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Home My WebLink AboutPalp, Inc. dba Excel Paving Company (Excel Paving) - 2022-03-01 (2) NOTE TO FILE Please be advised that CC-1656 and CC-1676 are one in the same. This project went out for bid and the Notice Inviting Electronic Bids was published as CC-1656. The number was then inadvertently changed to CC-1676 when it was presented to Council, which resulted in the contract being numbered as CC-1676. RECEIVED BY: CITY CLERK RECEIPT COPY r Return DUPLICATE to I:}'(�J \(i r -- City Clerk's Office (Nam ) after signing/dating I i i )y (Date) I, Q CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION z a TO: City Treasurer FROM: City Clerk/ DATE: I/iUJf 2-1-1 SUBJECT: Bond Acceptance I have received the bonds for PA 1,17 1!'l.C.l (I t xf.E 1 PS\ArY' 0�ri'l�}fi r►L (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved 3! i /2.? -y� (Council Approval Date) CC No. I� -+ Agenda Item No. 2 2- H O MSC No. City Clerk Vault No. 1DL7U. 50 Other No. SIRE System ID No. .5.- "'IO14t g g:/forms/bond transmittal to treasurer la CITY OF HUNTINGTON BEACH 9 ID INTERDEPARTMENTAL COMMUNICATION DATE: 1/10/2024 TO: THOSE LISTED HEREON FROM: Rafael Suarez, Capital Projects Administrator SUBJECT: Retention Release Payment - PO#28516-OJ Supplier#99671 Co.#314 Flow Line Half Round Drainage Structures, Project#CC-1676 Contractor's Name: Excel Paving Address: 2230 Lemon Ave City, State and Zip Code: Long Beach, CA 90806-5214 Phone Number: 562-599-5841 City Business License Number: A234608 Notice of Completion (Date by City Clerk): 1/9/2024 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. / 14/171/ Date Chau Vu, Direc or of Public Works I certify that there are no outstanding invoices on file. ct.. Date loX y e Zacks, Deputy City Treasurer I certify that no stop notices are on file, and that a guaranty bond has been filed with the City Clerk's Office. / c,(4,771i-t;t4 p�0a Da a Robin Estanislau, City Clerk ///fp/ - Attachments a Uth �0 1. Notice of Completion 2. Maintenance Bond 3. Certificate of Compliance with Prevailing Wage Laws 4. Contractor's Certificate 5. Certificate of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 6. Consent for Release letter from the Surety Company • • PLEASE COMPLETE THIS INFORMATION RECORDING REQUESTED BY: Recorded in Official Records, Orange County Hugh Nguyen, Clerk-Recorder 1E11 II III FII 1111 111111 Illl 111 NO FEE * $ R 0 0 1 4 7 3 5 4 3 8 $ * 2024000005350 3:31 pm 01109/24 WHEN RECORDED MAIL TO: 434 RW11A N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00.0,00 CITY OF HUNTINGTON BEACH PUBLIC WORKS DEPARTMENT • Attn:Rafael Suarez P.O.Box 190—2000 Main Street Huntington Beach,CA 92648 • THIS.SPACE FOR RECORDER'S USE ONLY TITLE OF DOCUMENT NOTICE OF COMPLETION • NOTICE IS HEREBY GIVEN by the City of Huntington Beach,owner in,fee,2000 Main Street,Huntington Beach,CA 92648,that the contract heretofore awarded to Excel Paving,who was the company thereon for doing the following work to-wit: Flow Line Half Round Drainage Structures,Project#CC-1676 That said work was completed 08/23/2023 by said company according to plans and specifications and to the satisfaction of the City Engineer of the City of Huntington Beach and that said work was accepted by the Director of Public Works on 08/23/2023,per City Council Resolution No.2003-70 adopted October 6,2003. That upon said contract Federal Insurance Company,was surety for the bond given by the said company as required by law. This document is solely for the official business of the City of Huntington Beach,as contemplated under Government Code Section 27383 and should be recorded free of charge. Director of Public Works or City Engineer Da City of Huntington Beach,California STATE OF CALIFORNIA) County of Orange )ss: City of Huntington Beach I,the undersigned,say:I am an Agent of the City of Huntington Beach,owner In fee,in the.foregoing NOTICE OF COMPLETION. I have read said NOTICE OF COMPLETION and know the contents thereof;the same is true of my knowledge. I declare under penalty of perjury that the foregoing is true and correct,and that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the County Recorder of Orange Coun This document is solely the official business of the City of Huntington.Beach,as contemplated l/eAunder Government code section 27383 and Director of Public Works or Ci ngfneer D should be recorded free of charge. City of Huntington Beach,California •• THIS PAGE IS•ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) .1°\,`A.ks • • MAINTENANCE 8:0141b •KNOW ALL PERSONS BY THESE PRE.SENTS: K40564196 • That 2AkeimslabsceLeavingSsmony (Contractor's name) 2230 Lemon Avenue,Long Beach,CA 90806• • (contractor's street address,city and state and xiio code). as Principal(hereinafter Ccittiretter),.and. • Federal Insurance Company (surety's name) 202B Halls Mill Road,Whitehouse Station,NJ 08889 (stirety's street.addreSsi.city arid•state.and Zip.code) . . . . . • a cOrpgratibrt otgenized and•existing under the laws of the State of Indiana . . . . with its.principal Office in the City Of Whitehouse Station,NJ.08889 at Surely(hereihaftercalied Surety),.are held firmly bound unto CITY OF • HUNTINGTON BEACH as Obligee. (hereinafter called. •Owner)i in the amount of Three hundred fwe thousand four hundred eighty two and 88/100 Dollars ($:305,482.88 ), equivalent to: the entire •• contract amount including all:orders', far the payment.whereof Contractor and'Surety bind themselves, their heirs, • executors,administrators.,successors,and asSigns,Jointly arid severally,firmly by these presents', WHEREAS,Surety is a citify&knitted.Suretyineurerunder the,la WS of:the-State of arid Surety it certified.and listed in the U.S:. Departrnentof the Treasury Circular'570',and:able-to provide proof of bondin.g • limitation shown in said circular is sufbbient to provide bond's in the.arnount..required by said Contract;and 8urety has provided financial strength ratings from reputable companies',sudh as from AM: Best, MOOdy's,Standarr. ribdt'S,to Validate that Surety hat petitiVe ratitig:s of being secure Or Stable;add Surety is.registered and listed with.the California Department of Insurance;and' Contractor has.by written:agreement'dated ,2OP-entered Into a Contractwith Owner far the Flow Line Half Round Drainage Structures on Various Intersections.of Palm,Acacia,Pecan,Orange.Olive, and Walnut Avenues . • . . .. . ... . . . ... . .. . . iii accordance with draviirigs and Specifications Prepared by ..City of Huntington Beach... . . . wfrith contract is: by reference made apart 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 tgrn:arid against afi defects iti:materials and woritnianship;and . . . The contract-alto prevides thatthe Contracthtshali seture:Centractort:Obligatiorit during:the one-year period with:a bond.executed by a.sprety duly admitted in the:state.0f California;and The Contract has been completed,and the,Owner„Contractor and;Surety'agree that the commencement date for this. Guarantee and.Scold shall be August 23 NOW:THEREFORE,THE CONDITION OF THIS OBLIGATION:is such that if Contractor Snail; for a period of OW year from and after the date of completion and acceptance of the.Contract by Owner; repair and/or replace any and all defect's ariting,in the Work,.whether resulting from: defective materials or fiefective workrnanShip;.then this • obligation.shall'be hull and void;:otherwise.it will remain in.full.fdrce and.effect... • the tUtety•herebyWaives notice ofeny alteration°retention Of Mlle 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 delault, or (b) shall promptly complete'the-Contractin accordatice•With its terms and conditions. Surety save the Owner harritiesa frOM any ClaimS,.jUdgrtientS„Rena Or lOssesariting libfri.the SureWs failure to either rernecly.the default.or to cOmple.te•the (3itact iri atteidarice with ittlterrris.arid CoviditiOns•ill a limelyniamter..• 154584/118138 1. • • r r Whenever the Principal shall be, and declared by the Owner to be in default under the Contract,which shall include without limitation, any breach or default of the Contract,then, after written notice from the Owner to the Surety, as provided for below,the Surety shall either: (a)remedy the default or breach by the Principal;or(b)shall promptly and faithfully take charge of the Work and complete the Work in accordance with the requirements of the Contract with a contractor other than the Principal,at its own expense, and make available as work progresses sufficient funds to pay the cost of completion less the unpaid balance of the Contract including other costs and damages for which the surety may be liable hereunder, provided,however, that the procedure by which the Surety undertakes to discharge its obligations under this Bond shall be subject to the advance written approval of the Owner. Within thirty (30) days after Surety's receipt of a written notice from Owner of the failure of performance of the Contract by the Principal, it shall be the duty of the Surety to give to the Owner a notice, in writing, of the Surety's election to(a)remedy the default(s)of the Principal promptly,or(b)arrange for performance of the Contract promptly by a contractor other than the Principal, time being of essence to this Bond. In said Notice of Election, the Surety shall state the date of commencement of its cure or remedy of the Principal's default(s) or its performance of the Contract. The Surety's obligations for cure or remedy, include but are not limited to: correction of defective work and completion of the Contract, additional legal, design professional and delay costs arising from Surety's actions or failure to act; and liquidated damages (or if no liquidated damages are specified in the Contract, actual damages caused by delayed performance or non-performance by the Principal). The Surety shall give prompt written notice to the Owner upon completion of the cure or remedy of the Principal's default(s)of its performance of the Contract. If the Surety does issue its Notice of Election and does not proceed to cure or remedy the Principal's default(s) of its performance of the Work within thirty(30) days after receipt of a written notice from Owner, Surety shall be deemed to be in default on this bond,and the Owner shall be entitled to enforce any remedy available to Owner. No right of action shall accrue on this bond to or for the use of any person or corporation other than the owner named herein or the successors of Owner. Signed and sealed this 19th day of December ,20 23 Principal Raised Corporate Seal PALP Inc,dba Excel Paving Company [MUST BE AFFIXED) (Contractor Name) By: (Seal) Principal Raised Corporate Seal Curtis P.Drawn,III [MUST BE AFFIXED] President (Title) Federal Insurance Company Surety Name) By: Q. (Seal) Douglas A ,Attorney in Fact APPROVED AS RM B ' NOTES: Ichaei E. Ga es, City Attorney 1. Acknowledgments must be completed and returned A ?�i (.1 as part of the bond. l . t 2. Raised Corporate Seals are mandatory. 3. Please attach Power of Attorney. 15-4584/118138 2 r 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 December 19, 2023 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp who proved to me on the basis of satisfactory evidence to be the person(*)whose names)iskae subscribed to the within instrument and acknowledged to me that he/ehe/4hey executed the same in hisfherflheir authorized capacity(iss), and that by hisMerflheir signature(*)on the instrument the person('), or the entity upon behalf of which the person(e)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. cr �5�`°f'" DEBRASWANSON k W 1.1#► F_i. COMM.#2335630 +r.s•° NOTARY PUBLIC•CAUFORNIA r +- ' ORANGE COUNTY N °43, " MY COMM,EXP NOV 10,2024 Signature 1�A jv (Seal) ' P CF-IUBB' Power of Attorney Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company Westchester Fire Insurance Company I ACE American Insurance Company Know All by These Presents,that FEDERAL INSURANCE COMPANY,an Indiana corporation,VIGILANT INSURANCE COMPANY,a New York corporation,PACIFIC INDEMNITY COMPANY,a Wisconsin corporation,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY corporations of the Commonwealth of Pennsylvania, do each hereby constitute and appoint Douglas A.Rapp and Timothy D.Rapp of Ladera Ranch,California---------------------- ---- each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise,bonds and undertakings and other writings obligatory in the nature thereof(other than bail bonds)given or executed in the course of business,and any instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to In said bonds or obligations. In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE ERICANINSURRANCE COMPANY have each executed and attested these presents and affixed their corporate seals on this 5m day of April,2021. p ea Dawn M.Chloros.Assistant Secretary Stephen M.Haney.Vice President (-.41) 0.40 FP* I*Pi-4 (*) to; ti) STATE OF NEW JERSEY County of Hunterdon SS On this 5th day of April,2021 before me,a Notary Public of New Jersey,personally came Dawn M.Chloros and Stephen M.Haney,to me known to be Assistant Secretary and Vice President,respectively,of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY,the companies which executed the foregoing Power of Attorney,and the said Dawn M.Chloros and Stephen M.Haney,being by me duly sworn, severally and each for herself and himself did depose and say that they are Assistant Secretary and Vice President,respectively,of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY and know the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of said Companies;and that their signatures as such officers were duly affixed and subscribed by like authority. Notarial Seal :+' KATHERINE J.ADELAAR NOTARY PUBLIC NEW JERSEY No.2a1046666 L.7 p11SL1C J Commission Expires July 10.2024 salary Public may. CERTIFICATION Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY on August 30,2016; WESTCHESTER FIRE INSURANCE COMPANY on December 11,2006;and ACE AMERICAN INSURANCE COMPANY on March 20,2009: 'RESOLVED,that the following authorizations relate to the execution,for and on behalf of the Company,of bonds,undertakings,recognizances,contracts end other written commitments of the Company entered Into in the ordinary course of business(each a"Written Commitment'J: (1) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized to execute any Written Commitment for and on behalf ofthe Company,under the seal of the Company or otherwise. (2) Each duly appointed attorney-in-fact of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company,under the seal of the Company or otherwise, to the extent that such action Is authorized by the grant of powers provided for!lintel'person's written appointment as such attorney-in-fact (3) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized,for and on behalf of the Company,to appoint In writing any person the attorney-In- fact of the Company with full power and authority to execute,for and on behalf of the Company,under the seal of the Companyorotherwise,such Written CommitmentsoftheCompany as may be specified in such written appointment,which specification may be by general type or class of Written Commitments or by specification of one or more particular Written Commitments. (4) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized,for and on behalf of the Company,to delegate in writing to any other officer of the Company the authorttytoexecute,for and onbehalf of the Company,under the Company's seal or otherwise,such Written Commitments of the Company as are specified in such written delegation,which specification may be by general type or lass of Written Commitments or byspeciflcation of one or more particular Written Commitments. (5) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution,and the seal of the Company,may be affixed by facsimile on such Written Commitment or written appointment or delegation. FURTHER RESOLVED,that the foregoing Resolution shall not be deemed to bean exclusive statement of the powers and authority of officers,employees and other persons to act for and on behalf of the Company,and such Resolution shall not limit or otherwise affect the exercise of any such power or authority otherwise validly granted or vested.' I,Dawn M.Chloros,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY(the"Companies")do hereby certify that (i) the foregoing Resolutions adopted by the Board of Directors of the Companies are true,correct and in full force and effect, (fi) the foregoing Power of Attorney is true,correct and in full force and effect Given under my band and seals of said Companies at Whitehouse Station,NJ,this December 19,2023 011041 'Lli411 esKickeic Dawn hi.Chloros.AssistantSecretar? IN THE EVENT YOU WISH TO VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER,PLEASE CONTACT US AT: Telephone(908]903-3493 Fax(908)903-3656 e-mail:surety@chubb.com Combined:FED-VIG-PI-WFIC-AAIC(rev.11-19) • 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_ I c) 20 Z3 before me, R. Covington, Notary Public (Here Insert name end title Mine officer) personally appeared Curtis P. Brown III who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/ate subscribed to the within instrument and acknowledged to me that he/staikkivy executed the same in hisfigisMstir authorized capacity(ies), and that by his/h m/69dr 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. ' ��f COMM.#23396 92 a xA, Notary Public-California IL ! I LOS ANGELES COUNTY My Comm.Expires Dec 8,202.4 11 Notary Public Signature (Notary Public Seal) Y • ♦ INSTRUCTIONS FOR COMPLETING THIS FORM ADDITIONAL OPTIONAL INFORMATION 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 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. • 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 aclmowledgment 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. ❑ Individual (s) he/she/tbey—is/are)or circling the correct forms.Failure to correctly indicate this information may lead to rejection of document recording. XX Co orate Officer • The notary seal impression must be clear and photographically reproducible. President 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 fi 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. 4. Indicate the capacity claimed by the signer.If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). 2015 Version www.NotaryClasses.com 800-873-9865 • Securely attach this document to the signed document with a staple. Certifidation of Compliance with Prevailing Wage Laws To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O.Box 1.90 Huntington Beach, CA 92648 Re: Certification of Compliance with Prevailing Wage Laws Contract: CC-1676 Project: FLOW LINE HALF ROUND DRAINAGE STRUCTURES The undersigned contractor on the above-referenced project("Project")hereby certifies that all laborers, mechanics, apprentices, trainees, watchmen and guards employed by him or by any subcontractor performing work under the contract for the Project have been paid pursuant to the minimum wage and bona fide fringe benefit requirements specified for each particular classification of work, as set forth in the wage-rate determinations,of the State of California, Department of Industrial Relations, and/or the United States Department of Labor. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this 23RD day of AUGUST , 20 23 , at HUNTINGTON BEACH California Palp Inc dba Excel Paving Co (Contractor Name) APPROVED 0 FO By: Micliael E. Gates aty Attorney CONTRACT tR'S CERTIFICATE I, KEN CORRY , state and certify that (Ala/he,of Deciarant) 1. EXCEL PAVING is the general contractor to the City of Huntington Beach("City") on Contract No. CC-1676 (the"Contract") for the construction of the public work of improvement entitled: FLOW LINE HALF ROUND DRAINAGE STRUCTURES (the"Project"). 2. All work to be performed pursuant to the Contract has been completed in accordance with the Contract Documents(as such term is defined in the Contract). 3. Except for the claims listed below and the disputed claims listed in paragraph five (5), all persons supplying labor, services, materials and equipment to the Project, including 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"): 4. Attached hereto are the lien waivers required by the Contract Documents,which lien waivers have been executed by all persons who performed work on or supplied labor, services,materials, and/or equipment for use at the Project. 5. Set forth below is a list of disputed claims or claims that are the subject of a Notice to Withhold filed pursuant to.the Civil Code of the State of California(list all disputed claims;if none, write "NONE"). NONE I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at HUNTINGTON BEACH, CA on this 23RD day of AUGUST , 2023 . (Signature of Declarant) APPROVED AS ,..ORM Micfme/E. Gates City ttomey 1 ;7m/1 7. 1 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: CC-1676 Project: FLOW LINE HALF ROUND DRAINAGE STRUCTURES The undersigned contractor on the above-referenced project("Project") hereby certifies that it has complied with title VII of the Civil Rights Act, the Equal Opportunity Act of 1972 and Executive Order 11246, and has not discriminated against any employee or applicant for employment because of race, color,religion, sex, sexual orientation, gender identity,national origin, age or disability. The undersigned contractor also certifies that it has not maintained any segregated facilities at its establishments on the basis of race, color,religion, sex, sexual orientation, gender identity,national origin, age or disability(with the exception of access for the disabled). I declare under penalty of perjury under the laws of the State of California,that the foregoing is true and correct. Executed this 23RD day of AUGUST , 2023 , atHUNTINGTON BEACtt California. Palp Inc dba Excel Paving Co (Contractor Name) APPROVED /5)F RM ,-- By: Mic e ed.l E. Gates Ci Attorney 1 Consent of Surety Release of Final Payment AIA Document G 707 Bond No.K40564196 To General Contractor: Subcontractor: City of Huntington Beach PALP Inc.dba Excel Paving Company 2000 Main Street 2230 Lemon Avenue Huntington Beach,CA 92648 Long Beach,CA 90806 Contract For: Low Flow Half Round Drainage Structures at Various Intersections of Palm,Acacia,Pecan, Orange,Olive,and Walnut Avenues Bond Date: September 27,2023 In accordance with the provisions of the Contract between the General Contractor and the Owner as indicated above, Federal Insurance Company 555 So.Flower Street Los Angeles,CA 90071 Surety, on a bond of behalf of PALP Inc.dba Excel Paving Company 2230 Lemon Avenue Long Beach,CA 90806 Subcontractor, does hereby approve of the Owner's payment of Final Payment to the General Contractor,and agrees that said Final Payment to the General Contractor shall not relieve the Surety of any of its obligations to City of Huntington Beach 2000 Main Street Huntington Beach,CA 92648 Contractor, as set forth in said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: December 19,2023. Federal Insurance Company •V, ' Q. ews Douglas 1 ,pp Attorney in Fact ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On December 19, 2023 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp who proved to me on the basis of satisfactory evidence to be the person(*) whose name(s) is/ere subscribed to the within instrument and acknowledged to me that helcho.4ihey executed the same in hisMenitheir authorized capacity(ree), and that by hisfherftheir signatures)on the instrument the person(.), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. w Of TNt.^ ^ DEBRA SWANSON I WITNESS my hand and official seal. N �� Jy COMM. #2335630 • °-ed-. i o NOTARY PUBLIC•CAUFORNIA 4'4 ' ORANGE COUNTY N ` ' MY COMM,EXP,NOV 10,2024 Signature (Seal) ' UBB` Power of Attorney Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company Westchester Fire Insurance Company I ACE American Insurance Company Know All by These Presents,that FEDERAL INSURANCE COMPANY,an Indiana corporation,VIGILANT INSURANCE COMPANY,a New York corporation,PACIFIC INDEMNITY COMPANY,a Wisconsin corporation,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY corporations of the Commonwealth of Pennsylvania, do each hereby constitute and appoint Douglas A.Rapp and Timothy D.Rapp of Ladera Ranch,California each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise,bonds and undertakings and other writings obligatory in the nature thereof(other than bail bonds)given or executed in the course of business,and any instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to in said bonds or obligations. In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY have each executed and attested these presents and affixed their corporate seals on this 56 day of April,2021. { Dawn M.Chloral.Assistant Secretary Stephen M.Haney.Vice President wow I' q• 4 441, 4)) 41/0' -4) (Z) „ol (4) 1104 STATE OF NEW JERSEY County of Hunterdon SS On this 56 day of April,2021 before me,a Notary Public of New Jersey,personally came Dawn M.Chloros and Stephen M.Haney,to me known to be Assistant Secretary and Vice President,respectively,of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY,the companies which executed the foregoing Power of Attorney,and the said Dawn M.Chloros and Stephen M.Haney,being by me duly sworn, severally and each for herself and himself did depose and say that they are Assistant Secretary and Vice President,respectively,of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY and know the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of said Companies;and that their signatures as such officers were duly affixed and subscribed by like authority. Notarial Seal /f • F� KATHERINE J.ADELAAR OTARy NOTARY PUBLIC OF NEW JERSEY No.23106E15 \* UBL[0 f` Commission Expires July 16,2024 Notary Public CERTIFICATION Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY on August 30,2016; WESTCHESTER FIRE INSURANCE COMPANY on December 11,2006;and ACE AMERICAN INSURANCE COMPANY on March 20,2009: 'RESOLVED,that the following authorizations relate to the execution,for and on behalf of the Company,of bonds,undertakings,recognizances,contracts and other written commitments of the Company entered Into in the ordinary course of business(each a"Written Commitment"): (1) Each of the Chairman,the President and the Vice Presidents of the Company Is hereby authorized to execute any Written Commitment for and on behalf of the Company,under the seal of the Company or otherwise. (2) Each duly appointed attorney-in-fact of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company,under the seal of the Company or otherwise, to the extent that such action is authorized by the grant of powers provided for in such person's written appointment as such attorney-in-fact. (3) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized,for and on behalf of the Company,to appoint in writing any person the attorney-in- fact of the Company with full power and authority to execute,for and on behalf of the Company,under the seal of the Company or otherwise,such Written Commitments of the Company as may be specified in such written appointment,which specification may be by general type or class of Written Commitments or by specification of one or more particular Written Commitments. (4) Each of the Chairman, the President and the Vice Presidents of the Company is hereby authorized,for and on behalf of the Company,to delegate in writing to any other officer of the Company the authority to execute,for and on behalf of the Company,under the Company's seal or otherwise,such Written Commitments of the Company as are specified in such written delegation,which specification may be by general type or class of Written Commitments or by specification of one or more particular Written Commitments. (5) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution,and the seal of the Company,may be affixed by facsimile on such Written Commitment or written appointment or delegation. FURTHER RESOLVED,that the foregoing Resolution shall not be deemed to be an exclusive statement of the powers and authority of officers,employees and other persons to act for and on behalf of the Company,and such Resolution shall not limit or otherwise affect the exercise of any such power or authority otherwise validly granted or vested.' I,Dawn M.Chloros,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY(the"Companies")do hereby certify that (I) the foregoing Resolutions adopted by the Board of Directors of the Companies are true,correct and in full force and effect, (Ii) the foregoing Power of Attorney is true,correct and in full force and effect. Given under my hand and seals of said Companies at Whitehouse Station,NJ,this December 19, 2023 ...4, •" SS �a�06®� Ikiwn Xl.(:hkmti.AstislantSecrciar? IN THE EVENT YOU WISH TO VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER,PLEASE CONTACT US AT: Telephone(908)903-3493 Fax(908)903-3656 e-mail:surety@chubb.com Combined:FED-VIG-PI-WFIC-AAIC(rev.11-19) RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: /I l0(2-14 SUBJECT: Bond Acceptance I have received the bonds for ?ALP �I'1�. d�'1'A� �)(bl P Czvri ii V>c (Company Name) (� Q CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved 3 l ( !2-Z n AAe (Council Approval Date) CC No. -► L1� ern No. 202— I I MSC No. City Clerk Vault No. _ 10W. 5D Other No. SIRE System ID No. 5 -1 OLtug g:/forms/bond transmittal to treasurer • PLEASE COMPLETE THIS INFORMATION Recorded in Official Records, Orange County RECORDING REQUESTED BY: Hugh Nguyen, Clerk-Recorder • lID I I li 1101111 I�� IIIIIII 1111 NO FEE * S R 0 0 1 4 7 3 5 4 3 8 $ * 2024000005350 3:31 pm 01/09124 • WHEN.RECORDED MAIL TO: 434 RW 11 A N12 1 0.00 0.00 0.00 0:00 0.00 0.00 0.000.000.00 0.00 CITY OF HUNTINGTON BEACH PUBLIC WORKS DEPARTMENT Attn:Rafael Suarez P.O.Box 190—2000 Main Street Huntington Beach,CA 92648 • THIS SPACE FOR RECORDER'S USE ONLY TITLE OF DOCUMENT NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN by the City of Huntington Beach,owner in fee,2000 Main Street,Huntington Beach,CA 92648,that the contract heretofore awarded to Excel Paving,who was the company thereon for doing the following work to-wit: Flow Line Half Round Drainage Structures,Project#CC-1676 That said work was completed 08/23/2023 by said company according to plans and specifications and to the satisfaction of the City Engineer of the City of Huntington Beach and that said work was accepted by the Director of Public Works on 08/23/2023,per City Council Resolution No.2003-70 adopted October 6,2003. That upon said contract Federal Insurance Company,was surety for the bond given by the said company as required by law. This document is solely for the official business of the City of Huntington Beach,as contemplated under Government Code Section 27383 and should be recorded free of charge. • •• Director of Public Works.or City Engineer Da City of Huntington Beach,California. STATE OF CALIFORNIA) County of Orange )ss: City of Huntington Beach ) • • I,the undersigned,say:I am an Agent of the City of Huntington Beach,owner in fee,In the foregoing NOTICE OF COMPLETION. I have read said NOTICE OF COMPLETION and know the contents thereof;the same Is true of my knowledge. • I declare under penalty of perjury that the foregoing is true and correct,and that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the County Recorder of Orange Coun This document is solely the official business of • //01 the City of Huntington.Beach,as contemplated under Government code section 27383 and Director of Public Works or Ci ngineer should be recorded free of charge. City of Huntington Beach,California • THIS PAGE IS•ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) PLEASE COMPLETE THIS INFORMATION RECORDING REQUESTED BY: WHEN RECORDED MAIL TO: CITY OF HUNTINGTON BEACH PUBLIC WORKS DEPARTMENT Attn: Rafael Suarez P.O. Box 190—2000 Main Street Huntington Beach, CA 92648 THIS SPACE FOR RECORDER'S USE ONLY TITLE OF DOCUMENT NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN by the City of Huntington Beach,owner in fee, 2000 Main Street, Huntington Beach,CA 92648,that the contract heretofore awarded to Excel Paving,who was the company thereon for doing the following work to-wit: Flow Line Half Round Drainage Structures,Project#CC-1676 That said work was completed 08/23/2023 by said company according to plans and specifications and to the satisfaction of the City Engineer of the City of Huntington Beach and that said work was accepted by the Director of Public Works on 08/23/2023,per City Council Resolution No. 2003-70 adopted October 6,2003. That upon said contract Federal Insurance Company,was surety for the bond given by the said company as required by law. This document is solely for the official business of the City of Huntington Beach,as contemplated under Government Code Section 27383 and should be recorded free of charge. Director of Public Works or City Engineer Da City of Huntington Beach, California STATE OF CALIFORNIA) County of Orange )ss: City of Huntington Beach I,the undersigned,say: I am an Agent of the City of Huntington Beach,owner in fee, in the foregoing NOTICE OF COMPLETION. I have read said NOTICE OF COMPLETION and know the contents thereof;the same is true of my knowledge. I declare under penalty of perjury that the foregoing is true and correct,and that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the County Recorder of Orange Count This document is solely the official business of l//� the City of Huntington Beach, as contemplated � / C under Government code section 27383 and Director of Public Works or City Engineer D e should be recorded free of charge. City of Huntington Beach,California THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to ✓,a --C. City Clerk's Office (Name) after signing/dating (Date) 0A, CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: _ '�-�/LZ 2... SUBJECT: Bond Acceptance I have received the bonds for6�f (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No, Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. I Franchise Bond No. I Letter of Credit Bond No. Other Re: Tract No. Approved ��2 (Council Approval Date) �7�L CC No. l Agenda Item No. MSC No. City Clerk Vault No. �'� 45u IRE S SlUyy Other No. S stem ID No.Y g:/forms/bond transmittal to treasurer CC- 1!�Flo CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND PALP,INC DBA EXCEL PAVING FOR FLOW LINE HALF ROUND DRAINAGE STRUCTURES ON MAIN ST, 17TH ST, ORANGE AVE THIS AGREEMENT ("Agreement") is made and entered into by and between the City of Huntington Beach, a municipal corporation of the State of California, hereinafter referred to as "CITY," and PALP,INC DBA EXCEL PAVING , a CALIFORNIA corporation, hereinafter referred to as "CONTRACTOR." WHEREAS, CITY has solicited bids for a public works project, hereinafter referred to as "PROJECT," more fully described as FLOW LINE HALF ROUND DRAINAGE STRUCTURES, CC-1676 in the City of Huntington Beach; and CONTRACTOR has been selected to perform said services, NOW, THEREFORE, in consideration of the promises and agreements hereinafter made and exchanged the parties covenant and agree as follows: 1. STATEMENT OF WORK; ACCEPTANCE OF RISK CONTRACTOR shall complete and construct the PROJECT pursuant to this Agreement and the Contract Documents (as hereinafter defined) and furnish, at its own cost and expense, all labor, plans, tools, equipment, supplies, transportation, utilities and all other items, services and facilities necessary to complete and construct the PROJECT in a good and workmanlike manner. CONTRACTOR agrees to fully assume the risk of all loss or damage arising out of the nature of the PROJECT, during its progress or prior to acceptance by CITY, from the action of the elements, from any unforeseen difficulties which may arise or be encountered in the 1 16-5195/City Funded Construction Contract.docx—revised 04/2016 prosecution of work, and for all other risks of any description in connection with the work, including, but not limited to, all expenses incurred by or in consequence of the suspension or discontinuance of work, except such as are herein expressly stipulated to be borne by CITY, and for well and faithfully completing the work within the stipulated time and in the manner shown and described in this Agreement, and in accordance with the requirements of CITY for the compensation set forth in the accepted bid proposal. 2. ACCEPTANCE OF CONDITIONS OF WORK; PLANS AND SPECIFICATIONS CONTRACTOR acknowledges that it is fully familiar with all the terms,conditions and obligations of this Agreement and the Contract Documents(as defined below in this Section), has inspected the location of the job site, and the conditions under which the work is to be performed, and that it enters into this Agreement based upon its thorough investigation of all such matters and is relying in no way upon any opinions or representations of CITY. It is agreed that the Contract Documents are incorporated into this Agreement by this reference, with the same force and effect as if the same were set forth at length herein, and that CONTRACTOR and its subcontractors, if any, shall be bound by the Contract Documents insofar as they relate in part or in any way, directly or indirectly, to the work covered by this Agreement. "Contract Documents" as defined herein mean and include: A. This Agreement; B. Bonds covering the work herein agreed upon; C. The CITY's standard Plans and Specifications and special contractual provisions, including those on file in the office of the Department of Public Works of CITY, and any revisions, amendments or addenda thereto; 2 16-5195/City Funded Construction Contract.docx—revised 04/2016 D. The edition of Standard Specifications for Public Works Construction, published by Builders'News,Inc., 10801 National Boulevard,Los Angeles, CA 90064, and all amendments thereto, written and promulgated by the Southern California chapter of the American Public Works Association and the Southern California District Associated General Contractors of the California Joint Cooperative Committee as specified in the particular Plans, Specifications, Special Provisions and Addendum applicable to the Project; E. Bid documents including the Notice Inviting Bids, the Special Instructions to Bidders and the CONTRACTOR's proposal, (which is attached hereto as Exhibit "A" and incorporated herein by this reference); F. The particular Plans, Specifications, Special Provisions and Addenda applicable to the PROJECT. Anything mentioned in the Specifications and not indicated in the Plans or indicated in the Plans and not mentioned in the Specifications, shall be of like effect as if indicated and mentioned in both. In case of a discrepancy between any Plans, Specifications, Special provisions, or Addenda, the matter shall be immediately submitted by CONTRACTOR to the Director of Public Works of CITY or his or her written designee (hereinafter referred to as "DPW"), and CONTRACTOR shall not attempt to resolve or adjust the discrepancy without the decision of DPW, save only at its own risk and expense. Should there be any conflict between the terms of this Agreement and the bid or proposal of CONTRACTOR, then this Agreement shall control and nothing herein shall be considered as an acceptance of the terms of the bid or proposal which is in conflict herewith. 3 16-5195/City Funded Construction Contract.docx—revised 04/2016 3. COMPENSATION CITY agrees to pay and CONTRACTOR agrees to accept as full compensation for the faithful performance of this Agreement, subject to any additions or deductions made under the provisions of this Agreement or the Contract Documents, a sum not to exceed TWO HUNDRED NINETY ONE THOUSAND SIX HUNDRED Dollars ($ 291,600.00 ), as set forth in the Contract Documents, to be paid as provided in this Agreement. 4. COMMENCEMENT OF PROJECT CONTRACTOR agrees to commence the PROJECT within ten(10)working days after the Notice To Proceed is issued and diligently prosecute the PROJECT to completion within FIFTY ( 50 ) consecutive Working days from the day the Notice to Proceed is issued by DPW, excluding delays provided for in this Agreement. 5. TIME OF THE ESSENCE The parties hereto recognize and agree that time is of the essence in the performance of this Agreement and each and every provision of the Contract Documents. CONTRACTOR shall prepare and obtain approval as required by the Contract Documents for all shop drawings, details and samples, and do all other things necessary and incidental to the prosecution of its work in conformance with the progress schedule set forth in the Contract Documents. CONTRACTOR shall coordinate its work with the work of all other contractors, subcontractors, and CITY forces working on the PROJECT in a manner that will facilitate the efficient completion of the PROJECT and in accordance with the terms and provisions of this Agreement. CITY shall have complete control of the premises on which the work is to be performed and shall have the right to decide the time and order in which the various portions of the work shall be performed and the priority of the work of other contractors, 4 16-5195/City Funded Construction Contract.docx—revised 04/2016 subcontractors and CITY forces and, in general, all matters concerning the timely and orderly conduct of the work of CONTRACTOR on the premises. 6. CHANGES CONTRACTOR shall adhere strictly to the plans and specifications set forth in the Contract Documents unless a change therefrom is authorized in writing by DPW. CONTRACTOR agrees to make any and all changes, furnish materials and perform all work necessary within the scope of the PROJECT as DPW may require in writing. Under no condition shall CONTRACTOR make any changes without the prior written order or acceptance of DPW, and CITY shall not pay any extra charges made by CONTRACTOR that have not been agreed upon in writing by DPW. When directed to change the work, CONTRACTOR shall submit immediately to DPW a written cost proposal reflecting the effect of the change. Should DPW not agree to such cost proposal, the work shall be performed according to the changes ordered in writing by DPW and the proper cost thereof shall be negotiated by the parties upon cost and pricing data submitted by CONTRACTOR; thereupon, CITY will promptly issue an adjusted change order to CONTRACTOR and the contract price will be adjusted upward or downward accordingly. 7. NOTICE TO PROCEED No work, services, material, or equipment shall be performed or furnished under this Agreement unless and until a Notice to Proceed has been given to CONTRACTOR by CITY. CITY does not warrant that the work will be available on the date the Notice to Proceed is issued. In the event of a delay in commencement of the work due to unavailability of the job site, for any reason,relief to CONTRACTOR shall be limited to a time extension equal to the delay due to such unavailability. 5 16-5195/City Funded Construction Contract.docx—revised 04/2016 8. BONDS Only bonds issued by California admitted sureties will be accepted. CONTRACTOR shall, prior to its performance of this Agreement, furnish the following two (2) bonds approved by the City Attorney: One in the amount of one hundred percent (100%) of the contract price to guarantee the CONTRACTOR's faithful performance of the work, and one in the amount of one hundred percent of the contract price to guarantee payment of all claims for labor and materials furnished. In addition, CONTRACTOR shall submit to CITY a bond in the amount of one hundred percent (100%) of the final contract price, including all change orders, to warrant such performance for a period of one (1) year after CITY's acceptance thereof within ten (10) days of filing of the Notice of Completion. 9. WARRANTIES CONTRACTOR unconditionally guarantees all work done under this Agreement including, but not limited to, any workmanship, installation, fabrication, material or structural facilities constructed. CONTRACTOR, within ten (10) days after notice by CITY of any defect in the work, shall have the option to make appropriate repairs or replace the defective item or items. Upon expiration of such ten (10) day period, CITY may then make appropriate repair or replacement at CONTRACTOR's risk and own cost and expense. 10. INDEPENDENT CONTRACTOR It is understood and agreed that CONTRACTOR is, and shall be, acting at all times hereunder as an independent contractor and not an employee of CITY. CONTRACTOR shall secure at its own cost and expense, and be responsible for any and all payment of all taxes, social security, state disability insurance compensation, unemployment compensation and other payroll 6 16-5195/City Funded Construction Contract.docx—revised 04/2016 deductions for CONTRACTOR and its officers, agents and employees and all business licenses, if any, in connection with the PROJECT and/or the services performed hereunder. 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 ($ 1,000.00 ) per each calendar day's delay in completing the work in excess of the number of working/calendar days set forth herein, which represents a reasonable endeavor by the parties hereto to estimate a fair compensation for the foreseeable damages CITY would sustain in the event of and by reason of such delay; and CONTRACTOR agrees to pay these damages herein provided, and further agrees that CITY may deduct the amount thereof from any monies due or that may become due to CONTRACTOR hereunder. CONTRACTOR will be granted an extension of time and will not be assessed damages for any portion of the delay in the completion of the work due to unforeseeable causes beyond the control and without the fault or negligence of CONTRACTOR, including, but not limited to, acts of God or of the public enemy, fire, floods, epidemics, quarantine restrictions, strikes,unsuitable weather, or delays of subcontractors due to such causes. CONTRACTOR shall, within fifteen (15) days from the beginning of any such delay(unless DPW shall grant a further period of time),notify DPW in writing of the cause of the 7 16-5195/City Funded Construction Contract.docx—revised 04/2016 delay and CITY shall extend the time for completing the work if, in its judgment, the findings of fact thereon justify the delay; and the decision of DPW shall be conclusive on the parties hereto. Should CONTRACTOR be delayed in the prosecution or completion of the work by the act, neglect or default of CITY, or should CONTRACTOR be delayed by waiting for materials required by this Agreement to be furnished by CITY, or by damage caused by fire or other casualty at the job site for which CONTRACTOR is not responsible, or by the combined action of the workers, in no way caused by or resulting from default or collusion on the part of CONTRACTOR, or in the event of a lockout by CITY, then the time herein fixed for the completion of the work shall be extended by the number of days CONTRACTOR has thus been delayed,but no allowance or extension shall be made unless a claim therefor is presented in writing to CITY within fifteen(15) days of the commencement of such delay. No claims for additional compensation or damages for delays, irrespective of the cause thereof, and including without limitation the furnishing of materials by CITY or delays by other contractors or subcontractors will be allowed and an extension of time for completion shall be the sole remedy of CONTRACTOR. 12. DEMANDS FOR ADDITIONAL TIME OR MONEY. A. Definitions. (1) "Change Order"means a document signed by the CONTRACTOR and CITY which authorizes an addition, deletion or revision in the work, or an adjustment in the Compensation under Section 3, or the Completion Time specified at Section 4. (2) "Demand" means a written demand for a Change Order by the CONTRACTOR for any of the following: (a) A time extension; 8 16-5195/City Funded Construction Contract.docx—revised 04/2016 (b) Payment of money or damages arising from work done by,or on behalf of, the CONTRACTOR pursuant to this Agreement and payment of which is not expressly permitted pursuant to Section 3 of this Agreement; (c) Payment of an amount the CITY disputes; (d) Any disputes and other matters relating to the acceptability of the work performed or the interpretation of the Contract Documents; (e) A request for a time extension or additional payment based upon differing site conditions, such as subsurface or latent physical conditions at the job site differing materially from those indicated in this Agreement or the Contract Documents, or unknown physical conditions at the job site, of an unusual nature, differing materially from those ordinarily encountered and generally recognized as inherent to work of the PROJECT; or (f) A request for a time extension or additional payment based upon acts of neglect by CITY or due to fires, floods,labor disputes, epidemics,abnormal weather conditions or acts of God. B. A Demand for a time extension or payment of money or damages may only be granted by a Change Order. C. No Change Order may be granted except where the Contractor has submitted a Demand to the DPW(or his or her written designee). All Demands shall be submitted promptly,but in no event later than thirty(30)days after the occurrence of the event giving rise to the Demand. The Demand shall be in writing and include all documents necessary to substantiate the Demand. The DPW shall act on the Demand within fifteen (15) days after receipt, including by requesting additional information from the CONTRACTOR to determine whether to approve the Change Order the Demand seeks. The DPW shall act on the Demand within fifteen(15) days 9 16-5195/City Funded Construction Contract.docx—revised 04/2016 after receipt of the additional information or within a period of time no greater than the time the CONTRACTOR took to produce the additional information requested,whichever is greater. D. Notwithstanding the thirty (30) days to submit a Demand under Subparagraph C, in the case of differing or unknown site conditions, immediately upon encountering the conditions, CONTRACTOR shall notify the DPW in writing of the conditions, so that the CITY may promptly investigate the conditions. E. If the CONTRACTOR disputes the DPW's written response on the Demand, or the CITY fails to respond within the time prescribed, the CONTRACTOR may so notify the City Engineer, in writing,either within fifteen(15)days of receipt of the City Engineer's response or within fifteen (15) days of the DPW's failure to respond within the time prescribed, respectively, and request an informal conference to meet and confer for settlement of the Demand. Upon the CONTRACTOR's request,the DPW shall schedule a meet and confer conference within thirty(30)days to seek to resolve. F. CITY and CONTRACTOR shall execute appropriate Change Orders covering changes to the time or price by executing the Change Order by mutual agreement. If the CITY and CONTRACTOR are unable to reach a mutual agreement, then the City Engineer shall issue a written decision on the claim within a reasonable time. G. Following the meet and confer conference, if the Demand remains in dispute,the CONTRACTOR may file a claim with the City as provided in Chapter 1 (commencing with Section 900) and Chapter 2 (commencing with Section 910)of Part 3 of Division 3.6 of Title 1 of the Government Code. For purposes of those provisions, the running of the period of time within which a claim must be filed shall be tolled from the time the CONTRACTOR submits his 10 16-5195/City Funded Construction Contract.docx—revised 04/2016 or her Demand until the Demand is denied as a result of the meet and confer process, including any period of time utilized by the meet and confer process. 13. VARIATIONS IN ESTIMATED QUANTITIES The quantities listed in the bid schedule will not govern final payment. Payment to CONTRACTOR will be made only for the actual quantities of contract items used in construction of the PROJECT, in accordance with the plans and specifications. Upon completion of the PROJECT,if the actual quantities used are either more than or less than the quantities listed in the bid schedule, the bid price shall prevail subject to the provisions of this Section. DPW may, at its sole discretion, when warranted by the facts and circumstances, order an equitable adjustment, upwards or downwards, in payment to CONTRACTOR where the actual quantities used in construction of the PROJECT are in variation to the quantities listed in the bid schedule. No claim by CONTRACTOR for an equitable adjustment in price or time for completion shall be allowed if asserted after final payment under this Agreement. If the quantity variation is such as to cause an increase in the time necessary for completion, DPW shall ascertain the facts and circumstances and make such adjustment for extending the completion date as in its sole judgment the findings warrant. 14. PROGRESS PAYMENTS Each month DPW will make an estimate in writing of the work performed by CONTRACTOR and the value thereof. From each progress estimate, five percent (5%) will be deducted and retained by CITY and the remainder of the progress estimate, less the amount of all previous payments since commencement of the work,will be paid to CONTRACTOR. When CONTRACTOR has, in the judgment of DPW, faithfully executed fifty percent(50%) or more of the value of the work as determined from the bid schedule, and if DPW finds that satisfactory progress has been and is being made, CONTRACTOR may be paid such 11 16-5195/City Funded Construction Contract.docx—revised 04/2016 sum as will bring the payments of each month up to one hundred percent (100%) of the value of the work completed since the commencement of the PROJECT,as determined in its sole discretion by DPW, less all previous payments and less all previous retained amounts. CITY's final payment to CONTRACTOR,if unencumbered,or any part thereof unencumbered, shall be made thirty-five (35) days after the acceptance of the work and the filing of a Notice of Completion by CITY. Provided, however,that in the event of a dispute between CITY and CONTRACTOR,CITY may withhold from the final payment an amount not to exceed 150 percent of the value of any disputed amount of work. Payments shall be made on demands drawn in the manner required by law, each payment to be accompanied by a certificate signed by DPW, affirming that the work for which payment is demanded has been performed in accordance with the terms of the Agreement and that the amount stated in the certificate is due under the terms of the Agreement. Partial payments on the contract price shall not be considered as an acceptance of any part of the work. 15. WITHHELD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES At the request and at the sole cost and expense of CONTRACTOR,who shall retain beneficial ownership and receive interest, if any thereon, CITY shall permit the substitution and deposit therewith of securities equivalent to the amount of any monies withheld by CITY to ensure performance under the terms of this Agreement. 16. AFFIDAVITS OF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall file with DPW its affidavit stating that all workers and persons employed, all firms supplying materials and all subcontractors working upon the PROJECT have been paid in full and that there are no claims outstanding against the PROJECT for either labor or material, except certain items,if any,to be set forth in CONTRACTOR's affidavit covering disputed claims, 12 16-5195/City Funded Construction Contract.docx—revised 04/2016 or items in connection with Notices to Withhold, which have been filed under the provisions of the statutes of the State of California. 17. WAIVER OF CLAIMS The acceptance by CONTRACTOR of the payment of the final certificate shall constitute a waiver of all claims against CITY under or arising out of this Agreement. A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. 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($25) for each calendar day or portion thereof for each worker paid(either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 18. CALIFORNIA PREVAILING WAGE LAW A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by 13 16-5195/City Funded Construction Contract.docx—revised 04/2016 resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code, CONTRACTOR shall, as penalty to CITY, forfeit twenty-five dollars ($25) for each calendar day or portion thereof for each worker paid (either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 19. CALIFORNIA EIGHT-HOUR LAW A. California Labor Code, Sections 1810 et seq,shall apply to the performance of this Agreement; thereunder, not more than eight(8)hours shall constitute one day's work and CONTRACTOR and each subcontractor employed by its hereunder, shall not require more than eight(8)hours of labor per day or forty(40)hours per week from any one person employed by it hereunder, except as stipulated in California Labor Code Section 1815. CONTRACTOR and each subcontractor employed by it hereunder shall, in accordance with California Labor Code Section 1812, keep an accurate record, open to inspection at all reasonable hours, showing the name and actual hours worked each calendar day and each calendar week by each worker employed in connection with the PROJECT. B. Pursuant to this Agreement and in accordance with California Labor Code Section 1813, CONTRACTOR shall, as a penalty to CITY, forfeit twenty-five dollars ($25) for each worker employed hereunder by CONTRACTOR or any subcontractor for each calendar day during which such worker is required or permitted to work more than eight (8)hours in any one 14 16-5195/City Funded Construction Contract.docx—revised 04/2016 (1)calendar day or forty(40)hours in any one(1)calendar week in violation of California Labor Code Section 1815. 20. PAYMENT OF TRAVEL AND SUBSISTENCE ALLOWANCE Section 1773.8 of the California Labor Code, regarding the payment of travel and subsistence allowance is applicable to this PROJECT. 21. EMPLOYMENT OF APPRENTICES Section 1777.5 of the California Labor Code, regarding the employment of apprentices is applicable to this PROJECT. 22. PAYROLL RECORDS CONTRACTOR agrees to keep accurate payroll record showing the name, address, social security number, work classification, straight time and overtime hours worked each day and week, and the actual per diem wages paid to each journeyman, apprentice or worker employed by it in connection with the PROJECT and agrees to require each of its subcontractors to do the same. CONTRACTOR further agrees that its payroll records and those of its subcontractors, if any, shall be available at all reasonable times to the CITY, and the employee or his representative, and the Division of Labor Standards Enforcement and the Division of Apprenticeship Standards, and to comply with all of the provisions of California Labor Code Section 1776, in general. 23. INDEMNIFICATION, DEFENSE, HOLD HARMLESS CONTRACTOR hereby agrees to protect, defend, indemnify and hold harmless CITY, its officers, elected or appointed officials, employees, agents, and volunteers from and against any and all claims, damages, losses, expenses, judgments, demands, defense costs, and consequential damage or liability of any kind or nature,however caused, including those resulting from death or injury to CONTRACTOR's employees and damage to CONTRACTOR's property, 15 16-5195/City Funded Construction Contract.docx—revised 04/2016 arising directly or indirectly out of the obligations or operations herein undertaken by CONTRACTOR, caused in whole or in part by any negligent act or omission of the CONTRACTOR, any subcontractors, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable,including but not limited to concurrent active or passive negligence, except where caused by the active negligence, sole negligence, or willful misconduct of the CITY, its officers, elected or appointed officials, employees, agents, and volunteers. CONTRACTOR will conduct all defense at its sole cost and expense and CITY shall approve selection of CONTRACTOR's counsel. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by CONTRACTOR. 24. WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE Pursuant to California Labor Code Section 1861, CONTRACTOR acknowledges awareness of Section 3700 et seq. of this Code, which requires every employer to be insured against liability for workers' compensation; CONTRACTOR covenants that it will comply with such provisions prior to commencing performance of the work hereunder. CONTRACTOR shall obtain and furnish to City workers' compensation and employer's liability insurance in an amount of not less than the State statutory limits. CONTRACTOR shall require all subcontractors to provide such workers' compensation and employer's liability insurance for all of the subcontractors' employees. CONTRACTOR shall furnish to CITY a certificate of waiver of subrogation under the terms of the workers' compensation and employer's liability insurance and CONTRACTOR shall similarly require all subcontractors to waive subrogation. 16 16-5195/City Funded Construction Contract.docx—revised 04/2016 25. INSURANCE In addition to the workers' compensation and employer's liability insurance and CONTRACTOR's covenant to defend,hold harmless and indemnify CITY,CONTRACTOR shall obtain and furnish to CITY, a policy of general public liability insurance, including motor vehicle coverage covering the PROJECT. This policy shall indemnify CONTRACTOR, its officers, employees and agents while acting within the scope of their duties, against any and all claims arising out or in connection with the PROJECT, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including products/completed operations liability and blanket contractual liability, of One Million Dollars ($1,000,000) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit,the aggregate limit must be no less than One Million Dollars($1,000,000) for this PROJECT. This policy shall name CITY, its officers, elected or appointed officials, employees,agents,and volunteers(the"Additionally Insured Parties")as Additional Insureds,and shall specifically provide that any other insurance coverage which may be applicable to the PROJECT shall be deemed excess coverage and that CONTRACTOR's insurance shall be primary and non-contributory with any other valid and collectible insurance or self-insurance available to the Additionally Insured Parties. Any available insurance proceeds in excess of the minimum coverage amount specified herein shall be available to the Additionally Insured Parties. All coverage available to CONTRACTOR shall also be available to the Additionally Insured Parties. Under no circumstances shall said above-mentioned insurance contain a self-insured retention without the express written consent of CITY; however an insurance policy "deductible" of Five Thousand Dollars($5,000.00) is permitted. CONTRACTOR shall be responsible for causing all Subcontractors to maintain the same types and limits of insurance coverage as that required of CONTRACTOR by this Agreement. 17 16-5195/City Funded Construction Contract.docx—revised 04/2016 26. CERTIFICATES OF INSURANCE; ADDITIONAL INSURED ENDORSEMENTS Prior to commencing performance of the work hereunder, CONTRACTOR shall furnish to CITY certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverages as required by this Agreement; the certificates shall: 1. Provide the name and policy number of each carrier and policy; 2. State that the policy is currently in force; and 3. Promise to provide that such policies will not be canceled or modified without thirty (30) days' prior written notice of CITY. CONTRACTOR shall maintain the foregoing insurance coverages in force until the work under this Agreement is fully completed and accepted by CITY. The requirement for carrying the foregoing insurance coverages shall not derogate from the CONTRACTOR's defense, hold harmless and indemnification obligations as set forth under this Agreement. CITY or its representative shall at all times have the right to demand the original or a copy of all the policies of insurance. CONTRACTOR shall pay, in a prompt and timely manner, the premiums on all insurance hereinabove required. CONTRACTOR shall provide a separate copy of the additional insured endorsement to each of CONTRACTOR's insurance policies, naming CITY, its officers, elected and appointed officials, employees, agents and volunteers as Additional Insureds, to the City Attorney for approval prior to any payment hereunder. 27. NOTICE OF THIRD PARTY CLAIM Pursuant to Public Contracts Code §9202, CITY shall provide notice to CONTRACTOR of receipt 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. 18 16-5195/City Funded Construction Contract.docx—revised 04/2016 28. DEFAULT AND TERMINATION If CONTRACTOR fails or refuses to prosecute the work hereunder with diligence, or fails to complete the work within the time specified, or is adjudged bankrupt or makes an assignment for the benefit of creditors or becomes insolvent, or violates any provision of this Agreement or the Contract Documents, CITY may give CONTRACTOR notice in writing of its intention to terminate this Agreement. Unless the violation is cured within ten(10)days after such Notice of Intention has been served on CONTRACTOR, CITY may, without prejudice to any other remedy it may have,terminate this Agreement upon the expiration of that time. Upon such default by CONTRACTOR,CITY may elect not to terminate this Agreement; in such event CITY may make good the deficiency in which the default consists and deduct the resulting costs from the progress payments then or to become due to CONTRACTOR. If it is subsequently determined by a court of competent jurisdiction that CITY's termination of this Agreement under this Section was wrongful, such termination shall be converted to a termination for convenience under Section 29 and any damages shall be assessed as set forth in Section 29. 29. TERMINATION FOR CONVENIENCE CITY may terminate this Agreement for convenience at any time with or without cause, and whether or not PROJECT is fully complete upon seven(7)calendar days written notice to CONTRACTOR. In the event of termination, under this Section CITY shall pay CONTRACTOR for value of work in place on the PROJECT through the termination period less all such payments already made. In case of such termination for convenience,the CONTRACTOR shall be entitled to receive payment for work executed, and costs incurred by reason of such termination. In no event shall CONTRACTOR be entitled to recover overhead, profit or CONTRACTOR's fee on work not performed. Such payment by CITY shall be CONTRACTOR's 19 16-5195/City Funded Construction Contract.docx—revised 04/2016 sole and exclusive remedy for termination by CITY for its convenience and CITY shall have no further obligation to CONTRACTOR. 30. DISPOSITION OF PLANS, ESTIMATES AND OTHER DOCUMENTS CONTRACTOR agrees that upon completion of the work to be performed hereunder, or upon expiration or earlier termination of this Agreement, all original plans, specifications, drawings, reports, calculations, maps and other documents pertaining to this Agreement shall be delivered to CITY and become its sole property at no further cost. 31. NONASSIGNABILITY CONTRACTOR shall not sell, assign, transfer, convey or encumber this Agreement,or any part hereof,or any right or duty created herein,without the prior written consent of CITY and the surety. 32. CITY EMPLOYEES AND OFFICIALS CONTRACTOR shall employ no CITY official nor any regular CITY employee in the work performed pursuant to this Agreement. No officer or employee of CITY shall have any financial interest in this Agreement in violation of the California Government Code. 33. STOP NOTICES: RECOVERY OF ADMINISTRATIVE COSTS CITY shall be entitled to all reasonable administrative costs and necessary disbursements arising out of the processing of Stop Notices, Notices to Withhold, or any similar legal document. This obligation shall be provided for in the labor and materials payment bond required of CONTRACTOR. CITY may charge an administrative fee of One Hundred Dollars ($100)for every Stop Notice filed in excess of two(2),regardless of whether or not CITY is named in an action to enforce such stop notices. CITY may set off any unreimbursed cost or expense so incurred against any sum or sums owed by CITY to CONTRACTOR under this Agreement. 20 16-5195/City Funded Construction Contract.docx—revised 04/2016 34. NOTICES Any notices, certificates, or other communications hereunder shall be given either by personal delivery to CONTRACTOR's agent (as designated in Section 1 hereinabove) or to CITY as the situation shall warrant,or by enclosing the same in a sealed envelope,postage prepaid, and depositing the same in the United States Postal Service, to the addresses specified below; provided that CITY and CONTRACTOR may designate different addresses to which subsequent notices, certificates or other communications will be sent by notifying the other party via personal delivery, reputable overnight carrier or U. S. certified mail-return receipt requested: TO CITY: TO CONTRACTOR: City of Huntington Beach PALP, INC DBA EXCEL PAVING ATTN:JOHN MARTIN , Public Works ATTN: KEN CORRY 2000 Main Street 2230 LEMON AVE Huntington Beach, CA 92648 LONG BEACH, CA 90806 35. SECTION HEADINGS The titles, captions, section, paragraph and subject headings, and descriptive phrases at the beginning of the various sections in this Agreement are merely descriptive and are included solely for convenience of reference only and are not representative of maters included or excluded from such provisions,and do not interpret,define,limit or describe,or construe the intent of the parties or affect the construction or interpretation of any provision of this Agreement. 21 16-5195/City Funded Construction Contract.docx—revised 04/2016 36. IMMIGRATION CONTRACTOR shall be responsible for full compliance with the immigration and naturalization laws of the United States and shall, in particular, comply with the provisions of United States Code Section 1324a regarding employment verification. 37. LEGAL SERVICES SUBCONTRACTING PROHIBITED CONTRACTOR and CITY agree that CITY is not liable for payment of any subcontractor work involving legal services, and that such legal services are expressly outside the scope of services contemplated hereunder. CONTRACTOR understands that pursuant to Huntington Beach City Charter Section 309, the City Attorney is the exclusive legal counsel for CITY; and CITY shall not be liable for payment of any legal services expenses incurred by CONTRACTOR. 38. ATTORNEY'S FEES In the event suit is brought by either party to construe, interpret and/or enforce the terms and/or provisions of this Agreement or to secure the performance hereof, each party shall bear its own attorney's fees, such that the prevailing party shall not be entitled to recover its attorney's fees from the non-prevailing party. 39. INTERPRETATION OF THIS AGREEMENT The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of the parties. If any provision of this Agreement is held by an arbitrator or court of competent jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the 22 16-5195/City Funded Construction Contract.docx—revised 04/2016 context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act contrary to law, and wherever there is any conflict between any provision contained herein and any present or future statute, law, ordinance or regulation contrary to which the parties have no right to contract, then the latter shall prevail, and the provision of this Agreement which is hereby affected shall be curtailed and limited only to the extent necessary to bring it within the requirements of the law. 40. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of California. 41. DUPLICATE ORIGINAL The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals, each of which so executed shall, irrespective of the date of its execution and delivery, be deemed an original. Each duplicate original shall be deemed an original instrument as against any party who has signed it. 42. CONSENT Where CITY's consent/approval is required under this Agreement, its consent/approval for one transaction or event shall not be deemed to be consent/approval to any subsequent occurrence of the same or any other transaction or event. 43. SURVIVAL Terms and conditions of this Agreement, which by their sense and context survive the expiration or termination of this Agreement shall so survive. 44. MODIFICATION No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties. 23 16-5195/City Funded Construction Contract.docx—revised 04/2016 45. SIGNATORIES Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify CITY fully for any injuries or damages to CITY in the event that such authority or power is not, in fact,held by the signatory or is withdrawn. 46. ENTIRETY The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive arm's length negotiation,and that each has had the opportunity to consult with legal counsel prior to executing this Agreement. The parties also acknowledge and agree that no representations, inducements,promises, agreements or warranties, oral or otherwise, have been made by that party or anyone acting on that party's behalf, which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement, promise, agreement, warranty, fact or circumstance not expressly set forth in this Agreement. This Agreement, and the attached Exhibit "A", contain the entire agreement between the parties respecting the subject matter of this Agreement, and supersede all prior understandings and agreements whether oral or in writing between the parties respecting the subject matter hereof. 24 16-5195/City Funded Construction Contract.docx—revised 04/2016 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers on 1y7J4►'*J , 20 �2 . CONT TOR: PALP.INC.DU CITY OF HUNTINGTON BEACH a municipal Corpo ion of he State al' By: EX NG COMPANY f;.4 Curtis P. Brown III Mayo (print name) ITS: ChairmZel Presiden Vice-President City Clerk (circle INIT D AND D: iAND By:.r Director of Public orks Marcia Miller (pri t ) WED A D APPROVED: ITS:(PS* / Chief Financial Officer / Asst. Secrets reasurer (circle one) City nager APPROVED A City A orney 25 16-5195/City Funded Construction Contract.docx—revised 04/2016 CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of Los Angeles On kckAc/k I TOZ,?i before me, Myisha Monique Riven ,Notary Public, (Here insert name and title of the officer) personally appeared Curtis P. Brown III and Marcia S. Miller who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) (/are subscribed to the within instrument and acknowledged to me that WEs e/they executed the same in IAs/h#/their authorized capacity(ies), and that by h)L/I r/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. ;;;..,. MYISHA MONIQUE RIVEN WITNESS my hand and official seal. COMM.#2377053 '.- Notary Public-california rn - A 11 p a LOS ANGELES COUNTY LL 1�:=A\A t V,Q (Notary Seal) MY Comm.Expires Sep 30,2025 Signature of Nolary Public ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in California must contain verbiage exactly as DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary section or a separate acknowledgment form must be properly completed and attached to that document. The only exception is if a document is to be recorded outside of California.In such instances, any alternative (Title or description of attached document) acknowledgment verbiage as may be printed on such a document so long as the verbiage does not require the notary to do something that is illegal for a notary in California (i.e. certifying the authorized capacity of the signer). Please check the (Title or description of attached document continued) document carefully for proper notarial wording and attach this form if required. • State and County information must be the State and County where the document Number of Pages Document Date signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which must also be the same date the acknowledgment is completed. (Additional information) • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title(notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. lte/she/+he;—, is/sre)or circling the correct forms.Failure to correctly indicate this ❑ Individual(s) information may lead to rejection of document recording. ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. ❑ Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. ❑ Other Indicate title or type of attached document,number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). • Securely attach this document to the signed document C 2004-2015 ProLink Signing Service,Inc.-AU Rights Reserved www.TheProLink[Om-Nationwide Notary Service ��,AH161 A ' SECTION C PROPOSAL FOR THE CONSTRUCTION OF FLOW LINE HALF ROUND DRAINAGE INLET STRUCTURES ON MAIN STREET, 17th STREET, ORANGE AVENUE CC NO. 1656 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 50 working days, starting from the date of the Notice to Proceed with Work after materials are procured. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications,Exhibits, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes,royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded,the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. TEN PERCENT OF AMOUNT BID' Accompanying this proposal of bid,find ND _0 in the amouni oI whim said amount is not less than 10%of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or"Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addendum No. Date Received Bidder's Signature l t � 3., rtis P.tidenBrown lil .p C-a BID PROPOSAL ` FLOW LINE HALF ROUND INLET DRAINAGE STRUCTURES ON P MAIN STREET, 17TH STREET,AND ORANGE AVENUE UNIT QUANTITY' UNIT PRICE AMOLINT REMOVE AND DISPOSE OF EXISTING CURB,GUTTER,ASPHALT CONCRETE, AND INLET DRAINAGE DEVICE/STRUCTURE AND CONSTRUCT NEW FLOW LINE HALF ROUND INLET DRAINAGE STRUCTURE PER DESIGN DETAIL AND �^f } 7A1 t 6100 1 T THE LOCATIONS AS INCLUDED IN THE SPECIFICATIONS EA 54 TOTAL BID AMOUNT(IN NUMBERS) ,` (ppp TOTAL BID AMOUNT WRITTEN IN WORDS trJv �nr�r�rRt- ' i,Jvv, 4 cv� 41 '-All work includes disposal of removed material offsite and restoration of adjacent improvements disturbed during construction to an In kind or better state upon completion of work at each site. Any and all costs for mobilization,traffic control,and site restoration shah be Included In the unit price bid per each. C-3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar % of Item(s) Subcontractor License Registrat►on# Amount Contract Number By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform at least 50% of the total work and 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-4 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State; f California that the foregoing is true and correct and that this declaration is executed on,,, ;gat LONG BEACH CAL4FG1`ti:A Date City State Curtis P. Brown III , being first duly sworn, deposes and says that he or she is President of PALP, INC DBA the parry making the foregoing bid that the bid is not made in the irate • ,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. PALP,INC DBA EXCEL PA LING COMPANY Name of Bidder Curtis P. Brown III President /g*n-afturer 2230 LEMON AVE LONG BEACH,CA 90806 Address of Bidder C-5 . 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. i State of California } 1 County of Los Angeles } I On « before me, R. Covington, Notary Public , ere insen name end[.is o the opmn personally appeared Curtis P. Brown III , who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/an subscribed to the within instrument and acknowledged to me that he/WxmXIW executed the same in his/N"d&§dr authorized capacity(ies), and that by his/hexltta®dr signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. 1 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. i � � rN � R.CDVINGTG"� ti WITNESS my hand and of cial seal. COMM #2339<_ 2 c. „Notary Publ'r alifim;a T t LDS ANGELES Ct UPt_Y tt +4 r 'my Comm Expires Deco 2024�. Notary Public Signature (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM 97eisform complies with current Caljfornia statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT if needed should be completed and attached to the document.Acknowledgments from other states maybe 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 i 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 conGnued) 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 Dale commission followed by a comma and thew your tide(notary public). • Print the name(s)of document signer(s)who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER a Indicate the correct singular or plural forms by crossing off incorrect forms(i.e:. he/she/they;-is Jere)or circling the correct forms.Failure to correctly indicate this ❑ Individual(s) information may lead to red ec4icn of document recording. ,'f0C CO orate Officer • The notary seal impression mist be clear and photographically reproducible. president Impression must not cover text or lines.If seal impression smudges,re-seal if a (Tftle) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) a Signature of the notary public must match the signature on tide with time office of ❑ Attome -in-Fac the county clerk t y O Additional information is not required but could help to cnsure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document i } Indicate title or type of attached document,number of pages and date. Other ❑ fr Indicate the capacity claimed by the signer.If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). 2015 Version www.NotaryClasses.00m 800-873-9865 a 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 FLOW LINE HALF ROUND DRAINAGE INLET STRUCTURES On MAIN STREET,17TH STREET,AND ORANGE AVENUE, (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. PALP INC BBA EXCEL PA1rING COMP1kNY Contractor 5 y Curtis P. Brown III President Title Date: C-6 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? j ❑ Yes C�No If the answer is yes, explain the circumstances in the space provided. 0 Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. G7 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. PALP. INC DBA EXCEL PAVING CONIPANY Contractor By Curtis P. Brown Ili President Title Date: C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name PAW INC QBA EXCEL PAVING 2230 LEMON AVE O 4 Business Address LtG' B E A GG City, State Zips„ 562)599-5841 .. Telephone Number Email Address STATE LIC#688659 4 C-'12, 011 State Contractor's License No. and Class i lk1ay Original Date Issued tnw +o& 'i Expiration Date The work site was inspected by of our office on 1 .Z-- 202_. The following are persons, firms, and corporations having a principal interest in this proposal: PALP INC OBA EX EL WING COMPANlY Curtis P.Brown III President and Chief Executive officer CMI-al Financialicer Marcia S.Miller Secretary Crissa A.Phillips Acet cezPtap• The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. PALP INC 713A EXCPL PAVING COMPANY Company N ne Si tore of Bidder Curtis P. Brown 111 President Printed or Typed Signature C-9 NOTARY CERTIFICATE Subscribed and sworn to before me this_day of i A L 21 -,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 GAUF0 AAA ) County Of Ler, Angeles } On before me, r.L t 1 JAI' Month,Day, and Year Insert Name and Title of Notary personally appeared CUrtis P. Brown III Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s)acted,executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. R.COVINGTON 4�s COfIlM.#2339692 Notary Pubk-California LOS ANGELES COUNTY a a i Nly Comm.EXp1(eS OIC 8�2024 _.. Signature Signature of Notary Pu is (PLACE NOTARY SEAL ABOVE) C-10 BIDDER'S PROJECT HISTORY SEE ATTACHED For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project.For example,"Construction of drainage inlet structures and curb and gutter for Ci " . Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address, and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-11 BIDDER'S CRITICAL STAFF Listed below are the names of the bidders proposed Construction Project Manager,and Superintendent. For each of these critical positions,please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. Name of propoied Project Manager Telephone No. of proposed Project Manager: 562) 599-5841 SEE ATTACHED Project Name&Contract Amount Type of Work Date Completed Project Name&Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed 2. , Name o proposed SulVrintendent Telephone No. of proposed Superintendent: 562)599-5841 SEE ATTACHED 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-12 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/PubhcWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844)522-6734 https:Hefihng.dir.ca.gov/PWCR/ActionServlet?action=displayPWCRegistrationForrn 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. PALP INC Asa EXCEL PAVING CONIR'\NY Contractor B F_ Email Title Date: 0 PWC Registration#: C-13 KENNETH PATRICK CORRY—SENIOR PROJECT MANAGER EXCEL PAVING COMPANY Qualifications National Diploma in Civil Engineering Cork Institute of Technology—Graduated 1981 Summary Profile Mr. Corry is a highly motivated,professional manager with over twenty five years experience in the construction industry, gained through a variety of supervisory and management positions in construction and heavy civil engineering environments in Ireland and US. Career History February 2009 to Present Excel Paving Company,Long Beach,California. Excel Paving Company is a general engineering contarctor in the southern Californian market.I am the estimator responsible all structure and underground work performed by the company. February 2008 to January 2009 Skanska USA Civil West,Riverside,California. Skanska Civil is a major civil engineering and public works contactor.As a Senior Estimator,with emphasis on structures and underground,I was responsible for all aspects of those disciplines for an estimate. June 2005 to January 2008 Macro-Z-Technology Company,Santa Ana,California MZT is a General Contractor primarily working in California, Washington and Arizona. As the Chief Estimator for the company,I am the person charged with sourcing projects,becoming the first point of contact with any particular agency and co-ordinating the proposal writing and subsequent negotiating and/or bidding of any project. Projects range in value from small previously designed additions/renovations of$200K to full design/build projects up to$15.0 Mil.Clients include Local, State and Federal agencies. MZT looks at projects over a broad range of disciplines. Storm Channel upgrades, water treatment plant upgrades and renovations,underground utility construction,earthwork and structure concrete are among the primary areas where MZT self performs the majority of the work on any particular project. Dec.2002 to May 2005 Excel Paving Company,Long Beach,California. Excel is a general engineering contractor in southern California with an annual turnover of $70.0m. As a Project Superintendent with Excel, complete management of any project is my primary function. Taking the project from award through to its successful completion within schedule and budget is the main focus. Key Projects Tustin Avenue Bridge Widening—Managed a$4.Om project involving the widening of an existing bridge over the freeway including adjacent ramp modifications,storm drains,street surfacing and relevant interconnecting signal work.The widening portion was constructe of steel girders supporting a concrete deck which in turn was covered with a special epoxy overlay to prolong the expected life of the new structure. Project performed for the City of Anaheim with oversight by Caltrans (California Department of Transportation). Broadway Sidewalk Rehabilitation—A$2.5m rehab of existing city sidewalks performed for the City of Los Angeles in.the downtown area. The unique feature of this project was the fact that the sidewalk sat on top of existing building basements. This resulted in the actual removal and replacement of the basement ceilings(decks).Co-ordination with the building owners, retail tenants,general public and local residents presented other challenges through the course of the project. July 1998 to Nov.2002 Bratoco Engineering and Construction Inc.,Fontana,California. Brutoco is a major general engineering contractor in southern California with an annual turnover of$75.Om and currently employs 100 staff. My role as a Project Superintendant involved the management and control of all facets of major engineering public works projects,. with site works typically performed around existing facilities and requiring careful and detailed co-ordination to ensure successful completion within budget and achieving contract milestones. I was responsible for bid submission and negotiations, solutioning design and construction methods,materials scheduling and resource planning, sub-contractor procurement, site mobilisation and site supervision, construction quality control and statuatory inspections, chairing progress meetings and client reporting, liaison with third parties and public regulators, contract completion and handover. Key Projects • Avenida Vista Hermosa/I-5 Interchange. - This project involved the construction of a new motorway interchange around an existing bridge overcrossing. A new reinforced concrete bridge was constructed alongside the existing,new concrete retaining walls were constructed and over 300,000 m3 of dirt was removed to create the space required for the new exit and entry ramps. Existing utilities were relocated as required and new systems installed as construction of the facilities progressed.Project cost was$13.0 million and took 15 months from ground breaking to completion.The project was completed 3 months ahead of the clients schedule. • Atlantic B1vdJTelegraph Rd. Interchange - Project involved the building and installation of a new steel girdered railroad bridge while concurrently widening the streets under and around the bridge crossing. Train and vehicular traffic were operational at all times except for special windows where a full shut down occurred to facilitate the work. A total of 15,000 m3 of concrete pavement was placed on grade for which an award was won for the innovative use of accelerating admixtures in the concrete.The project cost was$18.0 million and took 30 months to complete May 1992 to June 1998 Macro-Z-Technology Company,Santa Ana,California MZT was a start up company that commenced trading with five people in 1992, growing to a $15.Om a year general engineering contractor with 60 full-time employees in 1998. As General Superintendant, I performed all duties from estimating and bidding jobs through to site organisation and supervision and contract completion. Key Projects • 605 Freeway at Whittier Blvd.-A state funded project to widen a portion of the existing highway and installing sound walls along the widened section. All work performed around live traffic and involved a large part of the work to be performed at night.Project value was$9.0m and took just 6 months to complete.For this performance the company was awarded "Construction Company of the Year - 1997" by the Southern California chapter of the Latino Buisness Association. • Berth 302 Facilities at Port of Los Angeles-MZT was the concrete subcontractor to a major general contractor for the construction of the facility buildings required for the operations of a Irge port terminal. A wide variety of work was required to be performed to complete the work.Reinforced concrete structures,tilt up concrete wall,block wall buildings to 5 floors,concrete paving,colored and stamped concrete flatwork were among the work performed.Subcontract value was$4.2m and the work was performed over 10 months. May 1990 to May 1992 Peck Jones Construction Company,Los Angeles,California Project Superintendant&Key Projects: • Howard Hughes Center- Computer facilities Building -A six floor concrete clad structural steel building with an adjacent 4 level reinforced concrete parking structure was required to house a computer facility for the expansion of a buisness park.Project value was$32m and took 18 months to complete. • Countrywide Bank Headquater Facilities-A new complex of 8 buildings were built to form the corporate headquater complex for a rmajor home loan lending bank. Buildings were structural steel cladded with a concrete wall system of precast units. A child care facility was constructed in wood and a centrally located parking structure was built in reinforced concrete.Project cost was$150m and took 24 months to complete. October 1985 to April 1990 Growwa Company,Agoura Hills,California Project Superintendant&Key Projects: • Constructed 1.4m sq R of reinforced concrete deck to provide underground parking for the future residents of a new 750 unit apartment complex.Project took 12 months and the subcontract value was$4.5m • Performed the concrete subcontract work for the construction of a 900 unit condominium complex.Careful planning and the use of specially made form systems enabled us to build the foundations and subfloor walls of 30 units per week using 4 - 5 man crews with a seperate 10 man concrete placing and finishing crew. 1500 m3 of concrete per week for approximately 25 weeks enabled us to complete our portion of the work 1.5 months ahead of schedule. April 1984 to August 1985 Atlantic Projects Company,(subsidiary of G.E.Europe),Wicklow,Ireland Project Engineer for construction and installation of large mechanical equipment for power plants,breweries,refineries and manufacturing plants.Coordination of incoming equipment to crews for onsite fabrication and installation. June 1981 to April 1984 Ascon Ltd.,Kildare,Ireland Heavy civil engineering contractor. Contracts included power generating stations, water treatment plants, steel rolling mills and bridges.Layout and line for all facets of required work for its successful completion. Key Projects • Irish Steel Holdings - New Steel manufacturing facility - Role as a field engineer with responsibility for various sections of the construction of a new manufacturing plant at a steel making facility.The plant remained open during the construction work so co-ordination of even the smallest detail had to of a high level.Project cost was IR 85.Om and took 18 months to complete. • Coal Unloading Jetty-Moneypoint Power generating facility -A 300m long jetty was required to unload the coal needed to fire a new power generating plant. A reinforced concrete deck sits over precast concrete units set on l.Om diameter steel piles some of which were 180 ft long.The project value was 1R 25.Om and took 24 months from first pile to last concrete poured. TONY FRATANGELO 5628430722 ffratanaeloll,Wexcelpavincl.net PROFILE Experience and driven Underground Superintendent with over 15 years of experience in the construction management industry. Proven track record of successfully managing very small monetary to multi-million dollar public works and private underground projects from conception to fruition. Always welcome the opportunity to collaborate, brainstorm,and find solutions for challenging projects. EXPERIENCE Underground Superintendent at Excel Paving Company, Long Beach May 2015— Present Review and collaborate with estimators prior to submitting bids Prepare, execute,and follow thru with projects from award of bid to project completion Create schedules and update as required Coordinate and collaborate with agencies, engineers, and subcontractors to assure project is completed in a timely manner and on budget Problem solve challenges, disputes, and plan discrepancies to find solutions not excuses Manage up to 5 separate 3-5 man crews at any given time Teach and remind foreman the importance of safety; preparing JHA's; site specific safety mtgs Experienced in pipeline; water, stoma drain, and sewer, underground cast in place structures, retaining walls, beam and lagging, civil flatwork, precast retention basins/systems, drywells, railyard and airport concrete runways, bus shelters, demolition, and grading Calculate and order accurate underground materials Knowledgeable in selection of heavy equipment and shoring Project Manager at Excel Paving Company, Long Beach July 2008—May 2015 Generate Schedules, Submittals, Subcontracts, Purchase Orders, RFI's, Billings, and Letters Hands on project manager supervising up to 3 separate 3-5 man crews Facilitated information in writing between Foreman/Superintendent and Agencies to resolve unforeseen matters, plan discrepancies, and or disputes Performed budget analysis to forecast profit and/or loss; if loss find ways to mitigate loss Recognize and notify agencies when there is a changed condition and potential for delay and additional compensation;experienced with T&M and/or lump sum payment metho4s Prepare and update two-week look ahead and overall baseline schedules Project Engineer at Excel Paving Company, Long Beach November 2006—July 2008 EDUCATION BS in Business Administration (MIS), California State University Long Beach BA in Japanese, California State University Long Beach September 1998—June 2002 CONSTRUCTION MANAGEMENT CERTIFICATIONS SWPPP QSP Certification Competent Person Trench Excavation Confined Space First Aid/CPR REFERENCES Rob Fiege, City of Long Beach Public Works Chief Inspector, 562 342 8814 Cesar Cantuba, City of Torrance Associate Engineer, 951 818 2179 Joe Van der Linden, City of Palos Verdes Inspector, 310 612 6573 Joe Munoz, City of Santa Monica Inspector, 310 350 9738 G?1NfN NI NiN N N:N N�N N!N N.NN N NON N M MtM NIN M N.Ni NtN M�N N NON N N N M N N.N(N MN N N N N M3{A�I �Y I PIN I PIP F'Ft� O F� F OCR O r >r All 11 s of� f Ell' l. (� Ole!e u S er t ] � m.� . � n t MOR i" G1 1 mills mil 1111 O .y c Ni Is .O I � � m � v i' 91firs x # CCAll 18, al �. w 'j'fIw� j jjj i� LLji�l�.W # E ? {!�_Wi W; {LI H 41 v tYq}�Qy.� jjE` llj�Qgj.W 00 7gl€.j 10f oN �1� `'s ; ice.- €y * , Ias i , N N if Z [[Rp� Firis 8(�yy T33 ,�SIR::�F a (#; ttf iii-1111""A 19,1111 ii a'514A Mill LL rg r 3 I # 3 I ( M Oal ll 111,11 I Pf�Nt p 3 A Oil# € N €OI ADDENDUM NO. I For FLOW LINE HALF ROUND DRAINAGE INLET STRUCTURES ON MAIN STREET, 17th STREET, ORANGE AVENUE CC No. 1656 in the CITY OF HUNTINGTON BEACH A 2000 MAIN STREET HUNTINGTON BEACH,CALIFORNIA 92648 (714)536-5431,Fax(714)374-1573 January 18, 2022 Notice To All Bidders: Please note the following clarifications to the Project Specifications and Standard Design Detail: 1. THE FOLLOWING SECTIONS ARE MODIFIED TO REFLECT A NEW BID DATE/TIME OF JANUARY 27,2022 AT 2:00 PM a. COVER/TITLE SHEET b. NOTICE INVITING BIDS c. INSTRUCTIONS TO BIDDERS 2. SECTION 3-8 OF SPECIAL PROVISIONS IS HEREBY REVISED TO READ: a. The contractor shall submit the names and addresses of all suppliers. The contractor shall be required to provide submittals for all materials for CMP half rounds and grates and appurtenant hardware prior to ordering of any materials 3. APPENDIX F, STANDARD DESIGN DETAIL,IS HEREBY AMENDED TO REFLECT THE FOLLOWING"OR EQUAL"MATERIALS a. Hinges,grates, anchors, and ancillary equipment relative to the grate standard design detail are to be 316 SS stainless steel. The grate itself can be galvanized carbon steel This acknowledges receipt and review of Addendum Number One,dated January 18, 2022. PALP, INC DSA EXCEL PAVING COMPANY Company Name Curtis P. Brown III President Date ' All bidders must acknowledge and include the receipt of this Addendum with your bid ro osal. Should you have any questions regarding this Addendum,please call Mark Lewis at (949)677-0391 within 24 hours of posting. -----S f PALP,INC. JEANA A4C4C>J?fX CERTIFICATE OF LIABILITY INSURANCE OAT I 14/2 6/1412022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ;C NTACT FAX The Woodkch Company Insurance Services,Inc. jAHfc°,N No,Eat) (949)553-9800 ,No)(949)553-0670 1 Park Plaza,Suite 400 Irvine,CA 92614 �Ss ._ ..... _. .... _- -_ .._ _.INSURERIS„k AFFORDING COVERAGE .... NAIC/...,._ .. ... INSURERA:Allied World_Ins.Co..Inc. .. .._....... 22730......... ......... ........... .............. ......... ................................ ....................................................��_____----_ ___-'____. _. ......�...._..,.....,......-.. ............ INSURED INSURERS:All led World Assurance.Corgparry_..............._,___„ 19489 ......... Palp,Inc.DBA Excel Paving Company;GAP Equipment,LLC INSURER C:Great American Ins.Co _ _ 16691 2230 Lemon Avenue INSURER D:Starstone National Insurance Compartx 25496, . Long Beach,CA 90806 -- INSURER E i INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INER% ADDI-1UBRi ��• `"POLICY EFF POLICY EXP -,�. ""_� TYPE OF INSURANCE I POLICY NUMBER yy LIMITS A X €COMMERCIAL GENERAL LL161Lm EACH OCCURRENCE $ 1,000,000 � ..._ ...,,.w.....__..�w_..... .............................................. CLAIMS-MADE l^J OCCUR X 16004-1245 611/2022 6/112023 DAMAGE TO RENTED100,000 ................................................. __... .. MED_EXP.(Mv one oersa^1.,_ _..........................................5,000 _ _ ,. j PERSONAL.&ADV.IN,IURY 1000 000 I ...,. .. GEN'L AGGREGATE LIMIT APPLIES PER: j ! GENERAL AGGREGATE $. 2000000 FW POLICY LOC PRODUCTS,-COMP/OPAGG 2,000,000 OTHER: EMPLOYEE BENEFI $ 1,000,000 COMBINED SINGLE LIMIT B -AUTOMOBILE LIABILITY l 1,000,000............................... X ;ANY AUTO X 6000-1394 6/112022 6/112023 eoDlLnwuRr Pe__�n}_,_:g OWNED SCHEDULED 1 I AUTOS ONLY ,.�AUTOS yy p f 8R0DILYINJURY{PeracciCent�.S X ;•AUTOS ONLY X. AR ON Y %PPe�aPcEdRdeTMiit$AMAGE,._..... .,. ._ .-.. .............. C -.UMBRELLA UAB - X OCCUR I EACH OCCURRENCE $ 3.000,000 EXCESS LIAB CLAIMS-MADE. TUE 3414395 02 6/1/2022 6/112023 AGGREGATE $ 3,000,000 DED ` RETENTIONS D WORKERS COMPENSATION ` t- X PER OTH- AND EMPLOYERS'LIABILITY YIN _ _.SIRT_U_ ANY PROPRIETgO�R�IPARTNERIEXECUTNE XT10221268 61112022 6/1/2023 1,000,000 QF dE nNH)EXCLUDED? i.NIA E.L.EACH ACCIDENT $ 1,000,000 tl es,describe under EA..WPLOYEF�..�. DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT 1,000 0 00 I i R DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) RE:Excel Job#5847;CC1666 Flow Line Half Round Drainage Structures on Main St,17th St.and Orange Ave.,Huntington Beach,CA. gialp(sched)lauailwcwv City of Huntington Beach,Its officers,elected or appointed officials,employees,agents and volunteers are included as Additional Insureds as respects General Liability and Auto Liability per attached endorsements. This insurance shall apply as Primary and Non-Contributory per attached endorsement. Waiver of Subrogation for Workers'Compensation:See Attached Endorsement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Huntington Beath THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY g ACCORDANCE WrTH THE POLICY PROVISIONS. 2000 Main Street Huntington Beach,CA 92648 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:PALP,INC. JEANA - i LOCACC)R #• 1 _ _ OO ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY 3NAMED INSURED palpp Inc.DBA Excel Paving Company;GAP Equipment,LLC 2230 Lemon Avenue POLICY NUMBER s.Long Beach,CA 90806 SEE PAGE 1 CARRIER =NAIC CODE € EE PAGE 1 SEE P 1 (eFFecnve oATE: EE PAr2E 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liabilky Insurance Cancellation: "Except 10 days notice of Cancellation for non-payment of premium. *Should this policy be cancelled before the expiration date,The Wooditch Company will mail 30(thirty)days written notice to those Certificate Holders which require such action per contract or agreement.* ACORD 101(2008101) ®2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other Insurance;and CG 20 01 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: 6004-1245 COMMERCIAL GENERAL LIABILITY CG20101219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations City of Huntington Beach, its officers, RE: Excel Job #5847; CC1656 Flow Line elected or appointed officials, Half Round Drainage Structures on Main employees, agents and volunteers St, 17th St. and Orange Ave. , Huntington Beach, CA. Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for"bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" ^property damage"occurring after: caused, in whole or in part, by: 1. Your acts or omissions;or 1. All work, including materials, parts or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed;or However: 2. That portion of "your work" out of which the 1. The insurance afforded to such additional injury or damage arises has been put to its intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 10 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 2 C. With respect to the insurance afforded to these 2. Available under the applicable limits of additional insureds, the following is added to insurance; Section III—Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable limits of insurance. will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 0 Insurance Services Office, Inc., 2018 CG 20 10 1219 POLICY NUMBER:6004-1245 COMMERCIAL GENERAL LIABILrrY CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations City of Huntington Beach, its officers, RE: Excel Job #5847; CC1656 Flow Line elected or appointed officials, Half Round Drainage Structures on Main employees, agents and volunteers St, 17*h St. and Orange Ave. , Huntington Beach, CA. Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section 11 — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III—Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage" caused, in whole or in part, by required by a contract or agreement, the most we your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the"products-completed operations hazard". 1. Required by the contract or agreement;or However: 2. Available under the applicable limits of 1. The Insurance afforded to such additional insurance; insured only applies to the extent permitted by whichever is less. law; and This endorsement shall not increase the 2. If coverage provided to the additional insured is applicable limits of insurance. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 12 19 ©Insurance Services Office, Inc., 2018 Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA 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.) 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_*_%of the California workers'compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description WHERE YOU ARE REQUIRED BY WRITTEN CONTRACT TO OBTAIN THIS AGREEMENT FROM US, PROVIDED THE CONTRACT IS SIGNED AND DATED PRIOR TO THE DATE OF LOSS TO WHICH THIS WAIVER APPLIES. IN NO INSTANCE SHALL THE PROVISIONS AFFORDED BY THIS ENDORSEMENT BENEFIT ANY COMPANY OPERATING AIRCRAFT FOR HIRE. *The premium charge for this endorsement shall be 2% of the premium developed in the State of California, but not less than$500 policy minimum premium. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The Information below Is required only when this endorsement Is Issued subsequent to preparation of the policy.) Endorsement Effective 06/01/22 Policy No. T10221268 Endorsement No. 11 Insured Palp, Inc Policy Effective Date 06/01/22 Insurance Company StarStone Naional Insurance Company r Countersigned By �'�'Ir` � '�6i°•�"'= WC 04 03 06 (Ed. 04-84) 01998 by the Workers'Compensation Insurance Rating Bureau of California.All rights reserved. POLICY NUMBER: 6000-1394 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s)or organization(s)who are"insureds"for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Palp Inc.dba Excel Paving Company Endorsement Effective Date: 6/1/2022 SCHEDULE Name Of Person(s)Or Organization(s):Any person or organization whom you have agreed to include as an additional insured under a fully executed written contract or written agreement, provided that such was executed prior to an'occurrence", loss, injury or damage. 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 only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.I. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section 1 — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 ©Insurance Services Office, Inc., 2011 Page 1 of 1 PALP,INC. ADIAZ ACORN- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `-/ 3/14/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CNRMI CT The Wooditch Company Insurance Services,Inc. (A/CNo•Ext):(949)553-9800 n/C,No:(949)553-0670 1 Park Plaza,Suite 400 Irvine,CA 92614 INSURERS AFFORDING COVERAGE NAIC 8 INSURER A:Executive Risk Indemnity,Inc. 35181 INSURED INSURER B:Federal Insurance Company 20281 Palp,Inc.DBA Excel Paving Company;GAP Equipment,LLC INSURER C:Great American Ins.Co. 16691 2230 Lemon Avenue I INSURER D Long Beach,CA 90806 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX]OCCUR X 54310180 6/1/2021 6/1/2022 DAEmAGETORENTED 100,000 tE,occurrence) $ MED EXP(Anyoneperson) 5,000 PERSONAL&ADV INJURY 1'000'O0O GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2'000'000 POLICY PECOT- LOC PRODUCTS-COMP/OP AGG 2,000,000 OTHER: EMPLOYEE BENEFI 11000,000 B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO X 54310182 6/1/2021 6/1/2022 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON:)ST4ED PerOPER AMAGE $ AUTOS ONLY AUTOS ONLY C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 X EXCESS LIAB CLAIMS-MADE TUE 3414395 01 6/1/2021 6/1/2022 AGGREGATE 3,000,000 DED RETENTION$ B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YI❑N X 54310181 6/1/2021 6N/2022 1,000,000 E.L.EACH ACCIDENT FFICERIMEMBER EXCLUDED? N/A Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If es,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) RE:Excel Job#5847;CC1656 Flow Line Half Round Drainage Structures on Main St,17th St.and Orange Ave.,Huntington Beach,CA. glaip/auai/wcwv City of Huntington Beach,its officers,elected or appointed officials,employees,agents and volunteers are Included as Additional Insureds as respects General Liability and Auto Liability per attached endorsements. This insurance shall apply as Primary and Non-Contributory per attached endorsement. Waiver of Subrogation for Workers'Compensation:See Attached Endorsement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Huntington Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY 9 ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street Huntington Beach,CA 92648 AUTHORIZED REPRESENTATIVE rl, ACORD 25(2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:PALP,INC. ADIAZ LOC#: 1 ACOOR O' ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Pal,p Inc.DBA Excel Paving Company;GAP Equipment,LLC 2230�Lemon Avenue POLICY NUMBER Long Beach,CA 90806 EE PAGE 1 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE:SEEPAGE11 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Cancellation: *Except 10 days notice of Cancellation for non-payment of premium. *Should this policy be cancelled before the expiration date,The Wooditch Company will mail 30(thirty)days written notice to those Certificate Holders which require such action per contract or agreement.* ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy Number:54310182 COMMERCIAL AUTOMOBILE THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM borrow in your business or your personal This endorsement modifies the Business Auto Coverage Form. affairs. 1. EXTENDED CANCELLATION CONDITION C. Lessors as Insureds Paragraph A.2.b.—CANCELLATION-of the Paragraph A.I.—WHO IS AN INSURED—of COMMON POLICY CONDITIONS form IL 00 17 is SECTION II—LIABILITY COVERAGE is deleted and replaced with the following: amended to add the following: b. 60 days before the effective date of cancellation if e. The lessor of a covered"auto"while the we cancel for any other reason. "auto"is leased to you under a written 2. BROAD FORM INSURED agreement if: A. Subsidiaries and Newly Acquired or Formed (1) The agreement requires you to Organizations As Insureds provide direct primary insurance for The Named Insured shown in the Declarations is the lessor;and amended to include: (2) The"auto"is leased without a driver. 1. Any legally incorporated subsidiary in which Such leased"auto"will be considered a you own more than 50%of the voting stock on covered"auto"you own and not a covered the effective date of the Coverage Form. "auto"you hire. However,the Named Insured does not include However,the lessor is an"insured"only any subsidiary that is an"insured"under any for"bodily injury'or"property damage" other automobile policy or would be an resulting from the acts or omissions by: "insured"under such a policy but for its 1. You; termination or the exhaustion of its Limit of 2. Any of your"employees"or agents; Insurance. or 2. Any organization that is acquired or formed by 3. Any person, except the lessor or you and over which you maintain majority any"employee"or agent of the ownership. However,the Named Insured lessor,operating an"auto"with the does not include any newly formed or acquired permission of any of 1.and/or 2. organization: above. (a)That is an"insured"under any other D. Persons And Organizations As Insureds automobile policy; Under A Written Insured Contract (b)That has exhausted its Limit of Insurance Paragraph A.1 —WHO IS AN INSURED—of under any other policy;or SECTION II—LIABILITY COVERAGE is (c) 180 days or more after its acquisition or amended to add the following: formation by you, unless you have given f. Any person or organization with respect to us written notice of the acquisition or the operation, maintenance or use of a formation. covered"auto", provided that you and Coverage does not apply to"bodily injury"or such person or organization have agreed "property damage"that results from an"accident" under an express provision in a written that occurred before you formed or acquired the "insured contract",written agreement or a organization. written permit issued to you by a B.Employees as Insureds governmental or public authority to add Paragraph A.I.—WHO IS AN INSURED—of such person or organization to this policy SECTION II—LIABILITY COVERAGE is amended to as an"insured". add the following: However,such person or organization is d. Any"employee"of yours while using a an"insured"only: covered"auto"you don't own,hire or Form: 16-02-0292 (Rev. 11-16) Page 1 of 3 "Includes copyrighted material of Insurance Services Office, Inc.with its permission" Policy Number:54310182 (1) with respect to the operation, d. Rental Expense maintenance or use of a covered We will pay the following expenses that you or "auto";and any of your"employees"are legally obligated (2) for"bodily injury"or"property damage" to pay because of a written contract or caused by an"accident'which takes agreement entered into for use of a rental place after: vehicle in the conduct of your business: (a) You executed the"insured MAXIMUM WE WILL PAY FOR ANY ONE contract'or written agreement; or CONTRACT OR AGREEMENT: (b) The permit has been issued to 1. $2,500 for loss of income incurred by the you. rental agency during the period of time that 3. FELLOW EMPLOYEE COVERAGE vehicle is out of use because of actual EXCLUSION B.S.-FELLOW EMPLOYEE—of damage to, or"loss"of,that vehicle, including SECTION II—LIABILITY COVERAGE does not apply. income lost due to absence of that vehicle for 4. PHYSICAL DAMAGE—ADDITIONAL TEMPORARY TRANSPORTATION EXPENSE COVERAGE use as a replacement; Paragraph A.4.a.—TRANSPORTATION EXPENSES 2. $2,500 for decrease in trade-in value of the —of SECTION III—PHYSICAL DAMAGE rental vehicle because of actual damage to COVERAGE is amended to provide a limit of$50 per that vehicle arising out of a covered"loss";and day for temporary transportation expense,subject to a 3. $2,500 for administrative expenses incurred maximum limit of$1,000. by the rental agency,as stated in the contract 5. AUTO LOAN/LEASE GAP COVERAGE or agreement. Paragraph A.4.—COVERAGE EXTENSIONS-of 4. $7,500 maximum total amount for paragraphs SECTION III—PHYSICAL DAMAGE COVERAGE is 1.,2.and 3.combined. amended to add the following: 7. EXTRA EXPENSE—BROADENED COVERAGE c. Unpaid Loan or Lease Amounts Paragraph A.4.—COVERAGE EXTENSIONS—of In the event of a total"loss"to a covered"auto',we will SECTION III—PHYSICAL DAMAGE COVERAGE pay any unpaid amount due on the loan or lease for a is amended to add the following: covered"auto'minus: e. Recovery Expense 1. The amount paid under the Physical Damage We will pay for the expense of returning a Coverage Section of the policy; and stolen covered"auto'to you. 2. Any: 8. AIRBAG COVERAGE a. Overdue loan/lease payments at the time of Paragraph B.3.a.-EXCLUSIONS—of SECTION the"loss'; III—PHYSICAL DAMAGE COVERAGE does not b. Financial penalties imposed under a lease for apply to the accidental or unintended discharge of excessive use,abnormal wear and tear or an airbag.Coverage is excess over any other high mileage; collectible insurance or warranty specifically c. Security deposits not returned by the lessor: designed to provide this coverage. d. Costs for extended warranties,Credit Life 9. AUDIO,VISUAL AND DATA ELECTRONIC Insurance, Health,Accident or Disability EQUIPMENT-BROADENED COVERAGE Insurance purchased with the loan or lease; Paragraph C.1.b.—LIMIT OF INSURANCE-of and SECTION III-PHYSICAL DAMAGE is deleted e. Carry-over balances from previous loans or and replaced with the following: leases. b. $2,000 is the most we will pay for"loss"in any We will pay for any unpaid amount due on the loan or one"accident'to all electronic equipment that lease if caused by: reproduces, receives or transmits audio,visual 1. Other than Collision Coverage only if the or data signals which, at the time of"loss", is: Declarations indicate that Comprehensive (1) Permanently installed in or upon the Coverage is provided for any covered"auto"; covered"auto'in a housing,opening or 2. Specified Causes of Loss Coverage only if the other location that is not normally used by Declarations indicate that Specified Causes of the"auto'manufacturer for the installation Loss Coverage is provided for any covered"auto; of such equipment; or (2) Removable from a permanently installed 3. Collision Coverage only if the Declarations indicate housing unit as described in Paragraph that Collision Coverage is provided for any covered"auto. 2.a.above or is an integral part of that 6. RENTAL AGENCY EXPENSE equipment;or Paragraph A.4.—COVERAGE EXTENSIONS—of (3) An integral part of such equipment. SECTION III—PHYSICAL DAMAGE COVERAGE is amended to add the following: 10. GLASS REPAIR—WAIVER OF DEDUCTIBLE Form: 16-02-0292 (Rev. 11-16) Page 2 of 3 "Includes copyrighted material of Insurance Services Office, Inc.with its permission" Policy Number:54310182 Under Paragraph D.-DEDUCTIBLE—of their rights of recovery against such person or SECTION III—PHYSICAL DAMAGE COVERAGE organization under a contract or agreement the following is added: that is entered into before such"loss". No deductible applies to glass damage if the glass To the extent that the"insured's"rights to is repaired rather than replaced. recover damages for all or part of any 11.TWO OR MORE DEDUCTIBLES payment made under this insurance has not Paragraph D.-DEDUCTIBLE—of SECTION III— been waived,those rights are transferred to PHYSICAL DAMAGE COVERAGE is amended to us.That person or organization must do add the following: everything necessary to secure our rights and If this Coverage Form and any other Coverage must do nothing after"accident"or"loss"to Form or policy issued to you by us that is not an impair them.At our request,the insured will automobile policy or Coverage Form applies to the bring suit or transfer those rights to us and same"accident",the following applies: help us enforce them. 1. If the deductible under this Business Auto Coverage Form is the smaller(or smallest) 14. UNINTENTIONAL FAILURE TO DISCLOSE deductible, it will be waived;or HAZARDS 2. If the deductible under this Business Auto Paragraph B.2.—CONCEALMENT, Coverage Form is not the smaller(or smallest) MISREPRESENTATION or FRAUD of SECTION deductible, it will be reduced by the amount of IV—BUSINESS AUTO CONDITIONS-is deleted the smaller(or smallest)deductible. and replaced with the following: If you unintentionally fail to disclose any hazards 12.AMENDED DUTIES IN THE EVENT OF existing at the inception date of your policy,we will ACCIDENT,CLAIM,SUIT OR LOSS not void coverage under this Coverage Form Paragraph A.2.a.-DUTIES IN THE EVENT OF because of such failure. AN ACCIDENT, CLAIM, SUIT OR LOSS of SECTION IV-BUSINESS AUTO CONDITIONS is 15. AUTOS RENTED BY EMPLOYEES deleted and replaced with the following: Paragraph B.S.-OTHER INSURANCE of a. In the event of"accident",claim,"suit"or SECTION IV—BUSINESS AUTO CONDITIONS- "loss",you must promptly notify us when the is amended to add the following: "accident"is known to: e. Any"auto"hired or rented by your"employee" (1) You or your authorized representative, if on your behalf and at your direction will be you are an individual; considered an"auto"you hire. If an (2) A partner, or any authorized "employee's"personal insurance also applies representative, if you are a partnership; on an excess basis to a covered"auto"hired (3) A member, if you are a limited liability or rented by your"employee"on your behalf company;or and at your direction,this insurance will be (4) An executive officer, insurance manager, primary to the"employee's"personal or authorized representative,if you are an insurance. organization other than a partnership or 16. HIRED AUTO—COVERAGE TERRITORY limited liability company. Paragraph B.7.b.(5).-POLICY PERIOD, Knowledge of an"accident", claim, "suit"or COVERAGE TERRITORY of SECTION IV— "loss"by other persons does not imply that the BUSINESS AUTO CONDITIONS is deleted and persons listed above have such knowledge. replaced with the following: Notice to us should include: (5)A covered"auto"of the private passenger (1) How,when and where the"accident"or type is leased,hired, rented or borrowed "loss"occurred; without a driver for a period of 45 days or (2) The"insured's"name and address; and less;and (3) To the extent possible,the names and 17. RESULTANT MENTAL ANGUISH COVERAGE addresses of any injured persons or Paragraph C. of-SECTION V—DEFINITIONS is witnesses. deleted and replaced by the following: 13. WAIVER OF SUBROGATION Paragraph A.S.-TRANSFER OF RIGHTS OF "Bodily injury means bodily injury,sickness or RECOVERY AGAINST OTHERS TO US of disease sustained by any person, including SECTION IV—BUSINESS AUTO CONDITIONS is mental anguish or death as a result of the"bodily deleted and replaced with the following: injury'sustained by that person. 5. We will waive the right of recovery we would otherwise have against another person or organization for"loss"to which this insurance applies, provided the"insured"has waived Form: 16-02-0292 (Rev. 11-16) Page 3 of 3 "Includes copyrighted material of Insurance Services Office, Inc.with its permission" POLICY NUMBER: 54310180 COMMERCIAL GENERAL LIABILITY CG20371219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations WHERE REQUIRED BY WRITTEN CONTRACT, BUT ALL LOCATIONS WHERE REQUIRED BY WRITTEN ONLY WHEN THE CONTRACT SPECIFIES COVERAGE CONTRACT FOR COMPLETED OPERATIONS Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III—Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage"caused, in whole or in part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the "products-completed operations 1. Required by the contract or agreement; or hazard". 2. Available under the applicable Limits of However: Insurance shown in the Declarations; 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted This endorsement shall not increase the applicable by law; and Limits of Insurance shown in the Declarations. 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 12 19 ©Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: 54310180 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations WHERE REQUIRED BY WRITTEN CONTRACT ALL LOCATIONS WHERE REQUIRED BY WRITTEN CONTRACT Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section 11 — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for"bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage"occurring after: caused, in whole or in part, by: 1. Your acts or omissions; or 1. All work, including materials, parts or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 10 12 19 ©Insurance Services Office, Inc., 2018 Page 1 of 2 Policy Number: 54310180 C. With respect to the insurance afforded to these 2. Available under the applicable limits of additional insureds, the following is added to insurance; Section III—Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable limits of insurance. will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 ©Insurance Services Office, Inc., 2018 CG 20 10 12 19 POLICY NUMBER: 54310180 COMMERCIAL GENERAL LIABILITY 10-02-2461 (Ed. 7-15) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY INSURANCE FOR SCHEDULED ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Additional Insured: Location Of Covered Operations: WHERE REQUIRED BY WRITTEN CONTRACT. ALL LOCATIONS (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) With respect only to the Additional Insured and at the Location Of Covered Operations shown in the Schedule, the following is added to SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4. Other Insurance and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to the Additional Insured with respect to the Location Of Covered Operations shown in the Schedule under this policy provided that: (1) The Additional Insured is a named insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the Additional Insured. 10-02-2461 (Ed.7-15) Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. Workers'Compensation and Employers'Liability Policy Named Insured Endorsement Number Palp Inc. DBA Excel Paving Company Policy Number Symbol: WCF Number:54310181 Policy Period Effective Date of Endorsement 6/1/2021 TO6/1/2022 6/1/2021 Issued By(Name of Insurance Company) FEDERAL INSURANCE Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A. of the Information Page. We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule, where you are required by a written contract to obtain this waiver from us. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. Schedule 1. ( ) Specific Waiver Name of person or organization: ( X ) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: ALL 3. Premium: The premium charge for this endorsement shall be 1.0 percent of the California premium developed on payroll in connection with work performed for the above person(s)or organization(s)arising out of the operations described. 4. Minimum Premium: $0 Authorized Representative WC 90 03 75(05/18) CITY OF HUNTINGTON BEACH 4PBUSINESS LICENSE P.O.Box 190 Huntington Beach,CA 92648-2702 (714)536-5267 Dahle Bulosan Chief Financial Officer HUY0215A 561 1 MB 0.485 _ 7000000570 00.0002.0084 561/1 EXCEL PAVING COMPANY 2230 LEMON AVE IVA LONG BEACH CA 90806-5124 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://www.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:/twww.dca.ca.gov/publications/index.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 A234608 EXCEL PAVING COMPANY Effective Date 03/01/2022 Owner/Corporation Expiration Date P A L P INC 02/28/2023 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. CITY OF LONG BEACH, CALIFORNIA PREPARED:02/02/2021 BUSINESS LICENSE P129 Y+ OWNERSHIP NON-TRANSFERABLE LICENSE EXPIRES:01/28/2022 THE LICENSEE NAMED BELOW IS AUTHORIZED TO OPERATE THE FOLLOWING: ACCOUNT NUMBER: BU05028940 BUSINESS TYPE: CONTRACTING-ENGINEERING OWNER: EXCEL PAVING COMPANY(PW) LOCATED AT: 2230 LEMON AVE AUTHORIZED BY: JOHN GROSS DIRECTOR OF FINANCIAL MANAGEMENT emu. LICENSE HOLDER--PLEASE NOTE . I THE TOP PORTION OF THIS FORM IS YOUR LICENSE.YOU MUST DISPLAY THE LICENSE IN A CONSPICUOUS PLACE ON THE BUSINESS PREMISES. THE DATE YOUR LICENSE EXPIRES IS INDICATED ON THE FACE OF THE LICENSE. IF YOU DO NOT RECEIVE A RENEWAL NOTICE BY THE EXPIRATION DATE,CONTACT THE BUSINESS LICENSE DIVISION AT(562)570-6211 OR SEND AN EMAIL TO LBBIZ@LONGBEACH.GOV. NOTE:YOU ARE RESPONSIBLE FOR RENEWING THE LICENSE ON OR BEFORE THE LICENSE EXPIRATION DATE. (PLEASE NOTIFY THE BUSINESS LICENSE DIVISION IF YOU ARE NO LONGER IN BUSINESS.) PLEASE REPORT IMMEDIATELY ANY CHANGE IN OWNERSHIP,BUSINESS LOCATION, MAILING ADDRESS, OR BUSINESS ACTIVITY TO THE BUSINESS LICENSE DIVISION. EXCEL PAVING COMPANY(PW) 2230 LEMON AVE LONG BEACH, CA 908065124 CONTRACTOR'S SWORN STATEMENT AND WARRANTY REGARDING CONTINUING INSURANCE OBLIGATIONS FROW Palp Inc dba Excel Paving Co. pRojECT: Flow Line Half Round (Contractor r4ame) Drainage Structures 2230 Lemon Ave (Street Address) Long Beach, CA 90806 (City,State and Zip) TO. CITY OF HUNTIIAICTON BEACH DECLARATION Attached hereto Is a true and correct copy of the current Certificate or Insurance and Additional Insured Endorsement ca 2010 1185, which Cerdlica'te complies with.the insurance requirements of the Contract by and between the City of Hunbngbm Beach C10ty")and the above-named Contractor O'Contractor)for the above-described project(Project"), I declare Linder penalty of pedury under the laws of the%te of California that the above statement is true and correct signed on March 15 1022at Long Beach, CA (Date) (0ty,state) (Signature of Individual Who Is Malting Dedaration) WARRANTY Contractor hereby warrants and agrees to maintain Products and Completed Operat Ens Insurance In compliance with the insurance requirements of the Contract for the Project Said Insuranim shall be maintained through and urrh"I the ag*attan of all Watranties provided by Contractor, Said insurance shall contain Additional Insured Endorsement CG 2010 1185,naming City as an additional Insured. Contractor shall supply to Oty, on at least an annual basis,a Certiflcate of Insurance and the aforemer4oned Endorsement evidencing continued coverage which meets the contract requhemerb, Signed on March 15 2022at Long Beach, CA 90806 (Date) (C'lyr State) CONTRACTOR: Namer Palp Inc dba Excel Paving Company BY- Ram O ur e brown ITT Tine: :a�at�s PERFORMANCE BOND Bond No.K40563167 KNOIAJ ALL PERSONS.bY THESE PRESENTS: WHEREAS,City of Huntington Beach(hereafter referred to as"City')has;by written agreement dated 20. ;entered into a contract with. PALP Inc,dba Excel Paving Company 2230 Lemon Avenue Long Beach,CA 90806 _ (name and address of Contractor) (hereinafter referred to as arincipal"),for performance of the wort:described as follows: Flow Line Half Round Drainage Structures on Main St,17th St and Orange.Ave (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 guamriteeing the prompt,full and faithful performance of said Contract, by a duly admitted: surety insurer under the laws of the State of California(hereinafter referred to as"Surety");.and Surety is certified and listed in the U.S. Department of the Treasury Circular 570, and has p-Mvided proof of suf#icient bonding limitations as shown in said circular to provide bonds in the amount required by said Contr-act;and Surety, has provided financial strength ratings from reputable companies,such.as from AN.Best,Moody's,or Standard&Poor's,to validate.that Surety has positive ratings of tieing secure:or. Stable;and Surety is registered and listed with the California Deparnnentof Insurance, NOW:THEREFORE',we,.the undersigned,as Principal,and. Federal Insurance Company 202B Halls Mill Road Whitehouse Station NJ 08889 (name and address of Surety) as Surety,are held and firmly bound.unto City in the penal sum of Two hundred ninety one thousand six hundred and 00/100 Dollars($291.600.00 ),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 severaliy,firmly by these Presents. THE CONDITION OF THIS OBLIGATION IS SUCH.THAT if the Principal.shall promptly,fully and faithfully perform each and all of the covenants,obligations and things to be done and performed by the Principal in strict accordance with the terms of the Contract as said contract may be altered:amended or modified from time to time;and if the Principal shall indemnify and save harRmless City and all of City's officers;agents and employees.(hereinafter collectively referred to as"Obligees")fromanyand all losses, liability and damages, claims,judgments.,stop:notices;fees and costs of every description;whether imposed by law;o+ in equity, which maybe incurred by the Obligees by reasonof the failure or default on the part of the Principal in.the performance of any or all of the terms or the obligations:of the Contract,including all alterations,amendments And modifications thereto,and any warranties or guarantees required thereunder,then this obligation shall be void; otherwise,it.shall tie and shall remain in.full force and effect Surety sfrpuiates and agrees,for value received,that.no Adjustment of the time or price in the Contractor any alteration,change;deletion.,:addition or other modification to the Contract,or the work.tt,be:performed. thereunder,shalt in anyway affect,limit,restrict,Impair or release the obligations of the Surety under this Bond. Surety waives notice.of any adjustment.of conntract or contract price,and any other alteration',change, deletion.,addition or other modification to the Contract,or work to be performed.thereunder, and agrees 15-4 584/I 17174 Bond No.. K40563167 to automatically adjust the penal sum of this Bond to reflect such adjustments,alteratic is,changes, deletions,additions or other modifications, Surety agrees try provide written confirm'air rrof such adjus.ments in the penal spin to City on.noi less than a quarterly.basis.: Su rety also waives the provisions of Civil Code§§2845 and 284:9_ The obligations of this Bond:shall survive the completion of the work described in the Contract as to all obligalJoijs and liabilities of the Prrcipal which.survive coriipletion:of the work, IN WITNESS WHEREOF,each party represents and.warrants that this instrument has been duiy executed by Principal and Surety,on the date set forth below,that the name of each corporate party being affixed heieto is such party's proper legal:name and that the individuals signing this.insti ument 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 Piave by reason of any failure of the Principal to execute or properly execute this bond. Dated _March 14.2022 ATTEST PALP Inc,dba Excel Paving Company (Corporate Seal) (Principal Name} B `6G Sir Nam& Curtis P.Brown,111 Title: President ATTEST Federal Insurance Company (C.orporate Seal) (Surety.Name..) 3' Name: Dou A.Rapp (Sign a of Attomey-in-Fact for Surety) (Attach Attorney-in-Fact Cegficatej :908 903-3485 (Area Code&'Telephone Number for Surety) APPROVED AS TO F00f.' Y. Michael E.Gatei;City Attorney !Vote. This bond,7wst be executed in duplicate and dated,all signatures must:be netanzed, and evidence ofthe authority of any person signing:as attomey-in-fact must be attached. PERFOR1M'C'E BOND Page 2.of 15458411 1 71.74 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On March 14, 2022 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp who proved to me on the basis of satisfactory evidence to be the person(*)whose name(*)isARM subscribed to the within instrument and acknowledged to me that he% ey executed the same in his4wm*m*authorized capacity0so, and that by his/i iwsignature(*)on the instrument the person", or the entity upon behalf of which the person(w)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. S °`'MF DEBRASWANSON N t u'm COMM. #t 2335630 X NOTARY PUBLIC•CALIFORNIA y ORANGE COUNTY N ` o,�anrP MY COMM.EXR NOV 10,2024 Signature (Seal) CHUBB` Power of Attorney Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company Westchester Fire Insurance Company I ACE American Insurance Company Know All by These Presents,that FEDERAL INSURANCE COMPANY,an Indiana corporation,VIGILANT INSURANCE COMPANY,a New York corporation,PACIFIC INDEMNITY COMPANY,a Wisconsin corporation,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY corporations of the Commonwealth of Pennsylvania, do each hereby constitute and appoint Douglas A.Rapp and Timothy D.Rapp of Ladera Ranch,California-------------------------------- each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise,bonds and undertakings and other writings obligatory in the nature thereof(other than bail bonds)given or executed in the course of business,and any instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to in said bonds or obligations. In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE/ � COMPANY have each executed and attested these presents and affixed their corporate seals on this 5th day of April,2 021. l Jl 1LJrl�15�} 0 1• `-L "aea &�J`�V_ •"n L d-r—� U;iv;n XI Chlcirys,As�ivant Sccrctnry ,* Stephen X1.ll:mcy.\`ice President STATE OF NEW JERSEY County of Hunterdon 55. On this 5m day of April,2021 before me,a Notary Public of New Jersey,personally came Dawn M.Cbloros and Stephen M.Haney,to me known to be Assistant Secretary and Vice President,respectively,ofFEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY,the companies which executed the foregoing Power of Attorney,and the said Dawn M.Chloros and Stephen M.Haney,being by me duly sworn, severally and each for herself and himself did depose and say that they are Assistant Secretary and Vice President,respectively,of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY and know the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of said Companies;and that their signatures as such officers were duly affixed and subscribed by like authority. Notarial Seal t � TARY E KATN ERINE J.ADELAAR wry s NOTARY PUBLIC OF NEW JERSY pLBLIG No.2316685 Commission Expires July 16,2024 NUi atY Puhlk y0YJ 9(x� CERTIFICATION Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY on August 30,2016; WESTCHESTER FIRE INSURANCE COMPANY on December 11,2006;and ACE AMERICAN INSURANCE COMPANY on March 20,2009: "RESOLVED,that the following authorizations relate to the execution,for and on behalf of the Company,of bonds,undertakings,recognizances,contracts and other written commitments of the Company entered into in the ordinary course ofbusiness(each a"Written Commitment'j: (1) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized to execute any Written Commitment for and on behalfofthe Company,under the sea] of the Company or otherwise. (2) Each dulyappointed attorney-in-fact of the Company is hereby authorized to execute any Written Commitment for and on behalfof the Company,under the seal ofthe Company or otherwise, to the extent that such action is authorized bythe grant of powers provided for in such person's written appointment as such attorney-in-fact. (3) Each of the Chairman,the President and the Vice Presidents of the Company is herebyauthorized,for and on behalfof the Company,to appoint in writing any person the attorney-in- fact of the Company with full power and authority to execute,for and on behalroftheCompany,under the sea]ofthe Company orotherwise,such Written Commitments ofthe Company as may be specified in such written appointment,which specification may be by general type or class of Written Commitments or by specification of one or more particular Written Commitments. (4) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized,for and on behalf of the Company,to delegate in writing to any other officer of the Company the authorityto execute,for and onbehalf of the Company,under the Company's seal or otherwise,such Written Commitments ofthe Company as are specl0ed insuchwritten delegation,which specification maybe by general type or class of Written Commitments or byspecification ofone or more particular Written Commitments. (S) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution,and the seal of the Company,may be affixed by facsimile on such Written Commitment orwritten appointment or delegation. FURTHER RESOLVED,that the foregoing Resolution shall not be deemed to be an exclusive statement of the powers and authority of officers,employees and otherpersons to act for and on behalf of the Company,and such Resolution shall not limit or otherwise affect the exercise of any such power or authority otherwise val idly granted or vested." 1,Dawn M.Chloros,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE C OMPANY and ACE AMERICAN INSURANCE COMPANY(the"Companies' do hereby certify that (i) the foregoing Resolutions adopted by the Board of Directors of the Companies are true,correct and in full force and effect, (if) the foregoing Power of Attorney is true,correct and in full force and effect. Given under my hand and seals of said Companies at Whitehouse Station,NJ,this March 14, 2022 Flay.n NI.(Al lot(is.A-,iaantSecreuir' IN THE EVENT YOU WISH TO VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER,PLEASE CO NTACT US AT: Telephone 908 903-3493 Fax 908 903-36S6 e-mail:surety@chubb.com Combined:FED-VIG-PI-WRC-AAIC(rev.11-19) , CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of Los Angeles On MD-ec�\ 14 Z02�7' before me, Myisha Monique Riven, Notary Public ,Notary Public, (Here insert name and title of the officer) personally appeared Curtis P. Brown III. who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/a)k subscribed to the within instrument and acknowledged to me that he/s)&/t?& executed the same in his/*/tb* authorized capacity(ies), and that by his/1*/th*signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. MYISHA MONIQUE RIVEN WITNESS my hand and official seal. COMM.#2377053 M t ' Notary Public-Califomia LL - LOS ANGELES COUNTY LL (Notary Seal) MY Comm.Expires Sep 30,2025 Signature of Tfotary Public ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in California must contain verbiage exactly as DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary section or a separate acknowledgment form must be properly completed and attached to that document. The only exception is if a document is to be recorded outside of California.In such instances, any alternative (Title or description of attached document) acknowledgment verbiage as may be printed on such a document so long as the verbiage does not require the notary to do something that is illegal for a notary in California (i.e. certifying the authorized capacity of the signer). Please check the (Title or description of attached document continued) document carefully for proper notarial wording and attach this form if required. • State and County information must be the State and County where the document Number of Pages Document Date signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which must also be the same date the acknowledgment is completed. (Additional information) • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title(notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. ❑ he/she/Obey-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. 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 4. Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. ❑ Other to Indicate title or type of attached document,number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). • Securely attach this document to the signed document C 2004-2015 ProLink Signing Service,Inc.-All Rights Reserved www.TheProLink.com-Nationwide Notary Service PAYMENT BOND (LABOR AND MATERIALS) Bond No. K40563167 KNOW ALL PERSOiNS BY THESE PRESEIq T S: NJHEREAS,.City of Huntington 13 cl (hereafter referred to as"City")has awarded to PALP Inc. db_a Excel.Paving Company 2230 Lemon Avenue,Long Beach.CA 90806 _ (name and address of Contractor) (hereinafter referred to os'Principal"),a contract("Contract")for the work described asfoilows: Flow Line Half Round Drainage Structures on Main St 17th St and Orange Ave (Project Title) WHEREAS;.Principal is required:under the terms of the Contract and the California Civil Code to furnish a bond to secure the payment of claims of laborers,mechanics,materialmen,and other persons as provided by law, by a duly admitted surety insurer under the laws :of tihe State of California (hereinafter referred to as "Surety") and Surety is certified and listed in..the.U.S. Department of the Treasury Circular 570,and has provided proof.of sufficient bonding limitation, as shown in said circular to.provide bonds in. the amount.required by said Contract;and Sutet) has provided financial strength ratings from reputable companies,such as from A-M,Best,Moody's or Standard.&.Pooes,to validate that Surety has positive ratings of being secure or Stable;and Surety is registered and listed with the California Department oflnsurance:. NOW THEREFORE,we,the undersigned Principal,and Federal Insurance Company 202E Halls Mill Road,Whitehouse Station,NJ 08889 (name and address of Surety) as Surety,are held and firmly bound unto City in the penal sum of Two hundred ninety one thousand six hundred and 00/106 dollars( 29.1.600.00 1,this amount.being not less than one hundred percent(1001/6)of the total price set forth:irt the Contract;in lawful money of the United.States of America,for the payment:&which sum,well.and truly to be made,wo bind ourselves,and each of our heirs. executors,administrators.successors,and assigns,joingy and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATiO.N IS SUCH:THAT,if the Principal;his;,her,or its heirs,executors, adrnirii3tratOrs.,.9uoi)c63.or3.or as.319n3,;or 3ubabntr ator3 shall fail to poy.any of the porsons nomad 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,orany 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 pursuantlo Scotions.1774, 1775,1813 or 18.15 of.the Labor Coda.,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 expeeding the penal.sum specified in this bond;otherwisc;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 es to give a right of.action to such persons or their assigns. In case any action is brought upon this bond, Surety further agrees to pay all court costs and a reasonable attorney's fee in an amount fixed by the court. PAY114-FN'F BOND Page l of.2 18 4584/1.17357 Surety stipulates and agreesi 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,snail in any way affect, impair or release the obligations of Surety under this bond. Surety hereby waives notice of any such change, extension of time,alteration,addition,or modification to the terms of the Contract,the contract documents or the work thereunder,. Surety also waives the provisions of California CiVi(Code;§ 2845 and 2849. IN WITNESS WHEREOF,each party represents and warrants that this instrument:has been duly executed by Principal and Surety,on the date set forth below,that the name of each corporate party being affixed hereto is such party's proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of Its governing body. Surety, by execution of this bond,waives any defense which Surety has or may have by reason of any failure of the Principal.to execute or properly execute this bond. Dated: March 14,2022 ATTEST PALP Inc,dba Excel Paying Company (Corporate Seal) (Princtpal Name) Ey: Na ie:Curtis P.Brown.III itle; President ATTEST Feral Insurance Company (Corporate Sea[) (Surety Name). Name: Dou I A.Ra ,(Signallre of Attorney-in-Fact for surety) (Attach Attorney>in-Fact Certificate) (9Q8) 903-3485 (Area Code&Telephone Lumber for Surety) APPROVEO:AS T.D'F£fl'Rtyl:. 'J1 Gael E.Gates'City Attorney r� Note; This bond must be executed in duplicate and dated,all signatures must be notarized;and evidence of he authontyofany person signing as attornay-in-fact,must be.affached. PAYPv€FNT BOA1D Pago 2 of 2 1.5-4 5 84/11 735 7 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On March 14, 2022 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp , who proved to me on the basis of satisfactory evidence to be the person(*)whose name(&) ismm subscribed to the within instrument and acknowledged to me that heh*aAlwy executed the same in hisAgmO@i it authorized capacity0sej, and that by his/h irsignature(s)on the instrument the person(*, or the entity upon behalf of which the person(&)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of Califomia that the foregoing paragraph is true and correct. WITNESS my hand and official seal. N w� °F1,F DEBR NS ASWAON , ��`{ COMM.#2335630 X _® a NOTARY PUBLIC-CALIFORNIA N =r � ORANGE COUNTY w rl °unmra W COft EXR NOV 10,2024 Signature \1�1b5 � , �ac� (Seal) CHUBB' Power of Attorney Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company Westchester Fire Insurance Company I ACE American Insurance Company Know All by These Presents,that FEDERAL INSURANCE COMPANY,an Indiana corporation,VIGILANT INSURANCE COMPANY,a New York corporation,PACIFIC INDEMNITY COMPANY,a Wisconsin corporation,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY corporations ofthe Commonwealth of Pennsylvania, do each hereby constitute and appoint Douglas A.Rapp and Timothy D.Rapp of Ladera Ranch,California------------------------------------------------------------- each as their true and lawful Attomey-in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver forand on their behalf as surety thereon or otherwise,bonds and undertakings and other writings obligatory in the nature thereof(other than bail bonds)given or executed in the course of business,and any instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to in said bonds or obligations. In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY have each executed and attested these presents and affixed their corporate seals,on this Sth'day of April,2 021. T�J 1��. 1tuseJiu'� A or � Y_l lhl v Rivm Nl.Chlur«.r\s ismm Snrct:ny Stephen M.Raney.Vice ITT ident STATE OF NEW JERSEY County of Hunterdon SS On this Sd, day of April;2021 before me,a Notary Public of New Jersey,personally came Dawn M.Chloros and Stephen M.Haney,to me known to be Assistant Secretary and Vice President,respectively,of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANYand ACE AMERICAN INSURANCE COMPANY,the companies which executed the foregoing Power of Attorney,and the said Dawn M.Chloros and Stephen M.Haney,being by me duly sworn, severally and each for herself and himself did depose and say that they are Assistant Secretary and Vice President,respectively,of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY and know the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of said Companies;and that their signatures as such officers were duly affixed and subscribed by like authority. Notarial Seal 4 F�s KATHERINE J.ADELAAR NOTARY PUBLIC OF NEW JERSEY No.2316685 P11BL1 Commission Expires July 16,2024 ".1y Public J 5 CERTIFICATION Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY on August 30,2016; WESTCHESTER FIRE INSURANCE COMPANY on December 11,2006;and ACE AMERICAN INSURANCE COMPANY on March 20,2009: "RESOLVED,that the following authorizations relate to the execution,for and on behalf ofthe Company,of bonds,undertakings,recognizances,contracts and other written commitments of the Company entered into in the ordinary course ofbusiness(each a"Written Commitmenl'�: (1) Each of the Chairman,the President and the Vice Presidents of the Company Is hereby authorized to execute any Written Commitment for and on behalfofthe Company,under the seal ofthe Company or otherwise. (2) Each duly appointed attorney-in-fact ofthe Company is hereby authorized to execute anyWritten Commitment forand on behalfofthe Company,under the seal ofthe Companyor otherwise, to the extentthat such action is authorized bythe grant ofpowers provided for in such person's written appointment as such attorney-in-fact. (3) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized,forand on behalfofthe Company,to appoint in writing any person the attorney-in- fact of the Company with full power and authorityto execute,for and on behalfofthe Company,under the seal ofthe Company or otherwise,such Written Commitments ofthe Company as may be specified in such written appointment,which specification may be by general type or class of Written Commitments or by specification of one or more particular Written Commitments. (4) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized,for and on behalfof the Company,to delegate in writing to any other officer ofthe Company the authorityto execute,for and onbehalf of the Company,under the Company's seal or otherwise,such Written Commitments ofthe Company as are specified insuch written delegation,which specification may be by general type or class of Written Commitments or byspecification of one or moreparticular Written Commitments. (S) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution,and the seal ofthe Company,may be affixed by facsimile on such Written Commitment orwritten appointment or delegation. FURTHER RESOLVED,that the foregoing Resolution shall not be deemed to be an exclusive statementof the powers and authority of officers,employees and otherpersons to act for and on behalf ofthe Company,and such Resolution shall not limit or otherwise affect the exercise of any such power or authority otherwise validly granted orvested." I,Dawn M.Chloros,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANYandACE AMERICAN INSURANCE COMPANY(the"Companies")do hereby certify that (i) the foregoing Resolutions adopted by the Board of Directors ofthe Companies are true,correct and in full force and effect, (if) the foregoing Power of Attorney is true,correct and in full force and effect. Given under my hand and seals of said Companies at Whitehouse Station,NJ,this March 14,2022 Awn al.Chlur(..A. iq:m t StvreLm IN THE EVENT YOU WISH TO VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER,PLEASE CONTACT US AT: Telephone 908 903-3493 Fax 908 903-3656 e-mail:RlretyOchubb.com Combined:FED-VIG-PI-WFIC-AAIC(rev.11-19) CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of Los Angeles On M t�i2c.� 1`-( wZZbefore me, Myisha Monique Riven, Notary Public ,Notary Public, �— (Here insert name and title of the officer) personally appeared Curtis P. Brown III , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/alb subscribed to the within instrument and acknowledged to me that he/sye/t44y executed the same in his/*/tl* authorized capacity(ies), and that by his/1*413)41 signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. MYISHA MONIQUE RIVEN WITNESS my hand and official seal. COMM.#2377053 •� Notary Public-california U. LOS ANGELES COUNTY LL (Notary Seal) My Comm.Expires Sep 30,2025-At 10 C4 Signature of Alotary Public ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in California must contain verbiage exactly as DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary section or a separate acknowledgment form must be properly completed and attached to that document. The only exception is if a document is to be recorded outside of California.In such instances, any alternative acknowledgment verbiage as may be printed on such a document so long as the (Title or description of attached document) verbiage does not require the notary to do something that is illegal for a notary in California (i.e. certifying the authorized capacity of the signer). Please check the document carefully for proper notarial wording and attach this form if required. (Title or description of attached document continued) • State and County information must be the State and County where the document Number of Pages Document Date signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which must also be the same date the acknowledgment is completed. (Additional information) • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title(notary public). Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he/she/*ey-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. 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. Partners • 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. :• Indicate title or type of attached document,number of pages and date. ❑ Other Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). • Securely attach this document to the signed document C 2004-2015 ProLink signing Service,Inc.-AU Rights Reserved www.TheProLink.com-Nationwide Notary Service 3/22/22,3:36 PM Company Profile COMPANY PROFILE Company Profile Company Search Company Information Company Search Results FEDERAL INSURANCE COMPANY Company 202B HALL'S MILL ROAD Information WHITEHOUSE STATION, N] 08889 Old Company 800-252-4670 Names Agent for Service Old Company Names Effective Date Reference Information NAIC Group List Agent For Service Lines of Business AMANDA GARCIA Workers' 330 N Brand Blvd Ste 700 Compensation Glendale CA 91203-2336 Complaint and Request for Reference Information Action/Appeals Contact Information Financial Statements NAIC #: 20281 PDF's __ i California Company ID #: 0059 6 Annual Statements .... Quarterly Date Authorized in California: 12/18/1902 Statements Company Complaint License Status: UNLIMITED-NORMAL Company Company Type: Property&Casualty Performance& Comparison Data State of Domicile: INDIANA Company Enforcement Action Composite back to top Complaints Studies Additional Info NAIC Group List Find A Company Representative In Your Area NAIC Group #: 0626 Chubb Ltd Grp View Financial Disclaimer Lines Of Business The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. AIRCRAFT AUTOMOBILE BOILER AND MACHINERY BURGLARY COMMON CARRIER LIABILITY CREDIT DISABILITY FIRE LIABILITY MARINE MISCELLANEOUS PLATE GLASS https://interactive.web.insurance.ca.g ov/companyprofile/companyprofile?event=companyProfile&doFunction=getCompanyProfile&eid=2652 1/2 3/22/22,3:36 PM Company Profile SPRINKLER SURETY TEAM AND VEHICLE WORKERS'COMPENSATION back to top © 2008 California Department of Insurance https://interactive.web.insurance.ca.gov/companyprofile/companyprofile?event=companyProfile&doFunction=getCompanyProfile&eid=2652 2/2 3/23/22,6:16 AM Surety Bonds-List of Certified Companies (NAIC#41483) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183. PHONE: (860) 277-0111. UNDERWRITING LIMITATION b/: $28, 959,000. LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, INCORPORATED IN: Connecticut. FCCI Insurance Company (NAIC#10178) BUSINESS ADDRESS: 6300 University Parkway, Sarasota, FL 34240 - 8424, PHONE: (800) 226-3224. UNDERWRITING LIMITATION b/: $ 67,758,000. LICENSES c,f/: AL, AZ, AR, CO, DE, DC, FL, GA, IL, IN, IA, KS, KY, LA, MD, MI, MS, MO, MT, NE, NM, NC, ND, OH, OK, PA, SC, SD,TN, TX, UT, VA, WV, WI, WY. INCORPORATED IN: Florida. Federal Insurance Company (NAIC#20281) BUSINESS ADDRESS: 202B Hall's Mill Road, Whitehouse Station, NJ 08889. PHONE: (215) 640-1000. UNDERWRITING LIMITATION b/: $ 414,198,000. LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD,TN,TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Indiana. FEDERATED MUTUAL INSURANCE COMPANY (NAIC#13935) Di ic IN(ccc nnnoccc• 1')1 CA CT DADV c/'11 InDC f1\NnT!'lnlNln nnni ccnsn Translate https:/twww.fiscal.treasury.gov/surety-bonds/list-certified-companies.html#f 30/92 3/23/22,6:22 AM https://ratings.ambest.com/CompanyProfile.aspx?ambnum=2084&URatingld=2985602&bl=O&AfSrc=l&PPP=&ARNum=O&Ext_User—&Ext_Misc=&Portal=0&Site= AM Best Rating Services Federal Insurance Company —I ," AMB#:002084 NAIC#:20281 FEIN#:131963496 Administrative Office Assigned to insurance companies that 202B Hall's Mill Road have,in our opinion,a superior ability to Whitehouse Station,New Jersey 08889 meet their ongoing insurance obligations. Unit d States al,�l Web:www,chukb.com E� Phone:215-640-1000 View Additional Address Information JtPV ad€1;f!t;nizl news,t;GpORS and AM Best Rating Unit:AMB*000012-Chubb U,S.Grop of Insurance Comks products for th",,;ompany' Based on AM Best's analysis,058303-Chubb Limited is the AMB Ultimate Parent and identifies the topmost entity of the corporate structure.View a list of op-q ating insurance entities in this structure. e is Credit Ratings Financial Strength View Definition Best's Credit Rating Analyst Rating(Rating Category): A++(Superior) Rating Office:A.M.Best Rating Services,Inc. Outlook(or Implication): Stable Associate Director:Alan Murray Action: Affirmed Senior Director:Michael J.Lagomarsino,CFA,FRM Effective Date: December 10,2021 N See the Disclosure information Form or Press Release below for Initial Rating Date: December 31,1907 the office and analyst at the time of the rating event. Long-Term Issuer Credit View Definition Disclosure Information Rating(Rating Category): aa+(Superior) Disclosure Information Form Outlook(or Implication): Stable View AM Best's RAt[09 Disclosure Form Action: Affirmed Press Release Effective Date: December 10,2021 AM Best Affirms Credit Ratings of Chubb Limited and Its Initial Rating Date: March 17,2005 Subsidiaries December 10,2021 View AM Best's R ing Review Form Financial Size Category View Definition Financial Size Category: XV($2 Billion or greater) u Denotes Under Review.Best's Rating Rating History AM Best has provided ratings&analysis on this company since 1907. Financial Strength Rating Long-Term Issuer Credit Rating https://ratings.ambest.com/CompanyProfile.aspx?ambnum=2084&URatingld=2985602&bi=0&A tSrc=1&PPP=&AltNum=O&ExLUser--&Ext_Misc-&Portal=0&Site= 1/3 3/23/22,6:22 AM hops://ratings.ambest.com/CompanyProfile.aspx?ambnum=2084&URatingld=2985602&bl=0&AttSrc=1&PPP=&ABNum=O&Ext_User-&Ext_Misc=&Portal=0&Site= Effective Date Rating Effective Date Rating December 10,2021 A++ December 10,2021 aa+ December 17,2020 A++ December 17,2020 aa+ December 11,2019 A++ December 11,2019 aa+ December 13,2018 A++ December 13,2018 as+ October 05,2017 A++ October 05,2017 aa+ The following links provide access to related data records that AM Best utilizes to provide financial and analytical data on a consolidated or branch basis. AMB# Company Name Company Description 087730 Federal Insurance Company CAB Represents the Property/Casualty financials for the Canada Branch of this legal entity. 090042 Federal Insurance Company(HKB) Represents the Property/Casualty financials for the Hong Kong Branch of this legal entity. 090456 Federal Insurance Company KRB Represents the Property/Casualty financials for the South Korea Branch of this legal entity. 993151 Federal Insurance Company(SGB) Represents the Property/Casualty financials for the Singapore Branch of this legal entity. ,..„ -,,t 8, =lnaPia.l'aI Rice'Po£e'S -- atata_Qr,Cdit Repgrf-financial data included in Best's Credit Report reflects the data used in determining the current credit rating(s)for AM Best Rating Unit:AMB#:000012-Chubb U.S.LOOGroup of Insurance IJI np Coranies. .............. Best's Credit Report AI chive-reports which were released prior to the current Best's Credit Report. Ad Best's Financial Report-financial data included in Best's Financial Report reflects the most current data available to AM Best,including updated financial exhibits and additional company information,and is available to subscribers of Best's Insurance Reports. View additional news,reports and products for this company. https://ratings.ambest.com/CompanyProfile.aspx?ambnum=2084&URatingld=2985602&bl=O&A tSrc=1&PPP=&A1tNum=O&EM_User-&Ex-Misc-&Portal=0&Site= 2/3 3/23/22,6:22 AM https://ratings.ambest.com/CompanyProflle.aspx?ambnum=2084&URatingld=29B5602&bl=0&AfSrc=1&PPP=&ABNum=O&Ext__User--&Ext_Misc=&Portal=08Sfte= Me Dec 10,2021 AM...R.est_Affrms_Gredit_Ratings„Qf_Ch.lihb..Limited.,and,lts._$ubsidiaDes Dec 17,2020 AM.Best..Aff.Ir..rns._ c�.d.it f?�ting�.�f.�hubhd...giad.1ts��hsi�faties Dec 11,2019 AM Best Affirms Credit Ratings of Chubb Limited and Its Subsidiaries Dec 13,2018 AM._Best Affirms Credit Ratings_gt_Chubb_Limjted_and_Its Subsidiaries Oct 05,2017 A;_M,Best Affinns Cfeslit Rattngs.of_Ciiubb_Litnited_and Its$ubsidiaries Jun 22,2016 A.M.Best Removes From Under Review and Affirm_atings of Chubb Limited and Most pf Its$ubsidiaries Jul 02,2015 A.M._Lo_t I?Iages Rating ofs_�p r ti nand It ri s der Revi w Wit egative Impl'c ti n Apr 16,2015 A M ,Be,$t„.pgra�ies_tssuer,�rgdLt,Rings„gf_Tltg,_Chubb,Cgrpret gn_spc�„Its ubsidiaries 2 3 Page size: 10 22 items in 3 pages European Union Disclosures A.M.Best(EU)Rating Services B.V.(AMB-EU),a subsidiary of A.M.Best Rating Services,Inc.,is an External Credit Assessment Institution(ECAI)in the EU. Therefore,credit ratings issued and endorsed by AMB-EU may be used for regulatory purposes in the EU as per Directive 2013/36/EU. United Kingdom Disclosures A.M.Best—Europe Rating Services Limited(AMBERS),a subsidiary of A.M.Best Rating Services,Inc.,is an External Credit Assessment Institution(ECAI)in the United Kingdom(UK).Therefore,Credit Ratings issued and endorsed by AMBERS may be used for regulatory purposes in the United Kingdom as per the Credit Rating Agencies(Amendment,etc.)(EU Exit)Regulations 2019. Australian Disclosures A.M.Best Asia-Pacific Limited(AMBAP),Australian Registered Body Number(ARBN No.150375287),is a limited liability company incorporated and domiciled in Hong Kong.AMBAP is a wholesale Australian Financial Services(AFS)Licence holder(AFS No.411055)under the Corporations Act 2001.Credit ratings emanating from AMBAP are not intended for and must not be distributed to any person in Australia other than a wholesale client as defined in Chapter 7 of the Corporations Act.AMBAP does not authorize its Credit Ratings to be disseminated by a third-party in a manner that could reasonably be regarded as being intended to influence a retail client in making a decision in relation to a particular product or class of financial product.AMBAP Credit Ratings are intended for wholesale clients only,as defined. Credit Ratings determined and disseminated by AMBAP are the opinion of AMBAP only and not any specific credit analyst.AMBAP Credit Ratings are statements of opinion and not statements of fact.They are not recommendations to buy,hold or sell any securities or any other form of financial product, including insurance policies and are not a recommendation to be used to make investment/purchasing decisions. Important Notice:AM Best's Credit Ratings are independent and objective opinions,not statements of fact.AM Best is not an Investment Advisor,does not offer investment advice of any kind,nor does the company or its Ratings Analysts offer any form of structuring or financial advice.AM Best's credit opinions are not recommendations to buy,sell or hold securities,or to make any other investment decisions.For additional information regarding the use and limitations of credit rating opinions,as well as the rating process,information requirements and other rating related terms and definitions,please view Guide to Best's Credit tings. About Us j Careers j Contact j Events j Offices j Press Releases I,Social Media i Cookie Notice j Legal&Licensing j Privacy Notice I Site Mau j Terms of Use Regulatory.Affairs-Form NRSRO-Code of Conduct-Rating Methodology-Historical Performance Data Copyright®2022 A.M.Best Company,Inc.and/or its affiliates ALL RIGHTS RESERVED. https://ratings.ambest.com/CompanyProfile.aspx?ambnum=2084&URatingld=2985602&bl=0&AJISrc=l&PPP=&ARNum=O&Ext_User-&Ext_Misc-&Portal=0&Site= 3/3 RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) A, >rt4 CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: &L.0/LZZ. SUBJECT: Bond Acceptance I have received the bonds for la, ci t�t> (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. Xgos 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 �3Z011.0D22 (Council Approval Date) CC No. /La 7�o Agenda-tern No. as - /l 0 MSC No. City Clerk Vault No. '600•5D Other No. SIRE System ID No. S,: -104l�/g g:/torms/bond transmittal to treasurer City of Huntington Beach a.- . . 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Fe : Office of the City Clerk Robin Estanislau, City Clerk June 21, 2022 Palp, Inc., dba Excel Paving Attn: Ken Corry 2230 Lemon Ave. Long Beach, CA 90806 Re: Flow Line Half Round Drainage Structures on Main St., 17'h St., Orange Ave. —CC No. 1676 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. Robin Estanislau, CIVIC City Clerk RE:ds Enclosures: Copy of Contract including Proposal Copies of insurance/bonds Sister Cities. Anjo, Japan ♦ Waitakere, New Zealand 20M Main street, Huntington Beach,CA 926" City of Huntington Beach ArmVO) Y_v File #: 22-110 MEETING DATE: 3/1/2022 REQUEST FOR CITY COUNCIL ACTION SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Sean Joyce, Interim City Manager PREPARED BY: Sean Crumby, Director of Public Works Subject: Accept the lowest responsive and responsible bid and authorize execution of a construction contract with Palp. Inc. dba Excel Paving Company (Excel Paving) in the amount of $291.600 for the Flow Line Half Round Inlet Drainage Structures Project, CC-1676 Statement of Issue: On December 17, 2021, bids were electronically opened for the Flow Line Half Round Drainage Inlet Structures. City Council action is requested to award the construction contract to Excel Paving, the most responsive and responsible bidder. Financial Impact: Total construction cost for the project, including contingency, is $351,600. A total of$250,000 is available in Drainage Fund account 21188007.82500. The balance of $101,600 is available in Infrastructure Fund account 31440001 .82500. Recommended Action: A) Accept the most responsive and responsible bid submitted by Excel Paving in the amount of $291,600, and, B) Authorize the Mayor and City Clerk to execute a construction contract in a form approved by the City Attorney. Alternative Action(s): Reject all bids, or provide staff with alternative action. Analysis: The Half Round Drainage Inlet Structures Project will improve water quality runoff by capturing trash and minimizing the amount of debris that collects at these existing half-round structures that eventually discharges into the ocean. These existing half-round shaped drainage structures will consist of new metal grates and supporting concrete and asphalt. There are 384 locations throughout City of Huntington Beach Page 1 of 2 Printed on 2/24/2022 File #: 22-110 MEETING DATE: 3/1/2022 the City with fewer than 50 being completed to date. This project will address 54 structures. Bids were electronically opened on January 27, 2022, with the following results: BIDDER'S NAME BID AMOUNT Kormex Construction $270,000 (Bid Withdrawn) Excel Paving $291,600 Williamson $340,200 Development Gentry General $479,952 Engineering CS Legacy $574,560 Loghmani & S695,912 Associates TE Roberts 1$1,000,404 Beador Construction 1$1 ,890,000 Staff recommends awarding a contract to Excel Paving in the amount of $291 ,600. Excel Paving has recently provided acceptable work in the City of Huntington Beach by constructing the EdwardsNarsity Water Main Replacement project. The total project cost is estimated to be $351,600, which includes the construction contract, project management (S30,000), and construction contingency ($30,000). Public Works Commission Action: The Public Works Commission reviewed and approved CC-1676 on February 16, 2022, Environmental Status: The project is categorically exempt pursuant to Class 1, section 15031d of the California Environmental Quality Act. Strategic Plan Goal: Infrastructure & Parks Attachment(s): 1. Location Map City of Huntington Beach Page 2 of 2 Printed on 2/24/2022 oowerel:'U;Le0,star Attachment 81 17 T0M HW Pe rod Locatbn4 Flow Line 9 349HRN132 Half Round 349HRN 131 Drainage Inlet USHRN136 ��/ /.349HRN137 CC USHRN136 No. c CC 134 (a1yN Gr�e�41r9 \ 349HRN066 \\•// 349HRN089 / -- 349HRN 34911RN092090\��• � 349HRN095 i• • '\\ \•I / omens �p1i�1w.W >IA/Iw11M{ 34MIR06062 vkblh'May L38 339 431 441 ,�0 451 4� • HALF ROUND STRUCTURE LOCATION 13 To i NO Rwu LOCe * �. Flow Line n.non NINRROIl Half Round '• Drainage Inlet Structures CC No. 1676 • MIXRNDe6 -� �^n Y i Y 01"IHMIG MINRNMT MIHRUM{ Vidaay Map Illrl/�0 41� V-4"R11MM1 9 431 432 MIMIIIIM 9"W-1W Nf 140 9 - 1� 442I M/NIMfi=i' t 1- - .._ 359 451 452 MIXRMOe] ��"� fi Repertime Muria 31 Total Hell RWnd LO &BN & ! 1 'r— Flow Line Half Round `369HRNo19 Drainage Inlet 9a a51HRN0 a61NRM171 Structures 451HRNw5 _ O.N 461HRN053 CC' i� _ 451HRN109 ' 1676 451HRN052 W ~.f rm.�rr..,.•..�a..• ']69NRN011 961HRN106 - ea "�• . M1 HRN057 ♦ i ., 451HRN104 e61NRN0a6 •• 1 461HRN066 -' - • a61HRN10),i 9SIAN109 461HRN090 • J 491 HRM091 fs ..e..ror+t... ftm 4611ORN093 4 .19•R / \ ' ` 66/NRNOM h f i I • �- vk;RNy Map / \ f g1NRN036 N.., u1XRM710 f r�...t %/f 6HXRN033 i7 / ••^•' \ •r j 5C4�5 4 z Y1HRN009 - \, .\ 1 • NlpN11Rl DiUnd Moore, Tania From: Christine Gonzalez <cgonzales@scng.com> Sent: Friday, December 10, 2021 8:54 AM To: Tanio, Chris Cc: Moore, Tania; Switzer, Donna; Papa, Alvin; Birchfield, Mark Subject: Re: NIEB - CC No. 1656 Attachments: 11506763.pdf Good morning! Cost $1,490.00, pub 12/16,12/23 HB Wave PLEASE NOTE Holiday Deadlines 2021 Publication Thursday Dec. 30th, 2021 Submission Deadline 3pm, Wednesday Dec. 22nd. Approvals and changes loam, Thursday Dec. 23rd. Publication Thursday Jan. 6,2021 Submission Deadline 3pm, Wednesday Dec. 29th. Approvals and changes loam, Thursday Dec. 30th. PP, / -. . 4 . 1 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, Dec 9, 2021 at 2:35 PM Tanio, Chris <chris.tanioa,surfcity-hb.org> wrote: Thanks Tania! Chris Tanio,PE Principal Civil Engineer i City of Huntington Beach Public Works Department (714) 536-5467 From: Moore, Tania<Tania.Moore@surfcity-hb.org> Sent: Thursday, December 9, 2021 2:25 PM To: Christine Gonzalez<cgonzales@,scng.com> Cc: Switzer, Donna<Donna.Switzer@surfcity-hb.org>; Tanio, Chris<chris.tanio@surfcity-hb.org>; Papa, Alvin<alvin.papa@surfcity-hb.org>; Birchfield, Mark<mbirchfield@surfcity-hb.org> Subject: NIEB - CC No. 1656 Hi Chrissy, Please publish the attached NIEB in The Wave on 12/16 & 12/23. Thank you, Tania Moore, CMC Senior Deputy City Clerk City Clerk's Office 714-536-5209 tania.moore@surfcity-hb.org 2 SECTION A NOTICE INVITING ELECTRONIC BIDS FOR THE FLOW LINE HALF ROUND DRAINAGE INLET STRUCTURES ON MAIN STREET,17th STREET,ORANGE AVENUE CC NO.1656 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 2:00 PM on Thursday, January 20,2022,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 proiect via the City's PlanetBids System Vendor Portal website at: https://www.planetbids.com/portal/oortal.cfm?Company I D=15340 Copies of the bid documents, including instructions to bidders, bidder proposal form, and specifications may be downloaded free at: https://www.planetbids.com/aortal/portal.cfm?CompanvID=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. SCHEDULE OF EVENTS Release of Invitation For Bids December 16,2021 Deadline for Written Questions January 5,2021 Responses to Questions Posted on Web January 11,2022 Bids are Due @ 2:00 pm January 20,2022 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.gov/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,cashiers check,or bidders 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 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 BID SECURITY-DO NOT OPEN Prolect Name: Flow Line Half Round Drainage Inlet Structures on Main Street,17th Street,and Orange Avenue CC#: 1656 Bid Opening Date: January 20,2022 at 2:00 p.m. 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 - General Engineering 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 subiect to verification by the AGENCY. In case of a variation between the unit price and the extension,the unit price will govern. Project Description: Removal of existing flowline half round devices and construction of new flow line half round drainage inlet structures. Work includes, in addition to construction of the drainage inlet structures, removal and replacement of adjacent curb and asphalt concrete patching per the design drawing. The contract shall allow the Contractor 50 working days to complete the contract. All questions related to this bid solicitation must be submitted through the City's PlanetBids 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 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 COUNCI L of the CITY OF HUNTINGTON BEACH,CALIFORNIA, the 221hday of June 2020,by Resolution No.2020-39. Attest: /s/Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTON Published Huntington Beach Wave Dec.16,23,2021 11506763 Moore, Tania From: Mark Lewis <mlewis@ardurra.com> Sent: Thursday, December 9, 2021 1:46 PM To: Moore, Tania; Switzer, Donna Cc: Tanio, Chris; Papa, Alvin; Birchfield, Mark Subject: FW: Half Rounds Attachments: 03.A_Notice Inviting Bidders_final.docx; 03. A_Notice Inviting Bidders_final.pdf Donna/Tania: Attached is the Notice Inviting Bids for the Flow Line Half Round Drainage Inlet Structures on Main Street, 17th Street, and Orange Avenue project. If you need anything else or if anyone requires any last minute adjustments, let me know and I will gladly make those changes. Thank you, Mark Lewis Municipal Services/Sr Project Manager /\\•• // mlewis a�.ardurra.com O: 949-428-1500 M: 949-677-0391 ARDURRA 3737 Birch St, Suite 250, Newport Beach, Ca, 92660 www.ardurra.com COLLABORATE.INNOVATE.CREATE. O O \/ From:Tanio, Chris<chris.tanio@surfcity-hb.org> Sent:Thursday, December 9, 2021 10:33 AM To: Mark Lewis<mlewis@ardurra.com> Cc: Birchfield, Mark<mbirchfield@surfcity-hb.org>; Papa,Alvin <alvin.papa@surfcity-hb.org> Subject: RE: Half Rounds Hey Mark, Since we're bidding on 12/16, please send Notice Inviting Bids today to Donna Switzer and Tania Moore since we're required to advertise projects requiring a construction contract in the paper for at least two weeks.They need at least a week's notice before publication which is on a Thursday. Below is their contact info: Donna/Su.)1er, CMC Senior Deputy City Clerk-City of Huntington Beach 2000 Main Street-Huntington Beach,CA 92648 (714)374-1649 Tania.Moore@surfcity-hb.org Tania Moore 1 Deputy City Clerk City Clerk's Office 714-536-5209 tania.moore(cr�surfcity-hb.orq I'll review the remaining items by early next week.Thanks for the summary below as it will make my review much easier! Chris From: Mark Lewis<mlewis@ardurra.com> Sent:Tuesday, December 7, 2021 2:50 PM To:Tanio,Chris<chris.tanio@surfcity-hb.org> Cc: Birchfield, Mark<mbirchfield@surfcity-hb.org>; Papa, Alvin<alvin.papa@surfcity-hb.org> Subject: Half Rounds Gents: Attached is the draft bid package for the half rounds. I would consider this 97.5%complete with the last bit to address any comments you might have. I have attached all sections of the specs in Word format for your ease in review. Listed below are the sections and my recommendation for those sections that are more worthy of your time for review that others that are more standard forms, etc. Cover—quick review for project name,#, bid date TOC (Table of Contents)—quick review for content of the bid package Notice Inviting Bids—quick review for consistency in project name and to review proposed schedule for bid release, questions, bid opening Instructions To bidders—I wouldn't spend much time here other than quickly scan project name.That is, unless recent bid history suggests some tweaks to this section Proposal—I would only really spend time looking at the third sheet which is the bid sheet. It is quite simple but review to make sure you are comfortable with the bid approach Special Provisions—it is a pretty standard document from other projects we have worked on but you might quickly scan and see if anything jumps out such as BMP language, schedule, etc. Appendix F—this is the standard design detail that we developed and sent out a couple weeks ago or so. We have made some adjustments and addressed comments received so this would be worthy of a decent review Appendix E—this is the appendix that contains site maps and photos of each location. It is a large file so I will send in a separate email.This is worthy of a spin through to get a flavor for what the bidders will see from the standpoint of "plans and location".The site maps contain GIS IDs from the City's GIS system. I then used those to label each photo so they relate to one another. Other appendices are the standard contract, insurance, bond forms, OC Runoff manual, sample contract.These are all documents that are standard City documents that were provided by the City to me and have not been amended.They will just be included in the final bid package. I am happy to send those but tried to spare you from additional review that really doesn't lead to much (in my opinion). Let me know what comments you have and I will address those. Please note that the current bid release date is December 16,which is a week from Thursday. If that is too tight, let me know and I will adjust that and all other dates (questions, bid opening, etc.)that follows from there. Thank you 2 Mark Lewis Municipal Services/Sr Project Manager mlewis@ardurra.com /\\/ 0: 949-428-1500 M: 949 677 0391 3737 Birch St, Suite 250, Newport Beach, Ca, 92660 ARDURRA www.ardurra.com COLLABORATE.INNOVATE.CREATE. t��f O O V 3 ENIa<.,k e la/-7/ 1l 1?t b O/ic%/ SECTION A NOTICE INVITING ELECTRONIC BIDS FOR THE FLOW LINE HALF ROUND DRAINAGE INLET STRUCTURES ON MAIN STREET, 17th STREET, ORANGE AVENUE CC NO. 1656 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 2:00 PM on Thursday,January 20,2022,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`. https://www.planetbids.com/portal/portal.cfm?CompanyI D=15340 Copies of the bid documents, including instructions to bidders, bidder proposal form, and specifications may be downloaded free at: https://www.planetbids.com/portal/portal.cfin?CompanylD=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. SCHEDULE OF EVENTS Release of Invitation For Bids December 16, 2021 Deadline for Written Questions January 5, 2021 Responses to Questions Posted on Web January 11,2022 Bids are Due @ 2:00 pm January 20,2022 A-1 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.gov/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 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 BID SECURITY-DO NOT OPEN Project Name: Flow.Line Half Round Drainage Inlet Structures on Main Street, 17th Street, and Orange Avenue CC#: 1656 Bid Opening Date: January 20,2022 at 2:00 p.m. 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—General Engineering 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: Removal of existing flowline half round devices and construction of new flow line half round drainage inlet structures.Work includes,in addition to construction of the drainage inlet structures, removal and replacement of adjacent curb and asphalt concrete patching per the design drawing The contract shall allow the Contractor 50 working days to complete the contract. All questions related to this bid solicitation must be submitted through the City's PlanetBids 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 PlanetBids system. A-2 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 HUNTINGTON BEACH A-3 Huntington Beach Wave • 1771 S. Lewis Street Anaheim, CA 92805 714-796-2209 5196687 HUNTINGTON BEACH, CITY OF-PLANNING& PROOF OF PUBLICATION BUILDING 2000 MAIN ST Legal No. 0011506763 ISELA SIORDIA HUNTINGTON BEACH, CA 92648 FILE NO. CC NO. 1656 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: 12/16/2021, 12/23/2021 I 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: December 23, 2021. Signature r.LP1-12/15/16 1 1 _, . A . ` 71.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, Dec 9, 2021 at 2:35 PM Tanio, Chris<chris.tanio@surfcity-hb.org>wrote: Thanks Tania! Chris Tanio, PE Principal Civil Engineer City of Huntington Beach Public Works Department (714) 536-5467 From: Moore, Tania<Tania.Moore@,surfcity-hb.org> Sent: Thursday, December 9, 2021 2:25 PM To: Christine Gonzalez<cgonzales@,scng.com> Cc: Switzer, Donna<Donna.Switzer@,surfcity-hb.org>; Tanio, Chris<chris.tanio@surfcity-hb.org>; Papa, Alvin<alvin.papa@,surfcity-hb.org>; Birchfield, Mark<mbirchfield@surfcity-hb.org> Subject:NIEB - CC No. 1656 Hi Chrissy, Please publish the attached NIEB in The Wave on 12/16 & 12/23. Thank you, 2 Tania Moore, CMC Senior Deputy City Clerk City Clerk's Office 714-536-5209 tania.mooreCa�surfcity-hb.orq 3 Huntington Beach Wave 1771 S. Lewis Street Anaheim, CA 92805 714-796-2209 5196687 HUNTINGTON BEACH, CITY OF= PLANNING & PROOF OF PUBLICATION BUILDING 2000 MAIN ST Legal No. 0011506763 ISELA SIORDIA HUNTINGTON BEACH, CA 92648 FILE NO. CC NO. 1656 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: 12/16/2021, 12/23/2021 I 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: December 23, 2021. ek,rcia julka_juvryi Signature r.LP1-12/15/18 - 1 SECTION A NOTICE INVITING ELECTRON IC BI DS FOR THE FLOW LINE HALE ROUND ! DRAINAGE INLET STRUCTURES ON MAIN STREET,17th ST R EET,ORANGE AVENUE CC NO.1656 IN THE CITY OP 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 2a00 PM on Thursday, January 20,2022, on the City'$ PlahetBids System Vendor Portal, at which time or thereafter bids will be opened and made available online. Bids received after this time will be considered nonresponsive. Prospective bidders must first resister as a vendor and then bid on this Protect via the City's Planet Bids System Vendor Tips //www planetbids.00 riot/portal.cfrre?Companylt7=1534D Copies of the bid documents, including instructions to bidders, bidder proposal form, and specifications may be downloaded free at: https //_wwev.pfanetbids,com/portal/portal.cfm?Cempany_ Oe_15390, 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. SC H E DU LE OF EVENTS Release of I nvitation For Bids December 16,2021 Deadiine for Written Questions January 5,2021 Responses to Questions Posted on Web January 11,2022 Bids are Due @ 2:00 pm January 20,2022 Any contract entered into pursuant to this notice will inconporate 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 oval/able online at www,dir.ta.9ovf} SR and also on file at the Office of the Pireetor of Public Works, 2000 Main Street,Huntington Beach,CA 92645. 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 affirmativeiv 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 it>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 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 seated envelope bearing the name and address of the bidder, and the outside of the envelope must'read as follows:. OFFICIALBIDSECURITY-DONOTOPEN Proiect Names Flow Line Half Round Drainage inlet Structures on Main Street, 17111 Street,and Orange Avenue CC V: 1656 Bid Opening Date:January 20,2022 at 2:00 p.m. 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 - General Engineering 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 subtect to verification by the AGENCY. In case of a variation between the unit price and the extension,the unit Prim will govern. Probed Desccrintioni Removal of existing flowiine half round devices and construction of new flaw line half round drainage inlet structures. Work includes, in addition to construction of the drainage inlet structures, removal and replacement of adiacent curb and asphalt concrete patching per the design drawing. The contract shall allow the Contractor .4 working days to corn plete the contract. All questions related to this bid solicitatien must be submitted through the City's PlanetBids 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.' rt... hRCA�\, u....n........ ac... ,1 L b.. ..��.11 67.e.. •......--.... _..........I.,..!�.. ..,.i•.. r.LP1-12/15118 2 I.[IC ,% CItlt..T I CI YGS III [IHI71 IV rCI .I Gcl[Y U[ UII 1.119,17, [U 4VVIIIVV UM,' II I@iyU[UI IlY LUIGI NU take all bids under advisement for a maximum period of 60 days. BY ORDER of the CITY COUNCIL of the CITY OF I-9UNTINGTON BEACH.CALIFORNIA, the 29th day of June 2020 ,by Resolution No, 2020-39 , Attest: is/Robin Estanislau CI'TsfCCf RICO F TFfE—CfiTl*-t5F H iTTN-GTO1J Published Huntington Beach Wave Dec.16,23,2021 11506763 • r.LP1-12115/16 - 3 . (1) MINUTES CITY OF HUNTINGTON BEACH CIAB/PUBLIC WORKS COMMISSION FEBRUARY 16, 2022 Call to Order/ The meeting was called to order at 5:01 P.M. by Pledge of Allegiance: Sean Crumby, who also led Commissioners and the audience in the Pledge of Allegiance to the Hag. Roll Call Commissioners Absent: Cicerone, Ferlita, Nguyen, Schlosser Commissioners Present: Gins, Tucker, Elliott, Johnson, Shepherd, Taylor, and Villa were in attendance. Others Present: Sean Crumby, Director of Public Works Ken Dills, Administrative Services Manager Alvin Papa, Deputy Director of Public Works Tom Herbel, City Engineer Bob Stachelski, Transportation Manager Denny Bacon, Operations Manager Bill Janusz, Principal Civil Engineer Darren Sam, Senior Traffic Engineer Lili Hernandez, Senior Civil Engineer Keegan Olds, Contract Administrator Brian Polivka, Contract Administrator Sarah Whitecotton, Administrative Aide Natalie Rodriguez, Administrative Assistant MINUTES Motion by Tucker and second Gins, to approve the minutes of November 17, 2021 with edit to page 4, third paragraph of item 21-850 should read, "Motion by Gins and second by Cicerone the Commission voted to recommend to the Central Library Fountain Restoration Project, CC 1630, is in general conformance with the previously approved CIP." VOTE: The motion carried. AYES: 4 NOES: 0 ABSENT: 5 (Cicerone, Ferlita, Johnson [late], Nguyen, Schlosser) ABSTENTIONS: 2 (Elliott, Taylor) PUBLIC COMMENTS pA c2 a f The CG- `/lp Ito Commissioner Elliott commented on a needed sprinkler repair at 9th and Orange after Zone Maintenance work completed by Public Works. DIRECTOR'S ITEMS Sean Crumby discussed the merger of the Beautification of Landscape and Trees (BLT), Citizen's Infrastructure Advisory Board (CIAB), and Public Works Commission (PWC) into one commission now titled CIAB/Public Works Commission. Board members were reminded to turn in necessary forms as requested by staff liaison. INFORMATION ITEMS Tom Herbel presented the active Capital Improvement Projects Update (attached). Denny Bacon discussed future items for presentation and consideration for the former Beautification of Landscape and Trees (BLT) committee. ADMINISTRATIVE ITEMS 22-093 Half Round Drainage Inlet Structures, CC-1676. Staff report for both reports presented by Chris Tanio. The Half Round Drainage Inlet Structures Project will improve water quality runoff by capturing trash and minimizing the amount of debris that collects at these existing half round structures which eventually discharges into the ocean. These existing half round shaped drainage structures will consist of new metal grates and supporting concrete and asphalt. There are currently 384 locations throughout the City with less than 50 being completed to date. Motion by Gins and second by Villa, the Commission voted to recommend to the City Council the Half Round Drainage Inlet Structures, CC-1676, is in general conformance with the previously approved Capital Improvement Program. VOTE: The motion carried. AYES: 7 NOES: 0 ABSENT: 4 (Cicerone, Ferlita, Nguyen, Schlosser) ABSTENTIONS: 0 22-119 Street Lighting Replacement - Crest Avenue from 14th Street to Lake Street, Lake Street from Crest Avenue to Palm Avenue, and Farquhar Park (CC- 1644). Staff report presented by Darren Sam. The existing street lighting system being proposed for replacement on Crest Avenue, Lake Street, and Farquhar Park, is approximately 80 years old and operates at 6,000 volts. The street light poles and conduit are in severely rusted or corroded conditions, and current design practice is to operate street lighting at 120 or 240 volts rather than high voltage. Due to the deteriorated conditions of these lights and their operation at high voltage, the risks with performing maintenance functions and, the frequency and duration of failures of the street light circuit increase, necessitating the complete replacement of the system to continue to provide safe and reliable street lighting in the area. The City has conducted several similar projects in the past 10 years as we replace all of the old systems in our downtown area and bring them up to modern standards, including the use of energy efficient and long lasting LED fixtures. Motion by Tucker and second by Elliott the Commission voted to recommend of the Street Lighting Replacement on Crest Avenue, Lake Street, and Farquhar Park, CC1644, is in general conformance with the approved FY 2021-2022 Capital Improvement Program (CIP). VOTE: The motion carried. AYES: 7 NOES: 0 ABSENT: 4 (Cicerone, Ferlita, Nguyen, Schlosser) ABSTENTIONS: 0 21-1015 Fiber Optic Conduit and Cable Installation to Connect Oak View Community Center with City Hall, CC-1636. Staff report presented by Bill Janusz. The Information Services Division of the Administrative Services Department, in consultation with the Public Works Department, identified the need to develop a fiber optic connection between City Hall and the Oak View Community Center. With existing fiber optic infrastructure in place along Warner Avenue, the connection to the Oak View Community.Center will require the installation of fiber optic cable and conduit from the intersection of Warner Avenue and Ash Lane to the intersection of Oak Lane and Mandrell Drive, adjacent to the Oak View Community Center. This project will also include a fiber optic cable connection to the City well site, located on Oak Lane south of Warner Avenue. The existing Oak View Community Center building is projected to be demolished and replaced within the next two years. This project will install conduit and fiber optic cable to the Oak Lane and Mandrell Drive intersection, adjacent to the building site. Adequate fiber optic cable will be coiled at the intersection in order to be installed into the new community center building upon completion Motion by Taylor and second by Shepherd the Commission voted approve the project for Fiber Optic and Conduit Installation from the intersection of Warner Avenue and Ash Lane to the Oak View Community Center (CC-1636) and find that this project is in general conformance with the approved Fiscal Year 2021/2022 Capital Improvement Program (CIP). VOTE: The motion carried. AYES: 7 NOES: 0 ABSENT: 4 (Cicerone, Ferlita, Nguyen, Schlosser) ABSTENTIONS: 0 22-100 Fiber Optic Cable Installation from City Hall to Utility Yard, CC-1646. Staff report presented by Bill Janusz. The Information Services Division of the Administrative Services Department, in consultation with the Public Works Department, identified the need to upgrade the existing fiber optic connection between City Hall and the Utility Yard at Garfield Avenue and Huntington Street. The existing cable, installed in the 1990's, has very limited capacity with only a 6 strand fiber cable installed. To meet anticipated data needs and facilitate other key roles of the Utility Yard in our emergency operations, two 144 strand fiber optic cables will be installed utilizing primarily the existing conduit routing. Some minor modifications and upgrades are needed along the routing to facilitate the installation of the two cables. Motion by Taylor and second by Villa the Commission voted to approve the project for Fiber Optic Cable Installation from City Hall to the Utility Yard (CC- 1646) and find.that this project is in general conformance with the approved FY 2021/2022 Capital Improvement Program (CIP). VOTE: The motion carried. AYES: 7 NOES: 0 ABSENT: 4 (Cicerone, Ferlita, Nguyen, Schlosser) ABSTENTIONS: 0 22-117 Downtown Fiber Optic Communications, CC-1621. Staff report presented by Brian Polivka. The Information Services Division of the Administrative Services Department, in consultation with the Public Works Department, identified the need to develop a fiber optic connection between City Hall and City facilities in the downtown area. Previous approval by this Commission and City Council has allowed for installation of a new fiber network from City Hall to the Pier Plaza including the police substation on Fifth Street, the downtown library, art center and Lake Street fire station. Need for an additional connection to the Main Street Parking Structure was previously identified, detailed and bid as an Add Alternate in the current project. This scope was not approved at the time of award. Additional analysis of the City's infrastructure now confirms this connection to be critical. This additional scope will improve connectivity between City Hall and City facilities in the downtown area. The need for these improvements is identified in the Fiber and Communications Master Plan. Motion by Gins and second by Taylor the Commission voted to approve that the bid alternate of the Downtown Fiber Optic Communications project, CC1621,'is in compliance with the previously approved Capital Improvement Program. VOTE: The motion carried. AYES: 7 NOES: 0 ABSENT: 4 (Cicerone, Ferlita, Nguyen, Schlosser) ABSTENTIONS: 0 22-101 Georgia and Florida Street Water Main Replacement Project, CC-1663. Staff report presented by Lili Hernandez. This water main replacement project is part of the Aging Water Main Replacement Program identified in the 2016 Water Master Plan to annually replace old asbestos cement pipelines. In addition to the Kiner and Gleada Street Water Main Replacement Project (CC-1664) planned this fiscal year, the City will also replace approximately 970 lineal feet (LF) of 4-inch water facilities located in the alley west of Florida Street and another existing 4-inch water main in Georgia Street. These water facilities were constructed in 1950 and 1960, respectively, and are in need of replacement. Since construction activities will likely further degrade the street pavement condition, this project will repave and grade the street to improve pre-existing drainage issues and aesthetics after construction of the water main. The proposed project will install 8-inch diameter pipelines to enhance the City's water system redundancy and reliability and provide greater fire protection to the area. Motion by Taylor and second by Gins the Commission voted to approve that the Georgia Street and Florida Street Water Main Replacement Project CC-1663, is in general conformance with the previously approved CIP. VOTE: The motion carried. AYES: 7 NOES: 0 ABSENT: 4 (Cicerone, Ferlita, Nguyen, Schlosser) ABSTENTIONS: 0 22-106 Kiner and Gleada Street Water Main Replacement Project, CC-1664. Staff report presented by Lili Hernandez. This water main replacement project is part of the Aging Water Main Replacement Program identified in the 2016 Water Master Plan to annually replace old asbestos cement pipelines. In addition to the Georgia and Florida Water Main Replacement Project (CC-1663) planned for this year, the City will replace approximately 1,300 lineal feet (LF) of 6-inch water facilities located in Kiner Drive and Gleada Lane. These water facilities were constructed in 1956 and along the parkway. Due to landscaping, enhanced pavers and trees installed above water facilities, it has been a maintenance issue for Utilities Staff. The proposed project will install 8-inch diameter pipelines in the street for ease of maintenance and access. It will also enhance the City's water system redundancy and reliability and provide greater fire protection to the area. The existing street paving is in good condition and a slurry seal treatment will be applied to improve aesthetics after construction of the water main. Motion by Taylor and second by Tucker the Commission voted to approve that the Kiner and Gleada Street Water Main Replacement Project CC-1664, is in general conformance with the previously approved CIP. VOTE: The motion carried. AYES: 7 NOES: 0 ABSENT: 4 (Cicerone, Ferlita, Nguyen, Schlosser) ABSTENTIONS: 0 22-1 Humboldt Island Lift Station Project, CC-1634. Staff report presented by Keegan Olds. Public Works Engineering and Utilities Divisions are proposing to remove and replace the existing Humboldt Sewer Lift Station. It is located at the southeast corner of Humboldt Drive and Wayfarer Lane and was constructed in 1972. The existing concrete box structure is experiencing structural failures due to immersion in high chloride groundwater environment. The new lift station will predominately be underground vaults that store and pump sanitary sewage to a higher elevation. The new station and pipeline will convey sewage into the City's gravity system along Humboldt Drive; and ultimately into an Orange County Sanitation District trunk main. The only above ground features will be a transformer, and the electrical control cabinets. Motion by Taylor and second by Villa the Commission voted to approve that the Humboldt Lift Station, project CC-1634, is in general conformance with the previously approved CIP. VOTE: The motion carried. AYES: 7 NOES: 0 ABSENT: 4 (Cicerone, Ferlita, Nguyen, Schlosser) ABSTENTIONS: 0 22-124 Davenport Sewer Lift Station Replacement Project, CC-1635. Staff report presented by Lili Hernandez. Public Works Engineering and Utilities Division are proposing to remove and replace the existing Davenport Sewer Lift Station constructed in 1963. It is located in Davenport Drive at the westerly end of the Davenport Bridge in the Huntington Harbour area. According to the 2003 Sewer Master Plan, the existing capacity of the lift station is deficient and requires upgrading to satisfy current flow demands. Also, the concrete structures that collect sewage and house the mechanical equipment of the lift station are experiencing structural failure due to immersion in a high chloride groundwater environment. The new lift station will predominately be underground vaults that store and pump sanitary sewage to a higher elevation. The new station and pipeline will convey sewage from Davenport Island into the City's gravity sewer system along Davenport Drive. This project will also construct approximately 150 LF of 4-inch sewer force main pipeline along Davenport Drive commencing from Baruna Lane and connect to an existing 4-inch sewer force main near the Davenport Bridge abutment. It will also include an emergency generator so the facility will continue to function normally during an electrical power outage. The only above ground features will be an emergency generator, transformer, and electrical control cabinets. Motion by Gins and second by Taylor the Commission voted to approve that the Davenport Sewer Lift Station Replacement, project CC-1635, is in general conformance with the previously approved CIP. VOTE: The motion carried. AYES: 7 NOES: 0 ABSENT: 4 (Cicerone, Ferlita, Nguyen, Schlosser) ABSTENTIONS: 0 COMMISSION AND STAFF COMMENTS Drain grate specifications and installation discussed. Will continue to have remote attendance options for the foreseeable future. Huntington Beach Trails to the Sea project discussed. ADJOURNMENT Adjourned at 6:59 p.m. until the next scheduled meeting on March 16, 2022 at 5:00 PM at the Utilities Yard. David Gins Kenneth Dills Chairperson Administrative Services Manager UNSUCCESSFUL BIDS CC No. 1656 Flow Line Half Round Inlet Structures on Main Street, 17th Street and Orange Ave. od\\ ......�� City of Huntington Beach Id << • "F 2000 Main Street ♦ Huntington Beach, CA 92648 e C.3 _= = (714) 536-5227 • www.huntingtonbeachca.gov boa ‘tik."7 " • 9 ‘6' ```f 1?s.:, \C or Office of the City Clerk COUNTY��P ®� Robin Estanislau, City Clerk July 24, 2024 Beador Construction Company, Inc. 26320 Lester Circle Corona, CA 92883 RE: Flow Line Half Round Drainage Inlet Structures on Main Street, 17th Street, and Orange Avenue— CC No. 1656 Enclosed please find your original bid bond for CC No. 1656. Sincerely, ( 174117ii 9A6k-nZatt44) Robin Estanislau, CMC City Clerk RE:ds Enclosure • Sister City: Anjo, Japan ,C aldrC1s9)1kCgd SECTION C PROPOSAL FOR THE CONSTRUCTION OF FLOW LINE HALF ROUND DRAINAGE INLET STRUCTURES ON MAIN STREET, 17th STREET, ORANGE AVENUE ff CC NO. 1656 IN THE CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE 1 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 50 working days, starting from the date of the Notice to Proceed with Work after materials are procured. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications,Exhibits, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses,taxes,royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded,the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER,,the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option,be considered null and void. Accompanying this proposal of bid,find Bid Bond in the amount of 10%of bid which said amount is not less than 10%of the aggregate of the total`bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or"Bidder's Bond for_%", as the case may be) Any standard Surety Bid Bond form is acceptable: Bidder shall signify receipt of all Addenda here,;"'riany Addendun:No ; Date Received ,P Bidder'sSig►rature Ot Vint, is it I rs C-2 • +', BID-PROPOSAL FLOW LINE HALF ROUND INLET DRAINAGE STRUCTURES �. ON MAIN STREET, 17TH STREET,AND ORANGE AVENUE ,.1 NJT UNIT'PRICE AMOUNT v REMOVE AND.DISPOSE,OF.EXISTING;CURB,GIJrTER,ASPHALT°CONCRETE, AND INLET DRAINAGE DEVICE/STRUCTURE AND CONSTRUCT NEW FLOW LINE HALF ROUND INLET DRAINAGE STRUCTURE PER DESIGN DETAIL AND $35,000 i 1,890,000 •1 AT:THE.LOCATIONS:AS:INCLUDED IN:THE.SP.ECIF.IC TIONS ._.- ..,- EA--- $4....... 5:...... ....... .._.. TOTAL BID AMOUNT(IN.NUMBERS) $ 1,890,000 TOTAL BID AMOUNT WRITTEN IN WORDS r One Million,Eight hundred ninety thousand dollars and zero cents -Ai work includes disposal of removed material offsite and restoration of adjacent improvements disturbed during construction to an in kind or better state upon completion of work at each site,, Any and all costs for mobiimtlon,traffic control,and site restoration shall be Included In the unit price bid per each, C-3 ' LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on • said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Class • Bid Name and Address of State ; DIR PWC ; Dollar :" %of E Item(s) Subcontractor il License Registration If Amount.; Contract • - Number 1 ii E t • • • • a ! r j • i• ^ !i f g E. • r; r iiii z: I • By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform at least 50% of the total work and 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-4 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 1/20/22,at Corona_._ ._. ;CA Date City State David Beador being first duly,sworn, deposes and says that he or she is President of Beadi ii ns o mtatm a y,2 , theg the ._ . _... party making foregoing bid that the bid is not made in the interest of,or on the behalf of,any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder,or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid:are true;and,further,that the bidder has not,directly or indirectly,submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any .- -. corporation,partnership, company association, organization,bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Beador Construction Company,Inc _,. Name of Bidder Soda 94 of Bidder (David B*tr�r " 26320 Lester Circle,Corona,CA 92883 Address of Bidder • C-5 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 FLOW LINE HALF ROUND DRAINAGE INLET STRUCTURES ON MAIN STREET, 17TH STREET,AND ORANGE AVENUE,(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. Beador Construction Company,, nc . Contractor idBcac Bid President Title Date: 01/27/2022 C-6 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-7 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code,each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Beador Construction Company.Inc Contractor 1{q$t kt i k By (David Beador) .President__ Title Date: 01/20/22 C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Beador Construction Company,Inc. Bidder Name Business Address Corona.- - -— CA-- 92883, - - City, State Zip ( 951 ) 674-7352 dabeadorabeador.com Telephone Number Email Address 720483 "A" State Contractor's License No. and Class 03/26/1996 . Ongmal Date Issued Expiration Date The work site was inspected by.David Beador — - of our office on January-14th „ 2022, The following are persons, firms, and corporations having a principal interest in this proposal'!" David Beader ofBeador Construction CemPanYJne. - -4 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. dor Construction Company..-Inc glo ,k •1 °Nam • e S of Bidder David Beador Printed or Typed Signature C-9 NOTARY CERTIFICATE I Subscribed and sworn to before me this 21 day of JanJo 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 , e.6.. ntt.. County of..:Roe _;;; i On ` " 1„ZiYLZ. _, before me, 12 (9%rZ•. 4t 'i .bliL Month,Day, and Year Insert Name and Title of Notary personally appeared. 7e�.�.a 'bent 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 r subscribed to the within instrument and acknowledged to me that he/she/they executed the same is in his/her/their authorized capactty(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. .k Comjn d*22Tb23!t,.��i" ..-r, l► Signature Sign re of Notary Public (PLACE NOTARY SEAL ABOVE) c-10 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,"Construction of arafnagatilittirudisreskrantticurivlinit4ificitor Citvn. Bidders are encouragedIOiiibitiffsUp-OleineritilieleVant-PiOj—ect-lifitOrYlicidditiaitictlie' 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: • Cily Norco-7870 Clark Avenue?j•Iprqo CX:011$60'1_ Name and Address of Public Agency Name and Telephone No. of Project Manager: ;.`:,`Clialil#.4'19, 4;270.:vem $372,300.00 MDP Line,Storm Drain tmpro**:oo 1n1/2018 Contract Arnotint Type of Work Date Completed Provide additional project description to show similar work: WeibtheatfOitatilitAttiattitetit;iiiiiiitift'CatelititsIWtatisitibittntittriedi*fittivitt load in Trench repair,COniiiiict type A curb 2. _Call:rails District 17_100 S Main Street,Los,M'itire4 CA 90012, „,.. NamèTâñd Address of Public Agency .......... . Name and Telephone No. of Project Manager: - Ridwan.Salman.c.661)..257-0273 $1 174 700.00 Remove&*licit RCP 09/02/20 Contract Amount Type.of Work Date Completed Provide additional project description to show similar work: ecincroim.ltemovelnfet.Inglitita ilace HMk clearing„&grubbing. 3. Caltranl D _tri# 175Q E..4th Street.Ste 100 Santa Ana.CA 92705 Name and Address of Public Agency Name and Telephone No.of Project Manager: Thomityr9279.4586 $919 7010 00 tjpggcle.drajn*SYtem COntract Amount Type Of WOrk Date Completed Provide additional project description to show similar work: „Remove concrete,remove steel plate,clearing&tithbnaginser sprinkler assembly.install RCP, install temporary drainage inlet protection.drainage inlet marker .c-1 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. David Beador Name of proposed Project Manager Telephone No.of proposed Project Manager: 951-674-7352 Project Name& Contract Amount Type of Work " Date Completed See previous page and attached pages Project Name&Contract Amount Type of Work Date Completed Project Name&Contract Amount Type.of Work Date Complet ed 2. _Adam Prieto :. Name of proposed Superintendent Telephone No. of proposed Superintendent , 7.1..4-552-5818.::..:::._ 07-313804 $1,078,700.00 Install RCP&Corrugated metal riser 01/16/2020 Project Name &Contract Amount Type of Work Date Completed i; Temescal Canyon Street widening,slurry improvements, Widening Projects $13.,581,730 00 "" drainage improvements 11/07/2020 Project Name&Contract Amount Type-of Work Date Completed See additional pages for all work history ... . .:. ... Project Name&Contract Amount Type of Work Date Completed C-12 3 • 44t'.18i►ilclegi'!;_C7:fMObf7V:(17 :Attachment:"A". • • MAJOR CONSTRU(�TfON'•PRO4E 1 to PE 1p t+itigi . PROJECT NAME 7OtS9VERf 'CPr 4.1,14ltWfti' P$UECrgw, .. _CWIRRACr TO+47E:.... .. ptF,,yS1YRi' t CONTACT PERSON %'PNONEHD E3F= 18(owtNU51lElt .... _eAMOUNT i'I COMPLETION _ Oranpe•Chapman Aw tyorflran9e ..-' -- Sian VanderMay 145a4.8514904 RW t9300ajumf -." 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Robertiinojosa ! - 5450,000.00 ._} ':Sep-57- € 8nd9e WidenIn - .',` tyaln9at['.11r{1/tMlrgyK viTmns ... - Wolevirdales- David 0eedor - Rrmerttanojoea .. .-- $255000 O Aug-'BI::: 1'ovemobtReheb,. : - : 909305.12s..9 ! 951-0747352 951-874-7352 .•' ,rrty�l'3PW' ;bavI5Eaador RonedAlnolosa STSC,990;00 Seµ98 s lepaaltat:'lJrrnr� (rCou Setsmld:Relrofil '"`- ;^420.9504.122 - 951-874-7352 9514874-352 .•,_.... _... ._ •Carson-'215th5tr at"" A;r;aunn7'131+W' Nell•Munawrera t. 1yavid8b0ot RobedHtnafose $1800p5'9tr Sap9S. ti&h®1S P►mt4RelM5i- .. ..::. r?::. 4SB-3172 951-874.7352r-....:-•>551 874.7752 .. ...�o9m p.-Iih awm!livd. - t ;mRan9 ,.:.:.:. Jt YAeo94 T ^ .15aWa'Beador..: :: Robertl�a n0oo ........ 318bboRriO :_3ep-Sit , • -• 2.401'3333 951 74-7352 i 881-874-7352 i t Ssn;Vuen'Ceptarranor- --. :•- iry otbaasuan Cep, :.._`'•'anon Pony- t..—t)mva Bottom.- ' R00ert:l0nojesa 5718000,pc, - daa8-. ..--i!I, Soy;Bddge Repairs' ..._ .._._ __949.443-8353... I :...951,674-.7352 :i .951=674=7352 1...- ............ '096c94504 I V4ffeette, _. -i .Letdaeremacker • z David 6eador ; Robert.Nlnotosa :• 53F IA59,00 Feb-99: . imi ... nmmrwmpany -.••m^m-:,..� € <Anen ireman6n::: -Da7nd tremor ...tmnerulonopam S�[8gi00y00 s i' :: ,web-eu:::and w=Mdeoinitr: ae.. j3ridpitlMifarartre .- 714;549-2291 9514374-7352 il 351474.7352 140mpb,N'Aeeh ,^ .^ omlry ntChanga: 1'.lkuymond ocogtass r Vawaeemor ...%... 13ooerrliloajvse ...-^-mod 5a9:Ob,:00 t�''- Aug;89 i Coyote Basin Reoaim _. - ._._... ..._ 949-282-2427.... j.. 951i8747352 9514747352 .w.- tl ::.. t 0pp141N.*5•y saagt4pnva attrana Gustavo Daearda Davidlieador -s Rmre(l5rirtamsa ' 5 2&93UI0 S6p91} Bilsgo cnruwr ..._l:alTrana .:::;.tad Orawa. :.,.Dartd6eador --12obertldn ,,.,...--•,.... -'_. ,:i:., 6joee 3i29;00tkU0 rOa=9&' : Slope Erosion Control 059-067-4089 L t 0514747352 " 4514747352 .... l a esOnohaStat.:Pai* ...•', aotomraDeparimentor - 'aGreg Kanter ""'bariatreedm Robert ' 88.011506 Oct-99 S toilet°Rppsmr '�..`.. .Pedro&'.Recreation ,... .949-36H-0596. 951-87M7352 951.074z7352 Dersortt4tAvelon Avenue - Patens- - Mesvod Akbarlert Pavia 600196E Roberttllnolasa 8200807100 - NOv 56' 1 RdICaA`pp(n'1tYf.Si16s1; ::: 33o-51e-4u0.:, �s 961n874.735Z S. �`otty- .Inid Lag, ,.......-.. CmMy.oLOranga.�.. .-_.. , :aM4WR8a¢-,.. .-Dawabeader - Ro'bed.Hinalose *1$q'.ftM4M5'r `' ^714S6.778,21t ^4514747352 =g5147m7352 :-,... . venur --.... -., ,..- _. --_ .:MemotYaperejeh DavMBriado[ RobertHmojosa .._'- 5i60200.b0 JMOy-99: p Repair Steel.Cirdeve ._, -_.. ._. _ .. .. 909-949,3095.. - 951-874-7352,.. - ,r951-674-7352 „...._._. ,....--. i. .':Cerritos ' ` '..-. atlmne : -.. It0141a ran :. l Pevidemedor .,RobenRuolosa 428608EL90 r • May-DH - .�oostrualnfiitmtl6nBasin it $ho'Bamanlmb r::: ,i.,pamnent'orwater ... .:..'. a:y.5o0Nose:. -DeviriSeador__ ,-RobertllmoMsa' 5178459.00 it '•.,•<. Su le Chamber 6et3nic Retrofit 'Re000lcae 805-948=1024 '-Y 951.874-7352 9514874-7352 •. ' got Regales aRrem ... "Reze Jahrom7:.'. Dwroteader' -7:099ortltlnojoe2 -5486:46 a 11"" •Mar-98 Aeplaw PCC 310-0 r8 0284._ 951 674 7352 951 674 7352 f Ontario Cdyoromaao ,EaNmeout0s-- bayg?0sador r.,Robert'tiinajosa 530OAIIOAb 4 Sep-Se, Selmic Retrofit 3Bridge9 r.atomia pmrat "-99 ?9331=-- ,m;.951-67473,53 -,�--ti951$74J352, ,,. _., r Aaa1-Nskrr<1()aenirR'37::�. .. ':.: "" - e..: ':�1'amm 8outos-: ��°t7avtd'Boaam .,.• ,Robedl9rtajoea ._.�3812,b0400 ..,..,^Jmrt�rl0' „: Brfd961M14derdrtII 'rarsl7odanon Company _ 809931-9331. $ 951�74-7352 951-074-7352 tag An9aras Century9004- ammls ?•Mbnamadl5eseaant if 3l30vld8oedor .': :Robes Nlnajose 51750170,03 i 8 bddge.Repair ,..._ :.__... • :� - .. _.... _.310809.0272... ...951-8747352 951.874.7352. _ _-_.. _.. .. .. ,t'omone. "'i0NyfYgae,;-- '::baWaYeedor _uRoberrMolose t 5516101b,40 :Jun-00' 851-8'747352..•,t. ..951.8747352 .: .., 67t18994U0 Bridge Re00ir '8493104 ....... : ._...90g 275-0211..... „851-974-7352 ' .951.,374.7352 'Os'An9ekta ... .flrane ........ Joseph'tohremi %lievtdtteedor ;;..:RnbertHrnolose S1 ,Odtl;00 ,Sun-80. • ._..3107091704.... Route 60,-Rapt•PCC Pave Gatlrena • -:tforotn.?nae OaW40emm Rauerl6anolasa :: 5530 WROb -...,.-,..,.-14bv41b;: AllanticSivd, :.... ,7-4G7304 - 582401-33334230 1 951-874-7352 951-874-7352 ` r....Rafeb6eghbanren t-_..--bavld0eaom -I "it05er11anojoaa,, 57911n10„00 .i ,logy-OS : >Constma Check Dam.... '12-071304 ........... ,7.14832,253 : z` .951-4247052 '.._....B51-0T4-7JS2 s_ _ ...._... . �ong beech _ aifrena •.M'aahurAL:- - -David Beador Robertl-9nojosa ' .5920,000,90 Nov-00. i - _:{Ra0IPCC,.Peva,-... ._...: . _.,..:.:. •<:.::.,. ,,-,...:::: 310809-11284.::: •:951.8747352 051.974-7352.. _rc ;'Z:atector Road B Brk10e '7-185004 582.401 3333:• 051474-725ZZ 951.974.7352! ..:_.:.._ ,-,.,,.:: ....._...... ., ...._.•.::16m Me •"-Osve1:8eador #aa0rtRi6ov0, i 0502411Ab' : .._._..- MOdrr ;Consbad Bardar _ 7-195794' ,..._9497531414. 'I... 951,0747352 :: :9514674-7352 Samos_- .......•C7A''- ..._. , Peel Buckley - :_:.<.bonaiimmort ;Rb6art)tmoteaa 14343,O00,110.. Jun4bi ;,,FFoountalmynINg ___,„_,_ _ _;,: ,. -. _:_,Deaphem.-_- `r-=-Gawd:Sensor - •Ranmro Aroveao --- 99 ObbbO _. Jun-01 ,'1Aiden Ramp 1249992015 - 7145564425i • -95148747352 ' 949-279.0057 Lang Beach;691tinadHill. .'... -" alrrans....._.. ._ ;:"'Massod Akbanan t .-Devitt Beador .•.i- Jolla. Beck • .._.._;9230,09t,00. . _- - ;Apr-01- ;f11wy 8 Apo Slabs Replaced -.._t.-144014 . .................. ...... 310310-.4140.:_... ...,..._:951-8747352 -::::4t9-279 3678 .:::::::. GardenGrove. ail'aans 7 RovlerAvlla avi0 eedor i-Rendre Acevedo - 540Sttek d tee.-0Oa� • � tM4enRorn at Velloy.Vlevr .....: 12�OIt500A .. ' .714032�.5. ..: --B5I-0747352 ,..948.279.�9057 ... (Zan 11r0;1L,rlebmeeorOn- '= 8o0arl llderpmand .. - ::Jim Juckeom.....^ .�. 'Bear:B0aaor ,.:RonnieAcavedo-•-^ .•-. 53D5,01r;Ob �qpr-:ail'.-. -'�.,, DeeiCYnek'8lIdge•Uvidenitrg `.- - - •-+ L 310839.2257 - 951-874-7352 940-279.0057. i r • ••,bevWeeadm «'-RemttdAceve t; _ 524406380: JunOJ ,..Medan Barrier _,„.... alimns 858 5 87-380 0. . .851:<_ ._._ ^874 7352. ; -<849.2T8-0057 a ' '- 710:Freeway - ea/Paving . - •,WOttems. Oavib.Beado4 SRamro Acevedo: 1 - -511713,951 00 - - Feb-04:-- ... TI009Ihieee .. -_---.. -- .....,, :CaNeiy Chapel Bridge :-.. 714:957-02.33 a22' 851-074.7352 : ... ...949-279=608T 9udtaw•.-.. • .. ..._. -£atirens .._.. ..Fmnk't:ozana i ;17avl590adar P :Jonn000ll " t $790,000.90: i foam,' 3repeir Eanhguake Damage ty$rld b.._,. ., rrB-488001, :,:7Im256.731.0.:-.: . 951.874.7352 '.,. 949.278.3878 j ,.....: ,,,. 'Fouon Caarens I :;Mona Saval9- ,El:14,40 3644e ' Rotten 161101000 1 - 5780 b00,,00 May-02?. Mt-Vernon TmMC SI9pale, .. ..'5-r3Ts8d ....-ag351B-2422.::: 951-874.7352 <,••^951-679.7352 v...: ;gan:Dlepo' .':.-::- - ,::::: ••arnans..... ... -...:.. ...:::nassart-MUetafa-^. "David9eador .. --'Jontrenrk. 5220, b•.-.....".... Dea07 -_ . install CDS Unit 9-1,1-73894 -,1 619 957-4694 951-6747352 949-2793878 -.... oW4111twe ...'. 'Ft2dt Giyld;6aaon7 0bnlh Eft!:.., .. : • • 8eador>~anstr+ietiel}rGcmeanvs Ca¢. Attachment"A" • }KAlt7Ft #Aidt*3 1t7AfP1t(y i- PetiktijatEL3&liiWiur}sss .. , - �, �. }uCONTACT PERSON- PHONE NUMEER-,l PHONE NUMBER a,a, :_.:. . PHONENDMHER 'HR09ECFMBR' PRQJEC1."J:UPr' t:ON7RALT DATE -+ . .,, i i4mlartBairW:ed Vmr80ra1:8kd _.. _ ::);;: :. °"9096^tK&aeA •:::961«6ThTS52'- .'.8t Nk3T.9a676 o- Angeloi ... .._.:: County of Les Angolan 'tTonyHul :91ovrd,Be0d0r _,ROOmttiarot a i.... .`5631130200 'FeD,02. li Sier,nModrm0am:e1doe Roolacement ...:.. .820:458-4954 ::951,674,7352::: .949.279-0492 _...:. . Walnut - .. ... CkyolWelnut': w^-- ---1.i.. Janoowalday -_ii-•• nelu Beodor'—y ---�JODoBMk .5133,000-tl0--.., *-_...,.DBc03 =Lemon Croak Collet-Structure i: ice 594,8702 :I :951.674-7352i. . 949 279 3676 ' .=San0enerdino-1,-__.... . ........_ --.:--_.._leeggar Consovcaonr._....__:. ^- - - t•AtrAnega. _ '.i--..0awo80ad0r'°=,. ?'Rannro'Acove mi-t'—__--5463{0oUJ13' .. -_.-"'15eo-02 ,!Bar4er.miLg6 30.FSeawgy __. __ .._ ., .......__.. .....,; :909:721-97411 ._....•951,874,7352 ii,i :,949,279.0057 _ :' -Santa Ana . . • :.Coy of Santa Ana -Tyrone Chesanaek' :Davtd.Beador_ 52.946'.01700 'May.03 '.9doMtS8ea1:8dd9e:9Ndeniog ::::: r :,:.,.- _. i:-:-7 14 8 47-5 04 5!m 29... R.....951-874.1352.: t ,94-2 9 005 ::: _::. ....,.. ....... .. J�.' ono• r It .. ::i CalTtmis Ga4-34a8 41 951-67 eeaor-Q Tony&ae "i1;t9a 002,00 -, 04 '•.J$1ya.Ylata --- T . erimeter LaMaeacad•RBlelni Wag 3 714345�8841 SS1�674-7,3,52b ; N49-Z7941057 . ___.._ ry. -. • -03 Otte litkirdhdGN[8diden •=11 243704...,.... ( .....700739.6021 .951.874.7352, :949279.0385 . _ ... Fi Ida Freeway il€ocar Paving: Will Harris ,David Seodor> Ratmra Awvmro 51 736:700 55 Feb-04 r. `+ Itainbow ,, OD, .,,, :,..,,,:.,.....t -- _::: Kono^Gennor Davta Be0d0r--' -'-'-tohnether S340,00D,00 _.:Je1,413 y •t oai4'r dtarop.iiv�isr + :7,00.9420368i8159 i .951-6784.35 9484794878 Bnnardmo County "' Cathrerra "` "•Alf Al ttedooic '-l3owd'Baador "John Bunk 51 265,319;08 i Feb-03 'etetBaemGuard.Ra{I ,_.,_ _,ISB-47T904 .. _ 9088YL1715_ _ i.,.949-T24-0264.,m—�„-849.279.1t79, • .,,, .. i_ _ ; •,RaletygOtelesteRlar ti OW atl AOVVIR ITVE4 ;Watidy130ma t' ]avra'B138110r Jatinunnk as 930,90a4D'. `aep tyi` Conotnicl Storm brain r73 .. : ,-. ' 310.378A383-- 951.674.7352—_ 949-279.3878.. ,_ :._ r 1Jaatunplt, nrtulll4C}NIF� .. C¢yvrgaeumont .. Joan t'djger.... i...pavht 88aoor::> >JonnBnr7c .. >etl72'.tlb4.00.... _-Mar o2, 1' sl i F'Mar�'Coribo a{iiiat: ' ... - ':a ._. _ i 8097694520 ! 951-67417352 z 949=279;3678 i Laguna MOTs"""'"' " "' City of Laguna Hour - -' "--..._Ken Rosen0ed davtd Seeder- 3 Ramiro Acevedo : 6489,20800 Apr-03 • }'turtle MI Uon Plan :-k ._ ,........ _940 707-2855 3 951-874.7352... 949-279-0057 . . .._.. hOga Om*Angolan ... :. is paflratte .6lnrmr:Rang 1300 0eocor r iis. Joltn RMK i o77.37,Allita100 t `Sap-VC ;Slope.Repa{rsInigaSon -97.4H5404._:.. 213820-3039n208 :.::.951.074.7352-a; ..949r?J953878, r ...� -,r:. • lovmay .. -._,..6'at1rern- ... ...._..> .._j:.:•.,.••Wele•Atote- C --',Dana 6aaOw.. Kamlro•Aceveao ,- €1B3,0Q9:U0 . Oct1l ?°. 'lnateil301Wg7:Dedt 5tmr00N.ina•.' .`f 17�G3801 562 401:7333 a261 951474-7352 949.279-0057 : f Southgate. ....._...-- ,. ; Iy.OPSOOthgote '" ...' _..''.,.B•Fhkhaun ...;Devld'Baader.... .iii...Ramiro Acevedo ..:.. 32:417324010. ..,1 Jun-54 x Reconstmn710/Firestane.Interchanges ._....:.. -...310-592,1829,_ .t,,,,951-674-7352..., ;._.949.279,0057-.... ...-,„_.. - _.._....,1__._...._._._- Cuaanatoa .. �..itg oil000aneWe, A"i - ;Garyilgoirison t ;Liam Seed r:... ,;.... -JOM:6rrnk ,.":-_ :35't5a;90Q,00. - -,r..laya3 _. • :Install Storm Drain • - ...--_--. ._.. ,._._780435•41g2. ...951-074,7352.:-=-., 949;27g.3819 ... iCe�ns -.• .. a1Trwls. .. .,A e.aOh: '>.,•"David6eadar,:t € :JUnn''annfr $171,OOp,,,,0 'AugA3 onw.• Stahnp+avamQAti- F 58.497104 sop 232-72S9 ! 951-874 7352 940-279 3878 : .. • county of1,A (..MCmmtyi'._ Cjta11¢1R•Al I_ ',Davrdtl8edo[ JOM811rik 310a-ue,00 rr t 8ep;03 . BRsp)ie CYeilftM J4Cih0 1 FCC0000892.:. ,: 62e 4583887 .....951.874.7352 848279-J878 .. . : : IT�,arrrauna 5r80Wa pnly}Wew8' At[gdNfeisan I•-:ppvrd5eeaor Joho-3pn9 553Z,.51QW Sep-0' • khat`.5ltaatSewRT U elAct_ Pr t 587S ., 909�98 851974 7352. 94 279 3819 ::. ton4':'Beac5 ----- 00otr an06eaotr ,:: °a� _Atop 4eusbend 8eedor --.r--Ramlm Acevedo -.--5l73359�00 uun-U4 .- . Storm Greta Piano Sta0On 28 __ i ;:'F i S82 5g01417J 851.874.7352.'.„ 's 949,27941057 :. .._ ': _... i �Jan'Juen'Caplaf000 _. ;C517rerrs ....'AMII.Atyt)OUND Y""Dewd906407" RenaroAcevela __ 31 39Y'IS000 NOV•4J Stoneld9 Drive median barrier,.__:::.. : ,'12,0114004.„, 1;eguntsNl9.t :-:..: ... .. ,£aftrane. - 'I :tOranRamadao i DaetdBeadar 'Jearr8MK _,.- 55153t00 Apr-04 : o 2 WljtjidpadtTtatl/ '.•",:::: Wendega7Mvdson "bartdBeedm-= -'[JohnBMk5341;551 Otl x ,.... eo-w : '1"rrela0 mefel baeraguerd nit 97�(i5004 213 79&OO48 55 874-73m2_ 9492T9.3878 -._ !:# '' t4tyhlany � v,CalTrens- -timed Abw9Damieh - Jahn:Snug- '' 9481.83'PO •De0-03 . Remove 9 rayonsWMM bidgo ritma :88437204 .. .:: 000.300,4503 851-674 7352-,:: D4D-2704974. • ._ . 1. t:Iv.,•3:t4S1faadmg ODoynda • 'lrreeVettey5Muniapal • Thnm008.ayres ?Dawd9n0r207..:. Jonnennk � :53383099..00 'Jarr-O5 tS Rrnpplt tgldarOmn>1k94N• .Water DlsldU 626 357-0586 ! $57 674.7352 949 279 3676 i 3,. $leeralde..-' •'.- '' -=..., :4%aarrtyott`8vernlde .'--Raga Smith: Dowd BeaddrM.-; John Ban% 5131i300,00 ....",Mar-04 !< Traffic slonel a Van Buren 9 Jumps !- : 808 955-4885.. ,! 951.674-7352._ .849..278,187.5 t,. Tonanca - - ny,ot7cnanco ,StovaPinton ti,3 Davld6eador: '' Jona0nott ' 51016,664.00 .Nov-03 s234.S1tael chan9elimntavemeMls..... _ ....... ::,___ ,..:.:-..__ _,.. ....._.11Ce16.2875....-... =_.:_957.874 T1s2_,,.. ......„.949:2794876._...; .„-.-: ................ Sulterton Eu{8ld Street Undercrossirrge, 42-0F8304 - 714888-1951 051-874-7352 •8492793876 i i "' ' "' Ct!y;of Cart:DatY;..... ...1 ty,4SC8r19DaC .. ........... Grs0tClavv„te. .......povld9oed_.Pri . `.30110 Snow ..:58233899.gtt .`: -000-04 ElCamino Real.Sewer Line _:Carrkict9-38911 !_ 780-802-2700 r.....951.674-7352. .1 'd949219•�3875 ', , • Rounfy otOr.ir a - olprenge : .•Mnsthomton :.,... Oevddoodor. :":.•JUnrt:BMk. ... $1,863',65sk00 Dc[ a i Tuari Avenue wldenlhd _. 'ER 08930 ,w., ... 714587 7834 951-074-7352:, 949-279.3878 ...._. •.. • • s Riparian Corridor . ..310-345.4941 i it__951-074-7352_ 1 .949-279-0057 ;,MorenoVe0Ny _ i catirena rA03Ar+5eacaon , I Devid:8eador - John Done 5802;700.00 Mar-05 itydeh80 FreewaSellomP• R ,-. r 08 488204 y : E'ontana -,"•: .,:s. ...:. __ ;CltyaSFdm0o 3 >.�•....:::. ..:..Pnui emolne 3Devtd 5aa0er;:::: .....°Jehm9nnt 5tl19.10t160. :.,PuA-tl5 .. iiiEetawba 9 CoNa Avenue Storm Drain 1 961-088,1070 '951-874 7352 94.i79-J978 ;caanatde ...:: ;:t,Ttlka4.,. ,_. ..-""""-„.. 3":.;Malaga Ma5we0 ......\ .::'Oevd Beadar:...,. .,tonrt'Bdnk� 'S31T9848,b6 t -tl6 Douales Avenue Storm Drain ..;b.R}Iotton.lomea 780-928.1890 ,,,,95i-874,7352 948,279.3874.,.. ,,.:... t „.,:,:. Casta:Meoa - Gaf7rans 7 Kltah Ramadan ->xpevtd5eader •JaM'Bdnk 'S42p,;t t,0d ; Dec-O5 ReoairJaMl Seel ... 12-009304 „ :..:.949.278.9825 .:.951.6747752::: 949-2793878 T:::: ‘fumno ,:_,: .. woos, ... ... .. ...- ltugnnRamonm6DM .+ ,:OSvkdeeador " 7Ohn6nnir 51t44$366.00 , ' . .Mar-01! >117116:55)AC Pavement ''.{�.i •949-279-8495 951.874-7352 949-2783976 • ,., • :3 Unttn ta0 Seocla.. ..;Gef7rens ..... ................ .................Isaac'tabor :: ir::;:Davd'Beador..._i JohroBring 5239118300 s " •Oct-08 f405&Boech)Add_Otfrernp •Lane.,.._.,,,.., .,12-0A7614 ,.. ...... ......... ........'........:849-27984.11 `,....._951a747352.__.�.... ..949,2793878. ' i --..•7::::: .. ._-.:.......: ,..:..., Santa-Ana :: reat[trma " _--- i Gassem4Yaetan y rtpuviclitiernfor ,,JongBnnk 5162'946AIY •,; Jul08 5855:&FJrr eel ......:: ...1 #38t1{f: : 949n27EF9.488•- 3 -:.85}.474 7J52: :949rz79-d9.76 lagadar Canyon CreeieOrcnard'.otten ,-CentenHnmes-s -'•:`""" .Chmtant4 •':DevidBeadar..::: .m0rt99h%.. $8250,665r00 �" ov-O&• .:Centex Homes : .. -- . ,949.453-0113 ;3 951.874-7352 . 949-2793878 RanoPoint ......_ .. ... . Dane PeintrawerRepmren 'tom'Tnwnaead •David Beador....r s rdrtitniteng 532,9I0,00 Dec-05 Sewer:RepmrIDonaPmntHatbw...._.. ._,,."._. 13ana>'ant:Hatbar ... .... 949.923.3T95 . ,•-:951.674-7352:::::, :.:859.278-d578.__ ' �_....ttomW.Somaen ;.i ..DevtSBesdnr-'.. __-;John Bank i:- Sr2554,186g00 r _. ,0c1-06 Voa.Lopaslremesial:CanvantBedfard Wedi.Channel , 213-928.2640 951.074-7352 949,27938713 i i 1• `Ctty'o ilcianside,-: _. *JaM.Moody, ...^Davld/5eednr-••,- '-Jbhnttdnk 51243.12A110 -Junes"19uug1ae Drive Street Improvomant i • .Fount Tot Orange OctavWRNas Dawd 00008r •:JBIInBMk 5t di1970.00 Jena 91t�95*Ol l41StOr111=9; &J'- ;.. - ..: - ... 714 597;7914 :981.674.7352.:::: 94ge279J870 i ti�rt!¢I!9jOrt9lagll,--- '"' paatenBx..•, _..... „,_-_Jamas:'tl{. _,.�..DmdlYvador..,=-:", ..—,.".Jmsr.Hnnk '-;;- .._..S45B;95660, #:,.. ... .. 405&55,'S o6afA40b1aYhbRIa . 12-0G3804 1 714458.8202 951.874-7352 i' 940-278J073. I '6ultat4D.PI•• •- Dos .. ..-.. Con Kar oro >tlavu'SooOnr:._.. JoM Bnnk S370;'td600 Nw-0B _. y.. tshtsi4irytdmstrOROAM#080/48ii; 1 ii.i)9t68S .. l 0194974254 __._951.474-7352.:._. 949-279J57C ..... - t8sAngalen - .. •Caarans i RedaKerom '0avd8ea00r :John Bnnk• ` 553738800 Oct-la RawnnlrucJOOdnage'Inven .. :, ,iQ7.4G7004 _. 626338J390 t ._951.874-7352 949-2783678 _ ,. _::. Co00n= "' r l01047 .. Jw7a1194 951,8 4,7852 �lt949,27 wvedo 6}594050D Ji ,'[Drainage Gldm s! AaMM. r 951-278&1&15 `95i=874=725Z 949=279-0057, ..,.:,r ..z : t; • ,.' •• .: .: • .• :. •.: doan5anCompmviifft ..,Attachment.'..W :••. .:. • • :..; • i ;".0212./Et77AtAME, . OWilER i CONTACIPERSON(l'.1 PHONE NUMEIgit,:i PHONE NUMBER. ) ..fimoutir I. ,coNoiffro.k. p•07"a!:"....std.," ''''„1,:e'Y et tc4anctde- ,; .8.my Badman ,i; ,,..tiavid deudor... .• Moover ttreal tower.Una Improvement ...t., 7.......... . 951,674,7352.14, - .8451MMC084499118,M1,4111.01.1'484,1 1,county of;Orange,: ; .rwItsm s. ;I eman ..,,,.roamatoartor ;; ..Jona490Mtle5,,,, ..„; •: •.:autr-tOn •---,1 I ,., 5/133113arionce 7 1 12-0E9504 ' 9413;27948251 3,. •9514374-7352 ] 948-279-3878 't ' - ; ...."James TH t, -Devid:Boarlor ; ,torm.enox:. ,..- ,..52cesp99,9e 7 -- 7Apr-Ort, •1393onite ganyonfil Toro. ,112,0C91334, 1 ., tg South ' " 551-69443411 .„: 953874,7352 :) '9497170670 1 f8101MetvPMT94448 "'"''''''' "r' •;91.V.r144n814^0.ech , -reichuel Stoacort ;David Boador . TL101881mn< ; '$4, 50211V00 : ,8PP07"" Id Canyon ' "ST/OA:4°9,0h ':' ••10.q.10,14.94497: :;•-.-..,-,:jsUn111nuic,-,:. ;,,,,,,,, In•,,Inuo,,•-", .. -----,, -9.904.,• i •rt8.1.84Man '4201401314 , 949-279-9502' il 9514174-7352. ,1 949,2794876 t t . , , , . - ........:-Joseklerrlos 7' .tavte Meador, :, .aortuirthet • ; ...5110.031311,..99 ". ,..911-09 1 GonaAtuu - brange,SiAnalleim . ,... ,CM11,10.... ,t It 87,FINT,,... -..„,.. ., .....„„:„....,,,,,,,,,,32+01d2484,,, ,,,,,,,,,,,,,,,,,,,,, 77:777,777,77-.1, ,7949-27.59029-sss-.,1, ,..."...958167:47.3.52..".:::::,1...949,27.0,3876.77;)7 ' •7 1'tatelOMMadoi Road,!, . ,.„ ....- ; t 582254135.1 t 953044352. ., „..9.41,279,3078 7 , , Lt1e00011.0,•---7--",paVcd.f3oceor :30nr313MIL ' i; ' 422.393t1Tr0.00;. i'' tacit?: ' i ii t MoArthuctiMedhill I ,949-724-5000,. ,]: ..:95347.4-72524......',.-049-.279-30.7t34 rt. ,. ,. ............—„,.....j.7, „...,,, --..„.„7„,., 4,1.4,96!!1-188," -. .. ::..... , ., ::„ft:rautOne lidded Widening-OM Hondo t .., ' ".t.It.. 585;205-7730 ,953874-735Z, 1 94947072041.. T 1, -• .., ..... .„,. .. .... 'calttms'. .'.....riarttmli*T3187.1 --13avrri Saador . 7,Jotmanntr,, 1:'?. 11.75j0010... . . ::. i e.1,..5!.7.0,!Ill•S!., 117,129934 .i,i. 582,755,9238 ; :951-47477352 It 94.9.470497.9. '1; i il 1-999,,- ---• " Ca:grans-' 7,r 34cattgastdinsourt; ;Davidlloactor 73o9198588r" :::,::, ::: $213.02208;; • :0ct-071 f„ ,.. • 610Wy..8.55 FWT. ; . 1 toms Masa „ 7.748ucrant9tamonstean.,7.;;;;;„Owed tiaador. .:.7...-,..lohmThink, ....4.1.;r ,,,,,,,,,,caocr;3408,,,,-.....,,,.---..„,-- -,-,-"Csaa37, ' .....'. , 949-219-3878 r; 1 . .'tmgune toast wmtsmossMadt ...--, ,,,,,,,county:of tronge--------"-------s.:.--::5.-81;nettuttaserc. ,....-Mosta eleadorr, ''. "`,30111,098k, ,r,n'''''' ls9t013%00' •1 „„, SMaSh-Use TrollII c, ;71.04.042$1: i... ,.001474,7992., i. ,549.r4.3170. .i. tt; 1 Younialn Volley &trans ::;3498344901119030d41118: :David Eleanor; i ."3otin Oro*. il.17 :3878. .;21489, - .,. , ..:, EiCeniti.liderchange,Irrtmovements,1•11,....,• '•.• "-----.......„...........; 951-739-2441 '' 9514374-7352 1, 949-279-3875 1.it ; t, • • r a korboi Boidevard Imarovements-405 t':,,... . - L,L. 714-754,5032 ;i 1534374-7352. i 949,279-8057 `.ii' ,.. „ Li -'8499.a:- - . .'003rts 4,..itmadAttugnerblen,:i ;David Heador- ;;„ .74ohnlirtnk.". , 7, - 133I711;53200:, r .pct439 ,.' ;I 07-248704 :Itt li ,01043374508 tasi‘e74-7.352. 1 9492751878 t,it " t ;Atonic Rehabilitation C..os Angstes, t.caftans q.-ar Hassan Ahtna i ta59a:19eada1 7; . '..101u113dna.. :i 7; 825113.9937500,. .1 7.-:t9ap-913. .•... t" dineilthrChritt''IddMThidantem t,: - '''.,' -9084502144 ,t 95143744352 , t 9454375;2041 i 1 .., ,ti . •hott4 -- ';"t i 14x01)411**14.F3M4 4813ranu ' ' . It:7 Itortio'Retrob&Widening . ; i:1285904 ; 819897-0217 : .95343744.352-..tia 8457279.735733;::3 .„. .....„...., , monsaconzates '„ bantasador H.':.:, John flank r " - ,..51;521,85311, :.. mergency....tolas. . . ... ••••••••••••••••••••••I 1)349.7694039-ca..77.04....—.. ,••••-•••••••-,,.,,,,.7.50.143,5944 ,.....,-95187417352,t1,,1.„„:941,279,30713..,i,:::::::::77.7.....,,,t,,,,..:77..„„„„„„:;„::„.............,...,,.,:„:::::::.-7.,,,,....,t1 YentYra' ,i--:LloaephrTesrett• '1 4-,Davnt Eloodor..=7 ?":',...L.I08111584005.'rTi",......"..,5":9!1„L57.19.1„:"---,'"'T"":''' '''.189,0'03":" "":"f ntoltliplanatt,hotrrziasphatatevedat7 rrrrt-074(6804'- . 1 805.375-92,47 ; 951=874-7352 It 1 949-278-31378 •:: :; Cold Mane 8 hot mix aschalat overlay ' 325,591,1795 t 051474,7352. 1;it .948,279;3979 „„ Long Bosch. ', ;:.Port ot Long Beach. '"' 7 •Alex Reus•• t Elandea-ado/" ;;,.. ',Flab Ortega . 1.• 995.0517949 , •-- At 5 '1! 11-08 'vistas•;" "'" -:.. .-- ..1 tat TrensT-----, ,.....;,,,, .77'=::,,,,;','1aratteattsto.-.-^,,,---,taVid,eterator,,--#:-;-JedElorgtmvalu,--:;- '59598,047300.: a-- rtMarr10,--,tt.„ edulveda Ramp.8 Badge Wes nIna, 1 07-178504 ', 310-805,0284 951474.7352.51 i'. 94.8t37-0543 i 7," T., ---------- .7 ManaAlarcon. 5--120v10 8eactor.: :7.;r-liamtroA0ever1o.-7 " 51o59,439.90. ' 1)' 157 910 mti9.9y.Urckg.P.54elvimig .... 1 tO5r391.„.... ,, 909,795:1003 t .9515874:7352 :11":1'.. 849478-0057 ': ,......., Newpamil..at,CiyeratHeignlsOlive - r ton-rans. : ., . :Fred,ISomml.: ,.;. 0ov1t18eartor. .7 r, Senn antra t ,. ,5707545.00:7- , " 381scatc. ... ., ....: Drainage;„Cord Pitille,Pavina.:PlantIne,„:::::::::::::..„!121.005304-......„7,-,........„,„.„„„:„..,,,4„7„..1,..,,,.949,27184.8.87:7777 t.,,,,,,,,,9753.874,13782,77,4,Iil:,:.:.94872.7.114.13.76.“...,...,........,...,..,,,,,,,,....................,......).:-.... .,,,,,..,..,,---........7........-1 . z Cactus Ava 8.215 Etrldeeteedenlita7 ,. ' '''j,.."`"..n :L",,, : 949-8851500 . 1 951-874-7352 t.t,' 949437-0543 t --200 t Ileaumont; ........................."...":7 ,..tattans,," ' " 'MoniuslAlam g DavlOteador '...1, Jetta.8nrer '. 344234.24840 .,,. 71:8108rAttr 5-"".;11 i .ternithietOridOW5i81-011061:8;:....„,, i 09472304, ;.•.:Venal d An - : ....." ::-. .. ply ormanianna-tut • ,..... •,..1aattlamikettui*- ;.:-.12avIdtandor-,- :71; ,datt3angleyruar.1. t.,tonstiirctlindae.&„Straet.VV-orks„......--„,,,,,,r, 5113538-M8Fticl4ite:8000013.7,,,,,,,,,,,,tt,,:i.,1,714,1147.4029:',,,'.,,:.,13A1',4174432.....4 t .. 1 oiiiititibitioii : U8,492994 i -951-232=7793 " t 551-874•7352 t '4, 949,878,2041 • ','..Ontatiooft•ntfto:CA9RAVA- ''qPIP.ao - ' ] tartra Lettruc• "r Davrd:Beactor ,1:a T.Itton Ottega• ; ..",3113913837.0 ,,ScP-OS a '1'3tehadaMitridtaithicki2: ,... 7_ *n,!0.4.Vt451'3/' ''‘•'' . : ..: . , itiidlaidA"'' , .;ecc09910991 -• • • 929489427 i 954474,7359 i ,i 949-337-0543 . 3 1 Coqq3t,r91.,1411401201.1i..i..- . " - :.134PMK.0458:Arctitfe4 - '..""„:Zatnranitngji .t baviameadar, k 17 litatstnega, .5197.1233101 ; .51art2ep9.2010 .:a: - '...-.'.-..]t.„',.",714513t!Aftliti.. 5-a: 9514374,7352; 't 4 549-279-0057 . . .,, L :ster981019:99c2013. :: ',. ' .----7';',":',19401114•043c• i:,-:, golvoitwo. — . ,... • fii#1444,1.4±7,c---- " --mmoi...11,49)q--..... •',.L. t • • • ",Elttdiir IttlftStOttetrilikle0MatIOW,tifita Attachment"A:, _ MAJOR CONSTRUCTION PROJECTS"l= CMPLE71EDRdti'Ptiare&g • . ... --PIHONENOMBEt 7""PROUECTMGR PRQJCOYSUIT - .COra/tar ( ....noix .. ..... ._ „ .OWNER CONTAC]•-PERSON.,t:.P.HONENUMOERi: PJ10NE:NlmlBER.�....- .. AMGUNT .,.. COsst9;ETIlJM V iley.'Blyd over Old Vekey Rd 8.UPRR :ROTC 0a2395 " .:-....629-709-5013 951.674 7352 : ...'949 676.2041• •I.i ,cNr xeev 1O1'd' • .- - .. ., ... Cart'mnr.. ...." - ..:.: stave-fZmaN '.y avm'Boetlar l eol6000verualaa 3t19 2200 '. --(aug to ! o 133 Hot Mix Auphalt Overlay_.... -.124K2701• ._ .....951.874.7352 • Moreno Valley -. CDwu Car Miguetoapiao r ;:00,00,,0or Evan8umen 34433,1131,00 1.j:- Stortaiuly2010 • • • • Rte40-RUIdtedxedHMA Ovedaly PB-0N3004. ......-. $51-232=.6957 .»_ ,951 B74T352....:i,.,.909-Z211642. .,,-,...:. _.. 0eo-10 • latlR4.1100113bPkRuttk .. ..::: Cartlane- ......^^" ......... .toot,favehemestten 4,'.4413a5W Beador ,Ranaab'oeved0 9e,409,100,00 r 01artJbna201�1 t Rta 5t--Wden Pvadway and8dd.aa: "12-0E5704.. -•944.2893551 ..951.674-7352 ."949-279"-0057- ,Complete.June 2013 % 'ovrne.... ._.: ,".. .«Crryollrome - :;S 9/Iuseeptut, ,Oavl011eador. .tarry'Caleman $24656490 then.Nor:7.010 ' '1 Macerthur Median Drainage Imprvmnls0;14120,„ ,,.,, _v-949-72A;6000 ,:9S7-0T47B52 9-279-03BB :-T ': Ca^��te SepFID11 1nrinalate-Bridge- :- :.,Coumyoct=usAngefes 9almamlfign 0evm'Seedor, tantOrtege ,•..-..11a929:700.U0. „.- Star May.,011„---.: Foothill9Nd eter<Sort Oobnel River 100 00Ma13 92,345&d956 1 :951.674.7352 94948794041 template Ann'2012 'I ppllgUeaCIF-R'WIQIlv9r00Yanu1res- llott-ong0eech ...-. '^tea,-,*pKWanO'.• ::�Davrd Seeder -::. Boo 01 pg 1....:: SA26 b7tpi0 .. ..SHirt 001 01e '710='FEntirend'3haetnaxa"r5tIdt(6 ' :110-52339 «. 562-9014758 it«1 991674-7352 i 949-676-2041 : .. .947.._ 1 Complete,.2012 _ • Rong-Reece BnagetinderRapatr portot Long 6aach RAO/ere, £ 17evla8eacer - Oe0.01tege S83 :Y,k5 5tar10et:2010 i SR710-Anaheim.Sbeei Bridge tHD-32320A .. 5629011756 .951.874.7352 .949-9713-2041_._. 3_,<... __,-- .Com,ppleta2012, € Navrpo4tateb3flserlcRenatii` 'Guyorrlewpolt0eedl 7tmdou'6004aryo 1 .DavePeador 4 zRamno-Acevedo --4,,,---5760359,90 , , SladDec2010.. BtldOe'§41sdY R88o� : 31C15J7 ,._949.644 1312 ' -951.674.7352... 94&279.0057T Complete A 2011 o,baw09,arafaatnuon .- ,ARSACr- .-,.. -...•l(ontonchallctf FJavra-9eadar-.". :�Raneroeceveao +61009S;300,,N Itrep3611• 3 Fla 10ia Rodlende.5 Yticajp9 _. :C10190STPLN 9053(OB61 948-2874864 ..951-0747352. ... 9-279-0957 __- --....._ cwppld1a3013,. GIty;ol.Newponlieacn _ . :Jamboree Rood war 9R 73 -- ". CQTAINifrpOtYEeOsal /u8-644Toist; ..ttal4tl eeaaor mro 9.0957o SS57t;72S00 start Mae20t1 t13724 :. _:,9411444_}312, -_951.-974.7352 --. 9494794057 Comotele.2012 fitly otMorena.Valky -COY otMoreno,2Ieney, jlnrenSnon t`$oavla 608dar .13ob•Ortgry 24:eseon,0- - ,•9IDI1AIbl201d € Caunryufmvarsl MaWene�a Pf9gtem •Ca1otyor >� -V.,u ThaM Nguyen 1�973SZ '99g'-978-?.441. . .�,. ...511570,00. ......;. ..Completed a2011 $ty r0 cy �8-007004 .909-82547 0 govt.G aavta Beador gob ;2011 Ma Erm en Repel 57 95-¢T July 2D]1 .County or Orange Coumy01orenge t :"),,to Renate. c,avid Seeder '? RermroAcevedo 523S5S160 .Stan 01t ;I :91 Freeway Emergency__ ,..: :: ,,,,:.2-0M19124 ..... ,.,,,,,_ €_....949.2SB-803 :.951.674.7352 - 949.279-005T -:.: Competed SeptOct20i1 47oaalyo4134199l984sL 'Ceomtlr0l4,a4$ugWor r_..'.Hasaen!Feyea ..::OevlcBoodor ...rBollOSega .. �.. 'b1100.003aa6 94nMay2alt ,I„CH g go Erear1005l Jo4 97-3X4604 .: ,562-880.3085 s-107 '951-874-7352: ;949-678-2041 .'l 0..2022. A Counry.at3rrtt4rrrarOhro- ",^.„,. '°�1Ory'a '" - ttan-ttan_.- .:Oevldifeaaor'..�,: 000:nnege - 5300 2 00 " rt'Maya013 r.llwy330 _.. 060r1800�G :._. . 1 •.951.•474-7352' 0494470t2041 .....CompleteAu02012 _ II 3Oroty p4Rtranides- --- -City olComno,Murde®,' «David Seeder EobOrtega 9728521.00 � , ....Co eled.Nov 2012 : Counlyotatange -'- -beonlyofCrenge '..-.Room Oownerd _--0avidaeadar -.R000ra-AOevedo--. 520M93,300.00---,i"" Slart2u0e2011 er8u P5dveay IER08990,..,.., 71LSBT-7e36 951-074-7352r .948•/8.0057 - 2D1B„ Artea Davie fleaaur--- --gob-On a 57097 C,00 '-531001'Ju Iy 2012 Route 105.West of Facade Ave 07-4SB404 .1-0 4-7352......_ ._949A79-2D41 .. Completed Julyt2013. i q;doh-Nt7l ..... patrons - -:Adrian` e :David Dewier •:i Jetttl,68oluOraga,.t 520557,900.015 S101Fe02o11 } Pte'Slin Plecen0e.4 Fuuettop.,..."... ...... 12-0F.0314 .,mom, _-:94942794488 , 951474•7352. .9516747352 .-,...,. .... CompletaOe02913., • ; ty et0olsbad - , Oly-00rsped : .. .Ca50 y-Arnd« evf5eador ...1.- amroACavelo '-- S66g,000.00 .•- Start J ani2019 'CarlsbadBNd,OH Re Bnglmorovenenb '- 6016/3557 (7s10022790x73Z0 951474.7352: 714-393:865 € Complete • 2015 • r pry arnislrn ::..": .:--- ^w Cttyofrusbn "" Jon Omrgels ':David Eeador--.-. Restore Aoao000' 51.560001.00 - Sen August 2015 1 Install BloBaaOan UrxG _.. CIP 50041„ § 714 573=314a 951 A747352 714493,9955 i „ - O cos A 12g18 Qwmkyg�$ev4slde',' County.a1Riverstaa :trot Nguyen.. Dead•Beedor tcarry.Culrunen seep,000410 S rtJwra2019- I Cidtinge CluOFark..:, - .ProjectNo.C6;.0051 :: 2,951-9814303. 951-874.7352 780--99.44129 ..Completed Oct2016 on olarrtorM•-ear ....:. 000lamorat0ar.... =3 1ohh0 ..- `FaY fitly ,.. ." osrroy:: •David Oeadar -.. tarry.Golemen :__. 5485Sb2,00 S�mrl;Sopt2016 Diaawnd BezBNdlBrea Cloven Rd Enhancemen¢rofacl No,2B915 . 9 63 809-7043- : gb1-674.7352- •780.908-5129 Completed Jan i7 ;' City of Torrance «--- r:, iry orTorrence:" i'EBzabettrOverstreet ..:.David Rearms terryCofemen 576940,0itt0 : :StartSe 12016 p ''Cl4 tram Calle Mayorto Janalta.O.e Sakty.EnitProiect ON6-2818.-19 ........ ._...:.310d18-574_ ......951-874-7352._.... 760=900,5129 -.. ._. ' .Samtleta4Jan2417 I'Fi&Wsttleeocatrt,Ioc. 15.ar ate Tuocane 0evelopmenl. a nDarrrd Sender ..,t :RarMro ticavvdo 7.sbs0,co �' an4asz0y0 Teme•Jde1 Canyon Road ,.Tames®I Ceayob Road a .;851974.7352 714.393 9855 .. Ca Bled Mdr 2017 County-of l.A tCity�ofpomrRttneh: :Conoarrs;. ..-",.,,.. :...,tAtcSmaserlzadea .Oavm soadar Rermro«Acevedo ntt.. :: Sh387-300,00 .. .,.- 491art,0g27re .... :Tampa Ave Off Ramp on Route•118. 07-2049U4 lt 818-394=2760 x-233 951474-7352' - '7144934855 1«1 Completed Juny 2017 `1Clty09'Tdrmnce Glry ott`arrence ...Angel Lotus :tlavm0aea0r: Rurm(o Acevedo - 050,30tl:011 1Apt3g17 fambOmre Storm Drain. 310-0383079, 951-9747352: ,714-293;8955 to Completad�May 2017 . arCtlatsworth,LLC Forms0glC14t w6rJr,.P., 8dan Wooae.: 0eviaBeadet Romrro-Acevodo ---„53876,70300 +Sian-.d B Canoga Avenue Bridge. _-_ ,-L 949-748.6714 zoo 951.6747352 714-393.9855 g After C08 S3;873:610,0 Completed. 'aeestarclrgewenn CLO- wasgrOmatsamrih LLL°i'..'-' t :;;;Roan W0005 .. David 6eador ...... RensrO'AmvedO % - 37 S309gt�g0 S®rt5apt2010 • • Poems Bridge . 1 ( 949.74067340-204 95.i-4674.7352. 714393-8955 - I Cik1:01Wtfdssap. 'ItyotcoslaMesa LucySm0e5 Pt 0ayld90e00r 9adyanMalhoson 31682.300;00 S1artSep12bt7 1Placentia Ave Medlin lrrryrwerrmnls , :Protect No•16-04. 734,754,5633,. 951,674 7352:. 619-589.0515 51 700.25000 :Con{deleaMeich2318 0ltyo}94ntan -- *Vitt'01.51antan -. , •Guitennd"t'erez •Oavidr0aedor- -:. Larry,Celemen 5117.706,00 .Aug,2017 .... j &1lrunderdm Lane Sewer 9 Street - ;Thunderbim Loire,Sewer B Street improvements improvemente...,, • „,„714890.4204::: .951-674-7352.,..- .780-g0&5129 ...... Camplelad 0002017 t "41810 and Thalia SueetBeaeh stair eplepemem CtP 438 rt4:8 Thalm SUoot: .oen.26a6568 951A7A 7352 -. :714393-9655 i r,2016 Eest:Onnge Cou g ry smel Usa'Ohlund� David leapor .... ;Coleman .A 5303Ot10500! .-.5aa1.5a2bt'T I Lamy • Open bench SawecLne Repla¢em mt „: 71451e•SB15 951 8T4 7352 780 BDB-5J29 i 1;0m[txr8QF0h2p14. prooimurslAvol3uage '''''-''''''''''''"1Celt'o$Hun0iugtdn'qnaclk -Janm0ellln OseltlEeamor•.:... 'AdamPne00 s .... 9806320.0 SianPbce2018 t'; Bridge Preventive Maintenance 'CC-1449 ' . 714-175.5011... 95.148747352 714552.6018 Out Completion"Mart 2018 agenda Ave Bridge-- 'Ctry otHunlington 19aaeh 'Jahn GOtlln David Bea�or AdaraRnetts 1033 70000 %S4nF .2018 I tell vidge P.reven9ve MaiMenanca ,„A_„;te-1448 :. ,: ..714375.5011:. 951-674-7352- 3 71A-552-SB14 ._. .Est camplakmr.M6y2016 1 1 i CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)),passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 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/PW CR/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, i as well as for ALL subcontractors at the time of submitting the bid. is B i Pg or`Construction C t a ': Inc. tone t .r: , Sd d V, ,! B--.' l�avidaeador) �v._ . y Y dabeador@beador.com Email President �a Title Date:_.. 01/27/2022 PWC Registration ik 1000009909 "....__. , c-i"3 Contractor Information Registration History Legal'Entity Name Effective Date Expiration)Date BEADOR CONSTRUCTION COMPANY,INC. Legal Entity Type 5/11/2018 6/30/201'9 Corporation : . . Status 6/12/2017 6/30/2018 Active Registration Number 6/7/2016 6/30/2017 1000009909 Registration effective date 7/16/2015 6/30/2016 7/1/2019 ... ...,. Registration expiration date 2/16/2015 6/30/20155 6/30/2022 .. Mailing Address 7/1/2019 6i30/20 2 26320 LESTER CIRCLE CORONA 92883 CA Unite... Physical Address 26320 LESTER CIRCLE CORONA 92883 CA Unite... Email Address Trade Name/DBA License Number(s) a CSL8:720483 1 Legal Entity Information Corporation Number. 33-0802605 Federal Employment Identification Number: President Name: DAVID A.BEADOR. Vice President Name: DAVID A.BEADOR Treasurer Name: DAVID A.BEADOR Secretary Name: DAVID A.BEADOR CEO Name: DAVID A.BEADOR .; Agent of Service Name: DAVID A.BEADOR Agent of Service Mailing Address: , 26320 LESTER CIRCLE CORONA 92883 CA United States of America I, • g Workers Compensation l' Do you lease employees No , i through Professional Employer Organization (PEO)?: I Please provide your current workers compensation insurance li information below: PEO PEO PEO PEO InformationName Phone Email; i Insured by Carrier Policy Holder Name:BEADOR CONSTRUCTION COMPANY,INC.Insurance Carrier: FEDERAL INSURANCE COMPANYPolicy Number.54303367Inception date:1/15/2019 Expiration Date 1/15/2020 .. .. .. ..—gin.. I I 3. APPENDIX F,STANDARD DESIGN DETAIL,IS HEREBY AMENDED TO REFLECT THE FOLLOWING "OR EQUAL"MATERIALS a. Hinges,grates,anchors,and ancillary equipment relative to the grate standard design detail are to be 316 SS stainless steel.The grate itself can be galvanized carbon steel This acknowledges receipt and review of Addendum Numb Y One, dated.Iafi taryi 8 2022 Beador Construction Company,Inc. (David Beador) Company Name Q127/22 All bidders must acknowledge and'% Pudethe receipt of this Addendum With4iiiiiiikt p E. Should you have any questions regarding this Addendum,please call Mark Lewis at(949) 677-0391 within 24 hours of posting. Document A310TM - 2010 Bid Bond CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status and principal place Beador Construction Company,Inc. of business) •26320 Lester Circle Lexon Insurance Company Corona,CA 92883 701 Brazos Street Suite 1500 This document has important legal Austin,Texas 78701 consequences.Consultation with OWNER: an attorney is encouraged with (Name, legal status and address) respect to its completion or City of Huntington Beach modification. Any singular reference to 2000 MAIN STREET,HUNTINGTON BEACH,CALIFORNIA 92648 Contractor,Surety,Owner or BOND AMOUNT: TEN PERCENT(10%)of the Total Amount Bid other party shall be considered plural where applicable. PROJECT: FLOW LINE HALF ROUND DRAINAGE INLET STRUCTURES ON MAIN STREET,17th STREET,ORANGE AVENUE-CC No.1656 (Name, location or address, and Project number, if any) Project Number,if any: The Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surety bind themselves,their heirs,executors,administrators,successors and assigns,jointly and severally,as provided herein.The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified.in the bidding or Contract Documents,with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof;or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect.The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid.Waiver of notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time for acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty(60)days. If this Bond is issued in connection with a subcontractor's bid to.a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. . When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.When so furnished,the intent is that this Bond shall be construed as a statutory bond . i t as a common law bond. Signed and sealed this 17th day of January 2021 • Beador Con,• •'• u i Company,Inc. (Principal) (Seal) (Witness) (Title) Pitad (eatdor, prasfdeof Lexon Insurance Company ICE (Seal) (1471 ire Maestas,Witness (Su `' J AN 17 2022Z (Title) Edward N.Hackett,Attorney-in-Fact AM Document A310'm—2010.Copyright 0 1963,1970 and 2010 by The American Institute of Architects.All rights reserved. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT lit AAAAXiKAAALAiliAlilAAA ii &AAAA A lA ilia i•7 in State of California County of Riverside ss. On January 18, 2022 before me, R. Quezada, Notary Public Date Name and Title of Officer Personally appeared David A. Beador 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) R.QUEZADA Ago- Notary Public-California : acted,executed the instrument. a Riverside County S: r Commission tl 2278239 - • I certify under PENALTY OF PERJURY under the ' My Comm.Expires Mar 19,2ox3 laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal, tv- • Signature of Notary Pu Place Notary Seal Above OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: 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 Top of thumb _Attorney-in-Fact Top of thumb Trustee here _Trustee here Guardian or Conservator Guardian or Conservator Other: _Other: Signer is Representing: Signer is Representing: TTTTTTITTT ATW-WW WWITTTTTTTTTTTTTTTTTTTTTTT wW W w • CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verified only the identity of the individual who signed State of California the document to which this certificate is attached,and not the truthfulness, accuracy,or validity of that document. . County of Orange JAN 17 20221 On before me, C. Maestas,Notary Public 11 fire insert name and title of the officer) personally appeared Edward N. Hackett who proved to me on the basis of satisfactory evidence to be the person s-) whose nainc s-) isfare subscribed to the within instrument and acknowledged to me that hefshritttey executed the same in histhen4.tleir authorized capacity(ics),and that by hiAterittreirsignaturefs)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. — C.MAESTAS COMM. #2295096 71 WITNESS myhand'and official seal. • =i 3 NOTARY PUBLIC-CALIFORNIA iF ,..▪t. �,- Cep , ORANGE COUNTY s! MY COMIvi.EXP.JULY 24,2023 A-No--:� • (Notary Seal) $Igoe blic • • • ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment convivial in Cali/brain nnixr rurrroin vnrhiage erred• nc -DESCRIPTION OF THE ATTACHED DOCUMENT appears shave in the notary senior or a separate acknowledgment form mast be properly completed and attached io that dorument. The only exception is if a Beador Construction Bid Bond document is us lie recorded outside of California.lts such ittctanc•ts,any alternative (')Title or dcscYiption of attached document 1 acknowledgment verbiage as nas•he printed on such a documentso long us the verbiage does nal require the notm r to do something Mai is illegal for of nowt)'in California li e.certifii•ing she authorizer)capacity of the signer) Please check the (Title or description of attached document continued) cru•elitllrfor proper notarial warding rind attach Ibis Aim if required, JAN 1 7 20Q21 • State mid County information must he the State and County where the document Number of Pages Docwnent Date _ , ! signet(s)personally srppeartxi before the notary public flu acknowledgment. • Date of notarization most be the date that the signer(sl personally appeared which must also be the same date the acknowledgment is completed. (Additional information) • The notary public must prim his or her name as it appears within his or her commissions followed by a comma and then your title(notary public). • Prior the mullets)of document signer(s)who.personally appear at the little of notarization. • CAPACITY CLAIMED BY THE SIGNER • indicate.the correct singular or plural forms by crossing off incorrect forms(i.e. duahcititerr is'E}e)or csrhing the correct forms.Failure to correctly indicate this • . a Individual(S) information may lead to rejection of document recording. 0 Corporate Officer • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines.If seal impression smudges,re-seal if s • t (Title! sufficient area permits.otherwise contpkte a different acknowledgment Porn. Partner(s) • Signature of the notary public must match the signature an file with the office of the county clerk. Attorney-in-Fact cst Additional information is not required but could help to ensure this a Trustee(s) ack non lcdgnscnt is not misused or attached to a different doctnnent. Other cta indicate title or type'of attached document.number of pages and date. ru indicate the.capacity claimed by the signer.lithe claimed capacity is a corporate officer.indicate the title(i.e.CEO.CFO.Secretary).• Securely attach this document to the signed document __ _ _ __. , _. _--- _ -_ _. _ _ _. 2008 Version CAPA r 12.10.07 800-t(73-9865 www.NotaryClasscs.cont POWER OF ATTORNEY 11406 Lexon Insurance Company KNOW ALL MEN BY THESE PRESENTS,that LEXON INSURANCE COMPANY, a Texas Corporation,with its statutory home office in Austin, Texas, does hereby constitute and appoint: Edward N. Hackett its true and lawful Attorney(s)-In-Fact to make, execute, seal and deliver for, and on its behalf as surety,any and all bonds, undertakings or other writings obligatory in nature of a bond. This authority is made under and by the authority of a resolution which was passed by the Board of Directors of LEXON INSURANCE COMPANY on the 1st day of July,2003 as follows: Resolved,that the President of the Company is hereby authorized to appoint and empower any representative of the Company or other person or persons as Attorney-In-Fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of indemnity or other writings obligatory in nature of a bond not to exceed $100,000,000.00, One Hundred Million Dollars, which the Company might execute through its duly elected officers, and affix the seal of the Company thereto.Any said execution of such documents by an Attorney-In-Fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company.Any Attorney-In-Fact, so appointed, may be removed for good cause and the authority so granted may be revoked as specified in the Power of Attorney. Resolved, that the signature of the President and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the signature of the Assistant Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power or certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certificate so executed and sealed shall, with respect to any bond of undertaking to which it is attached, continue to be valid and binding on the Company. IN WITNESS THEREOF, LEXON INSURANCE COMPANY has caused this instrument to be signed by its President, and its Corporate Seal to be affixed this 22nd day of June, 2018. LEXON INSURANCE COMPANY SEAL BY �,�,n• Brian Beggs • + President rE op-co,- ACKNOWLEDGEMENT • On this 22nd day of June,2018, before me, personally came Brian Beggs to me known,who be duly sworn,did depose and say that he is the President of LEXON INSURANCE COMPANY,the corporation described in and which executed the above instrument;that he executed said instrument on behalf of the corporation by authority of his office under the By-laws of said corporation. TA AMY TAYLOR L141/UULIa0-1/12W s+eE Notary Public-State of Tennessee . BY TIMMEIEc Davidson County Amy ylor My Commission Expires 5-9-2023 ,: Note Public,, CERTIFICATE I, the undersigned, Assistant Secretary of LEXON INSURANCE COMPANY, A Texas Insurance Company, DO HEREBY CERTIFY that the original Power of Attorney of which the forgoing is a true and correct copy, is in full force and effect and has not been revoked and the resolutions as set forth are now in force. Signed and Seal at Mount Juliet,Tennessee this 17th Day of January 2022 . SEAL BY *: Andrew Smith •M` T • Assistant Secretary T r d+: . 8�s "WARNING: Any person who knowingly and with intent to defraud any insurance company or other person, files and application for insurance of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act,which is a crime and subjects such person to criminal and civil penalties." 1 STATE OF CALIFORNIA 1 DEPARTMENT OF INSURANCE NQ 08554 SAN FRANCISCO Certificate of Authority ' . . . . I • . THIS IS TO CERTIFY THAT,Pursuant to the Insurance Code of the State of California, • Lexon Insurance Company of Texas , organized under the laws of Texas ,subject to its Articles of Incorporation orl other fundamental organizational documents,is hereby authorized to transact within the State,subject to i • • all provisions of this Certificate,the following classes of insurance: • i • • • Surety . • as such classes are now or may hereafter be defined in the Insurance Laws of the State of California. THIS CERTIFICATE is expressly conditioned upon the holder hereof now and hereafter being in • full compliance with all,and not in violation of any,of the applicable laws and lawful 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., 1 I I IN WITNESS WHEREOF,effective as of the 2nd • day of June 2008 ,Ihave hereunto set my hand and caused my official seal to be affixed this 2nd- frp.c,..01010444,64,1. . ... - __... of June 200& ,j eb �:` � n `, Steve Poizner Insurance Commissioner t By \rS n J. Stapp • fg. Jim Ric ardson B4mryx thief Deputy NOTICE: `/ Qualification with the Secretary of State must be accomplished as required by the California Corporations Code promptly after issuance of this Certificate of Authority.Failure to do so will be a violation of Insurance Code Section 701 and will be grounds for revoking this Certificate of Authority pursuant to the convenants made in the application therefor and the conditions contained herein. I FORMCa3 ®OSP 00 88381 Beador Construction Company,Inc. 26320 Lester Circle Corona,CA 92883 951-674-7352 of fl t•10T CI l SEciWJ11 Opp ��n� Hca �ound �vc�►na�-g�Tropc,-t- : �� {h and DYari -2 +QV2. 2s on Main St., I� Sk CC ; Ic0s(.9 4 n -3)atv-,: ,Yknucty 'Z0, 20 2 z at 2: oo prn row". `1��1�p'i�MN��ING'''` City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 " = _' ; (714) 536-5227 • www.huntingtonbeachca.gov ;g� : 909 •: °••= o/�� Office of the City Clerk �OUNTY CS<c/#o Robin Estanislau, City Clerk July 24, 2024 Bonadiman Water, Inc. 16558 Sendero Del Charro Riverside, CA 92504 RE: Flow Line Half Round Drainage Inlet Structures on Main Street, 17th Street, and Orange Avenue — CC No. 1656 Enclosed please find your original bid bond for CC No. 1656. Sincerely, 9 iL Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City: Anjo, Japan d/6 7 7 _-//7'-4471' bin/ Bond No.: CMGB00012774 .*AiiV Document A31 0 TM - 2010 Bid Bond CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status and principal place BONADIMAN WATER,INC. of business) 16558 Sendero Del Charro Argonaut Insurance Company This document has important legal Riverside CA 92504 c/o CMGIA consequences.Consultation with • 20335 Ventura Blvd.,Suite 426 an attorney is encouraged with Woodland Hills,CA 91364 respect to its completion or modification. OWNER: Any singular reference to (Name, legal status and address) Contractor,Surety,Owner or City of Huntington Beach other party shall be considered 2000 Main St plural where applicable. Huntington Beach CA 92648 BOND AMOUNT: Ten Percent of Their Greatest Amount Bid (10% of G.A.B.) PROJECT:(Name, location or address, and Project number, if any) Flow Line Half Round Drainage Inlet Structures on Main Street, 17th Street,Orange Avenue,CC No.1656 in the City of Huntington Beach The Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surety bind themselves,their heirs,executors,administrators,successors and assigns,jointly and severally,as provided herein.The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof;or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect.The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid.Waiver of notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time for acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty(60)days. If this Bond is issued in connection with a subcontractor's bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.When so • furnished,the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and seal is th day of January . 2022 BONADIM ° C (Principal / I (Seal) (Witness) (Title)1 ,• !. , ). iiirjpsu = Com(Surety) AP Y (Seal)(Witness) � r Company (Title)Gabr-'° r.rad Attorney:-in-Fact CAUTION:You should sign an original AIA Contract Document,on whi h th'' tex appea in RED.An original as:rures that changes will not be obscured. 'nit' AIA Document A310Tu—2010.Copyright®1963,1970 and 2010 by The American Institute of Arc 'tests. •11 rights reserved.WARNINi2:This Ale Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reprodu '- or distribution of this AlAe 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. Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright@aia.org. 061170 Bond No.: CMGB00012774 Argonaut Insurance Company Deliveries Only: 225 W. Washington, 24th Floor Chicago, IL 60606 United States Postal Service: P.O. Box 469011, San Antonio, TX 78246 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the Argonaut Insurance Company,a Corporation duly organized and existing under ',a laws of the State of Illinois and having its principal office in the County of Cook,Illinois does hereby nominate,constitute and appoint: 47.,44, , Gabriella Grady.Shilo Lee Losino.Stephanie Hope Shear.Elizabeth Santos,Stacey Garcia, atthdw Dio`sio Their true and lawful agent(s)and attorny(s)-in-fact,each in their separate capacity if more than one is named t#b„ovv --g�im3ke,execute,seal and deliver for and on its behalf as surety,and as its act and deed any and all bonds,contracts,agreements of indemnity andmther�ndertat ngs in suretyship provided, however,that the penal sum of any one such instrument executed hereunder shall not exceed the sum of N' $15.000,000.00 fat t•, This Power of Attorney is granted and is signed and sealed under and by the authority of the fo aw ngt.esolution adopted by the Board of Directors of Argonaut Insurance Company: r+<, "RESOLVED,That the President,Senior Vice President,Vice President,Assistant Vice7. t,Secretary,Treasurer and each of them hereby is authorized to execute powers of attorney,and such authority can be executed by use of fa i.. le signature,which may be attested or acknowledged by any officer or attorney,of the Company,qualifying the attorney or attorneys named‘the the given'.ower of attorney,to execute in behalf of,and acknowledge as the act and deed of the Argonaut Insurance Company,all bond undertalcingelotetracts of suretyship,and to affix the corporate seal thereto." IN WITNESS WHEREOF,Argonaut Insurance Company has caused its C fficia,Leal to be hereunto affixed and these presents to be signed by its duly authorized officer on the 1st day of June,2021. -Ira.. Argonaut Insurance Company :......... oavuggT�;.,�: j= i SEAL=9 by: :,. t STATE OF TEXAS .7cMo.?: T�, Joshua C.Betz Senior Vice President COUNTY OF HARRIS SS: -.'•"' ,t r.I On this 1st day of June,2021 A.D.,vp€o M1_ u_me, otary Public of the State of Texas,in and for the County of Harris,duly commissioned and qualified, came THE ABOVE OFFICER OF TIC C. r ANY,to me personally known to be the individual and officer described in,and who executed the preceding instrument,and he acknowledgedexecution of same,and being by me duly sworn,deposed and said that he is the officer of the said Company aforesaid, and that the seal affixed `i.Wpreceding instrument is the Corporate Seal of said Company,and the said Corporate Seal and his signature as officer were duly affixed and subscri ed to�tlr said instrument by the authority and direction of the said corporation,and that Resolution adopted by the Board of Directors of saidRom y=,t rred to•in the preceding instrument is now in force. IN TESO 'Y OF,I have hereunto set my hand,and affixed my Official Seal at the County of Harris,the day and year first above written. r •,F '' KATM�.EEN M MEEKS --'�1\ ` NOTARY PUBLIC STATE OF TEXAS .yam MY COMM.EXP 07h525 NOTARY ID 557902-8 (Notary Public) I,the undersigned Officer of the Argonaut Insurance Company,Illinois Corporation,do hereby certify that the original POWER OF ATTORNEY of which the foregoing is a full,true and correct copy is still in full force and effect and has not been revoked. IN WITNESS WHEREOF,I have hereunto set my hand,and affixed the Seal of said Company,on the 18th day of January ,2022 . J,C„I‘SV• Clp•': SiI SEAL a ci:„ ewe ra,'= James Bluzard Vice President-Surety ..,",s. * IF YOU HAVE QUESTIONS ON AUTHENTICITY OF THIS DOCUMENT CALL(833)820-9137. 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 JAN 1 S 2022 before me, Lucas Patterson, Notary Public Date Here Insert Name and Title of the Officer personally appeared Gabriella Grady Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in • his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s)acted, executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. LUCAS PATTERSON ; l,; = Notary Public•California a ='' c 2- y Signature. t_� -0 Los Angeles Count s .\•:^~ '• Commission#2352264Signature of Notary Public 7.1y Comm.Expires char 19,2025 • Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the docum-- or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Docum-• 'ate: Number of Pages: Signer(s) Other Than Named Abo -. Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑Partner — ❑Limited ❑Gener- ❑Partner — ❑Limited ❑General ❑Individual ❑Attorne act ❑Individual ❑Attorney in Fact • ❑Trustee ❑ = •ian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is :-•resenting: Signer Is Representing: ©2014 National Notary Association• www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 — Bonadiman Water Inc. i P O Box 52298 w Riverside,CA 92517 ' 4 f_4 � � ' °� :, CITY OF HUNTINGTON BEACH ' q+ Y A gym . 4 Y PUBLIC WORKS OFFICE ` , „ t't 1 2000 MAIN ST n$tw z ",' ti ' HUNTINGTON BEACH,CA 92648 �4 4 .E�. - ; � � Cyr. s }�'�'. J 71. _"T" 'iv y r d, . m(.1X r O NO'(O PGF.J� VSN N CI NO OSPDSN NG�P M `P,,,`Q�G NS N,-i �P 2p13. Epp P OFF\NPMV.�NMP'N"CO uP,0 Zc.95 'I, • VV' �v��5 \NG�P\� \PN �N PR '� � �;•.• .. a`ti. - �";�Fy�,;-,riJMh:9r'x,a1'�!"tiriW!!"*aws. 51 W.INOT 'a o��..ro�_......o�/L City of Huntington Beach r.e 00 ,� y`. Aei,m� 2000 Main Street ♦ Huntington Beach, CA 92648 == -_ _ _- = 4 (714) 536-5227 • www.huntingtonbeachca.gov Office of the City Clerk 'CUNTY 0* 9�� Robin Estanislau, City Clerk .,� a August 21, 2024 C.S. Legacy Construction, Inc. 675 Brea Canyon Road, Suite 8 Walnut, CA 91789 RE: Flow Line Half Round Drainage Inlet Structures on Main Street, 17th Street, and Orange Avenue—CC No. 1656 Enclosed please find your original bid bond for CC No. 1656. Sincerely, 3,1,44u 9,6714114Ad Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City: Anjo, Japan .r:=.I°`. 2;.4 4 LA sir; 1L!U �vV/ DJ • © OFFICE OF THE CITY CLERK • °� r. ': quadient Ji CITY of HUNTINGTON BEACH °' '- ,0 ate,--• FIRST-CLASS MAIL < P.O. Box 190 ~'' .tip •• PRSRT- IMI Huntington Beach, CA 92648-2702 �i -�Y. $000.63 s 0. 1 `' 07125 2024 :2P 92648 (f) + .. 043h;132205660 D r ' a i C.S. Legacy Construc ion, Inc. 1704 S. Grove Stree , Unit B Ontarion, CA 91761 ---\. NIXIE .911 FE '1270 k!6£'1$ .1/24 J 9 RETURN T SENDER '40T DELIV RA!L a w p naascFn s I 4. ..:, UNABLE TO FORWARD' UTF BC: 92648019090 *2152-e2i1�2-ill _S2.o 243 Fetl 4aa a��0 II1IIih„1nI1IIIIIII11II1I1IIIrIII1II.III1II11Il1111111IIlIIIIIII 6�mis�sao �,®o�.�NaPo GToy City of Huntington Beach 4 a 2000 Main Street ♦ Huntington Beach, CA 92648 "° _ (714) 536-5227 • www.huntingtonbeachca.gov Q"7"CF ' ; p # 'zk- @ Office of the City Clerk c°LINTY 0;\-#4 Robin Estanislau, City Clerk July 24, 2024 C.S. Legacy Construction, Inc. 1704 S. Grove Street, Unit B Ontario, CA 91761 RE: Flow Line Half Round Drainage Inlet Structures on Main Street, 17th Street, and Orange Avenue— CC No. 1656 Enclosed please find your original bid bond for CC No. 1656. Sincerely, 9-441414a4AO Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City: Anjo, Japan C. S. Ile -e- r� C C�' /L C ADD UI NO :.I:. For FLOW LINE HALF ROUND DRAINAGE INLET STRUCTURES ON MAIN STREET, 17th STREET, ORANGE AVENUE ,CC No.1656 in the CITY OF HUNTINGTON BEACH , ' ' iirrePA.` .- ' 2000 MAIN STREET HUNTINGTON BEACH,CALIFORNIA 92648 (714)536-5431,Fax(714)374-1573 Januar.18 2022y Notice To All Bidders: i Please note the following clarifications to the Project Specifications and Standard Design Detail: 1. THE FOLLOWING SECTIONS ARE MODIFIED TO REFLECT A NEW il BID DATE/TIME OF JANUARY 27,2022 AT 2:00 PM a. COVERLTITLE SHEET b. NOTICE INVITING BIDS c. INSTRUCTIONS TO BIDDERS 2. SECTION 3-8 OF SPECIAL PROVISIONS IS HEREBY REVISED TO READ: a. The contractor shall submit the names and addresses of all suppliers. The contractor shall be required to provide submittals for all materials for CMP half rounds and grates and appurtenant hardware prior to ordering of any materials i 3. APPENDIX F,STANDARD DESIGN DETAIL,IS HEREBY AMENDED TO REFLECT THE FOLLOWING"OR EQUAL"MATERIALS a. Hinges,grates,anchors,and ancillary equipment relative to the grate standard design detail are to be 316 SS stainless steel.The grate itself can be galvanized carbon steel This acknowledges receipt and review of Addendum Number One, dated January 18. 2022. ° ( n mi-ruc .o Inc. Company Name By _ x. _ _ en L 14, • Z02-Z All bidders must acknowledge and include the receipt of this Addendum with yourbid uronosal. Should you have any questions regarding this Addendum,please call Mark x Lewis at(949)677-0391 within 24 hours of posting. Fd yi i. s 1: SECTION C PROPOSAL ti FOR THE CONS TRUCTION OF P FLOW LINE HALF ROUND DRAINAGE INLET STRUCTURES ON MAIN STREET, 17th STREET, ORANGE AVENUE 0 CC NO. 1656 IN THE CITY OF HUNTINGTON BEACH TO ii 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 ,1:1!"1 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 50 working days,starting from the date of the Notice to Proceed with Work after materials are procured. BIDDER declares that this proposal is based upon careful examination of the work site, plans, ,:',- specifications,Exhibits,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, j, 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. t If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 ,'::,,,i:,1,,l', 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. le Accompanying this proposal of bid,find' F1 L JG n Olt � in the amount of, `O1. �t4. ►',1 ch said amount is not less than 10%of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified "' Check", or"Bidder's Bond foij% ", as the case may be) Any standard Surety Bid Bond form is i' acceptable. Bidder shall signify receipt of all Addenda here,if any: Addendum No. Ddte Receavei1 Bid ' Slit s'nature I �� Z�22 $ 't it n. k d R } 1 1.41 i =4 Ili ti P "s,I . ....: .. ...... ... ................ ..., .. z. .,....,„.... ,.. G2 i yI ,44 ,BID PROPOSAL,'?, `� FLOW LINE HALF ROUND INLET DRAINAGE STRUCTURES •. .., , ON a „ ±'' MAIN STREET, 17TH STREET,AND ORANGE AVENUE UNIT GUANiITY"i-.UNIT PRICE AMOUNT • REMOVE AND D/SPOSE OF`EXISTING`CURS,GUTTER,ASPHALT CONCRETE,F. . AND INLET DRAINAGE DEVICEISTRUCTURE AND CONSTRUCT NEW FLOW i 4 . UNE HALF ROUND INLET DRAINAGE STRUCTURE PER DESIGN DETAIL AND 1 ATTHE LOCATIONS AS INCLUDED IN TNESPECIFICATIONS ... i• ;•_EA 54 1 7'6"- �1) ;TOTAL BID AMOUNT(IN NUMBERS) �715b� 0 "..,TOTAL BID AMOUNT WRITTEN(IN`WOROS"="": .. ..... _ _ , ive hunrdmms�V¢n -5. ovr oasr�n , ave pure s� Ir r s '-AA work n—Ydes diepoeal of!annoyed miter I oSa�te and raetaradon of adprart Improver ite dI tixbed dillTie eorratrueHan to en inIdrd or natter ate*reran corn Mattnn of vuo k at each dte: Any;erd all costa for npdti,at trefflc control,and aka reotarabonOlrl-bi Ineludad.Mdio aril pie bid per each } a '3 I q l 3 • 1 • 111 '( G3 • • 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. Bad, Name and Address o Mate 'c1s o .f 1 DIR PWC Dollar /o -:Item(s) Subcontractor License R stration# } Amount , Contract umber ii N m l.1\l it t 0 rtOrt �. SiT clig c 1 u ►nc. r(1oi�11 �' 00b60-I12 291,066 ' ® 4 I `11 � y�npnVPi C hino1 Its (& 110 • • q;11' •- '-': • • • •• • • • • 11 • • • By submission of this proposal,the Bidder certifies: i 1. That he is able to and will perform at least 50% of the total work and 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. i C-4 i 1 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on -1)-21,at .,; tir10 I Date City State t I 0, Ll"( - Sfry op _ _, ,,being first duly sworn, deposes and says that he or she is , , 8 s i t' of C•S L 4 (OM 111 tJ i0 n Irv, the party making the foregoing bid that tfie bid is not made in the interest o ,or on the behalf of,any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not il collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder ki to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or II agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from 1- 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 Ili 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. CSL tJt on* 4� On -fit-.$ Name of Bier 4' Signature of bidder h refl..StN m - Pr2S(t�k 3 ,` 51S1 Slhri40r FPN,; CFiio1 CA--�1tilt) Address of Bidder fl is t C-5 t'' 1 ACKNOWLEDGMENT A notary pu6hc'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. x State of California County of . SAN EERNARDINO 4, On JANUARY 26, 2022 before me, GLORIA MACIAS, NOTARY PUBLIC r; (insert name and title of the officer) i GREGG STRUMPF personally appeared... , who proved to me on"the basis Of dafisfactory evidence to bathe person(s)whose names) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. P. i.. WITNESS my hand and official seal. s GLtuiDAMApAS N Ir�S, Nota,PublicCalifomta 1 € �` . . 1 San Bernardino County g Commisslon R 2284219 ,".".` MY COTT,.Exahesoar 2.2C23 x • Signature i (Seal) 1 i p 1 1 1 -i 1. UTILITY AGREEMENT i HONORABLE MAYOR AND CITY COUNCIL ri CITY OF HUNTINGTON BEACH,CALIFORNIA 11 FA °J Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract,known as the FLOW LINE HALF ROUND DRAINAGE INLET STRUCTURES ON MAIN STREET, 17TH STREET,AND ORANGE AVENUE,(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 lj operation to be performed and the hazards involved" ``' F 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, Pi and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, - and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. t k i 5 C S 't,e M6 (0 n&ITUdon ifrC_t,: Contractor _, A '' By 1 4 t S f TVrvi .'rreslkt_rtt' z v. r elf- Title i Date. !;fit)."ZdZI. i of C-6 c' k 1 DISQUALIFICATION QUESTIONNAIRE t In accordance with Government Code Section 10162,the Bidder shall complete,under penalty of perjury,the following questionnaire. QUESTIONNAIRE tl 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. K 4, 1 Ri' C Si Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the . Proposal shall constitute signature of this questionnaire. C-7 3. COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code,each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Contractor By 'ru rVt F Frescd-er& f;rovi de rt.1- Title 2! Date . ZQ;- • C-8 i'' , BIDDER'S INFORMATION 74 BIDDER certifies that the following information is true and correct: CS . Letacli (onstnicliofri )nc Bidder Name Business Address C1,1 cri o c.,,A,L- 11 City, State Zip t0 50 ' f2-4 1 4. 5 , , 1 rum @ es 1969 ,rot. 1i , .• Telephone Number .Email Address 8 z grfo State Contfactor's License No. and Class Original Date Issued I t.: 1..t Expiration Date' „) The work site was inspected by hreili str II rifF of our office on 1)Witti imr 7?)rh,2022.. The following are persons,firms, and corporations having a principal interest in this proposal: II' it i-, e •', t ,( i A f The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in ,.., accordance with the plans and specifications set forth. S_...teqa(4,„etili 6 ,b e 1 r tic • - . -- .,- — , . i Company Name 41, Signature of Bidder r . S fitiorirL, Printed or Typed Signature i C-9 ',. NOTARY CERTIFICATE ' Subscribed and sworn to before me this_day of .::::....�"::_-_ ,202_. i A notary public or other officer completing this certificate verifies only the identity of the j :i individual who signed the document, to which this certificate is attached, and not the il truthfulness,accuracy, or validity of that document. i , t State of Off rI I ..:) County of c.uf 64 ma r l.n.0. ..:) L On:._..... before me, ....... ..... .v I Month,Day, and Year Insert Name and Title of Not. f personally appeared p Name(s)of Signer(s) [ who proved to me on the basis of satisfac 1 tory evidence to be the t� .a;t�s)whose name(s) is/are , subscribed to the within instrument and acknowledged to me tl'a v"-/they executed the same in his/her/their authorized capacity(ies),and that by his/her/ a ature(s)on the instrument the person(s),or the entity upon behalf of which the person(s) ac: . executed the instrument. I certify under PENALTY OF PERJURYunder of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. , t' a% v Signature 1` Signa v4.ofNota ryPublic (PLACE NOTARY SEAL ABOVE) o it A:. 'S C-lo , 14 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,"Construction of drainaie._inlet_structures and curb and4utter for,: City"}. Bidders are encouraged to submit supplemental relevant project history in addition to the ¥, projects listed herein. l Listed below are the names, address, and telephone numbers for three public agencies for which ,4 the bidder has performed similar work within the past five years: i>_ 1. Cfill of Snn fh'la - zo f(Vic renter Plam S!tn - !`�'+�� Cf�-. 427t'2 I '',';.',,tt'':;.,,,,:1,, , Name and Address of Public Agency Name and Telephone No. of Project Manager: ,,. . ...I G o r.._4 6 ..71 ) 507 u -4Q , 4., Vie -- a:rnoV IP cite cm .. .,. .... la ',..Zo 2 0,,. Contract=":_mount Type of Work Date'Completed Provide additional project description to show similar work: , re MO VA 1 OF exicf'i hl .S1reef Secf/o1i and prrvlcialn 0-F. J4'Pi J) 1-6 Crefrize ; Add ifion open cpak I-0611)611 new bioswrk1 Ilya'ki'va c Iiihfin1, Ian &ape,ef-e. 2 ClI e ,Sits JUan (G is; eih : 32 V 0a Asa [-G)el6inrTO tti Yvan ( lstrar1a, CIS.672b75 t. Name and Address of Public Agency Name and Telephone No. of Project Managers 2jrc -- �J 61 tl 1735 17,2 ,q3 q9.. 5-rift1.torrido: fr ravemcif ., Matra ?no Amount Type of Work Date Completed i Provide additional project description to show similar work: 5f1Tel-ilk 6 h redact s1ree1- widths g w 16en 5/de WO*,flew 1'010.03 1 4irrri,Ir rri' lVfl1 r tIRr rt _ is ro ran �t If 4 e6 trn tdVetrtQtfS f 3 . rig of 94111frf . .f trr M 7,3444 i' iikii o 40 C far iit ,CA- q t35S Name and Address of Public Agency Name and Telephone No. of Project Manager fTCh 14 cihridal Im 25 163 5,= 6.77 ` 2..6O (PM sev'etr-bat;. btu t, -irs o Ser rnlxrZ6xI Contract Amount Type a;Work Date Completed Provide additional project description to show similar work: C91 na ec r benclluc ri if ,. `e h . rn rAcilib,;.e.t. ffif Cti , -eta I 1 1 C-11 a 1 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 1. Name of proposed oject Manager gE Telephone No. of proposed Project Manager:, 04 ._51 �E�P�s� s�� ry act refs e n��S TC ked Project Name&Contract Amount ' ype of Work Date Completed , x Project Name&Contract Amount Type of Work Date Completed Project Name&Contract Amount Type of Work Date Completed 2. Name of Ctr a:.itRecoda � ftSU Y G3�the 1�` . proposed Superintendent Telephone No.of proposed Superintendent: (f S g(e 3 tint .. ....... _...._t i�.. Project Name &Contract Amount '"Type of Work Date Completed 5 Project Name&Contract Amount Type of Work Date Completed Project Name&Contract Amount Type of Work Date Completed f; C-12 • €.r Great Strum Experience 11/2003—Present C.S.Legacy Construction,Inc. President/Operations Manager Volume$40 Million 5/2000—11/2003 TERRA-CAL Construction,Inc. President/Operation Manager Volume$30 Million 8/98—5/2000 TERRA-CAL Construction Inc. Vice President/0perations Manager -Baldwin Park,CA Volume$20 Million 8/97—8/98 Valley Crest Inc. Branch Manager—Atlanta,Georgia Annual Volume$20 Million 7/86—8/97 TERRA-CAL Construction Inc. Vice President/Project Manager General Superintendent Superintendent 5/85—7/86 Cavecche Engineering&Construction Co. Superintendent—Los Alamitos,CA 3/81—:4/85 Noel Construction Foreman—Holmdel,N.J. Education: December 1997 Pepperdine University Malibu,CA Executive Masters of Business Administration February 1985 Bernard M.Baruch College,The City University of New York New York,N.Y.,. Bachelor Degree of Business Administration Major Business Management Motor:Public Administration Gregg has developed construction schedules using both P3 and P6 Scheduling Software for all projects per the attached reference list and has been the Project Manager on all the reference list ag projects listed on the attached ,f 111 ti k RESUME .........:::::::::..:::....._...........:: r RAMON PRECIADO 1973— 1979 -Landscape Nursery Job Title -Driver 1979— 1985 Moulder Bros. (Public Works Contractor) Job Title -Laborer Teamster '. Foreman ii 1985—2003 -Terra-Cal Construction ($30 million Public Works Contractor) Job Title -Laborer Foreman General Superintendent (over 100 employees) 1) 2003—Present-C.S.Legacy Construction ($40 million Public Works Contractor) Job Title -General Superintendent(over 70 employees) 1 1 1 1 'I 1 ii CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE { it, 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 es1 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 g, f DIR's Contractor Registration Link—Call(844)522-6734 3 i, https://efiling.dir.ca.gov/PWCR/ActionServlet?action=displayPWCRegistrationForm , DIR's Contractor Registration searchable database: l 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 ;'4 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. - C-S• Le a` :a i7*_ fc ll', ,, r 4.Contractor , - I By lr.el9 S ,i'nf r Resident-of e P A in 4 ecs( etc ne.�f- - e e � Title . Date L loaf PWC Registration#: 0 0 0 00 2 C-13 Y , Bond No.: CMGB00012793 Document 310 : 010 Bid Bond CONTRACTOR: SURETY: (Name,legal status and address) (Name,legal status and principal place C.S.LEGACY CONSTRUCTION,INC. of business) 1704 S.Grove.St,Unit B Argonaut Insurance Company This document has important legal Ontario CA 91761 c/o CMGiA consequences.Consultation with 20335 Ventura Blvd.,Suite 426 an attorney is encouraged with Woodland Hills,CA 91364 respect to its completion or modification. OWNER: Any singular reference to (Name,legal status and address) Contractor,Surety,Owner or City of Huntington Beach " other party shall be considered 2000 Main St Huntington Beach CA 92648 plural where applicable. 51 BOND AMOUNT: Ten Percent of Their Greatest Amount Bid (10% of G.A.B.) PROJECT:(Name,location or address,and Project number, if any) 11 Flow Line Half Round Drainage Inlet Structures on;Main Street,17th Street,Orange Avenue;CC No.1656 in the City of 0 Huntington Beach The Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the ti Contractor and Surety bind themselves,their heirs,executors,administrators,successors and assigns,jointly and severally,as provided herein.The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof;or(2)pays to the Owner the M difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid.Waiver of notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time for acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent for a. an extension beyond sixty(60)days. ii 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. 49When 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 19th day of January . 2022 ,,C.S..LEGACY '0' :.;..-UCTION,INC....... - ` (Principal) ,.'' .rat '4.., (Seal) (fitness) (Tide) 44 ,re}t ' i`nsu nce Company/ . .� � •=�Arsaal� (Seal) 9,1 ,: tle)S,-.phanie Hope Shear ..Attorney-ln.Fact... CAUTION:You should sign an original AIA Contract Document,on whi this text appears in RED.An original assures that changes will not be obscured. .r ., i AIA document A3107—2010.Copyrights 1983,1970.and 2010 by The American Institute of Architects.Ali rights reserved WAi.NI'f.G:This AlA5' Init. Document Is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of thin AIA`'Document,o, any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under tie law. i Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,a-mail F`- The American Institute of Architects'legal counsel,copyright@aia.org. Germ Bond No.: CMGB00012793 Argonaut Insurance Company Deliveries Only: 225 W. Washington,24th Floor Chicago, IL 60606 United States Postal Service: P.O. Box 469011, San Antonio, TX 78246 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the Argonaut Insurance Company,a Corporation duly organized and existing under the laws of the State of Illinois and having its principal•office in the County of Cook,Illinois does hereby nominate,constitute and appoint: Gabriella Grady Shilo•Lee-Losma Stenhanie Hribe Shear Elizabeth Santos,State•Garci i'at hew Dion sio. Their true and lawful agent(s)and attorney(s)-in-fact,each in their separate capacity if more than one is named above,to make,execute,seal and deliver for and on its behalf as surety,and as its act and deed any and all bonds,contracts,agreements of indemnity a{nd°other Al4dertiliings in suretyship provided, however,that the penal sum of any one such instrument executed hereunder shall not exceed the sum of.,v 4. S15 000.000.00 ,_, This Power of Attorney is granted and is signed and sealed under and by the authority of the following Resolution adopted by the Board of Directors of Argonaut Insurance Company: ` r "RESOLVED,That the President,Senior Vice President,Vice President,Assistant Vice President,Secretary,Treasurer and each of them hereby is authorized to execute 'lems''powers of attorney,and such authority can be executed by facsimilese of signature,which may be attested or acknowledged by any officer or attorney,of the Company,qualifying the attorney or attorneys named m the given of attorney,to execute in behalf of;and acknowledge as the act and deed of the Argonaut Insurance Company,:all bond undertakings and<:contracts of suretyship;and to affix the corporate seal thereto." ' IN WITNESS WHEREOF,Argonaut Insurance Company has caused rts�ffcial€seal"to be hereunto affixed and these presents to be signed by its duly authorized officer on the 1st day of June,2021. . . Argonaut Insurance Company 4 3 �O€SCEAL'l = �' 191i1 r bY•t ° STATE OF TEXASNI \ `• "-1O�'' ." Joshua C.Betz, Senior Vice President ti 1 tie.............* `'. COUNTY OF HARRIS SS: 14 On this 1st day of June,2021 A.D.,,before me allotary Public of the State of Texas,in and for the County of Harris,duly commissioned and qualified, came THE ABOVE OFFICER OF THE COMPANY,to me personally known to be the individual and officer described in,and who executed the preceding instrument,and he acknowledged the execution of same,and being by me duly sworn,deposed and said that he is The officer of the said Company aforesaid, and that the seal affixed t9 fieprecedinng instrument is the Corporate Seal of said Company,and the said Corporate Seal and his signature as officer were LI duly affixed and subscribed to the said instrument by the authority and direction of the said corporation,and that Resolution adopted by the Board of Directors of said;Company,referred to in the preceding instrument is now is force. IN TESTIMONY WHEREOF,I have hereunto set my hand,and affixed my Official Seal at the County of Harris,the day and year that above written. 4� LEEtd"M M EKS ` '' ,• NOTARY PUBLIC ' `� ' KATFI STATE OF TEXAS = ` MY COMM.EXP.07115/25 , s' ..... '..... NOTARY ID 557902-8 ,- (Notary Public) I,the undersigned Officer of the Argonaut Insurance Company,Illinois Corporation,do hereby certify that the original POWER OF ATTORNEY of which the foregoing is a full,true and correct copy is still in full force and effect and has not been revoked. IN WITNESS WHEREOF,I have hereunto set my hand,and affixed the Seal of said Company,on the 19th day of January 2022 °; 6 SEAL)�0- `-C'�..y r..� D� d2 1848 .. '' °$'e James Bluzard Vice President-Surety IF YOU HAVE QUESTIONS ON AUTHENTICITY OF THIS DOCUMENT CALL(833)820-9137. = 4 4 = 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 L' . document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. I State of California ) County of „I on JAK1 9 2022 Date Here Insert Name and Title of the Officer personally appeared Stephanie Hope Shear •4 Name(s)of Signer(s) . q 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 arid 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 0 is true and correct. 4' WITNESS my hand and official seal. ,t rh ' ' ` ".••'.-, 1 Signature 1 ..,.. r,--......4,...;.z. , :,,,.'", • Signature of Notary -ublic ( v., Place Notary Seal Above ;I 1 Though this section is optional, completing this information can deter alteration of the docuof „ i= fraudulent reattachment of this form to an unintended document. Description of Attached DocumentTitle or Type of Document: Documj - e: il li Number of Pages: Signer(s) Other Than Named May" , - 1 Capacity(ies)Claimed by Signer(s) Signer's Name:, - - igner's Name: 0 Corporate Officer— Title(s): _ _ ', 0 Corporate Officer—Title(s):, 0 Partner — 0 Limited 0 General , 0 Partner — 0 Limited 0 General 0 Individual 0 Attome',':, act 0 Individual 0 Attorney in Fact 0 Trustee 0 -...an or Conservator 0 Trustee 0 Guardian or Conservator 0 Other: 0 Other Signer Is: : ;esenting:, - Signer Is Representing:, t , $ 1 ©2014 National Notary Association•www.NationalNotary.org •1-800-US NOTARY(1-800-876-6827) Item#5907 t P 1 '-• ACKNOWLEDGMENT I`E A notary pub�lic�or t..r other•officer`comp(eting this '. certificate verifies only the identity of the individual who signed the document to which this certificate is 3 j attached, and not the truthfulness, accuracy, or vandit of that document.,. ,. State of Califomia County of SAN BERNARDINO J 1 On JANUARY 26, 2022 before me, GLORIA MACIAS, NOTARY PUBLIC (insert name and title of the officer) GREGG STRUMPF personally appeared :...r who proved to me on-the'basis of satisfactory evidence to be the person(s)whose nani'e(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. li I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. , WITNESS myhand and official seal. c�oa�a -Calif t E Notary Public Cali I. I San Bernardino County y i. Commission B 2284219 ' Comm E:airos Or 2 2C23 F r E Signature `f k (Seal) sE ... l' 1 g k 0 t g :$ 'a ::CMS; 11111111111111111111111 111.111101111111111111111 C.S. LEGACY CONSTRUCTION. C.S. LEGACY CONSTRUCTION,INC. MINUTES OF BOARD OF DIRECTORS MEETING A SPECIAL MEETING OF THE BOARD OF DIRECTORS OF C.S.LEGACY CONSTRUCTION,INC,A CALIFORNIA CORPORATION, WAS HELD AT 5781 SCHAEFER AVE CHINO,CA 91710 ON MAY 14,2021. THE BOARD OF DIRECTORS OF THE CORPORATION: GREGG STRUMPF DIRECTOR CONSTITUTING ALL OF THE MEMBERS OF THE BOARD OF DIRECTORS WERE PRESENT AT THE MEETING. an THE MOTION WAS DULY MADE, SECONDED AND CARRIED THE FOLLOWING RESOLUTION WAS ADOPTED: RESOLVED, GREGG STRUMPF,PRESIDENT,IS SOLELY VESTED FULL AUTHORITY TO SIGN ANY AND AN ALL CONTRACTUAL DOCUMENTS FOR THE CORPORATION,AND THEREFORE HAS THE FULL AUTHORITY TO OBILIGATE THE CORPORATION IN ALL CONTRACTURAL MATTERS. THE UNDERSIGNED,RICHARD GONZALES, SECRETARY,CERTIFIED THAT GREGG STRUMPF IS THE DULY APPOINTED PRESIDENT OF C.S.LEGACY CONSTRUCTION,INC.AND THAT THE ABOVE IS A TRUE AND CORRECT COPY OF THE RESOLUTION DULY ADOPTED AT A MEETING OF BYLAWS OF SAID CORPORATION ON MAY 14,2021. IN WITNESS THEREOF,I HAVE AFFIXED MY NAME AS SECRETARY OF THE CORPORATION, AND HAVE ATTACHED THE SEAL OF C.S.LEGACY CONSTRUCTION,INC. TO THIS RESOLUTION. DATE: MAY 14,2021 RICHARD GONZALES- SECRETARY t.E 5781 Schaefer Ave Chino,Ca 91710 (909)590-2626 (909)590-4117 fax SS r C.S.Le2ac y Construction;:Inc., REFERENCES } 1.Maxwell Park Renovation City of Anaheim 200 S. Anaheim, Ca 92805 Contact: Robert Palaeologus (714) 765-5175 Ext 5711 Completed 11/08 $1,669,901.50 2.Whittier High School Quad Whittier Union High School District 9401 So. Painter Ave. Whittier, Ca 90605 Contact: Doug Orndorff (562)698-8121 Ext 1537 Completed 08/2008 $1,009,783.00 3.Meadows Park City of Lynwood 11330 Bullis Road Lynwood,Ca 90262 Contact: Arsenio Frontera A (310) 603-0220 (310) 635-0493 Completed 9/08$1,473,593.20 4.Hesperia Civic Plaza City of Hesperia 9700 Seventh Ave. Hesperia, Ca 92345 Contact: David R.Burkett (760)947-1202 Completed 9/2008 $3,500,000.00 5.PCH Roadway Improvements City of Dana Pont 33282 Golden Lantern Dana Point, Ca 92629 Contact:Todd Niemann (949)213-4231 Completed 09/2008 $712,343.30 6.Dateland Park City of Coachella 1515 Sixth Street Coachella, Ca 92236 Contact: Mark Chappell (760) 398-5744 (760) 398-1630 Completed 10/2008 $1,679,765.61 7.Thornton&Windsor Parks City of Santa Ana P.O. Box 1988 Santa Ana,Ca 92702 Contact William Albright (714) 647-5029 Completed 9/2008 $331,240.00 8.Dotson Park City of Stanton 7800 Katella Avenue Stanton, Ca 90680 Contact: Sean Crumby (714) 379-9222 Ext. 204 Completed 12/08 $1,866,279.00 9. Garcia Park City of Rancho Cucamonga 10500 Civic Center Dr. Rancho Cucamonga, Ca 91729 Contact:Karen Emery McGuire (909) 477-2740 Ext. 4080 (909) 477-2746 Fax Completed 09/08 $1,831,717.25 10.Estudillo Parking Lot City of San Jacinto 595 S. San Jacinto Ave San Jacinto, Ca 92583 Contact:Holly Binkley (951) 654-3592 (951) 651-3672 Completed 8/08 $215 783 A0 11.111emorial Park Walkway&Walkway Lighting City of Pasadena 100 North Garfield Ave Pasadena, Ca 91109 Contact: Reny Q. Quijano (626) 744-6741 (626) 744-3892 Completed 09/2008 $130,000.00 12.Oak Glen Park Improvements County of San Bernardino 157 West Fifth Street San Bernardino, Ca 92415 Contact: Greg Bacon (909) 387-5940 (909) 387-5968 Completed 2008 Original Contract$911,488.00 13.Westmister H.S.Parking Lot Huntington Beach U.H.S.D 5832 Bolsa Ave., Huntington Beach, Ca 92646 Contact: Celia Taylor (714)903-7000 (714) 372-8105 Completed 01/09$854,832.00 14. 1000 Palms Community Park Riverside County Redevelopment C/O Ian Davison Landscape Architecture,Inc. 3744 Tenth St. Suite 200 Riverside,Ca 92501 Contract: Ian Davison (951) 683-1282 (951) 683-4352 Completed 12/08 $ 775,000.00 15.Centennial H.S. Softball Park Compton U.S.D C/O DelTerra 13181 Crossroads Pkwy North Ste. 200 City of Industry, CA 91746 Contact: Lisa Estrada (626) 839-9300 (626) 592-3595 Completed 11/08 $310,000.00 16.Moorpark College Walkway Ventura Community College C/O Heery 103 Durley Avenue Camarillo, Ca 93010 Contact: Dick Jones (805)384-8152 (805)384-8155 Completed 12/08 $359,956.00 17.Sky Water Trail Sidewalk City of Cathedral City 68-700 Avenida Lalo Guerrero Cathedral City, CA 92234 Contact: Mitchell J. Nieman (760) 770-0348 (760) 202-1460 Completed 10/08 $143,021.00 18.Playfield Expansion Pomona Unified School District 800 S. Garey Ave Pomona, Ca 91766 Contact: Ava Hill (909)397-4800 (909) 397-5050 Completed 11/2008 Original Contract$257,205.00 19.Banning Parking Lot City of Banning 99 E. Ramsey Street Banning, Ca 92220 Contact Holly Stuart (951)922-3138 (951)922-3141 Completed 12/08 $961,941.00 20.Ball Jr.High Concrete Anaheim Unified School District 501 Crescent Way Anaheim, Ca 92803 Contact: Ralph Figueroa (714)999-2188 (714) 520-5741 Completed 8/2008 $198,698.00 21.Slauson Ave Median 4 Los Angeles County 900 South Fremont Ave 8th Floor Alhambra,Ca 91803 • Contact: Irma V. Serna (626)458-4951 (626)458-2197 Completed 08/2008 $ 698,729.00 22.Cypress St.Improvement City of Highland 27215 Base Line Highland, Ca 92346 Contact: Etta R. Pulce (909) 890-1255 (909) 890-0995 Completed 09/09 Original Contract$437,389.00 23.Huntington Beach HS Tennis Courts Huntington Beach Union High School District 5832 Bolsa Ave Huntington Beach, Ca 92649 Contact: Celia Taylor (714) 903-7000 (714) 372-8105 Completed 03/2009 $1,475,370.00 24.Downtown Infrastructure City of Indio 100 Civic Center Mall Indio, Ca 92201 Contact: Mariano Aguire (760) 541-4230 (760)391-4021 Completed 09/2009 $3,550,000.00 25.Soccer Field Beverly Hills Unified School District 255 S. Lasky Drive Beverly Hills, Ca 90212 Contact:Arturo Arce (310) 550-8049 (310) 551-0287 Completed 05/2009$363,935.00 26.Community Services Parking Lot City of Westminster 8200 Westminster Boulevard Westminster, Ca 92683 Contact: Jake Ngo (714) 898-3311 (714) 895-4499 Completed 10/09 Original Contract$237,314.00 27.Veterans Park Sports City of Colton 650 N. La Cadena Dr Colton, Ca 92324 Contact:Thomas I Williams (909) 370-5099 Completed 11/2009 $3,046,000.00 28. South Laguna Streetscape City.of Laguna Beach 505 Forest Ave Laguna Beach, Ca 92651 Contact: Lisa M.Penna (949)497-0792 Completed 11/2009$848,282.00 29. Challenger Youth Center County of Los Angeles 900 South Fremont Avenue Alhambra,Ca 91803 Contact: Brian Soria (626)459-5100 Completed 06/09 Original Contract$101,294.00 30.Tierra Bonita Park City of Lancaster 44933 Fern Avenue Lancaster, Ca 93534 Contact:Jon H Manager (661)723-6000 Completed 07/09 Original Contract$101,294.00 31.Marina High School Courts =A Huntington Beach U.H.S.D 5832 Bolsa Ave Huntington Beach, Ca 92649 Contact: Celia Taylor (714) 903-7000 Completed 10/2009 $1,268,639.00 32.Thundersky Park City of Riverside 3900 Main Street Riverside, Ca 92522 Contact: Andy Emery (951) 826-5311 Completed 10/2009 $1,259,000.00 33.Mary Van Dyke Park City of South El Monte 1415 N. Santa Anita Avenue South El Monte, Ca 91733 Contact:Norma Macias (626) 579-6540 Completed 12/2009 $1,259,000.00 34.Prime Desert Pavilion City of Lancaster 44933 Fern Ave Lancaster, Ca 93534 Contact:Neal Knopik (661) 72-6000 Completed 10/2009 $145,674.00 35.Robinson Park City of Pasadena 100 North Garfield Avenue Pasadena, Ca 91109 Contact: Steven L. Wright (626) 744-7389 Completed 12/2009 $ 2,459,699.00 36.Westminster H.S.South Parking Lot Huntington Beach Union High School District 5832 Bolsa Avenue Huntington Beach, Ca 92649 Contact: Celia Taylor (714) 903-7000 Completed 10/2009$ 1,065,526.00 37.Huntington Beach H.S.Fire lane Huntington Beach Union High School District 5832 Bolsa Ave Huntington Beach, Ca 92649 Contact:Nelson Cayabyab (714) 903-7000 Completed 10/2009 $664,687.00 38.Villa& Singer Restrooms City of Pasadena 100 North Garfield Avenue Pasadena, Ca 91109 Contact: Steven L.Wright (626)744-7389 Completed 7/2010$458,855.00 39.Lake Skinner Improvements Riverside County Regional Park& Open-Space District 4600 Crestmore Rd Riverside, Ca 92509 f' Contact: Jason Plotkin 74 (951)955-0169 (951)955-1383 Completed 7/2010 $4,162,378.55 40.West Downtown Pedestrian Improvement City of Santa Barbara 630 Garden Street Santa Barbara, Ca 93102 Contact: Eric Maple (805) 564-5377 (805) 897-2613 'f Completed 04/2011 $2,299,220.00 41.Fairmount Park Universal Play Area City of Riverside 3900 Main Street Riverside, Ca 92522 (951) 826-2000 (951) 826-2005 Contact: Andy Emery Completed 06/2010$2,207,907.00 42.Palm Dr&Pierson Streetscape City of Desert Hot Springs 65-950 Pierson Blvd Desert'Hot Springs (760)329-6411 (760)288-0606 Contact: Jonathan Joy Completed 06/2010$3,221,889.93 43.Eastside Box&Woodward Parks City of Yorba Linda 4845 Casa Loma Avenue Yorba Linda, Ca 92885 Steve Campbell (714)961-7168 Completed 06/2010 $1,067,515.41 44.Peck Park City of Los Angeles 1149 South Broadway Los Angeles,Ca 90015 (213)847-1922 • Contact: Mary Carter Completed 09/11 Original Contract$3,636,946.00 45.Pioneer High School Sitework—Quad Whither Union High School District 9401 S Painter Ave Whittier, Ca 90605 (562) 698-8121 Contact: Stephanie Ruternbeck Completed 09/2010 Original Contract$1,088,487.00 46. El Toro Park Renovation City of Lake Forest 25550 Commercentre Dr Suite 100 Lake Forest,Ca 92630 (949)461-3400 Contact: Luis Estevez Completed 09/2010 Original Contract$ 563,681.00 47.Van Wig Courtyard Renovation Bassett Unified School District 904 N.Willow Ave La Puente,Ca 91746 (626) 839-9300 Contact:Wilson Vasconez Completed 10/2010 Original Contract$'648,276.00 48.Hunter Hobby Park City of Riverside 3900 Main St Riverside, Ca 92522 (951) 826-2012 (951) 826-2038 Contact: Ewina Lau Completed 12/2011 Original Contract$4,754,813.00 49.Costa Mesa High School Newport—Mesa Unified School District 2985—A Bear Street Costa Mesa, Ca 92626 (714)424-5000 Contact: James Lamond Completed: 09/2010 Original Contract$ 369,072.00 50.Sepulveda Basin Sports Complex City of Los Angeles 221 N. Figueroa St. Ste 1510 Los Angeles, Ca 90012 (213)202-2640 Contact: Mary E Alvarez Completed 01/2012 Original Contract$ 7,301,548.00 51.Corona Del Mar High School Newport Mesa Unified School District 2985—A Bear Street Costa Mesa, Ca 92626 (714)424-5000 Contact: Jeffery Trader Completed 02/2011 $916,155.00 52.Multi-Site Track&Field Improvements Huntington Beach Unified H.S.D. 5832 Bolsa Ave Huntington Beach, CA 92649 (714)903-7000 x 4359 Contact: Celia Taylor Completed 05/2011 3,208,884.00 53.Atwater Park City of Los Angeles 221 N Figueroa Street Los Angeles,Ca 90012 (2.13) 202-2640 Contact: Mary E Alvarez Completed 12/2011 Original Contract: 2,170,632.00 54.Pier Bowl Lighting City of San Clemente 910 Calle Negocio San Clemente, Ca 92673 (949) 361-8267 ' Contact: Tim Shaw Completed 07/11 Original Contract: 1,326,322.00 55.4th Avenue Park County of Los Angeles 4800 Cesar E Chavez Avenue Los Angeles, Ca 90022 (323)260-3449 Contact: Jeffrey Biben Completed 5/12 Original Contract: 3,866,188.00 56.College Park City of Oxnard 1060 Pacific Avenue Oxnard, Ca 93030 Contact: Renee Hatcher 805-200-5289 Completed 1/12 Original Contract: 11,056,475.00 57.Doty Trust Park City of Riverside 3900 Main Street Riverside,Ca 92522 (951)826-2000 Contact:Andy Emery Completed 5/12 Original Contact: $3,531,462.00 58.Gibson Mariposa Park City of El Monte 11333 Valley Blvd El Monte, Ca 91731 (626)580-2058 Contact: James Enriquez Completed 01/12 Original Contract 2,905,629.00 59.Huntington Beach High School Athletic Field Imp Huntington Beach Union High School District 5832 Bolsa ave Huntington Beach, Ca 92649 (714)903-7000 Contact: Celia Taylor Completed 12/2011 Original Contract$ 2,235,567.00 60.Cucamonga Elementary School Site Imp Cucamonga School District 8776 Archibald Ave Rancho Cucamonga, Ca 91730 (909)484-1009 Contact:Lynn Ashton Completed 08/i l Original Contract: $212,426.00 61.Costa Mesa High School Paving&Landscape Newport—Mesa Unified School District 2985—A Bear Street Costa Mesa, Ca 92626 (714)424-5079 Contact: Jeffery Trader Completed 09/11 Original Contract$ 467,692.00 62.Don Julian Elementary Path of Travel Basset Unified School District 904 N Wilson Ave La Puente, Ca 91746 (626)931-3000 Contact:Wilson Vasconez Completed 08/11Original Contract$ 779,654.00 63.Atlantis Splash Pad City of Garden Grove 11222 Acacia Parkway Garden Grove,Ca 92842 (714)741-5040 Contact: Sandra Segawa Completed 03/12 Original Contract$ 668,192.00 64.Costa Mesa H.S.Utilities Newport—Mesa Unified School District 2985—A Bear Street Costa Mesa,Ca 92626 (714)424-8950 Contact: Craig P. Scaringi Completed 09/11 Original Contract$ 1,215,274.00 65.Copper Hill Park County of Los Angeles 900 South Fremont Ave Alhambra, Ca 91803 (626)300-2329 Contact: Claire Chang Completed 5/2012 Original Contract$ 795,555.00 66.Florence Ave. Parking Lot County of Los Angeles Community Development Commission 1616 E. Florence Ave Los Angeles, Ca 90001 (323) 864-2574 Contact: Chen Kao Completed 1/2012 Original Contract$364,104.00 67.Full Half Width County of San Bernardino 222 W. Hospitality Lane San Bernardino, Ca 92415 (909)386-8775 Contact: Arthur L Rivera Completed 10/2012 Original Contract$2,696,336.00 68.Tequesquite Park Imp. City of Riverside 3900 Main St Riverside, Ca 92522 (951) 826-2000 Contact Andy Emery Completed 6/2013 Original Contract$7,016,220.00 69.Arlington H.S.Field Upgrades Riverside Unified School District • 3380 14th Street Riverside, Ca 92501 951-352-6729 Contact: Chenchira(Jane)Jumnongslip Completed 11/2012 Original Contract $3,092,452.00 70.Roosevelt II Elementary School San Bernardino City Unified School District { 777 N. F Street San Bernardino, Ca 92410 909-384-1785 Contact Andres Ramirez Completed 12/12 Original Contract$1,088,938.00 71.Poly High School—Stadium Improvements Riversde Unified School District 3380 14th Street Riverside, Ca 92501 951-788-7147 Contact: Janet Dixon ry Completed 01/12 Original Contract$1,223,921.00 72.Monterey Ave Entrance Desert Community College District 43-500 Monterey Ave Palm Desert,Ca 92260 760-346-8041 Contact:Karen LeSassier Completed 08/2013 Original Contract$1,201,040.00 73.North Campus Front Quad Landscape Long Beach Community College District 4901 East Carson Street Long Beach,Ca 90808 562-938-4947 Contact: Margie Padron Completed 5/2013 Original Contract$2,271,564.25 74.Magnolia High School Anaheim Union High School District 501 Crescent Way Anaheim, Ca 92803 714-999-3511 Contact: Jennifer Ellmore Completed 12/2012 Original Contact$1,427,100.00 • 75.Fitness Park City of Paramount 16400 Colorado Avenue Paramount, Ca 90723 562-220-2000 Contact: Bill Pagett Completed 4/2013 Original Contact$3,767,348.23 76.Bagdouma Park City of Coachella 1515 Sixth St Coachella, Ca 92236 760-398-5744 Contact Gordon Fisher Completed 4/2013 Original Contract$2,447,971.00 77.Hwy 18 Imp Town of Apple Valley 14955 Dale Evans Pkwy Apple Valley, Ca 92307 760-240-7000 Contact: Christopher Moore Completed 4/2013 Original Contract: $967,933.41 78.Valley College San Bernardino Valley College District 114 S.Del Rosa Dr San Bernardino, Ca 92408 Contact: Charlie NG 909-382-4000 Completed 4/2013 Original Contract: $1,356,776.00 79.Orange Grove Park Community Development Commission County of Los Angeles 700 W. Main St Alhambra, Ca 91801 (323)260-3449 Contact: Jeffrey Biben Completed 01/14 Original Contract: $1,756,889.72 80.D Street Improvements City of Perris 101 N D Street } Penis, Ca 92570 Contact Michael Morales 951-956-2120 Completed 11/2013 Original Contract $ 1,723,873.60 gF 81.Chittick Field City Of Long Beach 411 W Ocean Blvd Long Beach, Ca 90802 Contact: Marily Surakis 562-570-6283 • Completed 5/2014 Original Contract $7.1 MM 82.Avocado Heights Trail County of Los Angeles 900 S Fremont Ave Alhambra,Ca 91803 Contact: Irma Vasquez 626-458-4951 Completed 7/2014 Original Contract: $4,038,400.00 83.Rimrock Road City of Barstow 220 E Mountain View Street Barstow, Ca 92311 Contact: JoAnne V. Cousin 760-256-3531 Completed 2/1014 Original Contract: $ 7,547,936.24 84.Median Improvements Town of Yucca Valley 58928 Business Center Dr Yucca Valley, Ca 92284 Contact:Alex Qishta 760-369-6579 Completes 5/2014 Original Contract: $2,161,147.00 85. Cedar Avenue County of San Bernardino 825 E.Third St San Bernardino, Ca 92415 Contact: Johnny Gayman (909)387-8104 Completed 06/2014 Original Contract: $ 811,969.00 86.Rexford Intersection Imp. City of Beverly Hills 455 N. Rexford Drive Beverly Hills,Ca 90210 Contact: Alan Schneider (310)285-2400 Completed 5/2014 Original Contract: $ 396,624.00 87.CDBG Sidewalk Imp City of Corona 400 S.Vicentia Avenue Corona,Ca 92882 Contact: Barry Ghaemi (951)739-4961 Completed 7/2014 Original Contract$422,893.00 88.W. San Grabriel River City of Lakewood 5050 N. Clark Ave Lakewood, Ca 9071 Contact:Kimberly McDowell 562-866-9771 Completed 11/2014 Original Contract$912,903.00 89.Royal High School Track&Field Simi Valley U.S.D 875 E. Cochran St Simi Valley, Ca 93065 Contact: Pedro Avila 805-306-4500 Completed 11/2014 Original Contract$1,845,235.00 90.Curb& Sidewalk Imp City of Rialto 335 W. Rialto Ave Rialto,Ca 92376 Contact: Marcus L. Fuller 909-820-2525 Completed 10/2014 ik Original Contract$407,827.00 91.Ballfield No.5 City of Buenaventura 501 Poli Street Ventura, Ca 93002 Contract:Melissa Yanez 805-654-7870 Completed 11/2014 Original Contract$ 610,809.62 92.Oso Parkway Widening City of Mission Viejo 200 Civic Center Mission Viejo,Ca 92691 Contact: Kimberly Schmitt 949-470-3052 Completed 7/2015 Original Contract$ 3,481,376.71 93. East Village Park City of Oxnard 1060 Pacific Ave Oxnard,Ca 93030 Contact: Ralph Alamillo 805-385-7821 Completed 5/2015 Original Contract$ 1,396,440.00 94.Crown Valley Community Park City of Laguna Niguel 30111 Crown Valley Parkway Laguna Niguel, Ca 92677 Contact: Jacki Scott 949-362-4337 Completed 8/2015 Original Contract$4,599,485.88 95.Roxbury Park City of Beverly Hills 345 Foothill Road Beverly Hills, Ca 90210 Contact: Alan Schneider 310-285-1188 Completed 5/2015 ffi Original Contract$996,626.00 96.Whitewater Park City of Cathedral City 68700 Avenida Lalo Guerrero Cathedral City, Ca 92234 Contact: John A. Corella 760-770-0340 Completed 8/2015 Original Contact$ 2,499,241.00 A 97.Rutland& Gramercy Streets ''' City of Riverside 3900 Main St. Riverside,Ca 92522 Contact: Danny Cwiak 951-826-5341 Completed 04/2015 Original Contract$368,657.00 I 98.D Street Imp.Phase 6 City of Perris 101N. DStreet Penis, Ca 92510 Contact Michael Morales I 951-956-2120 1 Completed 05/2015 Original Contract $495,498.20 99. Grijalva Park City of Orange 300 E. Chapman Ave Orange, Ca 92866 Contact: Don Esquitz 714-532-6464 Completed 04/2015 li Original Contract$ 337,809.00 100.La Mirada Blvd Median Nose Imp. City of La Mirada Z 13700 La Mirada Blvd. La Mirada,Ca 90637 Contact: Lori Wolfe 562-943-0131 Completed 5/2015 Original Contact$ 290,578.00 i 101.Lynwood Linear Park City of Lynwood 11330 Bullis Rd Lynwood, Ca 90262 Contact: Bruno Naulls 310-603-0220 Ext 253 Completed 10/2015 Original Contract$4,683,273.00 102. Civic Center Conservation Park City of Ontario 303 East B. Street Ontario, Ca 91764 Contact Carolyn Bell 909-395-2622 Completed 9/2015 Original Contract$ 1,985,083.00 103. Orange Splash Pad Zone City of Paramount 16400 Colorado Ave Paramount, Ca 90723 Contact: Sarah Ho 562-220-2000 Completed 9/2015 Original Contract$591,701.00 104. Perris Sound Wall Perris Elementary School District 143 East 1st Street Perris,Ca 92570 Contact: Gloria Gonzales 951-657-3118 Completed 8/2015 Original Contract'$ 558,772.00 105.Calipatria Capital Imp. City of Calipatria 140 West Main St Calipatria, Ca 92233 Contact: Jack 760-337-3883 Completed 8/2015 Original Contract$643,784.00 4 106. Oxford Retention Basin ii County of Los Angeles 900 S.Fremont Ave 1 Alhambra, Ca 91803 Contact: Rick Sun t ' 626-458-5911 Completed 6/2016 0 Original Contract$8,004,089.00 107.Beverly Hills Concrete,Curb & Gutter City of Beverly Hills 345 Foothill Rd Beverly Hills, Ca 90210 Contact: Tristan D Malabanan 310-285-2512 Completed 3/2016 Original Contact$ 996,981.00 108.Ridgecrest Corp.Yard City of Ridgecrest 100 W. California Ave Ridgecrest, Ca 93555 Contact: Mike Bustos 760-499-5083 Completed 5/2016 Original Contract$869,734.00 109.Los Feliz Dr.Sidewalk ,,,,,etit,i,,,,,, City of Thousand Oaks 2100 Thousand Oaks Blvd Thousand Oaks,Ca 91362 Contact: Mike Tohidian 805-449-2400 Completed 6/2016 Original Contact$881,446.00 110.Via Verde Avenue tt City of San Dimas 245 East Bonita Avenue , San Dimas, Ca 91773 Contact: Steve M. Farmer fo 909-394-6200 ' Completed 7/2016 Original Contract$766,956.00 o i' o 111.Pearbloosom Park County of Los Angeles 900 S. Fremont Ave Alhambra, Ca 91803 Contact: David Palma 626-458-2180 Completed 8/2016 Original Contract$1,082,272.00 112. Orange Blossom Trail City of Redlands is 35 Cajon Street Redlands,Ca 92373 Contact: Gregory Brooks 909-798-7698 Completed 8/2016 Original Contract$692,783.00 113.Multi Parks City of Oxnard 305 West Third Street Oxnard, Ca 93030 Contact: Ralph Alamillo 805-385-7803 Completed 6/2016 Original Contract$588,097.00 114.Paramount Blvd.Urban Renovations City of Paramount 16400 Colorado Ave Paramount, Ca 90723 Contact:Bill Paget 562-220-2108 Completed 8/2016 Original Contract$3,316,409.95 115.HRPP Grant Parks City of Indio 100 Civic Center Mall Indio,Ca 92201 Contact:Mike Edgar 760-391-4000 Completed 6/2016 Original Contract$1,069,040.00 116. CDBG Sidewalk Imp. City of Corona 400 S. Vicentia Ave Corona, Ca 92882 Contact: Barry Ghaemi 951-739-4961 Completed 7/2016 Original Contract$746,235.00 117.Tierra Bonita Park City of Lancaster 44933 Fern Ave Lancaster, Ca 93534 Contact John Loomis 661-723-6237 -' Completed 10/2016 Original Contract$514,032.30 118.Richmar Park City of San Marcos 201 Mata Way San Marcos, Ca 92069 Contact Michael Edwards 760-744-1050 Completed 02/2017 Original Contract$1,617,252.00 119.Landmark/Mountain View R&R Moreno Valley Unified School District 25634 Alessandro Blvd Moreno Valley, Ca 92553 Contact:Veronica Castro 951-571-7679 Completed 11/2016 Original Contract$505,303.00 120.Drake Chavez Park City of Long Beach 411 W. Ocean Blvd Long Beach, Ca Contact: Teri Luce 562-570-6200 Completed 5/2017 Original Contract$2,474,478.00 121.Moreno Valley H.S.Fencing Moreno Valley Unified School District 25634 Alessandro Blvd Moreno Valley, Ca 92553 Contact: Josie H.Ripoly 951-571-7500 Completed 5/2017 Original Contract$2,564,296.00 122.Carolyn Rosas Splash Pad County of Los Angeles 900 S.Fremont Ave Alhambra, Ca 91803 Contact: Loydi Nguyen 626-458-5100 Completed 10/2017 Original Contract$ 1,244,194.00 123.Los Robles Splash Pad County of Los Angeles 900 S.Fremont Ave Alhambra, Ca 91803 Contact: Loydi Nguyen 626-458-5100 Completed 10/2017 Contract$ 1,192,048.00 124.Mojave Riverwalk Town of Apple Valley 14955 Dale Evans Pkwy Apple Valley, Ca 92307 Contact: Richard Pederson 760-240-7000 Completed 2/2017 Original Contract$750,623.25 125.Futsal Court City of Paramount 16400 Colorado Ave Paramount, Ca 90723 Contact: Bill Pagett 562-220-2108 Completed 5/2017 Original Contract$442,709.00 126.Digiorgio Action Park City of Arvin 200 Campus Dr. Arvin,Ca 93203 Contact: Adam Ojeda 661-854-3134 Completed 2/2017 4 Original Contract$454,911.00 127.Paradise Creek Educational Park City of National City 1243 National City Blvd National City, Ca 91950 Contact: Stephen Manganiello 619-336-4241 Completed 8/2017 $612,243.00 128. Firebaugh H.S. &Lynwood Middle School Lynwood Unified School District 11321 Bullis Road Lynwood, Ca 90262 Contact: Cecilia Ginoza 626-839-9300 Completed 7/2017 $1,812,083.00 129.Jack Bulik Courtyard City of Fontana 16489 Orange Way Fontana, Ca92335 Contact: Luis Villalobos " 909-350-6696 Completed 5/2017 $566,583.00 130.Southwinds Park City of Oxnard 305 W.Third St. Oxnard,Ca 93030 Contact: Renee Hatcher 805-200-5289 Completed 8/2017 $933,120.00 131.Main St.Lighting Imp. City of El Centro 1275 Main St. EL Centro, Ca 92243 Jack Fleming 760-337-4515 Completed 8/2017 $1,799,971.00 132.Miles Ave Park City of Indio 100 Civic Center Mall Indio, Ca 92201 Contact: Mike Edgar 760-391-4000 Completed 8/2017 Original Contract$1,311,487.00 133.Kellogg Park Trust for Public Land 135 W. Green Street 2nd Floor Pasadena,Ca 91105 Edna Robidas 323-223-0441 Completed 1/2018 $2,044,438.00 134.Various Parks Improvements City of Pomona 505 S. Garey Ave Pomona, Ca 91769 Dan Drake 909-620-2261 Completed 11/2017 $1,124,520.00 135.O'Farrell Charter School—Whole Site Modernization San Diego Unified School District 2351 Cardinal Lane San Diego,Ca 92123 Contact: Judith Stark 858-522-5864 Completed 9/2018 $2,817,474.00 136.Julian Fisher Park City of Monrovia 415 S. Ivy Avenue Monrovia, Ca 91016 Contact: Lauren Marshall 626-932-5575 Completed 11/2017 $474,635.00 137.Windrow Dog Park City of Oxnard 305 W. Third St Oxnard, Ca 93030 Contact: Renee Hatcher 805-200-5289 Completed 11/2017 $320,181.00 138.Wash Stabilization City of Lake Havasu City 2330 McCulloch Blvd N. Lake Havasu City,AZ 86403 Contact: Diane Libby 928-854-0779 Completed 6/2018 $3,256,325.00 139.Cordova Park Lighting Renovation City of Mission Viejo 200 Civic Center Mission Viejo, Ca 92691 Contact:Jerry Hill 949-470-3085 Completed 3/2018 $181,710.00 140.North Beach Playground City of Santa Monica 1685 Main Street Santa Monica,Ca 90401 Contact: Marcelo Serrano 310-458-2205 Completed 8/2018 $1,824,677.00 141.Brookhurst Security Fence Anaheim Union High School District 501 Crescent Way Anaheim, Ca 92803 Contact: Jennifer Keys 714-999-2380 Completed 4/2018 $673,507.00 142.Bus Bench Shelter Imp. City of Redondo Beach 415 Diamond St. Redondo Beach, Ca 90277 Contact:Nik Boas 310-318-0661 Completed 7/2018 $800,341.00 143.Wells Arlanza Sidewalks City.of Riverside 3900 Main Street Riverside, Ca 92522 Contact: Alex Ramirez 951-826-5294 Completed 9/2018 $1,578,520.00 144. Torrance Splash Pad City of Torrance 3031 Torrance Blvd Torrance,Ca 90509 Contact:Nina Schroeder 310-781-7140 Completed 9/2018 $892,095.00 145.Civic Center& Community Center Imp. City of Stanton 7800 Katella Ave Stanton,Ca 90680 Contact: Guillermo Perez 714-379-9222 Completed 9/2018 1,179,072.00 146.Buena Park HS Stadium Fullerton Joint Union High School District 1051 W. Bastanchury Rd Fullerton,Ca 92833 Contact: Jeff Anthony 714-870-2819 Completed 10/2019 $13,801,330.00 147. Hollister/Kellogg Park City of Goleta 130 Cremona Dr. Goleta, Ca 93117 Contact: JoAnne Plummer 805-562-5505 Completed 3/2019 S3,592,171.00 148.Clover Park Restr'oom Replacement City of Santa Monica 1685 Main Street Santa Monica, Ca 90401 Contact: Marcelo Serrano 310-458-2205 Completed 2/2020 $2,101,827.00 149.Laguna Beach Village Entrance City of Laguna Beach 505 Forest Avenue Laguna Beach, Ca 92651 Contact: Robert Echavarria 949-497-9000 Ext 252 Completed 5/2020 $8,432,668.00 150.Alpine Park City of Los Angeles 221 N.Figueroa St. Los Angeles, Ca 90012 Contact: Javier Gonzalez 213-847-4725 Completed June 2021 $6,388,000.00 151. South Victoria Park Land for Public Trust 135 W. Green St Pasadena, Ca 91105 Contact: Edna Robidas 323-223-0441 Ext 15 p$gg • k Completed 10/2019 $1,247,927.00 152.Lake Havasu Ave Reconstruction City of Lake Havasu City 2330 McCulloch Blvd N. Lake Havasu City,AZ 86403 Contact: Shannon Blakey 928-854-0779 Completed 7/2019 $3,570,372.59 153.Commons Heritage Park City of Cathedral City 68-700 Avenida Lalo Guerrero Cathedral City, Ca 92234 Contact: John A Corella 760-770-0360 Completed 10/2019 $1,666,567.00 154.Dennis The Menace Park&Apollo Park City of Downey 11111 Brookshire Avenue Downey,Ca 90241 Contact: Walt Eden 949-480-7048 Completed 11/2019 $ 5,694,775.00 155.Murdy Park City of Huntington Beach 2000 Main Street Huntington Beach, Ca 92648 Contact: Jim Escutia 714-536-5227 Completed 12/2019 $1,205,095.00 156.Barton Park City. of Anaheim 200 S. Anaheim Blvd Anaheim, Ca 92805 Contact: Bob Palaeologus 714-765-5169 Completed 5/2020 $1,403,569.67 157. Civic Center Multipurpose Sports Field City of Santa Monica 1685 Main Street Santa Monica, Ca 90401 Contact: Sebastian Felbeck 310-458-2205 Completed 7/2020 $4,066,258.00 158. Center Street Greening City of Santa Ana 20 Civic Center Plaza Santa Ana, Ca 92702 Contact: Victor So 714-647-5076 Completed 5/2020 $990,743.05 159.Verdugo St.Beautification City of San Juan Capistrano 32400 Paseo Adelanto San Juan Capistrano, Ca 92675 Contact: Joe Parco 949-443-6353 Completed 3/2020 $1,721,939.98 160. Colton HS Fields Colton Unified School District 1212 Valencia Drive Colton;Ca 92324 Contact: Joan Baeza 909-580-5000 2021 $3,213,152.00 161. Brio& Oeste Park Splash Pad City of La Habra 110 E. La Habra Blvd La Habra,Ca 90631 Contact: Cesar Rangel 562-383-4151 Currently Working on $2,156,804 00 162.Vista Canyon Transit Center City of Santa Clarita 23920 Valencia Blvd Santa Clarita, Ca 91355 Contact:Archie Dorndon 661-255-4953 September 2021 S 5,677,792.00 163.Doris Davies Skatepark City of Victorville 14343 Civic Drive Victorville, Ca 92393 Contact: Harry Mayo 760-955-5000 December 2020 $ 1,199,528.00 164.Olympus Park , City of Encinitas 505 S.Vulcan Ave Encinitas,Ca 92024 Contact Jill Bankston 760-633-2730 June 2021 $4,177,236.00 165.Ramos Street Parking Lot Expansion City of San Juan Capistrano 30291 Camino Capistrano San Juan Capistrano, CA. 92675 Contact:Paul Meshkin 949-443-6350 $233,656.00 ' 166.Rolling.Hills Park Improvements City of Fullerton 303 W Commonwealth Ave. Fullerton, CA. 92832 Contact: Jose Medina 714-738-6863 $1,420,336.00 167.City Entrance Monument Installation City of Laguna Niguel 30111 Crown Valley Pkwy. Laguna Niguel, CA. 92677 Contact: Cathy Nguyen 949-362-4341 December 2020 $42,500.00 168. 2020 Sidewalk,Curb,&Gutter Repairs City of Lancaster 44933 North Fern Ave. Lancaster,CA. 93534 Contact: Steve Falcon 661-945-6867 May 2021 $698,121.00 169.Northwest Open Space Comm.Park City of San Juan Capistrano 30291 Camino Capistrano San Juan Capistrano,CA. 92675 Contact: Paul Meshkin 949-443-6350 July 2021 $1,141,757.30 170.Dills Mini Pitch Court City of Paramount 16400 Colorado Ave. Paramount CA. 90723 Contact: Rafael O. Casillas 562-330-9008 December 2020 $105,736.00 171. Grapefruit Blvd.Improvements City of Coachella 53990 Enterprise Way Coachella, CA. 92236 Contact: Andrew Simmons 760-398-5744 Currently Working on $4,258,601.20 172. South Main Street Corridor City of Santa Ana 20 Civic Center Plaza Santa Ana,CA. 92701 Contact: Sean Thomas 714-647-5655 Currently Working on $12,759,695.00 173.Long Beach Blvd.Improvements City of Long Beach 411 W Ocean Blvd Long Beach, CA 90802 Contact:Pat Castro 213-364-4937 Currently Working On $2,486,828.00 174.Dr. Carreon Park Improvement Project City of Indio 100 Civic Center Mall Indio,CA. 92201 Contact:Mike Edgar '} 760-625-1801 Currently Working On $TBD 175.Hathaway Park Restroom Upgrade Project City of Lomita 24300 Narbonne Ave. Lomita, CA. 90717 Contact:Mondher Saied. 310-325-7110 June 2021 $103,208.00 176.Renovation of City Bus Shelters City of Paramount 16400 Colorado Ave. Paramount, CA. 90723 Contact:Rafael Casillas 562-330-9008 Currently working on $TBD 177.Crown Valley Park Interim Parking Lat' City of Laguna Niguel 30111 Crown Valley Pkwy. Laguna Niguel, CA. 92677 Contact: Lori Wolfe 714-402-9645 Currently Working On $404,264.00 178.Kennedy HS Attendance Canopy Anaheim Union High School District 501 Crescent Way Anaheim, CA. 92801 Contact: Leticia Hauck 714-999-5454 Currently Working on $TBD 179.Pico Park Paving Project City of Pico Rivera 6615 Passons Blvd. Pico Rivera,CA. 90660 Contact: Caili Tones 562-801-4436 Currently working on $TBD 180.Mistletoe Park Fitness Court Project City of San Jacinto 595 S. San Jacinto Ave. San Jacinto, CA. 92583 Contact: Cristy Rightmire 951-654-3592 December 2021 $51,527.39 181.Glen Avon E.S.Sitework Project Jurupa Unified School District 4850 Pedley Rd. Jurupa Valley, CA. 92509 Contact: Daryl Van Dran 909-532-5210 Currently working on $TBD 182.Replacement of Playground Equipment City of Laguna Niguel 30111 Crown Valley Pkwy Laguna Niguel,CA. 92677 Contact: Angel Fuertes 949-212-6990 Currently working on $TBD Bond No.: CMGB00012793 *AIA Document A310 MT = 2010 Bid Bond CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status and principal place C.S.LEGACY CONSTRUCTION,INC. of business) 1704 S.Grove St, Unit B Argonaut Insurance Company This document has important legal Ontario CA 91761 c/o CMGIA consequences.Consultation with 20335 Ventura Blvd.,Suite 426 an attorney is encouraged with Woodland Hills,CA 91364 respect to its completion or modification. OWNER: Any singular reference to (Name, legal status and address) Contractor,Surety,Owner or City of Huntington Beach other party shall be considered 2000 Main St plural where applicable. Huntington Beach CA 92648 BOND AMOUNT: Ten Percent of Their Greatest Amount Bid (10% of G.A.B.) PROJECT:(Name, location or address, and Project number, if any) Flow Line Half Round Drainage Inlet Structures on Main Street,17th Street,Orange Avenue;CC No.1656 in the City of Huntington Beach The Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surety bind themselves,their heirs,executors,administrators,successors and assigns,jointly and severally,as provided herein.The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted ' in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof;or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid,then this - obligation shall be null and void,otherwise to remain in full force and effect.The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid.Waiver of notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time for acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty(60)days. If this Bond is issued in connection with a subcontractor's bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, • any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.When so furnished,the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 19th day of January . 2022 C.S. LEGACY C i+ S: - CTION, INC. (Principal) �1� (Seal) (Witness) 1111 r (Title) ...- _ Alt1 Uh�w,e,p — 're‘i G.P.& r\ v�JV _ M• • Insurance Company _ 74 (Seal) (Witness) —_ (Title)S -phanie Hope Shear Attorney-in-Fact CAUTION:You should sign an original AIA Contract Document,on whit' this text appears in RED.An original assures that changes will not be obscured. . Init AIA Document A310^"—2010.Copyright®1963,1970 and 2010 by The American Institute of Architects.All rights reserved.WAP..Ntid,'a:This,AJA6 • 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:tie law. / Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright©aia.org. Delano Bond No.: CMGB00012793 Argonaut Insurance Company Deliveries Only: 225 W. Washington, 24th Floor Chicago, IL 60606 United States Postal Service: P.O. Box 469011, San Antonio, TX 78246 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the Argonaut Insurance Company,a Corporation duly organized and existing under a laws of the State of Illinois and having its principal office in the County of Cook,Illinois does hereby nominate,constitute and appoint: `f' 4044- Gabriella Grady,Shilo Lee Losino,Stephanie Hope Shear,Elizabeth Santos,Stacey Garcia,Matthew Diomsio Their true and lawful agent(s)and attomy(s)-in-fact,each in their separate capacity if more than one is named ov ,a.mke,execute,seal and deliver for and on its behalf as surety,and as its act and deed any and all bonds,contracts,agreements of indemnity andkitherpn det akings in suretyship provided, however,that the penal sum of any one such instrument executed hereunder shall not exceed the sum oaf: 1 , ' $15,000,000.00 <'t"'L. - This Power of Attorney is granted and is signed and sealed under and by the authority of the folliftWinNesolution adopted by the Board of Directors of Argonaut Insurance Company: ,'`�°, "RESOLVED,That the President,Senior Vice President,Vice President,Assistant Vice 1 e' t,Secretary,Treasurer and each of them hereby is authorized to execute powers of attorney,and such authority can be executed by use of fable signature,which may be attested or acknowledged by any officer or attorney,of the Company,qualifying the attorney or attorneys named the give>Ppower of attorney,to execute in behalf of,and acknowledge as the act and deed of the Argonaut Insurance Company,all bond undertakingsaxontracts of suretyship,and to affix the corporate seal thereto." IN WITNESS WHEREOF,Argonaut Insurance Company has caused itsf`ficiaeal to be hereunto affixed and these presents to be signed by its duly authorized officer on the 1st day of June,2021. E , Argonaut Insurance Company d i r,J�. cRlcFns tc, s .. 19411 .:2 - SEAL: :' bv: STATE OF TEXAS Joshua C.Betz Senior Vice President *.. COUNTY OF HARRIS SS: - •,,,•._e.••••. On this 1st day of June,2021 A.D.,..befoC otary Public of the State of Texas,in and for the County of Harris,duly commissioned and qualified, came THE ABOVE OFFICER O COMPANY,to me personally known to be the individual and officer described in,and who executed the preceding instrument,and he acknowledged a execution of same,and being by me duly sworn,deposed and said that he is the officer of the said Company aforesaid, and that the seal affixed-olt.-Cprece g instrument is the Corporate Seal of said Company,and the said Corporate Seal and his signature as officer were duly affixed and subsc ed to _ said instrument by the authority and direction of the said corporation,and that Resolution adopted by the Board of Directors of said ompan rred to in the preceding instrument is now in force. IN TES O a.. OF,I have hereunto set my hand,and affixed my Official Seal at the County of Harris,the day and year first above written. �(u iii K P __ /k4`lar,�l 1.'ICY ltula CD KAT0ALEEN M MEEKS �, NOTARY PUBLIC {4��t�1 STATE OF TEXAS MY COMM EXP.07/t5/25 NOTARY ID 557902-8 (Notary Public) I,the undersigned Officer of the Argonaut Insurance Company,Illinois Corporation,do hereby certify that the original POWER OF ATTORNEY of which the foregoing is a full,true and correct copy is still in full force and effect and has not been revoked. IN WITNESS WHEREOF,I have hereunto set my hand,and affixed the Seal of said Company,on the 19th day of January ,2022 . °i SEAL = I di... i sgs :7LMo v.• James Bluzard, Vice President-Surety IF YOU HAVE QUESTIONS ON AUTHENTICITY OF THIS DOCUMENT CALL(833)820-9137. 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 JAN 19 2022 before me, Lucas Patterson, Notary Public Date Here Insert Name and Title of the Officer -personally appeared Stephanie Hope Shear • • Name(s)of Signer(s) • who proved to me on the basis of satisfactory evidence to be the 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. •/, \.r LLUC S P„71711 SON uR - :1Henry Public-California Signature s m Comision;Z7i'?5-in�- (J, `��•, Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the docum-• or fraudulent reattachment of this form to an unintended document. Description of Attached Document - Title or Type of Document: Docume. i ate: Number of Pages: Signer(s) Other Than Named Abov-- . Capacity(ies) Claimed by Signer(s) . Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer— Title(s): ❑Partner — ❑Limited ❑Genera ❑Partner — D Limited ❑General 0 Individual ❑Attorne ' act ❑Individual ❑Attorney in Fact 0 Trustee ❑G Ian or Conservator ❑Trustee ❑Guardian or Conservator 0 Other: ❑ Other: Signer Is esenting: Signer Is Representing: • ©2014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of SAN BERNARDINO ) On JANUARY 26, 2022 before me, GLORIA MACIAS, NOTARY PUBLIC (insert name and title of the officer) personally appeared GREGG STRUMPF 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. GLCIRIA MACIAS WITNESS my hand and official seal. Notary aublit-California _ ¢; San Bernardino County E Commission N 2284219 — ddrak4°A,4•1. My Comm.ExpiresAnr 2.2C23 Signature I "c„, (Seal) ■ ■■■■iii ■■▪■■ !■111■-. C.S. LEGACY CONSTRUCTION. INC. C.S. LEGACY CONSTRUCTION,INC. MINUTES OF BOARD OF DIRECTORS MEETING A SPECIAL MEETING OF THE BOARD OF DIRECTORS OF C.S. LEGACY CONSTRUCTION, INC,A CALIFORNIA CORPORATION, WAS HELD AT 5781 SCHAEFER AVE CHINO, CA 91710 ON MAY 14, 2021. THE BOARD OF DIRECTORS OF THE CORPORATION: GREGG STRUMPF DIRECTOR CONSTITUTING ALL OF THE MEMBERS OF THE BOARD OF DIRECTORS WERE PRESENT AT THE MEETING. • THE MOTION WAS DULY MADE, SECONDED AND CARRIED THE FOLLOWING RESOLUTION WAS ADOPTED: RESOLVED, GREGG STRUMPF,PRESIDENT,IS SOLELY VESTED FULL AUTHORITY TO SIGN ANY AND AN ALL CONTRACTUAL DOCUMENTS FOR THE CORPORATION, AND THEREFORE HAS THE FULL AUTHORITY TO OBILIGATE THE CORPORATION IN ALL CONTRACTURAL MATTERS. THE UNDERSIGNED,RICHARD GONZALES, SECRETARY, CERTIFIED THAT GREGG STRUMPF IS THE DULY APPOINTED PRESIDENT OF C.S. LEGACY CONSTRUCTION, INC. AND THAT THE ABOVE IS A TRUE AND CORRECT COPY OF THE RESOLUTION DULY ADOPTED AT A MEETING OF BYLAWS OF SAID CORPORATION ON MAY 14, 2021. IN.WITNESS THEREOF,I HAVE AFFIXED MY NAME AS SECRETARY OF THE CORPORATION, AND HAVE ATTACHED THE SEAL OF C.S. LEGACY CONSTRUCTION,INC. TO THIS RESOLUTION. DATE: MAY 14,2021 RICHARD GONZALES - SECRETARY 5781 Schaefer Ave Chino,Ca 91710 (909)590-2626 (909)590-4117 fax .,..•,,ik.',.:',":::"4-",•;•2. ..,•'...;:,' *,,,..''-,,,,':",.-.-":„-',1,",'1••••••:".";":.•"•1"):',"".••,. ..,•• •. .. w.,..11o,, ,••:.:.,4,4,-s-7;•q.''','.,-,`,.,,,•,':.••''...• ' -,,,,-..-1r--•:::.-J,, •••:.1.440,Aa5f-N'',:1-• .,'•:','•,•- .:.:14,"'. .:•`-'.- •';i...•.• -,- ..:‘...•':•,'`.:-H,,c'.:-;;;••";•'•.n"v;•-•4-1,-,'3,•,,•••14''.',1:1•••?.c-i.-"Af••-Y•.':•,'•,:.:••••: ,,,,,,•,,z.C.',-"..f;,,'.1,-;:,;•:-.,:.-.1.-„..:,..,-"!•:!•Ti':'-i-':-,--Y.:':'1-i.."-;...,.:)..:z...,&-.,",",',,-.,-;.''',17. .:,.,i,i:;'... • ,:':y•1:.'-',.--.2 i...:..,,:ic.•...-4,-..,',:,`,..,.' ..,,,-)::..:.:„,i'.,...•,-,..:.-."""-,;,:•,It't.,1"-.,,,,1`..::,•••i-i,..-:'-;.• "A:_:'-'•'.::"-:, ,,,,,;14::,"-;--.":;•1•:i - ":',"-,'::'•''It.''':.:-.*:,",t.':''',',.,,i-';,•,.'iz}l',:1,'i,:lr,',:i.!;;;If-giT,T2:.,;:::..ye-'.14.1..i. .-N•- ';,:.,.;r,". ..'::;'•:-4,.C'•-!J:iji.?:7-4,4itenakc',44.,,:.i.:1'. ..kr*,,-:1".... .%•:'`:"-'". "f•', ''i".3..":1?":5-11.,-A141-,.. ..fisi.,.;,- ,44'q'ill'•••krilei‘INT:'::-',": ".•'..'''- • . ON,INC e:1-,,,,,,,...tn,,,,:• ..-„,":-.,.;1.-,.*.,,,,,:::,,,,0-:-/,,,,,,,,e,:‘,.....iy.;„.4,1?-,,,,,...,•:: ::?•.,.'...•.,, ..... • CONSTRUCTION,• ,,n—R AVE •.s.ii•J•;,•.!)•,'-''':',•N:"Sc:4(••'f`-','-,f' .:',''fi'•i•:•'''.;/4'''''''•45c4'' .,':'-/P&V,''‘'•-1,•:'•2.;(,:•-.:•:, .,,f ,,-::1.1,1'1.Y...;.•,,•-•fr•-v... *,,. ..v.. ..-.4.1., . -,: , 3CHABA' 91710 .•';'•4 ;',--'4, ••••',,';',;'4,'.'V"•••1;-`••r'';', li',44.:"*".4"-•Ni[it;PV•J';, ::. mo,cA,90.2626 , ..4.,s•'!.' ••`.,,i,.,,.,:,,,ti•°-,'-.;'•,,:-.,;:itS:P*'?,1"'-'i,-'-'-• .•:'''''':''•‘1,,,:,1444-..,;*,:,31;';.•'''.::c.i,' ,J.f:...„..r.,-•11,ff. ,....,,, ?'"'4, •,,,,e i ,",,. FE:(909)3 ,-.7o 4 i.,,,;.r.:t!'f:.• ‘sE#82°° 7 -.,,,.'','.N:'.'1'.' '..T-li:'::'i,-..,,ts'f'h.?'t.i".,r'n't.;.:;,t',7t -'•''.,;•::., izt- ..:'.3:t:''''; .j. :.EN 1,11,,. 1.")::.'""'' ',:"i3,,. 0•'`,:c.„-:: ':',:':.,"..• ,,.. 14r4",,,,,,,,,',........1,1.....• Is•,.-::::,..:-.-.,,11-,,,,..,4.2,4,,A;i,..fiv.,,AyA.,1,.4.f.:3`,3•44't i,itx,'..'41i%,..1,.."3-:..; 1''-•• • i! ...-7 .."..1..t,•?;" ,,,,:'-', " ''',',- ' '' i,g-,:',;0,- . . [ - .s..;v. ' .,,,,,:",e,',-.,'-'• "`•'?,24".•":_,47f,'1.,'. r - DO NOT OPEN ,.' -• ' ,4..14.„...1,:ef-,1::, . . %'•i'V".14.tril.. SECURITY BEACH • - , •‘,4..- tc.1.,...g ,..*,:,-,k,f;' •, OFFICIAL BID (4.10N 4,: B OF WORKSHuNTMI- OFFICE ' v'''''4• 4"7."''," r'4-."-,!!;..1.4,4'ft' CITY PUBLIC sT• HUNTIN 'i 't'' ' ,,:'....:,.. •'''f'' :".;C '';"t -`-'%:41'-i;',4:,--:4 0)7648 ,:. ' -71".t,i_:•''''''‘A d .f. ,,i: '--;,f..flir_.-04- 2000 MAIN.c,A rli,CA.-- OPEN -'' .' ViY,-; '.:`--6."'.' "4, t",' • '''',..-4''it"i.''' TON B.--"' DO NOT 4..,!;1. G.,. — , -• , vio.%''z'1,*-,,#. :". ',1', sEcuRrrY, 0.1:,''.1 CIA",BIB , ...,,,•:...,,,....`‘,4-.:•ri,t'ift:i.,:44.1.f. ', . 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''-`0':',01-1: ,i-'.',.'t...I.N.-}11!ri,4-,.MAk',A,,, ',AT:,‘,..,t,'..,,,,,P.,- .1,.., .•-.... ,, ,...c...,:41i,vji-, 4 Sealed res on ‘, ',.''%I.'';- '11 kiIirfsg34•,'''''•'.-- 4-14, ,'-7i.,...4-,-., -',,..: Structu '•''';et ''' .:."' i':e.tie''.%'.'1•4 P.,." ", 4,'-'-,4.*:e7;.•-•,,,''-,''' .,,..,- ,L...R.4y...1,...,., ,.. ,,i.,...,2; .:. cot:1656 .00 PM ' telo,y,. ,- 41:•::,,,k, . ,. ,, r..-...7:..... ..-:-$::i„- -.."-' rh2 ,2°22 at 2. ,,, -„.'I'."' '%•` , et,ii,i1/41i,ii,''-•,,ilii-i=1.;;'.',4-,'1.i,,, f'‘.^...g '',' Date January .• s. ;'''' il'-ft,t3 1'.4p.Z' , ... 4--,4'''.4 t,,•‘:,4."•",v2" I• or',- ,,, •li-,,I,v-,,i;': Opening Da ,•,'' '.- ' "TA ,,-:.v.r","•$,C,•-:'.1',,c`At,r'%•1'4We'lf:Ar i, '1 '''. , -"i''.--' .i -'''z t-t`,".:'•"'" Bid OPe v"'r ' . ,,' 1.0-; '.4,1,6''''''.%.-01,p'16 ,c:?,-ifli..-d'-"' '.''.'•,'.' ' I.'',''!.:?,..q.-..„,J,,,''.I. . .- ,. 4, ,43,;.t.,.,,„,i.„,,,:c-,,,;...,,,„,,,,,,.t,-,a,le.4.•,-;_tr'.4-'4.1'',V '..v' ''''It e,r. '.i.-r'''' ''. ,..•.:.;',A,1,..."'.. . . .1 34k,24Z4,,i 3 q•k'''''..4:',4''''-(3A3":10`6'- .','',',-4. -` . ,,4J ... '.f.,,,64:.*f',';•"i'.'•'; .. .. , ,; ..''. ..,,,. ,,n...,.,k,,,_, ,•,,t,'-,„,..1,-off.•"et* " ''''. '''',":''.'" " n 1 n;•'•:tn ' 4'.:7,1'W''''''''r'4"!:''.' ., . , - . • e, , ". ',..-', :-eft ;"."Ii•..y.'-it"..-, ''''' ,-,",1"11,V" e``,%.,,,,•,.Lk,'-e•:"0 A.,4"tVA-"" ',-4'''''••••:\'' . ,'-, r'e • - ' " ' " •• .• .•`• 4't,•'''-'ite•-<..,',,.rio.,,, A,•, •t,"., , ,‘4,44 e. ,-., ,.....:. •re• -cl,"L'.-,. '. - • , . , ___,„,,,,. ..• ... . • ' •', , ,. • ,,,s. ,,,e1 ',„, e,.' • 1,44'4,,'''',44,..i".ki"4"),ir,:e., .,, ' :,40*,,,......?!;•.',01.,,.--,...,,-4,0„;F.,,,:-,2,s,c':":,1••-.--- A 4: ' * . 3 ',3"'4',I.. 3! '3.,i`81'.,,,..,:....13,',•IzA,,731.4k1%;";"`',Fk3'-f4ki 8 2''•'t,''.4:i, -,.N;-ei....,.;-..c.-.,,,,-_11,1;,•,;:..-,,,,,, -- '1'.,:-..,.....' ='1:`,it..-', .z.,:.:27'..•i•sr,..' ''.":"P'.15,. •-•r",',..,'1;',1,"Ti,k51-0''•\',:t''•••Zi, ..f"--'-i4,,,A.:13,,t1.-1.-!::---- .. 4..., -,,-,-:“....17.1.-.t"'f;-• t-., ::..-.2—. - A.,• r.„ ..;-,„.. .0"74,,tik.,,r,i11.,"',",,,.'"`I tvi:;•'.1,.,,;"..''!,--',---",i:1:1-',"1.:',...:i---'-'-‘-`' -• .1::;.P"V!.n 3,....%..,!,..,7.,,,i,,,,:,„7„,.,.J.,„i....,. „,,,...,,,i, •.,, .t... ..r,.-,.,.• ,-.=• • . ktl'''f'1'-'' •.V'' '4....c.4".'1?...43.:1"''k" ..;..'it;„g4-.. ,":'q•.-•`--.''','.1!"-' • • '4'f•- "--1;i,;?....",'•!,"%-",le•:,'.'' • •',i••'4,..-•'i',-1''"-;•••.'" .-,• • ,. • • ......To City of Huntington Beach e 3, 2000 Main Street ♦ Huntington Beach, CA 92648 __ �-Lc (714) 536-5227 • www.huntingtonbeachca.gov cp ‘a C .e : o��o Office of the City Clerk 'a;G??'�1909';0. ��.CoUNri CP s�� Robin Estanislau, City Clerk April 5, 2024 - Gentry General Engineering, Inc. 9277 Archibald Avenue Rancho Cucamonga, CA 91730 RE: Flow Line Half Round Drainage Inlet Structures on Main Street, 17th Street, and Orange Avenue— CC No. 1656 Enclosed please find your original bid bond for CC No. 1656. Sincerely, ( 2°14111 sq"61-411Ztill Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City: Anjo, Japan 4s:e>/ittr.--41.._)7 orptilig,,s,t „ ///v . SECTION C PROPOSAL FOR THE CONSTRUCTION OF FLOW LINE HALF ROUND DRAINAGE INLET STRUCTURES ON MAIN STREET, 17th STREET, ORANGE AVENUE CC NO. 1656 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 50 working days, starting from the date of the Notice to Proceed with Work after materials are procured. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications,Exhibits,Instructions to Bidders and all other contract documents. If this proposal , is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set - forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses,taxes,royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded,the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid,find bid bond in the amount of 10% which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "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: Addendum No Date Received Bidder's Signature 1 1/18/2022 • C-2 ADDENDUM NO. 1 For FLOW LINE HALF ROUND DRAINAGE INLET STRUCTURES ON MAIN STREET, 17th STREET, ORANGE AVENUE CC No. 1656 in the CITY OF HUNTINGTON BEACH • .A ,,,„ 2000 MAIN STREET HUNTINGTON BEACH, CALIFORNIA 92648 (714)536-5431,Fax(714) 374-1573 January 18, 2022 Notice To All Bidders: Please note the following clarifications to the Project Specifications and Standard Design Detail: 1. THE FOLLOWING SECTIONS ARE MODIFIED TO REFLECT A NEW BID DATE/TIME OF JANUARY 27,2022 AT 2:00 PM a. COVER/TITLE SHEET b. NOTICE INVITING BIDS c. INSTRUCTIONS TO BIDDERS 2. SECTION 3-8 OF SPECIAL PROVISIONS IS HEREBY REVISED TO READ: a. The contractor shall submit the names and addresses of all suppliers. The contractor shall be required to provide submittals for all materials for CMP half rounds and grates and appurtenant hardware prior to ordering of any materials 3. APPENDIX F,STANDARD DESIGN DETAIL,IS HEREBY AMENDED TO REFLECT THE FOLLOWING "OR EQUAL" MATERIALS a. Hinges,grates, anchors,and ancillary equipment relative to the grate standard design detail are to be 316 SS stainless steel. The grate itself can be galvanized carbon steel This acknowledges receipt and review of Addendum Number One, dated January 18, 2022. Gentry General Engineering, Inc. -ztA(_47L.-1 Company Name By January 18, 2022 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 Mark Lewis at(949) 677-0391 within 24 hours of posting. > Ir BID PROPOSAL FLOW LINE HALF ROUND INLET DRAINAGE STRUCTURES § --' ON r 4 t 4 MAIN STREET, 17TH STREET,AND ORANGE AVENUE • UNIT QUANTITY* UNIT PRICE AMOUNT • REMOVE AND DISPOSE OF EXISTING CURB,GUTTER,ASPHALT CONCRETE, AND INLET DRAINAGE DEVICE/STRUCTURE AND CONSTRUCT NEW FLOW LINE HALF ROUND INLET DRAINAGE STRUCTURE PER DESIGN DETAIL AND 1 AT THE LOCATIONS AS INCLUDED IN THE SPECIFICATIONS EA 54 $8,888.00 $479,952.00 - TOTAL BID AMOUNT(IN NUMBERS) $479,952.00 TOTAL BID AMOUNT WRITTEN IN WORDS four hundred seventy-nine thousand nine hundred fifty-two dollars •-All work includes disposal of removed material offsite and restoration of adjacent Improvements dsturbed daring construction to an in kind or better state upon completion of work at each site. Any and all costs for mobilization,traffic control,and site restoration shall be included in the unit price bid per each. • C-3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. But Name and Address of State DZR FWC Dollar %of s Clan Itcrm s) Subcontractor License Registr Amount Contract ation Nu mber none By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform at least 50% of the total work and 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-4 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 1/26/22 , at Rancho Cucamonga , CA Date. City State Brenton Gentry , being first duly sworn, deposes and says that he or she is President of Gentry 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. Gentry General Engineering Inc. Name of Bidder ljtirok" Signature of Bidder 9277 Archibald Ave., Rancho Cucamonga, CA 91730 Address of Bidder C-5 ' . , ... . . . ........ . . .. .. ....... . .. . .. •::i ,..„_.. - --- - •• ACXNOWLEOGMEN— T• • , • , ...... . •At-64)141 0461(O;Of.:other officer ofti0004104:' certificate v.6.ti#6tttirArtfiei identity of th4.10.00:kiel •• • •mitio,.$1010-Ofthe....d&tittiebt te2v414.0.1 this certificate is •• . 'ettanfied and not triel,:ttUttifetne.ee, 00.44raOyi.Or ... • . • ., ..• validit/tiftatdiloutnent • . . ...._„....,... .. ,...... 474-0 OilfOftild: . .._ . county of ... „ „:44,0T3e!!.0:atdinoi,- ...„ ,.. - . . kl -- Ita 1671 a Alitk Sanchez,rwittoffulitk . cm Ail, ,-, , '., ',.,- , '110- tp.a).e - • •' . • .„5-2......., ...„: : „ , ..„.......: - •• , -- -' •-- • - • . • :"""--" ghteittitiatii61 efidAieltiftti414.0100 . • tOrt:•Oen •. pemonally:oppeared 13,1j.. 11.. ,•,-... -ttY.. . , • whqprgvocIt to me on,the basis of:satisfactory ovidenmto be, the pArtg,n( ,oseAppe I of ,., 2:a_.- Of Vt*t-'''''.:---'141-- k.41,6:61t.16.0.0 to the:within instthment and. .1 tAiiii.:5viitecigoi('o•-(flittiiiitfootifle,"..',.o'sf executed 010,same in:• -; ••• liti4010eit outtortgod.,.03:04000-54 anti That by,fitsillfitilhir:tidrt4turg':2 ron-f00.:itittaiblent the; !•,,'!; ri,,00.0044i,iOrtrt*:000.*0000 b6,tialf Of WiliOtt 1.,110 posop10:,4ti.d.,„oxttoote4titio.io.ottoottt. 1 1,'04.1-01y under PENALTY OF PERJURY underundeVthe r:-.aw$-,6•fthe,Stt(te Of California that the • ! , : paragraph is IN*.and 00000... •0--Notx$A,A,.0,0. :,. -4,••*':41,1,51,1:4! .4;/*Nt . . e. ,e.t.,'•1_!,',,,:ii.?,,,,f$6.,o,•.4,:, . • - If. : ,k4;:o.1• *x-7,.'z,.%,:,6.. *,.. W IT N, E S,.,S t 8r,d o,n.,.d Offf....o.,td iseat. iF.te' .t'9ii,')1,4•-:',,1074"„;,0.:.,„-.;.,,.1,",4,:1,.4.,,.;1-7.;(.4.,'A, s, '.11 - , ' , -. - . • --:• . ; . •,,,,,li,'•:\ ,-F--.,;‘1,111177,/,,. .,.Nzr: '.:Stgnattlit0ii.......,-':-:'.- ,:.,;.• "--,:---.--,„.. . ,,..... :.($ea4 ..._,...,... .„.„ _.. „,. . • . - . , .. . - . „ • . . . • . • . 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 FLOW LINE HALF ROUND DRAINAGE INLET STRUCTURES ON MAIN STREET, 17Tn STREET,AND ORANGE AVENUE, (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. Gentry General Engineering Inc. Contractor Brenton Gen7 5. By President Title Date: January 26, 2022 C-6 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-7 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. Gentry General Engineering Inc. Contractor Brenton Gen try1 By President Title Date: January 25,2022 Type text here C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Gentry General Engineering Inc. Bidder Name 9277 Archibald Avenue Business Address Rancho Cucamonga, CA 91730 City, State Zip (909 ) 330-1128 gentrygeneral@gmail.com Telephone Number Email Address 974279 State Contractor's License No. and Class 6/26/2012 Original Date Issued 6/30/2022 Expiration Date The work site was inspected by Brenton Gentry of our office on January 26 ,202 2. The following are persons,firms, and corporations having a principal interest in this proposal: Brenton Gentry 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. Gentry General Engineering Inc. Company e Signature of Bidder Brenton Gentry Printed or Typed Signature C-9 . ..„,__..... . . ... . . _ .„.. ..._... . . ...... .. .. . •. . ACKN0WLebdOAENT- • 1 . , . . . . . A,notary publioOe'00r offl00.001041:1111gAbi ,. ...,,.. . • • .; . . :,•: certificateyetfesrto.nlyrlhe;14etiti* t the in0.04001 , . .... who Signed;,thg.,,000,givnt to.whith,thii 0...ert Moto to i; • ::.aftched and riot the validitytifthat,dottittedt,,,.„... .. . ,.., . . . . . . _ . ": ..... .... . -... ... . ., , Stat040.00Prn4 . ,.... ... ; * d-,..1 • County'of San Bernardino 0 . .„ , . :. Ortdatti Z(-0 1671 All&Satidlez..,acitaty Ptibild: :b4ort trio* ',-', •,,,•• •, , , .r.,-, -:, 011$.0,rtrigiTiq:4;14 t,itte.Of:MO:641004 .. . , .. • • pe.rsona.11yappeared $04-rittft G:ttillY• who otovet.t.p.mg on the basis of,$-,ttigfaOtory:eviegior*.to:be the ...:..,.....tit,,_, ..t -t-0.-; !pe.k.-m.. O;.;.i K.c.i,..,.t0‘..'....i(g.:1.d.#.0..•d1`:,:4;::m'T,12.-,44,'4,Wh4 o„.;,$1i;4$0 name ). !,•;4.,:0',.,.; o. lqt (; g * *OrkOcio'i*vtttor ,lootrotortaqd 0006Vietgt 000-iot 10-N#103Y executed the same in :f: oatifar7rtied.t::etitYOi)i.t41h :Y:bi$1hilt,tt11: t ';41::1fro 0z)tike teeertio I certify under PENALTY OF PERJURY under, „.;L ,,Q1 e :ftelit:t1e:ihet the foregoing paragraph iitaoarc •00t*Ot 4 . ;,.• ,., 'r•4 •,i;?!'' ' 4,:':>\l'., -.- ti . „ 'WITNESS riVtiatlOiertl.cfficiot 8-eet,.. g,dr (f.„W`4•Aiz,..-I A ..S , 4.6'1,', Nriz*.itt-Wif I• ., • 'TP"-', 2.*:";/' ,z• . . _ • ;Slop' '....,,'-:;; : -- - -..--- . .:;...... . ..„,„ ($40,11 Ilisfriz, . . -,0N12. . ...,.. , '4-41RE.Lititii 0- . . • • . • . . , • . . • . . . • . . . . , . . . , . 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,"Construction of drainage inlet structures and curb and gutter for City"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 See attachments Prior Projects and Projects in Progress 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 See attachments Prior Projects and Projects in Progress 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 See attachments Prior Projects and Projects in Progress 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-11 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• Dean Bates Name of proposed Project Manager Telephone No. of proposed Project Manager: (909) 330-1128 See attachments Prior Projects and Projects in Progress Project Name& Contract Amount Type of Work Date Completed See attachments Prior Projects and Projects in Progress Project Name& Contract Amount Type of Work Date Completed See attachments Prior Projects and Projects in Progress Project Name& Contract Amount Type of Work Date Completed 2. Robert Fryxell Name of proposed Superintendent Telephone No. of proposed Superintendent: (909) 908-5313 See attachments Prior Projects and Projects in Progress Project Name & Contract Amount Type of Work Date Completed See attachments Prior Projects and Projects in Progress Project Name& Contract Amount Type of Work Date Completed See attachments Prior Projects and Projects in Progress Project Name& Contract Amount Type of Work Date Completed C-12 �� ; - E L - fNEERINt z, < •,'rT�. pq .9 W` e Prior Projects 2013—$34,500.00 2016—$504,420 City of Fontana City of Baldwin Park Damaged Street/Sidewalk Alleyway Street/Sidewalk Asphalt&Concrete R&R Asphalt&Concrete R&R 8353 Sierra Ave 14403 Pacific Ave Fontana,Ca 92335 Baldwin Park, Ca 91706 Jason Jojola: No Email Address Chase Fidler:CFidler@baldwinPark.com 909.350.6636 626.960.4011 2014—$30,000.00 2016—$619,075 City of Rancho Cucamonga City of Bloomington Solar Shade Structure ADA Ramp—Repair/Maintenance/Replaced 8794 Lion St. 825 E. 3rd Street Rancho Cucamonga,Ca 91730 San Bernardino,CA 92415 909.477.2730(No Email Address) Haile Ford: HFord@DPW.SBCount.gov 909.387.7936 2015—$495,000 City of Whittier 2016—$173,604 Fire Loop/Fire Sprinkler Repair City of Montclair 9401Painter Ave Alleyway Street/Sidewalk Asphalt&Concrete Whittier,Ca 90605 5111 Benito St Karla Embry: Karla.Embrv@WUHSD.org Montclair,Ca 91763 562.332.9303 Steve Stanton: SStanton@CityofMontclair.org. 909.625.9444 2015—$41,000 City of Glendora 2017 to Present—Maintenance Contract Water Improvement City of Upland 116 E. Foothill Blvd. Damaged Street/Sidewalk Glendora,Ca 91741 Asphalt&Concrete R&R Carlos Cigneros: No Email Address 1370 North Benson Ave 626.786.1285 Upland, Ca 91785 Jeremy Gendreau:JGendreau@CI.Upland.Ca.Us 909.376.1197 9277 Archibald Ave. off:909.330.1128 Rancho Cucamonga,CA 91730 fax:909.330.1129 gentrygeneral@gmail.com 2017—$624,688 2018—$547,950 Santa Ana City of Pasadena Repair Maintenance/Replaced Miscellaneous Concrete Repair Damaged Street/Sidewalk 100 Garfield Ave Asphalt&Concrete R&R Pasadena,Ca 91101 20 Civic Center Plaza Morley Saralya: MSaralya@CityofPasadena.net Santa Ana,Ca 92701 626.744.3703 Victor So:Vso@Santa-Ana.org 714.647.5076 2018—$2.2 Million City of Torrance 2017—$694,000 Downtown Torrance Active Transportation City of Corona Improvements Miscellaneous Concrete Repair 20500 Madrona Ave 400 S.Vicentia Ave,Ste.210 Torrance, Ca 90503 Corona,Ca 92882 Marc Simons: MSimons@TorranceCa.gov Barry Ghaemi: Barry.Ghaemi@Coronaca.gov 424.399.3193 951.739.4961 2019—$288,974 2017—$30,000 City of Barstow City of San Diego Water Treatment Plant Dewatering Pad&Wall Demo/Backfill/Compact Existing 2200 Riverside Dr. Vault Location Barstow, Ca 92311 422 W.Washington St. KodyTopkins: KTopkins@BarstowCa.gov San Diego,Ca 92103 760.252.2538 Matt Cavan: MCavan@HARCOInc.Us 951.684.1909 2019-$544,342 Torrance Unified School District 2018—$1.2 Million Anza,Arnold and Hickory ES Site Drainage City of Torrance 21400 Ellinwood Dr Damaged Street/Sidewalk Torrance,CA 90503 Asphalt&Concrete R&R Joe Winterburn: 20500 Madrona Ave jwinterburn@balfourbeattyus.com Torrance,Ca 90503 (949)502-4000 Marc Simons: MSimons@TorranceCa.gov 424.399.3193 2019-$714,000 City of Hermosa Beach 8th Street Improvements Project 8th Street Hermosa Beach,CA 90254 Reed Salan: rsalan@hermosabch.org (310) 318-0229 9277 Archibald Ave. off:909.330.1128 Rancho Cucamonga,CA 91730 fax:909.330.1129 gentrygeneral@gmail.com 2019-$210,000 2019-$267,000 Lynwood Middle School(USD) Costa Mesa Sanitary District Storm Drain Improvements Indus Sewer Main Replacement 11321 Bullis Road 20122 Santa Ana Ave Lynwood, CA 90262 Newport Beach,CA 92660 Manuel Jaramillo: Mjaramillo@delterra.com Rob Hamers: rhamers@robhamers.com (323)447-0996 (949) 548-1192 2020-$1,369,000 2019-$285,744 City of Torrance City of Fullerton Sidewalk Repair for Handicap Accessibility Curb/Gutter and Sidewalk Reconstruction Torrance,CA 90505 Fullerton,CA 92831 Marc Simons: MSimons@TorranceCa.gov Jose Medina: iosem@citvoffullerton.com 424.399.3193 (714)738-6863 2020-$19,546 2019-$139,573 City of Fontana City of Irvine San Bernardino at Cypress Driveway Ranch Park Bike Trail Rehabilitation Improvements Irvine,CA 92618 Fontana,CA 92335 Anthony Caraveo: acaraveoPcitvofirvine.org Christopher Smethurst: (949) 724-7365 csmethurstftfontana.org (909)350-6649 2019-$644,763 City of Thousand Oaks Concrete Replacement and Sidewalk Repair 2020-$149,835 Program City of Walnut Thousand Oaks,CA 91320 Butterfield Park Trail Rehabilitation Michelle McCarty: mmccartvC)toaks.org 21201 La Puente Rd (805)449-2477 Walnut,CA 91789 Tony Lopez:tlopezPrkasrouo.com 2019-$14,800.00 (909)594-9702 Whittier Unified School District(Whittier CHS) Refurbish Long Jump Pits 9401 S. Painter Ave., Whittier,CA 90605 Danny True— Dannv.true a wuhsd.org (562) 237-0795 9277 Archibald Ave. off:909.330.1128 Rancho Cucamonga,CA 91730 fax:909.330.1129 gentrygeneral@gmail.com 2020-$29,820 2021-$366,732 City of Irwindale City of Laguna Beach Peppertree Bus Shelter Removal and Foothill Zones 2 and 3 Street Concrete Improvements Column 505 Forest Ave 5050 N Irwindale Ave Laguna Beach,CA 92651 Irwindale, CA 91706 Alpha Santos-Guinto— Elizabeth Rodriguez— asantosCtlagunabeachcitv.net erodrisuezCtirwindaleca.sov (949)497-0729 (626)430-2211 2020-$5,565 City of Irwindale Arrow Bus Shelter Roof Repair 5050 N Irwindale Ave Irwindale,CA 91706 • Elizabeth Rodriguez— erodrieuezPirwindaleca.eov (626)430-2211 • 2021-$22,000 • Whittier Unified School District Collapsed Storm Drain Repair 9401 S. Painter Ave., Whittier,CA 90605 Danny True— Dannv.trueCawuhsd.ore (562) 237-0795 2021-$29,999 Costa Mesa Sanitary District Manhole Surface Repairs Phase 7 290 Paularino Ave Costa Mesa,CA 92626 Michael Benesh— mlbenesh(irobhamers.com (949) 548-1192 • 9277 Archibald Ave. off:909.330.1128 Rancho Cucamonga,CA 91730 fax:909.330.1129 gentrygeneral@gmail.com q h NE RALENGINEaERI erg .r.............::. ..rr. rM. r.«r.r. .:a,..,, ....r....+..'.w.e., a.......<:: .....,..... .aan.lr s.N..aw. .. ..,... ..a..r..e:L .....v... ...r.m, PROJECTS IN PROGRESS City of Anaheim "Alley Sanitary Sewer Improvement" RCP2017-12967 Replacement of sanitary sewer mainline and manholes, new storm drain construction, and hardscape restoration. Award Value: $1,924,055 Contact: Scott Yanagihara, Inspector (714) 231-4696 svanagihara(aanaheim.net State of California "Doheny State Park Projects A, B and C" Project No. C19E0006 Removal and replacement of potable water,fire water and irrigation systems, relining of sewer laterals, removal and replacement of force main and gravity sewer lines, restoration of landscaping, and construction of a new sewage lift station in and around Doheny State Park. Award Value: $8,449,000 Contact: Merrilee Byrnes, Contract Analyst (916) 445-8843 merrilee.bvrnes('parks.ca.gov City of Laguna Beach "Ramona Alley Decorative Paving Replacement" 578 Replacement of decorative asphalt pavers, reconstruction of damaged brick alley approach and repair of surrounding hardscape. Award Value: $211,865 Contact: Alpha Santos-Guinto, Public Works Technician (949) 497-0729 asantosftlagunabeachcitv.net Chino Unified School District "Briggs K-8 Waterline Upgrades" 20-21-111 Construction of new fire water, domestic water and irrigation service connections, and associated hardscape restoration. Award Value: $198,420 Contact: Sam Sousa, Construction Coordinator (909) 628-1201 x1490 sam sousaPchino.k12.ca.us : Torrance Unified School District "Seaside Elementary School Site Drainage Improvements" 13-03.30.21 Installation of new HDPE and SDR35 drainage pipe, construction of new trench drain and catch basins, connection to existing catch basin, and surface restoration. Award Value: $125,400 Contact: Ryan Palmer, Facilities and Projects Specialist (310) 972-6240 Dalmer.rvan@tusd.org City of Rancho Cucamonga "Citywide Concrete Repair" Removal and replacement of concrete sidewalk, curb ramps, curb and gutter, cross,gutter, and. other improvements at various locations. Award Value: $252,796 Contact: Ernie Ruiz, Streets, Storms Drains and Fleet Superintendent (909) 774-4108 ernie.ruiz@citvofrc.us State of California "Moro State Modular Residence Deck and ADA Access" C2046022 Construction of new modular deck, handrails and associated access points. Award Value: $41,750 Contact: Michelle Humphrey, Contract Manager (949) 366-8533 michelle.humphrevPparks.ca.gov Orange County "Portland Cement Maintenance and Repair Services" IFB-080-0O28860 Removal and replacement of concrete sidewalk,ADA ramps, drive approaches, curb and gutter, cross gutter, and other improvements on a county-wide, on-call basis. Award Value: N/A; Maintenance Contract Contact: Nicholas Murray, Purchasing Agent (714) 667-8800 nicholas.murravPocpw.ocgov.com 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 $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf . DIR's Contractor Registration Link—Call(844) 522-6734 https://efiling.dir.ca.gov/P WCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Gentry General Engineering Inc. Contractor Brenton Gentry v.:4±0.1 - By gentrygeneral@gmail.com Email President Title Date: January 25, 2022 PWC Registration#: 1000024189 C-13 :Bid$ortti. BienBeiiiti iusill r: ik40,604, izw legax mrs anS lours)° �`1�a ex./egptl stnftr d imrcrf}a�` 40.:1`G ii s,,,,1? Gentry Generrl tni rieenng Inc: c TheOio :asuaty in.t4 Cbnpaty• 9277 Arhibald 4Nye ue 790 The CtyJi $orth,Swte20Y :44rle.ho Cideatnonga CA ',0(ii Qtan 9286$ OWNER. Thisrdacunient has unlaoiifiantlt:gal' ( tame,legdl ski+ d adtliesr CLYn3egUeACe Cortstrltati4tr'with • City oP.,Hnnnngton'Beach, rYrt attorney encottr sgetiwith respect 2000�vtasn et :its cqt., „,fon or modtfiraitwsi: . Tiiianngtor Beaeh� e?25 x singytdar reference tcx edii• disf. Su irrty7 Qw iiari5t othec;pa liiill.be ort`sidered:, Itlitr4ihere.applkat f Bt N fOUN'T 'Poo ller cectt(„'l0%)df uountB a Pxt+QJECT ple*IT ifoillit 12Qu'iui aYaage ti let Stxucnt x,.on< 114c.et3 7.t Stree.4.7ranPe :veAu Vd,,1 5G: •- .iect'hirer ifatiyt ` h.t~Contractor Surety a o hound to the.Owner in•t e amountsset forth above Fos the`pAgmentof bielr the Contractor and,Surety b m thhems4ues the rbseus,eeecutossi admursstratars;successors and air n�lomtly and se terally,a pro ndt d.herein.Thecondo oua oii" this ppond. a iota.-t tatsptiwner iic budcepts tote 9e-tlie Contractor within th*;t ie.speattiod ui die bid dotiitoitts oa' thtn such tune- 0ed`od<as maybe agreed to by th wnc.e O aad Contractor,and the Contracro>Fettber enters:xaatoar contract with he CYwner in acrordruce the teuus of Ouch bid;and gt a'ttch bond or bo tdx as may be sp e:d in the.bxdddir g of Crsot'st t rnntents', tdi a -!-urety adrrsittetirn ti a turtsdtceon of the Pteffedi.annd a herwdseacceptabflr o the O tter,,for;the Sithfi 1perfozeuauce•of"such Contract 3nnd, for the prompt plwnllent o Ixlaor and mater futntsbed to the psosecutton,thereof,.t?t( pays ttr the.f?wnerthe difference,not ttr exced. •the amount of this'B,oud,betareen the amount sper cd;in 44 bictand tgrj.v larger amount for 7iyhrc the Owner amy ut good;forth contract with another party t .,p'er£oriii the wdtilt cove red l y satd,htd,tdten:thus obhglitton shell be nT ll;and void;.otherwise tag xegp n•m frill fbxee•and;effect'tag Surety l erebywaives arty bodes itan•agoeemerz between.tbe'.(lwneria;nd Con}tmcmcto.extend this tme to which the: awe t'imay accept the bill.Warren of notice by the Surer shall.shot`apply in any 0:xtensron exceetlinj_sixty(60.days•fn tiie•aggrgate beyond the time foe•acceptance d�f bids;specs din.the•bid,dcs tints,a id'the SQL, nC ad 'o raetot ahrdr obpun.the Surety's consent for, .au exteif14.1 *irrmd sixty(bt days. If't rs ottd as,us ed.ut connecbon_with a uhcontrtcfowt's hid to a°Contmetor,the-testa ont.di¢tor=i t'titis Boiiii sHail bs deen5ed=to-be; 0tibconuac.ups and;the test,Dormer Mall.be d ad ttx':be,Coarser it When this Bond has beottwfdrnsshed�to�enniply tiiiita statutory or Esther legal itqutaexrtent itt'tlhelocatton of the Tartu ...Fstar prow tdmut thi,T Bond conflicting with raid statutory or legs1iegquremeer shall be'deerned deleted fiere from•and fioVisxons eonfcmmt t �gv�e]3 takutory� ijf otlier)cgalredl urretnen.. ... dd'eemed incdt aratedhe zeui six futnasheci,tit Mgt nt sys,thstt this:l oadslialt g o 'tiuedas a : statutory bond and;nota 'ac ommon-law-bona: I .4 .. 41.46414.th'd of 1 ,.t . - 4, atesi,and'sealedt:Ellsy ' etttiry ?i4'tlerrT,Enp • neetii%%;.fttc-. ,: °°" , Tli C•7t ab Casualty iniiicaiice.C6--r'li ~ t ': ttf7tlfR',L.ell s�,,,&1f n' a tisro .. ' • [77itlf� _ghtReilly,.Atxeunt,y•in-Fact -,.. x ''.' �:��. .. �,its �, :IN'Agangement with the:American in tote of Architects, the National Association,of Surety°Bond ' ' r. . Producers(N BP),:(wWw nasbo:ork snakes:this form,docuin available to tis;members;affdlfates anal '' associates 101014.ronft Wordwformatfor us+e;irt tete ular 0.upe:•:•040rotiibu4.41a4;1060P".90..t4.10i;t4t. thA triginattexr of this docuniet t,tnnfomns exactly ttr tyre ita II.AtA eineunnent.Mi6.:20 E1 paid Bond: Subsequent r adlfrcatlons rrray be:tie to the•anginal text of thls,document byusers,so cafeful r new of it:wording And.con siltation with anc attorney are encouraged before•ffs:eampfetioni,:execution or aces Pam.... .nee:: .. .. ACKNOWLEbOMENt . .. . ., . .,. A notary publidbf other officer totoOletingthje e''.0i1444::sioiOtiio.,:rile'.Thiftie'ntii..etitle,Iticiivi00.0t. who signed the document to*it J0k.t.*cIgttf9Pt9,•is -) attached, and not the;trAittglAn.q§4,.;.p..caurapy.:k9r. • _ ... _ ..,. „. validity a:that ddoumea, , • State dttalfromie .„,,,,.., . ,..i....-, tottrity..cit..'i.9t.101..Preillitripiff110), ,. .1 , , on..J .a:C1„: ,..I-l!),4 ,. 1, before:n rie,-,,g ,., ..i a. tftg .f fi. ....ie ‘ 11 f., P.,.. i, l p (insert name ttle.0to Oft4y1 - ,- • g. , i , ,.f,' . . !,,,. .- 'Dpi(e-Ifl, . (.11 ulit - . tits"-alisv.'pp d ,..., .,, tt,,,, :... ,.,::. mill , )who',toiled to me oft the'basis.Of SatiafattOty old neetajpe-the person(e)whose name(a),islare , .s Lthicribgid:to th6•Vithirtitliffgrkait and acknowledged to MO that he/she/they oxe-,50:4d.the same 16.. his/her/their authorized otOtOity(10),.and that ihstiliaihertthaii.:aiohaturefel 46 the instrument the— Pettidiltl, or the entity upon 40.0f:cif which the:,Per§9n(q 40@drexecuted,tkeioorv....rrig.nt„ I certify attlee:1PENALTY OF PRSUAY-tioderth4 tOWS.of the State,of,0,04744)titigtheforeodidg: _ ,. .., oaradialtiie true ahrtoorea, toeiftek-tks, _ 1 '• : t.„,:0,..t.,, .',--,-,-,--...3..-irf : ,-.•:=;) 'P ....."' WITNESSoy hand 0.°, :7f0'..'efai seal, _.... , . . • -r4,-;riat;04?FoRitIco,'" 'IV'- Signature .z.:7,;:::::::.'=',. - " :, ' -, .peall ...., . „ . ........ „... • A rt-Ot .1•04b.lid:Atiji.K.ef:bfkoOr dbe:0010..tffigtili0„ tottiffdat6 veriffes on(ylle...irlontjty4f.'the 104441001, „110?;_alg,n001fT.g40-01010,0„i0 Which atta.4.1704,:00(1,001b0 truthfulness,j.ad.60006,,:or valfclity ottot„docutt.Ott, ,.„ . . $10t0 ott..41060.0k County - ottag6, 24, • On oiJ24I2o2Z !befttii*iifie, IteftssaAnn Vaceait;Natat*kb& ,.(fri;s6ittiki..60,and litfe Olt*,!Ott*); j00ttP0011Y.#0ear00--, Dwight 14811i4L W.h0.proved to 1010.01;:the basis of ootkooptyfogoopdo,,tcx be'00110 Otr00(4,A000 AO:01*$)isfare tubs03e4talfwwittlioirtAttkovetit,E.404*tioloWedged.,tti.me thit.fiv.itheithev executed the same in signature(s):'-p0 the iltOttiOnort the pettorig..Ottfid.,elifity tiljtitl•.bebOlf9fwhiotrtig pgivnw,aoteoi-lenoutedthefOttuitiettt, , 1 certify under PENALTY OF PERJURY under tM laws of the;.,Stift of California the iciyogota !Pgroor4Oh„. s.frup.*:d ortod. ” . , • .„ . , . , . WITNESS,rnlyikopdon.toffit-W..seOL, tIELIS$1k40;k1$0.44, . :tototpobitottopta. : .ofteitir4:001T.,it • tit ix .2012 Si§nattilit . ),;" irnniyaccard.. " „.. . . • , . <.. . , .. , „ .. , tits,.kriiiied:Attdeilto:liftiii:Olitatistit f)Iiti-teilattitici.Roidili 4ftittiiitfiloirotaufhotittiv •',!"..'',-, .tiiiiiith8 company OtteptlitthemannorandloOlmfooff*04 stated ' I ., ..... ..... „. ... , r.l.t ,.. m14...,..1311,.:',,:Pitit.,,,A,.11:r.,, , , . ,LOerty,1041-4141104:ta.010.040.01.0.0q libP;Otilb':...04*V.04Y-Irt*Of.4.rigeCgropany, tOwt411.00404.0 Ui5O944'6,5'..ki:!.. • - --- - - Wot:Atreni#1).*:frip-p.r.40-10,P.Orrpoc- ::41.4RM P0819:0Ft201-'AITORNV- tai.' ovIINAL4-PqiisPNAATTRESVRESE14.115i,l'hit.Titottitift0,--4 l.ilste.4-04topOrty**00.#pra-;tot' --d*'' i:0001410-•-(iii-ifoltio-s-t4ttili,**4".00.HatEH- -001-*itij 4100*4001140C**.i.1.4**0004044,0004itOdl(iiiifOiliii:10*0',04 tiati*-0004****04,./010ft*r4iiiiti*„002.4,iniiPi404* *40',0404*t under the Ow,Of..14e,Otolcif Thom(Nola ttilitietiW.dittre-iith'0.T.Opmgovprogp000to by4tatikiffkiiii,4iit otkitoo.h000000*Totitote,04.0potti.t:..Eittiki 4.,yitt4':B,dritistowa4nicia.110-44y;:17.*iglit Iteilly- Pitifit"MiltOti*Iii0laelliX Stomp it,',Napi:48tiatiiiiitai*iiklUtio*.„„,„„„ ,,,..„,.... ....„........... . ,.. „j„.„ ,...... .,..,........-„,„„.„.. . . „„, . .........,...,....„ . . . . . ... . .....„.... . „ 4Offtlittify4„....,„ „,„...,„ Celia... ...„.„. ..."'-stafkbt : , , :CA--.._.... ,bait Iridiulduilk,itt(WWWit:OlfratiortiiitiTIWIWitikagfalkftifagbtOoriii*EiOttota!q; „ ,.. ,.. gi*Pliikg0.4:010;eici100cr.401101.7fOrailiit0 itai0041r o'Aigeirtn-411444,400#0:0*00yollit41904:04011900ick.rApotinizpoOfogAtotIOOtto4tatiOkift OpSkat,Oct ot**),114tesalit4•0101PaiVWS,161014,004030,-4406iiitii4*Itiket Writer dUt0i4toid Oydhweifeliffit:iiiitiitigtiii*o#:0-0-004.4.--*Oroi4,0446,003pocoper,,..,..„, , , . .. —. .. ., _ . , . , INANES$WHEREPtthkP:ow*FotAltdil*htt:b*AAtbkalia64arrautliorked'Ok*Ot;0.11.4[0.f t*:.:q04ariteq,-060'04:0**S.: 4:4 0109.7.1p4or.01100 40070.0ct. . , . . . ... ... ..., . . :090.4111ff: 1,1tit .cf4rof, Mardi.„ .,„,11.0lt... .,_ „,,,. litiWNI,01*1004fppi*.,05grIpw ,. , ,.''.-:;.Atitto&i,'- -,,i': .41i.00:•,;;„,. -;:',„--,,:104.14-',.. The.00kitaiiiiaitorit6rmtogi.y• ., ' ,,,:4;„, -14,,,,. ,.,,•!v•• _!..,:. . 1.* . ft,.• - • . -: - ••- „ „ ..-..,... ,., 0,% , ,4-•wq!,?., • ..p,5 ,,CJ5 C50'9,4-ti, We'StAttietidatitititandd etWarOf ••. i: ',4?' ''HS.% '45,'. '••"0.•-c,", .. lZ5.4r• ' .''''11;51f.. 5 ' • .,5''.5. ' -" '' ' • ..•. • i5* ,,,tit .,!< ! '::-- 1:414-Ti",' . .. Acc, ,/, •..,...,.-., --.. •';':',.,07. -ari i_..,..8 ,AD.i ,• •-.'141,44iiiit•41,il?'-' '!..:.,,'.. iio.#•.:4 . ,: ..v• -'.u.:1 . . ' -.:, ....„'" .•„,„ , :, .., „. •;-tt.-,. „,:ie!,,_, ,. • .. . ---- - !' -, -; ,- --• • !, P.0.494:i gaTwksts.14..1.4,.$0011„10.,I" =,•0,startt*Pposytiy,ANw „,„,,, .,.....,. la z et-aitiectlOktstr4.000.RY "-' .. ,E. 24! On thia„....-25itt. day of......14*-it' , Idzt. ligIbmmelleriarfali appeared David 1000'0(kwoorikgpow9,N#fitgOolln§4!4'M,, 82: ;orrgo%3110ighr0 C'-otottf.Wpa*Andi'VfttIkitlettiti iii*itiAiii4006iii,and tf*khk.00;604Kbg4140,411tolizgifttld.do',.(actiteAtl'eliittdifiliiiiiiittiiiithi:•164:011044 •''4•'''?-.7:tfitt0,001104**40040110000110#0:kittini•Oft„ilitilisitif*4ti*O0*#1*idttt,e& 1--6 ;22'.g;.141ittiittSlitititetittiaVetiiiitiik400.044or NoAamtlfftW.01.00.(atiamifillii0;ottiftioilitAtiii4itiiaiikti,dttlfitiddfit4lilatillifiiiiiiiiiikritt* 5.01 ID,:- ' ' 0'',445„:• - 11,c1.,I -"..** , q400000oot4Pitoovisr*.1044o ' ' .EtE! :,_ ,- :IP' ; ,• tatgermoiwatt.opintourotak204, , sr,•,-- . , .. „0:tar, xy,,,,,i -''-, •A'.4wii:. :::•-' •' -- l'umbet '--.• ' .'et6iia.:PO4,01k5NCJOVP.0bk A i ,..,..„,.. .. ,... i.., „ •-a,=,' 5;(05'21, "•••...- ...:5:.,•'5 5- -1 pursuant .,• . ' •C4 gal.14.--179.w.grigf,,A49.F.ogy*maakm.0!.ggeggOcpursuantnt to and'by.ati4.10itcYcit thotfoirP104" gii44,"4' -04',400*t1P—r6 of The'Olifo-- Cas1141. 46*ck'ea01Ptik:04105±..Multi, ar liiiiitahaqiiiiimiici*W4tireit4tiTil#04cootowlii,e4 003410:4#004,'0.tolitNE;r9;r4atiCtoffio.104400.44,1.04ii : ':.•L'-:-:°2!' AktiOLO,0-:.0#1driPt, .6ditort•tArif.eitaf..1Aittitqq.: ; •1-• i-r i oil=i 14.a. Any offfcetgctlyg iziffOali of#1g••riospi:ajrqt Atti01404-trliat!pilrpow,livwilti461(the'0iiiiiiaw or the iPtetraitfi oflwtoo#,.:(0,*'..04-•-Rogotio-R 0,s,tiif3,,c40pary!gT the -'g-61.0.1444'04i--0.40.:.ribo;WO appoint such.attorneys4(*iiikis:Mk*.0#0,4440,00":000 pitioif*-4'10;0000.c#0,i1141.0k 004**.atiooliii01*iiiiitciel*'4**, any.4400;'.00 04440,:‘,0401k4046'04004;400*;40ty.0000*1. 44*4-*w.4444;0010-403beiltoiottoo***6 llotoop *104woo.of'ottamoti WO frot,0401,,ppwer-to,iirnit:iliwtorporaitoa by tar signature and Atitiltibii,of 6*itidt inetiiiiiiiitifi bid:to-404o.(hereto the seat off the 097.90:0011.,#iieg•pg,,executed.$.4.0 v,At Itittiliiii40:10144-N.,40.4:0441-t-i-Ajf040044iiit11.0--P0040 ot.#00:004,toktitto,,-**q,Any power or OAdOeibtOranfo4'td*l.f.t.eiiedt#4-Oi',4ttofilf04,40414.0:.(t*1 ,..00.4141Oniattift-OttbitiOliibkititiOttippft.45.y'$cilB04,111040:000:01100.10iltal*fietiffidit Oeo$Otitteafiff44Otk*Ottedti$Olifr Atit(iMettit,,g1cecutictilAt Von**:'40„titOtt 54.:0640:ilt*O4ntiOtitOtOtcfritis• :1 ' Ailiii6r:Ot thet410#4tOjitrApt*,,f.0ttflApurpggit wnting by the chairman or the president.and subJectiouch lirhitatiouit asthetchfmianor thepresudent may prescnbe • .! *411*i40t4001titrii4S-faa,at--.00f4,6•600sioty'tct,.#10toilajt Ottt*C006Ytolw#0440„;400h,,#0.1i0i000koit101*4.006i.,.0y-•.::*(!ii all iiiiikiila:I.000 :: 01.104i'.0.0.4.4,.14010#.01.40.040W0t1.0.0004 SiotrAttat0Y01(4,(4.$001kWt0,11itiftsciitt,tit6 4):itto0:te$0,01vo:!ptioets:0'.406*.ihtif*0460 pthier„::tiibirid the goppy:Oyittoitiio9.triOrf.t.vd oxec.otrcm.0f any such iiiintonisWiti ito:attach litateWthitSiiai;oir tti.ei„.qii#1100y,r..yV,h01:03T*;100:§1190:InOmmefi*.031111....kag•itlitdlia as if *00040y,okprogloOtottot*OWtotorfi f.00t1ftoioatmignoto-16k010s0000-ht otioop004040 _iiiitop:fiWikitootte'40,00011.:01119034c*fm;q4*,opootgg.cmory:*appoIRtitot-pttomRotrg 4,0103e00001,soolylooggwioltothgompali;tooakei..4xectite,.:utak adtiovilodweiti de itiet'A kittitaiiyalkfaitiiiiireitiklitkt.biliick teditiii#ti,*404.4.0**Aty; A0000.4001.r .O.Y4161M44:q0.. .:01*._ :F9APPOP).904400:(0..i000:(8.tfigi.i*P.#0.0000-0440.000014*.i0.0.7000.0fr: 4.**00.00 040.00.f.*Oitat4 '070Vatl$,AettiOt Vti,eAtintog.0*OrPOI0b0•044t•Vooifiiivotilq.,4400-1001itk:.caiii0ii#,qh'0.61ii*Of .00400.kbli*-0.110.11)00.*10'ink01.0.104 40.Pn:01*,,0011.00Y11-0!: ., ,APO,P,m0':fgrg44410f04244ii040:!!74fIti*Afgf(4. kgoi0 ,,,0,•'040.1,,,rot gio!ctiofotigoA!A4t.titid0:eo§tootfiioOfoV!ooi((yfrolon*0.#000yi,4NiO4uf0Otlno00oot:!f4:h!p40ii,,***#p: fo#, toO":;i1f,.91- p.1,;11y-.,7,-'' tititdkktgiOiFyittatilioAfilal p:090(.0000growirot,fhwtoolgOttli olitlilfrot and 0.00.4 41'0410 Power d'Attitilisit eXitOterfitil;4aid•gOnpan orAinAtit,i,torca.:.artel:ete.0aRci., •:'''';4''iSiaitiffii4iiiieii,'...,•.; -- ,•••=t7-,,.'i'-i',,- r''6'4i4‘:*•:.l-':1,-;,,,,c- **44401004.0*00,0.40g00#0.04,0#0h day Of 444#0 ..... .., 9 14 - , . • . ,---:- ...„, . „„..•_....:. 7••,,,..,„,„.,,,,,,,tr. ;•4;-''' -.' '-' :'•; .'- ,'::.,k- t'ii0; :'';-... •''',.;,-,701:414-•,,,,' . ',;;Z,.-.. i,i.:::•,-i•,1 .:i,..""v: ti ,'„„ ;,'4..*' %ii>,;•• !':'*•:', 10, :-.''',7,---,,-, ''''',•,' , .,:a :.ro.st.c,i ,.%0,• _,i; 01F!•ffie•A•; •,: -,S..; •;-. .va,-.., , „:.--,":;„: ,-....•,, . , , 7.:,,, ,,,,Y '''''''.' '''':::. '• .*" 19-il '6. '' ' lets '.:••.,1'.'-'*.".''''''',•••45, ,,,-,,;.: 1 -.-'7.,,,-44-.„‘, ,:r ' ,',''.t,..1.1,'4',:"---'..':k''g :,''6. .::, .,_,,,:.4.4.g; :-',:.,,,-,..),1-. ,i ..,:,*.! BY: •,,'.-,,•,'-•''' '- . ,..., . ':e.V.:"..:'-.'4'-''':*'.;,.' :'•;‘.--.',''' '‘,'7,k '616'' '- .5.'.7,'''•-:kAlAr'"554.2.''' ':150•766‘P..0'f...••• Ramie:C,i-.Utottilly,o,AssiAttjnt aroctetary," • ,„,-; „ - . ':,•,,..':, '2•'.57'''. .. '5''',,,,L '-, •'Ph'••5•-•4,*''.., ',, 4i--,1,-V-., ":; 411.7,4;-,')'--•••;•. . . . . .,„...... ,- ---„..„. -• "0042§•••? ig.9441.4fAio.0„ott„ci:yq:?; -• - „ Bid Bond Bid Bond Number:CSBA-19696 CONTRACTOR: SURETY: (Name,legal status and address) (Name,legal status and prindpal place of business) Gentry General Engineering,Inc. The Ohio Casualty Insurance Company 9277 Archibald Avenue 790 The City Drive South,Suite 200 Rancho Cucamonga,CA 91730 Orange,CA 92868 OWNER: This document has important legal (Name,legal status and address) consequences.Consultation with City of Huntington Beach An attorney is encouraged with respect 2000 Main Street its completion or modification. Huntington Beach,CA 92648 Any singular reference to Contractor,Surety,Owner or other party shall be considered Plural where applicable. BOND AMOUNT: Ten Percent(10%)of Amount Bid PROJECT:Flow Line Half Round Drainage Inlet Structures on Main Street,17th Street,Orange Avenue,CC No. 1656 Project Number,if any: The Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surety bind themselves,their heirs,executors,administrators,successors and assigns,jointly and severally,as provided herein.The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof;or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid.Waiver of notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time for acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty(60)days. If this Bond is issued in connection with a subcontractor's bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project,any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted here from 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 24th day of January,2022 Gentry General Engineering,Inc. as I (Prindpal) (Seal) (Title) 14, C:en't ryi (,25;,4 47,4 Grp The Ohio Casualty Insurance Company (Survey) C (Seal)• (Witness) elissa Ann Vaccaro (Title) Wight Reilly,Attorney-in-Fact • By arrangement with.the American Institute of Architects, the National Association of Surety Bond Producers(NASBP)(www.nasbp.org) makes this form document available to its members,affiliates,and N1t56 P associates in Microsoft Word format for use in the regular course of surety business.NASBP vouches that 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 Sah PJermar�l no ondfithigul ill an 22 before me, S-A'h&'t f Sei h th e z. N Ot1 Vy -PI/j9 I l fi (insert name and title of the office() personally appeared 6VF1t1fl Glom 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,(466;Wq' t the foregoing paragraph is true and correct. �•,',,,�� AIRY'A�•�•c: • U WITNESS my hand a fficial seal. ▪ cn " r. '4F.Q�</FORIs O`1� q •DINO G.�rz Signature (Seal) RES •.;; ,� v` � 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 01/24/2022 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. • WITNESS my hand and official seal. MELISSA ANN VACCARO COMM.#2241394 V-47.: Notary Public-California a ORANGE COUNTY My Comm.Expires May 12,2022 Signature R4- ,Pc) (Seal) Melissa Ann Vaccaro r /= • This Power of Attorney limits the acts of those named herein,and they have no authority to n' bind the Company except in the manner and to the extent herein stated. 8‘! Bond No.CSBA-19696 •'�' Lie ty Liberty Mutual Insurance Company Pi ". Mutual. The Ohio Casualty Insurance Company Certificate No: 8205094-969561 West American Insurance Company SURETY POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Arturo Ayala;Ben Stong;Daniel Huckabay;Dwight Reilly;Frank Morones;Michael D.Stong;R.Nappi;Shaunna Rozelle Ostrom all of the city of Orange state of CA each individually if there be more than one named,its true and lawful attorney-in-fact to make, execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 25th day of March , 2021 . Liberty Mutual Insurance Company t ttioi, The Ohio Casualty Insurance Company tiJPp0ePo'1T44, ce oeP°-ki;tv�c •u/�oaDOR•e 41C, West American Insurance Company .* Fom r bc+ a'5 b" in 1912 n o 1919 L 1991 n 0 s r o a o ciE a) Cr,4a,4 . a Z0�''HArAP0 4 V' /�afA++r as r. .�,U c • '77 * t- 4yl * )3' •YM .* im • By: .�m Co . David M.Carey,Assistant Secretary c a`m State of PENNSYLVANIA ss • ED_ c0 County of MONTGOMERY o >, 0 On this 25th day of March , 2021 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance .a o co Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes D, > therein contained by signing on behalf of the corporations by himself as a duly authorized officer. >a v IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. O m cu a PA,* a 2 a ` 47 O',ot+w'1 It:. Ith Of a Padtelta'lately Pubric Notary 1 /� d as N /— y 5. T' M Cooly �/� o N oP My commission expires March 20.2025 By: iatt C�CJ Q w L ter convn�sarnumbediizsoea eresa ,NotaryPublic Q `o r �P Member,Permeperania Ascocianonof Notaries' ,� m d ARY t c) 4? This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual tr., m c Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: a co ARTICLE IV—OFFICERS:Section 12.Power of Attorney. o c 4— m • Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the c,- . m=President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety > c any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney,shall c Ca have.full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.When so executed,such o cu z 0instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under the 13 ici d ' provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. ti a ARTICLE XIII—Execution of Contracts:Section 5.Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairman or the president may prescribe, - shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings, bonds,recognizances and other surety obligations.Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company.When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation—The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in- fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Authorization—By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed. I,Renee C.Llewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do hereby ceitify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and ,has not been revoked. IN TESTIMONY WHEREOF,,I have hereunto set my hand and affixed the seals of said Companies this 24th day of January , 2022 tNSUk'v'y ‘ZY INSUQ�_ {NSW?, *rr-c bin. ve ? .40.a 4/ ?` ' b° 0 1;912. o i 0 1919 . o '41 1991 10 ,r — -o,'B+cmo as y—., k iree..a$t r orAw%as By:Renee C.Llewellyn,Assistant Secretary LMS-12873,LMIC OCIC WAIC Multi Co 02121 leneral Engineering,Inc. 77 Archibald Ave. Cucamon a,CA 91730 Ductal Ltd Secur - po No� oP eta ,ior e name: lbw 1,k ne 1. 41.r \I O d ►�D'�t 0V e-�ut�' can H,atn ��k 1,1v\61 or&Yl.e mkt {ASV 1 Ia712.oa.a, tr. ;ity of Huntington Beach 'ublic Works Engineering '0 Box 190 1000 Main Street �A iluntingto� Beach,CA 97".A.Rv:.•-7, 0'\\...�To� City of Huntington Beach tk 2000 Main Street ♦ Huntington Beach, CA 92648 . - -- - -- . (714) 536-5227 • www.huntingtonbeachca.gov 6 Office of the City Clerk �CpuNT Y CP��6� Robin Estanislau, City Clerk July 24, 2024 Kormex Construction, Inc. 2324 Vineyard Ave., Suite K Ontario, CA 991761 RE: Flow Line Half Round Drainage Inlet Structures on Main Street, 17th Street, and Orange Avenue— CC No. 1656 Enclosed please find your original bid bond for CC No. 1656 • Sincerely, erefA/ edkinAdJ414) Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City: Anjo, Japan ,:'„,:,';-..r7,1'. •':'-'•"'—::,•—:'' ,: •',..:..'''.,•:2.,,<'•:"..: '.',',,,:,:,:,,,;;; . ,.'•,.;;•,'—',.„'''.,!::•••,,...,„•.J•.,..`....,,.,. ::„,,,,,?._AR,,1/4k:,,,N..,,,,,,,,.,,,•:,,,,,.,.h: T.,„0.47,0,,,..4,..4,,,,,,,1,,t,„,,,,,,,,,,,.,,At;,„'.,., ,...,,,,, ,:„,;,.,,,:., � 2 f k„ ! • 1 t 1• t :.R.,QrF' • r. �' .�., x �I a. 3 ST �{..T ,1 ,u .� h STREETS O� Y _,; M# . CC N'o..1656 , tot • , i i x • 2U"l1 MAA STR ET n RNIA > , , '''' 5 6 543 ,-.F (71�4)3 • F v £ z /A1jr�� c�a�1lilL'�` T +Tot a TtY Al idder Please thew in cla ratio t i;tC� aject ec ratio ;and Stan � st n� p : ,B DATE :O J, IU Y 27, 022 AT :. a. GC1 ERITITT,F.SHEET NOTICEINVITING BIDS c: TRU`CTI©►NS O BDD� A a• The cunt ctOr s��subnu t i +i and messes o �plez contractor shall tie red`toprovidesubmit fir all n lal . it CM'half roundsr gr. c d" a�e.�i d r rior toa rm ,ofany materials ii • < z, i � a # PP I F STANDA D 5T 'l r FTE 1 A7t r� 'HE'I2�+' it M ' ED a Hinges,grates,anchors,and ancillary aquipment relative to dire grate. • • surd design detail are.to be 3L6 tnlirl l The grate itself die•gala�re car ba steel. t 'This ackno lydes receipt••apd•review Q addendum N um aer 7 e,darted January I Bw l crmex.Co,. ,..,ion, :. !Vl �J Lope ay Name l • l A l b€dd rs mt s acknowledgeaad include he receiptri gs ddend to with ©ur Er proposal Should you have any questions regarding S ,dde tdum,lal call Mark: ` Lewis at(:949 677 39"1 with 24 hours of posting • • • • • • • • • • • • 1�J'y\� i TF i rrtrok GT 3b I E GI , CO L(F NOTO BEAC I Izr t pliance with:the Nz trce lrz: khttg::Electrotkkc ds, the undeer: 00d. Hand . ,agrees taper orm>all the work thereat d bed, d'to h escn an fzrmrs ail 1"abor,mtgrzak equtprrrent"and:: inc:rdent znsuz a neces therefor zrr accoedance with tbeplans'at41pecf ficatzons od.fIrle .the o ee oftbe;City tnguteer of to Ott t of Wintingtou tieach, The•under gRed a ges ta� rzn o the work thereinto the satisfactioncry and uncle st re t n o the.Cztf Engx er o t zeCtty f Huntington> each snd tt enter into a contract at the fold prices undersigned agree to complete ttze work within S1l warkzn da .s ar gGfro :t c4a !of.Xhe: Nike to Ptoceecd t�titri • VA4itor matins*:0";p(0004, . t)D declares that this proposal1 zs based upon:careful examination f the work srt plant ,: :ape�crt% atktrns,F chk( itsa instructrons to rddets and>all at ier contract;d9cuu tints. If tlus0oposa1. 'is accepted for award,BID, agrees o•enter'into a:contract wktlx AUEI`C.Y at"unit an•dfor dump km,prkees sef wfor3h in the follow gioo chedule BJDD)~ uand rstanda that failure to; renter into a contras i the manner sand timeprescribed will res r• ult in:- fofeiture tar AGENCY of the e araht •gpo'inpanyl*!g brit pope l,. . 3IDDE underrstands tk a't a bid is~040;ed:foot*entire work, that the es a d quantrtres .. :forth in the Bid..Schedule.are solely for purpose ofcompax ng;badsand that final cdrnp..ensatrot • under the eonact walk be based upon the acCuaLuantities ofwork satzsxctvrrl completed "THIS GEI`'iC RE;SE:KYS5 THE RIG T TO 1:kg LgrgAINT"ITEM EOM THE£ T 4CT AO• afire f that the uni and/or h np snzrr prices lard anc111de all appur natrt a prerzsesx t ties,rayaltxe , fees,eze,skid wail lie guara zt+eed fora period of ixt�y daxs frdm the bed opening date atsuch; n�e h the contract rs not awarded,t A.G`I NCY wrfl re eel all hldsrazrd u ctl readvertzse the protect.: xn the case o'f dtse panczes in the;.umouz is bidT,unit pried steal}govern over•extended amounts; nd wards skalt g em 01,0 40 . ' 1 toyor...6:444,070' w4o-t:-*g•Ixt1:40,4:404..4.goo.*or VIM%4044itt ;.exdttititlig:th6t0-4iteitttdiitfactiiid fitiNtthe necessaiy bonds and insurance kditittata.Mitlittit 'WOO*days after the:44*of i.)*A.ONOVS notice 0,0**41:citgootrut tø the:T40:0-g.04jje proeeeds Or.4**%!ggety accompanyingthi bid shall tieaditt10;•f.tr*Okifitii*tittft6,..kcitt4cy-ofid thi bid and the ccetincc Ntotitit.kk-art44:40.0N1Y%•oottotik,frovori440foOnOlicdttivoi4.. • - Accomjanyrng this proposal ofbid find Ektfittt,,:fraititi:*,4t, ount—offelat:t4 which said 4t74:4it is:00e:.1:0$tititil fOtikOfthe kggotgo.t.ift :TOTatii:0-9,0,*.#*Livottso?'-Oy,'*ai$oit4o, llogog. Sealed payable o the AtieNtY, please' :EligtioAe'Yttitiot*-00-41-Art604'647**44;*474y: go:4$14$4.totyAidli6tuf kolas Bidder shall signify retptfit Addenda 400040-k. b0.t.ct-itAttlf: r7:77,04:thega°4-1,0a : 1 : f11,8122, • . , ....... . . „ _.—„, .„ • • • • • • • • �ssrirrsrP;;$. BID PROPOSAL: • it „ „ �' ;, W UNE,hfALF ROUND y 4 -1, INLE.T DR 4I tO TRIIOTU S - auyry� `'°' • Ml!! I RET l H STREW l(�IQ taRli�iGE /Eh1tJ • Rta aria D J OSEgF sxtsnr�cc�aa Gu T asPt+MTc©t4cRgra 1r r a 1, >=otincrrtssRu �a tars � cr Fcati Ur .Htk R©r a1Nw -.** smt0EPE DEsroncr ►r!• QO�Y TQrAL BI AM i1 Q* UMB °F • TOTAL RID MOUNTwRLTTEI fN ORLI _.. .._` ... ... au work'u Odiootdioot of otno.*d mat.0 4,otttjtit end r+ *.atiano,aaace d itoo,hips+ Ouived tlu mg cortspucttcn in k md afiir�s"�t*.Swt com0le�ionc( �o 10t:g.adt 4itA, Afsymxtaif& tdCornctK9tuilarirb:ccistraf arxts83tescstiastsCtaeSa:Tnc�idaaGrttse:sii�tprWfftes • • • • • • -, .,.. trt)ift SiMe:Cl.N'tg.*et4).0;S *oroTrolgot 1-04.4 eA 0#:4,,t19:744,0*.11144:or ritjail 4-... o'f...fpoklii...;0-i,.-0.4pporia :•:bliki134.$$,:addres•wof'eadh:stibcplitt445.f;i4hdi4MEOtiftdtift:)riOit4t..t06407t*7.01:04k*0*:440;00j. Iiaid :40iitif40 101.40 fkit.01041J"hi 04:04*:',O.r0.00,i,40.4t,O.,_4••'11.Prgiqtt.gf4#i0t4T.:04..otr$1400% 801:iehd*eri*gtoAt-dr;!atidlito!poiltionoffht leiilitk:to..ijodolitiloytiOkgifittitilootoc. 4417-7:''... '''':''';''.:;',.',$ant_'::,'::::ii:ii:*64:ilitif*Viir -1:7! ---:-7,;1-.,'44*t*T9:'1;C'S.r:!:''.-17007::,f,ilicf-.' ;.'.. P011:#J-Ii:;11t,:fg:,At?...:;.::,..3:.-iil. '-':'..!'..,!•:'..,P--:';i'-,I-giiiitiiiikieedi*;':,-;':i';-,'':,::-,5:41.ef.1/0.0.,' q****....*t!0'**44:0,41 .,'!'„.:0 .,.,01A ,:. ',,i!:,,...,..,,.!.,.,:i•,.,,--,..,.. .,,..„,,,,..',..,:,,,,t,. ,::,:;:]!:,,,, ,,:,,m.:.: .:!..,-....::.:H.:'..i-...,,,;,::.,,ji...,,i111.,:.:II,,, I,,,..„0::::..A i-Niriii...thie.,_,.'Jigiflm:,,,,41,. rs.,,.,..g..,.:...y. :,,.4i...,. :::-.,.,,,,,,;1%,-!!,,2].,!!,!!,.:.:,...:Ngruli,,,, ,,,..:4 0::•!1:--:,,,!:,{,2„,„;:::,;,,v.i.:;.:-.,.:f.:_! . ..-:.,,i,',...,..,:i.:-.,,,...-: ,::.,.,i.:,:.,;.:.'::::,:.1,11111,111;11:11111-'11.',1:.?]:„.. :!-:::I."::::,,:::::::::::::III;h,' ,„:1•1',':111:1:1T!•:',1:::::. 5,1',.:I4 ::fff:,!.:0-',Vng,,i,:.?•:.,i!',':,L!'.!::..,..::::::::i::,;',.;::!Li1.1101i:I6 P,,:::'',.1.::.1,,:j:!:::1E1.1..I.:11,.iil,t11:1.11,1,J,1;1:,1'''11.1:,"-I-1,. ',. • 1 . :'., ..,1 1 • . . • ,. • .•: , .. . 'I- • : ........... „.,., . . - ..•: . . , . . • . :, . . . ' : I .. • • , • . , . , • ' : ,,,, . ... . .. . : ,•:'i I:•' . , : . ..„.. , . . , .. . : . . .. • .„ „ ..,_,....... ,....,.....„ ,.- : • : . , , ":-.: • . : . , . , ., ., ,. ......• .. .. „ • ..; . • : . : • ,. • ', •. , : .. l•' ••. .: . , . • Ay. to prpo $4: it.400-,41fif.**.: q..4„4.);±(.4#.'0144.Prg„#.0110; . ,... , ... ,..., .., .. ,. ....* .., 1, That be tg;,,...i0.t.6.:,:-14:41fit volit:pttf.d.t.ttii 41',Witqc: . ,offho.lot4.viotk iWd the',114,4,060.::Of'4,11 .. , .. , .. . , .. .... .:.„„. .. ,..... .,,,....,.50%, ..: ..._ .., ,........,....._. .,.„ ,.,„,..,....„ . .. voik:..militth oi i.oltod in tile;.41:1) cottractoia4i0ina., , ,..:,.,4-- - - •-- • .- • 2 That tile AGENCYwitl..'::.6;:idT':.fi'ltitfl*t To0.0.0:$:!4f-Aft$ig.i.opAilfas.ett.,'otit.o:o4 fito:'-go:4-bonds .. ,,fdtli.,ti,tltk w4: y. oo.;s4t #ticit:*tihispt0k'c*,i ..„, ...,.....„:„:„..„.....„:„:„,,,....... .......,.......,..:: :., ...... ,.., . .. • . . „ .. =C4 , • 14.0:11COLIMOS,WWWIT.. . TO BRIXECCUTYRY SUTIVe WOW BIA. t.‹Wttoma'grogoittegolgoilkiOrtioloo dr*oli*tiore:Witadtko***- irutanatOrreifindliiit4taidW4atibtiitxtttkd,(61140124 if.01#0410, •'. :VA , . 14w 04. .00.0 4:Ek•e4., beireirst'Mrs:worm *pow and ws Id*t orstgist • • CorporteSecretan „ of Constctió Iflc the party makhig th ,• brogOt..04*ItOtoWlkoomgOit,04,iirtwoormvo.t1**044pyfop4twocofwoN partnership,:t6iiii*:t.A.•46§01itibkitikOitiffekbi.:040.4tfei#that Ifie.:#14W0iiiitela#0.tiOt. *oltiAtipr.*:*ihgl*oftW.*ttikvitgi*ftot*.*Ay.100.g4igrattof*Oyo*.4.00..iter. woo rn*At40,,::gt watt 4:04..04 ihsfoot dfrectly orlioitto*ga404 :ag.*;0.4'#ifiittaixetif44:t ittrot 01*x.oj pot3i14 0401i :tikt, 0.14.cpilm5stI telggforn bidding, that tle Mdder has not in any Inamigr ;t1k00tkTcf.r, indirectfy.sought by #f„oem7714ti 0.ttiitt#4,10t:iiikVrrt4atftiOeJAiithvt**fi*tto 01444:.,!*• touroi4ot;:gOop*o.,401/10 the public interested in 1110paida'Aftite411104(.A.tO3n700.40.itolitalititio4ifdtk#4401tithitil***Afia*gr**. not inrectitorWit*Jrti*TIT*4111:TwitgebraVrfcgMr PY:**4050',11*e4PrthwqmitO iliiiig:bit4N.itgot MA**)10 if*;01.44.41004,,,otpaid, got*40.0(.7,0Afto*.oxi vorvg*Stitt4a****gotoaqAvoiottortorgakotox:V4090MPOlfW0g**.pr moroutootiototiotgootwoototo;::." , 4 sisowitootaidde f.2:12*S,'9tt*aitt'AVCIOEiKtiibito, tai91761, • Address of ,-.i4W:r%4Mglaw#444 , MMAgWagma-443 „ •-• . . ,..4.44M11111111111 .3iikil 0.,: ga*NMANanoawzg ttNal**Wg4kg2a4 • . . „ _OX440-15:ViliAMPOVIMINXIIMFMOR,. . ; :,40LWFM2040=APPi'ft006a01gW,.-!' ew$WORAOMMIIWOWWWW,-- 7ifilMild.MWUNT itt:Wv.-00::•~TV'f(ci,t1M art OP geliTINGTONOg*CK.V4II/MINIA. 00iltiktkett .TheitildittiOalitibbyifitOtititti4ntl*gifeegithilt in the peetititiAtiatiftrie*bik"specified hi the contracts to0v1t,:pfhi--k.10WITTOM„11400.1M1 1::•Thilsijr$110.:0IMSJ . . - :ON AWN.STIWT,J''frwSTnrrA:;.Ai'nvt).AANOE;',AVfr4VZA*Xlt)will employ and gti1kol0t4ltotitod I:too:04*tioti.Aoioritok4 votig:1#:'0014$4-41:40,tolootttoit secondaty.Dttansniisifothcititits.: The term'"Qualified Rerson7 Adminitaive Code,.kottoti At*Wog 1V• olitud1oftstoo: :4ptiestirkid94 iijhridlidir4011,0 .4,0014.0. The4ittekttio440.tiptnise0bitt47A04:144it to011*.etthaittabolotyrittoirtiotlfidd .*th 4.opoioWol-::ot:i,kit*ik::t*t*pArottii)to*totiA P4144-,Offt100111-AftW064-400i T1g.go4Letslootbokiwoottiiwoo4 agrees that the proslons kohl OWN irot(1:***01-g-; upon"arly4-§t.theOttaetOt.0::$0heotittaoklh4tthay.heiTettlittedttetriOioed tby tholtwiet0:014! and tltatilit ittidefSitte441ittl r410! 15k.d&,.;,ateitieet§tatyta;attife'tdottiltatitt.lit"any§4kt stibcotili*prottgliticont*toqwiththemetittitemetits,carititibedhertht • KOP11044010*,000.0q Title • • , . , "• - tontractor • • icknopez, stYge'.t 1:12$12-Z ot.; 0,tftg110,1"`NST:. .r.fx.opoiateattte, th4.014.140)%"ghal1 Ittithil6.8#Sit 10Llit—ET -.ad$the Bdder '05; o1cer of the ddr or an7 en2ploy of th P4diee,:who itifeteffitift*Iiitid6t ever beervalititialffiect,etiiidve&tit'fother.0.. ing: on or • . of -* alottisittAW'..tit EaNd Iffihq.answei4s: es-eptm the circstauces iatlie space oravided , . . r",7,7 - - - • . • . , . . • . . . . . Note t This 4iigit464tio i000$001.0 it<f the Pg5oM. nd a ..1s1010,11#0 tfOta011.Of ih0 ;Ptop04.0141LP.rt*titOitpatt;reoffiIi*44640014"..‘0,:. IcoMPENsATION Pu004nt to Sec#0sn fib 1 fthe State LaUor od ,earl c ntr ct�r to w}xam a pu 1r +orks;contra -has been aw.< rde s Z ll s t�Ze,foElow xzg cent cater, am. wa oil t e'proyiscota ectt n 3? t3 € the LA or o fie c e re every emp k e*tag be insured agah*i aoWlity dot w orker court s t o or nd tt e self insu nce acc dance with the poyts;ons of that odes and 3 dill,tbitiply y such �rQ x s: fore t to ticfn ttb + Orman of tl c or Polthis:contract:• Carat c C:644t41414ti 64' �Q�.trac�a ©nfick J Lopes trpvra Secta Trt fate 112l�2._:: W_... _.__ 011)0IteS.INPOW4TICtist OttIO.E0...00„r.toto.,..*-0-Atiboloi.toviivIn:ftmotiols*g.,orol;p*..rggz Xoy.r001 Gcntruction, Inc ftittdOt K4tift,110. 2324-S. Vineyard AVe 8te I( Business Address OW, StatdZp 40.:60tottli*X40174frPOtoryt-p4rn Einail-Addtess 11071142 A StAreCtintli.actqr,§k'LltdifspiN.th..4ild C11.1-s- 211121 Qrigrna Cf.a.m Issued Fheroxk site wasitugegtg-tt$y„tati,Pattettim cif o &Tide ii Januaiy 17 „ #.147C*1:4.0[41.1,1400094 .08a,", , nt Ltitott-; r067.6t.6:Setteija0ftit4...*I.0 Mpckii Mk' . • - . , . , , . . . • 1O.:4000 .4.40-t. 041*1,44satisfy*0,4400'dtiliotity, ti,otiotoot:4-6****44044,''''' 0*tam: the Ig0.4*ci`t6. 000e4-4-00.. *71 ormexostrucn, Inc. • ' " " CanipailyNatilt sZzz z Printed or Typed Signattii • 4;;;;°' : . • *),ITARY.::'VEIMF1C**: J!:****074taio..-iit'010:f.0f400f..:0410.1,01#4this Certdcate*0,44,ot4i *;identity of the • iffiaktitilla‘Ao,4100 tti;.0:00.04:0104t4. Aki* picate isAtt44444.1*og:t the elikiessi,,accuriciAormatidity-ofitint.cto amen pP ,40ntie4*ttfijgogg Ndr, 00'0:.001: .iYi2P: NI:Oftk.D4w,ariifItg. IfiSOft:N*7*#4.1710.6:„OrNoW ,00,so-otifty.4#0 .0d, - _ *1*,prved to tue br the basis fsais1tory 0t4:000 to b :it*0004**40.0.:041o*::10,40 ,.s.*:ot*o,4:tg(,,tho:*ithikiiIgp„otoiotoita*Uo8*4g4.t to 111g.(114 WiWgitiy in •.ftllidilt*4diAtiOtiii'6400.4'(400:1ii4th4t 15f14 /ito1,01eifsittatut046,tio*tottuttooloi.i. *,4oti*:Vritigootiwiwooli„:04.1fewtiotttwtigt$9110440644*40,004,40.ilsOullIetifrt, I certify 1040 PENALTY QE PERJURY under the kiws of the State of.C.adorrt ,t0:0014,011.04),(), 0440014,041, . , COMM#2a768 nx,„ AMyrAmt11.5slon.PpiresJpneM2023,. 4.0*NT— .;•1.1!ri, rArt,- ty TOrtd: t1LACE NOTA! SEAL ABOVE) • BID . if-or .014 pto.:00. Of 10 Pr0:10.1 00 b.. kitor 414.1t #14* '.4140..w, 004,4trucitim,v,f(Describe soetittg work Ancl..g.740,eijiroe-,getess#$ for otoliottotato*totoi:#:.eisitsteutiiett.IitifeAliiocide titrudditt,ernitettiii4iiitttitiettilit Citv" Bidders are encouragdtosu6mtt supplemental relevant proJet history hi addthcn to the .061gotsJsdi - '.ListetVii01.0*•••4to the ilatitt •;„Aadtc;$$,.,and telephone numbers for three public agencies for ii tar Wdek*Ahttlith410:4t::&4 years City f 46gutia Ntoet '0'4,0:0,..'404.1/10:100.40:0N0100:04*141.4014gpt, fi:00024. 1:40.4.0.g.40.42, vvoitktt Dog Park 11121 • ;":0101044,46,1004. TIYPO:OtV00-k• iti.:404010.1044 • 40nApp*.94,.kt • . .0:0111W070011%*:',$.001)(:„017,4..01,:V000„7.,,COPP40.4; ea:itrans,a77,1XS504 Xd 493.441& tfieattdf•Toliphadi t40 ?:AMdjtt t.*itggo6 . .1v1(7 :44" -214 414)14500„0.' 012.1 . . hoirgtoi„44.41i$ 1 04.odt.tietdOtkiimors-howititiltomdito. . . 0flL $tormAtiNiit • , _ s .. • 1q4itig-*14'S'A00.$$4046traWiiicy'T - - - - - N4nwand 170:101Tor*140.1.:4frciject;:l*najgrs, $$Itid() btairtfleii oit'tegraentOW4Wrigli!ait 142. 04i494.0.0.1404 NO0740,004:004.10400,404•410.40.40/0.1i' 4.*440,(11,4r*k . . Demo,OTatiing,,,,SformOr4firp,,,Corierr4te,.14s0h.tili • . . • • • AIDTIEV,MTICALSMF -Liste0:030*4t0e:tiaiiieSFatheiliadOOPtc0,00diCtitOitlOtioiti.Pt•Oi*M004g0t4 and Superintendent For ekeh of theStetitietili.peVtioWpIOSOSt at to.g.tArgg polo:0'17:911-mpot iii:g4:91104.-4stffhwperforrpg0 gotarivp*wittail the last iKeyd4rt These o4jg.ati:dO:ifdt t,Ie under the otiolottootof the biddr prdjet 0:040:4400000140444.1b4it •;supplethesitOretehipittfeethiStettih ad:al:661i to'the projettOlgtetrhereht.• ))41t7.:Raftemrt al*.g.:070t6p9:40.T:.roi.ofV4,44.0 . . 9o9..421m5zo.0 Voicgoiek OrPtiggsgaimig#MO:40z— Vity,tf,'LagimaiN*0.4170:100. .1!Yraih006;:tke0eifiCeqeOt6060:atte#1.14*k:- 41721 Pivieet.,14kni& ccinitadarnoittif TypeziEst Wotk ',„rige:cOt010.104 • „ . •i,$)1.04illgrOgq1.04PPIOW.H•Plf*A000.1.0*PI,L-4,i q4.1 *14.4.**4:*',09),114.0tAioititit; Ty046•INvorik Date Completed city of totei•.; 8613:dia *fed • 1i5 4-orio,40. *fficirpop-oalSot*Tilot041itit 7.6.141.00*apeorilsOliPtiotifitonaott,_ OtY.4tWO100.*Nitt*t 0100 'S).,Oittaii0*. 0V1'1;P:''9.000*;0100$4,V.P.,00*: • 1?.'r000tV,:ato:&coottopt Altowit Type of Date Completed istctoccoo Stejlitiortivetitotitiii.40#140.tioewayttoktairibmitea .''Pfc,:i..: 1.40*-4:..c0007.40z1NnilPgrft TY04 ilaOlt4W titati*A4aktiOiVtOdtiWinW411014-TOF, 1/ 2 • • . . , • . TT( .R) + T'l4?1' !KITH ► ±aiA1 ' TT E TIVDU TIZ A x R LATIQI S ) t�TIF' C "1 gurstiaat to,W.Okatti4;LabO iO oction 77'h1 (a ),> b e5Cal ortmta Stat iate. on J e 2t1,2t t`4,establrsh.ed,a n ew public worts Ctnt for l e fstration Programs hich requires L cQr tractors•and subcontractors bedding and.potOtittio4cw.otti on Public o"r s Pogo*to register an air annual basis each. Jul r 1 through June 30 state fiscal yam) with the California; ;:Department tet for :Contractors is$ Q0. Each contractor t ,om;a*.tithc works cones•has been awarded.shal!l • PACTS E' on 854 nttp.l r. ww dir,ca.gav L . FublicWaxl .,mv. :$4Ftot feet 6404 pdf.; DTR;'s Contracttor I e 'stration iol Call 044:1'22-6774 i tt0-ttief trng i ,r a *.M:tVAW c a kot Lion sp1*yti U egtst aonPmf l 1RXsnContractor Registration searcha*database •tittps: eftlin041ir ca c CRI". ' `tt.a ;>ion I amp aware end t11 compI with the provisions gf L bvr C de Section 1771, l(aa}wh�ct t s contractor or subcontractor stall npt lae q if d to bids n,be lifted to a bid drop©sal; • subject tp the requrr menu of Sectzot 41 b4-of the Public Contract tod or dtvigeIt the perfoitxiance of any i000ttiot,•for pufziid work,asr dined hx:titi. :woo ourrentty, registered id qualified to pe ornt ptul lic woo pursuantto ecfxon t725,5. It is not a„ iiolat an0fthis sectaon for an anregiste d contraoto r tc sti n t a b dNthat s antt`iotized b . - cion 7020 1 of` he l3011 and Professions eod ,or ryySeetion l Ol` t or 2U 13 5:of'. the 1' bhc Contract Cade„pnwLded•the c,ontrctor is regi red to p�rfbrm putt ,wort pursuant tiorgetthiel.1725 at the fame ttho cpntraact rs aw ardad 4"` C furthOliti ' :providing proof of~registratkon•mt.tri El I R ast1 e primary to itractdr, as ve,.11 as t?ar ALL subcantr ctors at the t n o subm tong laid, 'Kor01.034 Cot1st0:01tcn, itic: Ca�ract� _ • 1K Morimi .!Lap ; , . monlekt orinexcanstruc Can com :Einar: Corporate-40 Title, PWiGltegistrat�on, 1QtJ071Zl7&2. . BID BOND BOND NO. 164 KNOW ALL MEN BY THESE PRESENTS, That we Kormex Construction, Inc., 2324 Vineyard Ave, Suite K, Ontario, CA 91761 as Principal,and Old Republic Surety Company a corporation authorized to transact a general surety business in the State of Wisconsin .. 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 THE AMOUNT OF THE BID Dollars,($10%******* )for the payment whereof in lawful money of the United States,we bind ourselves, our heirs,administrators,executors, successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the said PRINCIPAL has submitted the accompanying bid for Contract/ Solicitation Number CC1656 - Flow Line Half Round Drainage Inlet Structures NOW,THEREFORE,if the said contract be timely awarded to the Principal and the Principal shall,within such time as may be specified,enter into the contract in writing,then this obligation shall be void;otherwise to remain in full force and effect. 18th January Signed and Sealed this dayof 2022 YEAR Kormex Construction, Inc. Old Republic Surety Company Principal Surety i Lopez / , By: Monick J. .e eta Leslie M. Mantle -Attorney In Fact • CALEFORE1EEAACKNOWLEDGMENT • CIVIL CODE§1489 Anotarypublic or of her officer completirig this certificate verifies only the identity ofthe individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,orvalidityof that document. State of California County of Orange • On January 18th, 2022 before me, Noreen Mantle — Notary:Public Date Here Insert Name and Title of the Officer personally appeared Monick J. Lopez Names)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person whose name is/apse subscribed to the within instrument and acknowledged to me that/she/tiwy executed the same in f�o/her/t[ r authorized capacity(i$),and that by Eris/her/th i-signs ure(p)on the instrument the personte);or the entity upon behalf of which the person,acted,executed the instrument ("certify under PENALTY OF PERJURY underthe NOREEN MANTLE laws of the State of California that the foregoing ; COMM#2288768 > paragraph is true and correct 1E19,4571 NOTARY PUBLIC-CALIFORNIA y ORANGE COUNTY WITNESS my hand and official seal. � ..r My Commission Expires June 13,2023 i Sign- - 1%�� %/04� Place Notary Seal and/or Stamp Above �- •nature • -•. ublic OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this farm to an unintended document Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capecity(ies)Claimed by Signer(s) Signer's Name: Monick J. Lopez Signer's Name: Corporate Officer—Title(s): Corp •Secretary ❑Corporate Officer—Title(s): ❑ Partner— ❑ Limited ❑ General ❑ Partner— ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual - ❑ Attorney in Fact ❑ Trustee ❑Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑Other: ❑Other: Signer is Representing: Signer is Representing: Kormex Construction, Inc. a.._ 1..-.�.�:id:'c•C: �:i:.�='mil _...,=.�.::Y`=.,P•172".r..:o. �i =p•i 4._ _ _ ^ _ ©2018 National Notary Association • CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 e:-<::;, <,:o.,-,,,-,;,.;.: ;,.< :�;!�;,:. -,z--,-4:,::: ;:.<�:,.< <..;:.:::<,.,7--<: :,:.. : : . ;., ;,:.:�; :,:-r, ,,,:.: <. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the ' document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of Orange _ ) • On January 18th, 2022 before me, Mary Martignoni - Notary Public , Date Here Insert Name and Title of the Officer personally appeared Leslie M. Mantle Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person whose name*istige subscribed to the within instrument and acknowledged to me that he' / , executed the same in his)i@Yt ei#'authorized capacity,and that by his7f)afftivir signature-04 on the instrument the persorf fg, 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. MARY MARTIGNONI ' WITNESS my hand and official seal. (- u.�ti' \ COMM#2301319 a w F 7:I NOTARYPUBLIC-CALIFORNIA z a c�,,!4.1/ ORANGE COUNTY My Commission Expires Sept.9,2023 Signatur Signat of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. • Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Leslie M. Mantle Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): El Partner — El Limited El General ❑Partner — ❑ Limited ❑General ❑ Individual CICAttomey in Fact El Individual ❑Attorney in Fact ❑Trustee El Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other. Signer Is Representing: Old Republic Signer Is Representing: Surety Company ©2014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 .-„::. „:...s.: „0-.........-,.:',... :::::'.:.: •',..,.......-..N:,„ 4...',.i.......,:i'l t..,' ....:, „...::,...:.:? :,•:: :,' :,•,' >:.': •:i.-'•:i., •0 .4,.."'........''',.....-. ..A] ',.1 •!!1":'..,::::.;;;.7,'::?,.. :-...:-.1.k:0 .;49. .q.::'.,.:::.-.'..;.... % .„,. •!:., ;::'.: -.T. .i•,. .,.24,1‘,,vc*N .„1,; •,;,:.„ .': 4., '..!:::,:' .0 1, ::,..i",' ?':, ,.., ::... ,,', !.. •,•.: .1,., ... .. -, -.. . ,• .... - ,. .....„ ... ..,.",.......,, .0 1,, 15 COLD REPUBLIC SURETY - MPANY-:.--:,5::- - ---- .„.. . ...,.. .,.,,:...: ,,,,-...... .:i.:,'R.:, .,:ia'..: .:....ipow,EF0F....„4:TToRNEy.,:i:,„...,.;, ::::. ,..- ...:.: _ „rt. ,,,. .„:„,,,,,, .-„:.,,,::-• ,c,,,,,,,...:1i4 w* ''''.1i:... .,..,1''''..' j..'''...n.:...1.-: ..:..; :,. 4:: ..:...1..:;,.,:' '-.S.':!.-],..i'';:'' :!.-r ::;'j'''`''''',,,. ':$!. 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'• tollOWS .• :•..:...... ....CbmpensatiOn**wgipranteeintpa ymentl libl.R.'60...tS or bladk lung bOnds)K:. •as .,, ":i• .'r i .: :.- 1K' •N !. ...g. L t....,„ii, A'1' AL.12iAilli.611§gitlitMENTS .":,:W`,:, • *.K,, :;',?:*. ,'i, 1.1 •::.!:' •.. "''': 1. i:, .-,::• . '.:::. ,:...e..•'''...,;,,:. ,.'::...t.4 gr:7::',..:.:,''''''k: ,I.:'',:.,:, .1:2''''.', ..•';':i'r.ia. :: .. :,:. ii:. 4: ..i'' Fact,''''...":'-' ...!' '''' '''i.+ •.+1.‘' ''''' 'tents are intffiedand.ediffirine4; '.,': ••• '..:::! .::' „': ..•;:..,:::.••••'••.';!:''' ,,,.:,'Pa•:::::::, .!:i, ..••,,,; ,: ri -!,',:•& "'i;ts of saidAttnineYs4n- 114..44.!,L0,,.....q.seV17. , . isfinei...rid -."...REPUBLIC SURETY COMPANY th,,rebykanc'all 9 a' • ', s „I. "d tP:binclOLD4ZEPUBL an ' 11 f' a and by gitfioritg.otthe,bpard.:of directors.., ,.. ' '' ' • ' forS,atli special Tilieiii,'...e,hertjai:,...F..0*-..:uirSi.:!18„. lt,:9,43.82.,RE„.k,...1•ThouBi0 PLoiwcesruofRE4;.:7Ceciymi....Ai‘w........43.,,ii T:itliis.npijni9P49ntisP4.!'•. of tietolkwing. sealed'by fagaiiminAinder andlin by the authority'. ..% ..-:. ".. .."..resolutions adopted by the board of dire' etas-of the':0 February 18,1982. i..„:. •:,.. i., .':;'.) .4,-; ...."• :, z. ..assistant secretary may appoint 3.,.. ,..:,,, i,:.• iii ..: -i.„..:. ,.. .z0'..<•:.:e:ii,sdi.,4Elltriitil*president..!4...i*C.:.Pfrs')Ph...'1."..664.:stf:iiT.assistant ii66:-°.. ident'111°114-j:till,i. 9-ti.°0::1Avi!th14:...F.''sgc-i, 7,7 or !iny'".''' '...,z,...1- .....:': ;..;„_4 ; • with authority aid0fin0 or 11121/:.:__,',i': ;:' ' ''''•and suretyship obligations of all kin ,and : feclibi,theiinStrument evidencing the appointment in e#4,..:.,#.7..?:,for aia.ddosn'behait of & 6 ,..,.....),....- a.P•:Ppagents .,„:.• •,....:` •,•*td:nonub'widertakings,recogtitzai_ices, :...,....,, ...„„:.„ ,..n„1.w:, ..:, 0cut.e.4.iid40/0-...,,..and affix the seal of the:company .:,,.,..... 4.,,,...„....K:iK:, . officersfi.e.i.C.::,..,,,.,,,,,,,a77.alret(;..,:,. J.1:;:lz,:.:.]:::;..'•?!..'....:.:.:....::::::'''': ..., ...,..a•: arly stiPli'attothey::n-fact or agent and revok'esitny'Fower`of Attorney previously granted to suclipetton. 1. SCr-'"v D"..F..."-.IRTttilh'.at an..k,..i,bo:n nderalung recognizance.,fo.,..-ii..:i.,n..i.,::ty-<s..h:.ink, b-..-1 gatio"7n'sh al' be valic':pd,.bi,..nI, .,!.,.,..,,...Pi,i....the Company::.. (i)ActlFfOO y the president.an5 vice president or tssi5uin1Ntop Ofesicog T3449dprind.sealed(ifa ieafbp.ro910--)'by'any secretary,:.. -.l.:..i....:.r assistant ':,.',,..i,..V. •.,••..:,.:,- -:',„-:..,,...••,•i-:• •,, -.,•,. ii.7 -,,,, :I, ,... 1: :1 a ,„..,., ., secretary-or (is)when5signed fikffie president, . t or assistant vicelireaident s, ..getatX:9.F;Pstant secretary tar?:•, , tt4 any:„.y.k5 president ....... '1. -":.- X...-;:nd countersigned in......0eil....ed,(if•t.Seal be ..:,:..„:-.:{ •;..:, ....::::i:•:,' required)by a duly authorized attorney-in-that or agent;or .......(iii)when duly executed and sealed(5.tseal4h.e,..r.equired),by one.pr..more attomenrin-factor agent...s.?nrsuFt and within the limits,offhe.authoritya.,., .,,::, ,„.....:.„:. :o :•,'...:1!...1.,:., c.): •.: „:!!... •:::i. ..',1:.**A:...:::.:„...**,:.:.. '..< i': ..'; :!ja...:i .:,. 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' be iffkedibY:.:facstinile to any ..., ,..... --•...:, ::. y :: ...,.:.:••• RESOLVED FURTHER,that the:.signiture,0.,any.,..,,. .z•..., g.i, ;;:: ....k"i,...:51'.:t'eft ifita tiorr there.f6f authorizing the.;::executiOn.ancldelivery 01::apilaiiiil,undertakint•iicogmiance,br otlietH.:SurityiliiiObligations°NIP compariyand -,.:,:. ..-.•... ...... ...„ ..„. such signature and seal when so used shall have the same force and effect as though manually affixed. i3`...54. .••••„:„:::,.... , ,:.z. .41:r. .,0••!:.:K,. -.it ?: i!i,• ..f.‘'''.,...,.„,,''.....,1. ,... >,.• i- ...-----• •,•••• l to be 'i.:.:.,.?...:::i'z.Z .:S: ,•':i: ..., - .,,m. „.rl ...::,::%"::•::?k, el':: i'''''.:.!:...4;.• , ,,, •,..: ,• - 4, ..z.. ••:: • •,... • , 0-- • -and its corporate Ka . ...:' ' l 'calsg' these pitsen' ..*.ts:,:*ske signedYll proper officerrr i•.• ::..! :. •:.::, .:. z„, .. . f.' **--." .."'WHEREOF 61,15 P.: .A.Jii..,LIC• SURETY 6(5*A . t' ,... 4 , .:. ,:- - • - ••• '' ":": •:::' :'',. ',.:.. ....,.... .r....: .., .:' .-T...- ''..-...ev '..:' ...;:i'i.:&%xedINthisWitl;)4.1itil. ik., , ,,..in.'.. 4 :. .*,.0*ARY,202.t.:'i;.:::.E '‘...2.,,...,..„..,,...!„c??,, ::::..1.:••: .1.!„:...:..,...!.:.'.:, Y., ....., ....OLD RiP.%U.B.LIC SURE'r ,COMPANY ::•.<:•• .„.„:-..4.(gtotfog•-(.:ele.14.,11.011411. 4t •V .. ,4;:.. "-,i :.. „.„',It. '""'"`"tiii:._:•:.'.:e ,,::'.. : ::1 i'• .: l:: t.f.'":'•• ,..*:, -;;•'"-!i!:.:g• ,k':i:."" '''•:t. ..1:i .:1:i .:1 ::.: .1:''. ;! ''',* '''.. "..:.. ;-: 1.:7.4"t:..'?.:,•: 3'. j'• !ti! r"i: tSEAL) ;.=.:1: :1 .'•• '': • P ...:Ji • ': .. . , . , . .. . :':.:.:.%i- .... IS 1.:,:.. ..:':: ,'''' t.:': i: ..' :.:*:.:•.:..::-A .:A.iitailt secreti4i,-.11„i,,!: !,,: ;; A . ,.,.:.:0„::, ..., 0:21.- :..' ,,..,..., :.„ ,I.,,.. ,,,:: .,...,, ,.:€ .,:. .," . 4 4'' ‘' '' :;i:%. .i. -"":' •c:''''.7:',.1.'1'::.. ;''. ...4'`. :;,...::.'..-:::.. i„:,, i:•1 „,.., .:;!. ii 1 V,::::::V...':' '4,'''''0 Y.I,•,...':,?:.:'::,.:00'4::. ;'...1 i:i'. !': • '41)..1''', _-- c,„.,?::r ''',1,:,....:„...:.:..:.dv ....Z ;'•:..: ,' - ,.., ..,.. ,....„. .....,.... . -v.- '' s'''''•' PieSident t.4r .4'''f'' ' . ."'" • '''441,:ww.SATE OF\WASCON SIN,COUNTY OF WAUXISHA-SS ... ..: . - 0. .-..., ....".. ...• ... . ...„• •,,.,,. ,_:,..t.:uq ! :„ .". EB.rttjAlt' ,20:21,-. ..• „, "....'4' .'...'. --- '' '.. Alan Pavlic-. ::t.-..personally catne.lrfor ,in„ :,.. .... ,.., .... ;!,. .'.;.-•. ..i•' -4.-':':'''''PrgI. :•.', .'.':: fl: .•::,..'•,..''. 941 1!15.'; '..': 7.''''..; •Shi*.>.Cif'''' ''.. ''':., ''' ''.: .' '' ."'duals and officers of the OW REPUBLIC :••• •• ,. Karen J.;44"iiffiibrilSURETYCOMPANY:.wliO 4ecntedithe above ".'• .c.::' '.-• 6 me..4ctiO*h to bethe'tidy, .,.:, •-•-•:'-`,a•in • that theyare.ihe said officers ofthe ....:i.-.•:,,F-- '':.;..?...'Ms eiitifintri.tasei&li acknowledged the eit.29eti:.,in,i'.; tl)!..::' ''....,:a.:.„...„...„ b chilPswom'dia.severallE4e139.-.s. .0.1.4„.. y, OarpotrliniratiOn'aforeSaid,and that the seal affixed to the above instrument is the seal of the 'orPoration . .. ff' ::,i,,. corpora' tion:and that said corporate seal and their signatures as such officers .,.. .: said ,, . ,'.. . .'. ,:.:‘,. il'N": .;•'....:;•:':' :::::'''.., were dulyri,g ,copd ub...sen...‘becitpAh..,:esa idixis...num ent hY.411!..,.an-Plri tYd..Rf3h01:Pardil,•difiF4111„,.„.ra.,..„:: f:9,1 ;.!! -- ..?. .ti. c-z;i:•:,::::.:,,. ,::..:...:, ,.:.:.......'::::.::•..,....:,.,:..:,..: .i.:!..,. :.:.:..,.: :..;, ...,. ::.,,:i ,.. ,-, ...,:`::.:s•:,,. --i: e: ' .:l •:::i ..'.',A , t,..::::' :....,.,1:1,.-',...; !'.! :.:1. .:i-, P.. 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Ati6de-are now in oft lie d of ditectors:setVorth in the Power of y.,. ,.. .,.... at the foregoing attachedancti .Power ::,.... ,...... . .;:.::. ., .. ,..-.,... a.Atiori3eyientains in full force and hai..n.rtit been,r44ei1;aka; ....".ixtii.--o....re,Ihat the Resolutions o the.„..par :... ,,....„.. :,. , .ti,i ,•:,:, :aanual".• :.:(./.20.22 . ..i-::::::....,,,.. .j.,..:,....,:..::.• ,.-,..:;-:..s . , /.,. force. 1 , ,?,,f Re.mn'ict."rit,'.i:kthis 18i:17:'-t, A:cO.Y9f:.:•,•,:•.... • '•:.: :-- ,. - ,, 74560(Y::t ,.1::t.: ''''' ' '' '''''''':a'''''''::..'' i j .- .:&:seA.'ectit..the CAY, .7„.._._ e. •.. '''.."..e174174,''''.4,:. q:. ,Sr :,..-f f:: ,'$.:0 • ...• ':•E, ::.< '''',1 ''' 't.'1,....c„'.••••: :zt:'leg---::•,-•-i.4,,A0.: 0.":. ,1;:„ [.• 'W „"..::ci? :1'''',. .'' ' ,.: ....;• `; '•••••-.1* •::'-. „ . .,. ... ?'.4414.4 Ct.- '44g18.4114Led"" ....;•'il Ii.'?.. '0 ..r.1.4"01'.:41.,...u4N$et.7: :,::',.:..f.':? .r•• ' 1.0.,'•t. ''':,.....b-::::".'...k:' ::.' i:-':• ....:.'. ....•••:,4' ..„...... .",,,,:,....:?..,,...., , ,_. , ,,,,,../.. , ,,,,.„0- ,,v .:.. ,-, , -, ..,... ..,....,,,. kon.„. Assistant Secretary...„.....„. ,..‘.. .:„.......,.,:„:. LEgkO AGENCY INC .;.fi' .: '.:: :': ', '... l',' •:;' ...i ..,,:.. ,iii '4,..,(...':::;'. .....: !:.'' i.::: 1.,:;. ''''''.:,..,T. ''. '.' " ,' ':':',.:.:',. ...'::' $ :.?' :: :,,..'..'.,::: NJNSPAANqP ,:. .. - 2851-W ..P0AORS... 102020 konnex Construction,Inc. 2324 S.Vineyard Ave Suite K Ontario CA 91761 9o'5 —s'7 o o 71•j 1 1 -------. _._-- ----_..—------._..------- j OFFICIAL BID SECURITY-DO NOT OPEN Project Name: Flow Line Half Round Drainage Inlet Structures on Main Street, 17th and Orange Avenue CC#: 1656 - - i Bid Opening Date: January Z2',2022 at 2:00 p.m. / 411 \ ---- I t,c\ �(1 ,L.1 ,2 WoK S O FT=I(--E r',-,,..„' Zoe b V‘--Al 4 sr ctit '4UNT.ttvC., rwo ' s.p-2t-1-) cn- d•®BBsysom� °NTINGT �. CC'' City of Huntington Beach a`�B® •°°.� 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 • www.huntingtonbeachca.gov -moo=t �00 Office of the City Clerk c°bNT\I 04\4'0 Robin Estanislau, City Clerk April 5, 2024 Loghmani &Associates Design Group, Inc. dba L.A. Design Group -WLA 8640 Guiana Ave., Unit J3007 Playa Del Rey, CA 90293 RE: Flow Line Half Round Drainage Inlet Structures on Main Street, 17th Street, and Orange Avenue— CC No. 1656 Enclosed please find your original bid bond for CC No. 1656. Sincerely, (#44L g‘) ;4444,1444) Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City: Anjo, Japan be -fri-_ SECTION C PROPOSAL FOR THE CONSTRUCTION OF FLOW LINE HALF ROUND DRAINAGE INLET STRUCTURES ON MAIN STREET, 17th STREET, ORANGE AVENUE CC NO. 1656 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 50 working days, starting from the date of the Notice to Proceed with Work after materials are procured. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Exhibits,Instructions to Bidders and all other contract.documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. _ BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses,taxes,royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded,the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. c-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid,find Bid Bond in the amount of 10° which said amount is not less than 10%of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "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: Addendum Nv Date Recezved Bidder's Signature 1 01-18-22 C-2 ✓'� r��' BID PROPOSAL • FLOW LINE HALF ROUND + INLET DRAINAGE STRUCTURES ON :lr' A ,I MAIN STREET, 17TH STREET,AND ORANGE AVENUE • UNIT QUANTITY*. UNIT PRICE AMOUNT REMOVE AND DISPOSE OF EXISTING CURB,GUTTER,ASPHALT CONCRETE, AND INLET DRAINAGE DEVICE/STRUCTURE AND CONSTRUCT NEW FLOW LINE HALF ROUND INLET DRAINAGE STRUCTURE PER DESIGN DETAIL AND 12,887.26 695,912 1 AT THE LOCATIONS AS INCLUDED IN THE SPECIFICATIONS EA 54 $ TOTAL BID AMOUNT(IN NUMBERS) —-—--- - -- -- $695,912 TOTAL BID AMOUNT WRITTEN IN WORDS • Six hundred ninety five nine hundred twelve & 06/100 •-All work includes disposal of removed material offsite and restoration of adjacent improvements disturbed during construction to an in kind or better state upon completion of work at each site. Any and all costs for mobilization,traffic control,and site restoration shall be included in the unit price bid per each. • C-3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bad Marne and Address of 'torte Class D P° C Dollar V %;of" Items) Subcontractor License Registration# Arrrvunt Contract r�k� 4' aria y F ,,,qvwb k' - NONE By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform at least 50% of the total work and 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-4 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 01-27-22 at Los Angeles CA Date City State Loghmani & Associates Design Group, Inc., dba L.A. Design Group - WLA Mohsen Loqhmani , bei first duly sworn, deposes and says that he or she is P.M. of the party making the foregoing bid that the bid is not made in the interest of,or on the behalf of,any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are true;and,further,that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation,partnership, company association, organization,bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Loghmani & Associates Design Group, Inc., dba L.A. Design Group - WLA • Name of Bidder )1444444 Signature of Bidder 8640 Guiana Ave., Unit J3007 Playa del Rey, CA 90293 Address of Bidder • C-5 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 FLOW LINE HALF ROUND DRAINAGE INLET STRUCTURES ON MAIN STREET, 17TH STREET,AND ORANGE AVENUE, (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. Loghmani & Associates Design Group, Inc., dba L.A. Design Group - WLA Contractor T By P.M. Title Date: 01-27-22 C-6 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-7 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. Loghmani & Associates Design Group, Inc., dba L.A. Design Group - WLA Contractor F By P.M. Title Date: 01-27-22 C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Loghmani & Associates Design Group, Inc., dba L.A. Design Group - WLA Bidder Name 8640 Guiana Ave., Unit J3007 Playa del Rey, CA 90293 Business Address City, State Zip 818 ) 394-9910 LADGInc@gmail.com Telephone Number Email Address 989810 - A, S & C8 State Contractor's License No. and Class 01/11/2014 Original Date Issued 05/31/2022 Expiration Date The work site was inspected by Mohsen Loghmani3 f our office on 01-2 6 , 202 2. The following are persons, firms, and corporations having a principal interest in this proposal: Ciavash Matthew Loqhmani, President Cristina St. John Edmondson. 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. Logrimani & Associates Design Group, Inc., dba L.A. Design Group - WLA Company Name eF Signature of Bidder Mohsen Loghmani Printed or Typed Signature C-9 r40T&Ry CERTIFICATE �` 2a2Z.. - Sutiscrit�ed aticl s«orri t'j before, Me this 7 "Hay of , �. ni t iiiy pali3t26 0� other cer' completing 'this certi�icaYe. yeniFes only_ the identity, Of th . i cib tivlto signed tlle clbcutnent, to which this certifieate is attucfied, and not t{1e -� utdivid l truti1t12ines�,,accuracy, or validity of that docttinent`., On Month-. Day, and YearInsert Natne and Titte:ofNotary personally' appearcd.l �_- Name(s):of Signer(s). who proved to, me on the basis of: satisfktory evidence. -t : be' the person(s) whose names) is/are subseril7ed to the withini instrument: and aclmowledged to me that hc:/.she/thby executed the s u-ne in his/izediheir authorized capacity( es), and that by hts/hcr/thcir,signaturc:(s); on the 'iristrum�nC th>4 persoti(s); or the entityupon. behalf of which die person(s) acted, executed,.ihe itistrament. l certify, under, PENALTY QP PC RTURY under the laws of tlie, State of California fltat the forego" pai graph is true and correct 'gill 11 W'17NESS my hand`and official. ca RMEN ES%DA notary public - Clifsrnia ` Santa 9artm M Conty mmtsst�. � 2386414 YCumm, Ptres Jan'9..202g Si nature ! Signature ofNbtdry l'ublic(laf ACE N"0TARYS E-AL, A, 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-io 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,"Construction of drainage inlet structures and curb and gutter for City"1. 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: U.S. Department of Justice, Federal Bureau of Prisons 1. Metropolitan Detention Center, Los Angeles, 535 N. Alameda Street, Los Angeles, CA 90012 Name and Address of Public Agency Name and Telephone No. of Project Manager: Mohsen Loghmani, 310-497-7318 $366,780 Install Gun Lockers at Metropolitan Detention Center, L.A. Jan. 2022 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: CMU walls and foundations, steel & concrete roof, suspended ceiling, fire sprinkler & fire alarm system & LED lighting, two intercoms, security door with electric strike (including PLC System Programing) , three PELCO cameras including electrical, data and low voltage for intercom , occupancy sensors and mechanical system. 2. County of Los Angels. Dept. of Public Works. 900 S. Fremont Ave. . Alhambra. CA 91A03 Name and Address of Public Agency Name and Telephone No. of Project Manager: Mohsen Loghmani, 310-497-7318 $235,000 Design/Build Palmdale Shop Protective Shade Canopy Jan 2022 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: The work consists of design-build of a new 2,545 square -foot prefabricated steel canopy including site work (grading, excavation & backfill) , concrete foundation for the cantilever Rteel rnlumns electriral k lighting (T,FT1) along with new lighting panel Rtrnrtnral steel work & erection, ADA parking stall and new pervious concrete pavement. 3. Metropolitan Water District of Southern California. 700 North Alameda St. . L.A. . CA 90012 Name and Address of Public Agency Name and Telephone No. of Project Manager: Mohsen Loghmani, 310-497-7318 $189,890 Marina Boat Launch Docks Refurbishment Dec. 2021 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: The work consists of procurement, demolition and replacement of all dock boards, boat tie- down cleats and rubber dock bumpers on the three marina docks, and other appurtenant work as specified and shown on the drawings. C-11 BIDDER'S CRITICAL STAFF Listed below are the navies 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. Mohsen Loghmani Name of proposed Project Manager Telephone No. of proposed Project Manager: 310-497-7318 See #1 page C-11 Project Name & Contract Amount Type of Work Date Completed See #2 page C-ii Project Name & Contract Amount Type of Work Date Completed See #3 page C-11 Project Name&Contract Amount Type of Work Date Completed 2. Carlos E. Figueroa Name of proposed Superintendent Telephone No. of proposed Superintendent: 661-472-7121 See #1 page C-11 Project Name & Contract Amount Type of Work Date Completed See #2 page C-11 Project Name& Contract Amount Type of Work Date Completed See #3 page C-il Project Name &Contract Amount Type of Work Date Completed C-12 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations(DIR).Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call(844) 522-6734 https://efiling.dir.ca.gov/PWCR/ActionServlet?action=displayP W CRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Loghmani & Associates Design Group, Inc., dba L.A. Design Group - WLA Contractor By Mohsen Loghmani LADGInc@gmail.com Email P.M. Title Date: 01-27-22 PWC Registration#: 1000605574 C-13 BID BOND BOND NO. BBSU KNOW ALL MEN BY THESE PRESENTS, That we, LOGHMANI &ASSOCIATES DESIGN GROUP, INC. dba L.A. DESIGN GROUP -WLA as Principal,and THE OHIO CASUALTY INSURANCE COMPANY 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 PROJECT NO.: CC NO. 1656, FLOW LINE HALF ROUND DRAINAGE INLETSTRUCTURES 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 26TH day of JANUARY , 2022 YEAR LOGHMANI &ASSOCIATES DESIGN GROUP, INC. dba L.A. DESIGN GROUP -WLA THE OHI; ASUALT INSURANCE COMPANY Surety ,7 Utk j_491Q_ . . By: t►�' Principal PHILIP 7 Attorney-in-Fact ma,., _ This Power of Attorney limits the acts of those named herein,and they have no authority to r_. bind the Company except in the manner and to the extent herein stated. s, -1�ii Liberty Liberty Mutual Insurance Company f Mutual. The Ohio Casualty Insurance Company Certificate No:8201903-969577 West American Insurance Company SURETY POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint Britton Christiansen;Myrna Smith;Philip E.Vega;Kevin E.Vega all of the city of Covina state of California each individually if there be more than one named,its true and lawful attorney-in-fact to make, execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 15th day of August , 2019 . Liberty Mutual Insurance Company JP suipoSU�y 'v5001/1p Pa IrisU� The Ohio Casualty Insurance Company �� R,,�To �co "o 2co Ity 00 West American Insurance Company as • 1912 0 o 1919 ; 1991 0 r; aL y: Imo Q ° m y d0 Id:, .da �'NAMP ` L3 Vs �A WV' aa3 y4;111Y.,4* Ce�7* *% ''yt * >� M * *� B ' •m C. — David M.Carey,Assistant Secretary o -le_ ET-3State of PENNSYLVANIA >. -orri County of MONTGOMERY ss m c) a) On this 15th day of August , 2019 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance o o a Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes—F- a`� > therein contained by signing on behalf of the corporations by himself as a duly authorized officer. cE W a O., 5 IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written.fyi c a C to , PAs, O co co oO O Q.,0N,oNq,F F� COMMONWEALTH OF PENNSYLVANIA Q ` ;ki oo .' ," Notarial Seal 0 0) O OF Teresa Pastella,Notary Public 0 C 0 a) Upper MerlonTwp.,Montgomery County By: n) c,_ Ja•� My Commission Expires March 28,2021 eresa Pastella,Notary Public o m N ,,tom__0' Member,PenneyNenie Association of Notaries I-O N ;v P� C ) This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual o c Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: o a) ai ARTICLE IV-OFFICERS:Section 12.Power of Attorney. o m - Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or the -a >, President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety >o To c - any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall sN> 02` have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.When so executed,such"c9 Zv instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under the E M provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. o 0 ARTICLE XIII-Execution of Contracts:Section 5.Surety Bonds and Undertakings. Uo,- co Any officer of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairman or the president may prescribe,F- shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings, bonds,recognizances and other surety obligations.Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company.When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in- fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Authorization-By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed. I,Renee C.Llewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 26TH day of JANUARY , 2022 . P�.1NSUp P,�V INSV d 1NSU� ,.a°oaPokii.- o Q coAPor�r�?� P coaPog4T 40 3 3 b rn /�� • 1912 0 0 1919 t 1991 0 ` • By: d,,,a�aHu9 ,da 0 y H4rs 5"..b,* �s 'NoiANr da Renee C.Llewellyn,Assistant Secretary eh * 0' ‘y1 * 0 'YM * ties LMS-12873 LMIC OCIC WAIC Multi Co_062018 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 JAN 2 6 2022 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 I sea r'�°r.rtiF KEVIN EDWARD VEGA Notary Public•California Signature Los Angeles County s; Commission#2326181 S' ature of Notary Public My Comm.Expires Apr 29,2024 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): 0 Corporate Officer — Title(s): ❑ Partner — 0 Limited 0 General 0 Partner — 0 Limited ❑General 0 Individual 0 Attorney in Fact 0 Individual 0 Attorney in Fact 0 Trustee ❑Guardian or Conservator ❑Trustee 0 Guardian or Conservator ❑Other: 0 Other: Signer Is Representing: Signer Is Representing: gasvgroza ©2014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 L•4. DE5160 Geode-WWI F 75�LjD /}✓{,o41 i 53a11 PW441-12-61/, eA 9o293 Drr1CIfft giD s no pko . Avv. Fact,u& NAIc RE031) Dawn w1.0r i��P.tb pJ rtaml s1p- T')71 mod;toro dyetett4.,PcVE. CE. 1(0Sd gib 9 rpAn16-Dif171 ti•WAC`Y 21/?OZZ Frpo PH CVO tiv g64-JgGRGb} Qo&L1C wogsopFte 2Sevo - HUB' a6.1-1o4 p wcltC� g2i,NS i rA7rav Reccl ASV :aoct .\ City of Huntington Beach • Public Works Engineering PO Box 190' 2000 Main Street Huntington Beach,CA 92648.2702 ®6B�-s"aaam t9o, GTpIi City of Huntington Beach $1 "CLff4 �� 2000 Main Street ♦ Huntington Beach, CA 92648 -_ - __ (714) 536-5227 ♦ www.huntingtonbeachca.gov k �GF< o: o �g Office of the City Clerk ..... ��®� Robin Estanislau, City Clerk • July 24, 2024 PALP, Inc. - dba Excel Paving Company 2230 Lemon Avenue Long Beach, CA 90806 RE: Flow Line Half Round Drainage Inlet Structures on Main Street, 17th Street, and Orange Avenue— CC No. 1656 Enclosed please find your original bid bond for CC No. 1656. Sincerely, Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City: Anjo, Japan • Bond No. Bid Bond• BID BOND The American Institute of Architects, • MA Document No.A310(February, 1970 Edition) KNOW ALL MEN BY THESE PRESENTS,that we PALP Inc.dba Excel Paving Company as Principal hereinafter called the Principal,and Federal Insurance Company a corporation duly oiganized under the laws of the state of Indiana as Surety,hereinafter called the Surety, am held and firmly bound unto City of Huntington Beach • as Obligee,hereinafter called the Obligee,in the sum of Ten percent of the total amount of the bid Dollars (S 10% ), for the payment of which sum well and truly to be made,the said Principal and the said Surety,bind oruselves,our heirs;executors,administrators,successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the PrhanPal has submitted a bid for Flow Line Half Round Drainage Inlet Structures CC 1656 • NOW,THEREFORE,if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material famished in the prosecution therleof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds,if the Principal shall pay to the Obligee the diffieeence 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 mull and void,otherwise to remain in full force and effect. • Signed and sealed thiS 18th day of January , 2022 I sqt PALP Inc.dba Excel Paving Company Witness ' MARCIA S. MILLER, CORP. SECRETARY By: s P. Brown III, President Name/Title • Federal Insurance Company SAY (Seal) BY' ()L 44° Witness Douglas tpp Attoney-in-Fact ORSC 21328(5/97) ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On January 18, 2022 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp who proved to me on the basis of satisfactory evidence to be the persons)whose name(e) isfere subscribed to the within instrument and acknowledged to me that hefehe'44hey executed the same in hislhen+ +eir authorized capacity(ise), and that by hisfherftil it signature(e)on the instrument the person*, or the entity upon behalf of which the person(e)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. N 'swLO *ME�� .. DEBRASWANSONw COMM.#2335630 73 o NOTARY PUBLIC•CAUFORNIA ce=`-mow '- ORANGE COUNTY °"L°" MY COMM.EXP.NOV 10,2024 Signature t4 y,�.�1��% 6.:�,u1�� (Seal) CHUBB' • Po'werbf Attorney Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company Westchester Fire Insurance Company I ACE American Insurance Company Know All by These Presents,that FEDERAL INSURANCE COMPANY,an Indiana corporation,VIGILANT INSURANCE COMPANY,a New York corporation,PACIFIC INDEMNITY COMPANY,a Wisconsin corporation,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY corporations of the Commonwealth of Pennsylvania, do each hereby constitute and appoint Douglas A.Rapp and Timothy D.Rapp of Ladera Ranch,California — ------------ each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise,bonds and undertakings and other writings obligatory in the nature thereof(other than ball bonds)given or executed in the course of business,and any Instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to in said bonds or obligations. In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANYp have each executed and attested these presents and affixed their corporate seals on this 5m day of April,2 021. l. �JC�!a s`til^61. 3 +t .e‘ / r/( Dawn M.Chloros.Assistant Secretary Stephen M.Haney.Vice President STATE OF NEW JERSEY County of Hunterdon SS On this 5th day of April,2021 before Inc.a Notary Public of New Jersey,personally came Dawn M.Chloros and Stephen M.Haney,to me known to be Assistant Secretary and Vice President,respectively,of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY,the companies which executed the foregoing Power of Attorney,and the said Dawn M.Chloros and Stephen M.Haney,being by me duly sworn, severally and each for herself and himself did depose and say that they are Assistant Secretary and Vice President,respectively,of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY and know the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of said Companies;and that their signatures as such officers were duly affixed and subscribed by like authority. - Notarial Seal ,� ItAYrlawnE J.AD6 AAR 'es?' Mt. NOTARY PUBLIC OF NEW JERSEY No.2310085 Pueub Cammisaion Expires July 10,2024 Ndary Public C13Si CERTIFICATION Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY on August 30,2016; WESTCHESTER FIRE INSURANCE COMPANY on December 11,2006;and ACE AMERICAN INSURANCE COMPANY on March 20,2009: "RESOLVED,that the following authorizations relate to the execution,for and on behalf of the Company,of bonds,undertakings,recognizances,contracts and other written commitments of the Company entered Into In the ordinary course ofbusiness(each a'Written Commitment'): (1) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized to execute any Written Commitment for and on behalf ofthe Company,under the seal of the Company or otherwise. (2) Each duly appointed attorney-in-fact of the Company Is hereby authorized to execute any Written Commitment for and on behalf of the Company,under the seal of the Company or otherwise, to the extent that such action is authorized by the grant of powers provided for In such person's written appointment as such attorney-In-fact. (3) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized,for and on behalf of the Company,to appoint In writing any person the attorney-in- fact of the Company with full power and authority to execute,for and on behalf of the Company,under the seal of the Companyorotherwlse,sorh Written Commitments of the Company as may be specified in such written appointment,which specification may be by general type or class of Written Commitments or by specification of one or more particular Written Commitments. (4) Each of the Chairman,the President and the Vice Presidents of the Company Is hereby authorized,for and on behalf of the Company,to delegate In writing to any other officer of the Company the authority to execute,for and on behalf of the Company,under the Company's seal or otherwise,such Written Commitments of the Company as are specified in such written delegation,which specification may be by general type or class of Written Commitments or byspeclfication of one or more particular Written Commitments. (5) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution,and the seal of the Company,may be affixed by facsimile on such Written Commitment or written appointment or delegation. FURTHER RESOLVED,that the foregoing Resolution shall not be deemed to bean exclusive statement of the powers and authority of officers,employees and otherpersons to act for and on behalf of the Company,and such Resolution shall notllmk or otherwise affect the exercise of any such power or authority otherwise validly granted or vested." I,Dawn M.Chloros,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY(the"Companies")do hereby certify that (i) the foregoing Resolutions adopted by the Board of Directors of the Companies are true,correct and in full force and effect, (ii) the foregoing Power of Attorney Is true,correct and In full force and effect. Given under my hand and seals of said Companies at Whitehouse Station,NJ,this January 18,2022 • (0) OW ,otil 41-io 414 Dawn hi.Chloral,Assistant Secretary IN THE EVENT YOU WISH TO VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER.PLEASE CONTACT US AT: Telephone(908)903-3493 Fax(908)903.3656 e-mail:surety@chubb.com Combined:FED-VIG-PI-WFIC-AAIC(rev.11-18) 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 JAN 21 2022 before me, Myisha Monique Riven ,Notary Public, (Here insert name and title of the officer) personally appeared Curtis P. Brown Ill and Marcia S. Miller who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s)Kare subscribed to the within instrument and acknowledged to me that lt/s e/they executed the same in t s/Wr/their authorized capacity(ies), and that by h$/lyr/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. � MYISHA MONIQUE RIVEN WITNESS my hand and official seal. a �. � COMM.N23770o to � �9., Notary Public-California I LOSANGELESOUTLL/► 01>PA- y Comm.Fins Sep 30,2025 v` (Notary Seal) Signature of No Public ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in California must contain verbiage exactly as DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary section or a separate acknowledgment form must be properly completed and attached to that document. The only exception is if a document is to be recorded outside of California.In such instances,any alternative (Title or description of attached document) acknowledgment verbiage as may be printed on such a document so long as the verbiage does not require the notary to do something that is illegal for a notary in California (i.e. certifying the authorized capacity of the signer). Please check the (Title or description of attached document continued) document carefully for proper notarial wording and attach this form if required. • State and County information must be the State and County where the document Number of Pages Document Date signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which must also be the same date the acknowledgment is completed. (Additional information) • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title(notary public). • Print the names) 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. CI Individual(S) he/she/the),-is/e e)or circling the correct forms.Failure to correctly indicate this information may lead to rejection of document recording. ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines.If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. El Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. ❑ Attorney-in-Fact . Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. ❑ Other :. Indicate title or type of attached document,number of pages and date. . Indicate the capacity claimed by the signer.If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). • Securely attach this document to the signed document C 2004-2015 ProLink Signing Service,Inc—All Rights Reserved www.TheProLink.com—Nationwide Notary Service PALP INC DE3A EXCEL PAVING 2230 i EMON AVE LONG LIEAeH, CA 9U606 Col Of killiAsh AIM 6e4 a • OMeE Vousts 4 1000 Mk) T v\vogiNnsier% fardt gis. cA A 24 il 8 opt,.... IA)nig 126 60 LA-4 MA;L 'D0 01 --.' • 61;3 , i o be04 e,ON* "- - ' OFFICIAL BID SECURITY -DO NOT OPEN { Project Name: Flow Line Half Round Drainage Inlet Structures on Main Street, Street, 4 U •{. . - and Orange Avenue t ,. *, - CC #: 1656 n K r cw , " �r*` Bid Opening Date: January 27, 2022 at 2:00 p.m: ++ a INg7.67- City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 � -__-_ (714) 536-5227 ♦ www.huntingtonbeachca.gov ��®� << - Office of the City Clerk CpUNTY �P��6 Robin Estanislau, City Clerk April 5, 2024 T.E. Roberts, Inc. 17771 Mitchell N Irvine, CA 92614 RE: Flow Line Half Round Drainage Inlet Structures on Main Street, 17th Street, and Orange Avenue— CC No. 1656 _ Enclosed please find your original bid bond for CC No. 1656. Sincerely, 9-40$4441,111u) Robin Estanislau, CMC City Clerk RE:ds Enclosure • Sister City: Anjo, Japan /1- ADDENDMI-NO. 1 now-Lm HALF, , DRAINAGEINLET STRUCTERE, , ON OLJN:- STREET;171itSTRE:XT ( N : EtE ' fl the ciTY r11071140:10N stAqi. ..111 . „ 'Orgokv: • f .„. 00.4Yklat,CSTOKT 110$111OUKOMett:tttiORINTrivo2648 (74.4100:1y,F4- 1041014„40) :Iaituanr ia,11122 N9.tigglilAWW4004: Please note th tplti*IhgqetaffAeatioaa,f44 thel,0100 1$17eotkottop*,00 Standard Ns* 004A 1. 1%**0-ti***0-',UCTION4,0PV:r&VI:(kftMttrA,n.V BID 08T.,04:110, ';''WeAlf111,;:;461/10(140 PM ,ativEIVIME 8C00 INVITING BIDS PMR,MTIONWT01:10W, !gratt*N 348, DE SP 'MX,r,,•:HMOVISI:01441SjfEnW,REVItatIO , A4bAlitIOVIVe$:01:0:64ditagt00dil"Alpplitts.The 01410400-1440(*required kiPt971,4.0.0-iti.41k.f.0411 materialo'for ',--)P0';h4S,t0:0404:0/*-05:aiiii#0,4***4,404000,Triorto 0,r0*1:4- 4otaity MOO* p,MMA!”;:64.A.14ttMtbilikag*DETATL,rsnun 't-GIIMACt futiTOWYWINO"OR EQUAL"MATERIALS: a. ‘;1/100$;#00444.0k9.0*:#04#.400.11.4.0 equipment ti:44:4101.4,0**0 *:#4.4100400,46011_ aeto be 316 SS sthnles steel,Tliotiatfitiolf . $08:104:000,0(afeol. This review df:Adtiuu4unNorrtbgrOne dated January Ig 22 4 ' . -re Izet, ' nC c.PopitoylgovBy , ittitd4 . . llittdtiuttututt.klemwletip and include th elocr4p1..orthis— Addouduru with yoiw bid proposal Should you 11:06.W.4iitSitetig itoadiulitii*AgodumpliauAll Mark t&i410490.9.47,14091 vOl.rt•24)roor$:040$.010, • SECTION PROPOSAL I(fit,THEO.:034$1:AVOrt.O.POr FLOWIINEIIALF ROUND DRAINAGE INLET ON MAIN STREET, 17th STREET, ORANGE AVENUE CC 14.0* 1656 IN THE Oft OVIIIITNITISTG BEACH TO THE itONORABLE MATQA.ANW:14:101r THE Ini':compliance with the Notice Inviting Electronic Bids, the undersigned hereby proposes and ogoo$:topeff'...otio- all the work therein described, and to furnish all labor,material?- ,t an • 14040ttt4.,10**10g#0.0$0#':***tOt;in 400f,4440;1%84t.t.10*,;04.0:i.sv4p0011g4tiotikofi file in 0140*xorthg‘44r,Engineer of the city of Huntington Beach. !.-11*'.44'.444i.gisteogros-toiorom the worktherein t0;•;:t1W.':§atiaieliiiti of and etitOeF:lhe§ppg0AitfA. of tfigicelilktig4iedialh0 city of Huntington Beach,and to enter into a contract at the following prices. The,4,:dorogn4iggrgos, to complete the work within 50 working idoyo.k.7:4*."-JttriottilltOtitt*Ottite Notice to Proceed with Work i4.:1TOr materials are APPgg,404.4.rOk,that this isbased upon carefulexamination ofthe work site, plans, specifications,Exhibits, Instructions to 44144,o.takOltotligt:,0owa7ot documents., this pterpool is *04p.:tod for award, BIDDER agrees to enter ._o:9T000*.tfto:ANm4ttho:ooit*tttot lump sum prices set forth in the following 014 i$401.01* BIDDER understands that.tOthge to enter into a contract in tt***jtiot'000.tio*:.ptotottjo4 will result i the guaranty accompanying this : . . . •. BIDDER understands thot a hi4;lo:f_ecittite:4 for ttic edam work, that the estimated quantities set 01tik;44,thglatili,Sghedttle it,e§tiletyferthe,ppR: ose of comparing bids and that final compensation under thewill be.6a.od upon the actual quantities of work satisfactorily completed.. THE A:6tktr:RESERVa$T7Waigtcxfir TO tittfTE ATW.It.t:.M,PttdktittEC.ONTPACT.: If* agreed that the unit and/or lump sum prices bid include all appurtenant expenses,04:.04;t6, and will i*gtf4r44t004 tOtApotioai:of sixty days fthiitthel$*.iipepix*date. Ifat 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 0-440..*gto,p*t 0401.1ito.-4*445.060i Atid:w04::,.$404 goyim. over figures.., . . „ . . . ,. ..„, , af'-'k•g*.atile.d..the rcnitiSk t,Ilp 417,40.0igtle44g,q040 Tit the?..tVdtitali*01131f).EirS!.•ikkatift fit, ,., e-e,....:., A...4.000:gt40-teqpii-0#0-titeaaalid;.;.fiiiiig.the,:bece§ 4.16:;:b044w4 ig$Pr4110:#700:100t4Nitbi00 i. 04tIe days after the date of 40tXOr$noitof;te4.**i i of contract 4.0.-010;BIDDER,jit.07 00.0*of:.t.ho security g000sokt:this bidii114,4;iNoo.00iOio.otooq,,,,ofi..04:AGENCY oil CO 1$004010*oop:040 hogarkokko*o:A0ENOVS,0****fotko4 001'04 0.14 *potoviog#14,000.00 of WA'.tiataAi.,&:1501-41e*Atit: ifitheOlottotoriti6,1.::00:).A*ii44. 44:411i.'4*.t:Ot$,.*,%:•0001.10*001A0,iii"01.4i: :as.ail;;644.6ki pi,1*.4itetititieatyllietii'dee ttoilikt$14-4140 V.4:$?,,?p.v4iiii1o. to the liZtigt•.:17., (Please insert A*;...%ofs,iv4ii itcjitiriod Check1 9e0146.11001.aror,. %%.00:titO case iiiq Ni .I.(aiyttiliiiitot'5Orctji10.0944,:txmil -aatptiibit. WWII shall oo*woo,of 411::,-.Aadifida.Na*ifaut • i;),.•:;40.*$.4.*P414.,nli r. 1:00ik,* gi:1,ed..., ::,::: :f' ' , I: _,..: Atirelwiwooto* "1, -- -1.1....- ;''. .4.‘tritzari 11,424,1, ..: .r, • . , . _ ._ _ . _ „„., . . ,_ e_• ... ... ., ... e, . . . .,. .„.,. „... . ..• •1•,-. . . 4,4 . .. e......__,,_ BID FLOW tNE WAtF kofititti 1.NAT'PRON,A,AEVE1—,r4c1:14 • , • MAIN SI.IfFiEtt 41*.tr,i3EEFF ANabilANOEArrAtue -• .1.141t OLIAVIITY! PRME : .. MOUNT' . 094CIV„E3MXPISFq .,9F,P.,061.04,q-,P9M3it,G,47:TWARIgri.49NcRE7.i',:,, -41,0t7 i,46161tEr-6060.0.0x0coftts0P-ko,Atztcb,.. pqr.:isiPi*FLow„ • ugg*tt-I-da6logetikkINAdeelikPewm41-Vigr44-A4LC „ i At-rpt..leatmiorii&AtitcermErickilitsoteiFt6itita , t, • VrA140011:PulgPg(10,NOMPERSY. orm.latcvAmotgoworrrettowoRmq One:Oil:1On ::;ct" 1-it:;Itt&reA Uft/6{e4tittt,'540.10k.tii.4**44.24.9t.,,,,acnaimitrivtgootowahitfosttafoigoidfr*Authoiaiiiiiiiiitt-si ait-e=6;44'... eiiimitioniet;'awboatitt0134itrmata:m.c.„t;c9104ioncottotiote01:44%, MY' " • • . LIST OVAIBCONTRACTQA$ Itt 0001,04.5a*itk 00y.ohttott,,c04 1$':-.d 41att-4 tiO4t the0100' t sflat1,:w Barth AO..Oolto oo4, btisi#0.4444it$:$4t700k**gi)*4910..t'408vitli*t*tot,*0-*or somiOo.TtoI*0.a.00.00., :.444 4000 ii.t.an'.•*#.044t lit*c0:0$,tir 41*1*.0,.':rOP0'470.*00.0.'fiaith*vtit',..tga of$.t-0;(i.:00:;.: *b,10* t14410::(0t;and the pottOorit•Ol'tho*olik.':td4o::40.nb 'iw:.glt$0.1440:0,40.0* . . 0:14 Arain&:-thidAd*Wt.of 3.0iite 1 i Class :24410V,Vle. [i ,ftelliii . 'V:0 f :k„..... , hen(s) $140.0ft.114.0.0b FLIcense -,! : R.Ts.. • Ow C 1 Amounte.,..C.Oilit4.0( . . ,, ... _ . ,..,.: , ...... „ ::::::::',,•,,i,' A,, lf,v:06,0"..A .rnail:H''.:409PP. ':,- li)'t..4'4.0744,t:IN.13.n0:t . • . .. ., .).i , . . . . . . . : . . . ,,, • . t - . . ., . I I,'I . ., . • ..1 1 f -, 0 . r0. • ! •• ,;i• ',f ; .. „.,, 1 :•:, •i: :: 1•1 ., •.. . .. . . , •, , it , . „ . . , 1. , .1. . . •. 1... •• . i f ; • . • . . !; : $3!'.0„4:401,10.i011Aiti*$1 proposal,:040.11iiiiie t.eeftiffeiv . 1,„„ 'That he is able Wand wit):potato:4 lust$.6%,:ottito total ikfaik a nat;the:balance-Ora Akaik84.hialirWitatta*OedAhe;'..ahavg:,.sghcantractots hd4g,:. „........ . .. ,,, .•• . 2,-. That the AGENCY Will:bk toti4lied0.01).10 ,or4lt,s01)0*404 entered Iiiiitq and 1$soo-4.. 'ifutti14.1.04ftyl$04go.trgciorfOtilitrtoigot . . . .... „. . .. . . . :. „ ... ,„ _...„,.„...... , „ . . . . ..,., . ......_ . .. ,... _ . .. . . . . ONttJttltglOri amwr ft.,. OE EUCTI:TtI)wrsittODEA.A.t0-,S01-_-)A1*.trtbriatitto . ,. I.,a044170,v040t PAPAtt.Y 40*.otigia.m4oftlio.*(0,„ofrorottio that the eg #:*,$.4.:PV00t.44,014.06i4io**-004:$. at iti P41,0 • /..$1H40 : 7.:fit'ywo:F* bons*4 4. es d sos thalit(or she is Wesk&eri„..t: of 117t..)gtier.i.;:tilm:, die pg-ivIDW:#0,-*. '..t.049itigitig*AtkiitOU:t.totitotiftoitttostot r on the behaff of any roattildtthitil..editi4yykm9.04ttmi monizotippii,pt go;=po_.0otwth4t.ihe bid i genuui and 41tit *611iiii*:00407,,lrfathooitOolios.:.6.4titi*I*:or-10:0011444441:*$:Olioito4opyt ofttottfa4er. tG poit in a r400'.11.)rih.*ofeji en4 60,0t41404*0444** colluded,0.baaijite4;:0011.04 or agreed:,with..441'Oidi*or anyone else to Wt.).104 4.1*0 bids or anyone*64 refrain from bladliim that the bidder has not directly or itgi:#0_P*,sought b a:,6teSe:t*.gt communication, that of dAy-,.9*r:1;iick,ior,,.pr.* seur any advantage against the pubic body MY:44**o contract pf agy:6ine incerestd in the contained- the bkiArclilgkgit0j,f,pagr;that iho:todor has. no directly 9-TNIKOIN giNOCMOiszoikt bi4pike:;7.16r4h....ytttaf4oWii.therecictrr the'.:ecin*** *dee Atiiittidditiftriniattory-pr data rgja:lk**et7gfpi,s*-paid,Atayilrt:*otpay feet any , t , crporatio patvie Nip yast tiat. • .,71Van -0 113111MAinzation,NO*WattPt7,Pt10,4p7.1g,Ottivror e.althergoft00.kPigatg4.0/14*0,:017.4114. • Itt,Abt7f:e4t,k6t., Nathtitatir4o $.40-..t.41So.:4.M.4T*4$11*** A171.1-MihkItitg.,610t,vtaitt-tfOl: • ,'.CALIFORNIA.30ritAT GOVERNMENT C00.0112$001. • . , •, , - „; .• . Abitit.407070101k,i0t Oltfel officer completingiihisgcerifficate verifies citify fli&fdailfity of the individual Wftei signed is not14itnithfoittest•--attutagy,or kAirdfty.of'that ttattitf,C4iffaittira countyof • Subscribed 0.44sWitirt*:*(0'0tffirgc.),:#0-19;r0 me on this' r4v-Al., day*r...,11•111,1CONI . 20 2.2, 1000 Montlr Year V:VVYYON''' bettS Name(s)cf-Signer(s) - Orange county • :A010.0,0:40:11: 04: 004 - 4.] i#6**A•wfrit0.drk4kiO$lt1oos,of'soifootory,:orogterlct0.' c0.00*0443.824.0..„ be the.person(s)who appeared before me. *tattii*:. • Place-IC/61aq''Seal ,S101,OitireteNotc*Piiiite ..„ - OPTIONAL Completing this information can deter alteration ofe.14 document or • • fraudulent reattachment form to an unintended document. • „ ... • • . • Descriptionof Attached Document Title or Type of Document: .,„.. . , accumerii:i5atav • " „, • ,$1017104)Other Than _ „. • . . 7.:•42• 1-4:,-1.LFS, Z..;:e.Z-i Zi.474 1:• 1 " 62004iitibiiariNtitaryA48dtiatidet, •• •• . -"•• • , • . . • - • . „... . • .„. tftlu-,:litikditEkmEra tioN001000.44A,YY,Op40.0,WIVOMNOM ttf„r8e,Or TFVN:jtOT.G1,0N)1:tkCltCALIFOflNIA tiattht.orbitise .#4 ggm4,11**Itiolporfimoin4fitio,:woikgikaod tithe. cotimii 1i00 ROUND DRAPIA.OA.mar mvortuf$ ON MAPr$LIREtAiIrn5Mtlt:01$ORANE Mt**OXwOliOviitt ernçloy and vatie oat Oolifitd*thoh;4000LTIO*040-041*,,wpfk n prOmitxa to any otattidit isecondary or tranmsQn feiIties The teii ualified Persona j§:44,11 gieritktOIRO0.4 Sig041.1100i$00110w, NO-0441.-VO** kp.gtiotoki hyt0000f opvioo,QY,io*go4*St*gto:.oith,.th • OPooto 0,to kpoetiol.4and the 114744ss:0#44.4 The wido*tood.,4:1*tiointi**4-#--:g*$Agoil sii-4**(0411t10 perfbrwre4 tn accordance With 411 op1!obk*TiOrkaot40 oompgtesooiro,t* ;'Nbw tftirwtoittiiti§aolvaati* The undgr4.0441bg.',PrOPTIS44114 VAIAfrAtt*PrONViditt herein,shall he and are binding avoit46: tibWiittAdofi*Aibuotift*T:**Opytlotot404.*optomf.tw the gotto4to4 4114:thatftmirogigo01:441114: :$io04Latilit4taty,tti a4a4re.:p41101gg'0,any said tlibdon#409M 4.4'qcl.ift*:tM;*iihlth:00Vlk4Xotus.000toihtittit T. oxittooto .,; 'Tv F40,15i, !?. ba.Ot? DISQVALWICATIONVIMSTIONN : ti,acoaortfze"-yoltil' Ocw.,0i.411.4000:dg IL.tat,62,:t*e-stidadi-thAIT cortipkte.under penalty of rdildividtqte&i9a44-47.§: OUESTIONN tlasihe_Bidekr.nity;ofacetOf the thddet ot,any:,ernplOyed of the Bidder Who has a proprlotary interest ui.the,Biddetevet beer0l4taliffgag,rumocqd or otherwise prOetigd front btdcthxg,on or 40111Vtetilig:AIedt,Stare or IoI government prOlgOt:,becuuwof a violation of law or safety regulation?: crY04. IN,to IftticAriswer expi4g1 the,dlitUtristarices• t1W• sPac,e PrqVidgit, „ . . _ Nbte This questionnaire constitutes a p„art Orli*,yrppp$at,and signature potOott Proposal•shift eqoiltat6t titie'Stionnare.. "OrviP'ENSATION1 .ThiStletiCERTIFtelak idstianitbiSiiititillUi 401-elSthte'titi..0.t,C, :040,7.,g.,adkc.0"-ntrac--to,t.t6.‘,.*:(1.0m—:'ssiitiblicw-biiics-„totteaot s tidorawatatitih41'1 4litx-ifig' .E.0110figgetti- Dew,.. ,.. , ....... . '' t,Section-j1001 of the 1460 060,*fish fp.iFigite#Y,IgSf., T 401 aware:01 APO Pto9.1$10s.-0::,„ -, -''‘, ' ... :-..'• .:. * ,. a ,--iblii. /iAtion,,,br,06)undertake,s ,.. employer to b:O.#1,:§404414gat4t140...01(1. r'w-0,rk,r7 ',.' pe .„., -,, . , . ,,... itt$144ifet,in FAdtOtilinee.. with the provisions','or'iti-.,.„'t 6.gle„' , -.4.0,4'.I.-vto„to. irpty:with such titO rielthifilaitde,Ottfit imodrcort-117-qgpt, 001t.A00, ,.. .., , . _ - .AtTcst.tAtri,;.. „ , .go ...1 i-, Tali; ' Date ,klanu.4.-It. . , .,US—. C4.,.. , . . • • 'RWDEW'Si„ItOaffAAgttON . , J31,4:4011400.1 riNtiff:‘, . . itSineSs Aada,§§, State Zip (114: ):ttia;,,46„6-1,51: 7.01,01igoz144444bgr t,$idit;!6niii440$"'"cLiiaaN'..4,,,iiii&Otigs:'• " " • • eernbr 2. . . 00g410tP4**:*..A.-J ttob, * Erationate I.h,e!work:$1te wAoilitlotttit: gteteiM teir tifiluroffice4nAiOutcl ilEtt 'The.:17411:0400orglo-Pmt:§4 0.0.mio.o.agoiviotatiou:14*14 interest in this pF9.pn* Ekre,..„ t.,t4 cne . P:Af4ttive. get.'Yet:400,i . . „.. Lc er yfe, -r,yt:..ettac6t oo*t0004;to of4P-4t04:*.otioy'Oiolcoogit:scit*p. ottiottiiilgtott:tto*h ofittoNtio, - • ,..,tinaicaiLy or 0010** to 0000 the',00014:4 tot the prcposed work and T*P.NYe PrOtit$ In r4dg16fa4t140oitbktho',ii-*,OgfgPg0t.00AOA$set tbr& . ,„„.........„.„„ •Itii,11.0*4„ çY tS . . „ . _ _ . 11,4.101VCERXIFIC.*TE: s*Oka,..tp befote:titeilifs, O . t(11 A notary public or..0114 officer completing th certificate verifies on;-•the zdentity of the iit4iitd4w:Who '04noti:the 0,01-404.is.k; t6,cito0,, and iiot the 4.1.0101g 4gpqr.,agYk,gtvgriKkOill2at document. Siate.cit ) iptymilt:41.0VP A County of before Month,Day4 and Year '1114 ert::;14:417,Wailt•Vd0 00tottrY,' P ,.17,s9! 1Y NWP-40 aS1P044) • 70410 plt03441..0,10 *4:'orgtitis&Ote0 0:.:i401(*to be 010:1?- ()400 name 6)414rp. 00kribidd,ffrtbe*Wm' 04001*and 4e1,09.*14:40:4-0,Ole thathokorthoy Oktit0 the same in iii$theilthettA4*—gaico4-440,toi and that 0(4),:m git1141h.O. _ .porgo*.01 liOtiallor4h10114114:0i0i10) eetitleitit4lOrpept &day: under ENAIiTY OF PERRJW under the:two,of the State At,California that the 0244: utie aiid correct iiirtiat4044,0010141$0it :Situfe $'10„,44#0:0tVotcl*NtitiO (pLACENOTARY SEAL VE7r, • „ :C46: 11 , • CALIFORNIA ACKNOWLEDGMENT - itivtLotgyottge ,,,,,,,,,,,,I,..1,:i...,:r.,..1:,..„.1,..-r,...v.,i..,V.,-,::::,1,44.7.:,'1,77..71...V-1.?'..1?..7,....r....1`,4".:Y:E.1..„.7.'„,i'-:-..:7::,..Z:•.,:...•:•::::'-..,!:::::-.V;I:.,V.,,,,.'.Z,I;:•.:!,:Z:,,t77..,,,I.,:,"+77.?.. .1:::::'S;::::::. 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"- ', . - --•--:'-'-''''''i---'.:--.. ".. N6rO *Heiti) .,, . . . . who pf.09.ict't".a::...itfeccfi.ff,th4ttidso of taftsfal06.0,diwi4e-ri0...f01):01,t0•.W 9,11(4.y*Ii,.0.',A47.0):;11#(t)ls',..,.6r. subscribed to It50 WINK thttruolerA'),and,z614113‘41b494...tq'kg:t4PjPlftii., A6.01/:.0),OcUtpdTtihei31.4.610Tri.hfiiheeitfieir Authorized..OeOracti)i(iei)i.,AhOthet'jlVithrhetAffiAir 1.driAtilit0.),bit ttl:0-tiar:':Triifiktitihi-,per.,s'lori(i&7.,or4f*erifffyt . upon behalfOf vih.101t't.t*P".P.I:PP(.0)%M00i:ft.O.S.otilk0 tte ihstilitheht feerti*underttiiiiitLW,:d#Otkiilikq4ridot the ., ..,:i ,, ,,,A,ii.,.,-,,,• ,.,,,,,,,..,......,,,,,,....,A,... ili,.., . '.'ii.4§1ii:;foe. :i-a'l7.44.t.'d',AiftO.rI4AiitiiAj....ihe.:i.Oei.O.'jrIT:.Ii .41.1044-: .--'',..: , paragraph. Tolitt4:0:110ittieret. ' ' : :'t•...,..taf;'-'.1- .-.ii*ii%#:,Kiiiii6•c.olitiiiiita.(= '••• . -...--'061*Oiiiii*::: . ' .1:' ' - -.1(*0001*f(iiV*tid**,014# 0.4k; -,-.400000X104$:4:. . .,.' tifi.,4i1 . . - .,;,,,---.„-.--,--.,,- „ '..':'..--.,,-;,,-,,,::- . . ,•::. a :140 -- ''''-gt .',. ',.''-- '--, -[••:''''''''''.',-,'-,i, .- - . - , ,kiiieiVegerq!,§6dt;tittlitit'Steiffil$•Atieffie, - ' $0712k-re 0:f14000rf494#0' .. .: -74 '2: :,.. . Otii,jtcp44", •., ., tort01010 fif,f '06r-rtiefecot tdrfdetoroiroototorffi#,,00:otibletit,047 .,. 'fretudthrentrediachmet.70044fq,V4:04k.400A41404.40e.0.0,04,1.t; 0:eialiptigiti:.,:oCAfitathedMogOtifeert .. ' Iifi#::t1,0-7:r7.4.0. ,,.,-0 btititeiiit:... '-,---- ,..- ,..,',., ' , - .--' • .----•-: - . ------ . ''-- : ' -- ' ' - '' • ,.(tki:d'-o'ttieii:itt'.6 tel:".,„;,,,.:'...,,::;1,.2-1,7.7„,1. .7::,.....:1::',„... ...1:.-;-....:.'.. '... ,„. : ...-;:i. _ -!.,.,....,,-.A:(4616ettiii;14.4.0:. .• Signei,(4 Oth6r.'•-71.0abiitit'4iitcli,A.b.c)",ii*,: . - .-....:.- .....- .4. -:.:1..."--,....„..,,....-:.•--......,..•,.....:-. :..::::-...,.:.:. .'. ..s.,:, ... ....::..- :. .-,:". ; . , , . „,..,. . - ". • .::: .•:.„ ,..,...; , ..,..... , tiiii.alik06.4iti4feit6tViii:Sigiiei,f0-. - - •.' ' '• '•''' ''- ' - .• ' .'. •- •— - ' - 162-14. iters dame .'••-:.::::, . ......-.„__.,.„...,...,.'..1. .....• „. ...., signerrs:N4me • :.c)gt;•rporoto.,:cfri4r..._,TitIoNr...,,..:......,. „. .. .........,..,,,_.._.. Corporateokyegticet 44..ttfejslf...,, ..„,.. ... „. . . ,. . P, Partner- la.41,1t4g4-P:q.orgrali -- ,0.Partner----,:::0 Limited PM,Zeneral. -,-1:tclixiiii441 ''''.:.-''•''' '.:-.T'tt,•54s4itOfi146•4 itf.-.F4.tti- - -4 Individual -10.Attorrfer itrf* •:. ...:d tikJ:'...: ii e: :','. ' ' :6;..6tiAiirA-dr..deiiie"i44taii ..ciiietAtiez:: __ . .: JO GuardtattrOontevator .: ,.. 8.10045f13*O.i.0:*dhtiiZ. ,''' --' '',--- , - -,,' - . - ,' - '. tg(310,tis;, 00,0sellli0-0,:-•---- -- . :.;,,,,;:;.,:,:.:;:y::,.. 7.,.,-_-":".'''L,•,:,,,, -:.-,-,,,,-.,-,....-2.,,-.....- .:::::.1,,,,:, -"..---,..:::..,,,,,,,--..:,f,_--..',.,-::-'2.-:',,.::,:-:-...--f,f---.[,:'-:.:'.:;-:-.,'.--;.e.,:-.--1'..:.-::-:.'-:: ',:'.7.--,....,-.7.:-,-[:';:',..'::::-::.:,_.,-...-..,-.-...,---.•--::',':.::y:-.-.,.. , ., ...4',4,:.4,4:.4.,...L'...4,4,..-4,,.....4.,4.4.;.4.41‘.4:,,4,1?1,,,I,..4,4,:,4,14:1:4.y,,,,,,,,.t..'.4f t'-',4,•.4,:4.7,;4....',4‘,1.4.4"',1,...-.:Z:!4.:.4.:14.:4".4.,,..47.,`;‘,.4,;.4.. ...f..,,,4,74:44:4.4,,,,4:44 ,:„.,..4%.,.4.,:,4„,,,4,::::4,,,,tr,,41f.44: „.44.4'.±.,„,4.:.,. , , - . 42010 :19.6:tht1061)N041NA#4 d101,00 • gairtER100.40 HISTORY . . the pat.po-sg$:of-0-oSiO.t,i:fh*ti040r. l0f411 prOf# prod)600 .:.poe,c4jty 0100.400filro construction of l*soif0 VW*work and 4.00001#02iesa0c t'or profect For example,"Construction of drainage inlet ruCture and titib ind tutter for 0itm.o:$•,*4.pp.o**g4* :.4iirrii**.0*.0:.W*10:.**tti6Mii4O.y4dif4.10 to the projects ,Listed below are thenames adcfress,-*401.000.1*:00:1).thgt$10.41.iiittkihitilk agencies for which 4,1**144r*pottotiodliaiiiii4tvdit.iiittiiiithoT*gypsyc,gg 401.;-6:0L:14.74( it: Veti CaCt:teriterr itifxrt AtarFtittstaintrv':', 140.4*.04d,':1'e1etifiei*No..,,.6111/4.410tlaaoagott 41* , 06,tAtt4<6Wtels.,. . „... 049:064 .1,0001Votk, 1):00•0.00.010.04 Pktivi4.40404:000440:00.4.0.,1141.10WVOira work ;ROViit iovc:: 0 Atottito grof:m4atti,Avtictutitt:tioitt, 2 em:fekt6rii.41.104d, $.000 Oditit066.4$No ofl'rojeet Manager, VffW:at-4A 4h61., . _ 'I*ow:6A Date..C . nt4 4-#v: 43- &My Arta rtst-m,titttio (efii 6tol'At" • 14,ft#;1014,1torotjov,$4,,,;a00:10.0:cm40-$.01.f :?.W.4.,,WiirOitiertttit Ifitil4+;t5.4q.-, , . o1o :511i*pe Ntiy.y r64iirttift . , - . " „ , . .•,„„... _„ 'Coritr.440:010 Typd„lifVoric *01.40*Mtitail*.t*t40.§04** $11Pw741Wikvok.; witti xdoteett _.„. ....„ _....... •. UijO . „.. . .‘ . •• • ti*OfittiK4r.ktliotgoios-ofthoitii14ttos-.0700440. tooAg..:00:110ig*flt*iwor.„,044 SupennendenL For each of these cnticaI P4si*O*01W4114:*.104**047t4iO4i roo*hi44 00,:040.1*Aff has Pofo:kv:04,:.01)ii*-94.**1001in the 1as fiye ygott,:'•Thopiolereti.c&i•A4 have under the employment of*0 4(40o0t00041* .$i.iikt...****#440.404 0,1)0t :gppiyjo#Toofoiooi ptojigthI‘ottlii„.-044iiko ióject 14utid.F.tiftikeisktpkojeotiMAillar-.:.:' 17.4cogne.,.:110.1 00.0110..o.AProloatittovit üY . . . .Attictetyb,ttthEttiMAitiGio :Coir4c.tAmolzi,it ' ,100f.d.0'60000 kettivocfoLsAii f.4.-1øo Unoxnura 1Ytal.:4iftee6, 10-01:14N*4,:.4 Ootiii4ot.Alttotitit tOttrwtstk, - tiit*:.6t*W1 erteMiliAL Jtiille*,t70)„,atral • rniedtiippik.d,Sopeiiiitander4 . UcrU tn 4j . I1ti4itf4 N.WaUttio.4:00*oo.i.A*6otii Oottoigtof „ Pok 4.14mg 014 1).*c9.1.4$140 4011." It.0,414,4Koi;* öntract AMótIY:te91*.0.1t: 0.47totbtivfoiod".: , „ _ COMMCkWiltAITON VITO ICAUFORISIXIMPAATMENT„.,.. ..„. . .„.9fmontitytLATIONStklititYtkitTitIOATE:', pursuant $.$$,.$4Orttrig7t:itotta the Wist.ti4siatroi$013-4k. P„*I:*o.„„:V'AO.Ai„Og::tAT:Ni$1W4„**Ottk*ig*V4f1*1.*flFltqi*.:.:tt0jiS:5,j**i*i0*t* all ort.kko00,',6#4 subcontractQrs 00004-A4.,!.*fott*g work on polio:,Midiik§; lrojects to register ;*„0:#1.1.41;holt(eachthrough hi*:54,ttate:i,:eiso*yogi)40;i60„‘Wi01:04, POWettatiltailithigtii#1-14140.9wagliOtglajtitiOMOttii*.t.tfittidilitolqptiatiolififor tiaii,titttittdetetiqd*hat apiAbIic,v,tig#4,:..gpfitrgsgtluvutejlawataAtiti sign the piR.m.t..7sma:ons$ 0* litq,wwitax44011),IsEiPtibliework,5404$4F4fShet:.,..001,1Age . 522-6734 4itt$A01:401i440:;vP*C:W*t10.$*..10.ilop.0o.o,--7xi4t4ii)V-Oti„d.*.otoiii„$iWoi blit4„00#0..tfil.Wistotiim.5:401014f4440.4..$0t ht:.*.#4„tio„g.**P*h*itt00„di*h'„;4otioo::,. ly ith lie: Vixis•-•1146e :bide Stit6t -ee ksgiteatittwt •comp . r - ,171; frstat„ _ tititrattbitaidEctidebe quatilled*kXv:tfi,*:j.iirsrCita aitpt,paat ;,.§4.1404011gtgroltomoms-ottddikwiCa4„atlid,Pfibli&Eitontract gq*„-poggaggi.*** performance of contract for Ohl*work, deine4 In this ehapter, unless wrent1 ._ register and'4,44&il to Ptethiiii,'06„fid work:PY„Pwklo Section 1725.5 It not violation 4.010.$016it'fOr.4d bilt4*****40000.,400114,14:01.4 t4i440.4#001i,y' section 702041 „Ottlig Bnsmss and fesiogs Code orby$07.01.0 11464 0r201va.5.of •the ff.0,11ope.0.0#474 t.,k0.„Y„f„4.4t the contractor to perforni pti..40 wok ..p.totootoutott 17,204at th lime 0i046titi40A 4Wiided7 f04 I*****Ito:6-#45.0.-0Y,***4 WOO to-.0g4itio with„Dtg****1.1i40:0.11404004 4$2,1410.1.1* tolititder • glirTifi*i.0:10.004 • Eu .:Regave Datet yAi'datok.c t1:01t, !NIT.RegtOrttion4.!!:. 1:cxacitY66.mo.„. . it4bi . DO:ii*OttiOlt Ind:Istria Rglattons . , tctfUo „. . -""" ahan l•mot*.„ , mo.F.Rnamp; #10 V-Sr4 .1=CCItti,H #4.•':14*.'6;4%.•'; 111.16rti, **: '4174r0=4414:40:]kiii;44f 6V:.:44;t4i0,4:04;4416 X*!..*0.440i4400e.tri44144211,110:Cat14,X214604 tf***0.0e.•, AS.64.**i • c#.541t.1,76.0.4.41' lows • • ;Y.!•01#11# 1,409.4.4r•Ple.V )1.0.42.40.vrc 4arro:trintSi•iiist 1*.01,44iiii*.0*W°4004i." • Vitiekaxupensaiical • Arm Intit *Ofilfe0.0 YO'CiVrtgic.: :0)04. tseefifi - • fi4-1:-.C .04°T.0!.411-00`q*1 •44'; '90#N*0-ZsrSr.0.0,•otiv:40.1***ivg**4*.iilft. ....,.. 4.004,,PM:044.4*44,4041i.***4.1.101.1 l•-•,*.914,) ,11. 41t.f.04(0•41****0.: 5i14i44,46. r4. „., . „saomr.* 44#01,400CI.c.5aot.14.1skifyii.c.,..I, • • T.**0040iffitidigAo.aguiiii***4•6*.ix• ;••#*-4.-14001.7441#4;',:*: :.*****OrEng; ,., • . . . „. • . , 1.2*.04#0.0,40-40000.-koot • , 400.400,:youtuwitorti:..c.rifemlappl. • •. ,........... ..„ „x,,,,„,,,,,. ‘• . •;Ridexitiffornic 4aiiiii1.6114.SprA.a.,:agik..•• .. • . ,. : .• • ,_- , _ .-: - ......_ .-0,7HT*Iria7"":” _$2. clepOrtMeriOtintkittriailii014ttizitis - - *.;iiiieto:hifpqnation„ ,: :...., .404#44ii«.: 04.7t.01.. . 4...0.,..0)r,"- •....*i . ... ,„..,,,5 - —, ,,„o‘v, - - 20# -.04.,... .d!, -, 4..44,,,,k0:,4*(..,•4**-oioii,4* . ,..i•-kii...--06,0-44, ,,,,a,,,,...- •.<0.46,1*TOW* ti..•iiiiiikiilli!iik :ktafAltit*:• ,-4710iliePt.M4* • *ii0:**444,41 •• - q.,-3•1,M Ifpda,OrrAMIleitlina*Miiniir: /5i4.#421.• **0#,•Itiii*J #6.T3404.0, ***I:kt.4i1 ' 113*-A04* , •- '.*•.-,iirsi.'4ii;;;;;, Airitrf******i , . *a*A C.CrIPF. , - „ .'r4.4.9.fi*iired•mmirepottvoirsoltrito.0165, q# *iteniokeliiiiii.unviiiimii.*Tiverooliiii4446witii‘iiinric 10 Wiaimlisiiiiiirma ha>, itif40 . . jfmgekiy.camt!s. ..F•44.)4,00.. ,, ,it...F, '000.05AM.:4644 ,le,.. equefor" TO,ft!t4.094011***',14.0:44 1.(4414" , 41,11.4- .....P•SOR"..1,4 ',00.14,'` !M!ii#4.f4.0.5 tokily* *.iifp,It *.k,.1441#4**e4.4.7, 11k,t00.i.` aikAii024*..Y.t:06.:'.:(itij • :','66iiii*O* ***C.4614:44.4P,i) :•*,,,10.11 Alii;40Tiiliiiiiiititi4. 614.#1,1tii*i.A6K414GOArrft*Lli' tn#) 1P0444ii.t4iiii0- .0:0**448illiaii-04.'dalORE:ijoi‘'f'statimainakiii.):,:., ,, 1..00:**01.410006*.iiiiPiii47enef**00iiiit,i)i fr#4.101.V. P0g:1004.:&r. f14169.404.0* . 'N*00 . 4.jiiiiiiiii ."'"tcairamtl*Il**4• ,'",L010 . - .laitikiPotkii*Oiiiriika03ds:liiki**ti6irf 4.Fiti,b*OusiiiS*fr**110#46*.iacioath*OnA-'; 0_404t.ii#::;,04#1•05144.10i0iii tittOsAwdwftrabocktorniCaliforn RI: .i:01:4•VA'Aiatitt*O*C4104DIRY . . • ......_,..,,,..,.. . , ,..„:„ . ... BID!::EfON,Q; ' TRAVEL10.S'i..00441.VW,00.000.-0-tYtotAjoiOr..00AMERWA,, 0.411400104.t..06.fE3' $4.44'..d.i. 1.0•--;Z • . xow:,,44014 0..y, Im.,.„,.„a.,..„,s.. mt4t ,i P#0...114:0tti 41, .. S 0 . 00*** 1 4?..e L. .g.70.4.tr.0'4' 1#10 F. . -.•-1,8*PtfriOPOtit*r*VtgPO-ajt4ttie0t:1:-r40kattVKW ;tM:tt;tr6ANti.trtjg,MOITOMY'4#1.4t:k10Aj Ot Oiiittotrii4,,.:-C :00***t'a.ti*titratiiiiiVot.gitifttti ditaf thet,,drifte4iitexftenrittifdtit as Suet .41•040(Ott;: °.t0,1*ICI:iii0-kplylioutici WO _ ....,,,,„,.._..„._, .,......t.t;ty a stiiiti#g#T! Og:g41,-, ;.'0, ':ast)61igee,ftereinaftertmWdltid-labikeei trilliettittra ttli vetettit ,di za#(.biiiit 'bid .., t . Or:SOY.00-#0*.tif0$4,01*.Otii-0.40.W.k10,001.*0-40*0 POT-,600.00040?:0,1,Surety s:•.4ioowl0etir*pottiOrfsi e*,00.gft,'*t.iftthiat4ttttisuices,iiiit14tiigtfttOfWaii0*veiaflif'.'ff'.ttiVbY'met , Viittta%ift0,0406.0.10baoutithittio*O0 for 1'34w ;t1x4'*4:14 A14::.1444 altk4.**Oef. t ril* *.::_.#4:4Nito - lEYe4ted,t,Ogi.4,-.:, 4.44,0 .. ,... Now,'T.HERefoRr:407:010.0blgo 0400-1worollevitotho,ottotosititio th-e,peitorthakeii(erifitqal.0.90:44:04 I.10'.'00.4.41e 10:400040(.10*Itf t41.0000..-A*;#1,1.-ct44tkaive-3700406044f*V4gl,k014,be V*040:9 11w0440g-0r :::do:ffi#.0:6.tpod-00*40-0:0 00,4J10:0.0********04.1,-t0004).040.00447*Pf***0 :2i#410:',*0.0Apt O4.MO:40:*t*t'Od,',#iof*tOufuhitiheetlkjiikoeoo.otfiw000c OW**0:0*,0140*Iftir*OtkoPtitx04 to enter itakCtiiitt0ot'fanit,:gi**latfiOr:*F-.004:iftt*P:t*40akk:.it'O*0140440.-OWOref*A010 exceed:4k..!0; 0010(Witi.:004004631*001544$00:!Tfr).**.tf*tf:;#00,*40frt.#40610)*OftOtiiMik the 0.01.40,*W040.04,40th 007fitractIr0 another party 1.9:tgrkowtorWotit dbiereilV*440:10.i, fen this obligation. . .shattbclititt,and.:vota.;otherwito, Aitileilialitiii tOwAF4-044* ...,„ .,. - -, 00,00444.0...A.1446.4.1gth 40'a 44.ftuaty ,:2:022.. ••.:•%,• :---,..1,..-7, -•,•,.,7, ••• ,..• ,. „ ',..-• .14,:,'..-- :: 34:.0,b7.dt:t.0!, .. ,,,,,„,,:-_, , .,,.,....,:„,„.„...a.„.„ . f.'"'. ''' :---;:: ' - ' - ;•-•:•.'': 410:41.7004V- „ . .,. ... .P• , )„., '' ' °'." '7,i70,4.0t '-:',,f'•la.p.::•„-..-• ,:r.-„:„;.-..---- ' •- ---;--'-••••frow Lir, , !•,i, ).'!',,':•• .... .;'., - ,-,,,,, ,i;,. --- -------, :•-•'...::- (Witness) .1004.'.; ,'0.404.1*'tiit.b.''Wiiti*owiiiwr:.0-4imetitiAH' ..,,, . „ ,• . ,. . .. . it ad :fitt• -.Zia . : ,a1ç . Ottoth°,04.009:: ,. , t..offott*opopIr-o410.!..*0:60.1•-*,4000coniosgtO*of Atoltitodw.tA,M740.4541:00.44401i0.0 0414040Y.',-04#1-04#.4:,1*)#000tielo tho4gogto.ont,„tajk.-.iiii ;. ,*o.4.•ttittio language used In AlA flitfeort(Ont,A$0.-:0•41:4iAtilt§.1:tiiiiiiitan - - -, 1 ..: A '!4040-44040 ; , . 4, ,^'• '• :, ,' ." ";.' E , • . '•:' ': ,:' ' 'i'. . - .,. . • '7'2 ... . '. • ... ::.-cAuFoRNIAALLtiFtposE Ac000kEDG:MENT t A moray public or other Officer completing this r„ rtificate t nfies only,the identity gf'the rndrvrdual whoisrgned thq I I , dacument to which iti s ce ttffcate rs attaehredand not ttte tr ,.ttnes acctrircy*teVandrt9 of thatrctocurri6int I STATEbt,.CALIFORNIA; 1 { County of Orang,e... 1atar�r,Pub1t �, oa • Insert Nana or NoTa!y , as,1 appea_rs on rrte gff ar gea` " ..... N Y t l persenattyrappeared Charles L.'Flatte Nit e(s'oi Signet{ (• t wha Pro ed t+o me on the 4300S caf sattsfactr r e0ti0errc t0 be the persons whose rrarneCs} stare subscribedi to the t t within Instrument and acknowledged to trre that tiefsthefthey f J .t1 a,, « .ie sra>; weap etecuted the same to h"lsltrarltberr authano•r �caPal tyC04: is ,,, ;,.,t spa cc rt4r�#2383881 u q and that try hisfherAtherr signature s)On the'nstrument the t �' ��.�� -" anarro�cour�rr 4 p�rSon(s�, or the entity upon benaif at"+n+hr0f�the q�+�on�s� `: Y ttY p#ktf tat 'auc4 i ti t ecuted:1hte,tnstnrmen . a, e } fcertify under PEAL'F1 �F PERJURY ender"the taws of I t the Stave of Ca itorola'tat tt a tvregp rrg paragraph is t`iue P. -A:Fl ,+ orrect., .- the hid and t7fticrat�seat, , ., Ptace 0-04.r r5eatv4tiav �,,,c ..etle, �elyN,tJ 3' • ppl! rr Thaugh the;nftumatracr 6retorxr is tto.regti red by`Catx� it mad�irave vaitrabte trz persoets r et ring on tie dtx er?t' arid'caut+d p*Otft fraudulent rer001: reattac art Ont of the. farrxr tta arrathen.dtrcumata.. It : t <es rap r©n<<of tfa0.0,0.fT .htIF Ttie 6r'Cype-of Document, Document Date Timber ofi5age ner. OtherThan N :Sig amed'Abov ., spat ty(fes)Ctait>red ray s finer s} c I SrgrEees t4attte S n is l ari e: tndrvrduat [Q Cbrcot ate Offtcec ( rrd... . ❑ t t # 41:0 sew, ._ C1 pompote Utticer'.YTtite.:(4- 0 Partner ❑Lrrtrted•❑Genera# 0 €part Attie CI Lrm tad O GQnt rat s 0 Attorateyrin Fact RIGHTTHUMBPRINT. C]Atl6cnreyin Fact RIGHTTHU47BPRINi Ci Trustee OF SIGNER ❑ Tr st'ee, OF SIGNER P Ouard an or,Conservato> . , Guardian or'ConseniatoT°Topot ttrtimkt here Top of=ttttrmb liars D.met' ❑�: �1t13+er- Signiser Representing„ 'Signer is Representing` , .... .. ......... ........ ......... „..... . ....,..,,,.„.„....,.........„,„,, ... .........,.,... , titaVOlitttaibii0iiiit tiirty't ottipaqiitAmerica- ,..T.r.avefe,,riti4iO4.'40454ciett , TRAVELERS-'.::' .,.. , Company St jP$01:Firean4MalItieltistiiititeiigbliipany .1 .... ...... . .., . -. , 04*#•ittO'Aiteitifitif, • ' ••" - - - -- • . - - ------,•"••-•-. ----- - • •••••,, ... ...., . ........... 10.410**1,:**N;:W.71`0A0t00.48g111*..:t44t 0 l'f•-***0.:40.41ti'.440,1**00004.k.,.Of A;#4:04:170#*-14:*•':004itY,404-'44ttiq4.1'01706Y404 St ',J"441..F#* 404 MO.* 044(4* .9;00040,Vf:70* ,*,.4?00.-0#04.,,i:i:roti, '*o4t'40-'go-4*'ft-*. 14'04" : :i#0:State 'itif,;,4$460.044 -siiiiii.' 400**go.'..#0#4*Ir0400:000%**ttio0#0,004,Ortif0'44:1100•PWer**400fir„..10W0.0:4000Or ..,‘ ,0:4$:,,LEI 1.;;.#00C • of 01kinkt ;:foi*e.iii0•! ' 4--IllAir.K.0 and 1404.t Af004i(4)4040.'(t4 *40i: ,046.4*-*44140 itclitio* any d* and :,iiti itiatidk. fee,abiliiiiiii6t; '.466ditiotiaal ridfe4iiiii•iand j:tithOtiiiilititk obligatory In Ili,itafiiii.: thereof';an 4 behalf of the Osiiiiiiiii *'10ite*WiiiirikL•0 & itii4.1114iii. 0 ,.A.'116,7ft1W it ii,ii*Oiii; 0:' 4t0iii414 1.iii *iftiiiiiiiieiii !.6ii contracts and executing -:'..iii,040,..O*04:)406'4,--.0tict: :und&taidils' :t11#.!.0.-41:0•-••, i..f.iiikiiia.clii •at.'*04444-,4i-0060-iwii6,041rchiviiiiiiiaw).•. _ ,.,.......,.. „...._.. ...._„.... ...._„,_ 1,..k.,-,WIttittiA4410#1P,F-A4,00ffiti4.iA4.11-4.vegattsed tiitsltiqtymogtosAtioi,And*eitotpomio',0007ito 0:0 koic.4timthect.::iiiiii44444yFotA*-1, :,.•.,-:-..:;,_, ... • - ... .„ -.„.....•. , • ..„'.....,..7.:::,., . -., -,4,,.,,...09.ok:..e4• 1 :.4-.; , ::00041:-( • -.N4*.:!0"7,;--No.Y. ,,,,i:4, -*,' ''::.44'..'''• '''- '' .. .;) :$4.0*:00044* eioto.4 4. . - - — - lgoo.:ttki,Rol**.:::„-oty.-fo*,:ptwoott-- - - 40 •i4 ifiki,-Ifi*.,.,i,o/ ot;A:tirit..,, Iii•Oi, 04:14 Yffe;•"ti iori'oeOio.1 Ajtieatitti 10060t l'k4 (444E4, *).:toti', aCktiti*Itiej§44 himselftd?'44 tfid- VIO04Pr941O4ritili**1042.*04,iPti0740:144 and;that rit.i...4o! . ).otli,714000 authorized.44y tp,,46.i,'•eiteidthit the foregoing instrument for the 6*144- thir4iti'°90.i140*00:014*13:04114#4(4altr,00'.iii.0b0r4, :j.4,400$0044',40i4ty'.04aitzeitciffioet „., . .. ' . .,. .„„..,„,..„„„., ,.... .. . ...;. 1167014-r.,MiWkigRggiA Cti*Ouniosetttvlia.nit,:aild.7.0.t.1014t:'0,top. -,=,..itop,,.:.;.•..:. ,,. : : , . . soriP•00)1T:AoJokoxolco.patoiaa.ttlfdayi,orJunie!i„;9.A0 •-•• --- - ,.'; . -• •-• ,., :-..-.,, ...,.:.•,•,•r., 4k.01,0•F",:,:r40-41R.filot4.rombit,c ,.,1••. .. . . ... . ,.. .. This Ptokt. or Attikiii-.1i,446* ,iiottot, and. by the Aottioftty of the *WOO k.400t0041 i:'0.,00.4)04.4 y ltio.,004610 ,4,f,'04' 4*0 4. 'i*O of:fr 4.k:Cgiii'*i**-k0k*ijiiitO6:4 ::0.)'.,L'.*._.*,..4..A.:cijii,..ifi...,.,:ak„44.iii...r.:..iii....i„..6i:_,:ifi.,*:4'i.... ...i,. - . ' ' - .•-:' ' ''•• -" — - ...:. . ' ''•'. '• 1.;.M949:gg24...,*0',#.14:;:g1101•Oftat 'itt*PeOtit*A..::0: .::..0 "t . :.•- VO.,:•c94- 1fr.00 any 4*.edu90r_:M50 ?tPresidentsi; 04*S4n"f0; MO.,. P44*k.440k.....,any Yt04poidit,;*ox000010,8jocpt0000i tio1ooprotori*toofit.104orors4_*q !co., _ oora0 or ot, A4$O0Op§Oort40t4400*Ati0r4i4'iiF40t4i4*0200,t0,$otrto0-*,00iotof*pooponyi*twftWON0f0040400k.o40*tioovo‘hik:Ittfoc::o **400#007:, • ***00010 ' 0j#14iii'lliA11 the 0:1*0404.00ke Otiftiii14**#*t 01110#69-!0At 00:04*.i0-00.44.0**,contracts*liwiti.t144.*0 000b8:00044 ,t170116totY in the nature of ai.14400;,Jt000.400 0.''.. or04600.6.ifit:01d4r10gtift.,:4000*.'6..f said officers ' 'Ve:I*.',.:fgOto':0(.tluti40*lt an time ,•igi.:71:02,(44 i4:01i4#00444'44iii'401iiiiiit00*000,041**117.4iiiiii.:iffe. . ,. ._ .., 0i4wripigF4.'flgq-gwkap.i'trOr.,the.'..::effrifroolt,iffe'f.**4-0k,',....9:9:',y;00 •Chairman.••„•Arly.t:Z.wrxitivg.Vioo.I-Offq4i.dook.fioAoiof VicePrm-cierf-zr any Vice Pettitiefit?may,*regate'.all ot any part of'‘,r*10000.1iit:*.,44100tx to i.011.6.16t more Offi000::-':Of 000440 of this Company, provided 44tgaoiliiiiihiteiiii'ailoti:ii.i4iitjo and r, ,**iitt)0,0a4.:fil4ii.ilhatkecatht Secretary, . ....: ... • • „ -..... .. • pprimo.go RESOLVED that any bond t00000:46,007...! OO•O'#4#A,,000100ftw or'Writing '00#:490r9 j#L#10'...'0** iifRk,-,400*:•:recogoliait ce 0.t,.':conditional ltnttetikin0 shall01 1;1 valid4.#4'.,.01000.4:!.;.lOgiklhe.rgoFnpartroieic,(4.*ooO.#10.,.t11.11;t441-406.1',,,04,. .'lifte 014innarri„3.0y pqoti:v4; Vice Ptide'llti'''00 4001:00'''V.i.*Frooieoftt ...,tir,:aiii,"Mo*,.President any *100.iFt A•00 1.P-*0#101:i....the Treasurer any ':#7,14:WIKFR004-0*,it* P3M0rW. 04.1100H0 iM 4iii';4441400* 4.-,0r40tiWfOr.441i'444g40,4;4:40144 With The:00;0400!ir,444:17.t'*,$0.0;0181.:70,. 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' ••• corrtiNAL - ---'' - :..::-.. .!..:.........- ,. ..i d_OtitaOtigtf0 16/70./t/4:201417, di,t.t.:k&Atilt#07.ctialrottheciaqutnoit7;,,t1r,' froc410:17.4„,,M•007.0.0VMV.f*I$40.1.#0,04.1.01r0i.W..d,,,d-eiariTent, ,,i • A;$.40,10.1.10-ty•OtAttgithedllocqtre,q1 , , - , Titlet t Type•,4-t 40,1400.f.iti„.,........,... .o'bettr.ideitttli. .... .. , .....„ _ , ... „. . „ ..:;:14.i,4. 6.10-6.rot p:•atit: „.. .„ ..„ , , •,,. . . .. , .. _ „. ..., , . . ... . tlottotoosoonhoo,Named ',0a2•004t.1.100g•C.1016104.,1*•:$106.40). .„:„....: - ...-- ,, • •01 -rt5.i'•:,14411Igt; Signer' 'Name.... dCol:far..ate-Oti;or...-,,ir:10.0* . 1:1 t/tito••,6fite.,:'20fficerititibt0-,.. #0Ort/7/9-r- „,.: ; ,:faii*.q:Aif 0,,O1or,..,ii 'P•!P0640.- 'Ei li'4t..'.4.40cf:? : Generali P.114.1Yk,49.41'. .:14•Altgeee9 litF60t, '' Itilisiktilal ict Attorney in Fact :„.. ,. ..... Cl, Trustee ' P•Pg4f,01400'41,0%.401.0W. tt Trustee t'l./8 uordfartte Conaervator .. . ..Other ., • Cu:O .,,_ -- . , .... - ,.-.-. :',!1;1 Oth6i,t:'.•........•. .:. .... , $1§,it0.r -go.presertfiqa.:...,.. ::-: ; .,..,. .: , ......• , :,,,,s.7.7.;..., ...p.-7, t.1-::::...f.:.4.:,:':.:,:- " 0.0.10',.:A.010.:401..19.0:ett .00:14000 ,.... • .... _ _.........,...,....,:. , —BID BOND • TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA Hartford, Connecticut 06163 • Bond No. 10-B• Premium Nil KNOW ALL MEN BY THESE PRESENTS, That we, T.E. Roberts, Inc . • as Principal, hereinafter called the Principal,and TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, of Hartford, Connecticut, a corporation duly organized under the laws of the State of Connecticut,as Surety,hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach as Obligee, hereinafter called the Obligee, in the sum of ten ,percent of amount bid • .Dollars($ 10 0 ),for the payment of which sum well and truly to be made,the said Principal and the said Surety, bind ourselves,our heirs,executors,administrators,successors and assigns,jointly and severally, firmly by these presents. • • WHEREAS, the Principal has submitted a bid for • • • Flow Line Half Round Drainage Inlet Structures - Project No. : 1656 • NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with . the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt • • payment of labor and material furnished in the prosecution thereof,or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the • •penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith • contract with another party to perform the Work covered by said bid, then this obligation shall be null and void,otherwise to remain in full force and effect. . • Signed and sealed this 12th day of January , 2022 • T.E. Roberts, Inc. • • (Witness) (Principal)(Seal) • By: \ Pre.s L d-P,r�t-f' • Ti Ym O f' y LZo b-er (Title) • �( TRAVEL • CASUALTY AND SURETY COMPANY OF AMERICA (Witness) r 1 e s111067 ake (Attorney-in-Fad). Printed in cooperation with the American Institute of Architects(AIA) by Travelers Casualty and Surety • Company of America. The language in this document conforms exactly to the language used in AIA Document A310, February 1.970 edition. s-1869-G.(07-97) • 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 1-12-22 before me, Lexie Sherwood , Notary Public, Date Insert Name of Notary exactly as it appears on the official seal . personally appeared Charles L. 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 • LEXIE SHERWO ' ' _ executed the same in his/her/their authorized capacity(ies), OD .vNa, COMM.#2363681 cn and that by his/her/their signature(s) on the instrument the NOTARY PUBLIC-CALIFORNIA person(s), or the entity upon behalf of which the person(s) CI) r f ORANGE COUNTY acted, executed the instrument. N - i// �+'qu, - MY COMM.EXPIRES JULY 27,2025 r 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 Place Notary Seal Above Signature of otary Pu lc axle herwood 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 0 Limited 0 General 0 Partner ❑Limited El General ❑ Attorney in Fact RIGHT THUMBPRINT ❑ Attorney in Fact RIGHT THUMBPRINT ❑ Trustee OF SIGNER ❑ Trustee OF SIGNER ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ❑ Other: 0 Other: Signer is Representing: Signer is Representing: Travelers Casualty and Surety Company of America Travelers Casualty and Surety Company TRAVELERS J St. Paul Fire and Marine Insurance Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint CHARLES L FLAKE of ANAHEIM , California , their true and lawful Attorney(s)-in-Fact to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF,the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed,this 21st day of April, 2021.. 4l03q� 40.sr µ0 tvgnFORD. pr 9 yr, P �r cowa1 � O `4f ,4 State of Connecticut . By:. City of Hartford ss. Robert L.Rane , enior Vice President On, this the 21st day of April, 2021, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of each of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of said Companies by himself as a duly authorized officer. �P Mom IN WITNESS WHEREOF,I hereunto set my hand and official seal. //�/ft+ /J/y/72:en`�/// My Commission expires the 30th day of June,2026 * .*+' Anna P.Nowik,Notary Public This Power of Attorney is granted under and by the authority of the following r✓✓esolutions adopted by the Boards of Directors of each of the Companies,which resolutions are now in full force and effect,reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her;and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary;and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority;and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in- Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which remains in full force and effect. Dated this 12th day of January , 2022 fG ur 4 a G rW `` ' Kevin E.Hughes,Assi tent Secretary To verify the authenticity of this Power of Attorney,please call us at 1-800-421 3880 Please refer to the above named Attorneys)-in Factand the details of the bond to which this Power of Attorney is attached. • 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 Oran5e } •On (IAhlaQYy , 2-022_ before me, XrlC01 L• fh€l , NO-a,/ woliC II Date Here Insert Name and Title of the Officer personally appeared 11 m n j Kober 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 tome 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 . ` t;koe ERICA L.FRIEL paragraph is true and correct. • Notary Public-California Orange CountyWrdp, Commission�2382457 ::: ad0:cla My Comm. xp0025• • ure • Place Notary Seal and/or Stomp Above Signature of Notary Public • OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached 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): 0 Corporate Officer—Title(s): 0 Partner— 0 Limited 0 General 0 Partner— 0 Limited 0 General ❑ Individual 0 Attorney in.Fact ❑ Individual 0 Attorney in Fact ❑ Trustee ❑ Guardian or Conservator 0 Trustee 0 Guardian or Conservator ❑ Other: 0 Other: • Signer is Representing: Signer is Representing: ©2019 National Notary Association TE Roberts INCORPORATED • GENERAL ENGINEERING CONTRACTOR 17771 Mitchell North Irvine, CA 92614 www.terobertsinc.corn _ Public Works Office OFFICIAL BID SECURITY—DO NOT OPEN City of Huntington Beach Project Name: Flow Line Half Round Drainage Inlet 2000 Main Street Structures on Main Street, 17th Street,and Orange Avenue CC#: 1656 Huntington Beach, CA 92648 Bid Opening Date: 127-22 at 2:00 p.m. • N�TO _ City of Huntington Beach 4 <, hit-a �, reo x., r " t! 2000 Main Street ♦ Huntington Beach, CA 92648 `:_411 (714) 536-5227 ♦ www.huntingtonbeachca.gov ,- -; 90 #.::�06�� Office of the City Clerk Lit/NTY c ,® Robin Estanislau, City Clerk • April 5, 2024 Williamson Development Group 31925 Manzanita Lane Lake Elsinore, CA 92532 RE: Flow Line Half Round Drainage Inlet Structures on Main Street, 17th Street, and Orange Avenue— CC No. 1656 Enclosed please find your original bid bond for CC No. 1656. Sincerely, ttilA141/ edinii0.14,(4) Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City: Anjo, Japan Deu_sopfniit,o6yyp SECTION C PROPOSAL FOR THE CONSTRUCTION OF FLOW LINE HALF ROUND DRAINAGE INLET STRUCTURES ON MAIN STREET, 17th STREET,ORANGE AVENUE CC NO. 1656 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 50 working days,starting from the date of the Notice to Proceed with Work after materials are procured. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications,Exhibits,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 aWar ed the rContr cts tho undersrgrred agrees:'that in the.event o the BIDDER'S default ih e cecnttn ,the tegu redgcontract and filingthe necessary bonds,anddansu ance certificates ith .10- working>days after the date of the AGENCY'S notice of award o cobtcaact to tf►e BTD ER, the. proceeds of tire.secnrily accompanying this bid sha1Lbecori the roper y ofthe AGEI `G ' and=. this bid ar l'the a ptartce hereof may,at.the .G C 'S option,be ir'onsider d null,and void . Accom an rn `Tits to aLofhid,find "Biddergond'.' inrthe3amounta � which:. p Y g p p� sakd'arnount rs noty less than 10%of the a„ a ate of tire'total bid price,a!tFegtrired by the Notice ." I vrtrrsg 'Sealed l ids,'payalsle to the AGENCY 'lease insert the orris "dash'", "Eertified' Check" or"Bidder'-s Bond fir °:!%' as,the case may bed% Any stane dSuretypidBond form it aceeptable: Bidder shall a ix rgtirfy receipt ofalt..A denda here,tfany Adrle�� .R ►Rl 3`eeerVB F„ uxr r�-" ., Y' d,, ,,«5�. R i,rfil"iL . 1.: :v„as' ux,a:: ,,. , -.,.a_, ',,,„;., • • „ . ' „ .„, , ' , •. „ • „ . „„ , , , • „, „„ , „" „ „.„„ "„ ' • " • - - ,„, •thb PROPOSAL JNLETDIMGETRUCTURES • " " ..;1,1XiOtnitzt:::;.rittitUNIT QIPNTITY TPR1C AMOUNT itirkst*ttelt*ANIGEAVEgifit: ika.MOVE.AMDISROSEtr'EXIsTflia3MWO. ..tRTF45:ASPii„g*,q?,1001',„ , , . - 46314#0$104.40.,Vggt$741714'14'*R007V:CT"I&:: tjoie„*..0,ki:CAM1i1L-Ete:ROPAI$0*(1011fte:PEK,P.AS'S#Pgred4.4*.:: . , . ' , r- '..•••••••• ' . itittAti044d.66tritivistutviatiksy • TOTAL BID/AMOUNT Watinti416.t:WOgliS • ..• Three hundred forty thousand two hundd doflars and zero cents •• tdigiao".. , ,iitigaiset.**,6*0440100:401.o,-*ptio.*. ro*,,,,pqr, 54:7.0.k.a.r4,4.011414.577,:__ , ir4oroifi*440toioh.fic- • • • , , „ , • _ „,,, . , , ,„, , „ .„ • _s: s ss.,.. ..„ - • . , " •• , , , • ..„, ,„ ,- , , , -„ , • 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 $10,000, whichever is greater,and the portion of the work to be done by such subcontractor. ' .Nwjg and 4ddress o .� r , Stale ,4 Dll i � - ollar$ 'of f_ •tea t}4 t E t c! i- t 1 � ! E � s n � Items} Subcontractor `_ !dense RegistHon mount; Contr tax'.Numu .: tlt' L a,_• t� E r F' r _,� .,,� �. =- ,..:'..—`.+, .. ,,.,_r E .. ;......,. .Z-••' .a mr,-. . .. ._. .t-c �.... .�?.. .. �. •, .. _.,'t.: 1 Ti .. �� s;i.J,^.Fr By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform at least 50% of the total work and 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-4 1 ONCOL L 61 AFFJDA ,, ' er fCIloia that he faregongsyewstthe Sae o rn ; . 7,,,,'1:: Tdeclaeard P 'rof p J Ynd lad 1 at . Efsinor , ,tciieandc rr andtat�decaration is; a •, , . xa • ..:. .....:• • Nt�ckei W�iadailah • ben first dilly, sworn deposes'and says t..:#he or she is: l�r'esu•ient •• ... • of` o nison Develo ment Grow e p�i a p R- �zrzakin�g,the. fs regomg laid that :he i4za not made zn clue interest of,of drifit`he behalf oaf,any undisclosed person,: e m ass iatzctn tar ratio it oratio that the bid` uine and not ,= l� �� p�Yr ,� i� � orp r ` collusive or barn,tlxai tthe bidder has at dtectl, tr andirectl induced o solicited rather bidder-. td put in#•a�€aTse r sham.iaid,-and Thais not:Fdirectlyyo indirectly c•olluded, conspired comuved, or :: geed with and bidder gar anyone else tQ;put.to 1a sham bid,br that;anyone'shall rem from. " bidding' that the Jzfdder has rimy in and' manner directl nditec Aso ht a eine communication ferend with:anyoine to fiat;the bid„price:or'that of y other biid'der or tia secure any advantage aga%inst'the:public body ding the;'4 •Qit et s f anyone at rested.in the- proposed contract,that all statements ccatita izaed the bidare Vie,and,further,t -tlie idd�er has. . nqt,directly or rndiii fl�y,submitted his Or'. er bid<Z cce i<a at•iy:real ds tk�e f a�rthe•conten#s Hereof;';sir divulged i 'rniation�n data. Tati eK thereto.qr° aids,and in`not pay fee o an}r corporatioiti partnership,company association,,or anization ba d s epos to car to any zxiember iar t � , ' M agent f° e ectr ate a collusive or skimbid. 'MBiamsen De clop ent Gtpup air a of Biddei • atiirs�f7f Bid •der ,ram 19 $ lac s ore, A 92 ;32 IYfianaanfa;Lan• ,.` •t d ess o Bidder • .. G7itil1EORNIA I,L��tiripois 4til g0ltl 00110, 't" Ct lll.010E tt.8g public or other officer completing this certificate verifies cntyt the identity of `ndfuiduat who signed Ittg documentto which this certificate is attach4anct not thetifuiti s cur *or° o,Ntty o ihat dcic invent; • goo gooty of LeaAntgetess ,, . . - } Via, O1.127i2O _ . t�ec►r m-,Refti Yat ioj TI6thede an;N fart'Public Date Heremart'• nlai i d it C• cei Micket W-Abdallah �ersgrially.appyred.. . '1l(441e s}of 40..,erCs} who proved ta-me on the burs of sat sfactrrrge evidence-i ba the perr?on(s} whose rtame(e) rm: °' subscnbed to the within iristrument anti a nawleciged to mex that heist . ear eot�t„ed<tiie same in hherlt autt of ized capacity.,and that lad hit er fitt ^sign tr (s)on th in r�tr e t tie taersc�ti(e . orthe entity upon behalf of which tfre';l rsari{e}acts,exe ed ttie msfrum r>t; (certify under PE tLlY Oi PERJURE under the laws of�e State of California that<tkt f�ar�e�n9 parag►�ap " is`rpe~attd correcct+ . ,'',--...::••- -'::-'-.' ,:-i'-.1, ::,):,,,T' . , ikei i*i ttr ciilroniii•, - y har►r f and o facial sy� . - L*sA'nge esckun y °"'k ccrnm?ssfcn 2334054 iA7�Camitt,opals Sep 1,?�Q2 Signature: Srgpa rew oftVar ?Ptal�c • Pace tuatri*la4 'd - Thou h this section'i c ittr�i al, agrnpletirig this.( i( abort�deter alteration of;time docu►rrent or free dame. reattact rtiientar this d ;sia ririrte deci.d± camera Descripf ort ofAttached Document Title or Type of Dacuix�ent:,-.-- _._..._. Document.Date Number of Pages, Signers 3ther Than,,Named,Above Capacity4~tes}Graimed°by Ss 14 St'gtrer's`Namefi. aigrters NNlarrle ,� Q Corporate-Officer Titte(s) ❑Corporate Off�icer- Tittes1' _. R Partner Q Uinited . General ... LEPeotrer a,4Mite0 Q General Ctrustee al Q Grdeann°ar Conservator C .7ruste air ' 'O Guardih or C tSnfieryat, _. ia. th > C��Jthrei" - Signer is RepreseritIng Sigrrerls,Repr emir g'!, 02014 i iattonat rotary;Association'ww!wu Nat�onatootaiy org•1-8.Q US NOTARY 1.8Qt 8827J Ilan #59Q7Y art + 1*i1,IABLEA � IT �L?UIIG - t F, TINGx I3E CE,CALIFORNJA:. xtletpietr undersigned here xprom�s and agrees tlta as the perform of e a s 'ige rfied itr the .. t na r ass eflO L R R�A,G TLET `�"CTt S ON lat TR„,,,,.TT�.7 STREET, C d A`' E �we) ,tt employ arid.. util e o f• q altfiterl pe,�sorts,as he anaftea de in�ed, • v l€m,pro rty`to an ele �ecorrdary or transmuss`bi acrlitie The tern��"Qu UfIed.' ts+ou"is ie �n d'i i Ti ;8, alf rni • w. lmintstratiue.Code,FSection 27Q0 as oll s� "qualified l'e�s F svn whc bar a so ofexper�i±�t rt�struchQr�'lit'. a TU1ar .. r pe-a r tri k F ? m ar rz ds tvvlvet .' The undersigned also pxornrsed • -it agrees tha .all.such work sell be perfomnrte l tti accordance kith ail applicable eleet cal unlit ornpaz r xecl cement is tili Cc mrrtrasion ors ers, .. and `state cf Calf�rni Cat OSl A req The r ndersigned.Sher promises andragre•d"'. the pro tisrontte: i ei ahall�be and ale btndan , u' o ah suh ont a toar or subcpntracta that ma be re el rp. lh ed , : u ersr eel p Y p a d'`n.1hatthe,uncterstgne4 sl takesit✓eps acre recess to c �lisnce ay�l'. s be fractrar subcantrae qrs with;the trtterrtents eoarnka herein,; • llktiflsatnsc r• aeVetoptnehtG oup_ Cott ractor • Mickel � tlai[att :President ,.M, ., Title :. ..,.' Date,, nuary 27,�,2 2 ,� �. 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? D 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-7 iPEI ` ' ON 1"� � O RT .CA ` . P to Ses t onf 86t14ftheStatez:L4baz; ade Leh c r a t � w ap �i�s cc tr t b z;awarded at s e following c a : t; n aware p£the xvisirns o fiction the I bor bode v 1oh uare A em�l er to be in nred ag st hah"l�ct =fc r w�tf ergs compens on or tc� self ui urance an a o t ce � #he ro41s ns of t at and T wil c pt firth;such. o ls�on l�efa o nenchtg the perforxnan o 'the<work o1xhis copfracl. 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Thto--'- ' -''''-'------'••irh: _ --'---vfaf---.6-it,07.01‘.tyilia, irbiit-;4;t *I4iiiii4titeadjbM141:1:11000,k,,,....,:::.....„.,A.Q.RF-,.0 :C! „...-',„,-_,,,,,,..,,,.,..,,,,,....,,,:....,„,„,,, ,.,, ,...,. ..,. .. . , . - ,.,.. thefatbitOitigatOli'1100.00'ilf**.*±40017:,-.00"tig"OH:114Y-1R4.41P.rin,...,:j0Tii1i..,,tH.,.„.*404h-..i'S'.., ''proposal:-.::-t.' . ...,• .. , „: „, - - •••,.-:•,-E•,-", • Oefr;•Of:.*4-41-iait.Pfiaidei,t. ,,,--- - -•',, - -- -• •, ' 7.-..,........... , ,-..,...,.....„,.., ..„,.., . , .. , . _. ... •'—'"• - - ,,, .„,„,,...,„, „: .. :„....„.„,„ •.::::::,.„. : :••.,,, ..... .„....:„. - " .„. --,,,,. .. -.::::::::: •••• .. ., . .„ . _ „„„,.,,,, .„ „...,.„, „„.................... ........ „.... . :. 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F...*",'''''th*e,.:9:-1411%.--5-1ji'P.-:rjhe,''.0*.,!#:f;14tt.„,..,n.,:tift;•,.:„":::,.,-0.:.„.a:,:„B.,,,..,„Ad.,ti..:::,.0..!::,.,::?, -1...li:„.!-- --- iiiii%61411y.'16-ir';6ih.'.-irw:le):i9.'.;:i?'...c 49444g'.;09-..,,,-'' 0*:'f "'4i0,:.''ti id, 976.„.g41,":!".d....i!.k-.4#,4„..oti",„....,_0....,•t„."0,enle.. „.M14, -"•----- ,. ., - ; ':,witt.-*4ir-, -4 --'' !-;..."--' : ' -- •:-• •-f4t111- ' ' - •—accordance . axis ai&sptofidattens,,set:: • .; . -'..4N11114tii0,itP..*010.0.tfifeaq,-0-110-,,', ,. „....„„..,„„,..„„.„„,„.... . ,,_:.......,.„........„; , „ :,•'-, .".' ,:.:.'1•Cii*".':'%,',:•••friT.r0-7,e-.'''' 4.•-!::"*;2•:"5',':',''''• :H•-•''., - ,,,•-•''''„,,-:'" -' '''' ,, - - , .. „ .. .. • .. --'''" ' ",i,.'-,.--.,.,--,•••',,,,', '4,4,,,'-',.4.,--''','.':,:.E.'.,'•':' ' '..:',•''''.,,,.',.,' . . . .„ „. - :,..„... ..... .... :,. .., . ' $1.',g04i.iir6,.tifSt gr, [, „.:••::‘7,•,,:::: . ,',-• : , .. .. "---,:-il-Ntleitit'..14Abd,iiiiitli.,.0--„*td-nt,.. :, ..„„....., „ _„.... . .. . ,..... -,•:,#.iiiiitaitio.iai'$ittoT'' , ....... ..... ,....,, .„,„.....,:•.: ...,:. ... ..--. .,.... .,..:4:::,:,,,, .. .:::. .. .. „.„..,„:::: ..„:„..„,„..•••••• .. ,...,..„......„....:_„:„...„..,,,,,........„ ......:„... . : :: ,, „, ,....•„„, „ •,, , ::• e4::, :: • .... . . ; . .. .„ , ,,,,, :„AL::,„..a-katiffigegoa.,,o,,l,a.,0.,i,,,m.„,,,,„:„...,„„,:.,„:„.„,.„.-.. i• .1..g ..,.,a,1,5,11, 0:;.,„1,,,-....,„,,,,,::......:_:,,,,,.;,,,,...::,,..,----., r «. '� �' ubscri ed an worn before me taus day+ Jaiiiealy nc public cr der officer comple ng ce, ti cate verifes>only a tdentit ndtvi wh,signed th•e o � to whic the ,certificate, ait ed, and not I� oral of th ttuttt � s • of California x tart January2"- .. efo m Vac jTho an i ty P • � � � affr tr�ssi ubC�c • Month, �and ` risen N and"�iti ofN . ... perso y ap e M ckel.W Aid .. .. M ae(s)ofS� r tc sn e basis of sa s actory evidence tt be tho persons) v os narne(s) aar • _ . su cri to t ie w, i ent d acknowledged to rn��she/t y t >, d the sates in s i+ �au ho +d parity s a •ha the shin f<s one t t i ersan the entt ;upon k l t h t s a t r r - .0 T= ce pPENALTY the s 4f Californiaaat `r attrue . F • t lSS d'a ad oa a I►, :mil .yy�', ty,,.'.{ y .4TNElmyan Public-CC0.00a t . qr C 4 - ..t :f9'te:4 Yamm t 0. i3O4; ��trySep22220 1; • 0414 • �: H 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,"Construction of drainage inlet structures and curb and gutter for City"). 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. Please See attached 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-11 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' Mickel W Abdallah Name of proposed Project Manager Telephone No. of proposed Project Manager: (951)240-1719 Which Wich-San Diego,$420,000.00 Tenant Improvements 2018 Project Name&Contract Amount Type of Work Date Completed Creamistry-SDSU,$265,000.00 Tenant Improvements 2019 Project Name& Contract Amount Type of Work Date Completed Which Wich-Lake Forest, $210,000.00 Tenant Improvements 2017 Project Name&Contract Amount Type of Work Date Completed 2. David Helal Name of proposed Superintendent Telephone No.of proposed Superintendent: 818-297-3589 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-12 x 1�€ 1 'T� TE T. T 'T �`I+aAl "TH � •• 1 x_u3i ST°. . L� `It fi�S E T A Pauant1 g ;;�I✓alacr Codas 1'7?10x used 1 the Catil~or gtateta dd i�. t1,, 4...48 Wished a new public works Contractor .egzstrart cm r7 fn,,which require;. . ,4':.,--..-,:.,-.:.',..--••'.':,---','',':---;.:„,.:.;.',,.„••-,'•.:':.„';:'.!.,„.:-4! A. all ontracter :and stibcoptraQtors. btdding and: perfonrnng work oil� rxl�l ra Ahe, lects to register on an annual<basis•(each Tiny 1 t ough'June 30 state 3 h thu alffox DgtsJO.+ent of Industrxl..Relatic ss ?. z uir illy the t 1 tu-1+ idal r�s o fee Contractors �s$300 ',Each coney a pul i +work contract had even ar sal sgn,theoilowxtg.,cerhfca ; 4 ~twww c , .w L 1vlP�shlt �?lorksl B 4Fac Sheet 0 4.p+ f D.1 's C ntract r Re i anon L, k- Call(844)5 2> '734 hnps.left ,,d .ca gay.0.wmAchonSer let a on displa te is rrn L71Ws`COrttactor Tegton shal d~atabase, ii4ki.Wlntditga4u vM' aaetrati 1 a ,•w�11 nm l r vt otns 1:,4bot Code Section 1771 - ... rlu :sta ea :. cot rector r sub ontractor shaI1not 6 uali€ied to l id•o he listed itt a`bid dsa P srrbject'to the' `equine bents of Sect on 204 b t Public Contract Code<or engage:,xn;the performance of an epnt fed°pt blic riz as defined m this c unless eurrent. registered and 'ualtf ed •to perform public wort pursuant to Section 1725;5 It it.; s not a violation ofthia sectmn tht an-unregtstered catatr4c�rsa b*d toat rs au�tlao� '. Section,7029;�1 df the;liminess and profess 01 Code o�by Section ZO1x6i4 or`201Q3 5 o k the pub zc Coiner Cade, provided then on#rac•or is egtsfe p r ar pu l n fic; pursuarif Section,1. 2S eat t ie un t is warded l f u n sre mill comply t� providin proof o egistratiott ►th >�►I1 as fiYte primary eoii t, s vveli a s 1 r snbcont a ='a the ate of s ni tt zg a bid... ;Wlitarrtsanevelvpnxenun osid ractcar ^ r nn ilha40*-10.tamo ci' gtna7 io . Thmiit iik..ke�% 5.8�a Ft„ "Sit..kstlt- ........... art . .Date actuary 202 1?`' 1rsttnn • x 1'QQQQ, 8 .x - �'.,.n... r.�'.�.ri..,.; ...,. .,_ .il k!.,fn.....,.<...k.. �..,_..,.„.:'r.«..r.3..?., ADDENDUM NO. 1 For FLOW LINE HALF ROUND DRAINAGE INLET STRUCTURES ON MAIN STREET, 17th STREET, ORANGE AVENUE CC No. 1656 in the CITY OF HUNTINGTON BEACH • JJ ler �Q► 2000 MAIN STREET • HUNTINGTON BEACH,CALIFORNIA 92648 (714)536-5431,Fax(714)374-1573 January 18,2022 Notice To All Bidders: Please note the following clarifications to the Project Specifications and Standard Design Detail: 1. THE FOLLOWING SECTIONS ARE MODIFIED TO REFLECT A NEW BID DATE/TIME OF JANUARY 27,2022 AT 2:00 PM a. COVER/TITLE SHEET b. NOTICE INVITING BIDS c. INSTRUCTIONS TO BIDDERS 2. SECTION 3-8 OF SPECIAL PROVISIONS IS HEREBY REVISED TO READ: a. The contractor shall submit the names and addresses of all suppliers.The contractor shall be required to provide submittals for all materials for CMP half rounds and grates and appurtenant hardware prior to ordering of any materials • 3. tics00 orsiGNit -grAgi-IS-MREITSf,404k titrtiative..wifig.-.gram • • d•Vidilakt31..16401Prn- e — standard design detail are to be 3t $8'saiiiIess steel The grt itself can be This acbwtedea receipt and reie.w qfAddenthini Number One dated Jan 1& ton, tame : i44, — ';-ampany.• •. . tad_ „ bid nt dnm with your 41115tdaOt'r1*itst—,'Akiiti\Aitidg6A1A-d-ttle.-- 11.„ lOgtag2 04att 94-9') . . . r...: - • • . . • '0 • •_ . „„ • TDocumntA$14 � 201�: � `! BldBodN � '8d$ond W CONTRACTOR: i�3URETY; > *dike,legal:status and•address) (Nanra,legal rains urtd prJncl al place tMt aerrtsat i)evbloptnent Group oj`bu.elnayslAteh insureit a Company • :; :: 31925 Manzanita;Lane• Hatbotaide 3,210 Hudson.Street,Suite:300 Lake;Elsinore,CA 92532 . Jersey City,,NJ.07314-1107 .. 'Ifi don ment.hex•unimnenl bi at . Q7i NER. • , • • uoy•bsn (Name.legafatafus..an l..addresa) • • ep0c!lait6 or•. City-of Huntington Beach • •• , 1200 Main'St ... ii�ata�to�. ,:.; any stegdter to Hunt gton l each CA 9?.Hgti' Saoeaador:�usar,axwnervr z `O OUNt Tan Percent of tht Total Arnourit.BId(:10%of.Bid.Amount) 'osier ikrti..iha0 bi eo6stdeied rr !N aifi4 lacaflerf•or•addrert,and Project uumbet,if nay) • i: FLOW UNE•:HALF ROUND.�DRAINAGE INLET•STRUCTURES. .. Project:Numbet+:fi any>:CC No 1656 . ,... -•T e Contras end Surety;areibound•to tile:Owner in the amount set forth above,for;the tofwhich the Contractor and:S bind'theinsely theirhei cxccuto administratne 'succorsiim and asn ointi •and ;,;...... doj•:. st�regy, as.prpvtded•hetein,,.The condition4 of ihis.Bond are such that if theOmer accepts the bi Effie Cocuactor . WithitiAte tirli ,+sp tisd;ii fi,-the:bid 0000 0;qr:within such time pcnod es may bplagrccd lg liiibc Owner and .• n .� . _•:-: ''�+p .(:onti�cfor and •Dither(i�j entets�iato a coauact°whft the Owgd:m accordance with.the teems efsaeh _: bidd end givessttr h�bond'or bonds astray be specified n the,aidduig.or Contract Documcnls,.vitith a surety.admitted •.:: � hV icdoCn ofthe;P�j'ectand'otharwise-aeceptatife Yo tHe:.Owner;.for the feithfuiperfom►tiace:ofsuch Contract • . and•furrdte.proitip pay tmentofiaborandmaterial furnished in the.prosecutionthereol;•or(2)pays•tothe.Ownerthe •::;: ,.."?...• to the amount of th .Bon between the:amount specified in said bid and such:rinser amount...., dt(Ceraece,i� .ex�d �s d, spectf ai'Bo' -::':,; , . 1'orwhich the Own`ermay in faith-contra'ct.wittt tutot erparty•to perform ttiework by said bid,then this •. •. ;:<;;•;:;•::?• •'•obhgaroii:shall•be m dl and•vo'id,ott erwise to nnnain in.feli:farce and affec1.•TIie--Suety heteby.waives.any iioi f at[s_gi egdeet,ciWcenthe Owiierend,•Contractor•,to extend the;time•in.which:the Owner mayaccept the•b d. •:.. of , '1, E irasttbby th' urety:shall,not opply to arty extension eiteedingsixty(60j daysin•the aggregate;beyond the time:for aCCe tam is othids,�cifigd m the bid"documents,,and.die Owner and'Contractor shall obtain t e Surety's consent:for an exfejnslo'a b•yot i sixtyy(6tl)tdyt: • ...:::;..,.• •• •. • • : .=;.If this Band.is;gaged;is connection with a sabeontrector's:bid to a Contractor,the.term Contractor in;this;Botd shalt .. :- be deeemed to:il**,I contractor and the term'O-wner.shag,be decried.to be.Contractor:' : . . When this•Dodd has'been thmiaited to compiywith a•siattrtory or other legal regttuernent in the location of the Project, :., .: a any pi ion in this Bond.conflicting with.said:statutory or iegal requit ritenshalt t be•deemed deleted l�ereltmm,and . .'�: . F'1• novi p _rRsrbns toit fordafngto such,statutory or other.legat•iequirement:shall be deemed.incorporated,Leteitr:When se' - :lljrmatieai tile:intent is ti at this-Bodd'sball be construed is a statutory bend:and of as a common.law bond. = Si ed d seaied'thei 14tri' • • •• of Jaiva 1622 . . • &�! � day= !y ' o#F.• Pilo ) �� (SeaO .)/..-. 7 . ' .:... Arch tn. ,. - - (Wlniessr • • i mil l�,�.. e'ir'' ��`� •;, I::,..: Vron gtbatm N a l• • atacocan®ncdsiu •=st ci r.apynohtonst:aera.nd2010 r?fb I otNc .'AUtta lo..�iW*R T A.Or ' !nit. oo ti p •tifto•:Copyrti ht Lsw ond:IMomauonii Tiaotlss..ueu attaifrod nop.oduetIaa ae at.trawao.iot**Wive eoii W,,a� ' ,�, . MY noftl.+puy.,es tInssvw.etch.ndcr .0041flatiandwlnbeproiesuWdto.gii onwdorittp� rfpto lfus- .f. ,e aedteao,v.: ::•4oi .Rai2tnx3:t2 Oa)*ti.ttnirat•Atn ..'"orderno. :.• aaa tar .. laots.1htido?!ngrtlbIbinn dsyTtMinima:► dfNdd .ftI noad�ooroony►.oddiiry:nitbotigadl abet iI Oct fade wits • . . . . „ . . . : • . . . . • • . . CALIF ORNIAALL-PURPO.SE.A .KNON.LEboMENT... : . . - .. . • • . ; i•;i.,;,.. . -: . . . _ •• . . - • • .. ... A notary public or other Officer completing this certificate verffies only the identity of the'individual who signed the . -.'.. •. document tOwItich•this•Certificete liattached,.and:not the truthfulness, Or validity of that dOCument. . • .... • , .; :. .jOTAT4:OF CALIFORNIA . ' ,:- :- : ..„. .:. , . ' • ..• ' . •. • . : • . • .County of.Orange. . .., :1:. . . - . • • .. On %JAN 1 4:::2022. before-me, • Christing.Hoang, • , NO.talY..PUblici, .. Date hoed Named Notay'execlii as hap'tate an the aelcial•Seal -• ... . personally appeared. ,IrenetuOng : so . ... . . .. - .• . Nan (s)of Signer(e) . .. . . . • . . . .. . •• . . . . . . . • • ••• . • • , . . • . . . .. . . . •. . • . .! . who proved tO-me.on the basis otsatistactory,evidence to .. . .. • . ., . • • - be the.person(s) whose'nerne(S) ls/aressubtoribed40,the: .. . .. . • ••. .• . within instrument and aCknowledgedlOtue.that he/she/they . . . executed the same In hid/1100pr eethnnzeil.:OpeAti(lesTi: ..:... . .. .. . ..- • . and that**.his/her/their signature(s)OfilheinstrUMentinC• • • • person(s), or theentity upon behalrof Which the person(s). e .eXectite - tliStru •-•. . . •••... . . . . . .•.. .aCtd- dth .rnent . • . . . .. .., ,-. • ....... . ..,,,,,,- - • „„_,_ . . • _ 4fikkin. >„. „_ __. ah.liFIN"_. Efirmifs . I certify under PENALTY.OF PERJURY under the laws of. .. . .. .1. '`rarY 'Pk•calltarni.a .. the State of California thattheforegoing:paragrapWis-true : . . . .. . l' i2-91/. . 6mintsion#236.3281 1 atiti wttect . . , . ..,,:My.cenne.Wres•Jul 29,:202i . •• •• ' . ,-,• " . •.,. .:.. • . WilleSS my ha ,. ...o ..-I seal.. •.- :. • . •. . • -• . . Signature -.. .• :. . .. :.: - • . . . . ..., •:;--.4# 9.=t9" .,.! . - - PleceNotar.stOen1Aho4 . • . , Signature• •—, Pub.! . . 77 ei.70ang• • " • • • • . . . . ,. • ••. OPTIONAL : ..• •_ . - • - .-- ThougtrThe Infonnatioatelowis notrequired bylaw,it may pmveyaluableto persons rofyIngen the document • • • :, • • ' and.could preventfraucligentreMovatend reatfachmenttfthelOnntv another dOcurtie4,' • . - Peacripitompf AttachedPocument... • '• • :••• .. . ..... :Title or Type of Document . .. • . • .. .: ... . .: ..,.:.. ..... . ...:: . ..,,,... . • . ,. . : . ... • . ,. • DocuMent Date: Number of Pages: • . • • • .. . - ,•• • • " • . .. . • . . . .. .. .. * - Signer(s)Other Than Named Above: . • . • •. • • .. . • .. .. • . . . . .. - :• .. .••.CaPaCity(tes)Claimed by Signer(s) • . . . . .: .• r. • . • • . . - • • • '. ...Signer's Name: • '':,,, "'. Signet's Name: . . . :. . 0 Individual . •• •••-• •• . •:., 0 Individual • - .. , . 0*coitiorai*Offidszir, 1106(s):••. •• '• .: . •'0 Corporate Officer—Title(s); . . •• • 0 Partner •. °Limited General . • . 0,Partner ClUmited ID General: •• . . . • :. . b Attorney inFad • • ''' RIGHT THUMBPRINT ',:. 06ttOnlerfrl F2CU. ' . RIGHT THUMBPRINT .:. ...El Trustee OF SIGNER • 0 Trustee . . ',.ri OF SIGNER ',..,. -'•: • . 0:-OUSNian•droonsenfator • ' - -•:•"•tobt-th•cuitb.fiiiir• ..: " :0 GOaklian at Conservator ' "7,--TOPiffill(iiiiiiiiati''':','-:: ' • .. . ... ,.. . ' • Dottier 0 Other: . . .,...; ,. • - • • • • • • • • . ... . . • . . . . .. . ...:, : . ... . ... . . . . - .: • :Pign0(.14 Rgiqef.erill .Pg; ,, Signer*Representing: . .,.., . .. ... . .....: . . . . . .. . . , .. . . .. . ,. . .. . . . . . .. . . ... . . . . • .. . -::..i ,:,: :.... ..,:,•:,.• . .. . . . . ...,: ..• , . . • ... ••. • • • CAUFORNiA=ALb-PYRPOSE.ACKNOWLEDGMENT .CIVIL:CODE§1189 •knotary public.or other officer compelling this certificatecentitcateNerftiesCcly the Identity of the indMdual who_signed the. . dccwnent to.which t isce tRiate:isattare and notfhetmthfnes;:acway•or aid f at doc uiient;o : ;State 0f;Gaiifomia; . ,. County of Los Angeles . ) On 0111.912022, before men .._ Raf9 Varo*TFiomassian;:Notary Public �• _ Date: . Here:'insert Name:and MO:of the.Of/icer • Mica . . personally appeared: -.e1�W gbdallati: :; • .... . 4In (s),:OfSigner(sl....• ;. who ,the basis of.satisfactory.evidence.;to be the:,person(s)_Whose.narne(a) Isla* . subscribed to the within instrument and•ackeowledged to me that;he/shefthey executed••4he same In his/hers authorized capacity(tee),and that.by hts/hedtlten'signature(s)on.the instrument the person(s), • •••or the.entity upon behalf of which the°person(a)acted,•executed they Inst ument. tverttfy.under PENALTY OF PERJURY under the.laws of the•.State of California that:tf a foregoii g paragraph . orat�rVieooanio>wasaarr: is•true and'convect. riatuyrPutiitc Citlfornia [os11 lsCounry WITNF.SS.my band and:offc al.'seal. • @r ?. coaua don E.3.334054 ' s r�►Comm,tYpkts tap 22.m4 •• • ,•• • . •/� Signature � Sigi ne• •of Notary Public . Place,Notary Soet Above • . .OPTIONAL.: • • ..• .. .:.. ... • Though this-section Is:opt(onsl,.completingthis Infonnatipn can defeealterabgh,of the:documeritor . frsuduleirt'reaitac/imeht ortltls fern to:air'urrlrrtended docqmerrt : Description of Attached`Document • Title•orType.of Doc umenC: Document Date. • . Number of Pages: • :Signer's) Other Than Named•Above. Capacity(ies);Claimed'by+Signer's) ' Signer's:Name:; Signer's Name:. O;Corporata Offtcer:--Title(s); 0 Corporate Officer' O Partner,0 Limited 0 General •O.Partner : 0 Limited • 0:General: []:Individual :QAttomey In Fact .0 Individual- 0 Attomey;ih.Fact: O Trustee ... ; .O Guardian or Conservator :':0 Trustee • 0 Gtler Ilan;or Conserviatior • 0 Other Signerig:Repre's Other. . :.en.;ting: :: :. • Signer Is Repr'esentingt:-: . . . ... • ®201ANational Notary Association www.NationalNotary org'•1-800dIS NOTARY(1.-800-876-8827) Item:#5907 • • AIC CW034E1083 This Power ofAttorney&nib the ads of those named hereb4 and Shy Moen aadar4v no bind Me Canrpeep except In theatarner and lode"wontbertsstaared Nodaaarlibr Note,goo"Letter of De"Oureney Rate.Interest Rate orResidential Value Guarantee: POWER OF ATTORNEY Know AB Persons By These Presentse ghat the Arad Insmanco Company.a arpon:km orgunhed and existing under the laws of the Slate of Missouri,having its principal admintmadre office in Jersey CIy. New Jersey thereinafter referred to as the'Company")does hereby appoint: Christine Roamg,Danielle Hanson,Emilie George,Irene Luang,James W.Mariana,P.Austin Neff end Yung T.Mulliek of Widen Viejo.CA(EACH) its lien and lawful Attent y(s)In.Fact,to make,execute,seal„and deliver hem the date of issuance of this power Strand on its bdmlfas surety,and as itsaax and deed Any and all bonds.umhhngs ncogmimnms and other surety obligations,in the penal sum not exceeding Ninety Minion Dollars( . This authority don not permit the sane obligation to be split Into two or mom bonds in ardor to icing each such bend within the dollar limit ofauthority as set forth herein. The amnion of such bonds,undertakings,reoognimnen and other surety obligations in pursuance of these pmants shag be as binding upon the add Company as Silly and amply to all intents and purposes,as if the sane lad been duly executed and acknowledged by its regularly dewed officers at its prindpal administrative office in fancy City,Newlersey. This Power of Attorney is executed by autarky of resolutions adopted by unanimous consent of the Bald of Directors of the Company an December 10,2020,true =daceuaa copies ofwhich are hereinafter sea faith and are hereby aerdhed to by the undersigned Secretary as being in fell three and ef[bet "VOTED,That the Chaanaa of the Board,the Presidet,or the Executive Vice President,or any Senior Vice President,of the Surety Business Division,or their appointors designated in writing and sled with the Secretary,or the Smeary shall have the power and authority to appoint agents and attorneys•in-fact,and to authorize them subject to the limitations set ninth in their respective powers of attorney.to execute on behalf of the Company.and attach the seal of the Company thereto,bonds.undertakings,r000gniances and other surety obligations obligatory in the nature thrcoI and any such offices of the Company nay appoint aunts fir ��o f " This Power of Maniac is signed,sealed and certified by facsimile under and by authority of the following resolution adopted by the wmnim aus consent of the Board of Directors attire Company onDecember 10.2021k VOTED,That the signs=of the Minor of the Board.the Pmsident.or the Execative Vice President,,or any Senior Vice President,of the Surety Business Division,or their appointees designated in writing and filed with the Secretary.and the signature of the Secretary,the seal of the Company.end cedsnatloms by the Secretary.may be affixed by Emile on any prows ofettorney or bond executed pursuant to the resolution adopted by the Board of Directors en Dmmtba 10,2020, and any such power so anted,sealed and certified with respect to any bonder undertaking to It Is"tid,shall corporate seal to be��by their to continuebe valid end b and binding upon the day Company.In Testimonyere Whof,the Company has caused this instrument to be 1%, .. its of f Imat •4 _ . Art nd C •h• • Arch is Company ay •es 0I� �°w�. S._ - C. Executive Vies President ST4px PENIILSYL ini SSA , cotrigt OF PHILADEtP(ltel$S Mile 1,MIch rfe Tdpodi,a NOInbllc do hereby certify that Regan A.Malmo and Stephen C.Rusdak personally known to me to be the same patens whose names are respectively as Seat*y.el<id Executive Vice President of the Arch insurance Company,a Corporation mgmdzed and airing under the laws of the Sate of Missouri,substhbrsl•totse ring instrument.appeared belbre me this day in person and sovaelly adnmwledeed that they being ttereunto duly authorized signed, sealed Ica seal and ddiveod the said ins antes as the fee end voluntary act of add corporation and as their own sae and volumuny acts Bathe uses and purposes .. .c+ .. .' ‘ti ,,� MI a i�tc .kele „..• My commission expires 07Atlm25 CERTIFICATION I.Regan A.Shulman,Secretary of the Arch.Insuance.Company.do hereby cat*that the attached Power of Attorney dated Manuel 10.2021 on behalf of the person(s)as listed abate is a true and correct copy and that the same has been in Nil lace and afibet since the date thereofa d is in lidl fbroe aad effect on the duo of this oetifhata and I do finder certify that the said Stephen C.Ruschak,who executed the Power of Attorney as Executive Vice President,was ors the date dace:Wan ofthea unched Power of Attorney the duly dented Executive Vice President of the Arch hawaae:Company. IN TESRMONY WHEREOF,I have hereunto subscribed my name and affixed the emporia real of the Arch Insurance Company on ttdslandny of Ja nunry t 2o 22. 6Sbtdmen, Seaetmy This Power of Attorney Mouta the acts of those named therein to the bonds and undertaking.specifically named therein and they have no authority to bind the Company except in tee manner and to the anent herein stated. ,, PLEASE SEND ALL CLAIM INQUIRIES RELATING TO THiS BOND TO THE FOLLOWING ADDRESS: ,• Arch insurance—Surety Division 3 Parkway,Suite 1500 a ••.omwostra• Philaddphle,PA 19102 •k i..:1 Tot yche authentidtyoflisPbwerofAttarney phase contact Arch hums=Compeny at Surety• ' .•, _. Ploosa afar to the obare awned Attentey factand the domllsof the bond to which thc polyeri clinched ... AICPOA040120 Printed in U.S.A. • r • Na 08157 STATE OF CALIFORNIA DEPARTIVIENT OF INSURANCE • SAN FRANCISCO Amended Certificate of Authority THIS IS TO CERTIFY.That,pursuant to the busman Code oldie Mate of California. • Arch bumtunco Company u f b8smtwl, mantled wder the laws of Missouri, subject to Its Articles of&corporation or other fundamental orgmnizattwml documents,Is herby authorised to transact within this&ate,subject to all provisions elide Certificate,the following dosses of latmwtae: The,Marine,Surety,Disability,Liability,Workers'Compensation, Common Carrier Liability,Boiler and Maddaery,Burglary, Team and Vdride,Automobile,and Aircraft as such dames are now or may hereafter be defined in the bnswwnce Laws ease State ofCallarNa. THIS CERTIFICATE is espresalyconditioned upon the holder hersofnow and hereafter being In fall compliance with all,and not hr violation ea*.alike appllcable•laws and lawful regabumests made under authority oldre laws ofthe State ofCaldo�rnlaar long as such laws or requfrentmasa rein effect mrd applicable,and as such laws and requirements now ore,or map►kereqitur be changed or amended: IN WITNESS WHEREOF,afflictive astithe 1SthdayofDeanmbber,2003,1 have herermto set my hand and caused my official seal to be affixed this lithe*((December,2005. Fee Sl T7.00 John coat ammo Ca..daroor Rec.Na . Piled . 12J1S 2005 By Patricia IL Stags fir Morda Baas a4f • Certification L the wndersigned btawwtce Commissionerofthe State ofCal{/brnia,do hereby cane that!have compared the above copy ofCatIjicataofsatheritywiththrdulplicateoforig1malnowonfiletomyoff, and that dui same is Oil,true and aural ransatpt thereal and gfthe whole ofsaiidduplicate.andwld Certificate((Authority it now in fdlPros and effect. IN WITNESS WHEREOF,I have hereunto set my hand and caused my official seal to be affixed this 4th day of December,2008. • Steve Pointer imam Cassinfour Pik ht4A14. Pauline D'Ardrea cWilliamson . OC.Y.EL'QI�7i4.�N:T Yfl1)� •$T 1ITY'. COMPANY PROFILE Williamson Development Group,Inc.is a commercial construction company that has built a strong reputation for delivering quality,on Time service and at a competitive price.We pride ourselves on being skilled and experienced in all aspects of retail and commercial construction and this,combined with our extensive knowledge of franchise system operations and development,has established us as a major player in this industry. Our commitment to excellence,accuracy and customer satisfaction,results in a successfully completed projects.We understand and promote the idea of working as a partnership with our clients to ensure their goals are met At Williamson development Group were integrity is not a slogan,it is an action.We are passionate and driven to continue the high levels of customer satisfaction we have achieved over the past 15 years.Our extensive knowledge of new store development process from coordination among vendors,Inspections, training and store opening,has created a great confidence and trust with our clients. We undertake a variety of projects for a wide range of cliental-from small private developments to manage large Government projects.Our unique and flexible project management systems ensure that a positive outcome is achieved regardless of size or nature of the project Most Recent Completed Projects List - U-swirl Frozen Yogurt- Downey - Which Wich- Lake Forest. - Which Wich- Murrieta - Which Wich - Escondido. - Which Wich-Upland. - Crafton hills college PE building. (Project management) - Baxter Elementary School - Multi Purpose room (Project management) - Site 21 Elementary School- Site work (Project management) - PAPA JOHN'S PIZZA# 3077 - Menifee CA - PAPA JOHN'S PIZZA# 3283 - Canyon Lake CA - PAPA JOHN'S PIZZA# 3414- Lake Elsinore CA - PAPA JOHN'S PIZZA#3503 -Perris CA - PAPA JOHN'S PIZZA#3925 -Woodland Hills CA - PAPA JOHN'S PIZZA# 3815 - Ontario CA - UPS STORE - Riverside CA - Arby's-Victorville CA REFRENCES - Scott Word- Franchisee (951)334-2762 - Peter Yanny- Franchisee (562)858-8074 - Maggie Holland -Area director Which Wich- (619)991-9424 - Jeff Christiansen-Franchisee- (714)313-0848 - Ronnie Rollman- Baker Architict (619)358-9220 - Vimal Patel- Franchisee- (858)722-0321 - Simon Smith- Regional Director Papa Johns Pizza-(909)573-4398 I C�R it 9 , '. �� ' r�)+ [ :. 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Document A310Tm - 2010 ;•;•,•;,•,•;•:••;•;•;;•,•,•,•,•;•;;;;•;•;•; ;••;:;••;••,::::.•;,•;:;•:;:.;:.,:,:„:„.,::,;•;.....,•:,„ •-;i Bid Bond Bid Bond NO:N/A:-.:i::::!:!:• •;;•:!,::!:;!;;!;! • ; •:•:•:•.•:•:••:•:.::•:::•:•:•:•:CONTRACTOR: SURETY: • (ikii,:e, legal status and address) (Name, legal status and principal place Williamson Development Group of businessjArch Insurance Company ':':::::::::':::..::::.:,::';'; 31925 Manzanita Lane Harborside 3,210 Hudson Street, Suite 300 -,!.!.:.t...!.:!:....!.:.-:..:.::. Lake Elsinore, CA 92532 Jersey City, NJ 07311-1107 This document has important legal .......:........... ...... !:! ::::::::! :•: ::::.:f:::. consequences.Consultation with ,-:::: :::i::,:!..::,: :.:::::•::.:.:, *.g:' •:•:':: :';;;:.OWNER: :'i:.ii!:i' !:iii:isf::.':' an attorney is encouraged with ( ame..:/.iiiil.i.$taria:740/1:.address) respect to its completion or .•::. :!:.f:.!:.!!: :,:.::•-:..City of Huntington Beach modification. ::.:•!: ;;.:.::.;:.;:j s' f;:::.;200 Main St Any singular reference to :.!:..!• :.:.:!:.'!i !.:. !:'::::!':Huntington Bogen,.CA.9S48 Contractor,Surety,Owner or !!..i! i!':!;:••!! !;!:130NO;t4MOUNT;'...Ten Percent of the Total Amount Bid(10%of Bid Amount) other party shall be considered ;;•! i;::;;::!:• :; ;g•: ;:i,:i:.!!:.; •: :!.::. ..!„,.:.„:,. plural where applicable. . PROJECT:.:.:i2ifi.i:" ;:;•.:. !:.:ii:.:•:::.':: ,!..:•;:i::(Name, location or address,and Project number,if any) FLOW LINE HALF ROUND DRAINAGE INLET STRUCTURES Project Number,if any:CC No:1656 :•:::::•:!•::••:•. .:••• .•::•:::,::: ::•i•!i.!; .:•;•• ;.:.:,;;:;•!;: :;;::;::::::•;• .-;:•i:: •:.::::i::.•;•TheCoritraetteiand•-•SirretY:iire 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 E•:• ••: : .:: ..:;: !: severally, prOiiiricii.fierein:g.The conditions of this Bond are such that if the Owner accepts the bid of the Contractor .;;!;:•.!.:.'''.!.:' ;.::::::-,:. within iii:th...::;tiine.:S.peeifjeki'liithe bid documents,or within such time period as may be agreed to by the Owner and Contractor,anittliediniftietor either(I)enters into a contract with the Owner in accordance with the terms of such bid,and ;Sneli-,bontfor bonds as may be specified in the bidding or Contract Documents,with a surety admitted . -.*:-.-;:: :;':1';•;:';:': ;::•iiiiiheijiirisdieffriii of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract •••:•::::::•:::::::;::::••:C:;,i! •i•i :•iiiiii:tor:th4iiii;iiiii:itfiaYirietit of labor and material furnished in the prosecution thereof;or(2)pays to the Owner the :••;:. ,;E•g:;:;:;,••:i;:: gi:i'i•i;iiiiiierence;:tiii.iiiiii.:ekeeedthe amount of this Bond,between the amount specified in said bid and such larger amount :,;:::::.•::.::i.:i•:;;:';:-•;-;.::: fOr witic40...C.ItiWnei may in good contract with another party to perform the work covered by said bid,then this i•: .•i:: ;E;E::.:. Obligaiiiiiiiitillbelitill and•Viiiii;;otherwise to remain in full force and effect.The Surety hereby waives any notice of :: ::;:: E -..;:;.:•an:agreeirierii:.beiWien the Owner and Contractor to extend the time in which the Owner may accept the bid.Waiver of !:!:;:.!;:!•:;::g',.!;:.•:- the;!•:....'::if!.ilOfiee...tiY... ''StiietY shall.n0applyto any extension exceeding sixty(60)days in the aggregate beyond the time for •:.;:•;:;.:;:;:::':i: '':!:•'•• acceptance of bids specified in-The:Oid.documents,and the Owner and Contractor shall obtain the Surety's consent for i:•-i:•i'fi':i.::'i:. -:.i.: ::i:'i:i art-kienSliiii; ey.;m4si;i6, (60)'iiii : fftlfs Bond is issued•in•cennection with a subcontractor's bid to a Contractor,the term Contractor in this Bond shall .•.•..•.• .•...•. •;,; .; :,.-: '•'berieemedio be;Subcontractor and the term Owner shall be deemed to be Contractor. "'-' ....::r:.:;:::•:;•:•;;::;!-.,,, :••;•••••:•';• • • *lien this Bond hiS:been•tUrniShed to comply with a statutory or other legal requirement in the location of the Project, any provision in Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and !::!-;;.:.!•!;!';!. provisions confor• ming to such statutory or other legal requirement shall be deemed incorporated herein.When so •:;:..:.:1,;i;•::::;.; .;',:.! .:i:':ii.:::•::':.:;::!,:.furnished,the intent is that this Bond shalt be construed as a statutory bond and not as a common law bond. :.;:.;•;•". Signed and sealed this 14th day of January 2022 :..::.:::::::'::::;:•.•:':-:'1'..- .* . 6) - WIliamson velopmen up .':,•;,;:.;:•;•;•;.';!!;:•;:;.;-:•::•:•:•:-.:•,::::.:::::::::::: :,:. 0.ite.4*):..:;!:: , . . Ancpany . . . .• •• (Sureo9 •.!Seat): . . (Witness) . (Tit.1e) I e Luong,Attom -in-Fa , • • • AlA Document A310TM—2010.Copyright V 1963,1970 and 2010 by The American Institute of Architects.All rights reserved.WARNING:This Ale Intl Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution ofithlis Aler theDo law.This any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent bebnt.p"9b / document was created on 01127/2012 07:23:12 under the terms of AIA Dacuments-on Demandw order ed 2008397483un6 .and is ndt kir resale.This document is licensed by The American Institute of Architects for one-time use only,and may not be reproduced orior to Its nomoletion.omits • • 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 9 of Orange •On 'JAN 14 2022 before me, Christine Hoang , Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Irene Luong 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. 4 °`'', CHRISTINE HOANG I certify under PENALTY OF PERJURY under the laws of ; Notary public-California the State of California that the foregoing paragraph is true - ,A Orange County Commission#L12 3281 and correct. s My Comm.Expires Jun 29,2025 Witness my ha • - d o • ial seal Signature Place Notary Seal Above Signature.f Nota, Publ C nstine oang 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 0 Limited ❑General 0 Partner ❑Limited❑General ❑ Attorney in Fact RIGHTTHUMBPRINT 0 Attorney in Fact RIGHTTHUMBPRINT ❑ Trustee OF SIGNER ❑ Trustee OF SIGNER ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: • CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§1189 C2�e�..:�..�e..C...�.�.•i-.��at^��C��t��C��fCe�C.:�<.a<��C.i�T��•��T��•��2�•�.`��•�t��:�•. 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 01/19/2022 before me, Raffi Varooj Thomassian, Notary Public . Date Here Insert Name and Title of the Officer personally appeared Mickel W Abdallah 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/leer/keif 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 RAFFI VAROOJ THOMASSIAN is true and correct. •.41 Notary Public-California Los Angeles County WITNESS my hand and official seal. 1-•.41-,11, Commission#2334054 •I My Comm.Expires Sep 22,.2024 Signature ! f 'v1/`p' AefG., Signa ure of Notary Public • Place Notary Seal Above OPTIONAL - Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies)Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑Partner — 0 Limited 0 General 0 Partner — ❑Limited 0 General ❑Individual ❑Attorney in Fact 0 Individual 0 Attorney in Fact ❑Trustee 0 Guardian or Conservator 0 Trustee 0 Guardian or Conservator ❑Other: 0 Other: Signer Is Representing: Signer Is Representing: L'h✓%��:�✓'��"+�✓'i�✓:��4�✓:�a:�y:�,.v:\y:\y..\:.\r!..0 PLC✓:��:��'.\�'.\�.\::\�:�✓i.\�4\✓:��n�:��4�'��5\✓'.��:\✓:<�i'.\°:.\y:\�:\✓'.may:\�«�<\:.�'.v'.��'� ©2014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 AIC 0000349083 This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated Not valid for Note,Loan,Letter of Credit,Currency Rate,Interest Rate or Residential Value Guarantees. POWER OF ATTORNEY Know All Persons By These Presents: 'That the Arch Insurance Company,a corporation organized and existing under the laws of the State of Missouri,having its principal administrative office in Jersey City, New Jersey(hereinafter referred to as the"Company")does hereby appoint: Christine Hoang,Danielle Hanson,Emilie George,Irene Luong,James W.Moilanen,P.Austin Neff and Yung T.Mullick of Mission Viejo,CA(EACH) its true and lawful Attorney(s)in-Fact,to make,execute,seal,and deliver from the date of issuance of this power for and on its behalf as surety,and as its act and deed: Any and all bonds,undertakings,recognizances and other surety obligations,in the penal sum not exceeding Ninety Million Dollars($90,000,000.00). This authority does not permit the same obligation to be split into two or more bonds In order to bring each such bond within the dollar limit of authority as set forth herein. The execution of such bonds,undertakings,recognizances and other surety obligations in pursuance of these presents shall be as binding upon the said Company as fully and amply to all intents and purposes,as if the same had been duly executed and acknowledged by its regularly elected officers at its principal administrative office in Jersey City,New Jersey. This Power of Attorney is executed by authority of resolutions adopted by unanimous consent of the Board of Directors of the Company on December 10,2020,true and accurate copies of which are hereinafter set forth and are hereby certified to by the undersigned Secretary as being in full force and effect "VOTED,That the Chairman of the Board,the President,or the Executive Vice President, or any Senior Vice President,of the Surety Business Division,or their appointees designated in writing and filed with the Secretary, or the Secretary shall have the power and authority to appoint agents and attorneys-in-fact, and to authorize them subject to the limitations set forth in their respective powers of attorney,to execute on behalf of the Company,and attach the seal of the Company thereto,bonds,undertakings,recognizances and other surety obligations obligatory in the nature thereof,and any such officers of the Company may appoint agents for acceptance of process." This Power of Attorney is signed,sealed and certified by facsimile under and by authority of the following resolution adopted by the unanimous consent of the Board of Directors of the Company on December 10,2020: " . VOTED,That the signature of the Chairman of the Board,the President, or the Executive Vice President, or any Senior Vice President, of the Surety Business Division,or their appointees designated in writing and filed with the Secretary,and the signature of the Secretary,the seal of the Company,and certifications by the Secretary,may be affixed by facsimile on any power of attorney or bond executed pursuant to the resolution adopted by the Board of Directors on December 10,2020, and any such power so executed,sealed and certified with respect to any bond or undertaking to which it is attached,shall continue to be valid and binding upon the Company.In Testimony Whereof,the Company has caused this instrument to be signed and its corporate seal to be affixed by their authorized officers,this 10"'day of August,2021. Attested and Certified ( Arch Insurance Company TE IV Rega.n"71..Shiilman,-Secretarv. Stephen C.Ruschak,Executive Vice President STATE,OF PENNSYLVANIA SS COUNTY OF PHILADELPHIA SS \\....LESSIda) I,Michele Tripodi,a Notary Public,do hereby certify that Regan A.Shulman and Stephen C.Ruschak personally known to me to be the same persons whose names are respectively as Secretary and Executive Vice President of the Arch Insurance Company,a Corporation organized and existing under the laws of the State of Missouri,subscribed to the foregoing instrument,appeared before me this day in person and severally acknowledged that they being thereunto duly authorized signed, sealed with the corporate seal and delivered the said instrument as the free and voluntary act of said corporation and as their own free and voluntary acts for the uses and purposes therein set forth. r z .; LL 4t lt34 Mich a 'podi,Notar ublic My commission expires 07/31/2025 CERTIFICATION ;,":.. .......:. ......:.... -..._,....... • I,Regan A. Shulman, Secretary of the Arch Insurance Company,do hereby certify that the attached Power of Attorney dated August 10,2021 on behalf of the person(s)as listed above is a true and correct copy and that the same has been in full force and effect since the date thereof and is in full force and effect on the date of this certificate;and I do further certify that the said Stephen C.Ruschak,who executed the Power of Attorney as Executive Vice President,was on the date of execution of the attached Power of Attorney the duly elected Executive Vice President of the Arch Insurance Company. IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seal of the Arch Insurance Company on thisl4thday of January , zo22 A .9)1,----- ReiefiA.Shulman,Secretary This Power of Attorney limits the acts of those named therein to the bonds and undertakings specifically named therein and they have no authority to bind the Company except in the manner and to the extent herein stated. 1 PLEASE SEND ALL CLAIM INQUIRIES RELATING TO THIS BOND TO THE FOLLOWING ADDRESS: Arch Insurance—Surety Division 3 Parkway,Suite 1500 ";f E Philadelphia,PA 19102 fr�� kboad To verify the authenticity of this Power of Attorney,please contact Arch Insurance Company at SuretyAuthentic wart insurance.com Please refer to the above named Attorney-in-Fact and the details of the bond to which the power is attached. • AICPOA040120 Printed in U.S.A. No. 08157 STATE OF CALIFORNIA • DEPARTMENT OF INSURANCE • SAN FRANI ISCO Amended Certificate of Authority THIS IS TO CERTIFY,That,pursuant to the Insurance Code of the State of California, • Arch Insurance Company of Missouri, organized under the laws of Missouri, subject to its Articles of Incorporation or other fundamental organizational documents, is hereby authorized to transact within this State, subject to all provisions of this Certificate,the following classes of insurance: Fire,Marine,Surety,Disability,Liability,Workers'Compensation, Common Carrier Liability,Boiler and Machinery,Burglary, Team and Vehicle,Automobile,and Aircraft as such classes are now or may hereafter be defined in the Insurance Laws of the State of California. THIS CERTIFICATE is expressly conditioned upon the holder hereof now and hereafter being in full compliance with all,and not in violation of any,of the applicable•laws and lawful requirements made under authority q f'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 15th day of December,2005,I have hereunto set my hand and caused my official seal to be affixed • this 15th day of December, 2005. Fee $117.00 John Garamendi Insurance Commissioner Rec.No. Filed . 12/15/2005 By Patricia K Staggs for Richard D.Baum Chief Deputy Certification I,the undersigned Insurance Commissioner of the State of California,do hereby certify that I have compared the above copy of Certificate of Authority with theduplicate of original now on file in my office, and that the same is a full,true,and correct transcript thereof and of the whole of said duplicate,and said Certificate of Authority is now in full force and effect. • IN WITNESS WHEREOF, I have hereunto set my hand and caused my official seal to be affixed this 4th day of December, 2008. • • • Steve Poizner Insurance Commissioner By ,Pauline D'Andrea� M eEa Williamson Development Group 31925 Manzanita Lane t r Lake Elsinore,CA 92532 R^F 6 r, 1 '' OFFICIAL BID SECURITY h.i DO NOT OPEN 5;i Project Name:Flow Line Half Round 1! 4,1 Drainage Inlet Structures i ti , on Main Street,17th Street. a:i 1'1 I and Orange Avenue CC#:1656 `4 Bid Opening Date: i January 27,2022 at 2:00 p.m. 14,1 J. . i ! J. t ., To: . , City of Huntington Beach , • Public Works Office .. 2000 Main St. . Huntington Beach.CA 92648 1