP INSTALLATION, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. No►�es � Lhr. Contractor By PrP en Title Date: C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing. a Federal. State or local government project because of a violation of law or a safety regulation? / ❑ Yes R N0 If the answer is yes, explain the circumstances in the space provided- Al /A Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. Cfi COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1361 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. /lobe y In 1. Contractor i Byy � PPPsiGfn f Title Date: C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: No'bCS t' Ti1t -. Bidder Name 76O4' Ac4c."a Ale BusinessAddress G e, Z4 9V9Yl City, State Zip ( 7/y 842 - SS1s3 ray 9kohert, nof Tel hone Number Email Address 7S,-i62;? 14 State Contractor's License No. and Class Original Date Issued 1 - 3/ -a2 Expiration Date A The work site was inspected by /fir key, 4,W,. ; of our office on /Yoreorhee l b, 21" . The following are persons, firms, and corporations having a principal interest in this proposal: -R6hP��- lLoerlGnd�- SPC/P�oiy 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. Ndhlsf :47 Company Name Signature of Bi er Lo/P /Y �Qn Printed or Typed Signature C-8 VOTARY CERTIFICATE Subscribed and sworn to before me this I I day of r , 2021 . A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of County of 1l ) On �j(Jvpm )tr I 26 LI before me, / VvlL —0� 4L4IVU�� Month, Day, and Year Insert Name and Title of ota eLtU personally appeared L)OA `6Ly) n, 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 acknowledeed to me that he/she/they executed the same in his/hcr/their authorized capacitv(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.-eAk Au n ka Co wM nssui9ne . - • NO'M PI.BI�L-5575 A4 Q Orerga COUNTY Q � MY COMAI ExPmE50V11r�ptS Signature Signature oVotary 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 {Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets,an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."). Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: I. 5 ee Q Har4,,4 Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-10 NOBEST INCORPORATED REFERENCE LIST Page 1 No. I Project Name/Number: Concrete Replacement Program Project Description: Remove & Replace Curb & Gutter, Sidewalk. Driveway, and Ramp Approximate Construction Dates: From: 3/2018 To: 8/2018 Agency Name: City of Newport Beach Contact Person: Mike Sinacori Telephone: (949) 644-3342 Original Contract Amount: $784.000 Final Contract Amount: $ 855,000 No. 2 Project Name/Number. Heil Avenue & Indianapolis Street rehabilitation Project Description: Remove& Replace Curb& Gutter Sidewalk Driveways and Cross Gutter Approximate Construction Dates: From: 7/2018 To: 1/2019 Agency Name: City of Huntington Beach Contact Person: John P. Telephone: (714) 536-5431 Original Contract Amount: $476,832 Final Contract Amount: $ 539.000 NOBEST REFERENCE LIST Page 2- No. 3 Project Name/Number: Annual Concrete Maintenance Program Project Description: R& R Concrete Sidewalks, Curb& Gutter, Drive Approaches, and Curb Ramos Approximate Construction Dates: From: 2/201') To: Present Agency Name: City of Huntington Beach Contact Person: Dereck Livermore Telephone: (714) 960-8861 Original Contract Amount: $500.000 Final Contract Amount: S In Progress No. 4 Project Name umber: Replacement of Alley, ADA Ramps & Sidewalk Project Description: Remove& Replace Sidewalks Alley Pavement,Curb Ramps, and Curb& Gutter Approximate Construction Dates: From: 8/2019 To: 9/2019 Agency Name: City of Los Alamitos Contact Person: Dave Hunt Telephone: (714) 296-5836 Original Contract Amount: $121.050 Final Contract Amount: S 123,000 NOBEST REFERENCE LIST Page 3 No. 5 Project Name/'Number: CIP Proiect Phase 5 Residential Street Rehabilitation Project Description: Remove& Replace Sidewalk,Curb Ramps.Curb& Gutter.and Cross Gutter Approximate Construction Dates: From: 7/2019 To: Present Agency Name: City of La Mirada Contact Person: Eric Villagarcia Telephone: (562) 902-2373 Original Contract Amount: $1.734,839 Final Contract Amount: $ In Progress No. 6 Project Name/Number. Street Preservations Local Citywide Project Description: Remove and Replace Sidewalk,Curb& Gutter Driveways,Curb Ramps.and Alleys Approximate Construction Dates: Frorn: 10/2018 To: 1/2019 Agency Name: City of Pomona Contact Person: Matt Pilarz Telephone: (909) 620-3652 Original Contract Amount: S603.406 Final Contract Amount: S 486.000 Bidder's Critical Staff Listed below are the names of the bidders proposed Constriction 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. Sf 2� �� c-4c- Name of proposed Project Manager Telephone No. of proposed Project Manager: Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Name of proposed Superintendent Telephone No. of proposed Superintendent: Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed C-11 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 S300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http:/hvww.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://ef iIing.dir.ca.gov/PWCP,/ActionServtet?action=dispIayPWCRegistratiotiForm DIR's Contractor Registration searchable database: https:Hefiling.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. AlobP 5 t a r. Contractor B} Email Pre6,-den i Title Date: PWC Registration »: 100001I924 C-12 BIDDER'S CERTIFICATION* HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992, SECTION 3 TITLE 24, Code of Federal Regulations, Part 135* Economic Opportunities for Low and Very Low-Income Persons The bidder, under penalty of perjury, certifies that except as noted below, any person associated therewith in the capacity of owner, partner, director, officer, or manager(initial the applicable selections): r/ Will ensure that 10% of all new hires as a result of this project shall meet all requirements of Section 3 of CFR Part 135 of the I-IUD Act of 968. or Will hire no new employees in conjunction with this project. Will award 10% of its sub-contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub-contracts related to this project. Contractor: lI/O Peg gqf- t he- Contact Person: 4 ! ,V /Soa Contact Phone: / - 9f7- Ss83 Signed: Date: (- -z *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 135 and Subtitle A et aQ and must be submitted by the bidders and proposed sub- contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act, as amended in 1992 (HUD). Previous non-compliance with Section 3 could result in disqualification. C-13 EXHIBIT A DISADVANTAGED BUSINESS ENTERPRISE (DBE) This Project is subject to Part 200.321, Title 2, Code of Federal Regulations entitled "Contracting with Small and Minority Businesses. Women's Business Enterprises, and Labor Surplus Area Firms." The Regulations in their entirety are incorporated herein by this reference. It is the policy of the City that disadvantaged business enterprises (DBEs), as defined in Part 200.321, Title 2 CFR, shall be encouraged to participate in the performance of Contracts financed in whole or in part with federal funds.The Contractor should ensure that DBEs,as defined in Part 200.321, Title 2 CFR, have the opportunity to participate in the performance of this Contract and shall take all necessary and reasonable steps,as set forth in Part 200.321,Title 2 CFR, for this assurance. The Contractor shall riot discriminate on the basis of race, color, national origin, or sex in the award and performance of subcontracts. Failure to carry out the requirements of this paragraph shall constitute a breach of Contract and may result in termination of this Contract or other remedy the City may deem appropriate. Bidders shall be fully informed respecting the requirements of the Regulations and are urged to obtain DBE participation in this project, although there is no specific goal for DBE participation. C-14 EXHIBIT B DBE INFORMATION —GOOD FAITH EFFORTS Federal-aid Project No. Bid Opening Date ir37 The City of Huntington Beach established a Disadvantaged Business Enterprise (DBE) goal of 0% for this Project. The information provided herein shows that a good faith effort was made. Lowest, second lowest and third lowest bidders shall submit the following information to document adequate good faith efforts. Bidders should submit the following information even if the "Local Agency Bidder DBE Commitment" form indicates that the bidder has met the DBE goal. This will protect the bidder's eligibility for award of the contract if the administering agency determines that the bidder failed to meet the goal for various reasons, e.g., a DBE firm was not certified at bid opening, or the bidder made a mathematical error. Submittal of only the "Local Agency Bidder DBE Commitment' form may not provide sufficient documentation to demonstrate that adequate good faith efforts were made. The following items are listed in the Section entitled "Submission of DBE Commitment' of the Special Provisions: A. The names and dates of each publication in which a request for DBE participation for this project was placed by the bidder (please attach copies of advertisements or proofs of publication): Publications Dates of Advertisement S /4'0 4 5 Al f C,s' B. The names and dates of written notices sent to certified DBEs soliciting bids for this Project and the dates and methods used for following up initial solicitations to determine with certainty whether the DBEs were interested(please attach copies of solicitations, telephone records, fax confirmations, etc.): Names of DBEs Solicited Date of Initial Follow Up Methods Solicitation and Dates C-15 C. The items of work which the bidder made available to DBE firms including, where appropriate,any breaking down of the contract work items (including those items normally performed by the bidder with its own forces) into economically feasible units to facilitate DBE participation. It is the bidder's responsibility to demonstrate that sufficient work to facilitate DBE participation was made available to DBE firms. Items of Work Bidder Normally Breakdown of Amount Percentage Performs Item Items ($) of (Y/N) Contract xes loth-ew yns Y-7 . /Q 5011000 S'90 D. The names, addresses and phone numbers of rejected DBE firms, the reasons for the bidder's rejection of the DBEs, the firms selected for that work (please attach copies of quotes from the firms involved), and the price difference for each DBE if the selected firm is not a DBE: Names, addresses and phone numbers of rejected DBEs and the reasons for the bidder's rejection of the DBEs: Nir e Names, addresses and phone numbers of firms selected for the work above: ems' �/`14 C/Sina " TOl/'Qnl� E. Efforts made to assist interested DBEs in obtaining bonding, lines of credit or insurance. and any technical assistance or information related to the plans, specifications and requirements for the work which was provided to DBEs: #One /YPPd/OLJ/ C-16 F. Efforts made to assist interested DBEs in obtaining necessary equipment, supplies, materials or related assistance or services, excluding supplies and equipment the DBE subcontractor purchases or leases from the prime contractor or its affiliate: NOne Needed G. The names of agencies, organizations or groups contacted to provide assistance in contacting, recruiting and using DBE firms (please attach copies of requests to agencies and any responses received, i.e., lists, Internet page download, etc.): Name of Agency/Organization Method/Date of Contact Results S!C 14 /lil/7 R I H. Any additional data to support a demonstration of good faith efforts (use additional sheets if necessary): GaB NOTE: USE ADDITIONAL SHEETS OF PAPER IF NECESSARY. C-17 IF A SOLE OWNER OR SOLE CONTRACTOR SIGN HERE: (1) Name under which business is conducted (2) Signature (given and surname) of proprietor (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail IF A PARTNERSHIP. SIGN HERE: (1) Name under which business is conducted (2) Signature (given and surname and character of partner) (Note: Signature must be made by a general partner) (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail C-18 IF A CORPORATION. SIGN HERE: /� -77 (1) Name under which business is conducted hheSf Ince tea-R led (2) (Signa7e) y ,de (Title) Impress Corporate Seal here (3) Incorporated under the laws of the Stateof 1 (4) Place of Business 76,0 Rve- I !(Street and Number) City and State G q/1060 el-rove, �Q (5) Zip Code qt Telephone No. (6) E-Mail ( ko�PSY net 1 NOTARIAL ACKNOWLEDGMENT OF EXECUTION BY ALL SIGNATORIES MUST BEATTACHED C-19 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 � � q 2 /�� ) "" On NGuer 6ir �� a0 � before me, 1 � AYI(V 1 1-L UU 4) , N 1 - ` (ins name and title of tI o cer) personally appeared f� (Y J C�l n , 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 is true and correct. Aunika K.Hugo WITNESS my hand and official seal. �TcMoy zFs � '• ! Ore�pl COUNTY � MV COMM E%i1RE50u7r70�5 Signature4 � (Seal) List below names of president, vice president, secretary and assistant secretary, if a corporation; if a partnership, list names of all general partners and managing partners: La !4t lV jja o) - Aes dent T-&g wrr Robe e f No��ay�/ - SeCietoiy c-20 EXHIBIT C LOCAL AGENCY BIDDER DBE COMMITMENT (CONSTRUCTION CONTRACTS) NOTE: PLEASE REFER TO INSTRUCTIONS ON-1-HE ,R/EVERSE SIDE OFTHIS FORM LOCAL AGENCY:(L�n Gt ?,,,m xc ,7 f3e rli LOCATION: ✓ a"t IlU f' 7 fr�Q�S PROJECT DESCRIPTION': I>IQArO✓P Pl RrGloce 6, 4 Q(}I9PS TOrAL CouTRACf AMOUNT':S 1, ve0 000 BID DATE: !I" 1 fig/. a / BIDDER'S NASIr: IVQVeSt- TQC• CONTRACT DBE GOAL: O 610 CONTRACT ITEM OF WORK AND DESCRIPTION DBECERTNO. NAME OF I7ACH DBE DOLLAR AAIOUYI' ITEM NO. OR SERVICES TO B \ND EXPIRATION (Must be certified on the date bid BE UBCONURACfED OR MATERIALS DATE are opened- include DBE:address O BE PROVIDED(or contracted if th and phone number) bidder is a DBE) _4-1,16 Tfu�k'�p�cnr Err_�f_-a.�� � Mars_ T_��c,F.�y 3gaoo r_.a_._eoy dss3 o!_�.n«Ct gesaN For Local Agency to Complete: Tom]Claimed s SG aoo Local Agency Contras Number- Participation Federal-aid Project Number: S % Federal Share: Contract Award Date: Local Agency certifies that all DBE certifications have been verified and information is complete and accurate. Bid -r )) am�, ' ��^^�� (Ar�ebq Code)Tel.No. Print Name Signature Date V-++e j V✓C�typJ Local Agency Represcroame Person to Co as (Plcasc'Iypc or Prim) (Amu Code)Telephone Number: Lma1 Agency Bidder DBE Commitment(Constmetiun Cunuans) (Rev b/'-&N) C-21 PLEASE NOTE: This information may be submitted with your bid. If it is not, and you are the apparent low bidder or the second or third logy bidder, it must be submitted and received as specified in the Special Provisions. Failure to submit the required DBE commitment will be grounds for finding the bid nonresponsive The form requires specific information regarding the construction contract: Local Agency, Location, Project Description, Total Contract Amount, Bid Date, Bidder's Name, and Contract DBE Goal. The form has a column for the Contract Item Number and Item of Work and Description or Services to be Subcontracted or Materials to be provided by DBEs. Prime contractors shall indicate all work to be performed by DBEs including, if the prime is a DBE, work performed by its own forces, if a DBE. The DBE shall provide a certification number to the Contractor and expiration date. Enter the DBE prime's and subcontractors' certification numbers.The form has a column for the Names of DBE contractors to perform the work (who must be certified on the date bids are opened and include the DBE address and phone number). IMPORTANT: Identify all DBE firms participating in the project regardless of tier. Names of the First-Tier DBE Subcontractors and their respective item(s) of work listed should be consistent, where applicable, with the names and items of work in the "List of Subcontractors" submitted with your bid. There is a column for the DBE participation dollar amount. Enter the Total Claimed DBE Participation dollars and percentage amount of items of work submitted with ,your bid pursuant to the Special Provisions. (If 100%of item is not to be performed or furnished by the DBE. describe exact portion of time to be performed or furnished by the DBE.) See Section "Disadvantaged Business Enterprise (DBE)." of the Special Provisions (construction contracts), to detennine how to count the participation of DBE fines. Exhibit 15-G must be signed and dated by the person bidding. Also list a phone number in the space provided and print the name of the person to contact. Local agencies should complete the Local Agency Contract Award, Federal-aid Project Number, Federal Share, Contract Award Date fields and verify that all information is complete and accurate before signing and filing. C-22 EXHIBIT D EQUAL��E�IPLOYDIENT OPPORTUNITY CERTIFICATION `` The bidder Iv (proposed subcontractor ] hereby certifies that he/she/it has , has not_, participated in a previous contract or subcontract subject to the Equal Opportunity clauses, as required by Executive Orders 10925, 1 1 1 14, or 11246, and that, where required, he/she/it has tiled with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (I)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of S10,000 or under are exempt.) Currently, Standard Form 100(EEO-1) is the only report required by the Executive Orders or their intplententing regulations. (eeoc.gov/emplovers/eeolsurvey/index.cfm) Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director of Federal Contract Compliance, U.S. Department of Labor. Signature: te: Print Name: Lap- O �Q Title: Pfgyih 4 C-23 EXHIBIT E NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) Zone 5 Curb Ramp Installation To the City of Huntington Beach In conformance with Title 23 United States Code Section 112 and California Public Contract Code 7106 the bidder declares that the bid is not made in the interest of, or on 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 of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of 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, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Noncollusion Affidavit is part of the Bidder's Proposal. By signing the Proposal, the Bidder has also signed this Noncollusion Affidavit. Bidders are cautioned that making a false C ificatt may subject the Bidder to criminal prosecution. Signature: / te: Print Name: Title: f pf P JI), C-24 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 V \ // ^� On LI PAL 1-7 �ZO before me, � n L\ Ql V— / �n� a (insert name and title of th.6 officer) (� , personally appeared 0, Q who proved to me on the basis of s,&tisfactory 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. Aunete K.Hupo WITNESS my hand and official seal. "J 5 OrenpB COUNTY / MV COI.OI E%PMES OKIR075 Signature (Seal) EXHIBIT F DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 The Bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated with Bidder in the capacity of owner, partner, director, officer, manager: is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any Federal agency: • has not been suspended, debarred, voluntarily excluded or determined ineligible by any Federal agency within the past 3 years; • does not have a proposed debarment pending: and • has not been indicted, convicted, or had a civil judgment rendered against him/her by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 ,years. If there are any exceptions to this certification; insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility. For any exception noted above, indicate below to whom it applies, initiating- agency, and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute s aturc of this Certification. Signature: // te: Print Name: 4f1 G lip Title: 'ep' C-2s EXHIBIT G NONLOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS The prospective participant certifies. by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: 1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan,or cooperative agreement. 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 135�, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than S 10,000 and not more than S 100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed 5100,000 and that all such subrecipients shall certify and disclose accordingly. Signature: f I ate: Print Name: `G!P p f�(Lit Title: ► f e 5,'d e11 C-26 EXHIBIT H DISCLOSURE OF LOBBYING ACTIVITIES COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352 I. Tepe of Federal Action: 2. Status of Federal Action: 3. Report Type: ❑ a.contract ❑a.bid/offer/application a.initial b.grant b.initial award b,material change C.cooperative agreement c.post-award d.loan For Material Change Only: e.loan guarantee year quarter f.loan insurance date of last report 1. Name and Address of Reporting Entity 5. If Reporting Entity in No.q is Subaw urdee, Enter Name and Address of Prime: Priem Subawardee Tier ,if known Congressional District,if known Congressional District,if known 6. Federal DepartmenUAgenc%- 77. Federal Progr m Name/Description: � umbe�if applicable �r li 8. Federal Action Numbe ,if known: Awat\mount,if known: 10. a.Name and Address of Lobby Entity b. Individuals Performing Services (including (If individual,last name,first name.%ItI address if different from No. l0a) (last name,first name,MV) (attach Continuation Sheet(s)if neccssan0 11. Amount of Payment(check all that apply) 13. Type of Payment(check all that apply) S Actual planned a.retainer b.one-time lee 12. Form of Paymenl(check all that apply): c.commission Ba.cash d.contingent fee b.unkind: specify: nature a deferred value f.other,specify 14. Brief Description of Services Performed or to be performed and Date(s)of Sen'ice,including officer(s),emplorec(s),or member(%)contacted,for Payment Indicated in Item It: (attach Continuation Sheet(s)if neceswry) 15- Continuation Sheet(%)attached: Yes 11 No 16. Information requested through this form is authorized by'I itle 31 U.S.C. Section 1352. This disclosure of lobbying reliance Signature: was placed by the tier above when his transaction was made or entered into.This disclosure is required pursuant to 31 U.S.C. Print Name: 1352. This information will be reported to Congress semiannually and will be available for public inspection.Any Title: person who fails to file the required disclosure shall be subject �+� _( -� to a civil penalty of not less than S10.000 and not more than Telephone No.: l L} — p r z',SJ�als ��� Z� S 10g000 for each such failure. Authorized for Local Reproduction Federal Use Onh': Standard Form-I.LL Standard Form LLL Rev,09.12-97 C-27 INSTRUCTIONS FOR COMPLETION OF EXHIBIT H DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1) Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2) Identify the status of the covered Federal action. 3) Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4) Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5) If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address,city, state and zip code of the prime Federal recipient. Include Congressional District, if known. 6) Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation. United States Coast Guard. 7) Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) ❑umber for grants, cooperative agreements, loans and loan commitments. b) Enter the most appropriate Federal identifying number available for the Federal action identification in item I (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-D E-90-00 I." 9) For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10)(a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name, First Name and Middle Initial (MI). I I)Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. C-28 12)Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13)Check the appropriate box(es). Check all boxes that apply. If other, specify nature. 14) Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15)Check whether or not a continuation sheet(s) is attached. 16)The certifying official shall sign and date the form, print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of infortation. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503. By my signature on this proposal I certify, under penalty of perjury under the laws of the State of California. that the foregoing questionnaire and statements of Public Contract Code Sections 10162, 10232 and 10285.1 are true and correct and that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission Regulations (Chapter 5, Title 2 of the California Administrative Code). C-29 EXHIBIT I FEDERAL LOBBYING RESTRICTIONS Section 1352, Title 31, United States Code prohibits Federal funds from being expended by the recipient or any lower tier subrecipient of a Federal-aid contract to pay for any person for influencing or attempting to influence a Federal agency or Congress in connection with the awarding of any Federal-aid contract, the making of any Federal grant or loan, or the entering into of any cooperative agreement. If any funds other than Federal funds have been paid for the same purposes in connection with this Federal-aid contract, the recipient shall submit an executed certification and, if required, submit a completed disclosure form as part of the bid documents. A certification for Federal-aid contracts regarding payment of funds to lobby Congress or a Federal agency is included in the Proposal. Standard Form - LLL, "Disclosure of Lobbying Activities," with instructions for completion of the Standard Form is also included in the Proposal. Signing the Proposal shall constitute signature of the Certification. The above referenced certification and disclosure of lobbying activities shall be included in each subcontract and any lower-tier contracts exceeding 5100,000. All disclosure forms, but not certifications, shall be forwarded from tier to tier until received by the Engineer. The Contractor, subcontractors and any lower-tier contractors shall file a disclosure form at the end of each calendar quarter in which there occurs any event that requires disclosure or that materially affects the accuracy of the information contained in any disclosure forni previously filed by the Contractor, subcontractors and any lower-tier contractors. An event that materially affects the accuracy of the information reported includes: I) A cumulative increase if S25,000 or more in the amount paid or expected to be paid for influencing or attempting to influence a covered Federal action; or 2) A change in the person(s) or individual(s) influencing or attempting to influence a covered Federal action; or 3) A change in the officer(s), employees(s), or Member(s) contacted to influence or attempt to influence a covered Federal Action. C-30 Bid Bond Bid Bond Number.CSBA-19223 CONTRACTOR: SURETY: (.'-NName,legal aarus and addtea) (.Naae,legal status and primipal plate of butinus) Nobest Incorporated Merchants Bonding Company(Niumal) 7600 Acacia Ave. 6700 Westown Parkway Garden Grove,CA 928,41 West Des Moines,]A 50266 OWNER: This document has important legal (Name,legal status and addrea) consequences.Consultation with City of I-luntingron Beach An attorney is encouraged with respect 2000\fain Street its completion or modification. I luntington Beach,CA 92648 Any singular reference to Contractor,Surety,Owner or other party shall be considered Plural where applicable. BOND ADIOUNT: Ten Percent (10%)of Amount Bid PROJECT: Zone S Curb Ramp Installation CC No. 1637 Project Number,if arty: 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 hercin.'I'hc 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 tenets of such bid,and&rives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof,or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect.The Surety hereby waives any notice of an agreement between the Owner and Contactor 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 ut the bid documents,and the Owner and Contractor shall obtain the Surety's consent for an extension beyond slxt(60)days. If this Bond is issued in connection with a subcontractor's bid to a Contractor,the term Contactor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. \C''hcn this Bond has been furnished to comply with a statutory or other legal requ;rement in the location of the Project,any provision in this Bond conflicting with said samtory or legal requirement shall be deemed deleted here from and provisions conforming to such statutory or ocher legal requirement shall be deemed incorporated herein.When so furnished,the intent is that this Bond shall be consumed as a statumry bond and not as a common law bond. Signed and scaled this 1 ith day of November.2021 — / Nobcst Incomoratcd e�f msindpal) (Sea9 (l�1 tinnelrr) Lf i NI all N�k1l ��l�-�L•�1i���.'C�C�:/�lJ (Sun1y) (Seal) (117itnea) Melissa Ann Vaccaro (Title)Dwight Reilly,Anorney-in-Pact By arrangement with the American Institute of Architects, the National Association of Surety Bond Producers(NASBP)(www.nasbo.orz)makes this farm document available to its members, affiliates, and associates in Microsoft word format for use in the regular course of surety business.NASBP vouches that t the original text of this document conforms exactly to the text in AIA Document 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 11/15/2021 before me, Melissa Ann Vaccaro Notary Public (insert name and title of the officer) personally appeared Dwight Reilly who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) Is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. (ONIEL1.SSA ANN VACCAROWITNESS my hand and official seal. Cont02241394 t:otaryPObIIGClORANGE COUNTY yCortE aiies May 12,2022 Signature\������ \1 Melissa Ann Vaccaro Bond No.CSBA-19223 MERCHANT BONDING COMPANY,. POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC., both being corporations of the Slate of Iowa(herein collectively called the"Companies)do hereby make,constitute and appoint,individually, Arturo Ayala;Ben Stong;Daniel Huckabay;Dwight Reilly;Frank Morons;Michael D Stong;R Nappi;Shaunna Rozelle Ostrom their true and lawful Attorney(s}in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power-of-Attomey is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 16,2015. -The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attomeys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof.' 'The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Atiomey or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and aut hority hereby given to the Atiomey4n-Fact includes any and all consents for the release of retained percentages andior final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenli ng to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attomey-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 111h day of February , 2020 'Pt10N4�` .•�\NG co* .. MERCHANTS BONDING COMPANY 4opPOgge :•00��pPOgq�9y� MERCHANTS NATIONAL BONDIING!NCTUAL) 2:2 _o- 00 -o- v: :a:— :Z; •z: :3: �'•.. 2003 ::c)•- :y;. 1933 :cc: By •; ?�:' b�k \1a. President STATE OF IOWA COUNTY OF DALLAS ss. On this 1 tth day of February 2020 , before me appeared Larry Taylor, to me personalty known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. ,DPP'- 0 POLLY MASON o y. Commission Number750576 r- My Commission Expires v Z a.. ,OwP January 07, 2023 Notary Public (Expiration of rotary's commission does net invalidate this instrument) I,Wilham Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full force and effect and has net been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seat of the Companies on this 15th day of November 2021 . G t•.y: �rn: 4 �•.t. �li H'. n�• :2 'Z: :a'• 1933 c: Secretary .v. 2003 .;cep s . POA 0018 (1/20) 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 � n� AA � On L��JQ �Z ( �1 �1 before me, AAkY1 I (insert name and title of th ffi r) pobt(C, , j personally appeared 1 (Y� N o 1/Arn who proved to me on the basis of sabsfactory 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. Aunilta K.Hugo WITNESS my hand and official seal. ' MY COMM�C�UN�iF +•.,/ E%FIRES Ov�I�s Signature (Seal) ^11 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For ZONE 5 CURB RAMP INSTALLATION PROJECT CC NO. 1637 In the CITY OF HUNTINGTON BEACH November 17, 2021 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) REPLACE APPENDIX L"PREVAILING WAGE SCHEDULE" TO CURRENT WAGES SCHEDULE. Replace "General Decision Number: CA20200024 10/2212021" with Superseded "General Decision Number: CA20210024 11112/2021" This is to acknowledge receipt and review of Addendum Number One, dated November 17, 2021. Noe>ES-T -17)Q C-- Company Name Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please call Joseph Fuentes at(714) 536-5431. THE FINAL PREMIUM IS This bond was issued in two (2) PREDICATED ON THE original counterparts FINAL CONTRACT AMOUNT Bond No. CAC720224 Premium: $13,572.00 PERFORMANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS,City of Huntington Beach(hereafter referred to as'Clty)has,by written agreement dated J4f TM 2012,entered into a contract with Nobest Incorporated 7600 aria At Garden(ter n P CA g9841 (name and address of Contractor) j (hereinafter referred to as'Principal"),for performance of the work described as follows: Zane 5 Curb Ramp Installation CC No 1637 I (Project Title) WHEREAS, said contract, and all documents referenced therein (hereinafter collectively 'Contract'), are incorporated herein by this reference made a part hereof as though set forth herein in full;and Said Principal is required under the terms of the Contract to furnish a bond guaranteeing the prompt,full and faithful performance of said Contract, by a duly admitted surely 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,Moodys,or Standard&Poor's,to validate that Surety has positive ratings of being secure or Stable: and Surety is registered and listed with the California Department of Insurance. NOVJ,THER=FORE,we the undersigned,az Pdndpal,and Merchants Bonding C`ompanV(Mutual) 6700 Westown Parkway West Oes Mninac IA s»66 (name and address of Surety) as Surety,are held and firmly bound unto City in the penal sum of One Million S v n Thousand D&u Efundred and 001100 Dollars(S 200.00 ),this amount being not less than one hundred percent of the price set forth in the Contract,In lawful money of the United States,for the payment of which sum,well and truly to be made, we bind ourselves,our heirs,executors,administrators and successors,jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT if the Principal shall promptly,fully and faithfully perform each and ell of the covenants,obligations and things to be done and performed by the Principal in strict accordance with the temrs 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, dalms,Judgments,stop notices,fees and costs of every description,whether imposed by haw 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,than 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 lime 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,fimit, restrict,impair or release the obligations of the Surety under this Bond. Surety warves notice of any adjustment of contract or contract pace,and any other ateration,change, deletion,addition or other modification to the Contract,or the work to be performed thereunder,and agrees 15d5841117174 Bond No.CAC720224 to automatically adjust the penal sum of this Bond to reflect such adjustments,alterations,changes, deletions,additions or other modifications. Surety agrees to provide written confirmation of such adjustments In the penal sum to City on not less than a quarterly basis. Surety also waives the provisions of Civil Code§§2845 and 2849- The obligations of this Bond shall survive the completion of the work described in the Contract as to all obligations and liabilities of the Principal which survive completion of the work. j 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 aulhorfzed pursuant to the authority of its governing body- Surety, by execution of this bond,waives any defense which Surety has or may have by reason of any failure of the Principal to execute or property execute this bond. Dated: December 15th,2021 ATTEST Nobestlncorporated (Corporate Sea]) (Principal Name) By: el ) Name: C1 Title: ATTEST Merchants Bonding Company(Mutual) (Corporate Seep By i Na e,.ShaunnzrRozelle Ostrom Attorney-in-Fact (Signature el ABomey-in-Fars for Surety) (Attach Aeaney-ImFaa Certificate) 800)678-8171 (Area Cade d Telephone Number for Surety) APPROVED AS TO F By xhaol E.Cates,City Attomey� / r Ji�1�• yS Note: This bond must be executed in duplicate and dated,aft signatures must be notarized.and evidence or Oro aulhonrl of any person signing as attomaylrtfaa must bo attached. PERFORMANCEBOND Page 2 of 2 1545941117174 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 12/15/2021 before me, Melissa Ann Vaccaro, Notary Public (insert name and title of the officer) personally appeared Shaunna Rozelle Ostrom 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. MEiI 1 "A ANN VACCARO COMM.#2241394 m WITNESS m hand and official seal. .I lotary Public-California X I' ORARGE COUNTY u Erortts rAay 12,2022 Signature (Seal) Melissa Ann Vaccaro MERCHANTS"%k Bond No.CAC720224 BONDING COMPANY,. POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa(herein collectively called the'Companies")do hereby make,constitute and appoint,individually, Arturo Ayala:Ben Stong;Daniel Huckabay;Dwight Reilly; Frank Morons; Michael D Slong; R Nappi;Shaunna Rozelle Ostrom their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc.,on October 16,2015. 'The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undenakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof.' The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed.' In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and aut hority hereby given to the Atlomey-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attomey-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 111h day of February 2020 RPOR O O \A •.-V MERCHANTS BONDING COMPANY(MUTUAL) ti5•:40 9j:•. Z- m:v0 11�, MERCHANTS NATIONAL BONDING,INC. Z: -� 2003 i - 'a' 1933 ;�; By ...�....Ott, . �..{r.. •' President STATE OF IOWA COUNTY OF DALLAS ss. On this 11th day of February 2020 before me appeared Larry Taylor, to me personally known, who being by me duly swam did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies;and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. �PRIA�S+ POLLY MASON i � Commission Number750576 My Commission Expires P January 07, 2023 Notary Public (Expiration of notary's commission does rot invalidate this instrument) I,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full force and effect and has net been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 15th day of December 2021 -a' 2= c• r3' Secretary x: 1933 c: ;p... 2003 �. • s�. ';?y�. POA 0018 (1/20) """ THE FINAL PREMIUM IS This bond was issued in two(2) PREDICATED ON THE original counterparts FINAL CONTRACT AMOUNT Bond No. CAC720224 PAYMENT BOND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESEKIS: WHEREAS,City of Huntington Beach(hereafter referred to as'City) has awarded to Nobest Incor orated 600 Acacia Ave Garden Grove A 92841 (name and address of Contractor) (nereinaffer referred to as'Principal),a contract('Contract')for the work described as follows; Zone 5 Curb Ramp Installation CC No 1637 (Project Title) VlHEREAS, Principal Is required under the terms of the Contract and the California Civil Code to furnish a bond to secure the payment of claims of laborers,mechanics,materialmen,and other persons as provided by law, by a duly admitted surety insurer under the laws of the State of Califomia (hereinafter referred to as 'Surety-);and Surety m certified and listed in the U.S. Department of the Treasury Circular 570,and has provided proof of sufficient bonding limitation, as shown In said circular to provide bonds in the amount required by said Contract;and Surety has provided financial strength ratings from reputable companies,such as from A.M.Best, Moody's or Standard 8 Pools,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 Pdncpal,and Merchants Bonding Company (Mut_ual) 6700 Westown Parkway West Des Moines IA 50266 (name and address of Surety) as Surety are held and firmly bound unto City in the penal sum of One Million Seven Thousand Two Hundred and 00/100 _ dollars(SI 007 200 00 ),this amount being not less than one hundred percent(100%)of the total price set forth in the Contract,in lawful money of the United States of America,for the payment of which sum,well and truly to be made,we bind ourselves,and each of our heirs, executors,administrators,successors,and assigns,Jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT,if the Principal,his,her,or its heirs,executors, administrators,successors or assigns,or subcontractors shall fail to pay any of the persons named in Section 3181 of the California Civil Code('Claimants)for all labor, materials or services used or reasonably required for use in performance of the work described in the Contract,or any amounts due under the Unemployment Insurance Code with respect to work or labor performed by any such Claimant,or prevailing wages due and penalties incurred pursuant to Sections 1774,1775, 1813 or 1815 of the Labor Code,or any amounts required to be deducted,withheld and paid over to the Employment Development Department from the wages of employees of the Principal and Subcontractors pursuant to Section 13020 of the Unemployment Insurance Code with respect to the work or labor performed under the Contract.Surety will pay for the same, in an amount not exceeding the penal sum specified In this bond;otherwise,this obligation shall be null and void. This bond shall inure to the benefit of any of the persons named in Section 3181 of the California Civil Code so as to give a right of action to such persons or their assigns. In case any action Is brought upon this bond, Surety further agrees to pay all court costs and a reasonable attorney's fee In an amount foxed by the court. PAYMENTBOND Page 1 of 2 15 4 58 3/1 17357 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 obligafions of Surety under this bond. Surety hereby waives notice of any such change, extension of time,alteration,addition,or modification to the terms of the Contract,the contract documents or the work thereunder. Surety also waives the provisions of California Civil Code§§ 2845 and 2849. IN WITNESS WHEREOF,each party represents and warrants that this Instrument has been duty 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 cr properly execute this bond. Dated:December 1 lh 2021 ATTEST Nobest Incorporated (Corporate Seal) (Principal Name) By: �b Name: Title: � _ 5 it ATTEST Merchants Bonding Company(Mutual) (Corporate Seal) AT m ) By: Na he: unn oz�omAttorney-in-Fact (IQ I(Signature of AdomeyAn-Fad for Surety) (Attach Attomey-in-Fact Certificate) 800)678-8171 (Area Code 8 Telephone Number for Surety) APPROVEDAST M: By. ad E.Galas, iy ttamey ^ / Note: This bond must be executed in duplicate end dated,all signatures must be notathod,and evidence of aie authority of any person signov as atromey-kH'ad must be attached PAYI,MNT BOND Page 2 of 2 1545941117357 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 Qf2 On beforeme, �1Ani ) (n F �l(Zt� 1 �, 1 (. (insert name and title of he officer) C �1oc� personally appeared arr y \QnA 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. ' Aunika K. Hugo ' COMM l7355788 WITNESS my hand and official seal. a ? �o,wrvue�c c�FOW"^ �q 1 : Orange COUNTY `/ wow► IAV COMM E%GIPES Cr7I17075 Signatur \1 ? ffi�� (Seal) ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On 1 2/15/2021 before me, Melissa Ann Vaccaro, Notary Public (insert name and title of the officer) personally appeared Shaunna Rozelle Ostrom 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 ANN VACCARO Q� /��_ •. corar:l.azzaia9a i 0 PuGlioCaliforma E rc r(� \ ORANG COUNTY LL Comm.EG v v Si nature '� � C�cL.� Seal � Melissa Ann Vaccaro MERCHANTS Bond No.CAC720224 BONDING COMPANY,. POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa(herein collectively called the'Companies-)do hereby make,constitute and appoint,individually, Arturo Ayala;Ben Slong;Daniel Huckabay;Dwight Reilly;Frank Morones;Michael D Stang;R Nappi;Shaunna Rozelle Ostrom their true and lawful Attorney(s}in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc.,on October 16,2015. 'The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attomeys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof.' The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Anomey or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed.' In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and aut homy hereby given to the Attomey-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenli ng to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its band. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 11th day of February 2020 •;aPt10Nq�e • .# .01...... BPOR o• O . 1 MERCHANTS BONDING COMPANY(MUTUAL) �G1•:GO 4l:•. Z: 0.•VO q1.-A MERCHANTS NATIONAL BONDING, INC. �. ,=j'•. 2003 ,•'ci; :y: 1933 c: By b�(y • �d�'(y � President STATE OF IOWA • COUNTY OF DALLAS ss. On this I Ith day of February 2020 before me appeared Larry Taylor, to me personalty known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. ,,v-�lAt19 POLLY MASON i � Commission Number750576 My Commission Expires V �P January 07, 2023 Notary Public (Expiration of notary's commission does not invalidate this instrument) I,Wiliam Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 15th day of December , 2021 o ^• _[ 2 c a'•, 1933 C; Secretary 2003 :;cog s . ~:d� :;ate:: :�6 .•\�io POA 0018 (1I=0) .. " ace m CERTIFICATE OF LIABILITY INSURANCE ogre lnR.vnnf/1420 m 1 21 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(los)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the Isms and conditions of the policy, certain policies may require on endorsement. A statement on this certificate does not center rights to the ceniticnle holder In Ilou of such ondorsement s . PRODUCER Edgewood Partners Insurance Contor A CenincalasDe rtment P.O.Box 5003 PHONE San Ramon, CA 94583 �AC xaE n B25.244-sloe avr 925-901-0671 MAIL I -ADRESESs� EPICcorls(aZeplchrokaro_com INSURERI9I AFFORDING COVERAGE NgICE wvnv.epicbmkers.com CA LICENSE 11OB29370 INSURER A: Arch Soeclalty Insurance Company 21199 INSURED INSURER a: Zurich Amarlcan Insurance Company 10535 i All American Asphalt P.O.BOX 2229 INSURE c: Groat American Inournnw Company 16691 Corona CA 92878 INSURER D: , INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 66452407 REVISION NUMBER! ? 11118 IS To CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW IWVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM DR CONDITION OF ANY CONTRACT Oil OTHER OOCUMENr YAIH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE.AFFORDED BY THE POLICIES DESCRIRED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE MD 1 POLH)YNUNBER POLICY Err PCUMhVDCYEXP LIMITS A CONMERCIALaENERALLIAa1LITY UPCIO058560$ 8/112021 8/1/2022 EACH OCCURRENCE TVIKLKih $1,000,000 TZAN.ts.MADE ©OCCUR "949S(E_.«Avrt.nrol_ i 100100 A!EO EXP TAM P,u lgnon $ PERSONAL S AOV INJURY 61.0001001) OEN'LAOOREOATELWHAPPLIESPER: OENERALAOOREONE $2,000,000 IVNCY�UPEnP U LOC PRODUCTS-COMPMP ADD 0.000,000 OTHER: S B AUTOMOetELIA01LITY BAP657ID8809 8112021 Bl112022 EU I+OLELWIT $22000,000 ✓ ANY AUTO 00DILY INJURY(P.,p.,n.) S OM'EO r I SCHEDULED BODILY INNRY(P., o WJ i AUTO.R CF y AUTOS MUD NDN. VNF..O PROPEAIYWUAOC S AUTOSONLy AUTOS ONLY ,.(L'.LPftNml i S C UMORELIALIAe OCCUR �TUE347403601 8112021 8112022 EACH OCOLMel S5000000 ✓ EXCESS LIAS CWMS.MAOE AOOREOATE S ,000.000 DEo I ✓I RETe ION+$10.000 Followln -Form S 8 WORKERS COMPENSATION WC593205708 81112021 l/2022 1 PE rH AND EMPLOYERS'UASILRY ANYPROPRIETNbPMTNENPXr:CUTTVE N NIA E,LEACHACCIOENT S1000000 OFFICERM.EMBEREXCLUOEO] �N (M.nd.Iwy In NMI E.L,oreEASC-EA EMPLOYE 9t00n 000 If}'e de.Wb.sad. OE dHIP110N OF EINnON9 olox E.L.DIBEASE-I•QICY tm f1,000,DQQ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD Ie1,AddIUPnd R.mNb ScN.Ml.,mryb..!ucpadllmw..ru c.I.npulnd) APPROVED AS TO FORM Convect No.35239/RE;On Cali as Needed Asphalt Paving Services-Major end Samndery Hlghwuy Arlorlal improdemonle-R-71 I ; By: MIVHAEL E.GATES Cortlncalo Holder Is Addlllon it Insured If Required by Written Contract Excluding Workers Componsellon CITY ATTORNEY CITY OF HUNTTN(TON REACIJ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCELLED BEFORE Oltyy of Huntington Beach -,HE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2000 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Huntington Beach CA 92646 AURIDRILEDnEPRESENTATIVE certificates Da erunenl ®19BB-2016 ACORD CORPORATION. All rights reserved. - ACORD 25(2(1 The ACORD nano and logo are registered marks of ACORD 61.fM0T I]I 1011 Sladul HLA 31m,XE I SIVT Lu,d„S I I MNe]I]NS:SE PM(PSq I P.C.I of I I I ' I ' I p� I ®� To: Whom it may concern l PO Box 5003 Regarding: Notice of Cancellation j San Ramon,CA 94583 Phone: 925.244.7700 Date Issued: VM412021 Fax: 925.901-0244 I Emall: EPICcerts@epicbrokers.com Named Insured(s): All American Asphalt Policy Number(s): DPC100585605 r' i 13AP657108809 CERTIFICATE HOLDER: WC593205708 TLJE347483601 Cityy of Huntington Beach 21 Maln Street Huntington Beach CA 92648 I Should the above described policy be cancelled before the expiration date thereof, we will mail 30 days written notice to the above referenced Certificate Holder; except, 10 days notice for non-payment of premium. Sincerely, Dan Ryan, Managing Principal eplcbrokers.com edgewood partners Insurance center ca license OB29370 634574011111011 S"Ud MN 55m X5I Skm Lmdrs,I I LIYIVSI 2:45:56 PM(PSI)I N,2 of II I COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. i ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION I I This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons) Location(s) Of Covered Operations ' Or Or anization s : Any person or organization where the Named Any location where required by written contract or Insured has agreed to add as an additional Insured agreement, provided the contract or agreement is . by written contract or agreement, provided the executed prior to any"occurrence" or offense. contract or agreement is executed prior to any "occurrence"or offense Information required to complete this Schedule,if not shown above,will be shown In the Declarations. A. Section II — Who Is An Insured Is broader than that which you are amended to Include as an additional required by the contract or Insured the person(s) or organlzallon(s) agreement to provide for such shown in the Schedule, but only with additional Insured, respect to liability for "bodily Injury", "property damage" or "personal and B. With respect to the Insurance afforded to advertising Injury" caused, In whole or In those additional Insureds, the following part, by: additional exclusions apply: . 1. Your acts or omissions;or This Insurance does not apply to "bodily Injury" or "property damage" occurring 2. The acts or omissions of those after: acting on your behalf; 1. All work, Including malerlals, parts In the performance of your ongoing or equipment furnished In operations for the additional Insured(s) at connection with such work, on the the locatlon(s)designated above. project (other than service, maintenance or repairs) to be However: performed by or on behalf of the additional Insured(s) at the location 1. The Insurance afforded to such of the covered operations has been additional Insured only applies to completed;or the extent permitted by law;and 2, That portion of "your work" out of 2. If coverage provided to the which the Injury or damage arises additional Insured Is required by a has been put to Its intended use by contract or agreement, the any person or organization other Insurance afforded to such than another contractor or additional Insured will not be subcontractor engaged In CG 20 10 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 2 6H12401 1l IOII 5tw6vd VIA e"."x5I Slat InJM I IYIO Nl 14"6 PM(PSn INC*1 e(I I i performing operations for a 1. Roqulred by the contract or principal as a part of the same agreement;or project. 2. Available under the applicable ; C. With respect to the Insurance afforded to Limits of Insurance shown In the these additional Insureds, the following Is Declarations; added to Section III — Limits Of Insuranco: whlchoverIsless. If coverage provided to the additional This endorsement shall not Increase the 1 Insured Is required by a contract or applicable Limits of hlsurance shown In agreement, the most we will pay on behalf the Declarations. of the additional Insured Is the amount of Insurance: All other terms and conditions of this policy remain unchanged. Endorsement Number: This endorsement Is effective on the Inception date of this policy unless otherwise staled herein. (The Information below Is required only when this endorsement Is Issued subsequent to preparation of the policy.) Policy Number: DPCIO0585605 Named Insured: AflArnencenAsphall Endorsement Effective Date:09101/2021 REFERENCE: SCHEDULE: CQontfact No 35239 r RE:On Coll as Needed Aspholl Paving City of HunUnglon Beach,Its officers,elected or appoinlod officials, 3ervleos•Melor and Somndary Highway Arler at Improvements- employees,agents and voluntoom R-7131 I CG 20 10 04 13 ©Insurance Services office, Inc., 2012 Page 2 of 2 OpINO PI(till SameN We SLn M I Sim Isdem l IYIOP011]N&SY PM(PST)I Pep 4 er l t COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifles Insurance provided under the following: i COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART 1 SCHEDULE Name Of Additional Insured Person(s) Or Organlzatlon s Location And Description Of Completed Operations Any person or organization where the Named Insured All locations where required by contract. has agreed to add as an additional Insured by written contract or agreement, provided the contract or agreement is executed prior to any "occurrence" or offense _ Information required to complete this Schedule, If not shown above,will be shown In the Declarations. A. Section II — Who Is An Insured Is additional Insured. amended to Include as an additional Insured the person(s) or organizatIon(s) B. With respect to the Insurance afforded to shown In the Schedule, but only with those additional Insureds, the following Is respect to liability for "bodily Injury" or added to Section III — Limits Of 'property damage" caused, In whole or In Insurance: part, by "your work" at the location designated and described In the Schedule If coverage provided to the additional of this endorsement performed for that InSnrod Is required by a contract or additional Insured and Included In the agreoment, the most we will pay on behalf . "products-completed operations hazard". of the additional Insured Is the amount of Insurance: However: 1. Required by the contract or 1. The insurance afforded to such agreement; or additional Insured only applies to the extent permitted by law;and 2. Available under the applicable Limps of Insurance shown In the 2. If coverage provided to the Declarations; additional Insured is required by a contract or agreement, the whichever Is less. Insurance afforded to such additional Insured will not be This endorsement shall not Increase the broader than that which you are applicable Limits of Insurance shown in required by the contract or the Declarations. agreement to provide for such CG 20 37 04 13 ©Insurance Services Office, Inc.,2012 Page 1 of 2 6H5]60)I)I(0113t �4,55m x51 slur 1S rNI❑/IM6)I 2.66:56 Pif cps n INS$5 of I i I i f All other terms and conditions of this Policy remain unchanged. i 1 Endorsement Number: This endorsement Is effective on the Inception date of this policy unless otherwise stated herein. ' (The Information below is required only when this endorsement Is Issued subsequent to preparation of the policy.) Policy Number: DPCIO0565605 Named Insured: All American Asphalt , Endorsement Effective Date: 011/0I/2021 I i REFERENCE: SCHEDULE: ch Contract No.35239/RE:On Callas Needed Ag$ halt Pavtnp eclly o1 eos Ile go bond vo�unlegazers,elacrotl or op{Solnled otOdels. Services-Major and Secondary Hlghwey Artorl�I Improve ants- alpluy B R-7131 / CG 20 37 04 13 ©Insurance Services Office, Inc., 2012 Page 2 of 2 6SA5140 7 1 21 1011 S"tl JM1655MRS 1.9mS Ft%I IVIQ0211:66d6 PM(PSr)I Pni 6 ON I i COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. I I PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following Is added to the Other Insurance (1) The addltlonal Insured Is a Named Condition and supersedes any provision to the Insured under such other Insurance; contrary: and Primary And Noncontributory (2) You have agreed In writing In a Insurance contract or agreement that this Insurance would be primary and This Insurance Is primary to and will not would not seek contribution from seek contribution from any other any other Insurance available to the Insuranco available to an additional addltlonal Insured. Insured under your policy provided that: Ail other terms and conditions of We policy remain unchanged. REFERENCE: SCHEDULE: Contract No.35239/RE:On Call as Neadod Asphalt Paving City of Hunlinglon Beach,Ila officers,elected or appointed officials. Services-Major and Secondary Highway Arterial Imprajemenls- empkryuos,agents and volunteers R-7131 ! Endorsement Number: This endorsement Is effective on the Inception dale of this policy unless otherwise stated herein. (The Information below Is required only when this endorsement Is Issued subsequent to preparation of the policy.) Policy Number: DPC100585605 Named Insured:All American Asphalt Endorsement Effective Dale:oero1rzo21 CG 20 01 04 13 m Insurance Services Office, Inc., 2012 Pago 1 of 1 6NSN0] ll let t SimOeN Ada f5nm%5 Siou LW6.!I I llIN02121636 tM IPsnl M4]of I I COMMERCIAL GENERAL LIABILITY CG24040509 I 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 where the waiver of our right to recover Is permitted by law and Is required by written contract or agreement, provided the contract or agreement Is executed prior to any occurrence or offense Information required to complete this Schedule, If not shown above,will be shown In the Declarations. The following Is added to Paragraph 8.Transfer for Injury or damago arising out of your ongoing Of Rights Of Recovery Against Others To Us operallons or"your work" done under a contract of Section IV—Conditions: with that person or organization and Included In the 'prod ucts-complotod operations . We waive any right of recovery we may have hazard". This waiver applies only to the person against the person or organization shown In the or organization shown In the Schedule above. Schedule above because of payments we make All other terms and conditions of this policy remain uncllangod. Endorsement Number: This endorsement Is effective on the Inception date of this policy unless otherwise staled herein. (The Information below Is required only when this endorsement Is Issued subsequent to preparation of the policy.) Policy Number:017C100585005 Named Insured:Atl Amorlmn Aspllau Endorsement Effective Date: 0910/2021 REFERENCE: SCHEDULE: _ Cw1mcl No.3523a/RL:On Coll aas Needed Asphalt Paving Cliy of Henthlglon Boaeh,Its off"fs,elected or appointed officials, ggorAces-Major and Secondary Highway Arterial Improvomonls- employees,agents and volunteers R-Y131 / CG 24 04 05 09 m Insurance Services Office, Inc., 2008 Page 1 of 1 65451407 121(et)Saalvd rv16 SUM XS I 91lu I.OMnb I I vi m W I N6:56 PM(PSn I N,i or I I i ' I 12./1412021 POUCY NUMBER: BAP557108B09 COMMERCIAL AUTO CA 20 48 10 10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies Insurance provided under the following: I AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM i With respect to coverage provided by this endorsement, the provisions of the Coverage, Form apply unless modified by this endorsement. This endorsement identlnes pemon(s)or organimtlon(s)who are'Insureds'for Covered Autos Liablllly Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not altar coverage , providod In tho Covorago Form. This endorsement changes the policy effective on the Inception data of the policy unless another date Is Indicated below. Named losured: Nl Amadcan Asphalt Endorsement Effective Dato:0 8101/2 02 1 SCHEDULE Name Or Person(s)Or Organizatlon(s): ANY PERS014 OR ORGANI7ATION TO WHOM OR WHICH YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS ON A PRIMARY, NON-CONTRIBUTORY BASIS, IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT EXECUTED PRIOR TO LOSS, EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW. Information required to complete this Schedule if not shown above will be shown In the Declarations. Each person or organization shown In the Schedule Is an 'Insured" for Covered Autos Liability Coverage, but SCHEDULE: only to the extent that person or organization qualifies City of Huntington Bauch, is pikers,elected or appointed officials, as an 'insurad' under the Who Is An Insured provision employees,agents and volunteers contained In Paragraph AA. of Section II — Covered Autos Llnblllty Coverage in the Business Auto and Motor Carrier Coverspe Forms and Paragraph 0.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form, CA 20 48 10 10 ®Insurance Services Office, Inc.,2011 Page 1 of 1 611ll�a)plI0113�+ MW$Sm xs I Y!aaEm rM 117110M I IAO PM(rsn I htc9 or II 1211 Al2B21 POLICY NUMBER: BAP65710e809 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. i WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modiflas insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM l i With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is Indicated below. Namod Insured:All gmedcanAsphalt Endorsement Effective Date: e8101/2021 SCHEDULE Namo(s)Of Person(s) Or Organlzatlon(s): j ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY Information ro ulred to complete this Schedule If not shown above will be shown In the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the SCHEOULE: person(s) or organization(s) shown in the Schedule, City of Hunlinglon Beach,Its ofllmrs,elected or appolnlod omciels, but only to the extent that subrogallon Is walved prior employees,agents and volunteers to the 'accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13 ®Insurance Services Office, Inc., 2011 Page 1 of 1 65452401I01(DI I SInWe v k$5 %e ISion Lmdtc&I ILIUlOI2;6466 P6t p1TJ PIp Igo(II i I WORKERS'COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) i WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA � i 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.) j You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described In the Schedule. The additional premium for this endorsement shall be 0.00 % of the California workers' compensation pro- mlum otherwise due on such remuneration. Schedule Person or Organization Job Description ALL PERSONS AND/OR ALL CA OPERATIONS ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR ' AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS I POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION SCHEDULE: REFERENCE: Contract No.362391 RE: On Call as Needed Asphalt City of Huntington Beach, Its officers elected or Paving Services-Major and Secondary Highway appointed officials,employees, agents and volunteers Arterial Improvements-R-7131 / , i Policy Number: WC593205708 Named Insured: All American Asphalt I Endorsement Effective Date: e8101r2021 WC 252(4A4) WC 04 03 06(Ed.4414) Page 1 01 1 6502407 121101 I Sa"W MBE SSm xs I nrn L.NA 11111 mml 2:40:16 FM psrj I r.v I I or I CONTRACTOR'S SWORN STATEMENT AND WARRANTY REGARDING CONTINUING INSURANCE OBLIGATIONS FROM: NOQ,:5-z PROJECT: �'��� S (Contractor Name) �,M7� rTA L1 M&� 1 � _ C r_— ,7bco -A (Street Addre s} _ n� �Zcxxs CIA (CIty,State and lip) TO: CITY OF HUNTINGTON BEACH DECLARATION At+admd hereto Is a bve and=,,ect COPY Of the Oarent CeNSrate U fnstrance aid Addldenal In red Endxsare e m 2010 1185, whkb Cerdtleate compiles with 0K hmr2rce reckn a nwts of the Contras by and between the Cty of Huntington OcOth("CM and du abo eHldmad Cavractor('ConOactor)for the abut-cesMbed prnXet(Tro)eet"). I declare under penalty of oadLry'maer t.'x Iaws of the State of Cafi orNa that the above sateme t Is true and l- Slgred on 12- zo (Date) (pty, reJ sigoau. N dual wh9les Mating tlon) 1 WARRANTY Contractor he tW ranwIts and aAreas c wairt ain Products and Co Veted Operations lns Wane In cumphnce with the IrSeranre requirements of the COrtr34 for the Protect Said hsv ante shag be malntained ttaough and until the 0;*BVOn of all waren0es provided try Contractor. Said arn:r "contain AddltIo el I maed crdorsenent CG 2010 118S,naMrg Cry as m additional lnseeri. Contractor shall supply to City,m at least an annual tads,a Cmtr.cate of Ina me and the aforemenfixed Dxlorsern It evidencing cwdmed coverage wtudi meM ttie Contract regrurernents �^ Signed on J � 'Zt�-� 20yat�(sLV�-�` �—W. (Date) (Cty,state) CONTRACTOR: Name: s Name Tda: oneru -tv3t- CITY OF HUNTINGTON BEACH BUSINESS LICENSE P.O.Box 190 Huntington Beach,CA 92648-2702 (714)536-5267 Dahle Bulosan Chief Financial Officer :tNYll19A 413 1 AB 0.461 ,000000419 00.0001.0413 413/1 IrI�rI�I�III��u111r�I11Jrlrrlurlll�lr�r�lllrll��'�II��I'Il�'II �� NOBESTINC IlHrs P 0 BOX 874 ��CC►►ii WESTMINISTER CA 92684-0874 Dear Business Owner: Thank you for your payment. Attached is your City of Huntington Beach Business License certificate. Please note that approximately one month prior to the license expiration date,you will be mailed a renewal notice for the upcoming year. If for any reason your renewal notice does not arrive,you are still responsible for renewing and paying your business license prior to the expiration date. Penalties will be incurred if the payment is not received by the expiration date. Please post the business license in public view. If you do not transact business from a fixed location within the City,you must carry this license with you at all times. If a vehicle license plate number is displayed on the Business License certificate below,you must carry a copy of the certificate in that vehicle. Please contact the Business License office if there are any changes to: ownership, address, business name, business vehicle,or type of business conducted.Additionally, please notify our office if you discontinue your business. The Gender Tax Repeal Act of 1995(Act)prohibits a business from discriminating based on a person's gender for prices of similar or like-kind goods and services. However, the Act does not prohibit price differences based on the amount of time, difficulty,or cost of providing the services. In addition to prohibiting discrimination based on a person's gender, the Act requires certain businesses to clearly and conspicuously disclose to customers in writing the pricing for each standard service provided.The posting requirement applies to barbers and hair salons,tailors or businesses providing aftermarket clothing alterations,dry cleaners, and laundries providing services to individuals.To access the Department of Consumer Affairs publication, please use the following webpage: https:/twww.barbercosmo.ca.gov/consumers/gender—policy.pdf. To access the publication in Korean, Spanish, Vietnamese, Traditional Chinese, Simplified Chinese,or Tagalog, please use the following webpage: https:/Avww.dca.ca.gov/publicationsAndex.shtmi There are many resources available to our business owners. Listed below are a few that might be of interest and assistance to you. Office of Business Development -(714)536-5582 Service Corps of Retired Executives - (714) 550-7369 Huntington Beach Chamber of Commerce-(714) 536-8888 Fictitious Business Name Information - (714)834-2889 CA Department of Tax and Fee Administration -(949) 440-3473 Community Development-(714)536-5271 If you have any questions, please call a Business License representative at(714) 536-5267. City of Huntington Beach Business License License Number Business Name/Service Address POST IN PUBLIC VIEW A186948 NOBEST INC Effective Date 11/01/2021 Owner/Corporation . Expiration Date L NODLAND/R NODLAND 10/31/2022 License Type Amount Paid CONTRACTOR $105.50 THIS LICENSE IS ONLY FOR THE BUSINESS AND TYPE SHOWN. IT IS FOR THE PERSON TO WHOM ISSUED AND IS NON-TRANSFERABLE. RENEWAL IS DUE ON OR BEFORE THE EXPIRATION DATE. RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) 0i, R? CITY OF HUNTINGTON BEACH IOU INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: 111y1.Z02Z SUBJECT: Bond Acceptance I have received the bonds for A 6 / /nvp►� (C mpany Name) CAPITAL PROJECTS (Includes CC's and MSC's) / , Performance Bond No. C�� :: (^2may Payment Bond (Labor and Materials) Bond No. CAit,: � 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) 7� F lg. CC No. /�� / Agenda4tem No. d SI MSC No. City Clerk Vault No. �ODU.50 Other No. SIRE System ID No. S1o9333 g1forms/bond transmittal to treasurer Cep oCA Q R ca 3' lA' m D:X .33 -33 O;�,w•1 N'A�� lz VVV o, a � - z�-+„•� RI 1 D t !IG i City of Huntington Beach ' 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 • ww-w.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk January 28, 2022 Nobest, Inc. Attn: Larry Nodland 7600 Acacia Ave. Garden Grove, CA 92841 Re: Zone 5 Curb Ramp Installation —CC No. 1637 The City Council awarded the bid to your company for the above referenced project. Enclosed is a copy of the executed contract with the City of Huntington Beach. A Certification of Compliance with Title VII of the Civil Rights Act, Certification of Compliance with Prevailing Wage Laws and Contractor's Certificate form must be returned to this office after the project is completed but prior to the release of retention funds. In addition, the following item must also be on file, with this office before the City can release any retention funds: A warranty bond guaranteeing the final amount of work and materials for one year. If your performance bond does not include specific wording for a one-year warranty, then a rider or separate bond must be submitted. Should you have any questions or concerns regarding the enclosures or items that must be on file in this office prior to release of retention funds, please call the Public Works Department at 536-5517. Sincer ly, 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 �-/,D%utrJTdi 2000 Main Street Huntington Beach CA City of Huntington Beach 9648 File #: 21-951 MEETING DATE: 12/21/2021 REQUEST FOR CITY COUNCIL ACTION SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Oliver Chi, City Manager PREPARED BY: Sean Crumby, Director of Public Works Subject: Accept the lowest responsive and responsible bid, approve appropriation and authorize execution of a construction contract with Nobest, Inc. in the amount of $1,007.200 for the Zone 5 Curb Ramp Project, CC-1637 Statement of Issue: On November 18, 2021 , bids were publically opened for the Zone 5 Curb Ramp project. City Council action is requested to award the construction contract to Nobest, Inc., the lowest responsive and responsible bidder. Financial Impact: The total cost of the project, including contingency and supplemental expenses. is $1 ,146.154. Funds for this project are available in the current fiscal year budget in the CDBG Account 23985163.82300 (S200.283). Infrastructure Account 31440005.82300 ($315,000 ). and Measure "M" Account 21390004,82300 ($200,000) An additional appropriation of $430,871 is being requested from the Measure "M" (213) fund balance. Recommended Action: A) Accept the lowest responsive and responsible bid submitted by Nobest, Inc. in the amount of $1,007,200: and. B) Appropriate S430.871 from the Measure "M" fund balance to account (21390004.82300) and. C) Authorize the Mayor and City Clerk to execute a construction contract in a form approved by the City Attorney. Alternative Actionlsl: City of Huntington Beach Pape 1 of 2 Printed on 12/15/2021 powereBAW Legistar- File #: 21-951 MEETING DATE: 12/21/2021 Reject all bids, or provide staff with an alternative action. Analysis: This year's paving program seeks to repair the concrete in Zone 5 which is downtown. With the zone program the City will repair broken sidewalks, and curbs and add curb access ramps. In addition to being good practice this is a requirement of the Americans with Disabilities Act (ADA). Many of our street intersections and crossings have not had curb access ramps added to comply with ADA requirements. Bids were publicly opened on November 28, 2021, with the following results: BIDDER'S NAME BID AMOUNT Nobest, Inc. 1,007,200 Bitech Construction Co., Inc. 31,062.384 S&H Civilworks 1,107.200 EBS General Engineering, Inc. 51,446,953 CT&T Concrete Paving, Inc. 1,621,980 Ifaro Communications 1,656,870 II American Asphalt 11,889,162 Nobest, Inc. has successfully completed numerous projects similar in scope with the City in the past. Therefore, it is recommended that a contract be awarded to Nobest, Inc. in the amount of S1,007,200. The total cost of the project is $1,146,154. This total includes the construction contract of $1,007,200 plus ten-percent (10%) construction contingency. In addition, supplemental expenses for labor compliance monitoring and project inspection are needed for this project. Environmental Status: The project is categorically exempt pursuant to Class 1, Section 15301(c) of the California Environmental Quality Act. Public Works Commission Action: The Public Works Commission reviewed and approved CC-1637 on October 20, 2021, with a vote of 5-0-1 (Commissioner Nguyen absent). Strategic Plan Goal: Infrastructure & Parks Attachment(s): 1. Vicinity Map City of Huntington Beach Page 2 of 2 Printed on 1211512021 nowereZZJ,Lec,starl- �o 0 V) XAVE. N BOLSA AVE. NTS McFADDEN E:D 0 EDIIN ER 0 F < J m Q HEIL AVE. 0 o c� � WAR R AVE. J w o Ja LoFLcrj) D =SLATER AVE. 405 z ¢ o cn w Z TAL ERTAVE.uj A C2 0 ELLI AVE. GARFIELD F 0 AVE. r m cn N YOR OWN AVE. jco<l� ADANIS AVE. A W n 9C��' Q N IND APOus AVE. _ Q `0 O J 0 NTA z Ozz = AVE.� oo� �o w Q m 41 qs AVE. y�Y BANNING LEGEND AVE. ZONE 5 BOUNDARY ZONE 5 RESIDENTIAL CURB RAMP PROJECT PROJECT LOCATION MAP EGA. CITY OF HUNTINGTON BEACH IOLV DEPARTMENT OF PUBLIC WORKS 1 OF I Pdh Ir�ylar SECTION A NOTICE INVITING ELECTRONIC BIDS for the construction of Zone 5 Curb Ramp Installation CC No. 1637 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as AGENCY, invites electronic bids for the above stated project and will receive such bids prior to 10:00 AM on Thursday, November, 18, 2021. on the City's PlanetBids System Vendor Portal, at which time or thereafter bids will be opened and made available online. Bids received after this time will be considered non-responsive. Prospective bidders must first register as a vendor and then bid on this project via the City's PlanetBids System Vendor Portal website at: httys://www.planetbids.com/portal/porud.cfm?CompanylD=15340 Copies of the bid documents, including instructions to bidders, bidder proposal form, and specifications may be downloaded free at: https://w%w.r)lanetbids.com/portal/nortal.cfm?CompmvlD=15340. Bidders must first register as a vendor on the City of Huntington Beach PlanetBids system to view and download the Contract Documents, to be added to the prospective bidders list, and to receive addendum notifications when issued. 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 available online at www.dir.ca.liov/DLSR and also on file at the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. The AGENCY will deduct 5% retention from all progress payments. The Contractor may substitute an escrow holder surety of equal value to the retention in accordance with the provisions of the Public Contract Code,Section 10263. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race, color, national origin, ancestry, sex, or religion in any consideration leading to the award of contract. No bid shall be considered unless it is prepared on the approved Proposal forms in conformance with the Instructions to Bidders as determined by the AGENCY. The bid must be accompanied by a certified check. cashier's check, or bidder's bond made payable to the AGENCY for an amount no less than 10% of the amount bid. For electronic submittal of bids. the bid security must be received at the City ofFluntington Beach Public Works Office, 2000 Main Street, no later than the bid opening date and time. The bid security must be submitted in a sealed envelope bearing the name and address of the bidder, and the outside of'the envelope must read as follows: OFFICIAL BID SECURITY - DO NOT OPEN Project Name: Zone 5 Curb Ramp Installation CC #: 1637 Bid Opening Date: November 18, 2021 at 10:00 AM. 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: This project will provide the construction of curb access ramps and truncated domes to existing ramps throughout the city. These locations are prioritized from a list compiled by Public Works staff. based on requirements for the upcoming residential pavement management project and public requests. The proposed locations are listed in the Appendix along with Contractor guidelines and provisions to meet all Federal requirements. The contract shall allow the Contractor 35 working days to complete the contract. The Notice of' Proceed will be issued no later than Monday, January 11, 2022 and the working days will commence for this project. All questions related to this bid solicitation must be submitted through the City's PlanetBids System Vendor Portal per the infonnation provided in the Instructions to Bidders. Any other contact to City staff regarding this bid solicitation will be referred back to the PlanetBids system. The AGENCY reserves the right to reject any or all bids. to waive any irregularity and to take all bids under advisement for a maximum period of 60 days. BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH. CALIFORNIA. the 29th day of June 2020, by Resolution No. 2020-39. Attest: /s/ Robin Estanislau CITY CLERK OF THE CITY OF HUNFINGFON BEACH Switzer, Donna From: Christine Gonzalez <cgonzales@scng.com> Sent: Thursday, October 21, 2021 3:53 PM To: Switzer, Donna Cc: Fuentes,Joe; Estanislau, Robin; Esparza, Patty; Moore, Tania Subject: Re: Request for Publication - CC No. 1637 Attachments: 11496604.pdf Cost $1.370.00. pub HB Wave 10/28,11/4 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 Thu, Oct 21, 2021 at 3:01 PM Switzer, Donna<Donna.Switzer�.surfcity-hb.ora> wrote: Hi Chrissy, Please publish the attached Notice Inviting Electronic Bids for CC No. 1637, in The Wave,on October 28' and November 4`h, 2021. Thank you. Do+1vw,SwaW, CMC Senior Deputy City Clerk-City of Huntington Beach 2000 Main Street- Huntington Beach,CA 92648 (714)374-1649 SECTION A NOTICE INVITING ELECTRONIC BIDS for the construction of Zone 5 Curb Ramp Installation CC No. 1637 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as AGENCY, invites electronic bids for the above stated protect and will receive such bids Prior to 10:00 AM on Thursday, November, 18, 2021, on the City's Planet8ids System Vendor Portal, at which time or thereafter bids will be opened and made available online. Bids received after this time will be considered non-responsive. Prospective bidders must first register as a vendor and then bid on this proiect via the City's PlonetBids System Vendoff Portal websire at: https Jhvww.planetb,ds co Vmrtplip rtal.cfm?Comp nyl D=15340 Copies of the bid documents, including instructions to bidders, bidder proposal form, and specifications may be downloaded free at: httos://www.planet bids.com portal p0 fol.cfm?CompanylD=15340. Bidders must first register as a vendor on the City of Huntington Beach Planet Bids system to view and download the Contract Documents, to be added to the prospective bidders list, and to receive addendum notifications when issued. 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 Relation44 of the State of California, which are available online at www.di r.ca.gav/DLSR and also on file at the Office of the Director of Public Works, 20M Main Street, Huntington Beach,CA 92648. The AGENCY will deduct 5% retention from all progress payments. The Contractor may substitute an escrow holder surety of equal value to the retention in accordance with the provisions of the Public Contract Code, Section 10263. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race, color, national origin, ancestry, sex, or religion in any consideration leading to the award of contract. No bid shall be considered unless it is prepared on the approved Proposal forms in conformance with the Instructions to Bidders as determined by the AGENCY.The bid must be accompanied by a certified check, cashier's check, or bidder's bond mode payable to the AGENCY for an amount no less than 10% of the amount bid. For electronic submittal of bids, the bid security must be received at the City of Huntington Beach Public Works Office, 2000 Main Street, no later than the bid opening date and time. The bid security must be submitted in a sealed envelope bearing the name and address of the bidder,and the outside of the envelope must read as follows: OFFICIAL BI D SECURITY - DO NOT OPEN Project Name: Zone 5 Curb Ramp Installation CC N: 1637 Bid Opening Date: November 18,2021 at 10:00 AM. The successful bidder shall be licensed in accordance with provisions of the Business and Professions Code and shall possess a State Contractors License Class A, at the time of the bid opening. The successful Contractor and his subcontractors will be required to possess business licenses from the AGENCY.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: This project will provide the construction of curb access ramps and truncated domes to existing romps throughout the city. These locations are prioritized from a list compiled by Public Works staff, based on requirements for the upcoming residential pavement management project and public requests.The proposed locations are listed in the Appendix along with Contractor guidelines and provisions to meet all Federal requirements. The contract shall allow the Contractor 35 working days to complete the contract. The Notice of Proceed will be issued no later than Monday, January 11, 2022 and the working days will commence for this project. All auestions related to this bid solicitation must be submitted through the City's Planet Bids System Vendor Portal per the information provided in the Instructions to Bidders. Any other contact to City staff regarding this bid solicitation will be referred back to the Planet Bids system. The AGENCY reserves the right to reiect any or all bids, to waive any irregularity and to take all bids under advisement for a maximum period of 60 days. BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH,CALIFORNIA, the 2M day of June 20X by Resolution No.2020_39. Attest: /s/Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH Published Huntington Beach Wave Oct.28, Nov.4,2021 11496604 Huntington Beach Wave 1771 S. Lewis Street Anaheim, CA 92805 714-796-2209 5196687 HUNTINGTON BEACH, CITY OF - PLANNING &BUILDING PROOF OF PUBLICATION 2000 MAIN ST Legal No. 0011496604 ISELA SIORDIA HUNTINGTON BEACH, CA 92648 FILE NO. CC No. 1637 AFFIDAVIT OF PUBLICATION STATE OF CALIFORNIA, SS. County of Orange I am a citizen of the United States and a resident of the County aforesaid; I am over the age of eighteen years, and not a party to or interested in the above entitled matter. I am the principal clerk of the Huntington Beach Wave, a newspaper that has been adjudged to be a newspaper of general circulation by the Superior Court of the County of Orange, State of California, on July 1, 1998, Case No. A-185906 in and for the City of Huntington Beach, County of Orange, State of California, that the notice, of which the annexed is a true printed copy, has been published in each regular and entire issue of said newspaper and not in any supplement thereof on the following dates, to wit: 10128/2021, 11/04/2021 1 certify (or declare) under the penalty of perjury under the laws of the State of California that the foregoing is true and correct: Executed at Anaheim, Orange County, California, on Date: November 04, 2021. Cyr' "oaj Signature SECTION A NOTICE INVITING ELECTRONIC BIDS for the construction of Zones Curb Ramp Installation CC No.1637 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH , as AGENCY, invites electronic bids for the above Stated Proiect and will receive such bids Prior to 10:00 AM on Thursday, November, 18, 2021, on the City's Plonei Bids System Vendor Portal, at which time or thereafter bids will be opened and made available online. Bids received after this time will be considered non-responsive. Prospective bidders must first re ster as a vendor end then bid on this project via the City's PlonetBids System Vendor Portal webslfe at: Mtps://www.Picnetbids.wm/vorta I/ports I.cfm?Compony I D=15340 Copies of the bid documents, including instructions to bidders, bidder proposal form, and sgPecifitoti0ns may b owwnlooded freg of: Mips:/www.planet s.com/porta/por Bidders must first register as a vendor on the City of Huntington Beach PlanetBlds system to view and downlood the Contract Documents, to be added to the Prospective bidders list, and to receive addendum notifications when Issued. 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 available online at www.dir,co.gov/DLSR and also on file of the Office of the Director Of Public Works, 20M Main Street,Huntington Beach,CA 926-48. The AGENCY will deduct 5% retention from oil Progress Payments. The Contractor may substitute on escrow holder surely of equal value to the retention in accordance with the provisions of the Public Contract Code, Section 10263. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race, color, national origin, ancestry, sex, or religion in any consideration leading to the award of contract. No bid shall be considered unless it is prepared on the approved Proposal forms In conformance with the Instructions to Bidders os 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. For electronic submlttal of bids, the bid security must be received at the City of Huntington Beach Public Works Office, 2000 Main Street. no later than the bid opening date and time. The bid security must be submitted In a sealed envelope bearing the name and address of the bidder, and the outside of theenvelope must read os follows: OFFICIAL BIDSECURITY-DO NOT OPEN Protect Name:Zone 5 Curb Ramp Installation CC#: 1637 Bid Opening Date: Novombor 18,2021 at 10:00 AM. 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 10 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. Protect Description: This Proiect will Provide the construction of curb access romps and truncated domes to existing ramps throughout the city. These locations are prioritized from o list compiled by Public Works staff, based on requirements for the upcoming residential Pavement management project and Public requests. The Proposed locations are listed in the APPendix along with Contractor guidelines and provisions to meet all Federal requirements. The contract shall allow the Contractor 35 working days to complete the contract. The Notice of Proceed will be issued no later than Monday, January 11, 2022 and the working days will commence for this prolect. All questions related to this bid solicitation must be submitted through the City's PlonefB ds System Vendor Portal Per the information provided in the Instructions to Bidders. Any other contact to City staff regarding this bid solicitation will be referred back to the Planet Bids system. The AGENCY reserves the right to reiect any or oil bids, to waive any irregularity and to take all bids under advisement for a maximum Period of 60 days. BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH, CALIFORNIA, the 29th day of June 2020,by Resolution No. 2020-39 . Attest: /s/Robin Estanislou CITY CLERK OF THE CITY OF HUNTINGTON BEACH ,.ic,-,mv+e 2 Published Huntington Beach Wove 00.28.Nov.4.2021 11496604 clai-$bl", 3 UNSUCCESSFUL BIDS CC No. 1637 Zone S Curb Ramp Installation Various Locations • City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk August 15, 2022 Alfaro Communications and Construction, Inc. 15614 S. Atlantic Ave. Compton, CA 90221 RE: Zone 5 Curb Ramp Installation -Various Projects—CC No. 1637 Enclosed please find your original bid bond for CC No. 1637 Sincerely, etri4a Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City: Anjo, Japan SECTION C PROPOSAL for the construction of ZONE 5 CURB RAMP INSTALLATION from VARIOUS LOCATIONS CC No. 1637 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting ELECTRONIC 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 35 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans. specifications, Instructions to Bidder's and all other contract documents. If this proposal is accepted for award,BIDDER agrees to enter into a contract with AGENCY at tk unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that'tailure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes,royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded,the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may,at the AGENCY'S option,be considered null and void. Accompanying this proposal of bid,find Bidder's Bond in the amount of 10% which said amount is not less than 10%of the aggregate of the total bid price, as required by the Notice Inviting ELECTRONIC Bids, payable to the AGENCY. (Please insert the words "Cash "Certified Check", or "Bidder's Bond foriD% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature -- C-2 SECTION C PROJECT BID-SCHEDULE A CURB RAMP PROJECT, CC 1637 BID ITEMS Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 1 Mobilization 1 LS $k,51DO $ 4P,SM•00 2 Prepare Storm Water Pollution Prevention Plan(SWPPP) 1 LS $ 1130o $ J,300• 00 3 Install&Maintain Construction BMPs 1 LS $ t,300 $ 1, 3(:�C 00 Construct Curb Access Ramp per Caltrans Std. Plan A88A/A88B as shown on Curb Ramp Detail 1 in Appendix H 4 of Specifications (Item includes all appurtenances, curb& gutter, depressed curb. sawcut, sidewalk, domes, retaining 96ta curb,slot pave, etc.) EA $5' $ ` Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A/A686 using horizontal curb cutting machine as 5 shown on Curb Ramp Detail 2 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter. depressed Od 200 00 curb,sawcut,sidewalk, domes, retaining curb,etc.) 19 EA $ a ,8 $ 53� Construct Curb Access Ramp per Caltrans Std. Plan A88A/A88B as shown on Curb Ramp Detail 3 in Appendix H 6 of Specifications (Item includes all appurtenances. curb& gutter, depressed curb, sawcut,sidewalk domes, retaining 77 pp curb,slot pave, etc.) EA $5ig $ �k�ib,loCO Remove and Replace damaged concrete cross gutter as 7 shown on Curb Ramp Detail 4 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter, cross gutter. `t sawcut, slot patch,etc_) 2,400 SF $ d4 $ 5•7,(000• Remove and Replace Truncated Dome on existing Curb 8 Access Ramp per Caltrans Std. Plan A88A/A886 as shown on Curb Ramp Detail 5 in Appendix H of Specifications (Item 7 EA $ S`E� $ �� 00 includes all appurtenances,domes,etc.) Construct Truncated Dome on existing Curb Access Ramp per 9 Caltrans Std. Plan A88A/A88B as shown on Curb Ramp Detail 5 in Appendix H of Specifications (Item includes all 86 EA $ 5q0 $ Llfo,t{t.{0,� appurtenances.domes.etc.) Remove existing asphalt concrete/subgrade to a maximum depth 6%12"to finished surface and replace with 6"depth of 10 asphalt concrete hot mix adjacent to new curb ramp. (Item includes all appurtenances, sawcut, unclassified excavation. asphalt concrete etc.) 4,000 SF $ (PO $ �40r000•� Install 4"PVC Sleeve for Street Assembly Sign per City of HB 11 Std. Plan 401 9 EA $ lSo $ 1,350•pO Remove and replace existing sidewalk per City of HB Sid. 11 Plan 207 at locations adjacent to ramp. (Item includes all appurtenances, sawcut) °o 8,000 SF $ q.00 $ �Z��W C-2.1 SECTION C PROJECT BID-SCHEDULE A CURB RAMP PROJECT, CC 1637 Remove and replaces existing 8"-12"Curb and Gutter at 13 locations adjacent to ramp per HB Std Plan 205(Item p includes all appurtenances,sawcut, slot pave.etc.). 1,000 LF $ 1"10 $ 'I�Lo�oGb• SUB-TOTAL BID AMOUNT(SCHEDULE A) $ 1 �s�r 0-?�• �" SUB-TOTAL BID AMOUNT IN WORDS: 0 On-C m111iorl s x kindred f,'�t s,X -tl�vsc�r� 1Au(�d red avid se ver�tl� �dt�,5 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. In addition, the City reserves the right to include or remove Bid Schedule B in the award of the contract. C-2.2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104. the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10.000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Cuss DIR PWC Dollar %of Items) Subcontractor License Registration# Amount Contract Number \*Q Cb By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on11118/2021 at Compton CA Date City State M o, Z , being first duly sworn, deposes and says that he or she is • fart S�a-0.v.�- of Alfaro Communications Construction, Inc the party making the foregoing bid that the bid is not made in the interest of,or on the behalf of,any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are true;and,further,that the bidder has not,directly or indirectly, submitted his or her bid price or any breakdown thereof,or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership,company association,organization,bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Alfaro Communications Construction, Inc. Name of Bidder a a _--- Signatur of Bidder 15614 S Atlantic Ave Compton CA 90221 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 ZONE 5 CURB RAMP INSTALLATION, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700,as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Alfaro Communications Construction, Inc. Contractor Y V - fOC ,r� o T Title Date: 11/18/2021 C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162,the Bidder shall complete, under penalty of periury, 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 M No If the answer is yes,explain the circumstances in the space provided. N/A Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code,each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Alfaro Communications Construction, Inc Contractor By Title Date: 11/18/2021 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Alfaro Communications Construction, Inc Bidder Name 15614 S. Atlantic Ave Business Address Compton CA 90221 City, State Zip ( 310 )669-8949 haidi@alfarocommunications.com Telephone Number Email Address License No. 912727 -Class A.C7.C10.C27.C31 State Contractor's License No. and Class 03/20/2008 Original Date Issued 05/31/2022 Expiration Date The work site was inspected by Jamal Deadi of our office on November 12th 12021 The following are persons, firms, and corporations having a principal interest in this proposal: Hugo Alfaro- President&Treasurer Mayra Martinez -Vice President& Secretary The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Alfaro Communications Construction, Inc. Company Name �4 ri.. I f)tx M ins Z Signature At Bidder Printed o Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this Leday of R00 1( , 202L. 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 ofNer;V414 ) County of Loc � ) On K0Je 6CI( 10�lao1 before me. Ktakqtore5 "W44-) Month, Day,and Year Insert Name and Title of Notary 0 personally appeared 0ma vle2i Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS m hand and official seal. MARLAFLORESROBLES y Notary K;blic-California *my Los Angeles County Commission 0 2315326 Comm.Expires Dec 12,I023 Signature Sig+oNotanry 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 {Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,001) of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets,an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."). Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1 Department of Transportation- 18730 S.Wilmington Avenue.Rancho Dominguez, CA 90220 Name and Address of Public Agency Name and Telephone No, of Project Manager: Edgar Herrera- (310)609-0364 Construct ADA Ramp, Curb Ramps. $184,711_88 Concrete work,Asphalt Work 10/06/2018 Contract Amount "Type of Work Date Completed Provide additional project description to show,similar%pork: Caltrans(07-4T9904) City of Manhattan Beach 1400 Highland Avenue,Manhattan Beach , CA 90266 Name and Address of Public Agency Name and Telephone No. of Project Manager: Tim Birthisel - 310-802-5368 Construct Sidewalk Access Ramps. $168..459.30 ExcavationAsphalt& Concrete Work 8/7/2017 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Project Name. Park-view Avenue Sidewalk and Access Ramp Improvements 3 City of Moreno Valley. 14177 Fredrick St ,Moreno Valley . CA 92553 Name and Address of Public Agency Name and Telephone No. of Project Manager: Henry Ngo . Tel 951-431-3106 Traffic Signal Modification Construct Curb Ramps S526,592.00 Grind Existing Concrete.Paving PCC Sidewalk.Curb& Gutter 4/2/2020 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Project Name Alessandro Blvd Traffic Signal& Street Improvement at Grant Street C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager,and Superintendent. For each of these critical positions,please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. I, Jarnal Deafi Name of proposed Project Manager Telephone No. of proposed Project Manager: 714-240-9072 Intelligent Transportation System Phase V $492,630.00 Concrete work.Paving.PCC Sidewalk,Curb& Gutter 2 10 20 Project Name& Contract Amount Type of Work Date Completed Herence Ave.&Walker Intersection Improvements $264.181.76 Construct Curb&Guner.PCC Sidewalk.C'oncrete work 222/2020 Project Name& Contract Amount Type of Work Date Completed 1-eland W'av Streetscape Improvement. S 539.498.00 Construct PC'C Curb.Concrete work 11 2 L2020 Project Name& Contract Amount Type of Work Date Completed 2. Jose Mendoza Name of proposed Superintendent Telephone No. of proposed Superintendent: 323-901-8606 Soldad Canyon Road $582.416.00 Construct ADAa.Construct Curb Rumps.PC'C Sidewalk 6/1 91202 1 Project Name&Contract Amount Type of Work Date Completed Caltrans 107-306504 f $ 1,910,712.00 Replace Curb Ramps.C'onstruct Wheel Chair Ramps 1' I I `n'o Project Name&Contract Amount Type of Work Date Completed C Street and 3rd Street I mffic Calming Prgiect S 151.252.00 Construct ADA Ramps.Clearing&Grubhing.Concrete work 1 P20/2020 Project Name& Contract Amount Type of Work Date Completed C-1 l CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations(DIR).Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/Public W orks/S B 854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efi ling.dir.ca.gov/P WCR/ActionServiet?action=displayPW CRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Alfaro Communications Construction, Inc Contractor By haidi@alfarocommunications.com Email Q, k ra.LTCJ vt1► to Title Date: 11/18/2021 PWC Registration #: C7 o n t., C-12 BIDDER'S CERTIFICATION* HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992, SECTION 3 TITLE 24,Code of Federal Regulations, Part 135* Economic Opportunities for Low and Very Low-Income Persons The bidder, under penalty of perjury,certifies that except as noted below,any person associated therewith in the capacity of owner,partner,director,officer, or manager(initial the applicable selections): Will ensure that 10%of all new hires as a result of this project shall meet all requirements of Section 3 of CFR Part 135 of the HUD Act of 1968;or Will hire no new employees in conjunction with this project. Will award 10%of its sub-contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub-contracts related to this project. Contractor: Allfa`ro Communications Construction, Inc Contact Person: tt0"\ Contact Phone: (310)669-8949 Signed: a:�� Date: 11/18/2021 *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 135 and Subtitle A et al) and must be submitted by the bidders and proposed sub- contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act,as amended in 1992 (HUD). Previous non-compliance with Section 3 could result in disqualification. C-13 EXHIBIT A DISADVANTAGED BUSINESS ENTERPRISE(DBE) This Project is subject to Part 200.321,Title 2, Code of Federal Regulations entitled "Contracting with Small and Minority Businesses, Women's Business Enterprises, and Labor Surplus Area Firms." The Regulations in their entirety are incorporated herein by this reference. It is the policy of the City that disadvantaged business enterprises (DBEs), as defined in Part 200.321. Title 2 CFR, shall be encouraged to participate in the performance of Contracts financed in whole or in part with federal funds.The Contractor should ensure that DBEs,as defined in Part 200.321, Title 2 CFR, have the opportunity to participate in the performance of this Contract and shall take all necessary and reasonable steps,as set forth in Part 200.321,Title 2 CFR, for this assurance. The Contractor shall not discriminate on the basis of race,color,national origin, or sex in the award and performance of subcontracts. Failure to carry out the requirements of this paragraph shall constitute a breach of Contract and may result in termination of this Contract or other remedy the City may deem appropriate. Bidders shall be fully informed respecting the requirements of the Regulations and are urged to obtain DBE participation in this project, although there is no specific goal for DBE participation. C-14 EXHIBIT B DBE INFORMATION—GOOD FAITH EFFORTS Federal-aid Project No. NSA Bid Opening Date 1 1/1 812 02 1 The City of Huntington Beach established a Disadvantaged Business Enterprise(DBE)goal of 0% for this Project. The information provided herein shows that a good faith effort was made. Lowest,second lowest and third lowest bidders shall submit the following information to document adequate good faith efforts. Bidders should submit the following information even if the "Local Agency Bidder DBE Commitment"form indicates that the bidder has met the DBE goal.This will protect the bidder's eligibility for award of the contract if the administering agency determines that the bidder failed to meet the goal for various reasons, e.g., a DBE firm was not certified at bid opening, or the bidder made a mathematical error. Submittal of only the "Local Agency Bidder DBE Commitment" form may not provide sufficient documentation to demonstrate that adequate good faith efforts were made. The following items are listed in the Section entitled "Submission of DBE Commitment" of the Special Provisions: A. The names and dates of each publication in which a request for DBE participation for this project was placed by the bidder (please attach copies of advertisements or proofs of publication): Publications Dates of Advertisement We oL.,rp Q t)1plF B. The names and dates of written notices sent to certified DBEs soliciting bids for this Project and the dates and methods used for following up initial solicitations to determine with certainty whether the DBEs were interested(please attach copies of solicitations,telephone records,fax confirmations, etc.): Names of DBEs Solicited Date of Initial Follow Up Methods Solicitation and Dates !1.n0 C-15 C. The items of work which the bidder made available to DBE firms including, where appropriate,any breaking down of the contract work items(including those items normally performed by the bidder with its own forces) into economically feasible units to facilitate DBE participation. It is the bidder's responsibility to demonstrate that sufficient work to facilitate DBE participation was made available to DBE firms. Items of Work Bidder Normally Breakdown of Amount Percentage Performs Item Items ($) of (Y/N) Contract We-- cxew D. The names, addresses and phone numbers of rejected DBE firms, the reasons for the bidder's rejection of the DBEs, the firms selected for that work (please attach copies of quotes from the firms involved),and the price difference for each DBE if the selected firm is not a DBE: Names, addresses and phone numbers of rejected DBEs and the reasons for the bidder's rejection of the DBEs: we— cep I. D Names, addresses and phone numbers of firms selected for the work above: E. Efforts made to assist interested DBEs in obtaining bonding, lines of credit or insurance, and any technical assistance or information related to the plans, specifications and requirements for the work which was provided to DBEs: O Ag ro—L are C-16 F. Efforts made to assist interested DBEs in obtaining necessary equipment, supplies, materials or related assistance or services, excluding supplies and equipment the DBE subcontractor purchases or leases from the prime contractor or its affiliate: �J. P n Q. G. The names of agencies, organizations or groups contacted to provide assistance in contacting, recruiting and using DBE firms (please attach copies of requests to agencies and any responses received, i.e., lists, Internet page download,etc.): Name of Agency/Organization Method/Date of Contact Results H. Any additional data to support a demonstration of good faith efforts(use additional sheets if necessary): NOTE: USE ADDITIONAL SHEETS OF PAPER IF NECESSARY. C-17 IF A SOLE OWNER OR SOLE CONTRACTOR SIGN HERE: (1) Name under which business is conducted NSA (2) Signature(given and surname)of proprietor (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail IF A PARTNERSHIP, SIGN HERE: (1) Name under which business is conducted N/A (2) Signature (given and surname and character of partner) (Note: Signature must be made by a general partner) (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail C-18 IF A CORPORATION, SIGN HERE: (1) Name under which business is conducted Alfaro Communications Construction Inc (2) OA IaM -Z ( igna re) ( f_S;a" (Title) Impress Corporate Seal here (3) Incorporated under the laws of the State of California (4) Place of Business 15614 S. Atlantic Ave (Street and Number) City and State Compton, CA 90221 (310)669-8949 (5) Zip Code Telephone No. (6) E-Mail haidi@alfarocommunications com NOTARIAL ACKNOWLEDGMENT OF EXECUTION BY ALL SIGNATORIES MUST BE ATTACHED C-19 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of Los Angeles ) On November 18th, 2021 before me, Marla Flores Robles Date Here Insert Name and Title of the Officer personally appeared Mayra Martinez 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;andkial MARLA FLORES ROBLES Notary Public•California Los Angeles County Signature Commission X 2315326 naf f Notary Public *,y Comm,Expires Dec 12,2023 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: City of Huntington React, -nRFForm Document Date: 11/18/2021 Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: L, Corporate Officer — Title(s): ❑Corporate Officer — Title(s): Partner — r Limited 7 General ❑Partner — Limited n General I ' Individual G Attorney in Fact ❑Individual L7 Attorney in Fact Trustee ❑Guardian or Conservator El Trustee ❑Guardian or Conservator Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02015 National Notary Association-www.NationaiNotary.org•1-800-US NOTARY(1-800-876-6827) Item#5907 List below names of president,vice president,secretary and assistant secretary, if a corporation; if a partnership, list names of all general partners and managing partners: Hugo Alfaro- President& Treasurer Mayra Martinez -Vice President& Secretary C-20 EXHIBIT C LOCAL AGENCY BIDDER DBE COMMITMENT(CONSTRUCTION CONTRACTS) NOTE: PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM LOCAL AGENCY City of Huntington Beach LOCATION Various Locations at Huntington Beach PROJECT DESCRIPTION: Zone 5 Curb Ramp installation TOTAL CONTRACT AMOUNT:S�tb�b ��D •— BID DATE: 11/18/2021 BIDDER'S NAME Alfaro Communications Construction, Inc CONTRACT DBE GOAL: 0 CONTRACT TEM OF WORK AND DESCRIPTIONBE CERT NO NAME OF EACH DBEDOLLAR AMOUNT ITEM NO. R SERVICES TO B ND EXPIRATION (Must he certified on the date bid BE UBCONTRACTED OR MATERIAL DATE re opened- include DBE address O BE PROVIDED(or contracted if thend phone number) idder is a DBE) t 7 For Local Agency to Complete: Total Claimed DBE $ 11 65 6,g� •- Local Agency Contract Number: Participation Federal-aid Project Number: Federal Share' Contract Award Date Local Agency certifies that all DBE certifications have been verified and ` l information is complete and accurate. _ fa, �Y(,Q7_ Signature ol(Aidder 3lo-ilf-7111 D to { (Area Code)Tel No. Print Name Signature Date Local Agency Representative Person to Con (Please Type or Print) (Area Code)Telephone Number. Local Agency Bidder DBE Commitment(Construction Contracts) (Re% 6126/09) C-21 PLEASE NOTE: This information may be submitted with your bid. If it is not,and you are the apparent low bidder or the second or third low bidder,it must be submitted and received as specified in the Special Provisions. Failure to submit the required DBE commitment will be grounds for finding the bid nonresponsive The form requires specific information regarding the construction contract: Local Agency, Location, Project Description, Total Contract Amount, Bid Date, Bidder's Name, and Contract DBE Goal. The form has a column for the Contract Item Number and Item of Work and Description or Services to be Subcontracted or Materials to be provided by DBEs.Prime contractors shall indicate all work to be performed by DBEs including, if the prime is a DBE, work performed by its own forces, if a DBE. The DBE shall provide a certification number to the Contractor and expiration date. Enter the DBE prime's and subcontractors' certification numbers.The form has a column for the Names of DBE contractors to perform the work (who must be certified on the date bids are opened and include the DBE address and phone number). IMPORTANT: Identify all DBE firms participating in the project regardless of tier. Names of the First-Tier DBE Subcontractors and their respective item(s) of work listed should be consistent, where applicable,with the names and items of work in the"List of Subcontractors"submitted with your bid. There is a column for the DBE participation dollar amount. Enter the Total Claimed DBE Participation dollars and percentage amount of items of work submitted with your bid pursuant to the Special Provisions. (If 100%of item is not to be performed or furnished by the DBE,describe exact portion of time to be performed or furnished by the DBE.) See Section "Disadvantaged Business Enterprise (DBE),"of the Special Provisions(construction contracts),to determine how to count the participation of DBE firms. Exhibit 15-G must be signed and dated by the person bidding. Also list a phone number in the space provided and print the name of the person to contact. Local agencies should complete the Local Agency Contract Award, Federal-aid Project Number, Federal Share,Contract Award Date fields and verify that all information is complete and accurate before signing and filing. C-22 EXHIBIT D EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder Alfaro Communications Construction, Inc [proposed subcontractor 1S-a J hereby certifies that he/she/it has X ,has not ,participated in a previous contract or subcontract subject to the Equal Opportunity clauses,as required by Executive Orders 10925. 11114, or H 246,and that,where required, he/she/it has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance,a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of$10,000 or under are exempt.) Currently,Standard Form 100(EEO-1)is the only report required by the Executive Orders or their implementing regulations. (eeoc.gov/employers/eeo I survey/index.cfm) Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Signature: M Xa-- ckAL Date: 11/18/2021 `Print Name: N 7Z Title: C-23 EXHIBIT E NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) Zone 5 Curb Ramp Installation To the City of Huntington Beach In conformance with Title 23 United States Code Section 112 and California Public Contract Code 7106 the bidder declares that the bid is not made in the interest of,or on 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 of the bidder or any other bidder, or to fix any overhead,profit, or cost element of the bid price,or of 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, any fee to any corporation, partnership,company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Noncollusion Affidavit is part of the Bidder's Proposal. By signing the Proposal, the Bidder has also signed this Noncollusion Affidavit. Bidders are cautioned that making a false Certification may subject the Bidder to criminal prosecution. Signature: Mrs Ju 7Z Date: 11/18/2021 c Print Name: Title: y Qfe✓C �pn� C-24 EXHIBIT F DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49,CODE OF FEDERAL REGULATIONS, PART 29 The Bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated with Bidder in the capacity of owner,partner, director, officer,manager: • is not currently under suspension,debarment,voluntary exclusion,or determination of ineligibility by any Federal agency; • has not been suspended,debarred,voluntarily excluded or determined ineligible by any Federal agency within the past 3 years; • does not have a proposed debarment pending;and • has not been indicted, convicted, or had a civil judgment rendered against him/her by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. Signature: Date: 11/18/2021 Print Name: Title: J PrLS;,c C-25 EXHIBIT G NONLOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal,to the best of his or her knowledge and belief,that: 1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract,the making of any Federal grant,the making of any Federal loan,the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment,or modification of any Federal contract,grant,loan,or cooperative agreement. 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed$100,000 and that all such subrecipients shall certify and disclose accordingly. Signature: 0�4A ra (�� Z Date: 11/18/2021 Print Name:,,,_ Title: d - C-26 EXHIBIT H DISCLOSURE OF LOBBYING ACTIVITIES COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: a contract FLI. bid/offer/application a initial b.grant b initial award b material change c.cooperative agreement c post-award d.loan For Material Change Oaly: N/A c.loan guarantee year quarter f loan insurance date of last report 4. Name and Address of Reporting Entity, 5. If Reporting Entity in No.4 is Subawardee, Eater Name and Address of Prime: N/A El Prime 0 Subawardee Tier if known Congressional District,if known Congressional District,if known 6. Federal Department/Agency: N/A 7. Federal Program Name/Description: NIA CFDA Number,if applicable 8. Federal Action Number,if known. N/A 9. Award Amount,if known. NIA 10. a.Name and Address of Lobby Entity b. Individuals Performing Services (including (If individual,last name,first name,MI) address if different from No 10a) N/A N/A (last name,first name,MI) (attach Continuation Sheet(s)if necessary) 11. Amount of Payment(check all that apply)NIA 13. Type of Payment(check all that apply) N/A S N/A Actual planned a.retainer b one-time fee 12. Form of Payment(cheek all that apply): N/A c commission Ba cash d.contingent fee b.in-kind; specify nature a deferred value f other,specify N/A 14. Brief Description of Services Performed or to be performed and Date(s)of Service,including off cer(s),employte(s),or member(s)contacted,for Payment Indicated in Item 11: (attach Continuation Sheet(s)if necessary) 15. Continuation Sheet(s)attached: Ves ❑ No 16. Information requested through this form is authorized by Title `�0.;A'% 31 U.S C.Section 1352. This disclosure of lobbying reliance Signature C� was placed by the tier above when his transaction was made or entered into.This disclosure is required pursuant to 31 U.S.0 Print Name' \&0q;'A I 1352. This information will be reported to Congress semiannually and will be available for public inspection.Any Ti1W person who fails to file the required disclosure shall be subject to a civil penalty of not less than$10.000 and not more than Telephone No (310)669-8949 Date 1 111 8/202 1 $100,000 for each such failure. Authorized for Local Reproduction Federal Use Only: Standard Form-LLL Standard Form LLL Rev 09-12-97 C-27 INSTRUCTIONS FOR COMPLETION OF EXHIBIT H, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity,whether subawardee or prime Federal recipient,at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1) Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2) Identify the status of the covered Federal action. 3) Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4) Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee,e.g., the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5) If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address,city,state and zip code of the prime Federal recipient. Include Congressional District, if known. 6) Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7) Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8) Enter the most appropriate Federal identifying number available for the Federal action identification in item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9) For a covered Federal action where there has been an award or loan commitment by the Federal agency,enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10)(a) Enter the full name,address,city,state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name, First Name and Middle Initial (MI). 11)Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. C-28 12)Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13)Check the appropriate box(es). Check all boxes that apply. If other, specify nature. 14)Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s)of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15)Check whether or not a continuation sheet(s) is attached. 16)The certifying official shall sign and date the form, print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project(0348-0046), Washington, D.C. 20503. By my signature on this proposal I certify, under penalty of perjury under the laws of the State of California, that the foregoing questionnaire and statements of Public Contract Code Sections 10162. 10232 and 10285.1 are true and correct and that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission Regulations (Chapter 5,Title 2 of the California Administrative Code). C-29 EXHIBIT I FEDERAL LOBBYING RESTRICTIONS Section 1352, Title 31, United States Code prohibits Federal funds from being expended by the recipient or any lower tier subrecipient of a Federal-aid contract to pay for any person for influencing or attempting to influence a Federal agency or Congress in connection with the awarding of any Federal-aid contract,the making of any Federal grant or loan,or the entering into of any cooperative agreement. If any funds other than Federal funds have been paid for the same purposes in connection with this Federal-aid contract, the recipient shall submit an executed certification and, if required, submit a completed disclosure form as part of the bid documents. A certification for Federal-aid contracts regarding payment of funds to lobby Congress or a Federal agency is included in the Proposal. Standard Form - LLL, "Disclosure of Lobbying Activities,- with instructions for completion of the Standard Form is also included in the Proposal. Signing the Proposal shall constitute signature of the Certification. The above referenced certification and disclosure of lobbying activities shall be included in each subcontract and any lower-tier contracts exceeding $100,000. All disclosure forms, but not certifications, shall be forwarded from tier to tier until received by the Engineer. The Contractor, subcontractors and any lower-tier contractors shall file a disclosure form at the end of each calendar quarter in which there occurs any event that requires disclosure or that materially affects the accuracy of the information contained in any disclosure form previously filed by the Contractor, subcontractors and any lower-tier contractors. An event that materially affects the accuracy of the information reported includes: 1) A cumulative increase if$25,000 or more in the amount paid or expected to be paid for influencing or attempting to influence a covered Federal action; or 2) A change in the person(s)or individual(s) influencing or attempting to influence a covered Federal action;or 3) A change in the officer(s), employees(s), or Member(s) contacted to influence or attempt to influence a covered Federal Action. C-30 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For ZONE 5 CURB RAMP INSTALLATION PROJECT CC NO. 1637 in the CITY OF HUNTINGTON BEACH November 17,2021 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) REPLACE APPENDIX L"PREVAILING WAGE SCHEDULE"TO CURRENT WAGES SCHEDULE. Replace"General Decision Number: CA20200024 10/22/2021"with Superseded "General Decision Number: CA20210024 11/12/2021" This is to acknowledge receipt and review of Addendum Number One, dated November 17, 2021. Cor panyName By Cal>�!"aLf Adh'►,ni5!-WlL-- Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please call Joseph Fuentes at(714) 536-5431. 10/28/21,1:47PM 82Gnow Certification: View Certification List Submit Change Request Add Date Alert Vendor Capabilities BUSINESS NAME Alfaro Communications Construction,Inc.DBA ACCI SYSTEM VENDOR NUMBER 20237838 PRIMARY OWNER'S NAME Hugo Alfaro ETHNIC GROUP Caucasian GENDER Male Certification Information CERTIFYING AGENCY Los Angeles County Metropolitan Transportation Authority CERTIFICATION TYPE DBE-Disadvantaged Business Enterprise EFFECTIVE DATE 12/30/2019 RENEWAL DATE 12/31/2022 l_ _ Contact Information i MAIN COMPANY EMAIL MAYRAOALFAROCOMMUNICATIONS.COM MAIN PHONE 310-6694949 j MAIN FAX 310-693-5343 MAIN COMPANY WEBSITE http://www.acci-construction.com Addresses PHYSICAL ADDRESS 15614 S.Atlantic Ave Compton,CA 90221 i MAILING ADDRESS 15614 S.Atlantic Avenue Compton,CA 90221 Business Capabilities i https://metro.gob2g.com/FrontPageNendorMain.asp?XID=5072 1/2 10/28121,1:47 PM B2Gnow BUSINESS CERTIFIED FOR Elecrical,general contractor,concrete and landscaping FULL DESCRIPTION OF CAPABILITIES/PRODUCTS COMMODITY CODES NAILS 238210 Electrical Contractors and Other Wiring Installation Contractors(more [Primary Code] NAICS 237130 Power and Communication Line and Related Structures Construction More NAICS 237310 Highway,Street,and Bridge Construction or NAICS 237990 Other Heavy and Civil Engineering Construction re Owner Ethnicity and Gender ETHNIC GROUP Caucasian GENDER Male Location and Work Districts/Regions COUNTY Los Angeles(CA) I STATEWIDE WORK AREA No WORK DISTRICTS/REGIONS Los Angeles I Orange Riverside San Bernardino Ventura Additional Information GROSS RECEIPTS CATEGORY Category 4:$5,000.001-$10,000,000 CUCP PUBLIC DIRECTORY CERTIFICATION NUMBER 48013 I [Certification List Customer SuRR2—rt Home I Print This Page I Print To PDF I Translate Copyright C> 2021 62Gnow.All rights reserved. https://metro.gob2g.com/FrontPageNendorMain.asp?XID=5072 212 VOW Document A31 0TM - 2010 Bid Bond No:N/A id Bond CONTRACTOR: SURETY: (Name, legal status and address) (Aame, legal status and principal place Alfaro Communications Construction, Inc. gfbusiness)United States Fire Insurance Company 15614 S. Atlantic Ave. 305 Madison Avenue Compton, CA 90221 Morristown, NJ 07962 This document has important legal consequences.consultation with OWNER: an attorney is encouraged with AVame, legal.stattis aiid address) respect to its completion or modification. City of Huntington Beach 2000 Main Street Any singular reference to Huntington Beach, CA 9264B Contractor,Surety,Owner or BOND AMOUNT: Ten Percent of the Total Amount Bid(10%of Bid Amount) other party shall be considered plural where applicable. PROJECT:' 6vam*e, location or•zrddress,and Project number, if any) Curb Ramp installation in Maintenance Zone 5 Project Number,if any:CC-1637 The Contractor and Suretv are bound to the Owner in the amount set forth above,for the payment of which the Contractor and Suret} band themselves,their heirs,executors,administrators,successors and assigns,jointly and. severally,:as provided herein;The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in:the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the:Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and'gives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted inahe jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for:the prompi'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 shah be null and acrid,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 bei deemed.to be:Suibcontractor 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 conforining to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished,the intent'is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed nd sealed this 11th day of November 2021 Alfaro Communications Construction,Inc. Pr7fcipaI (Seal) fej (. Zile, — -- United tat s Fire In urance ompany .................._...._...._.._......-.... _....._..__._._..._ ......._... ------.. ..-.. ( ureo) (Sea1) (Wit)?ess) (Title) I ne Luong,A rn y-in-Fact. Init. AEA Doc ent A310TM-2010.Copyright Q 1963,1970 and 2010 by The American Institute of Archftects.All rights reserved.WARNING:This AW, Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA"Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible,under the law.This t document was created on 01/2712012 07:23:12 under the terms of AIA Documents-on-Demand-order no. 2008397483.and is not for resale.This document is licensed by The American Institute of Architects for one-time use only,and may not be reproduced orior to its romoletion.nei„n CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 4 ?Wpll €.,t 4* h � �9?3> r a 3 � z,r u r_ n:?. tti:# ? ;s.fill .................................. ......................................................... _.._..._.....,..—_ _ ._..........._..._...._.._.__—..._._.._. .-._. __ , A notary public or other officer conipleting this certificate,verifies only the identity of the Individua4 who sigried the document to Which this certificate is attached:and not thin tai.athfulness,accuracy,of validity of that document. .......................---........_..--_.—_._.....__._.__._......_._......__-...._..........._..._.__....._......_..._..__._.._._...__...__—____._......-j State of Crtlifornia, County Of OraI. nge NOV 1 1 2021 fn�Es r-r7 J. Smith, Notary Public "� Dote Here hnsert Norn7e mid''itle of the Officer personally appeared ._. .............................. _..... _...... _ lv'runt(s)car q ner(s; who proved to me on the basis of satisfactory evidence to be the person(s)whose na;nne(s) is are subscribed to the within instrument rim. acknowledged to n-ie that hetshelthey execa.rted the same in hisi/heritheir authorized capacity(ies), and tht at by his/her/t.heir signature(s) on the:: instrument the persons), or the entity upon behalf of which the per<scri(s)acted, CIXCe uted the instrument. I certify under, PENALTY OF: PERJURY under the laws of the State of California that the foregoing J.SMI-H Notary Pubticic-Ca:ifornia paragraph is true ;arid correct. ¢ ` Orange County Commission=2358 WITNESS my hand and official seal. f °�:•�•�� My Con-,Expi•es W.ay 1i 2025 Signature ........................... - `o� — Phice Nolory S?'vi aodlol z>tomP,Above, Signutute of!Votary Public __.. OPTIONAL ..._...---- .. C.ojmj tletinci this irntorrra tioln -on tinter altera6c;t-i of'the ryaculrnetnt or rr'oi'dw,(nt reattachmc,'rrt O this f0117n tO 017 00"I'dende d dC7CUrnent_ Description of Attached Document Title or Type of >✓__cunnC91t: .,__.-------_.__.._ Document Date: --.___._-.._........._._.__...___........--..........._.....__.__ _..._Number of Pages:_-- Signer(s) Other Than Sirnmc d Above: ..................._..__...__ .___.___.__..._...._.._.. ...-........---.---_._--. —.___ _ _.___- Capacity(ies) Claimed by Signer(s) Signer's Name: _._.— ——_ _— Signer's Name: 1 ❑ Corporate Officer - Tltle( }:.._.__................................. t:_l Corp arate� Officer -Title(s}: __--- —•- ❑ Partner- CJ Limited ❑ General 0 Partner --. 0 Limited u General j ❑ Individual Attorney in Fact 0 Individual t'J Attorney in Fact 0 Trustee ( Guardian or Conservator El Trustee o Guardian or Conservator j ❑ Otifer: --.—. __— ❑ Other: ._ ... Signer is Re.pre�senting:_....._........._........_...................... Signer is Re pre sen#inch: __._..........._.. ................... _.__......_._.___...._..__.......-.._.. _ — —__ ..._................ xs'�,�i`b"£�:i���#r��'k2irz's3�t^x�i's4�t�f&;'i�f' G?",�,r�^�r,�!*�*,�.`„'',�-''#�= �:�-?.��.,�.�z`�t�.ifi�t.�rX'YFi�t§#.sT-,.;M"<'�t,cr.��.:�'°<444,b?,4v��.'$=' E��',.'-,>•:f'rf'`� �• 'k'��s6?4dti4 .,'-1019 National Noti.iry As`:t clatk)n POWER OF ATTORNEY UNITED STATES FIRE INSURANCE COMPANY PRINCIPAL OFFICE-MORRISTOWN,NEW JERSEY 07626 KNOW ALL MEN BY THESE PRESENTS:That United States Fire Insurance Company,a corporation duly organized and existing under the laws of the state of Delaware,has made,constituted and appointed,and does hereby make,constitute and appoint: Yung T.Mullick,James W.Moilanen,Irene Luong,P.Austin Neff,Emilie George,Christine Hoang,Danielle Hanson each,its true and lawful Attorny(s)-In-Fact,with full power and authority hereby conferred in its name,place and stead,to execute,acknowledge and deliver:Any and all bonds and undertakings of surety and other documents that the ordinary course of surety business may require,and to bind United States Fire Insurance Company thereby as fully and to the same extent as if such bonds or undertakings had been duly executed and acknowledged by the regularly elected officers of United States Fire Insurance Company at its principal office,in amounts or penalties not exceeding:Fifty Million Dollars($50,000,000). This Power of Attorney limits the act of those named therein to the bonds and undertakings specifically named therein,and they have no authority to bind United States Fire Insurance Company except in the manner and to the extent therein stated. This Power of Attorney revokes all previous Powers of Attorney issued on behalf of the Attorneys-In-Fact named above and expires on January 31,2022. This Power of Attorney is granted pursuant to Article IV of the By-Laws of United States Fire Insurance Company as now in full force and effect, and consistent with Article III thereof,which Articles provide,in pertinent part: Article IV,Execution of Instruments-Except as the Board of Directors may authorize by resolution,the Chairman of the Board,President,any Vice-President,any Assistant Vice President,the Secretary,or any Assistant Secretary shall have power on behalf of the Corporation: (a) to execute,affix the corporate seal manually or by facsimile to,acknowledge,verify and deliver any contracts,obligations,instruments and documents whatsoever in connection with its business including, without limiting the foregoing, any bonds, guarantees, undertakings, recognizances, powers of attorney or revocations of any powers of attorney, stipulations, policies of insurance, deeds, leases, mortgages, releases,satisfactions and agency agreements; (b) to appoint,in writing,one or more persons for any or all of the purposes mentioned in the preceding paragraph(a),including affixing the seal of the Corporation. Article III, Officers, Section 3.11, Facsimile Signatures. The signature of any officer authorized by the Corporation to sign any bonds, guarantees, undertakings,recognizances, stipulations,powers of attorney or revocations of any powers of attorney and policies of insurance issued by the Corporation may be printed,facsimile, lithographed or otherwise produced. In addition, if and as authorized by the Board of Directors,dividend warrants or checks,or other numerous instruments similar to one another in form,may be signed by the facsimile signature or signatures,lithographed or otherwise produced,of such officer or officers of the Corporation as from time to time may be authorized to sign such instruments on behalf of the Corporation. The Corporation may continue to use for the purposes herein stated the facsimile signature of any person or persons who shall have been such officer or officers of the Corporation,notwithstanding the fact that he may have ceased to be such at the time when such instruments shall be issued. IN WITNESS WHEREOF,United States Fire Insurance Company has caused these presents to be signed and attested by its appropriate officer and its corporate seal hereunto affixed this loth day of March,2016. UNITED STATES FIRE INSURANCE COMPANY Anthony R.Slimowicz,President State of New Jersey) County of Morris ) On this 10'day of March 2016,before me,a Notary public of the State of New Jersey,came the above named officer of United States Fire Insurance Company,to me personally known to be the individual and officer described herein,and acknowledged that he executed the foregoing instrument and affixed the seal of United States Fire Insurance Company thereto by the authority of his office. SONIA SCALA NOTARY PUBLIC OF NEW JERSEY Sonia Scala (Notary Public) MY COMMISSION EXPIRES 3/25/2024 No.2163686 I,the undersigned officer of United States Fire Insurance Company,a Delaware corporation,do hereby certify that the original Power of Attorney of which the foregoing is a full,true and correct copy is still in force and effect and has not been revoked. IN WITNESS WHEREOF,I have hereunto set my hand and affixed the corporate seal of United States Fire Insurance Company on the'tth day of November 2021 UNITED STATES FIRE INSURANCE COMPANY ice""" Peter M.Quinn,Senior Vice President STATE OF CALIFORNIA DEPARTMENT OF INSURANCE NO. 07812 SAN FRANCISCO E ' Certificate of Authority THIS IS TO CERTIFY THAT,Pursuant to the Insurance Code of the State of California, United States Fire Insurance Company o Wilmington, Delaware f 9 � , organized under the laws of Delaware subject to its Articles of Incorporation or other fundamental organizational documents,is hereby authorized to transact within the State,subject to all provisions of this Certificate,the following classes of insurance: Fire, Marine, E Surety, Disability, Plate Glass, Liability, Workers' Compensation, Common Carrier Liability, Boiler and Machinery, Burglary, Credit, Sprinkler, Team and Vehicle, Automobile, Aircraft, and Miscellaneous i as such classes are now or may hereafter be defined in the Insurance Laws of the State of California. THIS CERTIFICATE is expressly conditioned upon the holder hereof now and hereafter being in i 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 WITNESS WHEREOF,effective as of the 31st day of.. December' 2003 ,1 have hereunto i set my hand and caused my official seal to be affixed this f 31st day of December 2003 t i or By A. ictori' S d Ida Zodro Asst. t' i NOTICE: Qualification with the Secretary of State must be accomplished as rerlii' Corpntutiiias C prvrrtptiy. after issuance of this Certificate of Authority.Failure to do so will be a violation of Insurance Code Section.701 and will be i grounds for revoking this Certificate of Authority pursuant to the convenants made in the application therefor and the conditions contained herein. I FORM CA-3 osP 00 38381 l l 1 f� O O a CL On c 4 O 00 M W Z t 4 � N t to O N O N r O i J m (D ~ d 0 cn V I ' O Lu 00Uz W CN N O m E V 0 O t'> ■� V o a V 4) 4 a L u c c O '0 o d LL. O O N a �_ £ r � Cal z a u � 0 0 � a ` c , QLnu City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov N.MIA- Office of the City Clerk Robin Estanislau, City Clerk August 15, 2022 All American Asphalt P.O. Box 2229 Corona, CA 92878-2229 RE: Zone 5 Curb Ramp Installation -Various Projects—CC No. 1637 Enclosed please find your original bid bond for CC No. 1637 Sincerely, Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City: Anjo, Japan City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For ZONE 5 CURB RAMP INSTALLATION PROJECT CC NO.1637 in the CITY OF HUNTINGTON BEACH November 17,2021 Notice To All Bidders: Please note the following clarification to the Project Plans,Specifications,and Special Provisions: 1) REPLACE APPENDIX L"PREVAILING WAGE SCHEDULE"TO CURRENT WAGES SCHEDULE. Replace"General Decision Number: CA20200024 10/22/2021"with Superseded "General Decision Number: CA20210024 11/1212021" This is to acknowledge receipt and review of Addendum Number One,dated November 17,2021. All American Asphalt Company Name By I f r I' 2G 2 Edward J. Carlson, Vice President Date t 1 All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please call Joseph Fuentes at(714) 536-5431. SECTION C PROPOSAL for the construction of ZONE 5 CURB RAMP INSTALLATION from VARIOUS LOCATIONS CC No. 1637 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting ELECTRONIC 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 35 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award,BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses,taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded,the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-t SECTION C PROJECT BID SCHEDULE A CURB RAMP PROJECT, CC 1637 BID ITEMS Item �� pescnption Quantify Unit Unn Cost Total Cost 1 Mobilization 1 LS $ 64,800 $ 64,800 2 Prepare Storm Water Pollution Prevention Plan(SWPPP) 1 LS $ 1,900 $ 1,900 3 Install&Maintain Construction BMPs 1 LS $ 6,500 $ 6,500 Construct Curb Access Ramp per Caltrans Std. Plan A88AIA88B as shown on Curb Ramp Detail 1 in Appendix H 4 of Specifications (Item includes all appurtenances,curb& gutter,depressed curb,sawcut,sidewalk,domes, retaining 96 curb,slot pave, etc.) EA $6,950 $ 667,200 Horizontal Curb Cut Curb Access Ramp per Caltrans Std, Plan A88A/A88B using horizontal curb cutting machine as 5 shown on Curb Ramp Detail 2 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter,depressed 6,950 132,050 curb,sawcut,sidewalk,domes, retaining curb,etc.) 19 EA $ $ Construct Curb Access Ramp per Caltrans Std. Plan A88A/A88B as shown on Curb Ramp Detail 3 in Appendix H 6 of Specifications (Item includes all appurtenances,curb& gutter,depressed curb,sawcut,sidewalk,domes, retaining 77 6,950 535,150 curb,slot pave,etc.) EA $ $ Remove and Replace damaged concrete cross gutter as 7 shown on Curb Ramp Detail 4 in Appendix H of Specifications (Item includes all appurtenances,curb&gutter,cross gutter, 67,200.00 sawcut,slot patch,etc.) 2,400 SF $ 28.00 $ Remove and Replace Truncated Dome on existing Curb 8 Access Ramp per Caltrans Std. Plan A88A/A88B as shown on Curb Ramp Detail 5 in Appendix H of Specifications (Item 1,310.00 9,170.00 includes all appurtenances,domes,etc.) 7 EA $ $ Construct Truncated Dome on existing Curb Access Ramp per 9 Caltrans Std.Plan A88A/A88B as shown on Curb Ramp Detail 5 in Appendix H of Specifications (Item includes all 86 900.00 appurtenances,domes,etc.) EA $ $ 77,400.00 Remove existing asphalt concrete/subgrade to a maximum depth 6"-12"to finished surface and replace with 6"depth of 10 asphalt concrete hot mix adjacent to new curb ramp. (Item includes all appurtenances,sawcut, unclassified excavation, 31.00 124,000.00 asphalt concrete etc.). 4,000 SF $ $ 11 Install 4"PVC Sleeve for Street Assembly Sign per City of HB 868.00 7,812.00 Std,Plan 401 9 EA $ $ Remove and replace existing sidewalk per City of HB Std. 12 Plan 207 at locations adjacent to ramp.(Item includes all appurtenances,sawcut) 8,000 SF $13.60 $ 108,800.00 C-2.1 SECTION C PROJECT BID—SCHEDULE A CURB RAMP PROJECT, CC 1637 Remove and replaces existing F-12"Curb and Gutter at 13 locations adjacent to ramp per HB Std. Plan 205(Item 97.10 includes all appurtenances,sawcut,slot pave,etc.). 1,000 LF $ $ 97,100.00 SUB-TOTAL BID AMOUNT(SCHEDULE A) $ 1,899,162.00 SUB-TOTAL BID AMOUNT IN WORDS: One Million Eight Hundred Ninety-Nine Thousand One Hundred Sixty-Two Dollars 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. In addition, the City reserves the right to include or remove Bid Schedule B in the award of the contract. C-2.2 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may,at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid,find Bidder's Bond in the amount of 10% which said amount is not less than 10%of the aggregate of the total bid price, as required by the Notice Inviting ELECTRONIC 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 tt Bi er's Signature 2,1 C-2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater,and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar % of Item(s) Subcontractor License Registration# Amount Contract Number Case Land Surveying, Inc. VAR Orange, CA L5411 Survey 1000001533 $57,600 3.2% By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID 1 declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on at Corona , CA Date City .State Edward J. Carlson , being first duly sworn, deposes and says that he or she is Vice President of All American Asphalt the party making the foregoing bid that the bid is not made in the interest of,or on the behalf of,any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are true;and,further,that the bidder has not,directly or indirectly,submitted his or her bid price or any breakdown thereof,or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation,partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. All American Asphalt Name of Bidder Signature of idder Edward J. Carlson, Vice President 400 East Sixth Street, Corona, CA 92879 Address of Bidder C-4 2CALIFORNIA JURAT GOV CODE § 8202 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of Riverside Subscribed and sworn to(or affirmed) before me on this 15th day of November Date Month By (1) Edward J. Carlson Name of Signer Proved to me on the basis of satisfactory evidence SARAH AMANOA LANGIEY be the person who appeared before me Notary Public MAN •California Riverside County y Commission#2337877 My Comm.Expires Nov 20,2024 (and r (2) Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me.) Signature 0,ma4cd-e- Lnn��' Place Notary Seal Above Signature of Notary Public I OPTIONAL Though the information below is not required by law,it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Further Description of Any Attached Document FIGHT TH UMBPRINT RIGHT THUMBPRINT OF SIGNER OF SIGNER Title or Type of Document NONCOLLUSION AFFIDAVIT Top of thumb here Top of thumb here Document Date: 11/15/2021 Number of Pages: 1 Signer(s)Other Than Named Above: N/A UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH,CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the ZONE 5 CURB RAMP INSTALLATION, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. All American Asphalt Contractor By ` Edward J. Carlson, Vice President Title Date: C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162,the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes tdNo If the answer is yes, explain the circumstances in the space provided. **N/A** Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code,each contractor to whom a public works contract has been awarded shall sign the following certificate.. I am aware of the provisions of Section 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. All American Asphalt Contractor der' By Edward J. Carlson, Vice President Title Date; �, 1�✓ I C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: All American Asphalt Bidder Name 400 East Sixth Street Business Address Corona CA 92879 City, State Zip ( 951 ) 736-7600 publicworks@allamericanasphalt.com Telephone Number Email Address 267073 Class A State Contractor's License No. and Class 01/19/1971 Original Date Issued 01/31/2022 Expiration Date The work site was inspected by Jim McGee,Project Manager of our office on November 10 120121 The following are persons,firms, and corporations having a principal interest in this proposal: Edward J. Carlson Vice President Michael Farkas Secretary Mark Luer President The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. All American Asphalt Company Name Signature Bid er Edward J. Carlson, Vice President Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this_day of ,202_. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness,accuracy,or validity of that document. State of ) County of ) On before me, Month, Day,and Year Insert Name and Title of Notary personally appeared Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s),or the entity upon behalf of which the person(s)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 FA notary public or other officer completing this certificate verifies only the identity of the individual who signed the ocument to which this certificate is attached.and not the truthfulness.accuracy.or validity of that document. State of California County of Riverside on November 15, 2021 before me, Sarah Amanda Langley.Notary Public Date Here Insert name and Title of the Officer personally appeared Edward J. Carlson Name*of Signer( e 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" executed the same in SARAH AMANDA LA14GLEY his/he44he# authorized capacity(ies), and that by his/4e##ie4 Notary Public California : signature(&)on the instrument the person(s), or the entity upon behalf Riverside County of which the person(s)acted,executed the instrument. Commission#2337877 My Comm.Expires Nov 24,2124 I certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct. WITNESS ninhand and official seal. Signature Place Notary Seat Above V Signature of Notary Public OPTIONAL 4;Z/j Though the information below is not required by law,it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document BIDDER'S INFORMATION Document Date: 11/15/2021 Number of Pages: 1 Signer(&)Other Than Named Above: Capacity(ies)Claimed by Signer(e) Signer's Name: Edward J.Carlson Signer's Name: NIA ❑Individual ❑Individual X Corporate Officer—Title(&): Vice President ❑Corporate Officer—Title(s): N/A ❑ Partner L c Limited❑ General ❑ Partner rD ❑Limited❑GeneralRIGHT THUMBPRINT 11 ❑Attorney in Fact ❑Attorney in Fact OF SIGNER ❑Trustee Top of thumb here ❑Trustee Top of thumb here ❑Other: c Other: N/A Signer is Representing: Signer is Representing: All American Asphalt NIA STATE LICENS BOARD ! •�^—�°° ••^•-' ACTIVE LICENSE I i ,<--267073 CORP ALL AMERICAN ASPHALT i i A C12 i E�.��.. 01/3112022 www.cslb.ca.gov Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets,an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."I. 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. County of Orange; 601 N Ross Street, 4th Floor Santa Ana CA 92701 Name and Address of Public Agency Albert Rodriguez Name and Telephone No. of Project Manager: Alber.Rodriguez@OCPW.ocgov.eom $2,584,747.69 Pavement Maintenance 0812020 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: JOC Pavement Maintenance 2. City of Huntington Beach: 2000 Main Street, Huntington Beach, CA 92648 Name and Address of Public Agency Name and Telephone No. of Project Manager: Joe Fuentes: 714-536-5259 $5,181,955.00 Arterial Rehabilitation 11/2020 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Arterial Rehabilitation of Graham St, Slater Ave, Newland Street and Atlanta Avenue I County of Venutra: 501 Poli Street, Ventura CA 93001 Name and Address of Public Agency Name and Telephone No. of Project Manager: Christopher Solis; (805) 654-2054 $3,919,808.95 Resurfacing Project 12/2019 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Yerba Buena Resurfacing Project C-10 2020 PAST WORK REFERENCES City of Ontario 2020 Fall Pavement Rehabilitation Project 303 East B Street Contract Amount: $2,499,333.00 Ontario, CA 91764 Start Date: 07/2020 Contact: Ariana Kern (909) 395-2129 End Date: 12/2020 akern(&ontarioca.aov City of Loma Linda Pavement Rehabilitation—Barton Road 25541 Barton Road Contract Amount: $768,677.00 Start Date: 04/2020 Loma.Linda, CA 92354 End Date: 12/2020 Contact: T. Jarb Thaipejr(909) 799-4400 jthaipeirelomalinda-ca. ov Granite Hill Drive Pavement Rehabilitation City of Jurupa Valley Contract Amount: $999,777.00 8920 Limonite Avenue Start Date: 04/2020 Jurupa Valley, CA 92509 End Date: 10/2020 Contact: Chase Keys(951) 332-6464 ckeys(a)jurupavallev.orq JOC Pavement Maintenance County of Orange Contract Amount: $2,584,747.69 601 N. Ross Street, 4"' Floor Start Date: 07/2020 Santa Ana, CA 92701 End Date: 08/2020 Contact: Albert Rodriguez albert.rodricLuez@ocpw.ocgov.com City of Compton Annual Residential Street Rehabilitation— Phase 1 205 S. Willowbrook Avenue Contract Amount: $5,295,068.00 Compton, CA 90220 Start Date: 05/202Q Contact: Brittany Duhn (Z& K Consultants) End Date: 1 5/20 0 bduhn(a)zandkconsultants.com City of Huntington Beach Arterial Rehabilitation of Graham St, Slater 2000 Main Street Ave, Newland St and Atlanta Ave Huntington Beach, CA 92648 Contract Amount: $5,181,955.00 Contact: Joe Fuentes (714)536-5259 Start Date: 05/2020 End Date: 11/2020 jfuentes@surfcity-hb.orq 2020 PAST WORK REFERENCES City of Newport Beach Cameo Highlands Street Reconstruction 100 Civic Center Drive Contract Amount: $2,425,694.00 Start Date: 07/2020 Newport Beach, CA 92660 End Time: 11/2020 Contact: Patricia Kharazmi (949) 644-3344 okharazmiCa)newportbeachca.gov Citywide Overlay Street Improvements City of Westminster Contract Amount: $1,131,621 8200 Westminster Boulevard Start Date: 02l2020 Westminster, CA 92683 End Date: 06/2020 Contact: Theresa Tran (714) 548-3460 ttra n Ca7westm i nster.ca.g ov Final Paving of Pennsylvania Ave Crescenta Valley Water District Contract Amount: $82,620.00 2700 Foothill Boulevard Start Date: 02/2020 La Crescenta-Montrose, CA 91214 End Date: 0 2120 0 Contact: Brook Yared (818) 236-4117 b_yared cvwd.com 2020 HUD Street Improvements Project City of Alhambra Contract Amount: $300,433.00 111 S. 1St Street Start Date: 06/2020 Alhambra, CA 91801 Contact: Robert Bias (626) 580-5000 End Date: 10/2020 rbias(,@cityofalhambra.org County of Ventura Yerba Buena Rd. (South) Pavement Resurfacing 800 S. Victoria Avenue, #1600 Contract Amount: $2,298,467.40 Ventura, CA 93009 Start Date: 03/2020 Contact: Matt Maechler(805) 477-1911 End Date: 0 3/20 0 matthew.maechler(a7ventura.orq City of Camarillo Earl Joseph Drive Paving 601 Carmen Drive Contract Amount: $681,901.50 Camarillo, CA 93010 Start Date: 06/2020End Date: 07/2020 Contact: Thang Tran (805) 388-5345 ttranna.cityofcamarillo.orq 2020 PAST WORK REFERENCES City of Norco NorcClark Avenue FY 2019-2020 Slur Seal Project Norco, CA 92860 Slurry 1 Contact: Sam Nelson (951) 270-5607 Contract Amount: $147,708.97 snelson .ci.norco.ca.us Start Date: 06/2020 End Date: 12/2020 City of Orange Annual Slurry Seal FY 19-20 Various 300 E. Chapman Avenue Locations Orange, CA 92886 Contract Amount: $377,737.78 Contact: Martin Varona (714) 744-5563 Start Date: 06/2020 mvarona(Wcityoforange.org End Date: 12/2020 2019 PAST WORK REFERENCES City of Simi Valley Simi Valley Minor Street Rehabilitation 2929 Tapo Canyon Rd. Contract Amount: $510,124.25 Simi Valley, CA 93063 Start Date: 07/2019 Contact: Sarah Sheshebor(805)583-6792 End Date: 08/2019 sshesheb cbsimivalley.orq County of Ventura Yerba Buena Area Resurfacing Project 501 Poli Street Contract Amount: $3,919,808,95 Ventura, CA 93001 Start Date: 0612019 Contact: Christopher Solis (805) 654-2054 End Date: 12/2019 chris.solis(&ventura.orq City of Stanton 2019 Citywide Street Resurfacing 7800 Katella Avenue Contract Amount: $1,206,869.00 Stanton, CA. 90680 Start Date: 10/2019 Contact: Guillermo Perez (714) 890-4204 End Date: 12/2019 gAerezaci.stanton.ca.us City of Compton Road Repair Service (Pothole Repair) 205 S. Willowbrook Avenue Contract Amount: $1,019,100.00 Compton, CA. 90220 Start Date: 08/2019 Contact: John Strictland (310) 605-5505 End Date: 11/2019 istrictlandCa7compton city.om City of San Clemente Street Rehabilitation for S. Avenue LA 910 Calle Negocio Esperanza San Clemente, CA. 92673 Contract Amount: $384,055.00 Contact: Darra Koger(949) 361-3138 Start Date: 09/2019 kogerD(7a san-clemente.org End Date: 10/2019 City of South Gate Circle Park Driveway Project 8650 California Avenue Contract Amount: $268,576.00 South Gate, CA. 90280 Start Date: 06/2019 Contact: John Rico (323) 563-9594 End Date: 09/2019 irico ,sogate.org 2019 PAST WORK REFERENCES Pardee Homes Railroad Canyon Widening 1250 Corona Pointe Court, Ste. 600 Contract Amount: $5,062,746.00 Corona, CA. 92879 Start Date: 11/2018 Contact: Nick dasher(951)428-4442 End Time: 08/2019 nick.lasheKaDpardeehomes.com City of Fontana Citrus Avenue Improvements 8353 Sierra Avenue Contract Amount: $502,730.00 Fontana, CA. 92335 Start Date: 08/2018 Contact: Kimberly Young (909) 350-7632 End Date: 10/2019 k oung .fontana.om DR Horton Singlton Road 2280 Wardlow Circle Ste. 100 Contract Amount: $1,684,000.00 Corona, CA. 92880 Start Date: 07/2018 Contact: Keith Alex(951) 830-5872 End Date: 12/2019 kalex .drhorton.com Irvine Community Development Company Portola Springs PA-6 Enclave 5B Phase1, 2 550 Newport Center Dr. Ste. 550 B2 Contract Amount: $2,055,055.00 Newport Beach, CA. 92660 Start Date: 09/2018 Contact: Mike Morse (949) 720-2560 End Date: 12/2019 City of Downey FY 18/19 Slurry Seal Project 11111 Brookshire Avenue Contract Amount: $313,425.87 Downey, CA. 90241 Start Date: 06/2019 Contact: Desi Gutierrez, (562) 904-7110 End Date: 12/2019 dgutierN!7downeyca.org 2019 PAST WORK REFERENCES City of Chino Slurry Seal Maintenance Work PO Box 667 Contract Amount: $372,805.00 Chino, CA. 91708 Start Date: 112019 Contact: Dustin Postovoit(909) 334-3415 End Date: 1212019 apostovoit(a)cityofchino.orq City of Lancaster 2018 Pavement Management Program 44933 Fern Avenue Contract Amount: $2,720,103.65 Lancaster, CA. 93534 Start Date: 3/2019 Contact: Greg Wilson (661) 570-8003 End Date: 12/2019 gwilson cityoflancasterca.org City of Colton FY 18-19 Asphalt Paving Project 650 N. La Cadena Dr. Contract Amount: $1,377,700.00 Colton, CA. 92324 Start Date: 3/2019 Contact: Victor Ortiz (909) 370-5099 End Date: 11/2019 vortiza_coltonca.gov City of Cathedral City Ortega Road Widening 68700 Ave Lalo Guerrero Contract Amount: $459,998.00 Cathedral City, CA. 92234 Start Date: 2/2019 Contact: John A. Corella (760) 770-0349 End Date: 12/2019 icorella aacathedral city.gov City of San Clemente Arterial Street Pavement Maintenance 910 Calle Negocio Contract Amount: $1,187,187.00 San Clemente, CA. 92673 Start Date: 3/2019 Contact: Gary Voborsky (949) 361-6132 End Date: 7/2019 voborskvqasan-clemente.org "2 Q 18" PAST WORK REFERENCES City of Moreno Valley Alessandro Blvd.Street Improvements at 14177 Frederick St. Chogall Court and Graham Street P.O. Box 88005 Contract Amount:$445,821.50 Moreno Valley,CA 92552 Start:05/2018 Contact: Henry Ngo,P.E., (951)413-3106 Complete: 11/2018 henrvn@moval.org City of Aliso Viejo Aliso Creek and Road Rehab 12 Journey Street Ste#100 Contract Amount:$657,770.00 Aliso Viejo,CA 92656 Start:05/2018 Contact: Mari Shakir,(949)425-2556 Complete:10/2018 Mshakir@cityofa lisovieio.com City of Jurupa Valley Van Buren Blvd.Pavement Rehab.-PH2 8304 Limonite Avenue Suite M Contract Amount:$781,845.00 Jurupa Valley,CA 92509 Start:08/2018 Contact:Chase Keys, (951)332-6464 Complete:09/2018 ckevs(a iurupavalley.ore City of Irwindale rcorr)is@irwindaleCA.gov 5050 N.Irwindale Avenue Irwindale 2017-2018 Resurfacing Project Irwindale,CA 91706 Contract Amount:$285,503.10 Contact: Richard Corpis,(626)430-2200 Start:07/2018 Complete:08/2018 "2018" PAST WORK REFERENCES County of Los Angeles Pine Canyon Road P.O.Box 7508 Contract Amount:$3,288,999.00 Alhambra,CA 91802 Start:06/2018 Contact:Hoda Hassan, (626)458-3144 Complete: 11/2018 HHASSAN@dpw.lacounty.gov City of Rolling Hills Estates 2017-18 Street Resurfacing Project 4045 Palos Verdes Drive Contract Amount:$1,203,292.50 Rolling Hills Estates,CA 90274 Start:03/2018 Contact:Scott Gibson(909)210-0548 Finish:09/2018 sgibson@hrgreen.com City of Huntington Beach Heil and Main Street 2000 Main Street Contract Amount:$2,285,562.00 Huntington Beach,CA 92648 Start:11/2017 Contact:Jim Escutia (714)536-5525 Finish:06/2018 iescutia@surfcity-hb.org City of Fontana Valley Blvd. Median Improvement Project 8353 Sierra Avenue Contract Amount:$164,715.00 Fontana,CA 92335 Start:03/2018 Contact:Jazmine Pena(909)350-6648 Finish:05/2018 ipena@fontana.org "2O1S"' PAST WORK REFERENCES City of Lake Forest Bake Parkway at Trabuco Road 25550 Commercentre Drive Contract Amount:$121,621.00 Lake Forest,CA 92630 Start:02/2018 Contact:Taylor Abernathy,(949)461-3490 Finish:06/2018 tabernathv@lakeforestca.gov City of La Quinta FY 16-17 Phase 2 Desert Club 74-495 Calle Tampico Contract amount:$697,474.76 La Quinta,CA 92253 Start date:06/2017 Contact:Ubaldo Ayon Jr.,(760)777-7051 Finish date 12/2017 Uayon@la-guinta.orP-, City of Canyon Lake Slurry Seal FY 2017-2018 Railroad Canyon/ 31516 Railroad Canyon Road Canyon Lake Drive Canyon Lake,CA 92587 Contract amount:$263,241.63 Contact: Kenneth Bailey, (951)244-2955 Start date:03/2018 kennethbailev@caaprofessionals.com Finish date: 12/2018 City of Newport Beach West Coast Highway Landscape Improvements, 100 Civic Center Drive Phase 1,Contract No.7189-1 Newport Beach,CA 92660 Contract amount:$604,284.50 Contact:Alfred Castanon, (949)644-3314 Start date:06/2018 Finish date: 11/2019 ACastanon@newportbeachca.aov "2a18" PAST WORK REFERENCES Town of Apple Val►ey Navajo Road Rehabilitation 14955 Dale Evans Parkway Contract amount:$849,182.00 Apple Valley,CA 92307 Start date:07/2017 Contact: Rich Berger,(760)240-7000 ext 7530 Finish date: 12/2017 rberger@applevalley.org City of Indian Wells Cook Street Rubberized Pavement Overlay 44-950 Eldorado Drive Contract amount:$599,599.59 Indian Wells,CA 92210 Start date:05/2018 Contact:Ken A.Seumalo, P.E., (760)346-2489, Finish date: 12/2018 kseumalo@lndianWells.com "2017" PAST WORK REFERENCES City of Rancho Cucamonga Base Line Rd. Pavement Rehab, 10500 Civic Center Drive Contract Amount: $1,130,470 Rancho Cucamonga, CA 91730 Start: 05/2017 Contact: Romeo David, (909)477-2740 Completed: 07/2017 Romeo.David@cityofrc.us City Of Temecula Margarita Road Pavement 41000 Main Street Rehab Temecula, CA 92590 Contract Amount: $2,577,770 Contact: William Becerra, (951)694-6444 Start: 05/2017 Will.becerra@temecula.gov Completed: 11/2017 Town Of Apple Valley Navajo Road Rehabilitation 14955 Dale Evans Pkwy Contract Amount: $849,182 Apple Valley, CA 92307 Start: 08/2017 Contact: Rich Berger, (760)240-7000 Completed: 11/2017 rberger@applevalley.org City Of Victorville Water Warehouse #1 Paving 14343 Civic Dr. Project - Victorville, CA 92392 Contract Amount: $251,008 Contact: Carlos Seanez, (760)955-5162 Start Date: 04/2017 cseanez@victorvilleca.gov Completed: 06/2017 City Of Santee Citywide Slurry Seal & Roadway 10601 Magnolia Ave Building 4 Maintenance 2017 Santee, CA 92071 Contract Amount: $285,061.90 Contact: Toby M. Espinola, P.E., (619)258-4100 Start: 06/2017 tobvespinola@cityofsanteeca.gov Completed: 10/2017 City Of Yucaipa 2015-2016 Micro-Surfacing 34272 Yucaipa Blvd. Program Project No.11043 Yucaipa, CA 92399 Contract Amount: $252,379.06 Contact: John Larose, (909)797-2489 Start: 07/2017 ilarose@yucaipa.org Completed: 08/2017 City Of West Covina Residential Street Rehabilitation Eclipse Way& Jennifer PI SP 17038 West Covina, CA 91792 Contract Amount: $469,960.70 Contact: Hany Demitri, (626)939-8445 Start: 05/01/17 Hany.Demitri@westcovina.gov Completed: 06/09/2017 City Of Highland 2015-16 CDBG Streets Pavement McKinley Ave & 9tn St Improvements San Bernardino, CA 92410 Contract Amount: $823,389.68 Contact Name: Carlos Zamano, (909)864-8732 Start: 06/05/17 czamano@cityofhighland.org Completed: 10/13/17 County Of Riverside Gilman Springs 2950 Washington Street Contract Amount: $1,662,67120 Riverside, CA 92504 Start: 11/2016 Contact Name: Justin Robbins, (951)955-6885 Completed: 08/2017 JROBBINS@rctlma.org City Of Palm Springs Taxiway Rehabilitation 3400 E. Tahquitz Cyn Way Ste 1 Contract Amount: $291,482.99 Palm Springs, CA 92262 Start: 09/2017 Contact Name: Robert Denning, (541)324-7321 Completed: 10/2017 Robert.denning@aecom.com County Of Orange Pavement Maintenance and Repair P.O. Box 4048 Contract Amount: $3,115,000.00 Santa Ana, CA 27074 Start: 08/2016 Contact Name: Rick Cathay, (949)252-5171 Completed: 12/2017 RCathey@ocair.com City Of Anaheim Santa Ana Streets from Claudia to 200 S. Anaheim Blvd. Claudia Anaheim, CA 92805 Contract Amount: $589,270.00 Contact Name: Bob Palaeologus, (562)879-3602 Start: 06/2016 rpalaeologus@simplusmanagement.com Completed: 12/2017 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. Jim McGee Name of proposed Project Manager Telephone No. of proposed Project Manager: (951) 736-7600 Edinger Avenue &Atlanta Avenue Project#CC1565 $2,392,858.55 Pavement Rehabilitation 7/16/2019 Project Name & Contract Amount Type of Work Date Completed Santa Ana Canyon Road Rehab $534,553.00 Road Rehab 12/31/2019 Project Name& Contract Amount Type of Work Date Completed Citywide Overlay Street Improvements $1,131,621,00 Street Improvements 6/14/2020 Project Name& Contract Amount Type of Work Date Completed 2. Rick Selph Name of proposed Superintendent Telephone No. of proposed Superintendent: (951) 736-7600 Firestone Blvd Street Improvements $1,648,493.00 Street Improvements 7/18/2020 Project Name& Contract Amount Type of Work Date Completed Prima Deschecha Land Fill $886,663.25 Paving & Grinding 11/3/2019 Project Name & Contract Amount Type of Work Date Completed Bristol Street & Edinger Avenue Class II Bike Lanes $607,839.99 Street Improvements 12/26/2020 Project Name & Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July I through June 30 state fiscal year) with the California Department of Industrial Relations(DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. All American Asphalt Contractor By publicworks@allamericanasphalt.com Email Edward J. Carlson, Vice President Dater � Title PWC Registration#: 1000001051 C-12 Contractor Information Registration History Legal Entity Name Effective Date Expiration Date ALL AMERICAN ASPHALT Legal Entity Type 5/11/2018 6/30/2019 Corporation Status 5/8/2017 6/30/2018 Active Registration Number 5/2/2016 6/30/2017 1000001051 Registration effective date 6/9/2015 6/30/2016 7/1/2020 Registration expiration date 8/25/2014 6/30/2015 6/30/2023 Mailing Address 7/1/2019 6/30/2020 PO BOX 2229 CORONA 92878 CA United States... Physical Address 7/1/2020 6/30/2023 400 E SIXTH ST CORONA 92879 CA United State... Email Address Trade Name/DBA License Number(s) CSLB:267073 CSLB:267073 Legal Entity Information Corporation Number: 057879 Federal Employment Identification Number: President Name: MARK LUER Vice President Name: EDWARD 1 CARLSON Treasurer Name: MICHAEL FARKAS Secretary Name: MICHAEL FARKAS CEO Name: Agent of Service Name: MICHAEL FARKAS Agent of Service Mailing Address: 400 E SIXTH ST CORONA 92879 CA United States of America Workers Compensation Do you lease employees. No through Professional Employer Organization (PEO)?: Please provide your current workers compensation insurance information below: PEO PEO PEO PEO InformationName Phone Email Insured by Carrier Policy Holder Name:ALL AMERICAN ASPHALTInsurance Carrier: ZURICH AMERICAN INSURANCE COMPANYPolicy Number:WC593205701Inception date: 7/31/2019Expiration Date:8/30/2020 BIDDER'S CERTIFICATION* HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992, SECTION 3 TITLE 24, Code of Federal Regulations, Part 135* Economic Opportunities for Low and Very Low-Income Persons The bidder, under penalty of perjury,certifies that except as noted below, any person associated therewith in the capacity of owner, partner, director, officer,or manager(initial the applicable selections): Will ensure that 10%of all new hires as a result of this project shall meet all requirements of Section 3 of CFR Part 135 of the HUD Act of 1968; or Will hire no new employees in conjunction with this project. Will award 10%of its sub-contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub-contracts related to this project. Contractor: All American Asphalt Contact Person: Edward J. Carlson, Vice President Contact Phone: 951-736-7600 Signed: Date: 15 121 *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 135 and Subtitle A et al) and must be submitted by the bidders and proposed sub- contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act, as amended in 1992 (HUD). Previous non-compliance with Section 3 could result in disqualification. C-13 EXHIBIT A DISADVANTAGED BUSINESS ENTERPRISE(DBE) This Project is subject to Part 200.321, Title 2, Code of Federal Regulations entitled "Contracting with Small and Minority Businesses, Women's Business Enterprises, and Labor Surplus Area Firms." The Regulations in their entirety are incorporated herein by this reference. It is the policy of the City that disadvantaged business enterprises (DBEs), as defined in Part 200.321, Title 2 CFR, shall be encouraged to participate in the performance of Contracts financed in whole or in part with federal funds.The Contractor should ensure that DBEs,as defined in Part 200.321, Title 2 CFR, have the opportunity to participate in the performance of this Contract and shall take all necessary and reasonable steps,as set forth in Part 200.321,Title 2 CFR, for this assurance.The Contractor shall not discriminate on the basis of race,color,national origin, or sex in the award and performance of subcontracts. Failure to carry out the requirements of this paragraph shall constitute a breach of Contract and may result in termination of this Contract or other remedy the City may deem appropriate. Bidders shall be fully informed respecting the requirements of the Regulations and are urged to obtain DBE participation in this project, although there is no specific goal for DBE participation. C-14 EXHIBIT B DBE INFORMATION—GOOD FAITH EFFORTS Federal-aid Project No. Bid Opening Date November 18,2021 at 10:00 AM The City of Huntington Beach established a Disadvantaged Business Enterprise (DBE)goal of 0% for this Project.The information provided herein shows that a good faith effort was made. Lowest,second lowest and third lowest bidders shall submit the following information to document adequate good faith efforts. Bidders should submit the following information even if the "Local Agency Bidder DBE Commitment" form indicates that the bidder has met the DBE goal. This will protect the bidder's eligibility for award of the contract if the administering agency determines that the bidder failed to meet the goal for various reasons, e.g., a DBE firm was not certified at bid opening,or the bidder made a mathematical error. Submittal of only the "Local Agency Bidder DBE Commitment" form may not provide sufficient documentation to demonstrate that adequate good faith efforts were made. The following items are listed in the Section entitled "Submission of DBE Commitment" of the Special Provisions: A. The names and dates of each publication in which a request for DBE participation for this project was placed by the bidder (please attach copies of advertisements or proofs of publication): Publications Dates of Advertisement 1-55,6,'t c^fa c.5, (o w` f t/5'/ 2.7 r B. The names and dates of written notices sent to certified DBEs soliciting bids for this Project and the dates and methods used for following up initial solicitations to determine with certainty whether the DBEs were interested(please attach copies of solicitations,telephone records,fax confirmations, etc.): Names of DBEs Solicited Date of Initial Follow Up Methods Solicitation and Dates i 2 1 "_1< 111r} 2 ( I / 4- - Sty,Vt(/�✓i� � ( !S! Z ( �7L+ e �r +0 21 Ac 6tV�` �`)+CG �T �H �l /S/ 2 i P 4,— t /r-flz 1 CW crtzte CV-S ,ryf `,V, � { �S! L { PkI-A ' r-f/2 ! IS12 t { `"{ tr /r '4/2 r C-15 C. The items of work which the bidder made available to DBE firms including, where appropriate,any breaking down of the contract work items(including those items normally performed by the bidder with its own forces) into economically feasible units to facilitate DBE participation. It is the bidder's responsibility to demonstrate that sufficient work to facilitate DBE participation was made available to DBE firms. Items of Work Bidder Normally Breakdown of Amount Percentage Performs Item Items M of (Y/N) Contract st){y< A) VAR $57,600 3.2% D. The names, addresses and phone numbers of rejected DBE firms, the reasons for the bidder's rejection of the DBEs, the firms selected for that work (please attach copies of quotes from the firms involved), and the price difference for each DBE if the selected firm is not a DBE: Names, addresses and phone numbers of rejected DBEs and the reasons for the bidder's rejection of the DBEs: Did not received any hid-, form DBE -,uh-, Names, addresses and phone numbers of firms selected for the work above: Case Land Surveying, Inc. 614 N. Eckhoff Street, Orange, CA 92868 714-628-8948 E. Efforts made to assist interested DBEs in obtaining bonding, lines of credit or insurance, and any technical assistance or information related to the plans, specifications and requirements for the work which was provided to DBEs: All American Asphalt makes every effort possible to help our disadvantaged subcontractors C-16 F. Efforts made to assist interested DBEs in obtaining necessary equipment, supplies, materials or related assistance or services, excluding supplies and equipment the DBE subcontractor purchases or leases from the prime contractor or its affiliate: All American Asphalt advertises all DBE opportunties and potential DBE subcontractors to come in and view the plans & specs in our office or we can send the digitally. G. The names of agencies, organizations or groups contacted to provide assistance in contacting, recruiting and using DBE firms (please attach copies of requests to agencies and any responses received, i.e., lists, Internet page download, etc.): Name of Agency/Organization Method/Date of Contact Results Classifiedads.com 11/5/2021 Post Ad Californiabids.com 11/5/2021 Post Ad H. Any additional data to support a demonstration of good faith efforts (use additional sheets if necessary): **SEE ATTACHED GOOD FAITH** NOTE: USE ADDITIONAL SHEETS OF PAPER IF NECESSARY. C-17 IF A SOLE OWNER OR SOLE CONTRACTOR SIGN HERE: (1) Name under which business is conducted (2) Signature(given and surname) of proprietor (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail IF A PARTNERSHIP SIGN HERE: (1) Name under which business is conducted (2) Signature (given and surname and character of partner) ( te: Signature must be made by a general partner) (3) Place of Business (Street and Nu er) City and State (4) Zip Code Telephone No. (5) E-Mail C-is IF A CORPORATION, SIGN HERE: (1) Name under which business is conducted All American Asphalt (2) (Signature) Edward J. Carlson, Vice President (Title) Impress Corporate Seal here (3) Incorporated under the laws of the State of California (4) Place of Business 400 East Sixth Street (Street and Number) City and State Corona, CA (5) Zip Code 92879 Telephone No. 951-736-7600 (6) E-Mail publicworks@allamericanasphalt.com NOTARIAL ACKNOWLEDGMENT OF EXECUTION BY ALL SIGNATORIES MUST BE ATTACHED C-19 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached.and not the truthfulness.accuracy.or validity of that document. State of California County of Riverside on November 15, 2021 before me, Sarah Amanda Langley. Notary Public Date Here Insert name and Title of the Officer personally appeared Edward J. Carlson Name(*of Signer(v} who proved to me on the basis of satisfactory evidence to be the _ _ _ _ _ person(s) whose name(s) is/a;e subscribed to the within instrument SARAH AAWNDA LANGLEY and acknowledged to me that he/she" executed the same in Notary Public-Californiahis/he4the# authorized capacity(ies), and that by his/taefAheiF r Riverside County signature(s)on the instrument the person(s), or the entity upon behalf Commission.#2337877 of which the person(s)acted,executed the instrument. sc•"'" My Comm.Expires Nov 20.2424 I certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct. WITNESS hand and official seal. Signature( ;I e lwacgi""t--I/ Place Notary Seat Above Signature of Notary Public OPTIONAL Though the information below is not required by law,it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Exhibit B-DBE Info Good Faith Document Date: 11/15/2021 Number of Pages: 5 Signer(&)Other Than Named Above: Capacity(ies)Claimed by Signer(*) Signer's Name: Edward J.Carlson Signer's Name: N/A ❑Individual o Individual X Corporate Officer—Title(s): Vice President o Corporate Officer—Title(s): N/A o Partner ❑Limited o General o Partner:: o Limited o General o Attorney in Fact o Attorney in Fact RIGHTOF SIGNER a Trustee Top of thumb here ❑Trustee Top of thumb here o Other: ❑Other: NIA Signer is Representing: Signer is Representing: All American Asphalt 'tLL '�,� L vit IC._:gq J AN A`�1'l I,ALLI ALL ANAhRIC.�'iN 1lG 1' E�i..t 'iTES ALL A-MERICA .'+ ASPHALT CORPORATE RESOLUTION Resolved, that this Corporation, All American Asphalt, on January 7, 2021 authorizes Edward J. Carlson to execute bid proposals, contracts and agreements on behalf of the company in the capacity of Vice President. Mich.aei Farkas Secretary List below names of president,vice president,secretary and assistant secretary, if a corporation; if a partnership, list names of all general partners and managing partners: Edward J. Carlson Vice President Michael Farkas Secretary Mark Luer President C-20 EXHIBIT C LOCAL AGENCY BIDDER DBE COMMITMENT (CONSTRUCTION CONTRACTS) NOTE: PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM LOCALAGENCY: City of Huntington Beach LOCATION: Various Locations PROJECT DESCRIPTION: Zone 5 Curb Ramp Installation TOTAL CONTRACT AMOUNT:$ 1,899,162.00 BID DATE: 11/18/2021 at 10:OOAM BIDDERS NAME: All American Asphalt 0 CONTRACT DBE GOAL: 0 0 CONTRACT ITEM OF WORK AND DESCRIPTION DBECERT NO. NAME OF EACH DBE DOLLAR AMOUNT ITEM NO. OR SERVICES TO BEAN D EXPIRATION (Must be certified on the date bids DBE SUBCONTRACTED OR MATERIALS DATE are opened-include DBE address O BE PROVIDED(or contracted if the and phone number) bidder is a DBE) **No DBE Subs ** For Local Agency to Complete: Total Claimed DBE 0 Local Agency Contract Number: Participation Federal-aid Project Number: 0 % Federal Share: Contract Award Date: Local Agency certifies that all DBE certifications have been verified and information is complete and accurate ✓�^ ' Sig1 ture of ji d r 951-736-7600 Date (Area Code)Tel.No. Print Name Signature Date Edward J. Carlson, Vice President Local Agency Representative Person to Contact (Please Type or Print) (Area Code)Telephone Number: Local Agency Bidder DBE Conuniuucnt(Construction Contracts) (Rev 6/26/09) C-21 PLEASE NOTE: This information may be submitted with your bid.If it is not,and you are the apparent low bidder or the second or third low bidder,it must be submitted and received as specified in the Special Provisions. Failure to submit the required DBE commitment will be grounds for finding the bid nonresponsive The form requires specific information regarding the construction contract: Local Agency, Location, Project Description, Total Contract Amount, Bid Date, Bidder's Name, and Contract DBE Goal. The form has a column for the Contract Item Number and Item of Work and Description or Services to be Subcontracted or Materials to be provided by DBEs.Prime contractors shall indicate all work to be performed by DBEs including, if the prime is a DBE, work performed by its own forces, if a DBE. The DBE shall provide a certification number to the Contractor and expiration date.Enter the DBE prime's and subcontractors' certification numbers.The form has a column for the Names of DBE contractors to perform the work (who must be certified on the date bids are opened and include the DBE address and phone number). IMPORTANT: Identify all DBE firms participating in the project regardless of tier.Names of the First-Tier DBE Subcontractors and their respective item(s) of work listed should be consistent, where applicable,with the names and items of work in the"List of Subcontractors"submitted with your bid. There is a column for the DBE participation dollar amount. Enter the Total Claimed DBE Participation dollars and percentage amount of items of work submitted with your bid pursuant to the Special Provisions. (If 100%of item is not to be performed or furnished by the DBE,describe exact portion of time to be performed or furnished by the DBE.) See Section "Disadvantaged Business Enterprise(DBE),"of the Special Provisions(construction contracts),to determine how to count the participation of DBE firms. Exhibit 15-G must be signed and dated by the person bidding. Also list a phone number in the space provided and print the name of the person to contact. Local agencies should complete the Local Agency Contract Award,Federal-aid Project Number, Federal Share,Contract Award Date fields and verify that all information is complete and accurate before signing and filing. G-22 EXHIBIT D EQUAL EMPLOYMENT OPPORTUNITY CERTII+ICATION The bidder All American Asphalt , [proposed subcontractor J hereby certifies that he/she/it has X , has not , participated in a previous contract or subcontract subject to the Equal Opportunity clauses„as required by Executive Orders 10925, 11114, or 11246,and that,where required, he/she/it has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of$10,000 or under are exempt.) Currently, Standard Form 100(EEO-1) is the only report required by the Executive Orders or their implementing regulations. (eeoc.gov/employers/eeotsurvey/index.cfm) Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Signature: Date: i` 1 15Vz t Print Name: Edward J. Carlson Title: Vice President C-23 ALL AMERICAN ASPHALT ��' ALL AMERICAN AGGREGATES .g 1'451 "a-,7ti00 1 `151 70•l 7 l ALLAMERICAN r'4 fit>% 2_.x„ �.ORONA ��,, , , ti it,IIC I.4�1 '=?[+7073.C.17 ASPHALT io,L1 orruu:Iu: nm r :rl4.;tl: EEO--AFFIRMATIVE ACTION-PROGRAM-BASIC POLICY TO ALL AMERICAN ASPHALT PERSONNEL IT IS THE STATED POLICY OF ALL AMERICAN ASPHALT THAT ALL EMPLOYEES AND APPLICANTS SHALL RECEIVE EQUAL CONSIDERATION AND TREATMENT. ALL RECRUITMENT, HIRING,PLACEMENT,TRANSFER AND PROMOTIONS WILL BE ON THE BASIS OF QUALIFICATIONS OF THE INDIVIDUAL FOR THE POSITION BEING FILLED WITHOUT REGARD TO RACE,RELIGION, COLOR, NATIONAL ORIGIN,AGE,SEX OR PHYSICAL HANDICAP, ALL OTHER PERSONNEL ACTIONS,SUCH AS COMPENSATION,BENEFITS, LAYOFFS,RETURN FROM-LAYOFF,TERMINATION'S,TRAINING AND SOCIAL AND RECREATIONAL PROGRAMS ARE ADMINISTERED WITHOUT REGARD TO RACE,RELIGION, COLOR, NATIONAL ORIGIN,AGE, SEX,SEXUAL ORIENTATION, MARITAL STATUS, NATIONAL ORIGIN,ANCESTRY, DISABILITY (MENTAL AND PHYSICAL,INCLUDING HIV AND AIDS), MEDICAL CONDITION (CANCER AND GENETIC CHARACTERISTICS),AND/OR AGE(40 AND OVER). EQUAL OPPORTUNITY IS A CONTINUING EFFORT AND REQUIRES THE FULL SUPPORT OF ALL OF US TO ENSURE THE DEVELOPMENT OF OUR MINORITY AND FEMALE EMPLOYEES, EACH PCJSSIBILITY TO HIRE OR PROMOTE SHOULD BE VIEWED AS AN OPPORTUNITY TOWARD OUR GOAL OF A FULLER UTILIZATION OF OUR MINORITY AND FEMALE EMPLOYEES. EACH MANAGER WILL COMMUNICATE TO EMPLOYEES THAT OUR COMMITMENT TO AN AFFIRMATIVE ACTION PROGRAM IS REAL,IS SUPPORTED BY OUR COMPANY,AND HAS A HIGH PRIORITY.WE ENCOURAGE ALL OF OUR EMPLYEES TO PARTICIPATE IN THIS EFFORT BY ENCOURAGING MINORITIES AND FEMALES TO APPLY FOR EMPLOYMENT AND TO SEEK PROMOTIONS FOR ASSISTANCE IN THE EQUAL OPPORTUNITY PROGRAM,MANAGERS AND EMPLOYEES SHOULD CONTACT MARK LUER, EEO COORDINATOR HE HAS THE SPECIFIC RESPONSIBILITIES TO MONITOR AND ASSESS THE PROGRESS FOR OUR EQUAL EMPLOYMENT OPPORTUNITY AND AFFIRMATIVE ACTION PROGRAMS. MARK LUER President February 13, 2015 TELEPHONE. 951-736.7600 •FAX 951.739-4671 EXHIBIT E NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) Zone 5 Curb Ramp Installation To the City of Huntington Beach In conformance with Title 23 United States Code Section 112 and California Public Contract Code 7106 the bidder declares that the bid is not made in the interest of,or on 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 of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of 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, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Noncollusion Affidavit is part of the Bidder's Proposal. By signing the Proposal, the Bidder has also signed this Noncollusion Affidavit. Bidders are cautioned that making a false Certification may subject the Bidder to criminal prosecution. Signature: _ r!�—.�` ..G---" Date: Print Name: Edward J. Carlson Title: Vice President C-24 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached_and not the truthfulness.accuracy.or validity of that document. State of California County of Riverside On November 15, 2021 before me, Sarah Amanda Langley,Notary Public Date Here Inert name and Title of the Officer personally appeared Edward J. Carlson Name(,ftof Signer(,*} 7 who proved to me on the basis of satisfactory evidence to be the person(&) whose name(s) is/a% subscribed to the within instrument and acknowledged to me that he/sheAhey executed the same in SARANAMANDALANGLEY r his/he4their authorized capacity(ies), and that by his/4egthe* Notary Public•California • signature(s)on the instrument the person(s), or the entity upon behalf Riverside County of which the person(s)acted,executed the instrument. ; Commission a 2337877 My Comm.Expires.Nov 20 J2024 1 certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct. WITNESS hand and icial seal. ' %I A Signature Place Notary Seal Above Signature of otary Public OPTIONAL Though the information below is not required by law,it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Exhibit E-Noncollusion Affidavit Document Date: 11/15/2021 Number of Pages: 1 Signer(s)Other Than Named Above: Capaaity(ies)Claimed by Signer(e) Signer's Name: Edward J. Carlson Signers Name: N/A ❑Individual ❑Individual X Corporate Officer—Title(s): Vice President c Corporate Officer—Title(s): N/A ❑Partner u ❑Limited❑General _ ❑Partner c Limited❑General RIGHT TH,-MOPRINT •Attorney in Fact ❑Attorney in Fact OF SIGNER Top of thumb here Top of-thumb here ❑Trustee ❑Trustee ❑Other: o Other: NIA Signer is Representing: Signer is Representing: All American Asphalt NIA EXHIBIT F DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 The Bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated with Bidder in the capacity of owner, partner, director, officer, manager: • is not currently under suspension, debarment,voluntary exclusion, or determination of ineligibility by any Federal agency: • has not been suspended, debarred, voluntarily excluded or determined ineligible by any Federal agency within the past 3 years; • does not have a proposed debarment pending; and • has not been indicted, convicted, or had a civil judgment rendered against him/her by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility. For any exception noted above,indicate below to whom it applies, initiating agency, and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. Signature: lis Date: Print Name: Edward J. Carlson Title: Vice President C-25 EXHIBIT G NONLOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal,to the best of his or her knowledge and belief,that: 1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract,the making of any Federal grant,the making of any Federal loan,the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment,or modification of any Federal contract,grant,loan,or cooperative agreement. 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities, in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into.Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than$100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed$100,000 and that all such subrecipients shall certify and disclose accordingly. Signature: Date: ` ' 2 Print Name: Edward J. Carlson Title: Vice President C-26 EXHIBIT H DISCLOSURE OF LOBBYING ACTIVITIES COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352 I. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: a.contract Fla.bid/offer/application Fla.initial b.grant b.initial award b.material change c.cooperative agreement c.post-ay.,ard d.loan For Material Change Only: e.loan guarantee year quarter f.loan insurance date of last report 4. Name and Address of Reporting Entity 5. If Reporting Entity in No.4 is Subawar e, Enter Name and Address of Prime: Prime 11 Subawardee Tier if known Congressional District,if known Congressional District, nown 6. Federal Department/Agency: 7. Federal Program me/Description: CFDA Numb ,if applicable 8. Federal Action Number,if known: 9. Award oust;if known: 10. a.Name and Address of Lobby Entity b. dividuals Performing Services (including (If individual,last name,first name,MI) address if different from No.IQa) (last name,first name,MI) (attach Continu �heet(s)if necessary) 11. Amount of Payment(check ail that apply) 13. Type of Payment(check all that apply) S Actual armed a.retainer b.one-time fee 12. Form of Payment(check all that appl c.commission Ha.cash — d.contingent fee b.in-kind; specify: natur a deferred value f.other,specify 14. Brief Description of Servi s Performed or to be performed and Date(s)of Service,including officer(s),employee(s), member(s)contacted,for Payment Indicated in Item 11: (attach Continuation Sheet(s)if necessary) 15. Continuation S et(s)attached: Yes No 16. Information re ested through this form is authorized by Title 31 U.S.C.S tion 1352,This disclosure of lobbying reliance Signature: was placed y the tier above when his transaction was made or entered i o.This disclosure is required pursuant to 31 U.S.C. Print Name. 1352. is information will be reported to Congress semia ually and will be available for public inspection.Any Title: pers who fails to file the required disclosure shall be subject to civil penalty of not less than$10,000 and not more than Telephone No.. Date: 00,000 for each such failure. Authorized for Local Reproduction F eral Use Only: Standard Form-LLL Standard Form LLL Rev.09-12-97 C-27 INSTRUCTIONS FOR COMPLETION OF EXHIBIT H, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity,whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1) Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence,the outcome of a covered Federal action. 2) Identify the status of the covered Federal action. 3) Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4) Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee,e.g.,the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5) If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address,city,state and zip code of the prime Federal recipient.Include Congressional District, if known. 6) Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7) Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8) Enter the most appropriate Federal identifying number available for the Federal action identification in item I (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-00 L" 9) For a covered Federal action where there has been an award or loan commitment by the Federal agency,enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10)(a)Enter the full name, address,city, state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include frill address if different from 10(a). Enter Last Name, First Name and Middle Initial (MI). 11)Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4)to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report,enter the cumulative amount of payment made or planned to be made. C-28 12)Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment.. 13)Check the appropriate box(es). Check all boxes that apply. If other, specify nature. 14)Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15)Check whether or not a continuation sheet(s) is attached. 16)The certifying official shall sign and date the form,print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction,searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project(0348-0046), Washington, D.C. 20503. By my signature on this proposal I certify, under penalty of perjury under the laws of the State of California, that the foregoing questionnaire and statements of Public Contract Code Sections 10162, 10232 and 10285.1 are true and correct and that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission Regulations (Chapter 5,Title 2 of the California Administrative Code). C-29 EXHIBIT I FEDERAL LOBBYING RESTRICTIONS Section 1352, Title 31, United States Code prohibits Federal funds from being expended by the recipient or any lower tier subrecipient of a Federal-aid contract to pay for any person for influencing or attempting to influence a Federal agency or Congress in connection with the awarding of any Federal-aid contract,the making of any Federal grant or loan,or the entering into of any cooperative agreement. If any funds other than Federal funds have been paid for the same purposes in connection with this Federal-aid contract,the recipient shall submit an executed certification and, if required, submit a completed disclosure form as part of the bid documents. A certification for Federal-aid contracts regarding payment of funds to lobby Congress or a Federal agency is included in the Proposal. Standard Form - LLL, "Disclosure of Lobbying Activities," with instructions for completion of the Standard Form is also included in the Proposal. Signing the Proposal shall constitute signature of the Certification. The above referenced certification and disclosure of lobbying activities shall be included in each subcontract and any lower-tier contracts exceeding $100,000. All disclosure forms, but not certifications, shall be forwarded from tier to tier until received by the Engineer. The Contractor, subcontractors and any lower-tier contractors shall file a disclosure form at the end of each calendar quarter in which there occurs any event that requires disclosure or that materially affects the accuracy of the information contained in any disclosure form previously filed by the Contractor, subcontractors and any lower-tier contractors. An event that materially affects the accuracy of the information reported includes: 1) A cumulative increase if$25,000 or more in the amount paid or expected to be paid for influencing or attempting to influence a covered Federal action; or 2) A change in the person(s)or individual(s) influencing or attempting to influence a covered Federal action;or 3) A change in the officer(s), employees(s), or Member(s) contacted to influence or attempt to influence a covered Federal Action. C 30 K V Fidelity and Deposit Company of Maryland BID BOND KNOW ALL MEN BY THESE PRESENTS; That we, ALL AMERICAN ASPHALT BOND NO. 085 97 423 as Principal,(hereinafter called the"Principal'),and FIDELITY AND DEPOSIT CO,\VANY OF MARYLAND ,a corporation duly organized under the laws of the State of Illinois ,as Surety,(hereinafter called the"Surety"),arc held and firmly bound unto City of Huntington Beach as Obligee,(hereinafter called the"Obligee'%in the sum of Ten Percent of Total Amount Bid----- Dollars($ 10%of Bid ),for the payment of which sum well and truly to be made,the said Principal and the said Surety,bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. WHEREAS,the Principal has submitted a bid for ZONE 5 CURB RAMP INSTALLATION-1637 Bid Date: November 18, 2021 NOW,THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a contract with the Obligee in accordance with the terms of such bid and give such bond or bonds as may be specified in the bidding or contract documents with good and sufficient surety for the faithful perfonnance of such contract and for the prompt payment of labor and material famished in the prosecution thereof,or in the event of the failure of the Principal to enter into such contract and give such bond or bonds,if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect. Signed and sealed this 5th day of November A.D., 2021 ALL AMERIC:AN ASPHALT Princ)fai Witness �--�_. (SEAL) ffdw4rot � CC,/ ✓��- FIDELITY AND DEPOSIT COMPANY OF MARYLAND Surety By1'Jt.CCtfL.�p..O�fF�K _.iSEAI.) Rebecca Haas-Bates At %rney-In-Fact BID7000OZZ0701f CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of Califomia ) County of Orange ) On 11/01"2021 before me, Liliana Gomcz,Notary Public Date Here Insert Name and Title of the Officer personally appeared Rebecca Haas-Bates NameN,of Signer?* who proved to me on the basis of satisfactory evidence to be the person* whose name( is/fie subscribed to the within instrument and acknowledged to me that fWjshe/ 1Sy executed the same in Pis/her/thsir authorized capacity(ieie4- ,and that by hWher/their signature�*on the instrument the person(a),, or the entity upon behalf of which the personN 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. uuANAcoMEz WITNESS my hand and official seal. 7D'-- Notary Public Cai;io (f-d, Orange County Commission 22"3326 My Comm.Expires May 20,2Q2Z~ Signature . Signature of Notary Pu Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Bid Bond Document Date: 11r05!'2021 Number of Pages: One t Signer's) Other Than Named Above: All A,nerican Asphalt Capacity(fes)Claimed by Signer(s) Signer's Name: Rebecca Haas-Bates Signer's Name: ❑Corporate Officer — Title(s): 0 Corporate Officer — Title(s): ❑Partner — O Limited �J General O Partner — n Limited 0 General CJ Individual [OAttomey in Fact 0 Individual Q Attorney to Fact 0 Trustee ❑Guardian or Conservator O Trustee 0 Guardian or Conservator G Other: O Other: Signer Is Representing: _ Signer Is Representing: Fidelity and Dcposit Company of Maryland 02014 National Notary Association •www.NationalNotary.org,• 1-800-US NOTARY(1-800-876-6827) Item#5907 t EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V,Section 8,Attontevs-in-Fact, The Chief Executive Officer,the President,or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies, recogninnces,stipulations, undertakings, or other like instruments on behalf of the Company,and may authorize any officer or any such attomey-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE 1, the undersigned, Secretary of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AME•RICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the loregoing Power of Attorney is still in Full force and effect on the date or this certificate:and I do further certify that Article V,Section 8,of the By- Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile undcr and by authority of the following resolution of the Board of Directors of the'ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsinile on any Power of Attorney...Any such Powcr or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and')y authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994,and the following resolution of the Board of Directors of the FIDrLI"IY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President,Secretary,or Assistant Secretary of the Company, whether made heretofore or hereafter,wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 5th day of November 2021 0 ,Oz Ab 9".21 W% tone By: Brian M.Hodges Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND,PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND,THE BOND NUMBER,AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg,IL 60 1 96-1 056 www.rct)ortsfclaimS((JZurit:hna.com 800-626-4577 T ' ZURICH AMERICAN INSURANCF;COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New York,the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois,and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D.Murray,Vice President,in pursuance ofauthority granted by Article V,Section 9,ofthe By-Laws ofsaid Companies,which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof,do hereby nominate,constitute, and appoint William SYRKIN, Rebecca HAAS-BATES, Sergio D. BECHARA and Richard ADAIR, all of Irvine, California,EACH,its true and lawful agent and Attorney-in-Fact,to make,execute,seat and deliver,for,and on its behalf as surety,and as its act and deed: any and all bonds and undertakings,and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies,as fully and amply,to all interns and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York,New York.,the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills,Maryland.,and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland.,in their own proper persons. The said Vice President floes hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V,Section 8,of the By-Laws ofsaid Companies,and is now in force. iN WITNESS WHEREOF,the said Vice-President has hereunto subscribed hi%Aer naives and affixed the Corporate Seats of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this I i th day of June,A.D.211I9. •,. Grey Js 9t70+�� ATTEST: ZURICH A-MERICAN INSURANCE COMPANY COLONIAL ANIEi21CAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND BY: Robert D.Xht rraY —�— Vice President �..1�)ce•c.rt` .�, `ti,t;.t�:tom_ .. BY: Down E.Brown Secretelly State of Maryland County of Baltimore On this 1 tth day of June, A.D. 2019, before the subscriber,a Notary Public of the State of Maryland,duly corwnissioned and qualifi d•Robert D. Murray,Vice President and Dawn E.Brown,Secretary ol•the Companioc,to me personally known to be the individuals and oilicers described in and who executed the preceding instrument,and acknowledged the execution of same,and being by me duly sworn,deposcth and saint,that he sic is the said officer or the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and die siematurc as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WZIEREOF,i have hereunto set my hand and ofFmod my Official Seul the day(aand year first above written. �>s`•; Constance A.Dunn,Notary Public tt;;;;;••tI:> My Commission Expires:July 9,2023 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 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.norl not the trnthrniness.accuracv.or validity of thal document. State of California County of Riverside On November 8, 2021 before me, Sarah Amanda Langley,Notary Public Date Here Insert name and Tille of the Qtficer personally appeared Edward J. Carlson Namet*ot Signor(et n who proved to me on the basis of satisfactory evidence to be the person(s) whose name(&) is/afe subscribed to the within instrument r 4 SARAN AMANDA LANGLEY and acknowledged to me that he/&4e4hey executed the same in Notary Public-California his/hedtheia authorized capacity(ie&), and that by his/herdheir _ Riverside County signature(s)on the instrument the person(s), or the entity upon behalf Commission#2337877 of which the person(s)acted,executed the instrument. My Comm.Expires Nov 20,2024 I certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct. WITNESS hand a 4l �7 lak-�ind official seal. f Siguatll Place Notary Seal Above Signature of Notary Public dol OPTIONAL Though the information below is not required by law,it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Bid Bond Document Date: 11/05/2021 Number of Pages: 3 Signer(s)Other Than Named Above: Rebecca Haas Bates-Attorney In Fact Capacity(tes)Claimed by Signer(e) Signer's Name: Edward J. Carlson Signer's Name: NIA o Individual n Individual X Corporate Officer—Title(s): Vice President o Corporate Officer—Title(s): N/A o Partner f; o Limited o General o Partner'i n Limited n General u Attorney in Fact ❑Attorney in Fact u Trustee Top of thumb here Top of thumb here o Trustee o Other: o Other: NIA Signer is Representing: Signer is Representing: All American Asphalt November 10,2021 Dear Customer, The following is the proof-of-delivery for tracking number: 775157869530 Delivery Information: Status: Delivered Delivered To: Mailroom Signed for by: B.BRITTANY Delivery Location: 2000 MAIN ST Service type: FedEx Priority Overnight Special Handling: Deliver Weekday HUNTINGTON BEACH,CA,92648 Delvery date: Nov 10,2021 11:34 Shipping Information: Tracking number. 775157869530 Ship Date: Nov 9,2021 Weight: 0.5 LB/0.23 KG Recipient Shipper. City of Huntington Beach, Aaron Freire,All American Asphalt 2000 Main Street 400 East Sixth Street HUNTINGTON BEACH,CA,US,92648 Corona,CA,US,92879 Reference Bid Bond for CC No,1637 X MOM s s a ME` fed,"Thank you for choosing FedEx 11/10/21,2:19 PM Detailed Tracking Fe&x.,: TRACK ANOTHER SHIPMENT 775157869530 O ADD NICKNAME Delivered Wednesday, 11/10/2021 at 11:34 am r DELIVERED Signed for by B.BRITTANY � ry GET STATUS UPDATES OBTAIN PROOF OF DELIVERY FROM TO All American Asphalt City of Huntington Beach Aaron Freire 2000 Main Street 400 East Sixth Street HUNTINGTON BEACH,CA US 92648 Corona,CA US 92879 000-000-0000 951-736-7600 MANAGE DELIVERY Travel History TIME ZONE Local Scan Time U Wednesday,November 10, 2021 11:34 AM HUNTINGTON BEACH,CA Delivered 8:45 AM COSTA MESA,CA On FedEx vehicle for delivery 7:44 AM COSTA MESA,CA At local FedEx facility 312 AM LOS ANGELES,CA At destination sort facility 2:14 AM OAKLAND,CA Departed FedEx hub hftps://www.fedex.com/fedextrack/?trknbr-77 5 1 57869530&trkqual=2459528000-775157869530—FX 112 11/10121,2:19 PM Detailed Tracking Tuesday,November 9,2021 10:57 PM OAKLAND,CA Arrived at FedEx hub 8:12 PM ONTARIO,CA Left FedEx origin facility 3:20 PM ONTARIO,CA Picked up 9:50 AM Shipment information sent to FedEx Expand History Shipment Facts TRACKING NUMBER SERVICE WEIGHT 775157869530 FedEx Priority Overnight 0.5 Ibs/0.23 kgs DELIVERY ATTEMPTS DELIVERED TO TOTAL PIECES 1 Mailroom 1 TOTAL SHIPMENT WEIGHT TERMS SHIPPER REFERENCE 0.5 Ibs/0.23 kgs Shipper Bid Bond for CC No,1637 PACKAGING SPECIAL HANDLING SECTION SHIP DATE FedEx Envelope Deliver Weekday 11/9/21 STANDARD TRANSIT ACTUAL DELIVERY 11/10121 before 11:30 am(2) 11/10/21 at 11:34 am hftps://www.fedex.com/fedextrack/?trknbr=775157869530&trkqual=2459528000--775157869530-FX 2/2 11/9/21,7:51 AM FedEx Ship Manager-Print Your Label(s) 0 CO 8?q:0 6 - -a ;� M�22 -4 VO w5M6 g M A 0 4-0 �W54 > -A CDN G) U)<o C= 00 Z --i Z --I ai ;U ITI ITI Z > M CO Z 5 C 0 CO> a) Z IT! > 0 ;0 0 M to >0= Z ;0 M Z 0),0 0 (0-m TE Z 0 Z rnZr-mo < M i CD QD X C) Z CI) � � rn >00 > 56D,2I9A7EFE4A After printing this label: 1.Use the'Print'button on this page to print your label to your laser or inkjet printer. 2.Fold the printed page along the horizontal line. 3.Place label in shipping pouch and affix it to your shipment so that the barcode portion of the label can be read and scanned. Warning:Use only the printed original label for shipping.Using a photocopy of this label for shipping purposes is fraudulent and could result in additional billing charges,along with the cancellation of your FedEx account number. Use of this system constitutes your agreement to the service conditions in the current FedEx Service Guide,available on fedex.com.FedEx will not be responsible for any claim in excess of$100 per package,whether the result of loss,damage,delay,non-deliverymisdelivery,or misinformation, unless you declare a higher value,pay an additional charge,document your actual loss and file a timely claim.Limitations found in the current FedEx Service Guide apply.Your right to recover from FedEx for any loss,including intrinsic value of the package,loss of sales,income interest,profit, attorney's fees,costs,and other forms of damage whether direct,incidental,conseq uentia 1,or special is limited to the greater of$100 or the authorized declared value.Recovery cannot exceed actual documented loss.Maximum for items of extraordinary value is$1,000,e.g.jewelry, precious metals,negotiable instruments and other items listed in our ServiceGuide.Written claims must be filed within strict time limits,see current FedEx Service Guide. hftps.1/www.fedex.conVshipping/shipAction.handle?method=doContinue 112 11/9121,7:51 AM FedEx Ship Manager-Print Your Label(s) Shipment Receipt Address Information Ship to: Ship from: City of Huntington Beach Aaron Freire All American Asphalt 2000 Main Street 400 East Sixth Street HUNTINGTON BEACH, Corona, CA CA 92648 92879 US US 0000000000 9517367600 Shipment Information: Tracking no.: 77515786953.0 Ship date: 11/09/2021 Estimated shipping charges: 14.81 USD Package Information Pricing option: FedEx Standard Rate Service type: Priority Overnight Package type: FedEx Envelope Number of packages: 1 Total weight: 1 LBS Declared Value: 0.00 USD Special Services: Pickup/Drop-off:Use an already scheduled pickup at my location Billing Information: Bill transportation to:ALL AMERICAN ASPHALT 429 Your reference: Bid Bond for CC No, 1637 P.O.no.. Invoice no.: Department no.: Thank you for shipping online with FedEx ShipManager at fedex.com. Please Note FedEx will not be responsible for any Claim in excess of$100 per package,whether the result of loss,.damage,delay,non-delivery,misdelivery,or misinformation,unless you declare a higher value, pay an additional charge,document your actual loss and file a.timely claim.Limitations found in the current FedEx.Service Guide apply.Your right to recover from FedEx for any loss,including intrinsic value of the package,loss of sales,income interest,profit,attorney's fees,costs,and other forms of damage whether direct,incidental,consequential,or special is limited to the greater of 5100 or the authorized declared value.Recovery cannot exceed actual documented loss.Maximum for items of extraordinary value is$1000,e.g.,jewelry,precious metals,negotiable instruments and other items listed in our Service Guide.Written claims must be filed within strict time limits;Consult the applicable FedEx Service Guide for details. The estimated shipping charge may be different than the actual charges for your shipment.Differences may occur based on actual weight,dimensions,and other factors.Consult the applicable FedEx Service Guide or the FedEx Rate Streets for details on how shipping charges are calculated. httpsJtwww.fedex.com/shipping/shipAction.handle?method=doContinue 2/2 Contractor Name: ALL AMERICAN ASPHALT Bid Date: 11/18 at 10am F / Job Name: Zone 5 Curb Ramp Installation Good Faith Contact Log for Documenting Contact with: Section 3 C4 1 3 HUNTINGTON BEACH Date Time Contact Company Name Phone/Fax Departnent Results 11/5/2021 Afternoon Online Califomiabids.com Website Website Online Advertising 11/5/2021 1 Afternoon Online Classifiedads.com Website Website Online Advertising 11/5/2021 Afternoon Letter Laborers Int.Union 11184 FedEx Dispatch FedEx 11/5/2021 Afternoon Letter Cement Mason Local 500 FedEx Dispatch FedEx 11/5/2021 Afternoon Letter Int.Union of Operating Eng FedEx Dispatch FedEx 11/5/2021 Afternoon Letter Cr stal's Senior Services Mailed Estimating Dept FedEx Delivered Confirmation 11/5/2021 Afternoon Letter Jeremy Morris Construction Mailed Estimating Dept FedEx Delivered Confirmation 11/5/2021 Afternoon Letter Li ham Construction Mailed Estimating Dept FedEx Delivered Confirmation 11/5/2021 Afternoon Letter Osmart General Const Mailed Estimating Dept FedEx Delivered Confirmation 11/5/2021 Afternoon Letter All for 1 Engineering Mailed lEstimatingDept FedEx Delivered Confirmation rhLO 0: 3coNr` o x O N N 01 ap to f O> O ou 6 o z CL 0o p a � CK In U- •- 0 �llNtl No o ssa�o lsai� CU aazaos�ad N ei t0 u W N � N N y I .�' d � C d � ` N W h cn c d cn v W 0 u a, U U a, LL; "0 �--yy O o 0 P4 N +- LM m • w `4 N O e-i tl X O _O M jamp io— c j r a = r N-0; ALL AMERICANASPHALT ALL AMERICAN AGGREGKFES lh� T 951-736-7600 F 951-7:39-4671 ALL AME RICAN RO. Box 2229,CORONA,CA 92478-2229 ASPHALT CONTRAC:TORs UcENSF n26707.Z AC12 DIR#1000001051 AN EQUAL OPPORTUNITY EMPLOYER November 5, 2021 International Union of Operating Engineers, Local 12 150 E. Corson Street Pasadena, CA 91103 SUBJECT: Zone 5 Curb Ramp Installation CC No. 1637 Dear Sir/Madam: All American Asphalt is bidding on the above noted project on November 18, 2021 at 10:00 AM.This project is a section 3 Federally Assisted Contract. This Section 3 Federally Assisted Contracts regulation compliance requires that contractors to the greatest extent feasible hire Minority workers for the project.We are asking for you cooperation in using your best efforts to dispatch minority worker from your union. Please keep this letter on file.When we request that workers are dispatched to a job,we would appreciate your assistance in helping our company and the City of Huntington Beach to meet the minority hiring requirements. Sincerely, /-'W� Aaron Freire Public Works Contract Administrator wW) 0) coN Ih O CO 1 Q w CV N m •co W io> O a Qz U N N co 0 co Ln I �311Nf1 Q1 o oo � 1� .l ssv��lsai� o31NOSaUd � ON W N N . N 0 xCN w cv q� U GNU �Ln (J Z� C z ° � co O y Q1 U W W N c X a, Q O Q Q L. O V M 1 � A� < r W iN 0.4 6 ALL AMERICAN ASPHALT A; ALL. AMERICAN AGGREGATES7k�o T 951-736-7600 H 951-739-4671 ALL AMERICAN @O. Box 2229,CORONA.CA 92878-222" ASPHALT CON FRAci-um LICENSE A267073 AC 12 SIR 410000Ui051 AN EQUAL OPPORTUNITY EMPLOYER November 5, 2021 Cement Masons Local 500 331 Corporate Terrace Circle Corona, CA 92879 SUBJECT: Zone 5 Curb Ramp Installation CC No. 1637 Dear Sir/Madam: All American Asphalt is bidding on the above noted project on November 18, 2021 at 10:00 AM. This project is a section 3 Federally Assisted Contract. This Section 3 Federally Assisted Contracts regulation compliance requires that contractors to the greatest extent feasible hire Minority workers for the project.We are asking for you cooperation in using your best efforts to dispatch minority worker from your union. Please keep this letter on file.When we request that workers are dispatched to a job,we would appreciate your assistance in helping our company and the City of Huntington Beach to meet the minority hiring requirements. Sincerely, Aaron Freire Public Works Contract Administrator oLO .- rn W N 1l ij coW O .0 0 v C'i m .co C) W Q 111 1 ~ o a Q Z U a 1 m O a 1 °o T to LL aoLLI n �S�1tIYl1 o a 75 s SSVIO 1SNI.4 agl2JOS3Nd V) N W N N Q 00 C� 000000 ct dQz " mo Ln o J M N z ° r o c U U �� ca U .a p. .°Q r' f � r,. �Qz 2 ald �r,,, ALL AMERICAN ASPHALT `iced ALL AMERICAN AGGREGAI-ES T 951-736-7600 F 951-739-4071 ALL AMERICAN P.O. BOX 2229.CORONA,CA 92878-2229 ASPHALT C:ONTRAcroRJ LICENS E 4267073 AC 12 DI #I000001051 AN EQUAL OPPORTUNITY EMPLOYER November 5, 2021 Laborers International Union 1128 E La Cadena Drive Riverside,CA 92501 SUBJECT: Zone 5 Curb Ramp Installation CC No. 1637 Dear Sir/Madam: All American Asphalt is bidding on the above noted project on November 18, 2021 at 10:00 AM.This project is a section 3 Federally Assisted Contract. This Section 3 Federally Assisted Contracts regulation compliance requires that contractors to the greatest extent feasible hire Minority workers for the project.We are asking for you cooperation in using your best efforts to dispatch minority worker from your union. Please keep this letter on file.When we request that workers are dispatched to a job,we would appreciate your assistance in helping our company and the City of Huntington Beach to meet the minority hiring requirements. Sincerely, Aaron Freire Public Works Contract Administrator 11/5/21,9:54 AM SEEKING SECTION 3 SUBCONTRACTORS&SUPPLIERS-Classified Ad SEEKING SECTION 3 SUBCONTRACTORS & SUPPLIERS Share & Like Share this F-9 Ad #963266097 Created: November 5, 2021 Expires: May 5, 2022 Viewed: 0 times Avoid scams Signs of fraud: wire transfer, money orders, cashier checks,payment via gift cards, shipping, escrow, "transaction protection", "guarantee". Be safe by dealing locally. Read more Report this ad Overview Respond to this Ad Ad number:#963266097 Contact:Jim McGee Phone:951-736-7600 City:Corona Zip:92879 Posted in:Orange County Announcements Description AGENCY: City of Huntington Beach PROJECT: Zone 5 Curb Ramp Installation DATE: November 18, 2021, at 10:00am Quotes are requested for(but not limited to)the following suppliers: • Survey Section 3 Sub Quotes STRONGLY Encouraged! All American Asphalt (Equal Opportunity Employer) PO Box 2229 https:/iwww.classifiedads.com/announcements/7f96b8dOw3965 2/4 11/5/21,9:54 AM SEEKING SECTION 3 SUBCONTRACTORS&SUPPLIERS-Classified Ad Corona CA 92878 (951)736-7600 Fax; (951)739-4671 Respond to this Ad Your name Your email Message Send Message Report this ad Type of problem: O Harassment O Spam O Scam or fraud O Wrong category O Violation of terms O Other(please comment) Your email (optional) publicworks@allamericanasphalt.com O I would like a response URL (optional) Comment(optional) Send report Sending... Sending... :ids related to announcenents 40% Off Grad Announcements -2021 Grad Announcements As low as $0.70 per piece. Share your grad's proudest moment with a beautiful card. Order invitations and if the date (or venue) changes we will reprint your order free, www.vistaprint.com/Anriouncements/Graduation https://www.classifiedads.com/announcements/7f96b8dOw3965 3/4 Get 6 Chef-Cooked Gee Sao oft for . • California Bid Network Menu Register Logout SEEKING SECTION 3 SUBCONTRACTORS&SUPPLIERS Edit Description :AGENCY:City of Huntington Beach PROJECT:Zone 5 Curb Ramp Installation DATE:November 18,2021,at 10:00am Quotes are requested for(but not limited to)the following suppliers: •Survey Section 3 Sub Quotes STRONGLY Encouraged! All American Asphalt (Equal Opportunity Employer) PO Box 2229 Corona CA 92878 (951)736-7600 Fax;(951)739-4671 Category :MBE/DBE/WBENBE/LBE Expiration date:11/19/2021 Need help? x Our staff are always ready to help Live help is online... Publisher Information Name :Jim McGee Location:California TEL :951-736-7600 Email :publicworks@allamericanasphalt.com Need help? x Z Our staff are always ready to help Live help is online... loco O MT N N m ar CD Ui F �> 0 aQzca co o LnLL + n-o LU �s ttNn NN o < J } ti Y 03t2dOS3Nd E t N N W N N Q W t- oo Q w J C7 U � Q¢ z LLI j W on uZ ° Wcf- U U CC p 3 WN zoo x Ln c. a Vf LA C J Lu Co CC N W x y� a � 3 6 i ALL AMERICAN ASPHALT '* ALL AMERICAN AGGREGATES V P.C> I m Zl"`f (*(Ia 7 v� c A 92,S ., ALLAMERICAN CON KuCTOR� I[("(NsI ASPHALT t��u =;rxxar7l=,t1 ,VN FQ>.!AL 01TOKT1,NITY EN NOYER November 5,2021 CRYSTAUS SENIOR SERVICES LLC 1945 PORTER STREET SAN BERNARDINO,CA 92407 ATTN: Estimating We will be bidding a project in the City of Huntington Beach called ZONE 5 CURP RAMP INSTALLATION-BIDDING ON 11/18/2021 AT 10:00 AM We are requesting bids form Section 3,DBE Business,Small Business and Local Businesses for the following items of work: • Survey We have plans and specification for review in our office.If you have any questions,please contact Jim McGee at(951) 736-7600 Sincerely, Aaron Freire Public Works Contract Administrator « } ) 00\ I-- } _ } �\ \ § " a 2co / ` n = } � � i}\ } ( . % • � - . ( O 808 d } ) oo CN � } } E / > q o ( \ U U O 2 U\ } ? . } . . q / / S w ) ` ® U } / A 2 { < { { u ; LU 22 | ! / ! co') , / } � ALL AMERICAN ASPHALT ALL AMERICAN AGGREGATES ,:RL Ok, I 9 io 51-T -7(0', I lo,'l ALL AMERICAN Dox 221". CA 92,17122211 (VNTr,v lottS U(,imt,=2167073 AuU -ASPHALT 0 1 k--10000010 1. A� Lk)_UA:.OPPORTUMTY EMI'LOYN, November 5, 2021 JEREMY MORRIS CONSTRUCTION 336 S.ARIZONA AVE LOS ANGELES,CA 90022 ATTN: Estimating We will be bidding a project in the City of Huntington Beach called ZONE 5 CURP RAMP INSTALLATION-BIDDING ON 11/18/2021 AT 10:00 AM We are requesting bids form Section 3,DBE Business,Small Business and Local Businesses for the following items of work: * Survey We have plans and specification for review in our office.If you have any questions,please contact Jim McGee at(951) 736-7600 Sincerely, Aaron Freire Public Works Contract Administrator W LO N $ co t4 .•o� rn W V� 11' a (no O za m 0 a co �n u. 6. Q-so nW cD INn y y4 � Jt� 4 e i ? r • T� Y i $S�"fO lS2fid 0318OS3Nd i a V) U` W N a � 00 v z CO f ° > d z t; zzzzo � c� a, dd � Ada 0 W Fc1 N 0 Ln a a p a ti l � f .~a r z w x c ALL AMERICAN ASPHALT � ALL AMERICAN AGGREGATES +4 1 9 i 1 73(,--'�A') 1 15 I-A')-1 o'�I V.. 11.0, 1"()X 2224 CORONA,CA 92A'�.A,212') ALLAMERICAN Co.**4 i!�/Nk-rof'u, I w 1:wlo AlTi ACI-1 ASPHALT IdNI EO�UAL 01 PORTUNITY fmnoYrr, November 5, 2021 LIPHAM CONSTRUCTION 14516 LA MESA DRIVE LA MIRADA, CA 90638 ATTN: Estimating We will be bidding a project in the City of Huntington Beach called ZONE 5 CURP RAMP INSTALLATION-BIDDING ON 11/18/2021 AT 10:00 AM We are requesting bids form Section 3,DBE Business,Small Business and Local Businesses for the following items of work: 0 Survey We have plans and specification for review in our office. If you have any questions,please contact Jim McGee at(951) 736-7600 Sincerely, Aaron Freire Public Works Contract Administrator co O �NN > d t.! Za C) rs `-o 1fNt1 o a gf 7 i v Q�1�lOS�2id z s' N a s 3- wo Y W N { Z [ <C 00 O 00 'S Z Z W C Q a Q Q O O N U ti U�--y Ln u u _' Gui G4 N rq LU W y LS2 W N Z z n �� p ON4 O~C O q c O o 4 g W Q z u wx � 2 ALL AMERICAN ASPHALT ALL. AMERICAN AGGREGATES ALL AMER�.CAN R�� <<<7x 2zz�> C«x�rN, C A'11075 >>,�„ C'ON!Rn�rs n.� t-It IN'iC�2v701. At'12 ---^ASPHALT DIk-10000101v;l AN FO-OAL.OPPORTUNITY EMPLOYER November 5, 2021 OSMART GENERAL CONSTRUCTION 2909 E IT STREET LOS ANGELES, CA 90033 ATTN: Estimating We will be bidding a project in the City of Huntington Beach called ZONE 5 CURP RAMP INSTALLATION-BIDDING ON 11/18/2021 AT 10:00 AM We are requesting bids form Section 3, DBE Business,Small Business and Local Businesses for the fallowing items of work: • Survey We have plans and specification for review in our office.If you have any questions,please contact Jim McGee at(951) 736-7600 Sincerely, Aaron Freire Public Works Contract Administrator 3 co 0 0o 0 Mir N N Y c Lit m p p 00 U a p� m Q 6 m Q uO LL a� LLI p �s�.ttt+ltl NC) s i SSb"i�1S2if� CI3!2fOS3�Jd i 3 , C Ln t � N W s-1 t N LJJ 0o = h a v � N cv 06 (A a Z � � Q < Qo z w z 0. z i U U U d w O z cV IX W f W W N OC in x oQz Z d �a a J cn be J � t / I > i ALL AMERICAN ASPHALT A!;4 `"' ALL. AMERICAN AGGREGATES 'r 951.73tr7ooO 1 951.739-ac ALL AMERICAN '.�,. G�3xzza".�:oxcyNn c:,�9�.,t�.a22�; CU�J"I'}LAl"Cti tkLS L t c E,i5 E+2UYO?{A('1 2 ASPHALT D I R=100000IOS1 Lt-JAL 0 ATU;,IfTY EMPLOYER November 5, 2021 ALL FOR 1 ENGINEERING &SURVEY 699 N.ARROWHEAD AVE.SUITE 150 SAN BERNARDINO,CA 92401 ATTN: Estimating We will be bidding a project in the City of Huntington Beach called ZONE 5 CURP RAMP INSTALLATION-BIDDING ON 11/18/2021 AT 10:00 AM We are requesting bids form Section 3, DBE Business,Small Business and Local Businesses for the following items of work: • Survey We have plans and specification for review in our office.If you have any questions,please contact Jim McGee at(951) 736-7600 Sincerely, i16f� Aaron Freire Public Works Contract Administrator Contractor Name: ALL AMERICAN ASPHALT Bid Date: 11/18 at 10am J,J Job Name: Zone 5 Curb Ramp Installation ' Good Faith Contact Log for Documenting Contact with: DBE HUNTINGTON BEACH Date Time Contact Company Name Phone/Fax Departnent Results 11/5/2021 Afternoon Online Californiabids.com Website Website Online Advertising 11/5/2021 Afternoon Online Classifiiededs.com Website Website Online Advertising 11/5/2021 Afternoon Letter Laborers Int.Union 11184 FedEx Dispatch FedEx 1115/2021 Afternoon Letter Cement Mason Local 500 FedEx Dispatch FedEx 11/5/2021 Afternoon Letter Ink.Union of Operating Eng FedEx Dispatch FedEx 11/5/2021 Afternoon Letter Alta Land Surveying Mailed Estimating Dept FedEx Delivered Confirmation 11/5/2021 Afternoon Letter CL Surveying Mailed Estimating Dept FedEx Delivered Confirmation 11/5/2021 Afternoon Letter AC Paving Company Mailed Estimating Dept FedEx Delivered Confirmation 11/5/2021 Afternoon Letter CW Crosser Construction Mailed Estimating Dept FedEx Delivered Confirmation 11/5/2021 Afternoon Letter KRC Safety Co.Inc. Mailed Estimating Dept FedEx Delivered Confirmation ; c0000 O Cr N N fG .0 M u}i 00 Lij IL Oz U a co O a a) U p �sQ3tt�Nf1 oN o ssb��isai� 0312iOS323d W N pop Q op ¢ C-4 oon Z 4 .j to N �'+ U r C G1 z m U z ° ¢ o u u v = W L P4 N i 00 j N 0 O •-i-4 9 � � Q� C� � C } < 4 ,T ALL AMERICAN ASPHALT A!:4 � ALL AMERICAN AGGREGAI-ES ''�j T 951-736-7600 F 951-739-4o7] ALL AME RICAN P.O.Box 2229,coRonA.CA 92878-2229 - ASPHALT CONTRACTaRS LICE DI R I O000010 12 51 AN EQUAL OPPORTUNITY EMPLOYER November 5, 2021 Laborers International Union of Southern California Local#1184 1128 E. La Cadena Dr. Riverside, CA 92507 PROJECT: Zone 5 Curb Ramp Installation CC No. 1637 Dear Sir/Madam: All American Asphalt is bidding on the above noted project on November 18, 2021 at 10:00 AM. This project falls under the Federally Funded regulations for the City of Huntington Beach, The Federal Funded regulation compliance requires that contractors to the greatest extent feasible to hire DBE subcontractors and suppliers of Huntington Beach for the project. We are asking cooperation in using your best efforts to dispatch DBE workers from your union that reside in the City of Huntington Beach. Please keep this letter on file. When we request that workers are dispatched to a job, we would appreciate your assistance in helping our company and the City of Huntington Beach to meet the DBE hiring participation. Sincerely, Aaron Freire Public Works Contract Administrator All American Asphalt 400 East Sixth Street Corona, CA 92879 (951) 736-7600 Ext. 236 0 to W N� 3Coco �8 meow F ®> 0 a ®O U a cv O 0. c n LL aoLIJ p �s�1/Nft N o <o • Y 1 r Y 1!J ssv��lsaf� . 0312JOS3ad N ei W fNV U Q oo -j oo i N C7 u V-4 U, C7 as � q-q z W ZZ ZZ c y d ¢ o � �: U _Uv L :� ca o = (� N d .a W W N Q. W O o °. Q o � a c --j O p M Ic F t�< 2 W Z C � C Q z r r 1 ALL AMERICAN ASPHALT ALL AMERICAN AGGREGATES T 951.73&7600 F 951-739-o71 ALL AMERICAN P.O. Box 2229,CORONA,CA 92378-2229 CO,1ITRACTORS LICENSE#267073 AC12 - ASPHALT DI It r 1000u01051 AN E%)AL OPPORTUNITY EMPLOYER November 5, 2021 International Union of Operating Engineers Local #12 150 E. Corson Street Pasadena, CA 91103 PROJECT: Zone 5 Curb Ramp Installation CC No. 1637 Dear Sir/Madam: All American Asphalt is bidding on the above noted project on November 18, 2021 at 10:00 AM. This project falls under the Federally Funded regulations for the City of Huntington Beach. The Federal Funded regulation compliance requires that contractors to the greatest extent feasible to hire DBE subcontractors and suppliers of Huntington Beach for the project. We are asking cooperation in using your best efforts to dispatch DBE workers from your union that reside in the City of Huntington Beach. Please keep this letter on file. When we request that workers are dispatched to a job, we would appreciate your assistance in helping our company and the City of Huntington Beach to meet the DBE hiring participation. Sincerely, Aaron Freire Public Works Contract Administrator All American Asphalt 400 East Sixth Street Corona, CA 92879 (951) 736-7600 Ext. 236 N �M15 •- m �y W O c 0 -(T N N m �00an W o UI dCDoo Q �� o � C� Lr) LL a j O J Nn o a < lie.tj SSTIO iSHid a312iOS�21d Ln W N N O 00 O i W cN ►n V x is m n O ca 00 to u _j L N. ddz H acn Z 124 O U U4 L" �-yU_ v f° p, Wes+ X E u V U M Qd � m � Ia r � � if P4 d r W� O a a ALL AMER[CAN ASPHALT ��%� � ALL AMERICAN AGGREGATES `�� T 951.736-7600 F 951-739-4671 AL L AM E RI CAN (?p. Box 2'129,CORONA.CA 92878-2229 CO,NTR,,cl-uRs LICENSE=267073 AC12 ASPHALT- DIR#1OOOuulus1 AN EQUAL OPPORTUNITY EMPLOYER. November 5,2021 Cement Masons of Southern California Local#500 331 Corporate Terrace Circle Corona, CA 92879 PROJECT: Zone 5 Curb Ramp Installation CC No. 1637 Dear Sir/Madam: All American Asphalt is bidding on the above noted project on November 18, 2021 at 10:00 AM. This project falls under the Federally Funded regulations for the City of Huntington Beach. The Federal Funded regulation compliance requires that contractors to the greatest extent feasible to hire DBE subcontractors and suppliers of Huntington Beach for the project. We are asking cooperation in using your best efforts to dispatch DBE workers from your union that reside in the City of Huntington Beach. Please keep this letter on file. When we request that workers are dispatched to a job, we would appreciate your assistance in helping our company and the City of Huntington Beach to meet the DBE hiring participation. Sincerely, Aaron Freire Public Works Contract Administrator All American Asphalt 400 East Sixth Street Corona, CA 92879 (951) 736-7600 Ext. 236 1115121,10:01 AM SEEKING DBE SUBCONTRACTORS AND SUPPLIERS-Classified Ad SEEKING- DBE SUBCONTRACTORS AND SUPPLIERS Share & Like Ad #963269022 Share this Created: November 5, 2021 Expires: May 5, 2022 Viewed: 0 times Avoid scams Signs of fraud: wire transfer, money orders, cashier checks, payment via gift cards, shipping, escrow, "transaction protection", "guarantee". Be safe by dealing locally. Read more Report this ad Overview Respond to this Ad Ad number:#963269022 Contact:Kim Bird Phone:951-736-7600 City:Corona Zip:92879 Posted in: Orange County Volunteers Description AGENCY: City of Huntington Beach PROJECT: Zone 5 Curb Ramp Installation DATE: November 18, 2021, at 10:00am Quotes are requested for(but not limited to) the following suppliers: • Survey DBE Sub Quotes STRONGLY Encouraged! All American Asphalt (Equal Opportunity Employer) PO Box 2229 Corona CA 92878 https://www.classifiedads.com/volunteer/68394yfvn3965 2/4 1115121, 10:01 AM SEEKING DBE SUBCONTRACTORS AND SUPPLIERS-Classified Ad (951)736-7600 Fax; (951)739-4671 Respond to this Ad Your name Your email Message Send Message Report this ad Type of problem: O Harassment O Spam O Scam or fraud O Wrong category O Violation of terms O Other(please comment) Your email(optional) publieworks@allamericanasphalt.com I would like a response URL(optional) Comment(optional) Send report w, Sending... k: Sending... Ads related to volunteers Do Volunteers Sign Up!- Volgistics Recruit, Schedule, Track Volunteers with Volgistics Online Software.. Get a Free Trial Today! Or Join a Live Online Demo. Let Volunteers Schedule Themselves. volgistics.com Volunteer Opportunities- Volunteer Opportunities Search for Volunteer Opportunities on Our Web Now. Find Volunteer Opportunities now. Relevant Information at Life I23.com! www.life123.com/Volunteer Opportunities/Here https://www.classifiedads.com/volunteer/68394yfvn3965 314 Robeks Fresh Juiees&Smoothies we re Oper For Take-G s ®� Ociv@ties.A. Robeks.e you make is a p, d on! L^ In California Bid Network Menu Register Logout SEEKING DBE SUBCONTRACTORS AND SUPPLIERS Edit Description :AGENCY:City of Huntington Beach PROJECT:Zone 5 Curb Ramp Installation DATE:November 18,2021,at 10:00am Quotes are requested for(but not limited to)the following suppliers: •Survey DBE Sub Quotes STRONGLY Encouraged! All American Asphalt (Equal Opportunity Employer) PO Box 2229 Corona CA 92878 (951)736-7600 Fax;(951)739-4671 Category :MBE/DBE/WBENBE/LBE Expiration date:11/19/2021 Need help? x Our staff are always ready to help Live help is online... Publisher Information Name :Jim McGee Location:California TEL :951-736-7600 Email publicworks@ailamericanasphait.com Need help? x Our staff are always ready to help Live help is online... N LO G �}� V P }' W O m, 0e cvN m a, rn ' maw m •f a ®GO Z CL } N ell o r 0 � a m ry r i o ow tp 7' a ' (7�t23QS3�fd i i V) W W N Z QN 0o per, � V00LU a 4 O > U Z C CL U `S uj N L ww Q X z Ln f ���'// W ALL AMERICAN ASPHALT ALL. AMERICAN AGGREGATES A 1',0.[loy,2221) CORONA,� A')2,87,'�-222'� ALL AMERICAN C0N!';,A('Tt)KN 11k'1NNi =21)71073 V U D]R g i(h wk)I i151 AN RLUAL OPPORTUNITY Emmowr November 5,2021 ATUA LAND SURVEYING&MAPPING 9517 GROSSMONT SUMMIT DRIVE LA MESA, CA 91941 ............. ATTN: Estimating We will be bidding a project in the City of Huntington Beach called ZONE 5 CURP RAMP INSTALLATION-BIDDING ON 11/18/2021 AT 10:00 AM We are requesting bids form Section 3,DBE Business,Small Business and Local Businesses for the following items of work: * Survey We have plans and specification for review in our office. If you have any questions,please contact Jim McGee at(951)736-7600 Sincerely, Aaron Freire Public Works Contract Administrator W W) — Gl y OW Q N N Ql a� O w ®� W a ®o O z a O a co`O tY QoLIJ 0 �4�llhlCl o o z r } aalaosaaa r W N �+ N s � � v0 ell � o0 Z CC N z Z U U v ? � wN � a0. � k "ti N OO Q Q o I � C z ALL AMERICAN ASPHALT ALL AMERICAN AGGREGATES A; ALL L..� � T'451.?.ip-?b(1(` i� �51-739-Ka>71 1-i�L I"1,����L-11 r i'.O,t c>?C 221`),CORONA,C A')2S;R-'.2 ASPHALT DIR=IoCoW10it ?.it tit,147n1.OITORTUNrry Emrt.oym November 5,2021 CL SURVEYING 1269 POMONA ROAD CORONA, CA 92882 ATTN: Estimating We will be bidding a project in the City of Huntington Beach called ZONE 5 CURP RAMP INSTALLATION-BIDDING ON 11/18/2021 AT 10:00 AM We are requesting bids form Section 3,DBE Business,Small Business and Local Businesses for the following,items of work: • Survey We have plans and specification for review in our office.If you have any questions,please contact Jim McGee at(951) 736-7600 Sincerely, X-4� Aaron Freire Public Works Contract Administrator . r 3: CD 00 O V N N tl ■wM > o Lt1 cmo0 Q t N W ` u� Yb �y, [ O LU 11Nn NU O < T_•' i 00 E SSVId iS2ilj Q31�10S�3�d f E f E i W N i i a n Q W cq N O cn (7 Z Q O'I O d O O w N 4 w Z CN N 0 aa-LLJ L N � x a Owe a d Z f B ALL AMERICAN ASPHALT ALL. AMERICAN AGGREGATES '1 951-73i,-71,00 1 9 1-;39.9071 222'l C CG)KONA. A'a3878-_>22" ALL AMERICAN L1t[Mi,t2o7074 AC12 ASPHALT—�-- t>l it-uuau,n}l u•1 ,kN R.1,fA1.01TOW Uu1TY EMPLOYER November 5, 2021 A.0 PAVING COMPANY 12623 IMPERIAL HIGHWAY#209 SATNA FE SPRINGS,CA 90670 ATTN:Estimating We will be bidding a project in the City of Huntington Beach called ZONE 5 CURP RAMP INSTALLATION-BIDDING ON 11/18/2021 AT 10:00 AM We are requesting bids form Section 3,DBE Business,Small Business and Local Businesses for the following items of work: • Survey We have plans and specification for review in our office. If you have any questions,please contact Jim McGee at(951) 736-7600 Sincerely, Aaron Freire Public Works Contract Administrator E r 0 Lo e- G7 W N n 3 o m co IL rya� O') w �CDW F O O ypzc� CL pQ m 0 r L- _o �s°3i►tvn o C:) < i I SSd'1�1S23tj GaIMOS32ld i i 4 , s 1 z V c W N N V i _Z -, ^� wLu 00 Z F_- o� 0 � Uv N CD CQo CO LLJ ado) � z � z3u uUU �='O � ' � 3 W W W NLn X Ln O L g � rq U � � Y Wx C z s E; ALL AMERICAN ASPHAUF k ALL AMERICAN AGGREGATES k. V0.Rox 2L".CORONA,k.A')-XiS 2229 ALL AMERICAN I.wEivo:x2i,70713 ACI I -ASPHALT AN EQUAi.orl'ORTUINITY EMPLOYER November 5, 2021 C.W CROSSER CONSTRUCTION INC 1250 N LAKEVIEW AVE,SUITE J ANAHEIM, CA 92807 ATTN: Estimating We will be bidding a project in the City of Huntington Beach called ZONE 5 CURP RAMP INSTALLATION-BIDDING ON 11/18/2021 AT 10:00 AM We are requesting bids form Section 3,DBE Business,Small Business and Local Businesses for the following items of work: a Survey We have plans and specification for review in our office.If you have any questions,please contact Jim McGee at(951) 736-7600 Sincerely, Aaron Freire Public Works Contract Administrator 3co o�.Vi. ~ra O (V N i0 c m lu ro- IL z za 04 l z � O co � un u._ b n o QW Y� o %NO N o j Q O L I •� r Q31HOSMid a V) cc W N 4 00 C. 3 QQ2 � z � Z d Ln U U L < uj P4 wj N H N �.r 00 Q O Wot C ALL AMERICAN ASPHALT AN;k. ALL r1MERICAN AGGREGATES ALL AMERI�AN .��, uuxz2a11 �_f�,R�au, �A��23 ,2,,:, C,a?V:kvli'7UKS i.ft:F>>! 2070 3AC '2 ASPHALT DI lk=100000 10 i I AN Orrown)NITY EMI'L YM November 5,2021 KRC SAFETY Co. INC. 7821 WEST SUNNYVIEW VISALIA, CA 93291 ATTN: Estimating We will be bidding a project in the City of Huntington Beach called ZONE 5 CURP RAMP INSTALLATION -BIDDING ON 11/18/2021 AT 10:00 AM We are requesting bids form Section 3, DBE Business,Small Business and Local Businesses for the following items of work: • Survey We have plans and specification for review in our office. If you have any questions,please contact Jim McGee at(951) 736-7600 Sincerely, Aaron Freire Public Works Contract Administrator i o D Fidelity and Deposit Company of Maryland BID BOND KNOW ALL MEN BY THESE PRESENTS: That we, ALL AMERICAN ASPHALT BOND NO.085 97 423 as Principal,(hereinafter called the"Principal'),and FTDELTTY AND DEPOSIT COMPANY OF MARYLAND ,a corporation duly organized under the laws of the State of Illinois ,as Surety,(hereinafter called the"Surety"),are held and firmly bound unto City of Huntington Beach as Obligee,(hereinafter called the"Obligee"),in the sum of Ten Percent of Total Amount Bid----- Dollars($ 10% of Bid ),for the payment of which sum well and truly to be made,the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. WHEREAS,the Principal has submitted a bid for ZONE 5 CURB RAMP INSTALLATION-1637 Bid Date: November 18, 2021 NOW,THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a contract with the Obligee in accordance with the terms of such bid and give such bond or bonds as may be specified in the bidding or contract documents with good and sufficient surety for the faithful performance of such contract and for the prompt payment of labor and material furnished in the prosecution thereof,or in the event of the failure of the Principal to enter into such contract and give such bond or bonds,if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another 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 5th day of November A.D., 2021 ALL AMERICAN ASPHALT Print; al Witness �LI ' (SEAL) edw ✓d . Cai Is—, ✓J FIDELITY AND DEPOSIT COMPANY OF MARYLAND Surety By �� _ (SEAL) Rebecca Haas-Bates Attu neY_in-Fact BID70000ZZ0701 f CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of Orange ) On 11/05/2021 before me, Liliana Gomez,Notary Public Date Here Insert Name and Title of the Officer personally appeared Rebecca Haas-Bates NameKof Signer(`sl who proved to me on the basis of satisfactory evidence to be the person* whose name(b. is/awe subscribed to the within instrument and acknowledged to me that +ge/she/t1W4 executed the same in flit/her/their authorized capacity, and that by hWher/their signature�*on the instrument the person(* or the entity upon behalf of which the person( acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. LILIANA GOME2 WITNESS my hand and official seal. �f-.-.....ThF .. Notary Public California orange County t Commission 2243326 Signature My Comm.Expires May 20,2022 Signature of Notary Pu Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Bid Bond Document Date: 11/05/2021 Number of Pages: One 1 Signer(s) Other Than Named Above: All American Asphalt Capacity(ies) Claimed by Signer(s) Signer's Name: Rebecca Haas-Bates Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑General ❑Individual li?Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: Fidclity and Dcposit Company of Maryland 02014 National Notary Association - www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V,Section 8,Attomevs-in-Fact. The Chief Executive Officer,the President,or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attomeys-in-fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Secretary of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8,of the By- Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 1 Oth day of May,1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsinule or mechanically reproduced signature of any Vice-President, Secretary, or Assistant Secretary of the Company,whether made heretofore or hereafter,wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 5th day of November 2021 SiAL _ ;os Jf By: Brian M.Hodges Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND,PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND,THE BOND NUMBER,AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg,IL 60196-1056 www.rel2ortsfclaims(cD,zurichna.com 800-626-4577 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New York,the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D.Murray,Vice President,in pursuance of authority granted by Article V,Section 8,of the By-Laws of said Companies,which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate,constitute, and appoint William SYRKIN, Rebecca HAAS-BATES, Sergio D. BECHARA and Richard ADAIR, all of Irvine, California,EACH,its true and lawful agent and Attomey-in-Fact,to make,execute,seal and deliver,for,and on its behalf as surety,and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies,as fully and aniply,to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York,New York.,the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills,Maryland.,and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland.,in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V,Section 8,of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 1 lth day of June,A.D.2019. ia�d'��� ,gyp pups, 4 S AL ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Robert D.Murray Vice President ___`>)Gt• '7L, By: Dawn E.Brown Secretary State of Maryland County of Baltimore On this I Ith day of June, A.D.2019, before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified,Robert D. Murray,Vice President and Dawn E.Brown,Secretary of the Companies,to me personally known to be the individuals and officers described in and who executed the preceding instrument,and acknowledged the execution of same,and being by me duly sworn,deposeth and saith,that he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year fast above written. - ` Constance A.Dunn,Notary Public My Commission Expires:July 9,2023 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached.and not the truthfulness.accuracy.or validitv of that document. State of California County of Riverside On November 8, 2021 before me, Sarah Amanda Lanky,Notary Public Date Here Insert name and Title of the Officer personally appeared Edward J. Carlson Name(a}of Signer(at 7 who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/afe subscribed to the within instrument >, SARAH AMANDA LANCLEY and acknowledged to me that he/she4hey executed the same in his/hcr/heir au caacit +es authorized Notary Public-California = p y(� ), and that by Is _ Riverside County signature(&) on the instrument the person(s), or the entity upon behalf Commission#2337877 of which the person(s)acted,executed the instrument. My Comm.Expires Nov 20,2024 I certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct. WITNESS hand and official seal. Signature Place Notary Seal Above Signature of Notary Public OPTIONAL Though the information below is not required by law,it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Bid Bond Document Date: 11/05/2021 Number of Pages: 3 Signer(s)Other Than Named Above: Rebecca Haas Bates-Attorney in Fact Capacity(ies)Claimed by Signer(&) Signer's Name: Edward J. Carlson Signer's Name: N/A ❑ Individual ❑Individual X Corporate Officer—Title(&): Vice President ❑Corporate Officer—Title(s): N/A ❑Partner❑ ❑ Limited ❑General ❑Partner❑ ❑ Limited❑General RIGHT THUMBPRINT 'RIGHT THUMBPRINT ❑Attorney in Fact OF SIGNER In Attorney in Fact OF SIGNER ❑Trustee Top of thumb here ❑Trustee Top of thumb here ❑ Other: ❑ Other: N/A Signer is Representing: Signer is Representing: All American Asphalt P R� $ y d �^ N CO 0 - ¢ W H ci- w wz O ° � c, O ° r ro :D w O .3 N r Zr': LJJ t-i a #r r co m o a +° o � o iy 'i O Llr Z I G`1 r '"�7��"•� �� ", is �^� � }��, Lnui i bo ad J M �CIT a» t •° ppY7 t � J ` ,� LL U co City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov �Fe• i),»09:�°• Office of the City Clerk Robin Estanislau, City Clerk August 15, 2022 Bitech Construction Co., Inc. 7371 Walnut Ave. Buena Park, CA 90620 RE: Zone 5 Curb Ramp Installation - Various Projects—CC No. 1637 Enclosed please find your original bid bond for CC-1637. Sincerely, q4�4444J� Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister Cities. Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of ZONE 5 CURB RAMP INSTALLATION from VARIOUS LOCATIONS CC No. 1637 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting ELECTRONIC 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.35 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award,BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will.be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses,taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded,the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 SECTION C PROJECT BID—SCHEDULE A CURB RAMP PROJECT,CC 1637 BID ITEMS Item Descnptron Quantity Unit Unit�os� p I Illy 1 Mobilization 1 LS $ f1+,QQ0 $ (4-,, OV 2 Prepare Storm Water Pollution Prevention Plan(SWPPP) 1 LS $10, $ (0, 61�* 3 Install&Maintain Construction BMPs 1 LS $ t?p $ 000 Construct Curb Access Ramp per Caltrans Std. Plan A88A/A88B as shown on Curb Ramp Detail 1 in Appendix H 4 of Specifications (Item includes all appurtenances, curb& gutter,depressed curb,sawcut,sidewalk,domes, retaining 96 1� curb, slot pave,etc,) EA $ 1fi000 $ ,3N;000 Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A/A88B using horizontal curb cutting machine as 5 shown on Curb Ramp Detail 2 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter, depressed curb, sawcut,sidewalk,domes, retaining curb,etc.) 19 EA $ 3r Construct Curb Access Ramp per Caltrans Std, Plan A88A/A88B as shown on Curb Ramp Detail 3 in Appendix H 6 of Specifications (Item includes all appurtenances,curb& gutter,depressed curb,sawcut,sidewalk,domes,retaining 77 curb, slot pave,etc.) EA $-L,5'W $2J 15'1 b 00 Remove and Replace damaged concrete cross gutter as 7 shown on Curb Ramp Detail 4 in Appendix H of Specifications (Item includes all appurtenances,curb&gutter,cross gutter, sawcut,slot patch,etc.) 2,400 SF $ 0 $ C)0 0 Remove and Replace Truncated Dome on existing Curb 8 Access Ramp per Caltrans Std. Plan A88A/A8813 as shown on Curb Ramp Detail 5 in Appendix H of Specifications (Item includes all appurtenances,domes,etc.) 7 EA $ /r.l © $ t Construct Truncated Dome on existing Curb Access Ramp per 9 Caltrans Std. Plan A88AIA88B as shown on Curb Ramp Detail 5 in Appendix H of Specifications (Item includes all 86 appurtenances,domes;etc.) EA $ MO $ 7Qf �.l0 Remove existing asphalt concrete/subgrade to a maximum depth 6°-12"to finished surface and replace with 6"depth of 10 asphalt concrete hot mix adjacent to new curb ramp.(Item includes all appurtenances,sawcut, unclassified excavation, asphalt concrete etc.). 4,000 SF $ { $ 60e 000 11 Install 4"PVC Sleeve for Street Assembly Sign per City of HB Std. Plan 401 9 EA $ tiD $ Remove and replace existing sidewalk per City of H8 Std, 12 Plan 207 at locations adjacent to ramp.(Item includes all appurtenances, sawcut) 8,000 1 SF $ 0- $ 96, o®o C-2.1 SECTION C PROJECT BID—SCHEDULE A CURB RAMP PROJECT, CC 8037 Remove and replaces existing 8"-12"Curb and Gutter at 13 locations adjacent to ramp per HB Std.Plan 205(item includes all appurtenances,sawcut,slot pave,etc.). 1,000 LF s 6c s 60, 000 SUB-TOTAL BID AMOUNT(SCHEDULE A) $ 6 3 E-4, Of SUB-TOTAL BID AMOUNT IN WORDS- . 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. In addition,the City reserves the right to include or remove Bid Schedule in the award of the contract, If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find in the amount of which said amount is not less than 10%of the aggregate of the total bid price, as required by the Notice Inviting ELECTRONIC le to the AGENCY. (Please insert the words "Cash", "Certified. Check", or idder's Bond)for10% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received idder's Signature �.t C-2 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For ZONE 5 CURB RAMP INSTALLATION PROJECT CC NO.1637 in the CITY OF HUNTINGTON BEACH November 17,2021 Notice To All Bidders: Please note the following clarification to the Project Plans,Specifications, and Special Provisions: 1) REPLACE APPENDIX L"PREVAILING WAGE SCHEDULE"TO CURRENT WAGES SCHEDULE. Replace"General Decision Number: CA2020002410/2212021 with Superseded "General Decision Number: CA20210024 11/1212021" This is to acknowledge receipt and review of Addendum Number One, dated November 17, 2021. BITECH CONSTRUCTION CO., INC. Benjamin Kim Company Na a By 7�3� II / Date All bidder must acknowledge and include the receipt of this Addendum with your bid proposal, Should you have any questions regarding this Addendum, please call Joseph Fuentes at(714) 536-5431. LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address o Clam DIR PWC Dollar %of Items) Subcontractor License Registration# Amount Contract Number By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor-for-this-project. ___-- C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID 1 declare tinder penalty of perjury under the laws of the State of California th t the foregoing is true and correct and that this declaration is executed on at - Da a ��FARKState Benjamin Kim being first duly sworn, deposes and says that he or she is President of BITECH CONSTRUCTION CO the party making the foregoing bid that the bid is not made in the interest of,or on the behalf of,any undisclosed person, partnership, company, association, organization., or corporation; that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are true,and,further,that the bidder has not,directly or indirectly,submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership,company association, organization,bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. BITECH CONSTRUCTION CO., INC. Name of idder Signat e of Bid er 7371 WALNUT AVE. BUENA PARK, CA 90620 Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the ZONE 5 CURB RAMP INSTALLATION, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is fandliar 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. BITECH CONSTRUCTION CO., INC. Contractor BENJAMIN KIM By President Title Date: r t t C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162,the Bidder shall complete,under penalty of perjury,the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified,removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature._of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code,each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such. provisions before commencing the performance of the work of this contract. BITECH CONSTRUCTION CO., INC. Contractor BENJAMIN KIM By President Title Date: C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: BITECH CONSTRUCTION CO., INC. Bidder Name 7371 WALNUT AVE. Business Address BUENA PARK, CA 90620 City, State Zip ( 714 )521-1477 BITECI-19BITECHCONSTRUCTION.COM Telephone Number Email Address 826546 A, B, C8, C1 2 & HAZ State Contractor's License No. and Class 10/24/2003 Original Date Issued 12/31/2022 Expiration Date The work site was inspected by KyOo Sung /V.P ofour office on 11/10/2021 —.201—. The following are persons,firms, and corporations having a principal interest in this proposal: BENJAMIN KIM / President 100% 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. BITECH CONSTRUCTION CO,, INC, Company Name Signature of 13/41der BENJAMIN KIM Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this WlNday of NoV. 2021 . A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. Stateof &Lt-Fi,-ottA.. ) County ofetit► On l 1% before me, n -mVA RX", N076n/ Month. Day, and Year Insert Name and Title of Notary personally appeared 6enJptr",'mo t i►-t 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. �„ ,..«..«.«..�� „.. IEONGMU RYU COMM#2225973 �► W Notary Pubfic-Cal&Fnia 4 ORANGE COUNTY my Cdnmi3uonFxpaesDe[.21,1n2f Signature �Mt tf t✓ Signature o otary Publi (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(Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets,an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert.";;. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. CITY OF LONG BEACH, Dept of Public Works Name and Address of Public Agency Name and Telephone No. of Project Manager: Keith Hoey, 562-570-6586 $5 Million As Needed Concrete Repair 3/31/21 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: R&R Sidewalks, Curb Ramps, Curb and Gutter, Cross Gutter, Tree Removals 2. COUNTY OF ORANGE, Dept of Public Works Name and Address of Public Agency Name and Telephone No. of Project Manager: $4.98 Million JOC for General Engineering 20-21 1/28/21 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Road Maintenance, Bridge Repair, R&R Sidewalks, Curb Ramps, Curb and Gutter 3. Charles R. Drew Univeristy Name and Address of Public Agency Name and Telephone No. of Project Manager: Carl McLaney, 323-563-4854 $2.73 Million Grand Entrance Project 9/27/19 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Grading, Curb and Gutter, Concrete Paving, Driveway, Landscaping, Lighting, c-a a Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager,and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. l Kgoo Sung Name of proposed Project Manager Telephone No. of proposed Project Manager: 714-904-2200 As Needed Concrete Repair $5 Million Annual contract 3/31/21 Project Name & Contract Amount Type of Work Date Completed CDU Grand Entrance $2.73 Million Formal contract 9/27/19 Project Name& Contract Amount Type of Work Date Completed Bixby Park Bluff Improvement $2.4 Million Formal contract 11/08/18 Project Name & Contract Amount Type of Work Date Completed 2. John Kim Name of proposed Superintendent Telephone No. of proposed Superintendent: 714-650-0426 As Needed Concrete Repair $5 Million Annual contract 3/31/21 Project Name& Contract Amount Type of Work Date Completed OC JOC for GE 20-21 $4.98 Million JOC 1/28/21 Project Name&Contract Amount Type of Work Date Completed Long Beach JOC #22 $3.5Million JOC 1/31/18 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 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://ww�v.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6,30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/PWCR/ActionServiet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on,be listed.in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Cade, 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. BITECH CONSTRUCTION CO., INC. Contractor BENJAMIN KI By BITECH@BITECHCONSTRUCTION.COM Email. President Title Date: PWC Registration#: 1000001257 C-12 BIDDER'S CERTIFICATION* HOUSING AND URBAN DEVELOPME..NT ACT OF 1968 AS AMMENDED IN 1992, SECTION 3 TITLE 24, Code of Federal Regulations, Part 135* Economic Opportunities for Low and Very Low-Income Persons The bidder, under penalty of perjury,certifies that except as noted below,any person associated therewith in the capacity of owner; partner, director, officer, or manager(initial the applicable .selections): V Will ensure that 10%of all new hires as a result of this project shall meet all requirements of Section 3 of CFR Part 135 of the HUD Act of 1968;or _ Will hire no new employees in conjunction with this project. Will award 10%of its sub-contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub-contracts related to this project. Contractor: BITECH CONSTRUCTION CO. INC. Contact Person: Benjamin Kim Contact Phone: 714-521-1477 Signed: Date: t1 �- *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 135 and Subtitle A et al) and must be submitted by the bidders and proposed sub- contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act, as amended in 1992 (HUD). Previous non-compliance with Section 3 could result in disqualification. C-13 EXHIBIT A DISADVANTAGED BUSINESS ENTERPRISE(DBE) This Project is subject to Part 200.321,Title 2, Code of Federal Regulations entitled"Contracting with Small and Minority Businesses, Women's Business Enterprises, and Labor Surplus Area Firms." The Regulations in their entirety are incorporated herein by this reference. It is the policy of the City that disadvantaged business enterprises (DBEs), as defined in Part 200.321, Title 2 CFR, shall be encouraged to participate in the performance of Contracts financed in whole or in part with federal funds.The Contractor should ensure that DBEs,as defined in Part 200.321, Title 2 CFR, have the opportunity to participate in the performance of this Contract and shall take all necessary and reasonable steps,as set forth in Part 200.321,Title 2 CFR, for this assurance.The Contractor shall not discriminate on the basis of race,color,national origin, or sex in the award and performance of subcontracts. Failure to carry out the requirements of this paragraph shall constitute a breach of Contract and may result in termination of this Contract or other remedy the City may deem appropriate. Bidders shall be fully informed respecting the requirements of the Regulations and are urged to obtain DBE participation in this project,although there is no specific goal for DBE participation. C-14 EXHIBIT B DBE INFORMATION—GOOD FAITH EFFORTS Federal-aid Project No. Bid Opening Date The City of Huntington Beach established a Disadvantaged Business Enterprise(DBE)goal of 0% for this Project. The information provided herein shows that a good faith effort was made. Lowest, second lowest and third lowest bidders shall submit the following information to document adequate good faith efforts. Bidders should submit the following information even if the "Local Agency Bidder DBE Commitment" form indicates that the bidder has met the DBE goal.This will protect the bidder's eligibility for award of the contract if the administering agency determines that the bidder failed to meet the goal for various reasons, e.g., a DBE firm was not certified at bid opening, or the bidder made a mathematical error. Submittal of only the "Local Agency Bidder DBE Commitment" form may not provide sufficient documentation to demonstrate that adequate good faith efforts were made. The following items are listed in the Section entitled "Submission of DBE Commitment" of the Special Provisions: A. The names and dates of each publication in which a request for DBE participation for this project was placed by the bidder (please attach copies of advertisements or proofs of publication): Publications Dates of Advertisement B. The names and dates of written notices sent to certified DBEs soliciting bids for this Project and the dates and methods used for following up initial solicitations to determine with certainty whether the DBEs were interested(please attach copies of solicitations,telephone records, fax confirmations, etc.): Names of DBEs Solicited Date of.Initial Follow Up Methods Solicitation and Dates C-1 5 C. The items of work which the bidder made available to DBE firms including, where appropriate,any breaking down of the contract work items(including those items normally performed by the bidder with its own forces) into economically feasible units to facilitate DBE participation. It is the bidder's responsibility to demonstrate that sufficient work to facilitate DBE participation was made available to DBE firms. Items of Work Bidder Normally Breakdown of Amount Percentage Performs Item Items M of (Y/N) Contract D. The names, addresses and phone numbers of rejected DBE firms, the reasons for the bidder's rejection of the DBEs, the firms selected for that work (please attach copies of quotes from the firms involved),and the price difference for each DBE if the selected firm is not a DBE: Names, addresses and phone numbers of rejected DBEs and the reasons for the bidder's rejection of the DBEs: Names,addresses and phone numbers of firms selected for the work above: E. Efforts made to assist interested DBEs in obtaining bonding, lines of credit or insurance, and any technical assistance or information related to the plans, specifications and requirements for the work which was provided to DBEs: C-16 F. Efforts made to assist interested DBEs in obtaining necessary equipment, supplies, materials or related assistance or services, excluding supplies and equipment the DBE subcontractor purchases or leases from the prime contractor or its affiliate: G. The names of agencies, organizations or groups contacted to provide assistance in contacting, recruiting and using DBE firms (please attach copies of requests to agencies and any responses received, i.e., lists, Internet page download,etc.): Name of Agency/Organization Method/Date of Contact Results H. Any additional data to support a demonstration of good faith efforts (use additional sheets if necessary): NOTE; USE ADDITIONAL SHEETS OF PAPER IF NECESSARY. C-17 IF A SOLE OWNER OR SOLE CONTRACTOR SIGN HERE: (1) Name under which business is conducted (2) Signature(given and surname)of proprietor (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail IF A PARTNERSHIP, SIGN HERE: (1) Name under which business is conducted (2) Signature (given and surname and character of partner) (Note: Signature.must be made by a general partner) (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail ---------------- C-18 IF A CORPORATION, SIGN HERE: (1) Name under which business is conducted BITECH CONSTRUCTION CO., INC. (2) (Sign ure) President (Title) Impress Corporate Seal here (3) Incorporated under the taws of the State of California (4) Place of Business 7371 WALNUT AVE. (Street and Number) City and State BUENA PARK, CA (5) Zip Code 90620 Telephone No. 714-521-1477 (6) E-Mail BITECH@BITECHCONSTRUCTION.COM NOTARIAL ACKNOWLEDGMENT OF EXECUTION BY ALL SIGNATORIES MUST BE ATTACHED C-19 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of On IN 1-2-1 before me, I C Date re Insert Name arWT)tle of the Officer personally appeared % k--11,#-**% 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 JEONGMIN RYU which the person(s) acted, executed the instrument. COMM#2225973 > Notary Public-California r" ORANGFECOUNTY 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 ffi d a n official seal. Signature Place Notary Seat Above VSignature of Notary Public ,X OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s)Other Than Named Above: Capacity(les) Claimed by Signer(s) Signer's Name: Signer's Name: Individual 7_] Individual Corporate Officer—Title(s): . Corporate Officer—Title(s): ............ ;-, Partner—D Limited E General Partner—E Limited 7-1, General lq* _7 Attorney in Fact • Attorney in Fact El Trustee Top of thumb here Trustee Top of thumb here 0 Guardian or Conservator E.";Guardian or Conservator 0 Other: Other: Signer Is Representing: Signer Is Representing: 02007 National Notary Association-9350 De Soto Ave.,P.O.Box 2402•ChalSworth,CA 91313-2402-www.NationalNotaryorg ltem#5907 Reorder:Call Toll-Free 1-800-876.6827 List below names of president,vice president, secretary and assistant secretary, if a corporation; if a partnership, list names of all general partners and managing partners: BENJAMIN KIM / President KIJOO SUNG /Vice President BENJAMIN KIM / Secretary BENJAMIN KIM /Treasurer C-20 EXHIBIT C LOCAL AGENCY BIDDER DBE COMMITMENT (CONSTRUCTION CONTRACTS) NOTE: PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM LOCAL AGENCY: LOCATION: PROJECT DESCRIPTION, Zone 5 Curb Ramp Installation TOTAL CONTRACT AMOUNT:$ BID DATE: 11/18121 BIDDER'S NAME,_Bitech Construction Co., Inc CONTRACT DBE GOAL: 0 % CONTRACT TEM OF WORK AND DESCRIPTION DBE CERT NO. NAME OF EACH DBE DOLLAR AMOUNT I 1'rY-,M NO.. R SERVICES TO BE AND EXPIRATION (Must be certified on the date bids DBE 11 UBCONTRACTED OR MATERIALS DATE are opened-include DBE address BE PROVIDED(or contracted if the and phone number) i idder is a DBE) -973-08 Bitech Construction K f4 ............................... For Local Agency to Complete: Total Claimed DBE Local Agency Contract Number: Participation Federal-aid ProjectNumber: % Federal Share: Contract Award Date: J-2 Local Agency certifies that all DBE certifications have been verified and, information incomplete and accurate- Si na e of Bidder 1114 1 "7- batc,,I (Area Code)Tel.No. Print Name Signature Date Benjamin Kim Local Agency Representative Person to Contact (Please Type or Print) (Area Code)Telephone Number: Local Agency Bidder DBE Commitment(Construction Contracts) (Rey 6126109) C-21 PLEASE NOTE: This information may be submitted with your bid.If it is not,and you are the apparent low bidder or the second or third low bidder,it must be submitted and received as specified in the Special Provisions. Failure to submit the required DBE commitment will be grounds for finding the bid nonresponsive The form requires specific information regarding the construction contract: Local Agency, Location, Project Description, Total Contract Amount, Bid Date, Bidder's Name, and Contract DBE Goal. The form has a column for the Contract Item Number and Item of Work and Description or Services to be Subcontracted or Materials to be provided by DBEs.Prime contractors shall indicate all work to be performed by DBEs including, if the prime is a DBE, work performed by its own forces, if a DBE. The DBE shall provide a certification number to the Contractor and expiration date.Enter the DBE prime's and subcontractors' certification numbers.The form has a column for the Names of DBE contractors to perform the work (who must be certified on the date bids are opened and include the DBE address and phone number). IMPORTANT: Identify all DBE firms participating in the project regardless of tier.Names of the First-Tier DBE Subcontractors and their respective item(s) of work listed should be consistent, where applicable,with the names and items of work in the "List of Subcontractors" submitted with your bid. There is a column for the DBE participation dollar amount. Enter the Total Claimed DBE Participation dollars and percentage amount of items of work submitted with your bid pursuant to the Special Provisions. (If 100%of item is not to be performed or furnished by the DBE, describe exact portion of time 'to be performed or furnished by the DBE.) See Section "Disadvantaged Business Enterprise (DBE),"of the Special Provisions (construction contracts), to determine how to count the participation of DBE firms. Exhibit 15-G must be signed and dated by the person bidding. Also list a phone number in the space provided and print the name of the person to contact. Local agencies should complete the Local Agency Contract Award,Federal-aid Project Number, Federal Share,Contract Award Date fields and verify that all information is complete and accurate before signing and filing. C-22 EXHIBIT D EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder BITECH CONSTRUCTION CO., INC. [proposed subcontractor J hereby certifies that he/she/it has V ,has not , participated in a previous contract or subcontract subject to the Equal Opportunity clauses, as required by Executive Orders 10925, 11114, or 11246,and that, where required, he/she/it has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-I.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of$101,000 or under are exempt.) Currently,Standard Form 100(EEO-1)is the only report required by the Executive Orders or their implementing regulations. (eeoc.gov/employers/eeotsurvey/index.cfm) Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that. 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Signature: Date: Print Name: BENJA IN KIM Title: President C-23 EXHIBIT E NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) Zone 5 Curb Ramp Installation To the City of Huntington Beach In conformance with Title 23 United States Code Section 112 and California Public Contract Code 7106 the bidder declares that the bid is not made in the interest of,or on 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 of the bidder or any other bidder, or to fix any overhead,profit,or cost element of the bid price,or of 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, any fee to any corporation, partnership, company association,organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Noncollusion Affidavit is part of the Bidder's Proposal. By signing the Proposal,the Bidder has also signed this Noncollusion Affidavit. Bidders are cautioned that making a false Certification may subject the Bidder to criminal prosecution. Signature: — Date: Print Name: BENJAMIN KIM Title: President C-24 EXHIBIT F DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 The Bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated with Bidder in the capacity of owner,partner,director,officer,manager: • is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any Federal agency; • has not been suspended,debarred,voluntarily excluded or determined ineligible by any Federal agency within the past 3 years; does not have a proposed debarment pending;and • has not been indicted, convicted, or had a civil judgment rendered against him/her by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the fallowing space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. Signature: Date: Print Name: BENJAMIN KIM Title: President C-25 EXHIBIT G NONLOB13YING CERTIFICATION FOR FEDERAL-AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal,to the best of his or her knowledge and belief, that: 1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract,the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation; renewal, amendment,or modification of any Federal contract,grant,loan,or cooperative agreement. 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress,an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than$100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be 'included in all lower tier subcontracts, which exceed $100,000 and tha all such subrecipients shall certify and disclose accordingly. Signature: Date: 11 7-1 Print Name: BENJA IN KIM Title: President C-26 EXHIBIT H DISCLOSURE OF LOBBYING ACTIVITIES COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352 1. Type of Federal action: 2. Status of Federal Action. 3, Report Type: Fla.contract FTbidloffer/application ❑ a. nitial b,grant b,initial award b.material change c.cooperative agreement c }lost-award d,loan For Material Change Only: e.loan guarantee year quarter f loan insurance date of last report 4. Name and Address of Reporting Entity 5. If Reporting Entity in No.4 is Subawardee, ^ Enter Name and Address of Prime: Prime L�Subawardee Tier if known Congressional District,if known Congressional District,if known 6. Federal Department/Agency: N/A 7. Federal Program Name[Description: NIA CFDA,dumber,if applicable 8. Federal Action Number,if known: N/A 9. Award Amount,if known: N/A 10. a.Name and Address of Lobby Entity b. Individuals Performing Services (including (if individual,last name„first name.MI) address if different from No 10a) N/A (last name,first name,MI) (attach Continuation Sheet(s)ifneeessaiy) 11, amount of Payment(check all that apply) 13. Type of Payment(check all that apply) S N/A Actual Elplanned a retainer b.one-time fee 12. Form of Payment(check all that apply): c,commission 8 a.cash d,contingent fee b.in-kind; specify: nature e deferred value U f.other.specify Id. Brief Description of Services Performed or to be performed and Date(s)of Service,including of6cer(s),employee(s),or member(s)contacted,for Payment indicated in Item 1 is NSA (attach Continuation Sheet(s)if necessary) 15. Continuation Sheet(s)attached: Yes ❑ No -7 16. Information requested through this form is authorized by Title 31 U.S.C. Section 1352. This disclosure of lobbying reliance Signature: was placed by the tier above when his transaction was made or entered into.This disclosure is required pursuant to 31 U.S:C. Print Name BENJAMkK11M 1352. This information will be reported to Congress semiannually and will be available for public inspection.Any Title: President / person who fails to file the required disclosure shall be subject to a civil penalty of not less than$10,000 and not more than Telephone No.- 714-521-1477 Date !! tit $100,000 for each such failure. Authorized for Local Reproduction Federal Use Only: Standard Form-LLI, Standard Form LLL Rev.09-12-97 C-27 INSTRUCTIONS FOR COMPLETION OF EXHIBIT H, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity,whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1) Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence,the outcome of a covered Federal action. 2) Identify the status of the covered Federal action. 3) Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last,previously submitted report by this reporting entity for this covered Federal action. 4) Enter the full name, address; city, state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g.,the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5) If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address,city,state and zip code of the prime Federal recipient.Include Congressional District, if known. 6) Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7) Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8) Enter the most appropriate Federal identifying number available for the Federal action identification in item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9) For a covered Federal action where there has been an award or loan commitment by the Federal agency,enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10)(a)Enter the full name,address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name,First Name and Middle Initial (MI). 11)Enter the amount of compensation paid or reasonably expected to be paid by the reporting ___entity.-(item.4)...to--the..Iobb_ying.-entity (item.10).._-Indicate-whether the-payment-has--been.made---_------- -- (actual) or will be made (planned). Check all boxes that apply. If this is a material change report,enter the cumulative amount of payment made or planned to be made. C-28 12)Check the appropriate box(es). Check all boxes that apply.If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13)Check the appropriate box(es). Check all boxes that apply.If other, specify nature. 14)Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15)Check whether or not a continuation sheet(s) is attached. 16)The certifying official shall sign and date the form,print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project(0348-0046),Washington,D.C. 20503. By my signature on this proposal I certify, under penalty of perjury under the laws of the State of California, that the foregoing questionnaire and statements of Public Contract Code Sections 10162, 10232 and 10283.1 are true and correct and that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission Regulations (Chapter 5,Title 2 of the California Administrative Code). C-29 EXHIBIT I FEDERAL LOBBYING RESTRICTIONS Section 1352, Title 31, United States Code prohibits Federal funds from being expended by the recipient or any lower tier subrecipient of a Federal-aid contract to pay for any person for influencing or attempting to influence a Federal agency or Congress in connection with the awarding of any Federal-aid contract,the making of any Federal grant or loan,or the entering into of any cooperative agreement. If any funds other than Federal funds have been paid for the same purposes in connection with this Federal-aid contract,the recipient shall submit an executed certification and, if required, submit a completed disclosure form as part of the bid documents. A certification for Federal-aid contracts regarding payment of funds to lobby Congress or a Federal agency is included in the Proposal. Standard Form - LLL, "Disclosure of Lobbying Activities," with instructions for completion of the Standard Form is also included in the Proposal. Signing the Proposal shall constitute signature of the Certification. The above referenced certification and disclosure of lobbying activities shall be included in each subcontract and any lower-tier contracts exceeding $100,000. All disclosure forms, but not certifications,shall be forwarded from tier to tier until received by the Engineer: The Contractor, subcontractors and any lower-tier contractors shall file a disclosure form at the end of each calendar quarter in which there occurs any event that requires disclosure or that materially affects the accuracy of the information contained in any disclosure form previously filed by the Contractor, subcontractors and any lower-tier contractors. An event that materially affects the accuracy of the information reported includes: 1) A cumulative increase if$25,000 or more in the amount paid or expected to be paid for influencing or attempting to influence a covered Federal action;or 2) A change in the person(s)or individual(s)influencing or attempting to influence a covered Federal action; or 3) A change in the officer(s), employees(s), or Member(s) contacted to influence or attempt to influence a covered Federal Action. C-30 BID BOND BOND NO. BBSU KNOW ALL MEN BY THESE PRESENTS, That we, BITECH CONSTRUCTION CO., INC. as Principal, and GREAT AMERICAN INSURANCE COMPANY p a corporation authorized to transact a general surety business in the State of CALIFORNIA as Surety, are held and firmly bound unto CITY OF HUNTINGTON BEACH (hereinafter called the Obligee) in the full and just sum of TEN PERCENT OF AMOUNT BID Dollars, ($10% )for the payment whereof in lawful money of the United States, we bind ourselves,our heirs, administrators, executors, successors and assigns,jointly.and severally,firmly by these presents. WHEREAS, the said PRINCIPAL has submitted the accompanying bid for ZONE 5 CURB RAMP INSTALLATION 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,or in the event of the failure of the Principal to enter such Contract, 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 9TH day of NOVEMBER 2021 YEAR BITECH CONSTRUCTION CO., INC. GREAT AMERICA INSURANCE COMPANY Surety By: Principal PHILIP E.VEGA Attorney-in-Fact A CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of (3 ae— `�j r On t t 1 S before me, Date ere Insert Name Title of the Officer personally appeared g e— 1 C',n �. ^" Names)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of JEONGM[N RYU which the person(s) acted, executed the instrument. 3 COMM#2225973 n e f' Notary Public-California m ORANGECOUNTY I certify under PENALTY OF PERJURY under the laws My Commission Expires 0ec.21,2021 of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. r- Signature ��;`---- Cti Place Notary Seal Above Signature of Notary Publi OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑Corporate Officer—Title(s): ❑ Partner—❑ Limited ❑ General _ _ ❑ Partner—❑ Limited ❑ General :ReGAWN. _ 110 El Attorney in Fact ❑Attorney in Fact ❑ Trustee Top of thumb here ❑Trustee Top of thumb here ❑ Guardian or Conservator ❑Guardian or Conservator ❑ Other: ❑Other: Signer Is Representing: Signer Is Representing: ©2007 National Notary Association•9350 De Soto Ave.,P.O.Box 2402•Chatsworth,CA 91313-2402-www.NationaiNotary.org Item#5907 Reorder:Call Toll-Free 1.800-876-6827 GREAT AMERICAN INSURANCE COMPANY® Administrative Office: 301 E 4TH STREET • CINCINNATI,OHIO 45202 • 513-369-5000 • FAX 513-723-2740 The number of persons authorized by this power of attorney is not more than FOUR No.O 20974 POWER OFATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the GREAT AMERICAN INSURANCE COMPANY,a corporation organized and existing under and by virtue of the laws of the State of Ohio,does hereby nominate,constitute and appoint the person or persons named below,each individually if more than one is named,its true and lawful attomey-in-fact,for it and in its name,place and stead to execute on behalf of the said Company,as surety,any and all bonds, undertakings and contracts of suretyship,or other written obligations in the nature thereof;provided that the liability of the said Company on any such bond, undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below. Name Address Limit of Power PHILIP E.VEGA ALL OF ALL KEVIN VEGA COVINA,CALIFORNIA $100,000,000 BRITTON CHRISTIANSEN MYRNA F.SMITH This Power of Attorney revokes all previous powers issued on behalf of the attomey(s)-in-fact named above. IN WITNESS WHEREOF the GREAT AMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this 7TH day of FEBRUARY 1 2020 Attest GREAT AMERICAN INSU NCE COMPAN We��Insur�n Assistant Secretary Divisional Senior Vice President STATE OF OHIO,COUNTY OF HAMILTON-ss: MARK VICARIO(877-377-2405) On this 7TH day of FEBRUARY 2020 ,before me personally appeared MARK VICARIO,tome known, being duly sworn,deposes and says that he resides in Cincinnati,Ohio,that he is a Divisional Senior Vice President of the Bond Division of Great American Insurance Company,the Company described in and which executed the above instrument;that he knows the seal of the said Company;that the seal affixed to the said instrument is such corporate seal;that it was so affixed by authority of his office under the By-Laws of said Company,and that he signed his name thereto by like authority. nA Koh st N*ry Pubic,9w0f0dONo myOoIltl WhI WwoeF16,= This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American insurance Company by unanimous written consent dated June 9,2008. RESOLVED: That the Divisional President,the several Divisional Senior Vice Presidents,Divisional Vice Presidents and Divisonal Assistant Vice Presidents,or any one of them,be and hereby is authorized,from time to time,to appoint one or more Attorneys-in-Fact to execute on behalf of the Company, as surety,any and all bonds,undertakings and contracts of suretyship,or other written obligations in the nature thereof to prescribe their respective duties and the respective limits of their authority;and to revoke any such appointment at any time. RESOLVED FURTHER: That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the Company maybe affixed by facsimile to any power of attorney or certificate of either given for the execution of any bond,undertaking,contract of suretyship, or other written obligation in the nature thereof,such signature and seal when so used being hereby adopted by the Company as the original signature of such officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as though manually affixed. CERTIFICATION I,STEPHEN C.BERAHA,Assistant Secretary of Great American Insurance Company,do hereby certify that the foregoing Power of Attorney and the Resolutions of the Board of Directors of June 9,2008 have not been revoked and are now in full force and effect. Signed and sealed this 9TH day of NOVEMBER , 2021 Assistant Secretary S1029AG(07/18) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of LOS ANGELES ) On NOV 0 9 2021 before me, KEVIN EDWARD VEGA, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared PHILIP E. VEGA 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 offici al. KEVINEDWARD Notary Public_ VEGA California Los Angeles County = Signature Commission#2326181 > g MY Comm.Expires A r Si ture of No Public 29.2024 g ry Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑ Partner — ❑Limited ❑General ❑ Partner — ❑ Limited ❑General ❑Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: ©2014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 SITECH CONSTRUCTION COMPANY INC. t WALNUT AVE A PARK,CA 90620 L t oPz 1-,,sFhll�t GG � . f63'I Noy/. 'fo. City i4' rsz:.�rn p�6lrc C t<s ct « �—ov c MH;n art� cA City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov ' FFB_1),1909,E° Office of the City Clerk Robin Estanislau, City Clerk August 15, 2022 CT&T Concrete Paving, Inc. 324 S. Diamond Bar Blvd., PMB 275 Diamond Bar, CA 91765 RE: Zone 5 Curb Ramp Installation - Various Projects—CC No. 1637 Enclosed please find your original bid bond for CC-1637. Sincerely, & Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City: Anjo, Japan SECTION C PROPOSAL for the construction of ZONE 5 CURB RAMP INSTALLATION from VARIOUS LOCATIONS CC No. 1637 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting ELECTRONIC 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 35 working days,starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award,BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses,taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-2 SECTION C PROJECT BID--SCHEDULE A CURB RAMP PROJECT,CC 1637 BID ITEMS Item Description.. (ttiantity ; .Unft Unit host Tata1 Cost No. (il tenSion) . mom 1 Mobilization 1 LS $ 179000 $ 179000 2 Prepare Storm Water Pollution Prevention Plan(SWPPP) 1 LS $ 5000 $ 5000 3 Install&Maintain Construction BMPs 1 LS $ 5000 $ 5000 Construct Curb Access Ramp per Caitrans Std.Plan A88A/A88B as shown on Curb Ramp Detail 1 in Appendix H 4 of Specifications (Item includes all appurtenances,curb& gutter,depressed curb,sawcut,sidewalk,domes,retaining 96 curb,slot pave,etc.) EA $ 5100 $ 489600 Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88AIA88B using horizontal curb cutting machine as 5 shown on Curb Ramp Detail 2 in Appendix H of Specifications (Item includes all appurtenances,curb&gutter,depressed 3600 68400 curb,sawcut,sidewalk,domes,retaining curb,etc.) 19 EA $ $ Construct Curb Access Ramp per Caltrans Std.Plan A88A/A8813 as shown on Curb Ramp Detail 3 in Appendix H 6 of Specifications (Item includes all appurtenances,curb& gutter,depressed curb,sawcut,sidewalk,domes,retaining 77 curb,slot pave,etc.) EA $ 5100 $ 392700 Remove and Replace damaged concrete cross gutter as 7 shown on Curb Ramp Detail 4 in Appendix H of Specifications (Item includes all appurtenances,curb&gutter,cross gutter, sawcut,slot patch,etc.) 2,400 SF $ 25 $ 60000 Remove and Replace Truncated Dome on existing Curb 8 Access Ramp per Caltrans Std.Plan A88A/A88B as shown on Curb Ramp Detail 5 in Appendix H of Specifications (Item 2200 15400 includes all appurtenances,domes,etc.) 7 EA $ $ Construct Truncated Dome on existing Curb Access Ramp per 9 Caltrans Std.Plan A88A/A88B as shown on Curb Ramp Detail 5 in Appendix H of Specifications (Item includes all 86 1980 appurtenances,domes,etc.) EA $ $ 170280 Remove existing asphalt concrete/subgrade to a maximum depth 6"-12"to finished surface and replace with 6"depth of 10 asphalt concrete hot mix adjacent to new curb ramp.(Item includes all appurtenances,sawcut,unclassified excavation, asphalt concrete etc.). 4,000 SF $14 $ 56000 Install 4"PVC Sleeve for Street Assembly Sign per City of HB 3600 Std.Plan 401 9 EA $ 400 $ Remove and replace existing sidewalk per City of HB Std. 12 Plan 207 at locations adjacent to ramp.(Item includes all appurtenances,sawcut) 8,000 SF $ 14 $ 112000 C-2.1 SECTION C PROJECT BID—SCHEDULE A CURB RAMP PROJECT,CC 1637 Remove and replaces existing 8"-12"Curb and Gutter at 13 locations adjacent to ramp per HB Std.Plan 205(item includes ail appurtenances,sawcut,slot pave,etc.). 1,000 LP $ 65 $ 65000 SUB-TOTAL BID AMOUNT(SCHEDULE A) $ 1,621380.00 SUB-TOTAL BID AMOUNT IN WORDS: On Million, Six Hundred Twenty-One Thousand, Nine Hundred Eighty 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 extension,the unit price will govem.The Owner reserves the right to reject any or all proposals and bid items. In addition, the City reserves the right to include or remove Bid Schedule B in the award of the contract. C-2.2 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. 8 Bid Bond 10%of Total Accompanying this proposal of bid,find in the amount of Bid Amount which said amount is not less than 10%of the aggregate of the total bid price,as required by the Notice Inviting ELECTRONIC Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for 10% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: 9 Addenda No. Date Received ! 's a re C-2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar % of Items) Subcontractor License Registration# Amount Contract tt,� / $ Number C.G'a�,e By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 11/17/21 , at Pomona CA Date City State ,lose Carvajal , being first duly sworn, deposes and says that he or she is President of CT&T Concrete Paving Inc. the party making the foregoing bid that the bid is not made in the interest of,or on the behalf of,any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are true;and,further,that the bidder has not,directly or indirectly, submitted his or her bid price or any breakdown thereof,or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation,partnership, company association, organization,bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. CT&T Concrete Paving Inc. Name of Bidder r Si ature of Bidder 324 S. Diamond Bar Blvd, PMB 275, Diamond Bar,CA 91765 Address of Bidder C-4 ..... ._ ---- - --- _ _ I J U RATE � NfI 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 it the truthfulness, accuracy, or validity of that document. u� State of California County of Los Angeles Subscribed and sworn to (or affirmed) before me on this l tday of lei r�v:�tt J+rx 20 _by proved to me on the basis of satisfactory evidence to be the person(s) who appeared f before me. �f DANIEL A.BUTLERI Commission No. 2239769 I ° -NOTARY PUBLIC-CALIFORNIA LOS ANGELES COUNTY l 3 u Signature (Seal) Mycmm Expires APRIL 20.2022 �I IL OPTIONAL_ INFORMATION INSTRUCTIONS jThe wording of all Jurais completed in California after January 1, 2015 must be in the ' form as set forth within this Jurat. There are no exceptions. if a Jurat to be completed ; does not follow this form,the notary must correct the verbiage by using a jurat stamp l containing the correct wording or attaching a separate jurat form such as this one with �I does contain the proper wording. In addition, the notary must require an oath or DESCRIPTION OF THE ATTACHED DOCUMENT affirmation from the document signer regarding the truthfulness of the contents of the r, `� {s (( document.The document must be signed AFTER the oath or affirmation.if the document t ILL S n Crt 1 '�{lii y, was previously signed,it must be re-signed in front of the notary public during the jurat �i (Title or description of attached document) process. �t• State and county information must be the state and county where the ' I (Title or description of attached document continued) document signer(s)Personally appeared before the notary public. • Date of noterization must be the date the signer(s) personally appeared which must also be the same date the jurat process is l completed. I I Number of Pages Document Date . Print the name(s)of the document signer(s)who personally appear at 1 the time of notarization. • Signature of the notary public must match the signature on file with the I Additional information office of the county clerk. • The notary seal impression must be clear and photographically ! reproducible.Impression must not cover text or lines.If seal impression 1 smudges, re-seal if a sufficient area permits, otherwise complete a .� different jurat form. i Additional information Is not required but could help i to ensure this jurat is not misused or attached to a a' different document. 3 Indicate title or type of attached document,number of 1 pages and date. 4f Nvt r�{laasna corn 300 073 9865 . Securely attach this document to the signed document with a staple. -- UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH,CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the ZONE 5 CURB RAMP INSTALLATION, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700,as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. CT&T Concrete Pavin Inc. Contractor / y .- President Title Date: 11/17/2021 C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162,the Bidder shall complete, under penalty of perjury,the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes 0 No If the answer is yes, explain the circumstances in the space provided. Concrete Maintenance Project Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code,each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. CT&T Concrete Pavin Contractor v Y President Title Date: 11/17/2021 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: CT&T Concrete Paving]nc. Bidder Name 324 S. Diamond Bar Blvd, PMB 275 Business Address Diamond Bar, CA 91765 City, State Zip ( 909 ) 629-8000 jose.cttinc@gmaii.com Telephone Number Email Address 875627,Class A, C-8, C-12 State Contractor's License No. and Class 04/05/2006 Original Date Issued 04/30/2022 Expiration Date The work site was inspected by Jose Carvajal of our office on November 17th , 201_. The following are persons,firms, and corporations having a principal interest in this proposal: Jose Carvajal, President&Secretary Jackie Carvajal,Treasurer The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. CT&T Concrete P vin I Comps Signature of Bidder Jose Carvajal Printed or Typed Signature C-8 NOTARY CERTIFICATE F Subscribed and sworn to before me this 1 day of�je—V V46--}' ,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 L.o c On_ ci'y ,r� .� "Zl before me, 'j-/Kvri i , - few A Qn. Month, Day,and Year Insert Name and Title of Notary personalty appeared t"s -114 t V ��.__._._....._....._.._...._... -........ Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(61 whose namekg�'iafe subscribed to the within instrument and acknowledged to me that�hi�,�slieky executed the same i . l -Ahair authorized capacity(ies),and that b)LIij—/heer/their signature(s•)on the instrument the person,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 paragraph is true and correct. DANIEL A.BUTLER WITNESS my hand and official seal. Commission No. 2239769 AZ NOTARY PUBLIC-CALIFORNIA A LOS ANGELES COUNTY `�'.e•+' My Comm.Eyp.res APRIL 26,2022 Signature _-' . �--- Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of(Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in Public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets,an area containinL,high i I J..ground water and P Pe ine construction in high ground water rggions with trench depths of 8-feet to the invert."I. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. City of Anaheim,400 E.Vermont Ave,Anaheim, CA 92805 Name and Address of Public Agency Name and Telephone No, of Project Manager: Lorenzo Rea,714-765-6893 $402,238.45 Concrete Maintenance Project 9/8/2021 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Removal and replacement of sidewalk,curb&gutters,ADA ramps,and drive approaches at various locations, 2. Los Angeles County Department of Public Works,900 S. Fremont Ave,Alhambra,CA 91804 Name and Address of Public Agency Name and Telephone No. of Project Manager: Jose Reyes,626-337-1277 $600,000.00 Parkway Concrete Maintenance 6/1612020 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Removal and replacement of sidewalk,curb&gutters,ADA ramps,and drive approaches at various locations within unincorporated areas of Los Angeles County. 3. City of Laguna Niguel,30111 Crown Valley Parkway, Laguna Niguel,CA 92677 Name and Address of Public Agency Name and Telephone No. of Project Manager: Jeff Metz Concrete Infrastructure $360,276.00 Revitalization Program 2/1512020 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Maintenance Project:RIR Sidewalk,Curb&Gutters,and ADA Ramps along Crown Valley Parkway in Laguna Niguel. C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager,and Superintendent. For each of these critical positions,please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project.Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. Richard Ramos Name of proposed Project Manager Telephone No. of proposed Project Manager: 909-957-6717 CDBG Annual Concrete Prepair Program Project 7/19/2021 Concrete Maintenance Pro $277,000.00 1 Project Name& Contract Amount Type of Work Date Completed CDBG Sidewalk Improvements $470,841.00 Concrete Maintenance Project _ � July 2021 Project Name& Contract Amount Type of Work Date Completed CDBG ADA Wheelchair Access Ramp Improvement Project Aril 2021 $118,925.00 R/R of ADA Curb Ramps p Project Name& Contract Amount Type of Work Date Completed 2. Oswaldo Deanda Name of proposed Superintendent Telephone No.of proposed Superintendent: 909-706-5506 FY19120 Sidewalk Repair Program Concrete Maintenance Project$332,469.93 1 March 2021 Project Name & Contract Amount Type of Work Date Completed FY19-20 CDBG Curb Ramp Improvement Project $128,940.00 R/R ADA Curb Ramps 2/1/2020 Project Name& Contract Amount Type of Work Date Completed Concrete Rehabilitation Project $259,650.00 Concrete Maintenance Project 9/1/2020 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/DL SE/Public Works/S B 854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/P WCR/ActionServlet?action=displayP WCRegistrationForm DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section .]771.1(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 1.0164 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. CT&T Concrete Paving Inc. Contractor jose.cttinc@gmail.com Email President Title Date: 11/17/2021 PWC Registration #: 1000025154 C-12 BIDDER'S CERTIFICATION* HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED 1N 1992, SECTION 3 TITLE 24, Code of Federal Regulations,Part 135* Economic Opportunities for Low and Very Low-Income Persons The bidder, under penalty of perjury, certifies that except as noted below, any person associated therewith in the capacity of owner, partner, director,officer, or manager(initial the applicable selections): ' Will ensure that 10%of all new hires as a result of this project shall meet all requirements of Section 3 of CFR Part 135 of the HUD Act of 1968; or X Will hire no new employees in conjunction with this project. Will award 10%of its sub-contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub-contracts related to this project. Contractor: CT&T Concrete Paving Inc. Contact Person: .lose Carvajal , Contact Phone: Presi n Signed: Date: 11/17/2021 f *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 135 and Subtitle A et al) and must be submitted by the bidders and proposed sub- contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act, as amended in 1992(HUD). Previous non-compliance with Section 3 could result in disqualification. C-13 EXHIBIT A DISADVANTAGED BUSINESS ENTERPRISE(DBE) This Project is subject to Part 200.321, Title 2, Code of Federal Regulations entitled "Contracting with Small and Minority Businesses, Women's Business Enterprises, and Labor Surplus Area Firms." The Regulations in their entirety are incorporated herein by this reference. It is the policy of the City that disadvantaged business enterprises (DBEs), as defined in Part 200.321., Title 2 CFR, shall be encouraged to participate in the performance of Contracts financed in whole or in part with federal funds.The Contractor should ensure that DBEs,as defined in Part 200.321, Title 2 CFR, have the opportunity to participate in the performance of this Contract and shall take all necessary and reasonable steps,as set forth in Part 200.321,Title 2 CFR, for this assurance.The Contractor shall not discriminate on the basis of race,color,national origin, or sex in the award and performance of subcontracts. Failure to carry out the requirements of this paragraph shall constitute a breach of Contract and may result in termination of this Contract or other remedy the City may deem appropriate. Bidders shall be fully informed respecting the requirements of the Regulations and are urged to obtain DBE participation in this project,although there is no specific goal for DBE participation. C-14 EXHIBIT B DBE INFORMATION—GOOD FAITH EFFORTS Federal-aid Project No. 1637 Bid Opening Date November 18,2021 The City of Huntington Beach established a Disadvantaged Business Enterprise(DBE)goal of 0% for this Project. The information provided herein shows that a good faith effort was made. Lowest,second lowest and third lowest bidders shall submit the following information to document adequate good faith efforts. Bidders should submit the following information even if the "Local Agency Bidder DBE Commitment"form indicates that the bidder has met the DBE goal.This will protect the bidder's eligibility for award of the contract if the administering agency determines that the bidder failed to meet the goal for various reasons, e.g., a DBE firm was not certified at bid opening, or the bidder made a mathematical error. Submittal of only the "Local Agency Bidder DBE Commitment" form may not provide sufficient documentation to demonstrate that adequate good faith efforts were made. The following items are listed in the Section entitled "Submission of DBE Commitment" of the Special Provisions: A. The names and dates of each publication in which a request for DBE participation for this project was placed by the bidder (please attach copies of advertisements or proofs of publication): Publications Dates of Advertisement The Weekly Bid Flash 11/15/2021 Construction Star 11/15/2021 B. The names and dates of written notices sent to certified DBEs soliciting bids for this Project and the dates and methods used for following up initial solicitations to determine with certainty whether the DBEs were interested(please attach copies of solicitations,telephone records, fax confirmations,etc.): Names of DBEs Solicited Date of Initial Follow Up Methods Solicitation and Dates None. C-15 C. The items of work which the bidder made available to DBE firms including, where appropriate,any breaking down of the contract work items(including those items normally performed by the bidder with its own forces) into economically feasible units to facilitate DBE participation. It is the bidder's responsibility to demonstrate that sufficient work to facilitate DBE participation was made available to DBE firms. Items of Work Bidder Normally Breakdown of Amount Percentage Performs Item Items ($) of (Y/N) Contract Surveying N Y Truncated Domes Y Y Demolition Y Y Asphalt Y Y D. The names, addresses and phone numbers of rejected DBE firms, the reasons for the bidder`s rejection of the DBEs, the firms selected for that work (please attach copies of quotes from the firms involved),and the price difference for each DBE if the selected firm is not a.DBE: Names, addresses and phone numbers of rejected DBEs and the reasons for the bidder's rejection of the DBEs: Noy%.- Names, addresses and phone numbers of firms selected for the work above: U U r2- E. Efforts made to assist interested DBEs in obtaining bonding, lines of credit or insurance, and any technical assistance or information related to the plans, specifications and requirements for the work which was provided to DBEs: Assistance made available to any interested DBEs in obtaining bonding,lines of credit or insurance. Plans and specs were also made available via email upon request C-1.6 F. Efforts made to assist interested DBEs in obtaining necessary equipment, supplies, materials or related assistance or services, excluding supplies and equipment the DBE subcontractor purchases or leases from the prime contractor or its affiliate: Assistance made available to any interested DBE's in obtaining necessary equipment,supplies,and materials. G. The names of agencies, organizations or groups contacted to provide assistance in contacting, recruiting and using DBE firms (please attach copies of requests to agencies and any responses received, i.e., lists, Internet page download,etc.): Name of Agency/Organization Method/Date of Contact Results None. H. Any additional data to support a demonstration of good faith efforts(use additional sheets if necessary): NOTE: USE ADDITIONAL SHEETS OF PAPER IF NECESSARY. C-l7 IF A SOLE OWNER OR SOLE CONTRACTOR SIGN HERE: WA, (1) Name under which business is conducted (2) Signature(given and surname)of proprietor (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail IF A PARTNERSHIP, SIGN HERE: (1) Name under which business is conducted 1 (2) Signature (given and surname and character of partner) (Note: Signature must be made by a general partner) (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail C-1 S IF A CORPORATION, SIGN HERE: (1) Name under which business is conducted CT&T Concrete Paving Inc. A (2) C(Signatur President (Title) Impress Corporate Seal here (3) Incorporated under the laws of the State of California (4) Place of Business 324 S. Diamond Bar Blvd, PMB 275 (Street and Number) City and State Diamond Bar, CA (5) Zip Code 91765 Telephone No. 909-629-8000 (6) E-Mail jose.cttinc@gmail.com NOTARIAL ACKNOWLEDGMENT OF EXECUTION BY ALL SIGNATORIES MUST BE ATTACHED C-19 CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of Los Angeles } On t�u�ar�,�z -�T`�`�7�.2 t before me, Daniel A. Butler, A Notary Public ere InSW name and title or Mee Officer) , personally appeared 7b<-e- who proved to me on the basis of satis actory evidence to be the person(as) whose name(-s&) is re subscribed to the within instrument and acknowledged to me that <ieghe/they executed the same in Is erltheir authorized capacity(ies), and that by is er/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. DANIEL A.BUTLER WITNESS my hand and official seal. : Commission No. 2239769 z NOTARY PUBLIC-CALIFORNIA LOS ANGELES COUNTY My Caned.Expires APRIL 26,2022 Notary Public Signature (Notary Public Seal) INSTRUCTIONS FOR COMPLETING THIS FORM ADDITIONAL OPTIONAL INFORMATION This farm complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT f needed,should be completed and attached to the document.Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary law. (Title or description of attached document) • State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment. a Date of notarization must be the date that the signer(s)personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment is completed. a The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title(notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. ❑ Individual(s) #telsheldwy—, is lace)or circling the correct forts.Failure to correctly indicate this information may lead to rejection of document recording. ❑ Corporate Officer a The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges,re-seal if a (Tide) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) a Signature of the notary public must match the signature on rite with the office of the county clerk. ❑ Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other 3 Indicate title or type of attached document,number of pages and date. ❑ S• Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate die title(i.e.CEO,CFO,Secretary). www-NotaryClasses,com 800-873-9865 • Securely attach this document to the signed document with a staple. List below names of president, vice president,secretary and assistant secretary, if a corporation; if a partnership, list names of all general partners and managing partners: Jose Carvajal, President&Secretary Jackie Carvajal,Treasurer C-20 EXHIBIT C LOCAL AGENCY BIDDER DBE COMMITMENT(CONSTRUCTION CONTRACTS) NOTE: PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM LOCAL AGENCY: City of Huntington Beach LOCATION: Various Locations PROJECT DESCRIPTION: ZONE 5 CURB RAMP INSTALLATION PROJECT TOTAL CONTRACT AMOUNT:S 162 1 980.00 BID DATE: 11/18/2021 BIDDER'S NAME: CT&T Concrete Paving Inc. CONTRACT DBE GOAL: 0 CONTRACT TEM OF WORK AND DESCRIPTION BE CERT NO. NAME OF EACH DBE DOLLAR AMOUNT ITEM NO, R SERVICES TO BE AND EXPIRATION (Must be certified on the date bids DBE 'UBCONTRACTED OR MATERIALS DATE are opened-include DBE address O BE PROVIDED(or contracted if the d phone number) idder is a DBE) flc vI Vtr ric q For Local Agency to Complete: Local Agency Contract Number. Total Claimed DBE $ 0 g Y Participation Federal-aid Project Number: (� % Federal Share: Contract Award Date: Local Agency certifies that all DBE certifications have been verified and information is complete and accurate. Signature of Bidder 11/18/2021 909-629y Date Print Name Signature Date Jose Carvajal Local Agency Representative Person to Contact (Please Type or Print) (Area Code)Telephone Number: Local Agency Biddcr DBB Commitment(Construction Contracts) (Rev 626/09) C-21 PLEASE NOTE: This information may be submitted with your bid.If it is not,and you are the apparent low bidder or the second or third low bidder,it must be submitted and received as specified in the Special Provisions. Failure to submit the required DBE commitment will be grounds for finding the bid nonresponsive The form requires specific information regarding the construction contract: Local Agency, Location, Project Description, Total Contract Amount, Bid Date, Bidder's Name, and Contract DBE Goal. The form has a column for the Contract Item Number and Item of Work and Description or Services to be Subcontracted or Materials to be provided by DBEs.Prime contractors shall indicate all work to be performed by DBEs including, if the prime is a DBE, work performed by its own forces, if a DBE. The DBE shall provide a certification number to the Contractor and expiration date. Enter the DBE prime's and subcontractors' certification numbers.The form has a column for the Names of DBE contractors to perform the work (who must be certified on the date bids are opened and include the DBE address and phone number). IMPORTANT: Identify all DBE firms participating in the project regardless of tier.Names of the First-Tier DBE Subcontractors and their respective item(s) of work listed should be consistent, where applicable,with the names and items of work in the"List of Subcontractors"submitted with your bid. There is a column for the DBE participation dollar amount. Enter the Total Claimed DBE Participation dollars and percentage amount of items of work submitted with your bid pursuant to the Special Provisions. (If 100%of item is not to be performed or furnished by the DBE,describe exact portion of time to be performed or furnished by the DBE.) See Section "Disadvantaged Business Enterprise(DBE),"of the Special Provisions(construction contracts),to determine how to count the participation of DBE firms. Exhibit 15-G must be signed and dated by the person bidding. Also list a phone number in the space provided and print the name of the person to contact. Local agencies should complete the Local Agency Contract Award, Federal-aid Project Number, Federal Share,Contract Award Date fields and verify that all information is complete and accurate before signing and filing. C-22 EXHIBIT D EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder CTBT Concrete Paving Inc. [proposed subcontractor J hereby certifies that he/she/it has X ,has not ,participated in a previous contract or subcontract subject to the Equal Opportunity clauses, as required by Executive Orders 10925, 11114,or 11246,and that,where required, he/she/it has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of$10,000 or under are exempt.) Currently, Standard Form 100(EEO-1)is the only report required by the Executive Orders or their implementing regulations. (eeoc.gov/employers/eeoIsurvey/index.cfm) Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Signature: Date: 11/17/2021 Print Name: Jose Carvajal Title: President C-23 EXHIBIT E NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) Zane 5 Curb Ramp Installation To the City of Huntington Beach In conformance with Title 23 United States Code Section 112 and California Public Contract Code 7106 the bidder declares that the bid is not made in the interest of,or on 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 of the bidder or any other bidder, or to fix any overhead,profit, or cost element of the bid price,or of 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, any fee to any corporation,partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Noncollusion Affidavit is part of the Bidder's Proposal. By signing the Proposal,the Bidder has also signed this Noncollusion Affidavit. Bidders are cautioned that making ate# lse Certification may subject the Bidder to criminal prosecution. Signature: /` ''� Date: 11/17/2021 v Print Name: Jose Carvajal Title: President C-24 EXHIBIT F DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49, CODE OF FEDERAL REGULATIONS,PART 29 The Bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated with Bidder in the capacity of owner,partner, director,officer,manager: • is not currently under suspension, debarment,voluntary exclusion,or determination of ineligibility by any Federal agency; • has not been suspended, debarred, voluntarily excluded or determined ineligible by any Federal agency within the past 3 years; • does not have a proposed debarment pending;and • has not been indicted, convicted,or had a civil judgment rendered against him/her by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility.For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. f Signature: Date: 1 111 7/202 1 Print Name: Jose Carvajal Title: President C-25 EXHIBIT G NONLOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal,to the best of his or her knowledge and belief, that: 1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract,the making of any Federal grant,the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment,or modification of any Federal contract,grant,loan,or cooperative agreement. 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than$100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such su h— s shall certify and disclose accordingly. Signature: Date: 11/17/2021 Print Name: Jose Carvajal Title: President C-26 EXHIBIT H DISCLOSURE OF LOBBYING ACTIVITIES COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type- Fla.contract Fl.bid/offer/application Fla.initial b.grant b initial award b.material change C.cooperative agreement c.post-award d.loan For Material Change Only: e.loan guarantee year quarter f.loan insurance date of last report 4. Name and Address of Reporting Entity 5. If Reporting Entity in No.4 is Subawardee, ElEnter Name and Address of Prime: Prime �Subawardee Tier if known Congressional District,if known Congressional District,if known 6. Federal Departmeat/Agency: 7. Federal Program Name/Description: CFDA Number,if applicable g. Federal Action Number,if known: 9, Award Amount,if known: 10, a.Name and Address of Lobby Entity b. Individuals Performing Services (including (If individual,last name,first name,MI) address if different from No 1 Oa) (last name,first name,MI) (attach Continuation Sheet(s)if necessary) 11. Amount of Payment(check all that apply) 13. Type of Payment(check all that apply) $ Actual ❑planned a retainer b.one-time fee 12. Form of Payment(check all that apply): C.commission 8 a.cash d.contingent fee b.in-kind; specify: nature a deferred value f other,specify 14. Brief Description of Services Performed or to be performed and Date(s)of Service,including offtcer(s),tmployee(s),or member(s)contacted,for Payment Indicated in Item 11: (attach Continuation Sheet(s)if necessary) 15. Continuation Sheet(s)attached: Yes ❑ No 16. Information requested through this form is authorized by Title 31 U.S.C. Section 1352.This disclosure oflobbying reliance Signature: was placed by the tier above when his transaction was made or entered into.This disclosure is required pursuant to 31 U.S.C. Print Name: 1352. This information will be reported to Congress semiannually and will be available for public inspection.Any Title: person who fails to file the required disclosure shall be subject to a civil penalty of not less than$10,000 and not more than Telephone No.: Date: $100,000 for each such failure. Authorized for Local Reproduction Federal Use Only: Standard Form-LLL Standard Form LLL Rev.09-12-97 C-27 INSTRUCTIONS FOR COMPLETION OF EXHIBIT H DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity,whether subawardee orprime Federal recipient,at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1) Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence,the outcome of a covered Federal action.. 2) Identify the status of the covered Federal action. 3) Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4) Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee,e.g.,the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5) If the organization filing the report in Item 4 checks "subawardee" then enter the full name, address,city,state and zip code of the prime Federal recipient.Include Congressional District, if known. 6) Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7) Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8) Enter the most appropriate Federal identifying number available for the Federal action identification in item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9) For a covered Federal action where there has been an award or loan commitment by the Federal agency,enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10)(a) Enter the full name,address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10(a). Enter Last Name, First Name and Middle Initial (MI). 11)Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4)to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. C-2s 12)Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13)Check the appropriate box(es). Check all.boxes that apply. If other, specify nature. 14)Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15)Check whether or not a continuation sheet(s)is attached. 16)The certifying official shall sign and date the form,print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project(0348-0046), Washington,D.C. 20503. By my signature on this proposal I certify, under penalty of perjury under the laws of the State of California, that the foregoing questionnaire and statements of Public Contract Code Sections 10162, 10232 and 10285.1 are true and correct and that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission Regulations (Chapter 5, Title 2 of the California Administrative Code). C-29 EXHIBIT I FEDERAL LOBBYING RESTRICTIONS Section 1352, Title 31, United States Code prohibits Federal funds from being expended by the recipient or any lower tier subrecipient of a Federal-aid contract to pay for any person for influencing or attempting to influence a Federal agency or Congress in connection with the awarding of any Federal-aid contract,the making of any Federal grant or loan,or the entering into of any cooperative agreement. If any funds other than Federal funds have been paid for the same purposes in connection with this Federal-aid contract, the recipient shall submit an executed certification and, if required, submit a completed disclosure form as part of the bid documents. A certification for Federal-aid contracts regarding payment of funds to lobby Congress or a Federal agency is included in the Proposal. Standard Form - LLL, "Disclosure of Lobbying Activities," with instructions for completion of the Standard Form is also included in the Proposal. Signing the Proposal shall constitute signature of the Certification. The above referenced certification and disclosure of lobbying activities shall be included in each subcontract and any lower-tier contracts exceeding $100,000. All disclosure forms, but not certifications, shall be forwarded from tier to tier until received by the Engineer. The Contractor, subcontractors and any lower-tier contractors shall file a disclosure form at the end of each calendar quarter in which there occurs any event that requires disclosure or that materially affects the accuracy of the information contained in any disclosure form previously filed by the Contractor, subcontractors and any lower-tier contractors. An event that materially affects the accuracy of the information reported includes: 1) A cumulative increase if$25,000 or more in the amount paid or expected to be paid for influencing or attempting to influence a covered Federal action; or 2) A change in the person(s)or individual(s) influencing or attempting to influence a covered Federal action; or 3) A change in the officer(s), employees(s), or Member(s) contacted to influence or attempt to influence a covered Federal Action. C-30 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714)536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For ZONE 5 CURB RAMP INSTALLATION PROJECT CC NO. 1637 In the CITY OF HUNTINGTON BEACH November 17,2021 Notice To All Bidders: Please note the following clarification to the Project Plans,Specifications,and Special Provisions: 1) REPLACE APPENDIX L"PREVAILING WAGE SCHEDULE"TO CURRENT WAGES SCHEDULE. Replace"General Decision Number: CA20200024 10/2212021"with Superseded "General Decision Number: CA2021002411/12/2021" This is to acknowledge receipt and review of Addendum Number One,d o vI7 021. Company Name By Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please call Joseph Fuentes at(714) 536-5431. . . .. . . . .... . . .. . . . -IRAIA Document A31 0TM — 2010 . .. . . . .. . . .. .... . .. .. . . . Bid.Bond Bid Bond No:N/A CONTRACTOR: SURETY: (Arame, legal status and address) (Aame, legal status and principal place CT&T Concrete Paving, Inc. of business)Contractors Bonding and Insurance Company 324 S. Diamond Bar Blvd. PMB 275 9025 N. Lindbergh Drive Diamond Bar,CA 91765 Peoria, IL 61615 This document has important legal consequences.Consultation with OWNER: an attorney is encouraged with (A'ame,legal status and address) 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 shall be considered plural where applicable. PROJECT: (Arame, location or address,.and Project number, if any) Curb Ramp installation in Maintenance Zone 5 Project Number,if any:CC-1637 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 theContractor 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 m 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 parry 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::agreernentbetween the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time for acceptance of bids specified in:the bid documents,and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty(60)days. If this Bond is issued in connection with a subcontractor's bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.When so :furnished,the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 16th day of November 2021 CT&T Concrete Pavi9o��,a4rlle (Principal) (Seal) (4W.n ss) itle)t� 5iclevt�— vSe CaN�j�� Contractors Bonding and Insur nce Co an (Suret (Seal) (!�T'itners) \ (Title) Emilie George,Atto e 4-Fact AIA Document A310TM—2010.Copyright©1963,1970 and 2010 by The American Institute of Architects.All rights reserved.WARNINC:This AIA* Init. Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA"Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This t document was created on 01/27/2012 07:23:12 under the terms of AIA Documents-on-Demand""order no. 2008397483 and is not for resale.This document is licensed by The American Institute of Architects for one-time use only,and may not be reproduced onor to its completion.nr i+.,n CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of Los Angeles } On 0vvtri,� I��',�Z( before me, Daniel A. Butler, A Notary Public , ere insert name ana title ot tne o icer personally appeared J_vs.e G' rV & who proved to me on the basis of satis actory evidence to be the person(--) whose name(&) is re subscribed to the within instrument and acknowledged to me that K he/they executed the same in Esher/their authorized is capacity(ies), and that by er/their signature(s) on the instrument the person(-), 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. DANIEL A.BUTLER WITNESS my hand and official seal. Commission No. 2239769 ?NOTARY PUBLIC-CALIFORNIA 2 LOS ANGELES COUNTY `•i..e++`' My Comm.Expires APRIL 26,2022 Notary Public Signature (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT if needed,should be completed and attached to the document.Acknowledgments from other states may be completed for documents being sent to that state so long [7- as the wording does not require the California notary to violate California notary FLrryY law. (Title or description of attached document) e State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title(notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • indicate the correct singular or plural forms by crossing off incorrect forms(i.e. Ae/she/dwy,-is/ere)or circling the correct forms.Failure to correctly indicate this ❑ Individual (s) information may lead to rejection of document recording. Corporate Officer • The notary seal impression must be clear and photographically reproducible. 1 j e5"Jt'f— Impression must not cover text or lines. If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. ❑ Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other Indicate title or type of attached document,number of pages and date. El Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). www.NotaryClasses.com 800-873-9865 Securely attach this document to the signed document with a staple. CALIFORNIA ACKNOWLEDGMENT NT CIVIL CODE § 1189 .. A_ �.......................r4,;i9#�.trw G_.� ursm... A notary public:or other officer conlplet ng ll his certificate verifies only the identity of the individiLial who s fined the document to vvi-lich this ce€ ifi:ale is attadi a 9i not the If t lfl;nt'04 r+ C#Jrc CV 71�bill 1€� of that CiOCt nieil .. ._.._...... _.. ......... __._ State of California County csf......._..._....._Orange _....._............ ._.__............_....._,..._._...___.__._._...-_._..__._____ J. Smith, Notary Public C7;t ._.._.__._N _ _...__... ..._2_Q.2_........................._................ k>:ferc. > is=. _...._.......__.._..__... Dote Hera t:tsrt;Vc.nic t1;;d Tit of iii£ Uttl�.s�r Emilie George peri-onally <.-ippearcd _._........ . . . ......... ..... ...... .. - ......._...._........_........._............__.. .. .__._.................. . ... ..__ ......._. .. ..._ ......_. . .. .. ._._... .. .... who proved t.: rtie on thy. basis of.,...fish actory evidence ;i ; : the person(s}whose narlle(s) is are sub-scribed to tll re,'within iriSirUffieelt and %]i"I rl(:il'JI ':.'aC;E'CI to riir t.haf i"w/sh£,!/the'y'c?x,Ccuted the, same in his"?lPr'their authorized capadl y(ies), and that L','y on the instrument the p rso:n(<s), or the entity upon, behalf of which the peisori(S) acted. extecutcA the :nstrt rnent. I c;(;rt;`y uni er r'EN L-IY OF PERJURY under the laws or the Suite of Call;o nia that the foregoing J.SMITH I:)ar;,'igic:pT'i is true and cor€ect. Notary Public-California :., Orange County Commission;2358196 WITNESS my ll 3nd and official seal. '•�:.o��'� My Comm.Expires May 11,2025 Signiatu€.e ......................... ✓ . P1(7(_E NC71CYy 5t311(IiYd%Ur Jett:,? Y)J l'SC3i:C oI1ci tite of .t oto?} r ubfic --_ OPTIONAL C !y1pietiog this 'mils otic,)o con (etor ofterution of the docunnent or li-o odi1ii:int teafl£7C;fi/7 ent o this IL)nn ti') of" 5.n")terided CE3t7£:L1J'"E'r t- Description of Attached Document title of Type of Doc.u€'€iw,l,t_ . ._.............._...Numb r ol P g s trSC r(°i) ' 1t1F?C 11'.r3 i1 Named , (,?(,:>Vi,: .-- Capacity{ies) Claimed by Signer(s) Signs r< Ntnne _ _ — c; yner Na in 0 Cif 1, t0nate? C)f £,er Off cor T itle(s):_.._.... r� Partner —— r7 Llf7iit(?if "1 4::i1£:'r'c3I C:i F'a€f.11 'r 1 Limited ? ' vE:rieral 0 IndividUili l_s Attorney in, h lc( ;9 €ndivi(Ii€e)I [-i Attorney in Fact. D Trustee C (.7t)ardian r:)r(,Clrnervaitot' L.1 lrutitee t_l Guardian of,Conservator o Other: _._. _ L7 Cithi'.r': Signor is Retarosenting: Sicinei is Representing: _ .......... .. ._.. ... _ �� ��,TS','n.��r:� z -` �,�� � f �;�; �,,.r�•,+.....,.�-, >k✓,;�,u r:r ,F.s:ai-a -�;.:::RS.�Y.'c,+�3-a;.�,�r;n.�,:��4,�,Y afty�-".r�ri;. :ri.�''i�'�}a�i=�+ �iJ National Notaiv iaSso%;Jation POWER OF ATTORNEY RLI Insurance Company Contractors Bonding and Insurance Company 9025 N.Lindbergh Dr. Peoria,IL 61615 Phone: 800-645-2402 Know All Men by These Presents: That this Power of Attorney is not valid or in effect unless attached to the bond which it authorizes executed, but may be detached by the approving officer if desired. That RLI Insurance Company and/or Contractors Bonding and Insurance Company, each an Illinois corporation, (separately and together,the"Company")do hereby make,constitute and appoint: Yung T.Mullick,James W.Moilanen,P.Austin Neff,Irene Luong.Emilie George,Danielle Hanson,Christine Hoang_jointly or severally in the City of Mission Viejo , State of California its true and lawful Agent(s) and Attorney(s) in Fact,with full power and authority hereby conferred, to sign, execute, acknowledge and deliver for and on its behalf as Surety, in general, any and all bonds and undertakings in an amount not to exceed Twenty Five Million Dollars ( $25,000,000.00 )for any single obligation. The acknowledgment and execution of such bond by the said Attorney in Fact shall be as binding upon the Company as if such bond had been executed and acknowledged by the regularly elected officers of the Company. RLI Insurance Company and/or Contractors Bonding and Insurance Company, as applicable, have each further certified that the following is a true and exact copy of a Resolution adopted by the Board of Directors of each such corporation,and is now in force,to-wit: "All bonds,policies, undertakings,Powers of Attorney or other obligations of the corporation shall be executed in the corporate name of the Company by the President,Secretary,any Assistant Secretary,Treasurer,or any Vice President,or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or Agents who shall have authority to issue bonds,policies or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds,policies,undertakings,Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile." IN WITNESS WHEREOF, the RLI Insurance Company and/or Contractors Bonding and Insurance Company, as applicable, have caused these presents to be executed by its respective Vice President with its corporate seal affixed this 24th day of March 2021 �"1101„10,,,, RLI Insurance Company ,O�O.NG AND.rNSG.,' �.NCE Cp Contractors Bonding and Insurance Company 4 c+ v ORPORAT c = I(/. > '. SEAL:�,� _� . SEAL .-�= By Barton W.Davis Vice President 41 State of Illinois ,NO;S " '�<<1 N 0 } SS County of Peoria J CERTIFICATE On this 24th day of March 2021 before me, a Notary Public, I, the undersigned officer of RLI Insurance Company and/or personally appeared Barton W. Davis who being by me duly sworn, Contractors Bonding and Insurance Company, do hereby certify acknowledged that he signed the above Power of Attorney as the aforesaid that the attached Power of Attorney is in full force and effect and is officer of the RLI Insurance Company and/or Contractors Bonding and irrevocable; and furthermore, that the Resolution of the Company as Insurance Company and acknowledged said instrument to be the voluntary set forth in the Power of Attorney, is now in force. In testimony act and deed of said corporation. whereof, I have hereunto set my hand and the seal of the RLI Insurance Company and/or Contractors Bonding 21 and Insurance ^ r Company this 16th day of November ZZ�O By: / ihl��•y RLI Insurance Company Catherine D.Glover Notary Public Contractors Bonding and Insurance Company CATHERINE D.GLOVER ■otu�r OFFICIAL SEAL nape Notary Pudb.Stab of INiooia BY MyComminionExpires Jeffrey D ick Corporate Secretary March 24,2024 0456659020212 A0058D 19 { C` t i F ' LL CL 0 c F Z R ¢ p U) CD o c o ❑ CL R Nm O N Uco W U # co b U m m U £c N > W ui Z k. F- J ❑ CL N LL m 0 r i � in w ¢ � > io ;mom co U i a eo M c t m ¢ o 'er m C m O C p 0 B V U o o �� c 8 V M 26 Q U d N 2 4 i City of Huntington Beach - . 2000 Main Street +. Huntington Beach, CA 92648 (714) 536-5227 • www.huntingtonbeachca.gov Office of the City Clerk �7,1909 Robin Estanislau, City Clerk August 15, 2022 EBS General Engineering, Inc. 1345 Quarry St., Suite 101 Corona, CA 92879-6832 RE: Zone 5 Curb Ramp Installation - Various Projects —CC No. 1637 Enclosed please find your original bid bond for CC No.1637. Sincerely, Zi6& Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City. Anjo, Japan SECTION C PROPOSAL for the construction of ZONE 5 CURB RAMP INSTALLATION from VARIOUS LOCATIONS CC No. 1637 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting ELECTRONIC 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 35 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award,BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded,the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 SECTION C PROJECT BID—SCHEDULE A CURB RAMP PROJECT, CC 1637 BID ITEMS 1 Mobilization 1 LS $ 39,500.0 $ 39,500.00 2 Prepare Storm Water Pollution Prevention Plan(SWPPP) 1 LS $ 5596.00 $ 5596.00 3 Install&Maintain Construction BMPs 1 LS $ 2832.00 $ 2832.00 Construct Curb Access Ramp per Caltrans Std. Plan A88A/A88B as shown on Curb Ramp Detail 1 in Appendix H 4 of Specifications (Item includes all appurtenances, curb& gutter,depressed curb, sawcut,sidewalk,domes, retaining 96 curb, slot pave, etc.) EA $ 5160.00 $ 5160.00 Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A/A8813 using horizontal curb cutting machine as 5 shown on Curb Ramp Detail 2 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter,depressed curb, sawcut,sidewalk,domes, retaining curb, etc.) 19 EA $ 6550.00 $ 124,450.00 Construct Curb Access Ramp per Caltrans Std. Plan A88A/A88B as shown on Curb Ramp Detail 3 in Appendix H 6 of Specifications (Item includes all appurtenances, curb& gutter,depressed curb, sawcut,sidewalk,domes, retaining 77 curb,slot pave, etc.) EA $5050.00 $ 388,850.00 Remove and Replace damaged concrete cross gutter as 7 shown on Curb Ramp Detail 4 in Appendix H of Specifications (Item includes all appurtenances, curb&gutter, cross gutter, 76,800.00 sawcut, slot patch, etc.) 2,400 SF $ 32.00 $ Remove and Replace Truncated Dome on existing Curb 8 Access Ramp per Caltrans Std. Plan A88A/A8813 as shown on Curb Ramp Detail 5 in Appendix H of Specifications (Item includes all appurtenances,domes,etc.) 7 EA $ 785.00 $ 5495.00 Construct Truncated Dome on existing Curb Access Ramp per 9 Caltrans Std. Plan A88A/A8813 as shown on Curb Ramp Detail 5 in Appendix H of Specifications (Item includes all 86 appurtenances, domes, etc.) EA $ 520.00 $ 44,720.00 Remove existing asphalt concrete/subgrade to a maximum depth 6"-12"to finished surface and replace with 6"depth of 10 asphalt concrete hot mix adjacent to new curb ramp. (Item includes all appurtenances, sawcut, unclassified excavation, asphalt concrete etc.). 4,000 SF $ 17.50 $ 70,000.00 11 Install 4"PVC Sleeve for Street Assembly Sign per City of HB Std. Plan 401 9 EA $ 150.00 $ 1350.00 Remove and replace existing sidewalk per City of HB Std. 12 Plan 207 at locations adjacent to ramp. (Item includes all appurtenances, sawcut) 8,000 SF $ 15.00 $ 120,000.00 C-2.1 SECTION C PROJECT BID—SCHEDULE A CURB RAMP PROJECT, CC 1637 Remove and replaces existing 8"-12" Curb and Gutter at 13 locations adjacent to ramp per HB Std. Plan 205(Item includes all appurtenances, sawcut, slot pave, etc.). 1,000 LF $ 72.00 $ 72,000.00 SUB-TOTAL BID AMOUNT (SCHEDULE A) $ 1,446,953.00 SUB-TOTAL BID AMOUNT IN WORDS: One million,four hundred forty six thousand,nine hundred and fifty three 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 extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. In addition, the City reserves the right to include or remove Bid Schedule B in the award of the contract. C-2.2 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. 10%bid amount Accompanying this proposal of bid, find bidder's bond in the amount of which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting ELECTRONIC Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received idder's Signature 1 11/17/21 C-2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar % of Item(s) Subcontractor License Registration# Amount Contract Number survey Case Land Surveying,Inc L5411 4% Orange CA 1000001533 57,600 By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 11/15/21 , at Corona , CA Date City State Thomas Nand , being first duly sworn, deposes and says that he or she is President of EBS General Engineering, Inc. the party making the foregoing bid that the bid is not made in the interest of,or on the behalf of,any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are 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. EBS General Engineering, Inc. Name of Bidder Signature of Bidder Thomas Nanci, President 1345 Quarry Street, Ste 101 Corona CA 92879 Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the ZONE 5 CURB RAMP INSTALLATION, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. EBS General Engineering,Inc. Contractor By Thomas Nand,President Title Date: 11/15/2021 C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury,the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? 0 Yes {jfNo If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code,each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. EBS General Engineering, Inc. Contractor 1 By Thomas Nand,President Title Date: 11/15/21 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: EBS General Engineering,Inc Bidder Name 1345 Quarry Street,Ste 101 Business Address Corona CA 92879 City, State Zip 951 ) 279-6869 bids@ebsgeneral.com Telephone Number Email Address 720016 A State Contractor's License No. and Class 3/31/96 Original Date Issued 3/31/22 Expiration Date The work site was inspected by Luis Morales of our office on 11/15 2021 . The following are persons, firms, and corporations having a principal interest in this proposal: Thomas Nanci, President/Treasurer Joseph Nanci,Vice President/Secretary The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. EBS Genei il Engineering,Inc. Company C---4 tl/ Signature cW Bidder Thomas Nanci,President Printed or Typed Signature C-8 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Riverside Subscribed and sworn to (or affirmed) before me on this 16 day of November , 20 21 , by Thomas Nand proved to me on the basis of satisfactory evidence to be the person(s)who appeared before me. .. CRISTINA WHfrCHER Notary Public-California itO.V Riverside County _ commission#2326301 Comm.Wires AV (Seal) Signature \Il� NOTARY CERTIFICATE Subscribed and sworn to before me this_day of , 202_. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of ) County of ) On before me, Month, Day, and Year Insert Name and Title of Notary personally appeared Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of (Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets,an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."l. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. See attached reference list Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions,please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. l. Luis Morales Name of proposed Project Manager Telephone No. of proposed Project Manager: (951) 870-5215 See attached reference list Project Name & Contract Amount Type of Work Date Completed Project Name& Contract Amount Type of Work Date Completed Project Name& Contract Amount Type of Work Date Completed 2. Danny Gould Name of proposed Superintendent Telephone No. of proposed Superintendent: (951) 234-2668 See attached reference list Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Project Name& Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations(DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/PWCRJActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. EBS General Engineering,Inc. Contractor By Thomas Nanci bids@ebsgeneral.com Email President Title Date: 11/15/21 PWC Registration#: 1000005295 C-12 BIDDER'S CERTIFICATION* HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992, SECTION 3 TITLE 24, Code of Federal Regulations, Part 135* Economic Opportunities for Low and Very Low-Income Persons The bidder, under penalty of perjury, certifies that except as noted below, any person associated therewith in the capacity of owner,partner, director, officer, or manager(initial the applicable selections): Will ensure that 10%of all new hires as a result of this project shall meet all requirements of Section 3 of CFR Part 135 of the HUD Act of 1968; or Will hire no new employees in conjunction with this project. Will award 10%of its sub-contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub-contracts related to this project. Contractor: EBS General Engineering, Inc. Contact Person: Thomas Nanci Contact Phone: 951-279-6869 Signed: _ C-- _I Date: 11/15/21 *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 135 and Subtitle A et al) and must be submitted by the bidders and proposed sub- contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act, as amended in 1992 (HUD). Previous non-compliance with Section 3 could result in disqualification. C-13 EXHIBIT A DISADVANTAGED BUSINESS ENTERPRISE (DBE) This Project is subject to Part 200.321, Title 2, Code of Federal Regulations entitled "Contracting with Small and Minority Businesses, Women's Business Enterprises, and Labor Surplus Area Firms." The Regulations in their entirety are incorporated herein by this reference. It is the policy of the City that disadvantaged business enterprises (DBEs), as defined in Part 200.321, Title 2 CFR, shall be encouraged to participate in the performance of Contracts financed in whole or in part with federal funds.The Contractor should ensure that DBEs,as defined in Part 200.321, Title 2 CFR, have the opportunity to participate in the performance of this Contract and shall take all necessary and reasonable steps,as set forth in Part 200.321,Title 2 CFR, for this assurance.The Contractor shall not discriminate on the basis of race,color,national origin, or sex in the award and performance of subcontracts. Failure to carry out the requirements of this paragraph shall constitute a breach of Contract and may result in termination of this Contract or other remedy the City may deem appropriate. Bidders shall be fully informed respecting the requirements of the Regulations and are urged to obtain DBE participation in this project, although there is no specific goal for DBE participation. C-14 N/A EXHIBIT B N/A DBE INFORMATION—GOOD FAITH EFFORTS Federal-aid Project No. Bid Opening Date The City of Huntington Beach established a Disadvantaged Business Enterprise (DBE)goal of 0% for this Project. The information provided herein shows that a good faith effort was made. Lowest,second lowest and third lowest bidders shall submit the following information to document adequate good faith efforts. Bidders should submit the following information even if the "Local Agency Bidder DBE Commitment" form indicates that the bidder has met the DBE goal. This will protect the bidder's eligibility for award of the contract if the administering agency determines that the bidder failed to meet the goal for various reasons, e.g., a DBE firm was not certified at bid opening, or the bidder made a mathematical error. Submittal of only the "Local Agency Bidder DBE Commitment" form may not provide sufficient documentation to demonstrate that adequate good faith efforts were made. The following items are listed in the Section entitled "Submission of DBE Commitment" of the Special Provisions: A. The names and dates of each publication in which a request for DBE participation for this project was placed by the bidder (please attach copies of advertisements or proofs of publication): Publications Dates of Advertisement B. The names and dates of written notices sent to certified DBEs soliciting bids for this Project and the dates and methods used for following up initial solicitations to determine with certainty whether the DBEs were interested(please attach copies of solicitations,telephone records, fax confirmations, etc.): Names of DBEs Solicited Date of Initial Follow Up Methods Solicitation and Dates C-15 N/A N/A C. The items of work which the bidder made available to DBE firms including, where appropriate,any breaking down of the contract work items(including those items normally performed by the bidder with its own forces) into economically feasible units to facilitate DBE participation. It is the bidder's responsibility to demonstrate that sufficient work to facilitate DBE participation was made available to DBE firms. Items of Work Bidder Normally Breakdown of Amount Percentage Performs Item Items M of (Y/N) Contract D. The names, addresses and phone numbers of rejected DBE firms, the reasons for the bidder's rejection of the DBEs, the firms selected for that work (please attach copies of quotes from the firms involved), and the price difference for each DBE if the selected firm is not a DBE: Names, addresses and phone numbers of rejected DBEs and the reasons for the bidder's rejection of the DBEs: Names, addresses and phone numbers of firms selected for the work above: E. Efforts made to assist interested DBEs in obtaining bonding, lines of credit or insurance, and any technical assistance or information related to the plans, specifications and requirements for the work which was provided to DBEs: C-16 N/A N/A F. Efforts made to assist interested DBEs in obtaining necessary equipment, supplies, materials or related assistance or services, excluding supplies and equipment the DBE subcontractor purchases or leases from the prime contractor or its affiliate: G. The names of agencies, organizations or groups contacted to provide assistance in contacting, recruiting and using DBE firms (please attach copies of requests to agencies and any responses received, i.e., lists, Internet page download, etc.): Name of Agency/Organization Method/Date of Contact Results H. Any additional data to support a demonstration of good faith efforts (use additional sheets if necessary): NOTE: USE ADDITIONAL SHEETS OF PAPER IF NECESSARY. C-17 IF A SOLE OWNER OR SOLE CONTRACTOR SIGN HERE: (1) Name under which business is conducted (2) Signature (given and surname) of proprietor (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail IF A PARTNERSHIP, SIGN HERE: (1) Name under which business is conducted (2) Signature (given and surname and character of partner) (Note: Signature must be made by a general partner) (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail C-IS IF A CORPORATION. SIGN HERE: (1) Name under which business is conducted EBS General Engineering,Inc. (2) rignat=urte) Thomas Nanci, President (Title) Impress Corporate Seal here (3) Incorporated under the laws of the State of CA (4) Place of Business 1345 Quarry Street,Ste 141 (Street and Number) City and State Corona CA (5) Zip Code 92879 Telephone No. 951-279-6869 (6) E-Mail bids@ebsgeneral.com NOTARIAL ACKNOWLEDGMENT OF EXECUTION BY ALL SIGNATORIES MUST BE ATTACHED C-19 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE§1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of Riverside On 11/16/2021 © before me, Cristina Whitcher,Notary Public Date Here Insert Nome and Title of the Officer personally appeared Thomas Nanci Name(V of Signer(! who proved to me on the basis of satisfactory evidence to be the person(s)whose name( is/Eee subscribed to the within instrument and acknowledged to me that he/sAie/tW executed the same in his/hXr/thW authorized capacity(iw),and that by his/bier/tlwir signatureN on the instrument the person(G),or the entity upon behalf of which the personfe)acted,executed the instrument. I certify under PENALTY OF PERJURY under the 90my CRiSTtNA WNiTCHER laws of the State of California that the foregoing Notary Public•California paragraph is true and correct. Riverside County Commission M 232b305 WITNESS my hand and official sear. Comm.Expires Apr 10,2024 Signature } . Place Notary Seal andlor Stamp Above Signature of Notary Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document 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: El Corporate Officer—Title(s): ❑Corporate Officer—Title(s): ❑ Partner— ❑ Limited ❑ General ❑ Partner— ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: 02018 National Notary Association List below names of president, vice president, secretary and assistant secretary, if a corporation; if a partnership, list names of all general partners and managing partners: Thomas Nand, President /Treasurer Joseph Nanci,Vice President/Secretary C-20 N/A N/A EXHIBIT C LOCAL AGENCY BIDDER DBE COMMITMENT (CONSTRUCTION CONTRACTS) NOTE: PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM LOCAL AGENCY: LOCATION: PROJECT DESCRIPTION: TOTAL CONTRACT AMOUNT:$ BID DATE: BIDDER'S NAME:CONTRACT DBE GOAL: 0% GOAL CONTRACT ITEM OF WORK AND DESCRIPTION BE CERT NO. NAME OF EACH DBE DOLLAR AMOUNT ITEM NO. OR SERVICES TO BE AND EXPIRATION (Must be certified on the date bids DBE SUBCONTRACTED OR MATERIALS DATE are opened- include DBE address O BE PROVIDED(or contracted if the d phone number) bidder is a DBE) For Local Agency to Complete: Total Claimed DBE $ Local Agency Contract Number: Participation Federal-aid Project Number: Federal Share: Contract Award Date: Local Agency certifies that all DBE certifications have been verified and information is complete and accurate. Signature of Bidder Date (Area Code)Tel.No. Print Name Signature Date Local Agency Representative Person to Contact (Please Type or Print) (Area Code)Telephone Number: Local Agency Bidder DBE Commitment(Construction Contracts) (Rev 6/26/09) C-21 PLEASE NOTE: This information may be submitted with your bid. If it is not,and you are the apparent low bidder or the second or third low bidder,it must be submitted and received as specified in the Special Provisions. Failure to submit the required DBE commitment will be grounds for finding the bid nonresponsive The form requires specific information regarding the construction contract: Local Agency, Location, Project Description, Total Contract Amount, Bid Date, Bidder's Name, and Contract DBE Goal. The form has a column for the Contract Item Number and Item of Work and Description or Services to be Subcontracted or Materials to be provided by DBEs.Prime contractors shall indicate all work to be performed by DBEs including, if the prime is a DBE, work performed by its own forces, if a DBE. The DBE shall provide a certification number to the Contractor and expiration date. Enter the DBE prime's and subcontractors' certification numbers.The form has a column for the Names of DBE contractors to perform the work (who must be certified on the date bids are opened and include the DBE address and phone number). IMPORTANT: Identify all DBE firms participating in the project regardless of tier.Names of the First-Tier DBE Subcontractors and their respective item(s) of work listed should be consistent, where applicable,with the names and items of work in the "List of Subcontractors" submitted with your bid. There is a column for the DBE participation dollar amount. Enter the Total Claimed DBE Participation dollars and percentage amount of items of work submitted with your bid pursuant to the Special Provisions. (If 100%of item is not to be performed or furnished by the DBE,describe exact portion of time to be performed or furnished by the DBE.) See Section "Disadvantaged Business Enterprise (DBE)," of the Special Provisions (construction contracts),to determine how to count the participation of DBE firms. Exhibit 15-G must be signed and dated by the person bidding. Also list a phone number in the space provided and print the name of the person to contact. Local agencies should complete the Local Agency Contract Award, Federal-aid Project Number, Federal Share,Contract Award Date fields and verify that all information is complete and accurate before signing and filing. C-22 EXHIBIT D EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder EBS General Engineering, Inc. , [proposed subcontractor Case Land Surveying, Inc. J hereby certifies that he/she/it has 4, has not ,participated in a previous contract or subcontract subject to the Equal Opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that,where required, he/she/it has filed with the Joint Reporting Committee,the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of$10,000 or under are exempt.) Currently, Standard Form 100(EEO-1) is the only report required by the Executive Orders or their implementing regulations. (eeoc.gov/employers/eeolsurvey/index.cfm) Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Signature: Date: 11/15/21 Print Name: Thomas Nand Title: President C-23 EXHIBIT E NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) Zone 5 Curb Ramp Installation To the City of Huntington Beach In conformance with Title 23 United States Code Section 112 and California Public Contract Code 7106 the bidder declares that the bid is not made in the interest of, or on 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 of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of 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, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Noncollusion Affidavit is part of the Bidder's Proposal. By signing the Proposal, the Bidder has also signed this Noncollusion Affidavit. Bidders are cautioned that making a false Certification may subject the Bidder to criminal prosecution. Signature: ! Date: 11/15/21 Print Name: Thomas Nanci Title: President C-24 EXHIBIT F DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 The Bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated with Bidder in the capacity of owner,partner, director, officer, manager: • is not currently under suspension, debarment,voluntary exclusion, or determination of ineligibility by any Federal agency; • has not been suspended, debarred, voluntarily excluded or determined ineligible by any Federal agency within the past 3 years; • does not have a proposed debarment pending; and • has not been indicted, convicted, or had a civil judgment rendered against him/her by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility.For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. Signature: I Date: 11/15/21 Print Name: Thomas Nanci Title: President C-25 EXHIBIT G NONLOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal,to the best of his or her knowledge and belief, that: 1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant,the making of any Federal loan,the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment,or modification of any Federal contract,grant, loan,or cooperative agreement. 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. Signature: Date: 11/15/21 Print Name: Thomas Nand Title: President C-26 N/A EXHIBIT H N/A DISCLOSURE OF LOBBYING ACTIVITIES COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: ❑a.contract ❑a.bid/offer/application El a.initial b.grant b.initial award b.material change c.cooperative agreement c.post-award d.loan For Material Change Only: e.loan guarantee year quarter f.loan insurance date of last report 4. Name and Address of Reporting Entity 5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime: ❑Prime ❑Subawardee Tier if known Congressional District,if known Congressional District,if known 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number,if applicable 8. Federal Action Number,if known: 9. Award Amount,if known: 10. a.Name and Address of Lobby Entity b. Individuals Performing Services (including (If individual,last name,first name,MI) address if different from No. I Oa) (last name,first name,MI) (attach Continuation Sheet(s)if necessary) 11. Amount of Payment(check all that apply) 13. Type of Payment(check all that apply) $ ❑ Actual ❑planned a.retainer b.one-time fee 12. Form of Payment(check all that apply): c.commission Ha.cash d.contingent fee b.in-kind; specify: nature a deferred value f.other,specify 14. Brief Description of Services Performed or to be performed and Date(s)of Service,including officer(s),employee(s),or member(s)contacted,for Payment Indicated in Item 11: (attach Continuation Sheet(s)if necessary) 15. Continuation Sheet(s)attached: Yes ❑ No El 16. Information requested through this form is authorized by Title ># 31 U.S.C. Section 1352.This disclosure of lobbying reliance Signature: was placed by the tier above when his transaction was made or entered into.This disclosure is required pursuant to 31 U.S.C. Print Name: Thomas Nand 1352. This information will be reported to Congress semiannually and will be available for public inspection.Any Title: President person who fails to file the required disclosure shall be subject to a civil penalty of not less than$10,000 and not more than Telephone No.: 951-279-6869 Date: 11/15/21 $100,000 for each such failure. Authorized for Local Reproduction Federal Use Only: Standard Form-LLL Standard Form LLL Rev.09-12-97 C-27 INSTRUCTIONS FOR COMPLETION OF EXHIBIT H, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity,whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1) Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2) Identify the status of the covered Federal action. 3) Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4) Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g.,the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5) If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address,city, state and zip code of the prime Federal recipient.Include Congressional District, if known. 6) Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7) Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8) Enter the most appropriate Federal identifying number available for the Federal action identification in item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9) For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10)(a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name, First Name and Middle Initial (MI). 11)Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. C-28 12)Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13)Check the appropriate box(es). Check all boxes that apply. If other, specify nature. 14)Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15)Check whether or not a continuation sheet(s) is attached. 16)The certifying official shall sign and date the form,print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project(0348-0046), Washington, D.C. 20503. By my signature on this proposal I certify, under penalty of perjury under the laws of the State of California, that the foregoing questionnaire and statements of Public Contract Code Sections 10162, 10232 and 10285.1 are true and correct and that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission Regulations (Chapter 5, Title 2 of the California Administrative Code). C-29 EXHIBIT I FEDERAL LOBBYING RESTRICTIONS Section 1352, Title 31, United States Code prohibits Federal funds from being expended by the recipient or any lower tier subrecipient of a Federal-aid contract to pay for any person for influencing or attempting to influence a Federal agency or Congress in connection with the awarding of any Federal-aid contract,the making of any Federal grant or loan, or the entering into of any cooperative agreement. If any funds other than Federal funds have been paid for the same purposes in connection with this Federal-aid contract, the recipient shall submit an executed certification and, if required, submit a completed disclosure form as part of the bid documents. A certification for Federal-aid contracts regarding payment of funds to lobby Congress or a Federal agency is included in the Proposal. Standard Form - LLL, "Disclosure of Lobbying Activities," with instructions for completion of the Standard Form is also included in the Proposal. Signing the Proposal shall constitute signature of the Certification. The above referenced certification and disclosure of lobbying activities shall be included in each subcontract and any lower-tier contracts exceeding $100,000. All disclosure forms, but not certifications, shall be forwarded from tier to tier until received by the Engineer. The Contractor, subcontractors and any lower-tier contractors shall file a disclosure form at the end of each calendar quarter in which there occurs any event that requires disclosure or that materially affects the accuracy of the information contained in any disclosure form previously filed by the Contractor, subcontractors and any lower-tier contractors. An event that materially affects the accuracy of the information reported includes: 1) A cumulative increase if$25,000 or more in the amount paid or expected to be paid for influencing or attempting to influence a covered Federal action; or 2) A change in the person(s)or individual(s) influencing or attempting to influence a covered Federal action; or 3) A change in the officer(s), employees(s), or Member(s) contacted to influence or attempt to influence a covered Federal Action. C-30 Bond #3-B Premium: Nil i md of NlARfi BID BOND KNOW ALL MEN BY THESE PRESENTS,that we EBS General Engineering, Inc. as principal, hereinafter called the"Principal,"and MARKEL INSURANCE COMPANY, an Illinois Corporation , 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( 10 %)of the Amount Bid by Principal 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 Zone 5 Curb Ramp Installation; CC 1637 NOW,THEREFORE, if the contract be timely awarded to the Principal and the Principal shall within such time as specified in the bid, enter into a contract in writing or, in the event of the failure of the Principal to enter into such Contract, 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. PROVIDED, HOWEVER, neither Principal nor Surety shall be bound hereunder unless Obligee prior to execution of the final contract shall furnish evidence of financing in a manner and form acceptable to Principal and Surety that financing has been firmly committed to cover the entire cost of the project. SIGNED, sealed and dated this 15th day of November 2021 Principal: By: , EBS General Engineering, Inc. L Signature Name: r= r 6 Title: Markel Insurance Company By: Signature Name: Spencer Flake Attorney-in-Fact The Riders)Attached Hereto Is/Are Incorporated Under the Bond and Contains Important Coverage Information and Limitations MIC AS Bid rev 102021 Page 1 of 1 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE §1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of Riverside It On 11/1612021 © before me, Cristina Whitcher,Notary Public Date Here Insert Name and Title of the Officer personally appeared Thomas Nand NomejV of Signer(V who proved to me on the basis of satisfactory evidence to be the person(9)whose nameN)is/ate subscribed to the within instrument and acknowledged to me that he/site/tUy executed the same in his/h1§r/# tt authorized capacity(ies),and that by his/Wr/tMr signature(if)on the instrument the personCs),or the entity upon behalf of which the personks)acted,executed the instrument. I certify under PENALTY OF PERJURY under the CRISTINAWHITC14ER laws of the State of California that the foregoing Notary Pudic-California Riverside County � paragraph is true and correct. �� - „` ,• �, Commission#I32b305 MyComm.Expires Apr 10,2024 WITNESS my hand and official seal. Signature �A . Place Notary Seal and/or Stamp Above Signature of Notary Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(les) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer—Title(s): ❑ Corporate Officer—Title(s): ❑ Partner— ❑ Limited ❑ General ❑ Partner— ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: 02018 National Notary Association CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. i STATE OF CALIFORNIA County of Orange On 11/15/2021 before me, Erin Sherwood Notary Public, l Date Insert Name of Notary exactly as it appears on the official seal i; II personally appeared Spencer Flake Name(s)of Signer(s) i { i 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 :.. ERIN SHERwCOD person(s), or the entity upon behalf of which the person(s) CC"I.#2292358 acted, executed the instrument. a % NOTAR'RUELIC•CALFORNIA OH,4::GE COUNTY I certify under PENALTY OF PERJURY under the laws of MYCM, EXRRESX YGEM.l the State of California that the foregoing paragraph is true and correct. I Witness my hand and official seal. Signature Place Notary Seal Above Si of Notary Public ErinSherwood OPTIONAL Though the information below is not required by law, it may prove valuable to persons retying on the document and could prevent fraudulent removal and reattachment of the form to another document. ; Description of Attached Document I ! Title or Type of Document: Document Dater Number of Pages: Signer(s)Other Than Named Above: Capacity(ies)Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer—Title(s): ❑ Partner ❑Limited ❑General ❑ Partner ❑Limited❑General ❑ Attorney in Fact 7here ❑ Attorney in Fact • BP•Trustee ❑ Trustee i❑ Guardian or Conservator Top of th ❑ Guardian or Conservator Top of thumb here j ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: I i POA# 510123 JOINT LIMITED POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That SureTec Insurance Company,a Corporation duly organized and existing under the laws of the State of Texas and having its principal office in the County of Harris,Texas and Markel Insurance Company(the"Company"),a corporation duly organized and existing under the laws of the state of Illinois,and having its principal administrative office in Glen Allen,Virginia,does by these presents make,constitute and appoint: Charles L.Flake,David L.Culbertson,Spencer Flake,Heather Willis Their true and lawful agent(s)and attorney(,)-in-Fast,each in their separate capacity if more than one is named above,to make,execute,seal and deliver for and on their own behalf,individually as a surety or jointly,as co-sureties,and as their act and deed any and all bonds and other undertaking in suretyship provided,however, that the penal sum of any one such instrument executed hereunder shall not exceed the sum of: Ten Million and 00/100 Dollars(S10,000,000.00) This Power of Attorney is granted and is signed and sealed under and by the authority of the following Resolutions adopted by the Board of Directors of SureTec Insurance Company and Markel insurance Company: "RESOLVED,That the President,Senior Vice President,Vice President,Assistant Vice President,Secretary,Treasurer and each of them hereby is authorized to execute powers of attorney.and such authority can be executed by use of facsimile signature,which may be attested or acknowledged by any officer or attorney,of the company,qualifying the attorney or attorneys named in the given power of attorney,to execute in behalf of,and acknowledge as the act and deed of the SureTec Insurance Company and Markel Insurance Company,as the case may be,all bond undertakings and contracts of suretyship,and to affix the corporate seal thereto." IN WITNESS WHEREOF,Market Insurance Company and SureTec Insurance Company have caused their official seal to be hereunto affixed and these presents to be signed by their duly authorized officers on the tare day of May ,2020 . SureTec insurance Company SVR..NO ���s9VrAMCF-,, Markel tnsurapce Company w;m 19y =Y SEAL Michael C.Keimig,President 'p �� +':�` ' ?44�' ��� R m Russo,Senior Vice President ...*.-,� q�rNn*uNttt, Commonwealth of Virginia County of Henrico SS: On this tare day of May 2020 A.D.,before me,a Notary Public of the Commonwealth of Virginia,in and for the County of Henrico,duly commissioned and qualified,came THE ABOVE OFFICERS OF THE COMPANIES,to me personally known to be the individuals and officers described in,who executed the preceding instrument,and they acknowledged the execution of same,and being by me duly sworn,disposed and said that they are the officers of the said companies aforesaid, and that the seals affixed to the proceeding instrument are the Corporate Seals of said Companies,and the said Corporate Seats and their signatures as officers were duly affixed and subscribed to the said instrument by the authority and direction of the said companies,and that Resolutions adopted by the Board of Directors of said Companies referred to in the preceding instrument is now in force. "++'r r•+rr 0 ON IN TESTIMONY WHEREOF,i have hereunto set my hand,and affixed,Y.4, $eat tht•C�,tf Henrico,the day and year first above written. ;2 MY COMMISSION — By: n NUtABPER : 151� : ply; 7083�68 Donna Donavan,Notary Public •:�Cp� My commission expires 1/31/2023 We,the undersigned Officers of SureTec insurance Company and Markelingsr Of. y dQ erby certify that the original POWER OF ATTORNEY of which the foregoing is a full,true and correct copy is still in full force and effect and hRingtrtyeteq pitokbsd. IN WITNESS WHEREOF,we have hereunto set our hands,and affixed the Seals of said Companies,on the 15th day of November 2021 Sur ec/Inswur Markel Insurance Company(' By/ By-r M.Br t Beaeta Richard R.Grinnan,Vice'Piesidiimf an2tiSecse{a Any Instrument Issued in excess of the penalty stated above is totally void and without any validity. 510123 - For verification of the authority of this Power you may call(7131812-0800 on any business day between 8:30 AM and S:00 PM CST. _ - - City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For ZONE 5 CURB RAMP INSTALLATION PROJECT CC NO. 1637 in the CITY OF HUNTINGTON BEACH November 17, 2021 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) REPLACE APPENDIX L"PREVAILING WAGE SCHEDULE" TO CURRENT WAGES SCHEDULE. Replace"General Decision Number: CA2020002410/22/2021"with Superseded "General Decision Number: CA2021002411/12/2021" This is to acknowledge receipt and review of Addendum Number One, dated November 17, 2021. EBS General Engineering, Inc. f Company Name By Thomas Nanci,President 11/17/21 Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please call Joseph Fuentes at(714) 536-5431. ACTION AND RESOLUTION BY THE BOARD OF DIRECTORS OF EBS GENERAL ENGINEERING,INC., A CALIFORNIA CORPORATION The Board of Directors of EBS General Engineering, Inc. (the "Corporation"), desiring to insure that all the proper and authorized individuals who have corporate authority to bind the Corporation to any and all contracts executed by such authorized individuals have been approved by the Board of Directors of the Corporation(the'Board"),held a meeting on July 26,2019. The Board, following a review of the foregoing matter and upon motion made and seconded,hereby determines and votes unanimously as follows: BE IT THEREFORE RESOLVED that either Thomas E. Nanci or Joseph D. Nanci, acting alone, in his capacity as an officer of the Corporation, is hereby designated,authorized and empowered to be duly authorized with all the attendant powers and authorization related thereto, to bind, obligate and commit the Corporation to any and all contracts executed by and between the Corporation and any other contracting party. There being no further or pending business before the Board, the meeting was adjourned. BOARD OF DIRECTORS Dated: July 26,2019 i, Sole Director J ATTESTATION I, being the Secretary of the above-referenced Corporation, do hereby certify "that the above resolution is the resolution of the Corporation. Dated: July 26, 2019 J , Secretary 2 YEAR REFERENCES - PUBLIC WORKS 1. Project Name 2017/2018 Arterial and Minor Streets Maintenance Owner City of Riverside Principal Contact Phone Steve Howard,Construction Project Manager (951)826-5708 Price of Contract Dates $2,376,001 7/2018—4/2019 Type of Work Street Maintenance: Minor PCC,Asphalt Grind & Pave,Adjust Utilities 2. Proiect Name Westminster Ave from Harbor Blvd.to Clinton St. &Clinton St.to Fairview St. Improvements Owner City of Santa Ana Principal Contact Phone Tyrone Chesanek, Principal Civil Engineer (714)647-5074 Price of Contract Dates $1,399,000 6/2018—2/2020 Type of Work Street Maintenance: Minor PCC,Asphalt Grind & Pave,Adjust Utilities 3. Proiect Name Citywide Concrete Repairs FY 17/18 Owner City of Temecula Principal Contact Phone Avlin Odviar,Sen. Eng. (951)693-3969 Price of Contract Dates $301,290 6/2019—8/2019 Type of Work Minor PCC—Curb&Gutter, Driveways,Sidewalk, Ramps,Cross Gutter 4. Proiect Name 17/18 SB-1 Maintenance and Traffic Improvements Owner City of Riverside Principal Contact Phone Steve Howard,Construction Project Manager (951)826-5708 Price of Contract Dates $2,394,435 7/2018—10/2019 Type of Work Street Maintenance: Minor PCC,Asphalt Grind & Pave,Adjust Utilities F175. roiect Name2 YEAR REFERENCES - PUBLIC WORKS alos Verdes Southbound Right Turn Lane at PCH Owner City of Redondo Beach Principal Contact Phone Didar Khander, P.E. (310)318-0661 x 2456 Price of Contract Dates $219,570 10/2017—7/2018 Type of Work Construction of Right-Turn Lane: Minor PCC,Asphalt Grind & Pave,Adjust Utilities 6. Proiect Name Citywide Pothole Repairs Owner City of Compton Principal Contact Phone John Strickland, Project Manager (310) 761-1422 Price of Contract Dates $960,000 4/2019—6/2019 Type of Work Pothole Preparation,Asphalt Installation 7. Proiect Name 17/18 RTA Bus Pad Improvements Owner City of Riverside Principal Contact Phone Steve Howard, Construction Project Manager (951) 826-5708 Price of Contract Dates $987,900 8/2018—2/2019 Type of Work Concrete Bus Pads at Various Locations 8. Proiect Name Marine Ave Improvements Owner City of Manhattan Beach Principal Contact Phone Mamerto Estepa,Sen. Eng. (310)802-5325 Price of Contract Dates $1,294,521 1/2019—7/2019 Type of Work AC Paving& Minor PCC—Curb&Gutter, Driveways, Sidewalk, Ramps 7Proiect 2 YEAR REFERENCES — PUBLIC WORKS FP 9 Nameential Street Repair Program &Alley Improvement Owner City of Santa Ana Principal Contact Phone Tyrone Chesanek, Principal Civil Engineer (714)647-5074 Price of Contract Dates $874,300 6/2019—4/2020 Type of Work Minor PCC—Curb&Gutter, Driveways,Sidewalk, Ramps, Cross Gutter 10. Proiect Name Street Pavement Repair Program Owner City of Newport Beach Principal Contact Phone Ben Davis,Civil Eng. (949)644-3317 Price of Contract Dates $422,630 2/2019—4/2019 Type of Work Minor PCC,Asphalt Pave Bond #3-B Premium: Nil MARM BID BOND KNOW ALL MEN BY THESE PRESENTS, that we EBS General Engineering, Inc. as principal, hereinafter called the"Principal,"and MARKEL INSURANCE COMPANY, an Illinois Corporation , 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 ( 10 %) of the Amount Bid by Principal 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 Zone 5 Curb Ramp Installation• CC 1637 NOW,THEREFORE, if the contract be timely awarded to the Principal and the Principal shall within such time as specified in the bid, enter into a contract in writing or, in the event of the failure of the Principal to enter into such Contract, 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. PROVIDED, HOWEVER, neither Principal nor Surety shall be bound hereunder unless Obligee prior to execution of the final contract shall furnish evidence of financing in a manner and form acceptable to Principal and Surety that financing has been firmly committed to cover the entire cost of the project. SIGNED, sealed and dated this 15th day of November 12021 Principal: By EBS General Engineering, Inc. Signature Name: riti"n < IV IAm+-i Title: JreS�LA� Markel Insurance Company By: Signature Name: Spencer Flake Attorney-in-Fact The Rider(s)Attached Hereto Is/Are Incorporated Under the Bond and Contains Important Coverage Information and Lir";itations MIC AS Bid rev 10_2021 Page 1 of 1 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of Riverside On 11/16/2021 © before me, Cristina Whitcher,Notary Public Date Here Insert Name and Title of the Officer personally appeared Thomas Nanci Name(a7 of Signer( who proved to me on the basis of satisfactory evidence to be the person(9)whose name(*) is/ate subscribed to the within instrument and acknowledged to me that he/sKe/tw executed the same in his/hXr/thm authorized capacity(iw), and that by his/Wr/tKiXir signatureN on the instrument the person(s), or the entity upon behalf of which the persons)acted, executed the instrument. ah I certify under PENALTY OF PERJURY under the HITCHER CRISTINAW laws of the State of California that the foregoing Notary Public Calirornia z paragraph is true and correct. Riverside County Commission 2326305 WITNESS m hand and official seal. My Comm.Expiress Aprpr 1()10,2024 y Signature l�hz, Place Notary Seal and/or Stamp Above Signature of Notary Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer—Title(s): ❑ Corporate Officer— Title(s):. ❑ Partner— ❑ Limited ❑ General ❑ Partner— ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: 02018 National Notary Association CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA County of Orange On 11/15/2021 before me, Erin Sherwood Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Spencer Flake 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 ERIN SHERWOOD person(s), or the entity upon behalf of which the person(s) CO "�I.#229238e N acted, executed the instrument. NOTAR'PUBLIC-CALIFORNIA ORANGE COUNTY ° I certify under PENALTY OF PERJURY under the laws of a MY COMM.EXPIRES JULY 06.2023 the State of California that the foregoing paragraph is true and correct. Witness my hand and official seal. Signature _ �P� Place Notary Seal Above Si of Notary Public Erin Sherwood OPTIONAL Though the information below is not required by law it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer —Title(s): ❑ Partner ❑Limited ❑General ❑ Partner ❑Limited❑General ❑ Attorney in Fact 11. ILI ❑ Attorney in Fact ❑ Trustee • ❑ Trustee OF ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: POA#t 510123 JOINT LIMITED POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That SureTec Insurance Company,a Corporation duly organized and existing under the laws of the State of Texas and having its principal office in the County of Harris,Texas and Markel Insurance Company(the"Company"),a corporation duly organized and existing under the laws of the state of Illinois,and having its principal administrative office in Glen Allen,Virginia,does by these presents make,constitute and appoint: Charles L.Flake,David L.Culbertson,Spencer Flake,Heather Willis Their true and lawful agent(s)and attorneys)-in-fact,each in their separate capacity if more than one is named above,to make,execute,seal and deliver for and on their own behalf,individually as a surety orjointly,as co-sureties,and as their act and deed any and all bonds and other undertaking in suretyship provided,however, that the penal sum of any one such instrument executed hereunder shall not exceed the sum of: Ten Million and 00/100 Dollars($10,000,000.00) This Power of Attorney is granted and is signed and sealed under and by the authority of the following Resolutions adopted by the Board of Directors of SureTec Insurance Company and Markel Insurance Company: 'RESOLVED,That the President,Senior Vice President,Vice President,Assistant Vice President,Secretary,Treasurer and each of them hereby is authorized to execute powers of attorney,and such authority can be executed by use of facsimile signature,which may be attested or acknowledged by any officer or attorney,of the company,qualifying the attorney or attorneys named in the given power of attorney,to execute in behalf of,and acknowledge as the act and deed of the SureTec Insurance Company and Markel Insurance Company,as the case may be,all bond undertakings and contracts of suretyship,and to affix the corporate seal thereto." IN WITNESS WHEREOF,Markel Insurance Company and SureTec Insurance Company have caused their official seal to be hereunto affixed and these presents to be signed by their duly authorized officers on the 2eth day of May 2020 . SureTec Insurance Company uFiANc \39ANC,f�, Markel Insur ce Company u i w Q: SEAL :a_ ey:jin By. Michael C.Keirnig,President J' 1 �,, '.� �tft4g `2� so,Senior Vice President . �""�,w*�",,a+' ���rrrri'itiutts�ss Commonwealth of Virginia County of Henrico SS: On this 2eth day of May , 202o A.D.,before me,a Notary Public of the Commonwealth of Virginia,in and for the County of Henrico,duly commissioned and qualified,came THE ABOVE OFFICERS OF THE COMPANIES,to me personally known to be the individuals and officers described in,who executed the preceding instrument,and they acknowledged the execution of same,and being by me duly sworn,disposed and said that they are the officers of the said companies aforesaid, and that the seals affixed to the proceeding instrument are the Corporate Seals of said Companies,and the said Corporate Seals and their signatures as officers were duly affixed and subscribed to the said instrument by the authority and direction of the said companies,and that Resolutions adopted by the Board of Directors of said Companies referred to in the preceding instrument is now in force. ` %% e e e e e e e r rc', IN TESTIMONY WHEREOF,I have hereunto set my hand,and affixed m�bJaa0Fatt C�it�of Henrico,the day and year first above written. O MY COMMISSION — By: : NUMBER Donna Donavant,Notary Public 7083968 ,• (� My commission expires 1(31(2023 We,the undersigned Officers of SureTec Insurance Company and MarkePk1n;s r �v �C 11®�fiy c1g4erby certify that the original POWER OF ATTORNEY of which the foregoing is a full,true and correct copy is still in full force and effect and ha'??g4e4ef�r)rP11 %d. IN WITNESS WHEREOF,we have hereunto set our hands,and affixed the Seals of said Companies,on the 15th day of November 2021 VBrt Markel Insurance Company{ By Secrets Richard R.Grinnan,Vice Piesident and4ezcel`ar/ Any Instrument Issued in excess of the penalty stated above is totally void and without any validity. 510123 For verification of the authority of this Power you may call(713)812-0800 on any business day between 8:30 AM and 5:00 PM CST. Q z E (a cB W� � O O � O U N z 0 O Lo p C coO0 o ( Z N r- co EUp U � m Z O C c-r-v a (Tf U — 0 O j -a O Sm co r 0 N U O cu Q U 00 �o � o �J s • c Nam r O O O = rn 0 U O C O CY U =3N2 r SECTION C lij&&y7d-, A/7 PROPOSAL for the construction of ZONE 5 CURB RAMP INSTALLATION from VARIOUS LOCATIONS CC No. 1637 f in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting ELECTRONIC 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 35 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award,BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELE fE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include al I 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- SECTION C PROJECT BID—SCHEDULE A CURB RAMP PROJECT, CC 1637 BID ITEMS UR 00 ts y�" it 1 Mobilization 1 LS $ $ ! 2 Prepare Storm Water Pollution Prevention Plan(SWPPP) 1 LS $ '} $ — t 3 Install&Maintain Construction BMPs 1 LS $ $ Construct Curb Access Ramp per Caltrans Std, Plan A88A/A886 as shown on Curb Ramp Detail 1 in Appendix H 4 of Specifications (Item includes all appurtenances, curb& gutter,depressed curb, sawcut, sidewalk, domes,retaining 96 curb, slot pave, etc.) EA $ $ Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88AIA88B using horizontal curb cutting machine as 5 shown on Curb Ramp Detail 2 in Appendix H of Specifications y (Item includes all appurtenances,curb&gutter, depressed curb, sawcut, sidewalk,domes, retaining curb, etc.) 19 EA $ Construct Curb Access Ramp per Caltrans Std. Plan A88A/A888 as shown on Curb Ramp Detail 3 in Appen ;ix H 6 of Specifications (Item includes all appurtenances, curb& gutter,depressed curb,sawcut, sidewalk,domes, retaining 77 ��, curb, slot pave, etc.) EA $ ';ma y"-� $ 2 66() Remove and Replace damaged concrete cross gutter as 7 shown on Curb Ramp Detail 4 in Appendix H of Specifications (Item includes all appurtenances,curb&gutter, cross gutter, sawcut, slot patch, etc.) 2,400 SF $ (;75 $ Remove and Replace Truncated Dome on existing Curb 8 Access Ramp per Caltrans Std, Plan A88A/A88B as shown on Curb Ramp Detail 5 in Appendix H of Specifications (item includes all appurtenances, domes,etc,) 7 EA $ $LO Construct Truncated Dome on existing Curb Access Ramp per 9 Caltrans Std, Plan A88A/A8813 as shown on Curb Ramp Detail 5 in Appendix H of Specifications (Item includes all 86 6co appurtenances, domes, etc.) EA $ $ Removee depth existing asphalt concrete/subgrade to a maximum "to finished surface and replace with 6"depth of 10 asphalt concrete hot mix adjacent to new curb ramp, (Item includes all appurtenances, sawcut, unclassified excavation, asphalt concrete etc.), 4,000 SF $ 11 Install 4"PVC Sleeve for Street Assembly Sign per City of HB Std.Plan 401 9 EA Remove and replace existing sidewalk per City of HB Std, 12 Plan 207 at locations adjacent to ramp, (Item includes all appurtenances, sawcut) 8,000 SF C-2.t SECTION C PROJECT BID—SCHEDULE A CURB RAMP PROJECT, CC 1637 Remove and replaces existing T-12"Curb and Gutter at 13 locations adjacent to ramp per HB Std. Plan 205(Item includes all appurtenances,sawcut, slot pave,etc,). 1,000 LF $ SUB-TOTAL BID AMOUNT(SCHEDULE A) $ SUB-TOTAL BID AMOUNT IN WORDS: J _M11W20 flotY 5 Utz h 1�Cd - tr > 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. In addition, the City reserves the right to include or remove Bid Schedule B in the award of the contract. C-2.2 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 107 131 / 04)� "in the amount of which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting ELECTRONIC 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 Mder's Signature 11 -717-1 C-2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar % of ftem(s) Subcontractor License Registration# Amount Contract Number yl _ By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the °tate of California that the foregoing is true and correct and that this declaration is executed on (III 9 z ,at 60(4t=h .C� Date City State 55 - �4, , bein k first duly sworn, deposes and says that he or she is •-fIti<i of t the party making the foregoing bid that the bid is not made in the interest of,or on the behalf of,any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true;and,further,that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham b-d. Gt v r�tiv�rl�s Name of Bidder liature of Bidder I �)o I w waolp ge cbuf-w CA Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen:. The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the ZONE 5 CURB RAMP INSTALLATION, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700,as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. � A C-i S Contractor BN Title Date: jl -T`i/( 2 C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ElYes A�o 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 INSLRANCE 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. CA Contractor By Title Date; �{ �s z C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name Business Address City, State Zip (qeq ) ,� Telephone Number Email Address Maw State Contractor's License No. and Class II��o15 Origina, Date Issued Z 02.3 Expiration Date c' The work site was inspected by -.T_(1-�C'5� -Z�� of our office on tills ,201A, The following are persons, firms, and corporations having a principal interest in this proposal: . , . xa1-� 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. '32,t -- G V I 14S Company N Signa re of Bidder Printed or Typed Signature C-8 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of San Bernardino On �/�✓, ©a/ before me, Jaspreet Kaur, Notary Public (insert name and title of the officer) personally appeared who proved to me on the basis of satisfactory evidence to be the personae)whose named)ishafe- subscribed to the within instrument and acknowledged to me that he/sheAboyr executed the same in his/he##t&authorized capacity(ies), and that by h slhekheir signaturefA)on the instrument the person),or the entity upon behalf of which the person)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. JAVWITNESS my hand and official seal, M.E20 19 ' XWAf(f M C-i:At>EOM>iMg 3 MI*11NARWt2w{01M MY't .Egri►esl4 I6,2022 SignaturAt rm An 7 e_ (Seal) NOTARY CERTIFICATE Subscribed and sworn to before me this_day of , 202_ A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of ) County of ) On before me, Month, Day, and Year Insert Name and Title of Notary personally appeared Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/arc subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal, Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) __ C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project. For example, "Sanitary sewer Mine installation of at least of 1,000 of 8-inch and Greater in Dublic right-of-way. Sanitary sewer lift stations of similar size, protect work within public streets an area containing high ground water and pipeline construction in high round water regions with trench de the of 8-feet to the invert."J. 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 withinthe past five years: Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-10 COMPLETED PROJECT REFERENCES PAST(5) YEARS Project Owner Project Scope of Work Contact Contract Completion Amount Date City of Yucaipa �h Chuck Collette— February 34272 Yucaipa Blvd, 13 Street Final Grading and Concrete Construction $45,810 2016 Yucaipa,CA Concrete works Manager/Inspector 909)841-0336 City of Duarte Bus Pad Rafael Casillas PE— February Engineering $18,336 1600 E Huntington Construction at Concrete&Asphalt 2016 Manager Dr,Duarte,CA Huntington Drive 626 357-7931 City of PalmDesert Mike Brown— 73510 Fred Waring 2016 Curb Ramps ADA ramps,Curb, public Works $99,350 May 2016 Dr,Palm Desert,CA Modification Project Gutter,Cross gutter Inspector 92260 and Asphalt 760 396-6826 City of Jurupa Chase Keys— Valley June 2016 2015-16 Pedestrian Project Manager $104,000 8930 Limonite Access Project Concrete works (951)332-6464 Avenue,Jurupa x235 Valley,CA 92509 City of Arcadia Jan Balanay— 11800 Goldring 2015/2016 Annual Concrete&Asphalt Project Manager $58,570 July 2016 Road,Arcadia CA Concrete Repair 626)256-6582 City of South Gate Citywide Sidewalk Grading,Demo,Curb, Leticia Ortiz— 8650 California Ave, Improvement— Gutter,Sidewalk, Project Manager $272,600 September South Gate,CA Phase III Cross gutter&Asphalt Contact Number: 2016 323)563-9576 City of Dinuba ADA Improvements Joe Aguirre— September 1088 Kamm Ave. Project Concrete works Project Manager $132,014 2016 Dinuba,CA 93618 559 591-5906 City of Hesperia David Burkett— ADA Improvements Grading,concrete and October 9700 Seventh Ave, y Project Manager $522,500 Year 1&2 Asphalt Paving 2016 Hesperia,CA 92345 760 947-1202 City of Lompoc Craig Dierling,PE January 100 Civic Center Sidewalk/Curb Grading,Roadway —Project Manager $389,292 2017 Plaza Lompoc,CA Ramp Project concrete and Asphalt (805)875-8224 93436 Grand Avenue Road widening County of Riverside Trai Nguyen— Sidewalk Grading,Curb, pal January ri 2950 Washington St, Pnci Inspector $185,240.30 Riverside,CA 92504 Improvement Sidewalk,and Asphalt (951)961-5363 2017 Project Pavin City of Bakersfield Mike De la Cruz— 900 Truxtun Ave, Street Improvement Grading,concrete and Construction March 2017 Bakersfiled,CA Brundage Lane and Asphalt Paving Inspector $508,623 93301 West Union Project 661 304-2950 City of Santa Roadway concrete, La Cumbre Ken Young — Barbara Sidewalk storm drainage, Project Manager $360,995 July 2017 630 Garden Street retaining wall ADA Santa Barbara CA Infill Project Ramps&Pavin (805)560-7568 City of Newport Demo Curb,Gutter, Concrete and Ben Davis— 100 Civic Center Sidewalk ADA Drive,Newport Pavement Ramps,Cross gutter& Project Manager $809,638 August 2017 Beach,CA 92660 Replacement Project Asphalt (949)644-3317 Page 1 of 3 COMPLETED PROJECT REFERENCES PAST 5)YEARS Project Owner Project Scope of Work Contact Contract Completion Amount Date Troth Street Road widening County of Riverside Sidewalk Trai Nguyen— 2950 Washington St, Improvement Grading,Curb,Gutter, Principal Inspector $738,960 Sept 2017 Riverside,CA 92504 Project Sidewalk,and Asphalt Paving (951)961-5363 City of La Puente Citywide Concrete Grading,Curb,Gutter, Gregory W. 15900 East Main Repair FY 2016-17 Sidewalk,and Asphalt Lindsay—Deputy $280,066 November Street,La Puente CA Project Paving City Engineer 2017 91744 (626)855-1540 City of Walnut Walnut Ranch Park Grading,Curb,Gutter, Cody Howing— December 21201 La Puente Rd, ADA Access& Sidewalk and Project Manager $286,972 2017 Walnut,CA 91789 Citywide Repair Retaining wall (909)594-9702 City of San Marcos Perryn White sion Road ADA Demo,sidewalk and Mata Road,San MIS City Inspector $182,700 April 2018 Marcos,CA Construction Project ADA Ramps (619)850-3851 City of Riverside Street Widening of Widening,Concrete Kevin Goodwin 3900 Main Street Quite lane and asphalt Project Manager $60,000 June 2018 Riverside CA 92522 (951)318-3134 OMNITrans ATP safe Route to Demo,sidewalk,ADA Thomas Dahlin 1700 West 5`h St Transit Project Ramps&Asphalt Capital Project $2.1 M December San Bernardino,CA Paving Manager/Inspector 2018 92411 (951)358-9322 OMNITrans Corona Avenue ATP Demo,sidewalk,ADA Thomas Dahlin 1700 West 5t'St safe Route to Transit Ramps&Asphalt Capital Project $308,000 April 2019 San Bernardino,CA Project Paving Manager/Inspector 92411 (951)358-9322 City of San Annual Concrete Demo,sidewalk, Nathan Toczek Bernardino Repair&ADA driveway,ADA City Inspector $2.1 M April 2019 201 N"E"Street, Access Ramp Ramps&cross gutter (760)963-2085 san Bernardino CA Project Roadway City of Santa Improvement Measure A Cycle 3 Ken Young — Barbara concrete,storm December 630 Garden Street, Sidewalk Infill drainage,retaining Project Manager $1.1M 2019 Santa Barbara CA walls,Ramps&Project (805)560-7568 Asphalt Paving County of Riverside Mayberry Avenue Roadway Trai Nguyen— Improvement, February 2950 Washington St, Sidewalk Project— Principal Inspector $316,000 Riverside,CA 92504 Hemet CA concrete sidewalk, (951)961-5363 2020 cross gutter and ramps Page 2 of 3 COMPLETED PROJECT REFERENCES PAST Cal YEARS Project Owner Project Scope of Work Contact Contract Completion Amount Date City of Costa Mesa City Parkway Citywide concrete Cristina Oquendo $3.2M May 2020 77 Fair Drive Maintenance Project repair curb,gutter, Project Manager Costa Mesa CA sidewalk,driveway (714)754-5015 and ADA Ramps City of Newport Demo,Curb,Gutter, 100 Civic Center Concrete Sidewalk,ADA Ben Davis— Drive,Newport Replacement Project Ramps,Cross gutter& Project Manager $763,500 July 2020 Beach,CA 92660 Asphalt (949)644-3317 City of San Citywide Concrete Demo,sidewalk, Nathan Toczek $563,000 July 2020 Bernardino Repair Project driveway,ADA City Inspector 201 N"E"Street, Ramps&cross gutter (760)963-2085 san Bernardino CA City of Loma Linda ADA Access Ramp Demo,sidewalk, Alex Rubalcava $113,000 August 2020 26000 Barton Road, Installation Project driveway,ADA City Inspector Loma Linda 92354 Ramps&cross gutter (909)478-4263 City of West CDBG Concrete Demo,sidewalk, Mila Solugob $311,000 October Hollywood Repair Project driveway,ADA Project Manager 2020 8300 Santa Monica Ramps&cross gutter Inspector West Hollywood, (323)848-6338 CA 90069 City of Perris A Street and Nuevo Demo,sidewalk, Brad Brophy $298,000 November 1015 S G St,Penis, Road Project driveway,ADA Project Manager 2020 CA 92570 Ramps,cross gutter Inspector and asphalt (951)943-6504 City of Newport Concrete Alley and Street Reconstruction; Patricia Kharazmi— 100 Civic Center October Drive,Newport Street Replacement Concrete,drainage and Project Manager $2.2M 2021 Beach,CA 92660 Project PCC pavement (949)644-3344 City of Newport Ben Davis— 100 Civic Center Concrete Repair Street Reconstruction; October Drive,Newport Program Project Concrete Repair Project Manager $700K 2021 Beach,CA 92660 (949)644-3317 City of Corona Street Widening and Julianna Zaleski— 400 S Vicentia Ave., Oak Ave Street Reconstruction; Project Manager $550K Ongoing Corona,CA 92882 Improvement Concrete Repair (951)736-2264 Page 3 of 3 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions,please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. Name of proposed Project Manager Telephone No. of proposed Project Manager: L ) 05 ew NY c 1 ( ) Project Name&Contrac Amount Type of Work Date Completed Cwnw t NAI,&, ( Nqvat 11 ' 2-M) Project Name&Contract A aunt Type of Work bate Completed Project Name& Contract Amount Type of Work Date Completed 2. .Jcase kYmen-si Io Name of proposed Superintendent (� r�/► Telephone No. of proposed Superintendent: Project Name& Contract A ount Type of ork Date Completed n e 2, Project Name& Contract A aunt Typo; f Work Date Completed Project Name&Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.l(a)), passed by the California State Senate on June 20,2014,established a new pub]is works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of industrial Relations(DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://ef Iing.dir.ca.gov/PWCR/AetionServIet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Contractor By iD1SXD_%-dMAtr_Ap6"t . Can ail &CAd I Ti le Date: PWC Registration :_ C-12 BIDDER'S CERTIFICATION* HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED 1N 1992, SECTION 3 TITLE 24, Code of Federal Regulations, Part 135* Economic Opportunities for Low and Very Low-income Persons The bidder,under penalty of perjury, certifies that except as noted below, any person associated therewith in the capacity of owner, partner, director, officer, or manager(initial the applicable selections); Will ensure that 10%of all new hires as a result of this project shall meet all requirements of Section 3 of CFR Part 135 of the HUD Act of 1968;or Will hire no new employees in conjunction with this project. Will award 10% of its sub-contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub-contracts related to this project. 14 'Is Contractor: Ct Vilu"I__ Contact Person: d b P Contact Phone: J Signed: Date: i *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 135 and Subtitle A et al) and must be submitted by the bidders and proposed sub- contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act, as amended in 1992 (HUD). Previous non-compliance with Section 3 could result in disausliiication. C-13 EXHIBIT A DISADVANTAGED BUSINESS ENTERPRISE(DBE) This Project is subject to Part 200.321, Title 2, Code of Federal Regulations entitled "Contracting with Small and Minority Businesses, Women's Business Enterprises, and Labor Surplus Area Firms." The Regulations in their entirety are incorporated herein by this reference. It is the policy of the City that disadvantaged business enterprises (DBEs), as defined in Part 200.321, Title 2 CFR, shall be encouraged to participate in the performance of Contracts financed in whole or in part with federal funds.The Contractor should ensure that DBEs,as defined in Part 200.321, Title 2 CFR, have the opportunity to participate in the performance of this Contract and shall take all necessary and reasonable steps,as set forth in Part 200.321,Title 2 CFR, for this assurance.The Contractor shall not discriminate on the basis of race,color,national origin, or sex in the award and performance of subcontracts. Failure to carry out the requirements of this paragraph shall constitute a breach of Contract and may result in termination of this Contract or other remedy the City may deem appropriate. Bidders shall be fully informed respecting the requirements of the Regulations and are urged to obtain DBE participation in this project,althoug;i there is no specific goal for DBE participation. C-1 a EXHIBIT B DBE INFORMATION—GOOD FAITH EFFORTS Federal-aid Project No. L Bid Opening Date The City of Huntington Beach established a Disadvantaged Business Enterprise(DBE) goal of 0% for this Project. The information provided herein shows that a good faith effort was made. Lowest,second lowest and third lowest bidders shall submit the following information to document adequate good faith efforts. Bidders should submit the following information even if the "Local Agency Bidder DBE Commitment" form indicates that the bidder has met the DBE goal. This will protect the bidder's eligibility for award of the contract if the administering agency determines that the bidder failed to meet the goal for various reasons, e.g., a DBE firm was not certified at bid opening, or the bidder made a mathematical error. Submittal of only the "Local Agency Bidder DBE Commitment" form may not provide sufficient documentation to demonstrate that adequate good faith efforts were made. The following items are listed in the Section entitled "Submission of DBE Commitment" of the Special Provisions: A. The names and dates of each publication in which a request for DBE participation for this project was placed by the bidder (please attach copies of advertisements or proofs of publication): Publications Dates of Advertisement B. The names and dates of written notices sent to certified DBEs soliciting bids for this Project and the dates and methods used for following up initial solicitations to determine with certainty whether the DBEs were interested(please attach copies of solicitations,telephone records, fax confirmations,etc.): Names of DBEs Solicited Date of Initial Follow Up Methods Solicitation and Dates C-1 s C. The items of work which the bidder made available to DBE firms including, where appropriate,any breaking down of the contract work items(including those items normally performed by the bidder with its own forces) into economically feasible units to facilitate DBE participation. It is the bidder's responsibility to demonstrate that sufficient work to facilitate DBE participation was made available to DBE firms. Items of Work Bidder Normally Breakdown of Amount Percentage Performs Item Items M of (Y/N) Contract D. The names, addresses and phone numbers of rejected DBE firms, the reasons for the bidder's rejection of the DBEs, the firms selected for that work (please attach copies of quotes from the firms involved),and the price difference for each DBE if the selected firm is not a DBE: Names, addresses and phone numbers of rejected DBEs and the reasons for the bidder's rejection of the DBEs: Names, addresses and phone numbers of firms selected for the work above: E. Efforts made to assist interested DBEs in obtaining bonding, lines of credit or insurance, and any technical assistance or information related to the plans, specifications and requirements for the work which was provided to DBEs: C-1 6 UCP Web Application-List https://ucp.dot.ca.gov/querySubmit.hti Skip to Main Content Back To Query Form (IicenseForm.htm) Search Returned 1 Records Mon Apr 06 18:56:11 PDT 2020 Query Criteria Certification Types: DBE Firm ID: 47615 Firm ID 47615 DBA Name S&H CIVILWORKS Firm Name Address Line1 1801 HILLTOP DRIVE Address Line2 City COLTON State CA Zip Code1 92324 Zip Code2 Mailing Address Line1 Mailing Address Line2 Mailing City Mailing State Mailing Zip Code1 Mailing Zip Code2 Certification DBE Type EMail jesse@sandhcivilworks.com Contact Name JESS SOTTO Area Code 909 Phone Number 206-1181 Extension Alt Area Code 714 Alt Phone 855-0909 Number Extension Fax Area Code 909 Fax Phone 498-8021 Number Agency Name DEPARTMENT OF TRANSPORTATION Counties 36; Districts 08; DBE NAICS 237310; ACDBE NAICS 1 of 2 4/6/2020,6:57 PD UCP Web Application-List https://ucp.dot.ca.gov/querySubmit.htm C6650 CORRUGATED METAL PIPE (CSP); C1901 ROADWAY EXCAVATION; C7140 CLAY SEW PIPE; C1940 DITCHES EXCAVATION; C2602 AGGREGATE BASE; C1920 STRUCTURE EXCAVATION; C6500 REINFORCED CONCRETE PIPE; C1601 CLEARING &GRUBBING; C280( Work Codes CONCRETE BASE; C4201 GROOVE&GRIND PAVEMENT; C1910 GRADING; C1930 STRUCTU BACKFILL; C2501 AGGREGATE SUBBASE; C3910 PAVING ASPHALT(ASPHALT CONCRETE); C5100 CONCRETE STRUCTURE; C5105 MINOR CONCRETE STRUCTURE; C7191 SEWER MANHOLE; C7301 CONCRETE CURB &SIDEWALK-MISC; Licenses A General Engineering Contractor; Trucks Gender M Ethnicity ASIAN PACIFIC Firm Type DBE 2 of 2 4/6/2020,6:57 PM F. Efforts made to assist interested DBEs in obtaining necessary equipment, supplies, materials or related assistance or services, excluding supplies and equipment the DBE subcontractor purchases or leases from the prime contractor or its affiliate: G. The names of agencies, organizations or groups contacted to provide assistance in contacting, recruiting and using DBE firms (please attach copies of requests to agencies and any responses received, i.e., lists, Internet page download, etc.): Name of Agency/Organization Method/Date of Contact Results H. Any additional data to support a demonstration of good faith efforts(use additional sheets if necessary): NOTE: USE ADDITIONAL SHEETS OF PAPER IF NECESSARY, C-17 IF A SOLE OWNER OR SOLE CONTRACTOR SIGN HERE: (1) Name under which business is conducted (2) Signature (given and surname)of proprietor (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail IF A PARTNERSHIP,SIGN HERE; 4 (1) Name under which business is Bond ted (2) Signature (given and surname d character of partner) (Note: Signature must be made by a general partner) (3) Place of Busnes (Street and Number) City and State (4) Zip C94 Telephone No. (5) E-Mail C-18 IF A CORPORATION, SIGN HERE; (1) Name under which business is conducted - G vs (2) sgnature) (Title) Impress Corporate Seal here (3) Incorporated under the laws of the State of �, A I ,.; I .. (4) Place of Business i 1MC L,e-i1 _ vie-, C42 La-coi (Street and Number) City and State "ft ( -_. r (5) Zip Code Cj 2 w2, Telephone No. (6) E-Mail 1 S s Caw) 0 Cluj j.jat&1' NOTARIAL ACKNOWLEDGMENT OF EXECUTION BY ALL SIGNATORIES MUST BE ATTACHED C-19 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 Bernardino On d✓, 0 before me, Jaspreet Kaur, Notary Public y� (insert name and title of the officer) personally appeared -, 5E SO 7170 who proved to me on the basis of satisfactory evidence to be the person whose names)is/afe- subscribed to the within instrument and acknowledged to me that he/sheAboy-executed the same in his/he40;eis authorized capacity(ss),and that by hislheAheW signatureo)on the instrument the persona), or the entity upon behalf of which the person acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. JRRE&tU WITNESS my hand and official seal. M, g eta 01 CM,b0aft 16,torn Signature . (Seal) List below names of president,vice president, secretary and assistant secretary, if a corporation; if a partnership, list names of all general partners and managing partners: Q ago EXHIBIT C LOCAL AGENCY BIDDER DBE COMMITMENT (CONSTRUCTION CONTRACTS) NOTE: PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM LOCAL AGENCY LOCATION: PROJECT DESCRIPTION TOTAL CONTRACT AMOUNT:$ BID DATE: BIDDER'S NAME: CONTRACT DBE GOAL: CONTRACT ITEM Of' WORK AND DESCRIPTION DI36 CFR'i NO NAME OF EACII DB-DOLLAR AMOUNT ITEM NO OR SERVICES TO BF ND I-APIRATION (Must he certified ou the date hid. )RE SUBCONTRACTED OR MATERIALS DATE are opened - include DBE address O BE PROVIDED(or contracted if the and phone number) bidder is a DBE) For Local Agency to Complete: Total Claimed DBE Local Agency Contract Number _ Participation, Federal-aid Project Number: Q/o Federal Share: Contract Award Date: Local Agency certifies that all DBE certifications have been verified and information is complete and_accurate, Signature of Bidder Date (Area Code)Tel,No, Print Name Signature Date Local Agency Representative Person to Contact (Please Type or Print) (Area Code)T'elephnne Number: Local Agency Sidder Mir Commitment(Constructicm Contacts) (Rev 6126/09) C-21 PLEASE NOTE: This information may be submitted with your bid. If it is not,and you are the apparent low bidder or the second or third low bidder,it must be submitted and received as specified in the Special Provisions. Failure to submit the required DBE commitment will be grounds for finding the bid nonresponsive The form requires specific information regarding the construction contract: Local Agency, Location, Project Description, Total Contract Amount, Bid Date, Bidder's Name, and Contract DBE Goal. The form has a column for the Contract Item Number and Item of Work and Description or Services to be Subcontracted or Materials to be provided by DBEs.Prime contractors shall indicate all work to be performed by DBEs including, if the prime is a DBE, work performed by its own forces, if a DBE. The DBE shall provide a certification number to the Contractor and expiration date. Enter the DBE prime's and subcontractors' certification numbers.The form has a column for the Names of DBE contractors to perform the work (who must be certified on the date bids are opened and include the DBE address and phone number). IMPORTANT: Identify all DBE firms participating in the project regardless of tier.Names of the First-Tier DBE Subcontractors and their respective item(s) of work listed should be consistent, where applicable,with the names and items of work in the "List of Subcontractors"submitted with your bid. There is a column for the DBE participation dollar amount. Enter the Total Claimed DBE Participation dollars and percentage amount of items of work submitted with your bid pursuant to the Special Provisions. (If 100%of item is not to be performed or furnished by the DBE,describe exact portion of time to be performed or furnished by the DBE.) See Section "Disadvantaged Business Enterprise(DBE),"of the Special Provisions(construction contracts),to determine how to count the participation of DBE firms. Exhibit 15-G must be signed and dated by the person bidding. Also list a phone number in the space provided and print the name of the person to contact. Local agencies should complete the Local Agency Contract Award, Federal-aid Project Number, Federal Share, Contract Award Date fields and verify that all information is complete and accurate before signing and filing. C-22 EXHIBIT D EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder 5g t+ [proposed subcontractor J hereby certifies that he/she/it has ,has not , participated in a previous contract or subcontract subject to the Equal Opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he/she/it has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contract= and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of$10,000 or under are exempt.) Currently, Standard Form 100(EEO-1) is the only report required by the Executive Orders or their implementing regulations. (eeoc.gov/employers/eeolsurvey/index.cfm) Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Signature: Date: Print Name: j "Title: C-23 EXHIBIT E NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) Zone 5 Curb Ramp Installation To the City of Huntington Beach In conformance with Title 23 United States Code Section 112 and California Public Contract Code 7106 the bidder declares that the bid is not made in the interest of,or on 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 of the bidder or any other bidder, or to fix any overhead, profit,or cost element of the bid price,or of 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, any fee to any corporation, partnership, company association, organization, bid depository,or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Noncollusion Affidavit is part of the Bidder's Proposal. By signing the Proposal, the Bidder has also signed this Noncollusion Affidavit. Bidders are cautioned that making a false Certification may subject the Bidder to criminal prosecution. Signature: Date: l 2 Print Name: ' , Title: C-24 EXHIBIT F DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49, CODE OF FEDERAL REGULATIONS. PART 29 The Bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated with Bidder in the capacity of owner, partner, director,officer, manager: • is not currently under suspension,debarment, voluntary exclusion, or determination of ineligibility by any Federal agency; • has not been suspended, debarred, voluntarily excluded or determined ineligible by any Federal agency within the past 3 years; • does not have a proposed debarment pending; and • has not been indicted, convicted, or had a civil judgment rendered against him/her by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. Signature: _ Date: i t - t oo" -24 Print Name: ,Sit Title: rQS PV C-25 EXHIBIT G NONLOBRYING CERTIFICATION FOR FEDERAL-AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal,to the best of his or her knowledge and belief, that: 1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract,the making of any Federal grant,the making of any Federal loan,the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment,or modification of any Federal contract,grant, loan,or cooperative agreement. 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in confonnance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. Signature: Date: l Print Name: Title: ? C-26 EXHIBIT H DISCLOSURE OF LOBBYING ACTIVITIES COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: a.contract R.,bid/offer/application a,initial b grant b initial award b material change c cooperative agreement c post-award d.loan For Material Change Only: e.loan guarantee year quarter f loan insurance date of last report 4. Name and Address of Reporting Entity 5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime: El Prime Subawardee Tier if known Congressional District,if known Congressional District,if known 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number,ifapplicable A. Federal Action Number,if known: 9. Award Amount,if known: 10. a.Name and Address of Lobby Entity b. Individuals Performing Services (including (If individual.last name,first name.MI) address if different from No,l0a) (last name,first name,MI) (attach Continuation Sheet(s)if necessary) It. Amount of Payment(check all that apply) 13. Type of Payment(check all that apply) S. Actual planned a retainer b.one-time fee 12. Form of Paymcat(check all that apply): c commission Ba.cash d contingent fee b.in-kind; specify: nature a deferred value f other,specify 14. Brief Description of Services Performed or to be performed and Date(s)of Service,including officer(s),employee(s),or member(s)contacted,for Payment Indicated in Item 11: (attach Continuation Sheet(s)if necessary) 15. Continuation Sheet(s)attached: Yes ❑ No 16. Information requested through this form is authorized by Title 31 U_S.C_Section 1352,This disclosure of lobbying reliance Signatun was placed by the tier above when his transaction was made or entered into,This disclosure is required pursuant to 31 U SC, Prot Name This information will be reported to Congress R- A semiannually and will be available for public inspection, Any "Title: i! person who fails to file the required disclosure shall be subject ,,t to a civil penalty of not less than$10,000 and not more than Telephone Nttf Date: $100,000 for each such failure. L Authorized for Local Reproduction Federal Use Only: Standard Form-LLL Standard Form LLL Rev.09-12-97 C-27 INSTRUCTIONS FOR COMPLETION OF EXHIBIT Fl DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity,whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1) Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2) Identify the status of the covered Federal action. 3) Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4) Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5) If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address,city,state and zip code of the prime Federal recipient. Include Congressional District, if known. 6) Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7) Enter the Federal program name or description for the covered Federal action (item 1). if known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8) Enter the most appropriate Federal identifying number available for the Federal action identification in item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9) For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10)(a)Enter the full name, address,city, state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name, First Name and Middle Initial (MI). 11)Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4)to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report,enter the cumulative amount of payment made or planned to be made. C-28 12)Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13)Check the appropriate box(es). Check all boxes that apply. If other, specify nature. 14)Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15)Check whether or not a continuation sheet(s) is attached. 16)The certifying official shall sign and date the form, print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project(0348-0046), Washington, D.C. 20503. By my signature on this proposal I certify, under penalty of perjury under the laws of the State of California, that the foregoing questionnaire and statements of Public Contract Code Sections 10162, 10232 and 10285.1 are true and correct and that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission Regulations (Chapter 5,Title 2 of the California Administrative Code). C-29 EXHIBIT I FEDERAL LOBBYING RESTRICTIONS Section 1352, Title 31, United States Code prohibits Federal funds from being expended by the recipient or any lower tier subrecipient of a Federal-aid contract to pay for any person for influencing or attempting to influence a Federal agency or Congress in connection with the awarding of any Federal-aid contract,the makin},of any Federal grant or loan,or the entering into of any cooperative agreement. If any funds other than Federal funds have been paid for the same purposes in connection with this Federal-aid contract,the recipient shall submit an executed certification and, if required, submit a completed disclosure form as part of the bid documents. A certification for Federal-aid contracts regarding payment of funds to lobby Congress or a Federal agency is included in the Proposal. Standard Form - LLL, "Disclosure of Lobbying Activities," with instructions for completion of the Standard Form is also included in the Proposal. Signing the Proposal shall constitute signature of the Certification. The above referenced certification and disclosure of lobbying activities shall be included in each subcontract and any lower-tier contracts exceeding $100,000. All disclosure forms, but not certifications, shall be forwarded from tier to tier until received by the Engineer. The Contractor, subcontractors and any lower-tier contractors shall file a disclosure form at the end of each calendar quarter in which there occurs any event that requires disclosure or that materially affects the accuracy of the information contained in any disclosure form previously filed by the Contractor, subcontractors and any lower-tier contractors. An event that materially affects the accuracy of the information reported includes: 1) A cumulative increase if$25,000 or more in the amount paid or expected to be paid for influencing or attempting to influence a covered Federal action; or 2) A change in the person(s)or individual(s) influencing or attempting to influence a covered Federal action;or 3) A change in the officer(s), employees(s), or Member(s) contacted to influence or attempt to influence a covered Federal Action. C-30 PHILAD PHIA INSURANCE COMPANIES BID BOND KNOW ALL MEN BY THESE PRESENTS: That We S & H Civilworks as Principal, and Philadelphia Indemnity Insurance Company, a corporation organized and existing under the laws of the State of Pennsylvania, and authorized to do business in the State of California as Surety, are held and firmly bound unto the City of Huntington Beach, as Obligee, in the sum of'Fen Percent of Amount Bid DOLLARS ($10% of Bid), lawful money of the United States of America, to the payment of which sum well and truly to be made,the said Principal and Surety bind themselves,their and each of their heirs,executors,administrators,successors and assigns,jointly and severally by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that, if the Obligee shall make any award to the Principal for: Zone 5 Curb Ramp Installation. according to the terms of the proposal or bid made by the Principal therefor, and the Principal shall duly make and enter into a contract with the Obligee in accordance with the terms of said proposal or bid and award and shall give bond for the faithful performance thereof, with the Philadelphia Indemnity Insurance Company as Surety or with other Surety or Sureties approved by the Obligee, or if the Principal shall, in case of failure so to do, pay to the Obligee the damages which the Oblige e may suffer by reason of such failure not exceeding the penalty of this bond,then this obligation shall be null and void; otherwise it shall be and remain in full force and effect. Signed,sealed and dated this 9"'day of November,2021. S& H Civilworks (Principal) ------ (Seal) By: Philadelphia Indemnity Insurance Conip.iEL (Surety) (Seal) By: -in-Fact Laurie B. Druck,Attorney f . .- �, A. '.. ```t\\111\11V�A rflflr� . �. .. �' _,� � CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California SS. County of San Bernardino Rebecca Elizabeth Adcock, Notary Public On before me, ry Name and Title of Officer(e.g-"Jane Doe,Notary Pubtic`j personally appeared Laurie B. Druck Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her authorized capacity, and that by her signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. cOck Rebecca t Sizabet� Ad coliAmisstoN# A I certify under PENALTY OF PERJURY under the laws of l � NOTARYPUSL'C C CRNIA the State of California that the foregoing aS1��t ee �otNo COUNTY 9 9 Barograph is MY t:omm_rs:3. y.=4 true and correct. WITNESS my h d and official se . nature of No ary Public OPTIONAL Though the information below is not required by taw.it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: 77 Ct Individual El Corporate Officer Title fl Partner -- C3 Limited ❑ General 17 Attorney-in-Fact O Trustee O Guardian or Conservator Other: Signer is Representing: STAIE OF CALIFORINIA DEPARTMENT OF.INSURANCE INQ 07927 SAN FRANCISCO Amended Certif iCate of Authority THIS IS TO CERTIFY 77M Pursuant to the Insurance Code of the State of California, Philadelphia Indemnity Insurance Company Of Bala Cynwyd, Pennsylvania organized under the laws of Pennsylvania I subject to its Articles of Incorporation or other fundamental organizalfio al documents,is hereby authorized to transact within the State,subject to all provisions of this Cert�caie,the following classes of insurance: Fire, Marine, Surety, Plate Class, Liability, Boiler and Machinery, Burglary, Sprinktert Automahile, and Miscellaneous as such classes are now or may hereafter be defmd in the Insurance Laws(#*the State of California THIS CERTIR-CATE is expressly conditioned upon the holder hereof now and hereafter being in full compliance with all and nett in violation of cozy,of the applicable laws and lawful requirements made under authority of the laws of the State of California as long as such laws or requirements are in effect and applicable,and as such laws and requirements now are,or may hereafter be changed or amended IN WITNESS WHEREOF,effective as of the 14 th day of Oc6ber _ 2004 ,I have hereunto set my hand and caused my official seat to be affixed this 14th day of-----2%t-Ab�e 2004 John Q end i Insm loner BY P, for Ida Zo row NOTICE: Asst. Chief Depu Qualification with the Secretary of State must be u=mplisbed as required by the Calirlb ' rations gt dU:ris=mccofWsC=fftcattofAudtodty.rWuretodosowiUbcaviolaL,onoflnnuuce cam 701 and will be grounds for revoking this Certificate o(A%horirj pursuant to the convcnants made in the application therefbf and the conditions contained herein, row"c" OSP GO=41 PHILADELPHIA INDEMNITY INSURANCE COMPANY One Bala Plaza,Suite 100 Bala Cynwyd,PA 19004.0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS:That PHILADELPHIA INDEMNITY INSURANCE COMPANY(the Company),a corporation organized and existing under the laws of the Commonwealth of Pennsylvania,does hereby constitute and appoint Jay P.Freeman,Cynthia J.Young,Laurie B.Druck,Melissa Schwartz and Christina Mountz ofAlliant Insurance Services,Inc.,its titre and lawful Attorney-in-fact with full authority to execute on its behalf bonds,undertakings, recognizances and other contracts of indemnity and writings obligatory in the nature thereof,issued in the cause of its business and to bind the Company thereby,in an amount not to exceed S50.000,000.00. This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY on the 146 of November,2016. RESOLVED: That the Board of Directors hereby authorizes the President at any Vice President of the Company:(1)Appoint Attomey(s)in Fact and authorize the Attorney(s)in Fad to execute on behalf of the Company bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto;and (2)to remove,at any time,any such Attorney-in-Fact and revoke the authority given. And, be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile.and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 27ne DAY OF OCTOBER,2017. UNerr.�h'f (Seal) Roben D.O'Leary Jr.,President A CEO Philadelphia Indemnity Insurance Company On this 27*day of October,2017,before me came the individual who executed the preceding instrument,to me personally known,and being by me duly sworn said that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY;that the seal affixed to said instrument is the Corporate seal of said Company,that the said Corporate Seal and his signature were duly affixed. vista Notary Public: 1 residing at: Bala Cynwyd-PA (Notary Seal) My commission expires: September 25-2021 1,Edward Sayago Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY,do hereby certify that the foregoing resolution of the Board of Directors and the Power of Attorney issued pursuant thereto on the 2r day of October.2017 are true and correct and are still in full force and effect.I do further certiry that Robert D.O'Leary Jr.,who executed the Power of Attorney as President,was on the date of execution of the attached Power of Attorney the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY. In Testimony Whereof 1 have subscribed my name and affixed the facsimile seal of each Company this 9th day of November,20 2'l-.:.,. Edward Sayago.Corporate Secretary �'�rsna►�`'�o^ PHILADELPHIA INDEMNITY INSURANCE COMPANY _... . .1. _ 1• !'i. 1. ���.. :tl�. ., .!. � - . ... .. .S. .. � . ., .. ... . ... - � _i .. ' - a . _ � .1: .. .t !t .. � � ..'�:. Ott .. .. .. _ - t: `r�� i ,' City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For ZONE 5 CURB RAMP INSTALLATION PROJECT CC NO. 1637 in the CITY OF HUNTINGTON BEACH November 17, 2021 Notice To All Bidders: Please note the following clarification to the Project Plans, Specifications, and Special Provisions: 1) REPLACE APPENDIX L"PREVAILING WAGE SCHEDULE" TO CURRENT WAGES SCHEDULE. Replace "General Decision Number: CA2020002410/22/2021"with Superseded "General Decision Number: CA2021002411/12/2021" This is to acknowledge receipt and review of Addendum Number One, dated November 17, 2021. S&H CIVILWORKS r;�--- Company Name By "� 11-18-21 Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please call Joseph Fuentes at (714) 536-5431. APPENDIX L PREVAILING WAGE SCHEDULE "General Decision Number: CA20210024 11/12/2021 Superseded General Decision Number: CA20200024 State: California Construction Types: Building, Heavy (Heavy and Dredging) and Highway County: Orange County in California. BUILDING CONSTRUCTION PROJECTS; DREDGING PROJECTS (does not include hopper dredge work); HEAVY CONSTRUCTION PROJECTS (does not include water well drilling); HIGHWAY CONSTRUCTION PROJECTS Note: Under Executive Order (ED) 13658, an hourly minimum wage of $10.95 for calendar year 2021 applies to all contracts subject to the Davis-Bacon Act for which the contract is awarded (and any solicitation was issued) on or after January 1, 2015. If this contract is covered by the ED, the contractor must pay all workers in any classification listed on this wage determination at least $10.95 per hour (or the applicable wage rate listed on this wage determination, if it is higher) for all hours spent performing on the contract in calendar year 2021. If this contract is covered by the ED and a classification considered necessary for performance of work on the contract does not appear on this wage determination, the contractor must pay workers in that classification at least the wage rate determined through the conformance process set forth in 29 CFR 5.5(a)(1)(ii) (or the ED minimum wage rate,if it is higher than the conformed wage rate). The ED minimum wage rate will be adjusted annually. Please note that this ED applies to the above-mentioned types of contracts entered into by the federal government that are subject to the Davis-Bacon Act itself, but it does not apply to contracts subject only to the Davis-Bacon Related Acts, including those set forth at 29 CFR 5.1(a)(2)-(60). Additional information on contractor requirements and worker protections under the ED is available at www.dol.gov/whd/govcontracts. Modification Number Publication Date 0 01/01/2021 1 01/08/2021 2 02/05/2021 3 02/12/2021 4 03/05/2021 5 06/25/2021 6 07/23/2021 7 07/30/2021 8 08/06/2021 9 08/20/2021 10 10/01/2021 11 10/08/2021 12 10/15/2021 13 10/22/2021 14 10/29/2021 15 11/12/2021 ASBE0005-002 09/01/2021 Rates Fringes Asbestos Workers/Insulator (Includes the application of all insulating materials, protective coverings, coatings, and finishes to all types of mechanical systems).....$ 47.25 24.45 Fire Stop Technician (Application of Firestopping Materials for wall openings and penetrations in walls, floors, ceilings and curtain walls)...........................$ 32.09 19.66 ---------------------------------------------------------------- ASBE0005-004 07/05/2021 Rates Fringes Asbestos Removal worker/hazardous material handler (Includes preparation, wetting, stripping, removal, scrapping, vacuuming, bagging and disposing of all insulation materials from mechanical systems, whether they contain asbestos or not)....$ 22.40 13.07 ---------------------------------------------------------------- * BRCA0004-010 05/01/2020 Rates Fringes BRICKLAYER; MARBLE SETTER........$ 41.39 18.95 *The wage scale for prevailing wage projects performed in Blythe, China lake, Death Valley, Fort Irwin, Twenty-Nine Palms, Needles and 1-15 corridor (Barstow to the Nevada State Line) will be Three Dollars ($3.00) above the standard San Bernardino/Riverside County hourly wage rate ---------------------------------------------------------------- BRCA0018-004 06/01/2019 Rates Fringes MARBLE FINISHER..................$ 33.43 14.11 TILE FINISHER....................$ 28.23 12.65 TILE LAYER.......................$ 40.07 18.36 ---------------------------------------------------------------- BRCA0018-010 69/01/2020 Rates Fringes TERRAZZO FINISHER................$ 33.66 14.20 TERRAZZO WORKER/SETTER...........$ 41.60 14.73 ---------------------------------------------------------------- CARP0213-001 07/01/2021 Rates Fringes CARPENTER (1) Carpenter, Cabinet Installer, Insulation Installer, Hardwood Floor Worker and acoustical installer...................$ 51.60 16.28 (2) Millwright..............$ 52.10 16.48 (3) Piledrivermen/Derrick Bargeman, Bridge or Dock Carpenter, Heavy Framer, Rock Bargeman or Scowman, Rockslinger, Shingler (Commercial)................$ 51.73 16.28 (4) Pneumatic Nailer, Power Stapler...............$ 51.85 16.28 (5) Sawfiler...............$ 51.69 16.28 (6) Scaffold Builder.......$ 42.80 16.28 (7) Table Power Saw Operator....................$ 51.70 16.28 FOOTNOTE: Work of forming in the construction of open cut sewers or storm drains, on operations in which horizontal lagging is used in conjunction with steel H-Beams driven or placed in pre- drilled holes, for that portion of a lagged trench against which concrete is poured, namely, as a substitute for back forms (which work is performed by piledrivers): $0.13 per hour additional. ---------------------------------------------------------------- CARP0213-004 07/01/2021 Rates Fringes Drywall DRYWALL INSTALLER/LATHER....$ 51.60 16.28 STOCKER/SCRAPPER............$ 22.16 8.62 ---------------------------------------------------------------- CARP0721-001 07/01/2021 Rates Fringes Modular Furniture Installer......$ 21.85 7.15 ---------------------------------------------------------------- ELEC0011-002 12/28/2020 COMMUNICATIONS AND SYSTEMS WORK Rates Fringes Communications System Installer...................$ 41.52 3%+14.33 Technician..................$ 33.30 3%+27.82 SCOPE OF WORK: Installation, testing, service and maintenance of systems utilizing the transmission and/or transference of voice, sound, vision and digital for commercial, educational, security and entertainment purposes for the following: TV monitoring and surveillance, background-foreground music, intercom and telephone interconnect, inventory control systems, microwave transmission, multi-media, multiplex, nurse call systems, radio page, school intercom and sound, burglar alarms, fire alarm (see last paragraph below) and low voltage master clock systems in commercial buildings. Communication Systems that transmit or receive information and/or control systems that are intrinsic to the above listed systems; inclusion or exclusion of terminations and testings of conductors determined by their function; excluding all other data systems or multiple systems which include control function or power supply; excluding installation of raceway systems, conduit systems, line voltage work, and energy management systems. Does not cover work performed at China Lake Naval Ordnance Test Station. Fire alarm work shall be performed at the current inside wireman total cost package. ---------------------------------------------------------------- ELEC0441-001 08/30/2021 Rates Fringes CABLE SPLICER....................$ 53.54 22.51 ELECTRICIAN......................$ 51.19 22.44 ---------------------------------------------------------------- * ELECO441-003 12/28/2020 COMMUNICATIONS & SYSTEMS WORK (excludes any work on Intelligent Transportation Systems or CCTV highway systems) Rates Fringes Communications System Installer...................$ 39.07 15.38 Technician..................$ 31.23 15.39 SCOPE OF WORK The work covered shall include the installation, testing, service and maintenance, of the following systems that utilize the transmission and/or transference of voice, sound, vision and digital for commercial, education, security and entertainment purposes for TV monitoring and surveillance, background foreground music, intercom and telephone interconnect, inventory control systems, microwave transmission, multi-media, multiplex, nurse call system, radio page, school intercom and sound, burglar alarms and low voltage master clock systems. A. Communication systems that transmit or receive information and/or control systems that are intrinsic to the above listed systems SCADA (Supervisory control/data acquisition PCM (Pulse code modulation) Inventory control systems Digital data systems Broadband & baseband and carriers Point of sale systems VSAT data systems Data communication systems RF and remote control systems Fiber optic data systems B. Sound and Voice Transmission/Transference Systems Background-Foreground Music Intercom and Telephone Interconnect Systems Sound and Musical Entertainment Systems Nurse Call Systems Radio Page Systems School Intercom and Sound Systems Burglar Alarm Systems Low-Voltage Master Clock Systems Multi-Media/Multiplex Systems Telephone Systems RF Systems and Antennas and Wave Guide C. *Fire Alarm Systems-installation, wire pulling and testing. D. Television and Video Systems Television Monitoring and Surveillance Systems Video Security Systems Video Entertainment Systems Video Educational Systems CAN and CCTV E. Security Systems, Perimeter Security Systems, Vibration Sensor Systems Sonar/Infrared Monitoring Equipment, Access Control Systems, Card Access Systems *Fire Alarm Systems 1. Fire Alarms-In Raceways: Wire and cable pulling in raceways performed at the current electrician wage rate and fringe benefits. 2. Fire Alarms-Open Wire Systems: installed by the Technician. ---------------------------------------------------------------- ELECO441-004 08/30/2021 Rates Fringes ELECTRICIAN (TRANSPORTATION SYSTEMS, TRAFFIC SIGNALS & STREET LIGHTING) Cable Splicer/Fiber Optic Splicer.....................$ 51.79 22.45 Electrician.................$ 51.19 22.44 Technician..................$ 38.39 22.05 SCOPE OF WORK: Electrical work on public streets, freeways, toll-ways, etc, above or below ground. All work necessary for the installation, renovation, repair or removal of Intelligent Transportation Systems, Video Surveilance Systems (CCTV), Street Lighting and and Traffic Signal work or systems whether underground or on bridges. Includes dusk to dawn lighting installations and ramps for access to or egress from freeways, toll-ways, etc. Intelligent Transportation Systems shall include all systems and components to control, monitor, and communicate with pedestrian or vehicular traffic, included but not limited to: installation, modification, removal of all Fiber optic Video System, Fiber Optic Data Systems, Direct interconnect and Communications Systems, Microwave Data and Video Systems, Infrared and Sonic Detection Systems, Solar Power Systems, Highway Advisory Radio Systems, highway Weight and Motion Systems, etc. Any and all work required to install and maintain any specialized or newly developed systems. All cutting, fitting and bandaging of ducts, raceways, and conduits. The cleaning, rodding and installation of ""fish and pull wires"". The excavation, setting, leveling and grouting of precast manholes, vaults, and pull boxes including ground rods or grounding systems, rock necessary for leveling and drainagae as well as pouring of a concrete envelope if needed. JOURNEYMAN TRANSPORTATION ELECTRICIAN shall perform all tasks necessary toinstall the complete transportation system. JOURNEYMAN TECHNICIAN duties shall consist of: Distribution of material at job site, manual excavation and backfill, installation of system conduits and raceways for electrical, telephone, cable television and comnmunication systems. Pulling, terminating and splicing of traffic signal and street lighting conductors and electrical systems including interconnect, dector loop, fiber optic cable and video/data. ---------------------------------------------------------------- ELEC1245-001 06/01/2021 Rates Fringes LINE CONSTRUCTION (1) Lineman; Cable splicer..$ 60.19 21.94 (2) Equipment specialist (operates crawler tractors, commercial motor vehicles, backhoes, trenchers, cranes (50 tons and below), overhead & underground distribution line equipment)...........$ 48.08 20.73 (3) Groundman...............$ 36.76 20.33 (4) Powderman...............$ 51.87 18.79 HOLIDAYS: New Year's Day, M.L. King Day, Memorial Day, Independence Day, Labor Day, Veterans Day, Thanksgiving Day and day after Thanksgiving, Christmas Day ---------------------------------------------------------------- ELEV0018-001 01/01/2021 Rates Fringes ELEVATOR MECHANIC................$ 59.32 35.825+a+b FOOTNOTE: a. PAID VACATION: Employer contributes 8% of regular hourly rate as vacation pay credit for employees with more than 5 years of service, and 6% for 6 months to 5 years of service. b. PAID HOLIDAYS: New Year's Day, Memorial Day, Independence Day, Labor Day, Veterans' Day, Thanksgiving Day, Friday after Thanksgiving, and Christmas Day. ---------------------------------------------------------------- ENGIO012-003 07/01/2020 Rates Fringes OPERATOR: Power Equipment (All Other Work) GROUP I....................$ 48.25 27.20 GROUP 2....................$ 49.03 27.20 GROUP 3....................$ 49.32 27.20 GROUP 4....................$ 50.81 27.20 GROUP 5....................$ 48.96 25.25 GROUP 6....................$ 51.03 27.20 GROUP 8....................$ 51.14 27.20 GROUP 9....................$ 49.29 25.25 GROUP 10....................$ 51.26 27.20 GROUP 11....................$ 49.41 25.25 GROUP 12....................$ 51.43 27.20 GROUP 13....................$ 51.53 27.20 GROUP 14....................$ 51.56 27.20 GROUP 15....................$ 51.64 27.20 GROUP 16....................$ 51.76 27.20 GROUP 17....................$ 51.93 27.20 GROUP 18....................$ 52.03 27.20 GROUP 19....................$ 52.14 27.20 GROUP 20....................$ 52.26 27.20 GROUP 21....................$ 52.43 27.20 GROUP 22....................$ 52.53 27.20 GROUP 23....................$ 52.64 27.20 GROUP 24....................$ 52.76 27.20 GROUP 25....................$ 52.93 27.20 OPERATOR: Power Equipment (Cranes, Piledriving & Hoisting) GROUP 1....................$ 49.60 27.20 GROUP 2....................$ 50.38 27.20 GROUP 3....................$ 50.67 27.20 GROUP 4....................$ 50.81 27.20 GROUP 5....................$ 51.03 27.20 GROUP 6....................$ 51.14 27.20 GROUP 7....................$ 51.26 27.20 GROUP 8....................$ 51.43 27.20 GROUP 9....................$ 51.60 27.20 GROUP 10....................$ 52.60 27.20 GROUP 11....................$ 53.60 27.20 GROUP 12....................$ 54.60 27.20 GROUP 13....................$ 55.60 27.20 OPERATOR: Power Equipment (Tunnel Work) GROUP I....................$ 50.10 27.20 GROUP 2....................$ 50.88 27.20 GROUP 3....................$ 51.17 27.20 GROUP 4....................$ 51.31 27.20 GROUP 5....................$ 51.53 27.20 GROUP 6....................$ 51.64 27.20 GROUP 7....................$ 51.76 27.20 PREMIUM PAY: $3.75 per hour shall be paid on all Power Equipment Operator work on the followng Military Bases: China Lake Naval Reserve, Vandenberg AFB, Point Arguello, Seely Naval Base, Fort Irwin, Nebo Annex Marine Base, Marine Corp Logistics Base Yermo, Edwards AFB, 29 Palms Marine Base and Camp Pendleton Workers required to suit up and work in a hazardous material environment: $2.00 per hour additional. Combination mixer and compressor operator on gunite work shall be classified as a concrete mobile mixer operator. SEE ZONE DEFINITIONS AFTER CLASSIFICATIONS POWER EQUIPMENT OPERATORS CLASSIFICATIONS GROUP 1: Bargeman; Brakeman; Compressor operator; Ditch Witch, with seat or similar type equipment; Elevator operator-inside; Engineer Oiler; Forklift operator (includes loed, lull or similar types under 5 tons; Generator operator; Generator, pump or compressor plant operator; Pump operator; Signalman; Switchman GROUP 2: Asphalt-rubber plant operator (nurse tank operator); Concrete mixer operator-skip type; Conveyor operator; Fireman; Forklift operator (includes loed, lull or similar types over 5 tons; Hydrostatic pump operator; oiler crusher (asphalt or concrete plant); Petromat laydown machine; PJU side dum jack; Screening and conveyor machine operator (or similar types); Skiploader (wheel type up to 3/4 yd. without attachment); Tar pot fireman; Temporary heating plant operator; Trenching machine oiler GROUP 3: Asphalt-rubber blend operator; Bobcat or similar type (Skid steer); Equipment greaser (rack); Ford Ferguson (with dragtype attachments); Helicopter radioman (ground); Stationary pipe wrapping and cleaning machine operator GROUP 4: Asphalt plant fireman; Backhoe operator (mini-max or similar type); Boring machine operator; Boxman or mixerman (asphalt or concrete); Chip spreading machine operator; Concrete cleaning decontamination machine operator; Concrete Pump Operator (small portable); Drilling machine operator, small auger types (Texoma super economatic or similar types - Hughes 100 or 200 or similar types - drilling depth of 30' maximum); Equipment greaser (grease truck); Guard rail post driver operator; Highline cableway signalman; Hydra-hammer-aero stomper; Micro Tunneling (above ground tunnel); Power concrete curing machine operator; Power concrete saw operator; Power-driven jumbo form setter operator; Power sweeper operator; Rock Wheel Saw/Trencher; Roller operator (compacting); Screed operator (asphalt or concrete); Trenching machine operator (up to 6 ft.); Vacuum or much truck GROUP 5: Equipment Greaser (Grease Truck/Multi Shift). GROUP 6: Articulating material hauler; Asphalt plant engineer; Batch plant operator; Bit sharpener; Concrete joint machine operator (canal and similar type); Concrete planer operator; Dandy digger; Deck engine operator; Derrickman (oilfield type); Drilling machine operator, bucket or auger types (Calweld 100 bucket or similar types - Watson 1000 auger or similar types - Texoma 330, 500 or 600 auger or similar types - drilling depth of 45' maximum); Drilling machine operator; Hydrographic seeder machine operator (straw, pulp or seed), Jackson track maintainer, or similar type; Kalamazoo Switch tamper, or similar type; Machine tool operator; Maginnis internal full slab vibrator, Mechanical berm, curb or gutter(concrete or asphalt); Mechanical finisher operator (concrete, Clary-Johnson-Bidwell or similar); Micro tunnel system (below ground); Pavement breaker operator (truck mounted); Road oil mixing machine operator; Roller operator (asphalt or finish), rubber-tired earth moving equipment (single engine, up to and including 25 yds. struck); Self-propelled tar pipelining machine operator; Skiploader operator (crawler and wheel type, over 3/4 yd. and up to and including 1-1/2 yds.); Slip form pump operator (power driven hydraulic lifting device for concrete forms); Tractor operator-bulldozer, tamper-scraper (single engine, up to 100 h.p. flywheel and similar types, up to and including D-5 and similar types); Tugger hoist operator (1 drum); Ultra high pressure waterjet cutting tool system operator; Vacuum blasting machine operator GROUP 8: Asphalt or concrete spreading operator (tamping or finishing); Asphalt paving machine operator (Barber Greene or similar type); Asphalt-rubber distribution operator; Backhoe operator (up to and including 3/4 yd.), small ford, Case or similar; Cast-in-place pipe laying machine operator; Combination mixer and compressor operator (gunite work); Compactor operator (self-propelled); Concrete mixer operator (paving); Crushing plant operator; Drill Doctor; Drilling machine operator, Bucket or auger types (Calweld 150 bucket or similar types - Watson 1500, 2000 2500 auger or similar types - Texoma 700, 800 auger or similar types - drilling depth of 60' maximum); Elevating grader operator; Grade checker; Gradall operator; Grouting machine operator; Heavy-duty repairman; Heavy equipment robotics operator; Kalamazoo balliste regulator or similar type; Kolman belt loader and similar type; Le Tourneau blob compactor or similar type; Loader operator (Athey, Euclid, Sierra and similar types); Mobark Chipper or similar; Ozzie padder or similar types; P.C. slot saw; Pneumatic concrete placing machine operator (Hackley-Presswell or similar type); Pumperete gun operator; Rock Drill or similar types; Rotary drill operator (excluding caisson type); Rubber-tired earth-moving equipment operator (single engine, caterpillar, Euclid, Athey Wagon and similar types with any and all attachments over 25 yds. up to and including 50 cu. yds. struck); Rubber-tired earth-moving equipment operator (multiple engine up to and including 25 yds. struck); Rubber-tired scraper operator (self-loading paddle wheel type-John Deere, 1040 and similar single unit); Self- propelled curb and gutter machine operator; Shuttle buggy; Skiploader operator (crawler and wheel type over 1-1/2 yds. up to and including 6-1/2 yds.); Soil remediation plant operator; Surface heaters and planer operator; Tractor compressor drill combination operator; Tractor operator (any type larger than D-5 - 100 flywheel h.p. and over, or similar-bulldozer, tamper, scraper and push tractor single engine); Tractor operator (boom attachments), Traveling pipe wrapping, cleaning and bendng machine operator; Trenching machine operator (over 6 ft. depth capacity, manufacturer's rating); trenching Machine with Road Miner attachment (over 6 ft depth capacity): Ultra high pressure waterjet cutting tool system mechanic; Water pull (compaction) operator GROUP 9: Heavy Duty Repairman GROUP 10: Drilling machine operator, Bucket or auger types (Calweld 200 B bucket or similar types-Watson 3000 or 5000 auger or similar types-Texoma 900 auger or similar types-drilling depth of 105' maximum); Dual drum mixer, dynamic compactor LDC350 (or similar types); Monorail locomotive operator (diesel, gas or electric); Motor patrol-blade operator (single engine); Multiple engine tractor operator (Euclid and similar type-except Quad 9 cat.); Rubber-tired earth-moving equipment operator (single engine, over 50 yds. struck); Pneumatic pipe ramming tool and similar types; Prestressed wrapping machine operator; Rubber-tired earth-moving equipment operator (single engine, over 50 yds. struck); Rubber tired earth moving equipment operator (multiple engine, Euclid, caterpillar and similar over 25 yds. and up to 50 yds. struck), Tower crane repairman; Tractor loader operator (crawler and wheel type over 6-1/2 yds.); Woods mixer operator (and similar Pugmill equipment) GROUP 11: Heavy Duty Repairman - Welder Combination, Welder - Certified. GROUP 12: Auto grader operator; Automatic slip form operator; Drilling machine operator, bucket or auger types (Calweld, auger 200 CA or similar types - Watson, auger 6000 or similar types - Hughes Super Duty, auger 200 or similar types - drilling depth of 175' maximum); Hoe ram or similar with compressor; Mass excavator operator less tha 750 cu. yards; Mechanical finishing machine operator; Mobile form traveler operator; Motor patrol operator (multi-engine); Pipe mobile machine operator; Rubber-tired earth- moving equipment operator (multiple engine, Euclid, Caterpillar and similar type, over 50 cu. yds. struck); Rubber-tired self- loading scraper operator (paddle-wheel-auger type self-loading - two (2) or more units) GROUP 13: Rubber-tired earth-moving equipment operator operating equipment with push-pull system (single engine, up to and including 25 yds. struck) GROUP 14: Canal liner operator; Canal trimmer operator; Remote- control earth-moving equipment operator (operating a second piece of equipment: $1.00 per hour additional); Wheel excavator operator (over 750 cu. yds.) GROUP 15: Rubber-tired earth-moving equipment operator, operating equipment with push-pull system (single engine, Caterpillar, Euclid, Athey Wagon and similar types with any and all attachments over 25 yds. and up to and including 50 yds. struck); Rubber-tired earth-moving equipment operator, operating equipment with push-pull system (multiple engine-up to and including 25 yds. struck) GROUP 16: Rubber-tired earth-moving equipment operator, operating equipment with push-pull system (single engine, over 50 yds. struck); Rubber-tired earth-moving equipment operator, operating equipment with push-pull system (multiple engine, Euclid, Caterpillar and similar, over 25 yds. and up to 50 yds. struck) GROUP 17: Rubber-tired earth-moving equipment operator, operating equipment with push-pull system (multiple engine, Euclid, Caterpillar and similar, over 50 cu. yds. struck); Tandem tractor operator (operating crawler type tractors in tandem - Quad 9 and similar type) GROUP 18: Rubber-tired earth-moving equipment operator, operating in tandem (scrapers, belly dumps and similar types in any combination, excluding compaction units - single engine, up to and including 25 yds. struck) GROUP 19: Rotex concrete belt operator (or similar types); Rubber-tired earth-moving equipment operator, operating in tandem (scrapers, belly dumps and similar types in any combination, excluding compaction units - single engine, Caterpillar, Euclid, Athey Wagon and similar types with any and all attachments over 25 yds.and up to and including 50 cu. yds. struck); Rubber-tired earth-moving equipment operator, operating in tandem (scrapers, belly dumps and similar types in any combination, excluding compaction units - multiple engine, up to and including 25 yds. struck) GROUP 20: Rubber-tired earth-moving equipment operator, operating in tandem (scrapers, belly dumps and similar types in any combination, excluding compaction units - single engine, over 50 yds. struck); Rubber-tired earth-moving equipment operator, operating in tandem (scrapers, belly dumps, and similar types in any combination, excluding compaction units - multiple engine, Euclid, Caterpillar and similar, over 25 yds. and up to 50 yds. struck) GROUP 21: Rubber-tired earth-moving equipment operator, operating in tandem (scrapers, belly dumps and similar types in any combination, excluding compaction units - multiple engine, Euclid, Caterpillar and similar type, over 50 cu. yds. struck) GROUP 22: Rubber-tired earth-moving equipment operator, operating equipment with the tandem push-pull system (single engine, up to and including 25 yds. struck) GROUP 23: Rubber-tired earth-moving equipment operator, operating equipment with the tandem push-pull system (single engine, Caterpillar, Euclid, Athey Wagon and similar types with any and all attachments over 25 yds. and up to and including 50 yds. struck); Rubber-tired earth-moving equipment operator, operating with the tandem push-pull system (multiple engine, up to and including 25 yds. struck) GROUP 24: Rubber-tired earth-moving equipment operator, operating equipment with the tandem push-pull system (single engine, over 50 yds. struck); Rubber-tired earth-moving equipment operator, operating equipment with the tandem push-pull system (multiple engine, Euclid, Caterpillar and similar, over 25 yds. and up to 50 yds. struck) GROUP 25: Concrete pump operator-truck mounted; Rubber-tired earth-moving equipment operator, operating equipment with the tandem push-pull system (multiple engine, Euclid, Caterpillar and similar type, over 50 cu. yds. struck) CRANES, PILEDRIVING AND HOISTING EQUIPMENT CLASSIFICATIONS GROUP 1: Engineer oiler; Fork lift operator (includes loed, lull or similar types) GROUP 2: Truck crane oiler GROUP 3: A-frame or winch truck operator; Ross carrier operator (jobsite) GROUP 4: Bridge-type unloader and turntable operator; Helicopter hoist operator GROUP 5: Hydraulic boom truck; Stinger crane (Austin-Western or similar type); Tugger hoist operator (1 drum) GROUP 6: Bridge crane operator; Cretor crane operator; Hoist operator (Chicago boom and similar type); Lift mobile operator; Lift slab machine operator (Vagtborg and similar types); Material hoist and/or manlift operator; Polar gantry crane operator; Self Climbing scaffold (or similar type); Shovel, backhoe, dragline, clamshell operator (over 3/4 yd. and up to 5 cu. yds. mrc); Tugger hoist operator GROUP 7: Pedestal crane operator; Shovel, backhoe, dragline, clamshell operator (over 5 cu. yds. mrc); Tower crane repair; Tugger hoist operator (3 drum) GROUP 8: Crane operator (up to and including 25 ton capacity); Crawler transporter operator; Derrick barge operator (up to and including 25 ton capacity); Hoist operator, stiff legs, Guy derrick or similar type (up to and including 25 ton capacity); Shovel, backhoe, dragline, clamshell operator (over 7 cu. yds., M.R.C.) GROUP 9: Crane operator (over 25 tons and up to and including 50 tons mrc); Derrick barge operator (over 25 tons up to and including 50 tons mrc); Highline cableway operator; Hoist operator, stiff legs, Guy derrick or similar type (over 25 tons up to and including 50 tons mrc); K-crane operator; Polar crane operator; Self erecting tower crane operator maximum lifting capacity ten tons GROUP 10: Crane operator (over 50 tons and up to and including 100 tons mrc); Derrick barge operator (over 50 tons up to and including 100 tons mrc); Hoist operator, stiff legs, Guy derrick or similar type (over 50 tons up to and including 100 tons mrc), Mobile tower crane operator (over 50 tons, up to and including 100 tons M.R.C.); Tower crane operator and tower gantry GROUP 11: Crane operator (over 100 tons and up to and including 200 tons mrc); Derrick barge operator (over 100 tons up to and including 200 tons mrc); Hoist operator, stiff legs, Guy derrick or similar type (over 100 tons up to and including 200 tons mrc); Mobile tower crane operator (over 100 tons up to and including 200 tons mrc) GROUP 12: Crane operator (over 200 tons up to and including 300 tons mrc); Derrick barge operator (over 200 tons up to and including 300 tons mrc); Hoist operator, stiff legs, Guy derrick or similar type (over 200 tons, up to and including 300 tons mrc); Mobile tower crane operator (over 200 tons, up to and including 300 tons mrc) GROUP 13: Crane operator (over 300 tons); Derrick barge operator (over 300 tons); Helicopter pilot; Hoist operator, stiff legs, Guy derrick or similar type (over 300 tons); Mobile tower crane operator (over 300 tons) TUNNEL CLASSIFICATIONS GROUP 1: Skiploader (wheel type up to 3/4 yd. without attachment) GROUP 2: Power-driven jumbo form setter operator GROUP 3: Dinkey locomotive or motorperson (up to and including 10 tons) GROUP 4: Bit sharpener; Equipment greaser (grease truck); Slip form pump operator (power-driven hydraulic lifting device for concrete forms); Tugger hoist operator (1 drum); Tunnel locomotive operator (over 10 and up to and including 30 tons) GROUP 5: Backhoe operator (up to and including 3/4 yd.); Small Ford, Case or similar; Drill doctor; Grouting machine operator; Heading shield operator; Heavy-duty repairperson; Loader operator (Athey, Euclid, Sierra and similar types); Mucking machine operator (1/4 yd., rubber-tired, rail or track type); Pneumatic concrete placing machine operator (Hackley-Presswell or similar type); Pneumatic heading shield (tunnel); Pumperete gun operator; Tractor compressor drill combination operator; Tugger hoist operator (2 drum); Tunnel locomotive operator (over 30 tons) GROUP 6: Heavy Duty Repairman GROUP 7: Tunnel mole boring machine operator ENGINEERS ZONES $1.00 additional per hour for all of IMPERIAL County and the portions of KERN, RIVERSIDE & SAN BERNARDINO Counties as defined below: That area within the following Boundary: Begin in San Bernardino County, approximately 3 miles NE of the intersection of I-15 and the California State line at that point which is the NW corner of Section 1, T17N,m R14E, San Bernardino Meridian. Continue W in a straight line to that point which is the SW corner of the northwest quarter of Section 6, T27S, R42E, Mt. Diablo Meridian. Continue North to the intersection with the Inyo County Boundary at that point which is the NE corner of the western half of the northern quarter of Section 6, T25S, R42E, MDM. Continue W along the Inyo and San Bernardino County boundary until the intersection with Kern County, as that point which is the SE corner of Section 34, T24S, R40E, MDM. Continue W along the Inyo and Kern County boundary until the intersection with Tulare County, at that point which is the SW corner of the SE quarter of Section 32, T24S, R37E, MDM. Continue W along the Kern and Tulare County boundary, until that point which is the NW corner of T25S, R32E, MDM. Continue S following R32E lines to the NW corner of T31S, R32E, MDM. Continue W to the NW corner of T31S, R31E, MDM. Continue S to the SW corner of T32S, R31E, MDM. Continue W to SW corner of SE quarter of Section 34, T32S, R30E, MDM. Continue S to SW corner of T11N, R17W, SBM. Continue E along south boundary of T11N. SBM to SW corner of T11N, R7W, SBM. Continue S to SW corner of T9N, R7W, SBM. Continue E along south boundary of T9N. SBM to SW corner of T9N, R1E, SBM. Continue S along west boundary of R1E, SMB to Riverside County line at the SW corner of T1S, RSE, SBM. Continue E along south boundary of T1s, SBM (Riverside County Line) to SW corner of T1S, R10E, SBM. Continue S along west boundary of R10E, SBM to Imperial County line at the SW corner of TBS, R10E, SBM. Continue W along Imperial and Riverside county line to NW corner of T9S, R9E, SBM. Continue S along the boundary between Imperial and San Diego Counties, along the west edge of R9E, SBM to the south boundary of Imperial County/California state line. Follow the California state line west to Arizona state line, then north to Nevada state line, then continuing NW back to start at the point which is the NW corner of Section 1, T17N, R14E, SBM $1.00 additional per hour for portions of SAN LUIS OBISPO, KERN, SANTA BARBARA & VENTURA as defined below: That area within the following Boundary: Begin approximately 5 miles north of the community of Cholame, on the Monterey County and San Luis Obispo County boundary at the NW corner of T255, R16E, Mt. Diablo Meridian. Continue south along the west side of R16E to the SW corner of T30S, R16E, MOM. Continue E to SW corner of T30S, R17E, MOM. Continue S to SW corner of T31S, R17E, MOM. Continue E to SW corner of T31S, R18E, MOM. Continue S along West side of R18E, MOM as it crosses into San Bernardino Meridian numbering area and becomes R30W. Follow the west side of R30W, SBM to the SW corner of T9N, R30W, SBM. Continue E along the south edge of T9N, SBM to the Santa Barbara County and Ventura County boundary at that point whch is the SW corner of Section 34.T9N, R24W, SBM, continue S along the Ventura County line to that point which is the SW corner of the SE quarter of Section 32, T7N, R24W, SBM. Continue E along the south edge of T7N, SBM to the SE corner to T7N, R21W, SBM. Continue N along East side of R21W. SBM to Ventura County and Kern County boundary at the NE corner of T8N, R21W. Continue W along the Ventura County and Kern County boundary to the SE corner of T9N, R21W. Continue North along the East edge of R21W, SBM to the NE corner of T12N, R21W, SBM. Continue West along the north edge of T12N, SBM to the SE corner of T32S, R21E, MOM. [T12N SBM is a think strip between T11N SBM and T32S MOM]. Continue North along the East side of R21E, MOM to the Kings County and Kern County border at the NE corner of T25S, R21E, MOM, continue West along the Kings County and Kern County Boundary until the intersection of San Luis Obispo County. Continue west along the Kings County and San Luis Obispo County boundary until the intersection with Monterey County. Continue West along the Monterey County and San Luis Obispo County boundary to the beginning point at the NW corner of T25S, R16E, MOM. $2.00 additional per hour for INYO and MONO Counties and the Northern portion of SAN BERNARDINO County as defined below: That area within the following Boundary: Begin at the intersection of the northern boundary of Mono County and the California state line at the point which is the center of Section 17, T10N, R22E, Mt. Diablo Meridian. Continue S then SE along the entire western boundary of Mono County, until it reaches Inyo County at the point which is the NE corner of the Western half of the NW quarter of Section 2, T8S, R29E, MOM. Continue SSE along the entire western boundary of Inyo County, until the intersection with Kern County at the point which is the SW corner of the SE 1/4 of Section 32, T24S, R37E, MOM. Continue E along the Inyo and Kern County boundary until the intersection with San Bernardino County at that point which is the SE corner of section 34, T24S, R40E, MOM. Continue E along the Inyo and San Bernardino County boundary until the point which is the NE corner of the Western half of the NW quarter of Section 6, T25S, R42E, MOM. Continue S to that point which is the SW corner of the NW quarter of Section 6, T275, R42E, MOM. Continue E in a straight line to the California and Nevada state border at the point which is the NW corner of Section 1, T17N, R14E, San Bernardino Meridian. Then continue NW along the state line to the starting point, which is the center of Section 18, T10N, R22E, MOM. REMAINING AREA NOT DEFINED ABOVE RECIEVES BASE RATE ---------------------------------------------------------------- ENGI0012-004 08/01/2020 Rates Fringes OPERATOR: Power Equipment (DREDGING) (1) Leverman................$ 56.40 30.00