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HomeMy WebLinkAboutHorizons Construction Company - 2022-06-07 RECEIVED BY: CITY CLERK RECEIPT COPY J VY � SCif,le Return DUPLICATE to City Clerk's Office (Name) after signing/dating COI(Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: F// /2 SUBJECT: Bond Acceptance I have received the bonds for ri r)-L )( JY)SlYtJ fl( 2!yrtp4 lhkr7Y1)/rieti9 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. /3 Y YS 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 &'/-7102,2-' (Council Approval Date) CC No. Agenda-Item No. ago? ysy MSC No. City Clerk Vault No. LODa5! Other No. SIRE System ID No. 5 I,3,.3*Z5 g:/forms/bond transmittal to treasurer eD CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION DATE: 8/3/2023 TO: THOSE LISTED HEREON FROM: DJ Kelly, PW Contract Administrator Ti 3 SUBJECT: Retention Release Payment- PO#28517-OJ Supplier#124158 Co.#226 Gothard Restroom at Central Park, Project#CC 1628 Contractor's Name: Horizons Construction Company Address: 432 W Meats Ave. City, State and Zip Code: Orange, CA 92865-2625 Phone Number: 714-626-0000 City Business License Number: A308894 Notice of Completion (Date by City Clerk): 5/4/2023 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 outstandine voice re on file with the City. I certify that no stop notices are on file. ifirisib� 8-$ ZO2 3 Date Alvin P=pa, cting Director of Public Works I certify that there are no outstanding invoices on file. f3i i4I 3 /Lvic;,_0') c�C�— Date o 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. 844/23 � ,� 2/ Date Robin EstaniST5u, City Clerk K/j'-� 0-v,ug-vir) Attachments 1. Notice of Completion 2. Maintenance Bond 3. Certificate of Compliance with Prevailing Wage Laws 4. Contractor's Certificate 5. Certificate of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 6. Consent for Release letter from the Surety Company { Recorded in Official Records, Orange County Hugh Nguyen, Clerk-Recorder I II II II III IIIII II IIIIII II II NO FEE :1 * SR 0 0 1 4 3 3 5 6 9 4 $ * PLEASE COMPLETE THIS INFORMATION 2023000103325 11:08 am 05104123 e 90 CR-SC06 N12 1 RECORDING REQUESTED BY: 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 i :f WHEN RECORDED MAIL TO: CITY OF HUNTINGTON BEACH ,� PUBLIC WORKS DEPARTMENT i Attn:DJ Kelly P.O.Box 190—2000 Main Street Huntington Beach,CA 92648 I . THIS SPACE FOR RECORDER'S USE ONLY TITLE OF DOCUMENT • NOTICE OF COMPLETION i 1 1 a NOTICE IS HEREBY GIVEN by the City of Huntington Beach,owner In fee,2000 Main Street,Huntington Beach,CA 92648,that the I contract heretofore awarded to Horizons Construction Company,who was the company thereon for doing the following work to-wit: t i Gothard Restroom at Central Park,Project#CC 1628 i That said work was completed 04/14/2023 by said company according to plans and specifications and to the satisfaction of the City I Engineer of the City of Huntington Beach and that said work was accepted by the Director of Public Works on 04/14/2023,per City iCouncil Resolution No.2003-70 adopted October 6,2003. 7 t i l That upon said contract Great American 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. z 4/Director o ublic Works or C Engineer Dat65 City of Huntington Beach,California Chau Vu, Acting Director of Public Works y STATE OF CALIFORNIA) County of Orange )ss: .i 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 I have read said NOTICE OF COMPLETION and know the contents thereof;the same is true of my knowledge. t I declare under penalty of penury 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 I This document is solely the official business of i lf/licli& the City of Huntington Beach,as contemplated Director o ublic Works or City Engineer under Government code section 27383 and City of Huntington Beach,California should be recorded free of charge. Chau Vu, Acting Director of Public Works t 1 THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION 5 (Additional recording fee applies) I i J i Recorded in Official Records, Orange County Hugh Nguyen, Clerk-Recorder I 111111011111111114111111111111 NO FEE i *• $ R 0 0 1 4 3 3 5 6 9 4 $ * i PLEASE COMPLETE THIS INFORMATION • 2023000103325 11:08 am 05104123 1 3 90 CRSCOS NI2 1 • RECORDING REQUESTED BY: . 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 t 1 I. �1 j:/ WHEN RECORDED MAIL TO: i } CITY OF HUNTINGTON BEACH .� PUBLIC WORKS DEPARTMENT y Attn:DJ Kelly . P.O.Box 190-2000 Main Street Huntington Beach,CA 92648 i 1 • ;i THIS SPACE FOR RECORDER'S USE ONLY TITLE OF DOCUMENT I NOTICE OF COMPLETION f t P I • aNOTICE IS HEREBY GIVEN by the City of Huntington Beach,owner in fee,2000 Main Street,Huntington Beach,CA 92648,that the s I contract heretofore awarded to Horizons Construction Company,who was the company thereon for doing the following work to-wit: i 3 Gothard Restroom at Central Park,Project#CC 1828 # That said work was completed 04/14/2023 by said company according to plans and specifications and to the satisfaction of the City t Engineer of the City of Huntington Beach and that said work was accepted by the Director of Public Works on 04/14/2023,per City i Council Resolution No.2003-70 adopted October 6,2003. 1 t 1 That upon said contract Great American Insurance Company,was surety for the bond given by the said company as required by law. :S a This document is solely for the official business of the City of Huntington Beach,as contemplated under Government Code Section f 27383 and should be recorded free of charge. t 5 Director o ublic Works or C Engineer Dat6 1.) . City of Huntington Beach,California 1 Chau Vu, Acting Director of Public Works I S STATE OF CALIFORNIA)I County of Orange )ss: I .1 City of Huntington Beach ) • I 1 I,the undersigned,say:I am an Agent of the City of Huntington Beach,owner in fee,in the foregoing NOTICE OF COMPLETION. I }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 'A l } ill- ) document!s solely the official business of 471:3 a the City of Huntington Beach,as contemplated Director o ublic Works or City Engineer under Government code section 17383 and City of Huntington Beach,California should be recorded free of charge. Chau Vu, Acting Director of Public Works I I t i.. 1 i THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) 5 i i . A lit -1 - CITY OF HUNTINGTON BEACH °� r 'proii`' �� Public Works Department y ;�.�. 79 �, ,f2 Sean Crumby, PE �F G Director of Public Works Cps^,1V CP April 25, 2023 Horizons Construction Company Said Bassyouni, Project Manager 432 W Meats Ave. Orange, CA 92865-2625 Subject: Gothard Restroom at Central Park, Project#CC 1628 Ref: Informal Acceptance On 04/14/2023 Dear Mr. Bassyouni: Please be advised that the City has informally accepted the improvements constructed as of 04/14/2023. This informal acceptance is limited to only: 1. A release of liability from usage of the improvements by the public. This release does not include those responsibilities for accidents occurring as a result of defective workmanship. 2. Termination of contract construction time. Retention funds withheld during this project will be released 35 days after the recordation of the Notice of Completion (NOC) by the County of Orange. In order to release the retention funds the following items must be submitted for approval,to the City: 1. Certificate of Compliance for Prevailing Wages (enclosed) 2. Contractor's Certificate (enclosed), including unconditional lien waivers 3. Title VII Certificate of Compliance (enclosed) 4. One-year(100% of costs including change orders) Maintenance Bond (enclosed) 5. Authorization from your surety to release retention funds 6. Unconditional releases from the preliminary notices 7. Final Certified Payrolls 8. "As-Built" plans Should you have any questions, please contact me at(571)722-2277. Sincerely, Ald.• 4--- DJ Kelly Contract Administrator 2000 Main Street, California 92648• Phone 714-536-5431 • www.huntingtonbeachca.gov Certification of Compliance with Prevailing Wage Laws To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Prevailing Wage Laws Contract: Project: GOTHARD RESTROOM IMPROVEMENTS 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 MAY day of TUESDAY THE 16th, 20 23 , at city of Huntington BeachCalifornia. Horizons Construction (Contractor Name) APPROVED TO FO By: ael E. Gates ty Attorney 1 3 '. a CONTRACTOR'S CERTIFICATE I, Said Bassyouni , state and certify that: (Name of Declarant) 1. Horizons construction is the general contractor to the City of Huntington Beach("City")on Contract No. CC-1628 (the"Contract") for the construction of the public work of improvement entitled: GOTHARD RESTROOM IMPROVEMENTS (the"Project"). 2. All work to be performed pursuant to the Contract has been completed in accordance with the Contract Documents(as such term is defined in the Contract). 3. Except for the claims listed below and the disputed claims listed in paragraph five (5), all persons supplying labor, services, materials and equipment to the Project, including all claims against the contractor arising from the performance of the Contract, have been paid and satisfied(list unpaid debts and claims; if none, write"NONE"): NONE 4. Attached hereto are the lien waivers required by the Contract Documents,which lien waivers have been executed by all persons who performed work on or supplied labor, services, materials,and/or equipment for use at the Project. 5. Set forth below is a list of disputed claims or claims that are the subject of a Notice to Withhold filed pursuant to the Civil Code of the State of California(list all disputed claims; if none, write"NONE"). NONE I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at GOTHARD RESTROOM on this MAY day of TUESDAY THE 16*20 23 . (Signature of eclarant) APPROVED AS ORM/ -, Michae . Gates City ttorney 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. 1628 Project: GOTHARD RESTROOM IMPROVEMENTS 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 MAY day of TUESDAY THE 16th, 2023 , at City of Huntington Beach California. HORIZONS CONSTRUCTION (Contractor Name) APPROVED F By: Mic el E. Gates Ci Attorney 1 Bond #4378985 Premium: Included in MAINTENANCE BOND Performance Bond KNOW ALL PERSONS BY THESE PRESENTS: • ThatHorizons Construction Company International, Inc.(contractors name) 432 W. Meats Avenue, Orange, CA 92865 • (contractor's street address,city and state and zip code) as Principal(hereinafter called Contractor),and: • Great American Insurance Company (surety's name) 750 The City Drive South#470. Orange, CA 92868 (surety's street address, city and state and zip code) a corporation organized and existing under the laws of the State of Ohio with its principal office in the City of Orange as Surety(hereinafter called Surety),are held firmly bound unto CITY OF • HUNTINGTON BEACH as Obligee (hereinafter called Owner), in the amount of four hundred seventy-two thousand*Dollars ($ 472.484.50 ), equivalent to the entire • contract amount including all orders, for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators,successors,and assigns,jointly and severally,firmly by these presents, * four hundred eighty-four& 50/100 WHEREAS,Surety is a duly admitted surety insurer under the laws of the State of California;and • Surety is certified and listed in the U.S. Department of the Treasury Circular 570, and able to provide proof of bonding • limitation shown in said circular is sufficient to provide bonds in the amount required by said Contract;and Surety has provided financial strength ratings from reputable companies, such as from A.M. Best, Moody's, Standard &Poor's,to validate that Surety has positive ratings of being secure or stable;and Surety is registered and listed with the California Department of Insurance;and Contractor has by written agreement dated ,2022, entered into a contract with Owner for the Gothard Restroom Improvements Project#CC 1628 in accordance with drawings and specifications prepared by which contract is by reference made a part hereof(hereinafter referred to as the Contract);and The Contract provides that the principal will guarantee, for a period of one year, the work performed as part of the Contract from and against all defects in materials and workmanship;and The Contract also provides that the Contractor shall secure Contractor's obligations during the one-year period with a bond executed by a surety duly admitted in the state of California;and • The Contract has been completed,and the Owner,Contractor and Surety agree that the commencement date for this • Guarantee and Bond shall be April 14 ,202$ NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that if Contractor shall, for a period of one year from and after the date of completion and acceptance of the Contract by Owner, repair andfor replace any and all defects arising in the Work, whether resulting from defective materials or defective workmanship, then this obligation shall be null and void;otherwise it will remain in full force and effect. • The Surety hereby waives notice of any alteration or extension of time made by the Owner. Whenever Contractor shall be, and declared by Owner to be in default under the Contract, the Surety shall, within • thirty (30) days following Owner's written notice of default, either: (a) remedy the default, or (b) shall promptly complete the Contract in accordance with its terms and conditions. Surety shall save the Owner harmless from any claims,judgments, liens or losses arising from the Surety's failure to • either remedy the default or to complete the Contract in accordance with its terms and conditions in a timely manner. • • • 15-4584/118138 1 Whenever the Principal shall be, and declared by the Owner to be in default under the Contract, which shall include without limitation, any breach or default of the Contract, then, after written notice from the Owner to the Surety, as provided for below,the Surety shall either: (a)remedy the default or breach by the Principal;or(b)shall promptly and faithfully take charge of the Work and complete the Work in accordance with the requirements of the Contract with a contractor other than the Principal,at its own expense, and make available as work progresses sufficient funds to pay the cost of completion less the unpaid balance of the Contract including other costs and damages for which the surety may be liable hereunder, provided, however, that the procedure by which the Surety undertakes to discharge • its obligations under this Bond shall be subject to the advance written approval of the Owner. Within thirty (30) days after Surety's receipt of a written notice from Owner of the failure of performance of the Contract by the Principal, it shall be the duty of the Surety to give to the Owner a notice, in writing, of the Surety's election to(a) remedy the default(s)of the Principal promptly,or(b)arrange for performance of the Contract promptly by a contractor other than the Principal, time being of essence to this Bond. In said Notice of Election, the Surety • shall state the date of commencement of its cure or remedy of the Principal's default(s) or its performance of the Contract. The Surety's obligations for cure or remedy, include but are not limited to: correction of defective work and completion of the Contract, additional legal, design professional and delay costs arising from Surety's actions or failure to act; and liquidated damages (or if no liquidated damages are specified in the Contract, actual damages caused by delayed performance or non-performance by the Principal). The Surety shall give prompt written notice to the Owner upon completion of the cure or remedy of the Principal's default(s)of its performance of the Contract. If the Surety does issue its Notice of Election and does not proceed to cure or remedy the Principal's default(s) of its performance of the Work within thirty(30) days after receipt of a written notice from Owner, Surety shall be deemed to be in default on this bond,and the Owner shall be entitled to enforce any remedy available to Owner. No right of action shall accrue on this bond to or for the use of any person or corporation other than the owner named herein or the successors of Owner. Signed and sealed this 2nd day of June , 2023 Principal Raised Corporate Seal Horizons Construction Company International, Inc. [MUST BE AFFIXED] (Contractor Name) By: (Seal) • Principal Raised Corporate Seal t1V o11j\ ko'Was'\ [MUST BE AFFIXED] PreSi6 (Title) Great American Insurance Company (Surety Name) • By: (Seal) • Sp cer Flake, orney-In-Fact APPROVED AST RM: B NOTES: ichael E. Ga es, City Attorney 1. Acknowledgments must be completed and returned I Lei y as part of the bond. . • 2. Raised Corporate Seals are mandatory. 3. Please attach Power of Attorney. 15-4584/118138 2 1 f_ t CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 • A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) . County of Orange ) On June 2, 2023 before me, Heather Willis, Notary Public Date Here Insert Name and Title of the Officer personally appeared Spencer Flake Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the 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. �;n.•r.,. WITNESS my hand and official seal. ._ HEATHER WILLIS / COMM.#2334057 en ,- li NOTARY PUBLIC-CALIFORNIA �'`T•'^'"'�"' ��/C V`.% ORANGECOUNTf Signature f i(Nr/I �xw,./ MYCOMM.EXPIRES SEPTEMBER25,2021 Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: • Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer,— Title(s): ❑ Partner — Cl Limited ❑General ❑Partner — ❑ Limited El General ❑Individual ❑Attorney in Fact ❑Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: . Signer Is Representing:. ©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 GREAT AMERICAN INSURANCE COMPANY@ Administrative Office: 301 E 4TH STREET • CINCINNATI,OHIO 45202 • 513-369-5000 • FAX 513-723-2740 The number of persons authorized by this power of attorney is not more than FIVE No.0 20942 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the GREAT AMERICAN INSURANCE COMPANY,a corporation organized and existing under and by virtue of the laws of the State of Ohio,does hereby nominate,constitute and appoint the person or persons named below,each individually if more than one is named,its true and lawful attorney-in-fact,for it and in its name,place and stead to execute on behalf of the said Company,as surety,any and all bonds, undertakings and contracts of suretyship,or other written obligations in the nature thereof;provided that the liability of the said Company on any such bond, undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below. Name Address Limit of Power DAVID L.CULBERTSON HEATHER WILLIS ALL OF ALL CHARLES L.FLAKE LEXIE SHERWOOD ANAHEIM, $100,000,000.00 SPENCER FLAKE CALIFORNIA This Power of Attorney revokes all previous powers issued on behalf of the attomey(s)-in-fact named above. IN WITNESS WHEREOF the GREAT AMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this 8TH day of SEPTEMBER , 2020 . Attest GREAT AMERICAN INS CE COMP \ e 3 Assistant Secretary Divisional Senior Vice President STATE OF OHIO,COUNTY OF HAMILTON-ss: MARK VICARIO(877-377-2405) On this 8TH day of SEPTEMBER 2020 before me personally appeared MARK VICARIO,to me known, being duly sworn,deposes and says that he resides in Cincinnati,Ohio,that he is a Divisional Senior Vice President of the Bond Division of Great American Insurance Company,the Company described in and which executed the above instrument;that he knows the seal of the said Company;that the seal affixed to the said instrument is such corporate seal;that it was so affixed by authority of his office under the By-Laws of said Company,and that he signed his name thereto by like authority. SUSAN A KOHORST Notary Public State of Ohio p� ° 92 /�,$' . My Comm.Expires GI•i+c- B- May 18,2023 This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company by unanimous written consent dated June 9,2008. RESOLVED: That the Divisional President, the several Divisional Senior Vice Presidents,Divisional Vice Presidents and Divisonal Assistant Vice Presidents, or any one of them,be and hereby is authorized,from time to time,to appoint one or more Attorneys-in-Fact to execute on behalf of the Company, as surety,any and all bonds,undertakings and contracts of suretyship,or other written obligations in the nature thereof to prescribe their respective duties and the respective limits of their authority;and to revoke any such appointment at any time. RESOLVED FURTHER: That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the Company may be affixed by facsimile to any power of attorney or certificate of either given for the execution of any bond,undertaking,contract of suretyship, or other written obligation in the nature thereof such signature and seal when so used being hereby adopted by the Company as the original signature of such officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as though manually affixed. CERTIFICATION I,STEPHEN C.BERAHA,Assistant Secretary of Great American Insurance Company,do hereby certify that the foregoing Power of Attorney and the Resolutions of the Board of Directors of June 9,2008 have not been revoked and are now in full force and effect. Signed and sealed this 2nd day of June , 2023 . a�t f (!A_ 3 . Assistant Secretary S1029AH(03/20) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT I - .- '„ A notary public or other offices 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 June 5, 2023 before me YAZMIN BARRERA VALDES, NOTARY PUBLIC , Personally appeared KINAN KOTRASH , ® 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-it-hey executed the same in his/hcr/thcir authorized capacity(les), and that by his/hcr/thcir signatures) 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 an. official seal. Ilk y<*'" YAIMIN 6*.ig l VALDES �` NotaryPublic-California I t;�' rante County is 1/Ali ' vn f" Commission#2403422 — �'"' -_I., , . "" My Comm.Expires Jun 2,2026 nature of Notary a s xx - r'.d�' i 2 N - n �. a _. x e a a A i 3 a � � :{,���A 5. ,sli d I;.k *105,::tt f:3 r�"�{"kR J afi k r� d i `, k k i si I A„ aiv . %syx "+ }3 'ir i..t ;. f .x y -._j y { y f F t WLy: i i s ^'x n a i; r^t E�i ,�"�!a.�, .,;5.h 1a 4?i,'s�..,s .�, �.�. .`�'i C _ E.,4P a�j,"a•a..�Y .., ,I } r1,' .''IoN _`, r .. 1,: ,f44. ` -'" .,.: xi. �` �,. (11;4 3 '40 K,. 7 .M� .��.Ps�„�S�a n�� r�^ .,._ ::>" .•��a���..�z s*",:. Yt �,ar.. -". +....,r.a�.v. >xd,dr ,�k. ., Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL Maintenance Bond ® CORPORATE OFFICER Bond No. : 4378985 ❑ LIMITED , ❑ PARTNER(S) ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: Horizons Construction Co. Int'I,Inc. NAME OF PERSON(S)OR ENTITY(IFS) RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) Q CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION 1 O1 TO: City Treasurer FROM: City Clerk DATE: S/R-/23 SUBJECT: Bond Acceptance I have received the bonds for I7Dl-i > Ul l 11�S ' j fTt,C�s'"%'" t �� . CI (Company Name) 0 //)7�/' CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond(Labor and Materials) Bond No. Warranty or Maintenance Bond No. L/3711 TS 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 &/7"/ Z2., ¢ (Council Approval Date) CC No. l 2p Pit/ No. — ysy MSC No. City Clerk Vault No. GoUU•E!' Other No. SIRE System ID No. 65310334S g:/forms/bond transmittal to treasurer 1 Recorded in Official Records, Orange County Hugh Nguyen, Clerk-Recorder lID 0110 Hl I 11111 0 NO FEE * S R 0 0 1 4 3 3 5 6 9 4 $ * PLEASE COMPLETE THIS INFORMATION 2023000103325 11:08 am 05104123 • 90 CR-SCO6 N12 1 RECORDING REQUESTED BY: 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 1 WHEN RECORDED MAIL TO: } CITY OF HUNTINGTON BEACH PUBLIC WORKS DEPARTMENT x Attn:DJ Kelly 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 Horizons Construction Company,who was the company thereon for doing the following work to-wit: • Gothard Restroom at Central Park,Project S CC 1628 That said work was completed 04/14/2023 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 04/14/2023,per City Council Resolution No.2003-70 adopted October 6,2003. That upon said contract Great American 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 fi 27383 and should be recorded free of charge. 4"/Director o ublic Works or C Engineer Dat;i5///)71) City of Huntington Beach,California Chau Vu, Acting Director of Public Works • STATE OF CALIFORNIA) • County of Orange )ss: • City of Huntington Beach I,the undersigned,say:i am an Agentandknowthe contentsmyCiof Huntington ingtn Beach, owner in fee, in is true offoregoing knowledge. NOTICEOF COMPLETION. I • have read said NOTICE OF COMPLETION 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 1 �j the City of Huntington Beach,as contemplated under Government code section 27383 and Director o ublic Works or City Engineer /(� City of Huntington Beach,California should be recorded free of chime. Chau Vu, Acting Director of Public Works THIS PAGE IS ADDED TO PROVIDE AD PA E F R RECORDING INFORMATION DE recording fee PLEASE COMPLETE THIS INFORMATION RECORDING REQUESTED BY: WHEN RECORDED MAIL TO: CITY OF HUNTINGTON BEACH PUBLIC WORKS DEPARTMENT Attn:DJ Kelly 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 Horizons Construction Company,who was the company thereon for doing the following work to-wit: Gothard Restroom at Central Park,Project#CC 1628 That said work was completed 04/14/2023 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 04/14/2023, per City Council Resolution No.2003-70 adopted October 6,2003. That upon said contract Great American 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 o ublic Works or Ci Engineer let073 City of Huntington Beach,California Chau Vu, Acting Director of Public Works 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 /� A47:& the City of Huntington Beach, as contemplated `f under Government code section 27383 and Director o Public Works or City Engineer should be recorded free of charge. City of Huntington Beach,California Chau Vu, Acting Director of Public Works THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) i RECEIVED BY.: CITY CLERK RECEIPT COPY / Return DUPLICATE to C City Clerk's Office (Name) after signing/dating (Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: V,51-z SUBJECT: Bond Acceptance I have received the bonds for } I• tJ�l� � -tJ/ 1,..)kr7 Y 9 4 (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. 1-1•341,?JeS Payment Bond (Labor and Materials) Bond No. q3:� -3 795 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 /-/7 2�aj (Council Approval Date) CC No. AA2S Agenda Item No. g57V MSC No. City Clerk Vault No. &) Other No. SIRE System ID No. �.3� g:/forms/bond transmittal to treasurer CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND Horizons Construction Company FOR Gothard Restroom Improvements Project 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 Horizons Construction Company , 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 Gothard Restroom Improvements Project 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 e emen s, Trom any un oreseen difficulties which may arise or Se 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. r11����1����1■ ��rl��r III I I��I I��11 IY��4��� 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 Four Hundred Seventy Thousand Two Hundred Nineteen and 00/100 Dollars ($ 470,219.0_�, 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 Ninety (__PO ) 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 ) 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 b., the parties hereto to estimate a fair compensation for the foreseeable damages Cl`L Y 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. I Should CONTRACTOR be delayed in the prosecution ar.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.c-aller 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 ,..o this Agreement and payment of which is not expressly permitted pursuant to Section 3 of tais 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 I j 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 iv 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 retaine-!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 SECURI t'_LS 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 Off',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 4>y California Labor Code Sections 1771 and 1774. In accordance with the provision: 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 eer 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 shad constitute one days 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 dieirt 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,darnages, 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 yr 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 1801, 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' com ensation and em to er'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 c.overiant to defend,hold harmless and indemnify CITY, CONTRACTOR shall obtain and furnish to CITY, a policy of�-.neral 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; .:nd 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 Eermitted. 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 (Nf 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,.::,)verages 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 l 6-5195/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 bankrup*..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 subsequent' determined by a court of competent jurisdiction that CITY's termination of this i..tigreement under, this Section was wrongful, such termination ..call 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, ES IMATES 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 persona3.delivery to CONTRACTOR's agent (as designated in Section 1 bereinabove) 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 Horizons Construction Company ATTN: DJ Kelly , Public Works ATTN: Kinan Kotrash,Vice President 2000 Main Street 432 W. Meats Avenue Huntington Beach, CA 92648 Oranee, CA 92865 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 alad 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 eitho-r 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 rr ■ � r rr ■ 1 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 contairA-,d 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 counterpart, as duplicate originals, each of which so executed shall, irrespecti- .o of the date of it. execution acid delivery, be deemed an original. Each duplicate original shall b: 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 thei;,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,:f<ict or circumstance not expressly set forth in this Agreement. This Agreement, and the attached Exhibit "A", contain the entire agreement between the parties respecting the subject matter of this Agreement, and supersede all prior understandings and agreements whether oral or in writing between the parties respecting the subject matter hereof. 24 16-5195/City Funded Construction Contract.doex—revised 04/2016 IN WITNESS WHEREOF,the parties hereto have caused this Agreement to be executed by-and through their authorized officers on -Ju n pa22. , 202a-L4( CONTRACTOR: CITY OF HUNTINGTON BEACH, municipal corpor n of a State li By:-- �'��y(�'� ���i�S� Mayo _l� (print name) ITS: Chairman/President Vice-President City Clerk .SJ� (circle one) INI ND ROVED: AND By: Dir ctor f Public Works 1kZ-fV � (Pr ML�e) WE A PPR ITS:Secret Chief Financial Officer / Asst.Secre / reasurer (circle one) anager APPROVED M: City to U, / 25 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROPOSAL for the construction of GOTHARD RESTROOM IMPROVEMENTS CC No. 1628 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 90 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award,BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses,taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded,the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-t 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 X's &Odin the amount of which said amount is not less than 10%of the aggregate of the total bid price, as required by the Notice Inviting Sealed OR ELECTRONIC Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or"Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda o. Date Received BiddgPW-,Wature 01 04/25/2022 02 04/26/2022 A IV C-2 SECTION C PROJECT BID SCHEDULE A GOTHARD RESTROOM IMPROVEMENTS CC1628 BID ITEMS w`ka?syp! 2 aye, �^u} -2''7,. *rp ".v;• xf a � `a j; .. e�5w, e 1 Mobilization 1 LS $ $ 2 Existing Concrete Decking 327 SF $ $ 35q�- 3 Existing Structural Steel Elements 1 LS $24 :W $ 2`I ADO 4 Existing Ornamental Railing 143 LF $ 1 q $ 2�- 6 Existing Entry Gates/Frames/Connections 2 EA $I C)+5 $ 2 eJ� 6 Sand Blast Paint at Steel in Need of Repair 1 LS $CP W) $ 7 Existing Interior Walls, Finishes and Fixtures 1 LS $ � $ 8 Additional 100 S.F.of Existing Concrete Decking 100 SF $ $ 9 New Concrete Decking and Reinforcement 327 SF $�_ $ 10 Additional 100 S.F.of Concrete Decking 100 SF $ 2`I $ ZT00 11 Structural Steel Repair 1 LS $�11 $ IZ�� 00 12 Concrete Footing Repair 4 EA $ 1 U $ - 13 Concrete Curbs at Existing Structural Columns 19 LF $ ,5U $ 94�0 14 Hazardous Material Abatement Demo/Haul Off 1 LS $ $ a ' 16 Light Ga. Metal Framing 187 SF $ $ 34157 16 Cement Backer Board 1,122 SF $ $ 17 Ornamental Metal Railing with Paint Finish 160 LF $ $ 5�,-J`7W 18 Openings(Doors, Frames, Hardware, Signage) 4 EA $ DD $ 4" 0 19 Flooring(Epoxy Finish) 1,470 SF $�, $ _ 20 Interior Painting(Including Doors&Frames) 438 SF $ $ 15 3 21 Exterior Painting(Including Doors&Frames) 2,160 SF $ 6,W $ �3 2- C-2.1 SECTION C PROJECT BID SCHEDULE A GOTHARD RESTROOM IMPROVEMENTS CC1628 7 Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 22 Ceramic Tile/Grouting/Grout Sealer 1,122 SF sjsaf $ 23 Plumbing 1 LS $ ]� 1011100 24 HVAC(Exhaust Ventilation) 1 LS $1�3X $ I C7�OD 25 Electrical 1 LS $2 3a-0 $2,A00v Y6 Toilet Accessories/Blocking 1 LS $ I y $ 1410Q 27 Power Wash Existing Exterior Wall Tile 616 SF $ $9qZg TOTAL BID AMOUNT (BASIS OF AWARD)—SCHEDULE A $ 1219 TOTAL BID AMOUNT IN WORDS: M(Vu �hAd-ftl too Y- Hindy7tci 5evfv) �Q Notes: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. The estimated quantities listed in the Proposal Bid Sheets are approximate and are to be used only as comparison of bids. Payment for quantities will be made from field measurements. If the actual quantities show either an increase or decrease from the quantities given in the Proposal Bid Sheet, the Contract Unit Prices will prevail. Full compensation will be paid at the contract price for the actual work completed, and no additional compensation will be allowed therefor. Payment will not be made for materials wasted or disposed of in a manner not called for under the Contract; this includes rejected material not unloaded from vehicles and material rejected after it has been placed. No compensation will be allowed for disposing of rejected or excess material. The City reserves the right to reject all bids and to increase or decrease the amount of any quantity shown on the Proposal Bid Sheets. In case of a variation between the unit price and the totals shown by the bidder, the unit price will be considered to be the bid. Bidder's Name: Horizons Construction Co. Ind, Inc. Telephone No.: 714-626-0000 C-2.2 SECTION C PROJECT BID SCHEDULE Gothard Restroom Improvements CC-1628 PROJECT BASIS OF AWARD: Gothard Restroom Improvements . . . . . . C-2.1 ITEM 1. Base Bid Items IN FIGURES BASE BID TOTAL AMOUNT LUMP SUM BID(TOTAL FOR ITEMS 1) $ Tul BASIS OF AWARD IN FIGURE C-3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104. the Bidder shall set forth the name and business address of each subcontra:..lor 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 $10.000. whichever is greater, and the portion of the work to be done by such subcontractor. Bid Alaine and Address of State Class DIR PWC Dollar %of Iteyn(,$) Subcontractor License Registration"' Amount Contract Number CASTLEROCK ENVIRONMENTAL INC776105 A.B,C2 1000003462 $6,885 C15,C2i 10040 PAINTER AVENUE C22 0 #14 SANTA FE SPRINGS,CA 90670 nai naiardou 1 /o (562)941-9244 substance enno,al RSI FLOORING 1058624 B,C15 1000701407 $22,232.88 #22 121 CARRIAGE LANE SUITE 107 5% LANCASTER,CA 93534 (661)618-6757 TROY'S ORNAMENTAL IRON CRAFT INC #11 &#17 dba ROD CONSTRUCTION 945177 C13 1000412581 $78,280 17% 8150 ELECTRIC AVENUE STANTON,CA 90680 C23 (949)587-9604 MIKE'S ELECTRIC #25 7437 GAVIOTA AVE 518691 C10 1000027143 $16,700 4% VAN NUYS,CA 91406 - (818)744-4661 t By submission of this proposal, the Bidder certifies: I. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project C-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 LL2 22,at Orange _,-CA- Date City State Kinan Kotrash being first duly sworn,deposes and says that he or she is Vice President of Horizons Construction Co.Intl,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 thecontents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Name of Bidder Horizons Construction Co.Int'I,Inc. Signa a of inan Kotrash,VP 432 W. Meats Ave, Orange, CA 92865 Address of Bidder C-s 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 GOTHARD RESTROOM IMPROVEMENTS, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Horizons Construction Co. Int'I, Inc. Contractor By K' an 46tr s Vice President Title Date:05/02/2022 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. Horizons Construction Co. Intl, Inc. Contractor By Kin an otra Vice President Title Date:05/02/2022 C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Horizons Construction Co. Ind Inc. Bidder Name 432 W. Meats Avenue Business Address Orange, CA 92865 City, State Zip ( 714 )626-0000 Yazmin@Horizonscci.com Telephone Number Email Address 825022 / A,13,C2,C8,C12,C20,C21,C36 State Contractor's License No. and Class 09/25/2003 Original Date Issued 09/30/2023 Expiration Date The work site was inspected by Mike Ortega of our office on 04/19/2022 , 20 . The following are persons, firms, and corporations having a principal interest in this proposal: Hatem Ibrahim, President Kinan Kotrash,Vice President The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Horizons Construction Co. Int'I Inc. Company Name Signature of Bidder Kinan Kotrash Vice President Printed or Typed Signature C-9 NOTARY CERTIFICATE Subscribed and sworn to before me this 0) day of May .2022. 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 05/02/2022 before me, yaZmi n&rrera, NO�niv PoW Month, Day, and Year Insert Name and Title of Notary personally appeared Kinan Kotrash Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s),or the entity upon behalf of which the person(s)acted,executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS m hand and official seal. yt�.�, BARRERAVALDES y Notary Public•California y;f" Orange County > r Commission#2241343 Ji'da- My Comm.Expires Jun 2,2022 Signature ignat ofNotary Public (PLACE NOTARY SEAL ABOVE) at0 Bidder's Project History For the purposes of this project the contractor and subcontractor must have, in the last five years, constructed at least five (5) projects of similar work specifically referencing the construction of {Describe specific work and experience necessary for project,for example "Reconstruction or rehabilitation of existing public use facilities". Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. The following list of projects meet the requirements of above: CF Station 163 Bathroom Remodel 1. 1350 N. Benson Ave, Upland, CA 91786 Name and Address of Reference Name and Telephone No. of Project Manager: Vasilis Tsan_garides 909-387-5000 $270,000.00 Fire station bathroom remodel 04/2021 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: CF station 163 bathroom remodel sourcewell Irvine city Parks 2. One Civic Cpnter Plaza, Irvine, CA 92623 .Name and Address of Reference Name and Telephone No. of Project Manager:Tay Chor 949-724-7322 5800,000 00 Various city park restroom improvements 03/2022 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: Various city park rest room . . ivements Construction of Eos Amigos ParR 3. City of Rancho Cucamonga 10500 Civic Center Dr., Rancho Cucamonga, CA 91730 Name and Address of Reference Name and Telephone No. of Project Manager: Michael Courtney 909-239-6617 $3 130,955 26 Construction of new park May 2017 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: Construction of brand new park C-11 Orange County Phase 5 Improvements El Toro, Santa Ana and Anaheim Cemeteries 4. 25751 Trabuco Road, Lake Forest, CA 92630 Name and Address of Reference Name and Telephone No. of Project Manager: Tim Deutsch 949-951-9102 ext 112 $1,550,652.06 Renovation of existing wall niche 08/2019 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: Renovation of exictino rPmPtPry wall nirhP at FI Toro Memorial Park, Santa Ana &Anaheim Cemeteries Citrus Community College District Campus Center 5. 1000 W. Foothill Blvd, Glendora,CA 91741 Name and Address of Reference Name and Telephone No. of Project Manager: Fred Diamond 626-523-6041 _ $3 753 948.15 Renovation improvements to Campus Ctr. 06/2019 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: Renovation improvements to Campus Center C-12 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. Name of proposed Project Manager 267-269-4463 Telephone No. of proposed Project Manager South Downey Safe Routes to School $441,810 90 Sidewalk& street improvements 02/2022 Project Name&Contract Amount Type of Work Date Completed RUHS BH Restorative Transformation Ctr, $244,000 00 Parking lot improvempn s 03/2022 Project Name&Contract Amount Type of Work Date Completed Irvine Parks 5270 000 00 Playground install. landscape&sitework 11/2021 Project Name&Contract Amount Type of Work Date Completed 2. Ghandi Innabi Name of proposed Superintendent 760-985-4456 Telephone No. of proposed Superintendent Claremont HS $1 1 424 294 00 Construct of new student center 02/2021 Project Name &Contract Amount Type of Work Date Completed RCFPD Fire Training Center $4 779 000.00 Constuct of new fire training center 09/2018 Project Name &Contract Amount Type of Work Date Completed Downtown Riverside Pedestrian Various asphalt& sidewalk improvements & bicycle lane improvements 51 233,881 62 throughout Riverside 12/2018 Project Name&Contract Amount Type of Work Date Completed C-13 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20,2014, established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/Publ icWorks/SB854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efi ling.dir.ca.gov/PWCR/ActionServlet?action=displayP WCRegistrationForm 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. Horizons Construction Co. Ind. Inc. Contractor By Kin K sh Ya7minGHr)ri7onsrri_rnm Email Vace President Title Date: OS/02/9022 PWC Registration #: 1000011017 C-14 CONTRACTOR'S SWORN STATEMENT AND WARRANTY REGARDING CONTINUING INSURANCE OBLIGATIONS FROM: Horizons Construction Co. PROJECT.• Gothard Restroom Improvements (Contractor Name) 432 W. Meats Ave. (Street Address) Orange, CA (City,state and Zip) TO: CITY OF HUNTINGTON BEACH DECLARATION Attached hereto is a true and correct copy of the current Certificate of Insurance and Additional Insured Endorsement CG 2010 1185, which Certificate complies with the insurance requirements of the Contract by and between the City of Huntington Beach("City' and the above-named Contractor("Contractor')for the above-described project("Project'). I declare under penalty of perjury under the laws of the State of California that the above statement is true and correct. Signed on June 29 20 22 at Orange, CA (Date) (City, state) (Signatdre of in ' ual Who is Making Dedaration)Kinan Kotras WARRANTY Contractor hereby warrants and agrees to maintain Products and Completed Operations Insurance in compliance with the Insurance requirements of the Contract for the Project. Said insurance shall be maintained through and until the expiration of all Warranties provided by Contractor. Said insurance shall contain Additional Insured Endorsement CG 2010 1185,naming City as an additional insured. Contractor shall supply to City, on at least an annual basis, a Certificate of Insurance and the aforementioned Endorsement evidencing continued coverage which meets the Contract requirements. Signed on Lune 29 20?2 at Orange, CA (Date) (City,State) CONTRACTOR: Name. Horizons Construction Co. By Name:Kinan Kotras Ttle,.V.President 277621.2 CONTRACTOR'S SWORN STATEMENT AND WARRANTY REGARDING CONTINUING INSURANCE OBLIGATIONS FROM: Horizons Construction Co. PROJECT: Gothard Restroom Improvements (Contractor Name) 432 W. Meats Ave. (Street Address) Orange, CA (City,State and Zip) TO: CITY OF HUNTINGTON BEACH DECLARATION Attached hereto is a true and correct copy of the current Certificate of Insurance and Additional Insured Endorsement CG 2010 1185, which Certificate complies with the insurance requirements of the Contract by and between the City of Huntington Beach("City')and the above-named Contractor("Contractor')for the above-described project("Project'). I declare under penalty of perjury under the laws of the State of California that the above statement is true and correct. Signed on June 29 , 202-2 at Orange, CA (Date) (City,State) (Signs a of Indi dual Who is Making Declaration)Kinan Kotras WARRANTY Contractor hereby warrants and agrees to maintain Products and Completed Operations Insurance in compliance with the Insurance requirements of the Contract for the Project. Said insurance shall be maintained through and until the expiration of all Warranties provided by Contractor. Said insurance shall contain Additional Insured Endorsement CG 2010 1165, naming City as an additional insured. Contractor shall supply to City, on at least an annual basis,a Certificate of Insurance and the aforementioned Endorsement evidencing continued coverage which meets the Contract requirements. Signed on June 29 ,20?2 at Orange, CA (Date) (City,State) CONTRACTOR: Name: Horizons Construction Co. By Name:Kinan tras Title:V.President 277621.2 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other offices completing this certificate verifies only the identity of the Individual who signed the document to which this certificate is attached, and not the truthfulness, accuracv, or validitv of that document. State of CALIFORNIA County of ORANGE On June 22, 2022 before me YAZMIN BARRERA VALDES, NOTARY PUBLIC , Personally appeared KINAN KOTRASH ❑ who proved to me on the basis of satisfactory evidence to be the person(5) whose name(-} is/afe subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/heF/thei authorized capacity ties), and that by his/heF/-thei signature(s) on the instrument the personH, or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. YALMIN WRERAVALDES 1 Notary Public California 7 T; Orange County Commission#2403422 o a` my Comm,Expires Jun 2,2026 Sig ature of Notary OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL Gothrad Restroom Improvements ❑ CORPORATE OFFICER Contract ❑ LIMITED ❑ PARTNER(S) ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: Horizons Construction Co. Int'l, Inc. NAME OF PERSON(S) OR ENTITY (IES) V 1 ® DATE(MMIDOIYYYY) ACERTIFICATE OE LIABILITY INSURANCE G/22/2022 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(les)trust have ADDITIONAL INSURED provisions or be endorsed, If SUBROGATION IS WAIVED,subject to the terms and conditions of the poilcy,certain policies may require an endorsement, A statement on this certificate does not confer rights to the.certiticale holder In lieu of such endorsement($). PRODUCER .Y N ME; Jean Paul Gaulslao s A1C No: (988)838-9765 JPQ insurance Services No Ext; (818)585.6903 L(conscOOM61665 AODRE88; Jp@jpgins.uot P.O.BOX 1923 INSURER(S)AFFORDING COVERAGE NAIC B Olendora,CA 91740 INSURER A: James River Insurance Company 12203 INSURED INSURER B: Navigators Insurrmw Company 42307 Horizons Construction Company International,Inc. INSURER G: AmOuard Insurance Company 42390 432 W Meats Avenue- INSURER 0: Orange.CA 92865 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. L7R TYPE OF INSURANCE INSD NND POLICY NUMBER POLICYMMIDD MN LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 BE rO7Zt�PIE 100,000 CLAIMS-MADE ®OCCUR PREMISES Eaoccurrenco $ MEO EXP(Any one person) $ 1,000 A Ded:$5,000 Per Oocurresce Y Y 00128690-0 03/1812022 03/18/2023 PERSONAL&AOV INJURY $ 1,000,000 GEN L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY©PRO- El LOC PRODUCTS-COMPIOP AGO $ 2,000,000 r $ HOTHER: AUTOMOBILE LIABILITY _ Ea aecdeal S i,000,00t1 ANY AU70 BODILY INJURY(Per person) $ C OWNED SCHEDULED HOAU374344 06/19/2022 06/19/2023 BODILY INJURY(Per soddent) $ AUTOSONLY AUTOS HIRED NON-OWNED Poracddanl S AUTOS ONLY AUTOS ONLY S UMBRELLA LIAR M OCCUR EACH OCCURRENCE S 4,000,000 A EXCESS LIAB CLAIMS-MADE OD130102-0 04/1912022 01/18/2023 AGGREGATE $ 4.000,000 DEB RETENTIONS _ $ ORKERS COMPENSATION STATUTE I I ER AND EMPLOYERS'LIABILITY Y PROPRIETORMARTNERJEXECUTIVE YIN MIA y E.L.EACH ACCIDENT $ FFICERIMEMBEREXCLUDEDI E.L.DISEASE-EA EMPLOYEE$ (Mandatory In NH) U es E.L describe under .DISEASE-POLICY LIMIT S DS�RIPTION OF OPERATIONS below $200,000-Limit Ded:1%of the unit.Rented/Leased Equipment B Scheduled Equipment-ACV 04-IM036933 11/12/2021 11/12/2022 S109,060-Limit Ded:$2,500 Theft DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (ACORD 101,Addllional Remarks Schodula,may bo allacheA 13WT t 1f JL4U.I ORM See ACORD 101 VCU Ab I F ay , _ LM AF.L C ATE$ CI ORNEY CITY OF PIONTINGTON BEACH CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Hunlington Beach ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street AUTHORIZED REPRESENTATIVE P.O.Box 190 Huntington Beach CA 92646 �Q4t1t pAt�{:G(L�LA (10 01980.2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD i I i AGENCY CUSTOMER ID: LOC fk �t�cv2o® ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED JPG Insurance Services Horizons Construction Company International,Inc. POLICY NUMBER 00128690-0,00130102-0 Ir CARRIER NAIC CODE AMWINS Access Insurance Services,LLC 12203,122C EFFECTIVEOA7E ADDITIONAL REMARKS ' THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 26 FORM TITLE: Certificate Of Liability Insurance RE:Operations of the named Insured for Gothard Reslroom at Central Park,Project#CC 1628 is subject to the terms,limits and conditions of the pnlicy. City of Huntington Beach,its officers,elected or appointed officials,employees,agents,and volunteers are included as Additional Insureds a respects to the General Liability per the attached endorsement.Insurance is also Primary and Non-Contributory per attached endorsement.Waiver of Subrogation for Workers Compensation per attached endorsement.130 days written notice of cancellation, 10 days for non-payment of premium. ACORD 101(2008104) ®2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD HORICON-02 A�Ro CERTIFICATE OF LIABILITY INSURANCE FDATEJ22/2D22M 6122l2022 THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS I CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES !I BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu oErruch endorsements. C ACT PRODUCER px AE Paramount Exclusive Insurance Services,Inc. A H$%1F0 72 (AIC Ext; 818)986- 83 Nol:(818)986.4949 16760 Ventura Blvd.Suite 600 E• I ` Encino,CA 91436 INSURERfS)AFFORDING COVERAGE -_ NAtC INSURER A:Service American Indemnity Company 39162 INSURED INSURER B Horizons Construction Company International,Inc, s E c: 432 West Meats Ave INSURE D: Orange,CA 92866 INSURER E: 1NSURERP: 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. INSFi ADDL Bft PODCV EFF POLICY EXP LIMITS TYPE OF INSURANCE POLICY NUh1BER COMMERCIAL GENERAL LIABILITY EACH U RENC' CLAIMS-MADE OCCUR OAMAG ENTEO A e oecurD D EXP(Any one arson PERSONAL&ADV INJURY E T AGGREG LIRRMpII�T�APPLES PER: GENERALAGGREGATES Froucy C•T 0 L00 PR -C P O HEftT, OMBIN DSINGLELIMIT -AUTOMO10114 LIABILITY c. er -- ANY �S ANYAEUTO g�� BODILYINJURY Por arson RUMOR ONLY AUpTNODUULLEDp BODILY INJURY Per accident ALA ONLY AUTOS OXLY 1(2or Yi AMAGE UMBRELLA LIAB OCCUR C URRE E EXCESS LIAR CLAIMS-MADE AGGREGATE DEO RETENTIONS A WORKERS COMPENSATION �( PE O H• AND EMPLOYERS'LIABILITY SATISO468600 7/16/2021 7116/2D22 1,000,000 NY CPRRO�6IET9OERRlPARTNERIEXECUTIVE YIN X E.L.EACH A IDE T andalory In NH)EXCLUDED? �Y N to E.L.DIS SE•EA EMPLOYE 1'000'006 It a deacd n underDISEASE•POLICY LIMIT 1,000,000 1 RI T OFOP T DESCRIPTION OP OPERATIONS!LOCATIONS J VEHICLES ACORD 101,Addlllonal Remarks Schedule,may be sitashed 11 more space Is required) Subject:Gothard Restroom at Central Park,Pro act k CC 1628 Workers Compensation waiver of subrogatlon applies per the attached when required by written contract for the following project:Project:Edison Community Center Improvements 21377 Magnolia St.Huntington Beach,CA 92646 CERTIFICATE OLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Huntington Beach ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street Po Box 190 Huntington Beach,CA 92848 AUTHORIZED REPRESENTATIVE ACORD 26(20103) ©1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1 1iI • I POLICY NUMBER: 00128690-0 COMMERCIAL GENERAL LIABILITY i CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS -- SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organ ization s : Locations Of Covered Operations The City of Huntington Beach, its officers, elected or All operations of the Named Insured. appointed officials,employees, agents and volunteers. Information required to complete this Schedule if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional exclu- organization(s) shown in the Schedule, but only sions apply: with respect to liability for"bodily injury", "property This insurance does not apply to "bodily Injury" or damage" or "personal and advertising injury" "property damage"occurring after: caused, in whole or in part, by: 1. All work, including materials, parts or equip- 1. Your acts or omissions; or ment furnished in connection with such work, 2. The acts or omissions of those acting on your on the project(other than service, maintenance behalf; or repairs) to be performed by or on behalf of In the performance of your ongoing operations for the additional insured(s) at the location of the the additional insured(s) at the location(s) desig- covered operations has been completed; or nated above. 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization oth- er than another contractor or subcontractor engaged in performing operations for a princi- pal as a part of the same project. CG 20 10 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 ❑ i POLICY NUMBER: 00128690-0 COMMERCIAL GENERAL LIABILITY C G 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed Opera- Or Or anization s : tions The City of Huntington Beach, Its officers, elected All operations of the Named Insured. or appointed officials,employees,agents and volunteers. Information required to complete this Schedule, if not shown above will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products- completed operations hazard", CG 20 37 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 ❑ • li THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLICY NUMBER: 00128690-0 PRIMARY AND NON CONTRIBUTORY ENDORSEMENT u' This endorsement modifies Insurance provided under the following: ALL COVERAGE PARTS i Name Of Additional Insured Person(s) Or Or anization s : If no entry appears above,this endorsement applies to all Additional Insureds covered under this policy. Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible Insurance available to such Additional Insured whether primary,excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this Insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP6031US O4-10 Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) I WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the rig4&to recover our payments from anyone liable for an injury covered by this aQlicy.We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you per- form work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records 656Urately segregating the remuneration of your employees while engage 'in the work described In the Schedule. The additional premium for this endorsement shall be 0 .02 0 %of the California workers'ccmpensatlon premium otherwise due on such remuneration. Schedule Person or Organization BLANKET WAIVER OF SUBROGATION Job Description AS REQUIRED BY WRITTEN CONTRACT 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 bate:0 7/15/2 0 21 Policy No. SAT I S 0 4 5 8 5 0 0 Endorsement No. Policy Effective Date: 07/15/2021 to 07/15/2022 Premium$ Insured: Horizons Construction Company International., Inc. DBA: Carrier Name/Code: Service American Indemnity Company Countersigned by WC 04 03 06 (Ed.4-84) Page 1 of 1 POLICY NUMBER:00128690-0 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization; Where required by written contract or written agreement. Information required to complete this Schedule if not shown above will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions; We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 ©insurance Services Office, Inc.,2008 Page 1 of 1 ❑ I HORICON-02 CERTIFICATE OF LIABILITY INSURANCE DATE 7118/2022(MMIDONYYY) 1,tilS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements , PRODUCER C CT Paramount Exclusive Insurance Services,Inc. PHONE Ext: 818 986-72$3 Fa No: 818 986-4949 16760 Ventura Blvd.Suite 600 Encino,CA 91436 Msse INSURERS AFFORDING COVERAGE NAIC# INSURER A:Service American Indemnity Company 39152 INSURED INSURERS; Horizons Construction Company International,Inc. INSURER C: 432 West Meats Ave INSURER D; Orange,CA 92866 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICYEFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS-MADE OCCUR DAMAGE TO RENTED MED EXP(Any one personi PERSONAL&ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY❑TpeT F LOC PRODUCTS-COMPIOP AGG OTHER: AUTOMOBILE LIABILITY COMNED SINGLE LIMIT BI ANY AUTO PROVED S TO FORM OWNED SCHEDULED BODILY IN URY Per arson AUTOS ONLY AUTOS BODILY INJURY Par accident HIRREpD NpNpy�,��p BY: ~ ' �.OP£RTY AMAGE AUTOS ONLY AUTtJS OtJLY MICHAEL E.GATE za` er ecGdem ATTORNEY UMBRELLA LIAR OCCUR CITY OF HU NGTON BEACH EACH OCCURRENCE EXCESS LIAR HCLAIMS-MADE AGGREGATE DEO I I RETENTION$ A WORKERS COMPENSATION X PERTUTE OTH- AND EMPLOYERS'LIABILITY SATISO458601 711512022 7/1612023 1,000,000 ANY PROPRIETORIPARTNERIEXECUTIVE Y!N X E.L.EACH ACCIDENT qq��FICCERR��MMEMBEREXCLUDED? Y NIA {R7andatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 H ycs,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Addiflonal Remarks Schedule,maybe attached If more space is required) Subject:Gothard Restroom at Central Park,Project#CC 1628 Workers Compensation waiver of subrogatlon applies per the attached when required by written contract for the following project:Project:Edison Community Center Improvements 21377 Magnolia St.Huntington Beach,CA 92646 Waiver of subrogation In favor of the certificate holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI of Huntington Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street Po Box 190 Huntington Beach,CA 92648 AUTHORIZED REPRESENTATIVE 14 ACORD 26(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Ili WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) 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 per- form 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 0 . 02 0 %of the California workers'compensation premium otherwise due on such remuneration. Schedule Person or Organization Blanket waiver of subrogation as required by written Job Description contract 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 Date:0 7/15/2 0 2 2 Policy No. SAT I S 0 4 5 8 5 01 Endorsement No. Policy Effective Date: 07/15/2022 to 07/15/2023 Premium$ Insured: Horizons Construction Company International, Inc. D BA: Carrier Name/Code: Service American Indemnity Company Countersigned by WC 04 03 06 (Ed.4-84) Page 1 of 1 Bond#4378985 Executed in Two Counterparts Premium: $3,386 PERFORMANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS,City of Huntington Beach(hereafter referred to as"City") has, by written agreement dated ,2022,entered into a contract with Horizons Construction Company International, Inc. 432 W. Meats Avenue Orange CA 92865 - (name and address of Contractor) (hereinafter referred to as"Principal"),for performance of the work described as follows: Gothard Restroom Improvements Project (Project Title) WHEREAS, said contract, and all documents referenced therein (hereinafter collectively "Contract"), are incorporated herein by this reference made a part hereof as though set forth herein in full;and Said Principal is required under the terms of the Contract to furnish a bond guaranteeing the prompt,full and faithful performance of said Contract, by a duly admitted surety insurer under the laws of the State of California(hereinafter referred to as"Surety");and Surety is certified and listed in the U.S. Department of the Treasury Circular 570, and has provided proof of sufficient bonding limitations as shown in said circular to provide bonds in the amount required by said Contract;and Surety has provided financial strength ratings from reputable companies,such as from A.M.Best,Moody's,or Standard&Poor's,to validate that Surety has positive ratings of being secure or Stable;and Surety is registered and listed with the California Department of Insurance, NOW,THEREFORE,we,the undersigned,as Principal,and Great American Insurance Company 750 The City Drive So. #470 Orange CA 92868 -- (name and address of Surety) as Surety,are held and firmly bound unto City in the penal sum of Four Hundred Seventy Thousand Two Hundred Nineteen & NO/100 Dollars($470 219.00 ),this amount being not less than one hundred percent of the price set forth in the Contract,in lawful money of the United States,for the payment of which sum,well and truly to be made, we bind ourselves,our heirs,executors, administrators and successors,jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT if the Principal shall promptly,fully and faithfully perform each and all of the covenants,obligations and things to be done and performed by the Principal in strict accordance with the terms of the Contract as said contract may be altered,amended or modified from time to time;and if the Principal shall indemnify and save harmless City and all of City's officers,agents and employees(hereinafter collectively referred to as"Obligees")fromany and all losses,liability and damages, claims,judgments,stop notices,fees and costs of every description,whether imposed by law or in equity, which may be incurred by the Obligees by reason of the failure or default on the part of the Principal in the performance of any or all of the terms or the obligations of the Contract,including all alterations,amendments and modifications thereto,and any warranties or guarantees required thereunder,then this obligation shall be void;otherwise, it shall be and shall remain in full force and effect. Surety stipulates and agrees,for value received,that no adjustment of the time or price in the Contract or any alteration,change,deletion,addition or other modification to the Contract,or the work to be performed thereunder,shall in any way affect,limit,restrict,impair or release the obligations of the Surety under this Bond. Surety waives notice of any adjustment of contract or contract price,and any other alteration,change, deletion,addition or other modification to the Contract,or the work to be performed thereunder,and agrees 15-4584/117174 Band No. 4378985 to automatically adjust the penal sum of this Bond to reflect such adjustments,alterations,changes, deletions,additions or other modifications. Surety agrees to provide written confirmation of such adjustments in the penal sum to City on not less than a quarterly basis. Surety also waives the provisions of Civil Code§§2845 and 2849. The obligations of this Bond shall survive the completion of the work described in the Contract as to all obligations and liabilities of the Principal which survive completion of the work. 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: June 28, 2022 Horizons Construction Company ATTEST International, Inc. (Corporate Seal) (Principal e) By: Name: 1 Title.V R�e6l&ely* ATTEST Great American Insurance Company (Corporate Seal) (Surety Name) By: ��s Name: Heather Willis/Attorney-In-Fact (Signature of Attorney-in-Fact for Surety) (Attach Attorney-in-Fact Certificate) 7(711 ) 740-2400 (Area Code&Telephone Number for Surety) APPROVED AS TO F.9W-. l; By: Michael E.Gates,City Attorney Note: This bond must be executed in duplicate and dated,all signatures must be notarized,and evidence of the authority of any person signing as attorney-in-fact must be attached. PERFORMANCE BOND Page 2 of 2 154584/117174 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 6_28_22 before me, Lexie Sherwood Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Heather Willis 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), LEXIE SHERWOOD and that by his/her/their signature(s) on the instrument the d COMM.#2363681 to person(s), or the entity upon behalf of which the person(s) NOTARY PUBLIC•CALIFORNIA acted, executed the instrument. to ORANGE COUNTY 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 han=anofficial se I. Signature Place Notary Seal Above signature!Wary Pubic exle Sherwood OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies)Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer —Title(s): ❑ Partner ❑Limited ❑General ❑ Partner ❑Limited❑General ❑ Attorney in Fact ❑ Attorney in Fact RIGHTTHUMBPRINT ❑ Trustee OF ❑ Trustee OF ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: GREAT AMERICAN INSURANCE COMPANY® Administrative Office: 301 E 4TH STREET • CINCINNATI,OHIO 45202 • 513-369-5000 • FAX 513-723-2740 The number of persons authorized by this power of attorney is not more than FIVE No.O 20942 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the GREAT AMERICAN INSURANCE COMPANY,a corporation organized and existing under and by virtue of the laws of the State of Ohio,does hereby nominate,constitute and appoint the person or persons named below,each individually if more than one is named,its true and lawful attorney-in-fact,for it and in its name,place and stead to execute on behalf of the said Company,as surety,any and all bonds, undertakings and contracts of suretyship,or other written obligations in the nature thereof;provided that the liability of the said Company on any such bond, undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below. Name Address Limit of Power DAVID L.CULBERTSON HEATHER WILLIS ALL OF ALL CHARLES L. FLAKE LEXIE SHERWOOD ANAHEIM, $100,000,000.00 SPENCER FLAKE CALIFORNIA This Power of Attorney revokes all previous powers issued on behalf of the attomey(s)-in-fact named above. IN WITNESS WHEREOF the GREAT AMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this 8TH day of SEPTEMBER 2020 Attest GREAT AMERICAN INSUfANCE COMPA Assistant Secretary Divisional Senior Vice President STATE OF OHIO,COUNTY OF HAMILTON-ss: MARK wCAR10(877-377-2405) On this 8TH day of SEPTEMBER 2020 ,before me personally appeared MARK VICARIO,to me known, being duly sworn,deposes and says that he resides in Cincinnati,Ohio,that he is a Divisional Senior Vice President of the Bond Division of Great American Insurance Company,the Company described in and which executed the above instrument;that he knows the seal of the said Company;that the seal affixed to the said instrument is such corporate seal;that it was so affixed by authority of his office under the By-Laws of said Company,and that he signed his name thereto by like authority. SUSAN A KOHORST Notary Public State of Ohio °+ a My Comm.Expires May 18,2025 This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company by unanimous written consent dated June 9,2008. RESOLVED: That the Divisional President,the several Divisional Senior Vice Presidents,Divisional Vice Presidents and Divisonal Assistant Vice Presidents,or any one of them,be and hereby is authorized,from time to time,to appoint one or more Attorneys-in-Fact to execute on behalf of the Company, as surety,any and all bonds,undertakings and contracts of suretyship,or other written obligations in the nature thereof-to prescribe their respective duties and the respective limits of their authority,and to revoke any such appointment at any time. RESOLVED FURTHER: That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the Company may be affixed by facsimile to any power of attorney or certificate of either given for the execution of any bond undertaking,contract of suretyship, or other written obligation in the nature thereof,such signature and seal when so used being hereby adopted by the Company as the original signature of such officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as though manually qffixed. CERTIFICATION I,STEPHEN C.BERAHA,Assistant Secretary of Great American Insurance Company,do hereby certify that the foregoing Power of Attorney and the Resolutions of the Board of Directors of June 9,2008 have not been revoked and are now in full force and effect. Signed and sealed this 28th day of June , 2022 4t'. e. .3 —a,,u�3eryw Assistant Secretary S1029AH(03/20) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other offices completing this certificate verifies only the identity of the Individual who signed the document to which this certificate is attached, and not the truthfulness, accuracv, or validitv of that document. State of CALIFORNIA County of ORANGE On June 29, 2022 before me YAZMIN BARRERA VALDES, NOTARY PUBLIC Personally appeared KINAN KOTRASH ® who proved to me on the basis of satisfactory evidence to be the personH whose nameH 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{) on the instrument the personH, or the entity upon behalf of which the personH 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. 042.1i' YAZWN i3A RA VALDESNotary Public•California Orange County Commission M 2403422My Comm.Expires Jun 2,2026 Sign ure of Notary i OPTI0 L 77 Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL Performance Bond ® CORPORATE OFFICER Bond No.: 4378985 ❑ LIMITED ❑ PARTNER(S) ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: Horizons Construction Co. Int'I, Inc. NAME OF PERSON(S) OR ENTITY(IES) Executed in Two Counterparts Bond#4378985 Premium: Included in Performane Bond III PAYMENT BOND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS, City of Huntington Beach(hereafter referred to as"City")has awarded to Horizons Construction Company International, Inc. 432 W_ Meats Avenue, Orange CA 92865 (name and address of Contractor) (hereinafter referred to as'Principal"),a contract("Contract")for the work described as follows: Gothard Restroom Improvements Project (Project Title) WHEREAS, Principal is required under the terms of the Contract and the California Civil Code to furnish a bond to secure the payment of claims of laborers,mechanics,materialmen,and other persons as provided by law, by a duly admitted surety insurer under the laws of the State of California (hereinafter referred to as "Surety"); and Surety is certified and listed in the U.S. Department of the Treasury Circular 570, and has provided proof of sufficient bonding limitation, as shown in said circular to provide bonds in the amount required by said Contract; and Surety has provided financial strength ratings from reputable companies, such as from A.M. Best, Moody's or Standard&Poor's,to validate that Surety has positive ratings of being secure or stable;and Surety is registered and listed with the California Department of Insurance. NOW THEREFORE,we,the undersigned Principal,and Great American Insurance Company 750 The City Drive So- #470 Orange, CA 92868 (name and address of Surety) as Surety,are held and firmly bound unto City in the penal sum of Four Hundred Seventy Thousand Two Hundred Nineteen & NO/100 dollars($470,219.00 ),this amount being not less than one hundred percent(100%)of the total price set forth in the Contract,in lawful money of the United States of America,for the payment of which sum,well and truly to be made,we bind ourselves,and each of our heirs, executors, administrators,successors,and assigns,jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT,if the Principal, his,her,or its heirs,executors, administrators,successors or assigns,or subcontractors shall fail to pay any of the persons named in Section 3181 of the California Civil Code("Claimants")for all labor,materials or services used or reasonably required for use in performance of the work described in the Contract,or any amounts due under the Unemployment Insurance Code with respect to work or labor performed by any such Claimant,or prevailing wages due and penalties incurred pursuant to Sections 1774, 1775, 1813 or 1815 of the Labor Code,or any amounts required to be deducted,withheld and paid over to the Employment Development Department from the wages of employees of the Principal and Subcontractors pursuant to Section 13020 of the Unemployment Insurance Code with respect to the work or labor performed under the Contract,Surety will pay for the same, in an amount not exceeding the penal sum specified in this bond;otherwise,this obligation shall be null and void. This bond shall inure to the benefit of any of the persons named in Section 3181 of the California Civil Code so as to give a right of action to such persons or their assigns. In case any action is brought upon this bond, Surety further agrees to pay all court costs and a reasonable attorney's fee in an amount fixed by the court. PAYMENT BOND Page 1 of 2 15-4584/117357 Surety stipulates and agrees,for value received,that no change,extension of time,alteration, addition or modification to the terms of the Contract,or any contract document or any work to be performed thereunder,whether made after notice or not,shall in any way affect, impair or release the obligations of Surety under this bond. Surety hereby waives notice of any such change, extension of time,alteration,addition,or modification to the terms of the Contract,the contract documents or the work thereunder. Surety also waives the provisions of California Civil Code§§ 2845 and 2849. 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: June 28, 2022 Horizons Construction Company ATTEST International, Inc. (Corporate Seal) (P' cipall me)) By: Name: ' �/► Title: Q ATTEST Great American Insurance Company (Corporate Seal) (Surety Name) By: ---- Name:Heather Willis/Attorney-In-Fact (Signature of Attorney-in-Fact for Surety) (Attach Attorney-in-Fact Certificate) (71.4) 740-2400 (Area Code&Telephone Number for Surety) APPROVED AS T f.:O 2M: s By: 't Michael E.Gates, ity ttorney Note: This bond must be executed in duplicate and dated,all signatures must be notarized, and evidence of the authority of any person signing as attorney-in-fact must be attached. PAYMENT BOND Page 2 of 2 154584/117357 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 6_28_22 before me, Lexie Sherwood Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Heather Willis 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 LEXIE SHERWOOD person(s), or the entity upon behalf of which the person(s) COMM.#2363681 cn acted, executed the instrument. NOTARY PUBLIC-CALIFORNIA rn ORANGE COUNTY 1 1 certifyunder PENALTY OF PERJURY under the laws of MY COMM.EXPIRES JULY 27,2025 the State of California that the foregoing paragraph is true and correct. Witness my hand and official seal. Signature Place Notary Seal Above Signature o Public Lexie Sherwood OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies)Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer —Title(s): ❑ Partner ❑Limited ❑General ❑ Partner ❑Limited❑General❑ Attorney in Fact RIGHTTHUMBPRINTN� ElAttorney in Fact RIGHTTHUMBPRINT ❑ Trustee OF SIGNER ❑ Trustee OF ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: GREAT AMERICAN INSURANCE COMPANY® Administrative Office: 301 E 4TH STREET • CINCINNATI,OHIO 45202 • 513-369-5000 0 FAX 513-723-2740 The number of persons authorized by this power of attorney is not more than FIVE No.0 20942 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the GREAT AMERICAN INSURANCE COMPANY,a corporation organized and existing under and by virtue of the laws of the State of Ohio,does hereby nominate,constitute and appoint the person or persons named below,each individually if more than one is named,its true and lawful attorney-in-fact,for it and in its name,place and stead to execute on behalf of the said Company,as surety,any and all bonds, undertakings and contracts of suretyship,or other written obligations in the nature thereof;provided that the liability of the said Company on any such bond, undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below. Name Address Limit of Power DAVID L.CULBERTSON HEATHER WILLIS ALL OF ALL CHARLES L. FLAKE LEXIE SHERWOOD ANAHEIM, $100,000,000.00 SPENCER FLAKE CALIFORNIA This Power of Attorney revokes all previous powers issued on behalf of the attomey(s)-in-fact named above. IN WITNESS WHEREOF the GREAT AMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this 8TH day of SEPTEMBER 2020 Attest GREAT AMERICAN INSUfANCE COMP Assistant Secretary Divisional Senior Vice President STATE OF OHIO,COUNTY OF HAMILTON-ss: MARK vicARio(877-377-2405) On this 8TH day of SEPTEMBER 2020 ,before me personally appeared MARK VICARIO,to me known, being duly sworn,deposes and says that he resides in Cincinnati,Ohio,that he is a Divisional Senior Vice President of the Bond Division of Great American Insurance Company,the Company described in and which executed the above instrument;that he knows the seal of the said Company;that the seal affixed to the said instrument is such corporate seal;that it was so affixed by authority of his office under the By-Laws of said Company,and that he signed his name thereto by like authority. SUSAN A KOHORST Notary Public State of Ohio Wr My Comm.Expires ��.. May 18, 2025 This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company by unanimous written consent dated June 9,2008. RESOLVED: That the Divisional President,the several Divisional Senior Vice Presidents,Divisional Vice Presidents and Divisonal Assistant Vice Presidents,or anyone of them,be and hereby is authorized,from time to time,to appoint one or more Attorneys-in-Fact to execute on behalf of the Company, as surety,any and all bonds,undertakings and contracts ofsuretyship,or other written obligations in the nature thereof to prescribe their respective duties and the respective limits of their authority;and to revoke any such appointment at any time. RESOLVED FURTHER: That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the Company may be affixed by facsimile to any power of attorney or certificate of either given for the execution of any bond,undertaking,contract of suretyship, or other written obligation in the nature thereof,such signature and seal when so used being hereby adopted by the Company as the original signature of such officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as though manually affixed. CERTIFICATION I,STEPHEN C.BERAHA,Assistant Secretary of Great American Insurance Company,do hereby certify that the foregoing Power of Attorney and the Resolutions of the Board of Directors of June 9,2008 have not been revoked and are now in full force and effect. Signed and sealed this 28th day of June , 2022 Assistant Secretary S1029AH M3rM CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other offices completing this certificate verifies only the identity of the Individual who signed the document to which this certificate is attached, and not the truthfulness, accuracv, or validitv of that document. State of CALIFORNIA County of ORANGE On June 29, 2022 before me YAZMIN BARRERA VALDES, NOTARY PUBLIC , Personally appeared KINAN KOTRASH ® who proved to me on the basis of satisfactory evidence to be the person(s) whose name(5) is/are subscribed to the within instrument and acknowledged to me that he/fey executed the same in his/her/their authorized capacity (+es), and that by his/weir signatures) on the instrument the personH, or the entity upon behalf of which the personH 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. i h ,, Th yAZMIN 8ARRERA VALDES "`: Notary Public•California Orange County > > _ Commission 4 2403422 • ►"'' µy Comm.Expires Jun 2,2026 Sign re of Notary OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL Payment Bond ❑ CORPORATE OFFICER Bond No.: 4378985 ❑ LIMITED ❑ PARTNER(S) ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: Horizons Construction Co. Int'l, Inc. NAME OF PERSON(S) OR ENTITY (IES) City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For GOTHARD RESTROOM IMPROVEMENTS AT HUNTINGTON CENTRAL PARK CC NO. 1628 in the CITY OF HUNTINGTON BEACH April 25, 2022 Notice To All Bidders: Please note the following clarification to the Project Specifications and Bid Requirements: 1) SPECIFICATIONS SECTION A—NOTICE INVITING ELECTRONIC BIDS Replace page A-2 with the attached revision,which removes the requirement for bidders to possess both Class A and Class B licenses. Upon further consideration, contractors will only be required to possess a State Contractor's License Class B. This is to acknowledge receipt and review of Addendum Number One, dated April 25, 2022. Horizons Construction Co Ind, Inc. Company Name By Kan, sh,VP )1202n22 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 DJ Kelly at(571) 722-2277 within 24 hours of posting. 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: Gothard Restroom Improvements CC #: 1628 Bid Opening Date: APRIL 28, 2022 at 2:00 PM. 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 B, 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: Rehabilitation of the existing restroom building located in Central Park. Interior improvements include the remodel of existing restrooms to create(2)unisex ADA restrooms and(2)non-ADA unisex restrooms. Structural repairs to existing building structural components that have been corroded due to water damage. New interior and exterior painting, new metal railing, new exhaust fans and epoxy floor finish. The contract shall allow the Contractor 90 working days to complete the contract. All questions related to this bid solicitation must be submitted through the City's Planet Bids System Vendor Portal per the information provided in the Instructions to Bidders. Any other contact to City staff regarding this bid solicitation will be referred back to the Planet Bids system. The AGENCY reserves the right to 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 HUNTINGTONBEACH A-2 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For GOTHARD RESTROOM IMPROVEMENTS AT HUNTINGTON CENTRAL PARK CC NO. 1628 in the CITY OF HUNTINGTON BEACH April 26, 2022 Notice To All Bidders: Per Public Contract Code Section 4104.5, the bid due date is being extended since Addendum Number One was released within 72 hours of the original bid opening. Please note the following modifications to the Project Specifications and Bid Requirements: 1) SPECIFICATIONS COVER SHEET Replace the cover sheet with the attached revision,which extends the bid opening to 2:00 PM on Tuesday, May 3, 2022. 2) SPECIFICATIONS SECTION A—NOTICE INVITING ELECTRONIC BIDS Replace pages A-1 and A-2 with the attached revisions,which extend the bid opening to 2:00 PM on Tuesday, May 3, 2022. 3) SPECIFICATIONS SECTION B—INSTRUCTIONS TO BIDDERS Replace page B-2 with the attached revision,which extends the bid opening to 2:00 PM on Tuesday, May 3, 2022. This is to acknowledge receipt and review of Addendum Number Two, dated April 26, 2022. Horizons Construction Co. Int'I, Inc. Company Name y Ki2oXotrash,VP May 2 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 DJ Kelly at(571) 722-2277 within 24 hours of posting. PREMIUM: NIL Bond No. N/A G1W/ WRICAN INSURMCE CWPAW I KNOW ALL MEN BY THESE PRESENTS,that we, Horizons Construction Company International, Inc. I as principal, and the GREAT AMERICAN INSURANCE COMPANY,a corporation existing under the laws j of the State of Ohio, having its Administrative Office at 580 Walnut Street, Cincinnati, Ohio 45202, as i surety,are held and firmly bound unto, City of Huntington Beach '{ as obligee,in the penal sum of ten percent of amount bid --.-..............I DOLLARS ($ 10% ), lawful money of the United States of America, for the payment of which, well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, ! jointly and severally,firmly by these presents. i SIGNED,sealed,and dated this 2nd day of May 2022 WHEREAS,the said principal is herewith submitting :a proposal for Gothard Restroom Improvements Project No. CC No. 1628 NOW, THEREFORE, the condition of this obligation is such that, if the said principal shall be awarded the said contract, and shall within sixty ( 60 ) days after receiving notice of such award enter into a contract and give bond for the faithful performance of the contract, then this obligation shall be null and void otherwise the principal and surety will pay unto the obligee the difference in money between the amount of the principal's bid and the amount for which the obligee may legally contract with another party to perform the work,if the latter amount be in excess of the former;but in no I event shall the liability hereunder exceed the penal sum hereof. Horizons Construction Company International, Inc. I BY: Iran 140 IV-Fe&!deK Principal GREAT MERICAN INSURANCE COMPANY By (/ Spencer Flake,A tturney-in-Fact F..9116K-(3/82)(BID FORM) _.,..: :,._. ,..,...__. 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 05/02/2022 before me, Erin Sherwood Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Spencer Flake Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the ERIN sr ERwooD person(s), or the entity upon behalf of which the person(s) CCm ' #2292338 cn acted, executed the instrument. NOTARY PUBLIC-CALIFORNIA cn ORANCE COUNTY I certify under PENALTY OF PERJURY under the laws of MY COMM.EXPIRES JULY 06,2023 the State of California that the foregoing paragraph is true and correct. Witness my hand and officials I. Signature Place Notary Seal Above Sigfiat—Gr1rof Notary Public Erin Sherwood OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies)Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—TTitle(s): ❑ Corporate Officer —Title(s): ❑ Partner ❑Limited ❑General ❑ Partner ❑Limited❑General ❑ Attorney in Fact ❑ Attorney in Fact RIGHT THUMBPRINT" ❑ Trustee 7Top Mthumbihere Trustee OF SIGNERGuardian or Conservator f ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: GREAT AMERICAN INSURANCE COMPANY® Administrative Office: 301 E 4TH STREET • CINCINNATI,OHIO 45202 • 513-369-5000 • FAX 513-723-2740 The number of persons authorized by this power of attorney is not more than FIVE No.O 20942 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the GREAT AMERICAN INSURANCE COMPANY,a corporation organized and existing under and by virtue of the laws of the State of Ohio,does hereby nominate,constitute and appoint the person or persons named below,each individually if more than one is named,its true and lawful attorney-in-fact,for it and in its name,place and stead to execute on behalf of the said Company,as surety,any and all bonds, undertakings and contracts of suretyship,or other written obligations in the nature thereof;provided that the liability of the said Company on any such bond, undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below. Name Address Limit of Power DAVID L.CULBERTSON HEATHER WILLIS ALL OF ALL CHARLES L.FLAKE LEXIE SHERWOOD ANAHEIM, $100,000,000.00 SPENCER FLAKE CALIFORNIA This Power of Attorney revokes all previous powers issued on behalf of the attomey(s)-in-fact named above. IN WITNESS WHEREOF the GREAT AMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this 8TH day of SEPTEMBER 2020 Attest GREAT ANIERICAN INS NCE COMPA lil,,a Assistant Secretary Divisional Senior Vice President STATE OF OHIO,COUNTY OF HA IILTON-ss: MARK VICARIO(877-377-2405) On this 8TH day of SEPTEMBER 2020 before me personally appeared MARK VICARIO,tome known, being duly swom,deposes and says that he resides in Cincinnati,Ohio,that he is a Divisional Senior Vice President of the Bond Division of Great American Insurance Company,the Company described in and which executed the above instrument;that he knows the seal of the said Company;that the seal affixed to the said instrument is such corporate seal;that it was so affixed by authority of his office under the By-Laws of said Company,and that he signed his name thereto by like authority. SUSAN A KOHORST Notary Public State of Ohio My Comm.fires �- May 18,2025 This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company by unanimous written consent dated June 9,2008. RESOLVED: That the Divisional President,the several Divisional Senior Vice Presidents,Divisional Nce Presidents and Divisonal Assistant Vice Presidents,or any one of them, be and hereby is authorized,from time to time,to appoint one or more Attorneys-in-Fact to execute on behalf of the Company, as surety,any and all bonds,undertakings and contracts of suretyship,or other written obligations in the nature thereof to prescribe their respective duties and the respective limits of their authority;and to revoke any such appointment at any time. RESOLVED FURTHER: That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the Company may be affixed by facsimile to any power of attorney or certificate of either given for the execution of any bond, undertaking, contract of suretyship, or other written obligation in the nature thereof,such signature and seal when so used being hereby adopted by the Company as the original signature of such Officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as though manually affixed. CERTIFICATION I,STEPHEN C.BERAHA,Assistant Secretary of Great American Insurance Company,do hereby certify that the foregoing Power of Attorney and the Resolutions of the Board of Directors of June 9,2008 have not been revoked and are now in full force and effect. Signed and sealed this 2nd day of May > /2022 ova Wuui.y! • Assistant Secretary S1029AH(03/20) PREMIUM: NIL ■ - - Bond No. N/A GW MER1C'W INSURMCE CWFAW I KNOW ALL MEN BY THESE PRESENTS,that we, Horizons Construction Company International, Inc. I 1 as principal, and the GREAT AMERICAN INSURANCE COMPANY,a corporation existing under the laws of the State of Ohio, having its Administrative Office at 580 Walnut Street, Cincinnati, Ohio 45202, as surety,are held and firmly bound unto, City of Huntington Beach �[[ i I as obligee,in the penal sum of ten percent of amount bid DOLLARS ($ 10% ), lawful money of the United States of America, for the payment of which, i well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally,firmly by these presents. i I SIGNED,sealed,and dated this 2nd day of May 2022 WHEREAS, the said principal is herewith submitting :a proposal for Gothard Restroom Improvements Project No. CC No. 1628 NOW, THEREFORE, the condition of this obligation is such that, if the said principal shall be awarded the said contract, and shall within sixty ( 60 ) days after receiving notice of such award enter into a contract and give bond for the faithful performance of the contract, then this obligation shall be null and void otherwise the principal and surety will pay unto the obligee the difference in money between the amount of the principal's bid and the amount for which the obligee may legally contract with another party to perform the work,if the latter amount be in excess of the former;but in no event shall the liability hereunder exceed the penal sum hereof. Horizons Construction Company International, Inc. I I BY: i�i y)0.h K0 IV,Fe&jde 1'f- Principal GREAT ERICAN INSURANCE COMPANY sy Spencer Flake,Arrornw-in-Fact F..9226K-(3/82)(BID FORM) _...._ M .. .:,_......:.:........: :.-.. :. ...,:...... 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 05/02/2022 before me, Erin Sherwood Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Spencer Flake Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the ERIN SHERWOOD person(s), or the entity upon behalf of which the person(s) CCmn.; #2292338 N acted, executed the instrument. C NOTARY PUBLIC-CALIFORNIA co \, OrANlct COUNTY I certify under PENALTY OF PERJURY under the laws of MY COMM.EXPIRES JULY 06,2023 f the State of California that the foregoing paragraph is true y and correct. Witness my hand and officials I. Signature Place Notary Seal Above Sig t of Notary Public Erin Sherwood OPTIONAL Though the information below is not required by law it may prove valuable to persons relying on the document and could prevent fraudulent removal anal reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer —Title(s): ❑ Partner ❑Limited ❑General ❑ Partner ❑Limited❑General ❑ Attorney in Fact RIGHTTHUMBPRINT ❑ Attorney in Fact RIGHTTHUMBPRINT ❑ Trustee OF ❑ Trustee OF ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: GREAT AMERICAN INSURANCE COMPANY Administrative Office: 301 E 4TH STREET • CINCINNATI,OHIO 45202 • 513-369-5000 • FAX 513-723-2740 The number of persons authorized by this power of attorney is not more than FIVE No.() 20942 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the GREATA MRICAN INSURANCE COMPANY,a corporation organized and existing under and by virtue of the laws of the State of Ohio,does hereby nominate,constitute and appoint the person or persons named below,each individually if more than one is named,its true and lawful attomey-in-fact,for it and in its name,place and stead to execute on behalf of the said Company,as surety,any and all bonds, undertakings and contracts of suretyship,or other written obligations in the nature thereof,provided that the liability of the said Company on any such bond, undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below. Name Address Limit of Power DAVID L.CULBERTSON HEATHER WILLIS ALL OF ALL CHARLES L.FLAKE LEXIE SHERWOOD ANAHEIM, $100,000,000.00 SPENCER FLAKE CALIFORNIA This Power of Attorney revolves all previous powers issued on behalf of the attomey(s)-in-fact named above. IN WITNESS WHEREOF the GREAT AMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this 8TH day of SEPTEMBER 2020 Attest GREAT AMERICAN INS CE COMP f�r� Assistant Secretary Divisional Senior Vice President STATE OF OHIO,COUNTY OF HAMILTON-ss: MARK VICARIO(877-377-2405) On this 8TH day of SEPTEMBER 2020 ,before me personally appearedMARK VICARIO,tome known, being duly swom,deposes and says that he resides in Cincinnati,Ohio,that he is a Divisional Senior Vice President of the Bond Division of Great American Insurance Company,the Company described in and which executed the above instrument;that he knows the seal of the said Company;that the seal affixed to the said instrument is such corporate seal;that it was so affixed by authority of his office under the By-Laws of said Company,and that he signed his name thereto by like authority. SUSAN A KOHORST ;:4 ? Notary Public State of Ohio ����j My Comm.Firesmay 18,2025 This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company by unanimous written consent dated June 9,2008. RESOLVED: That the Divisional President, the several Divisional Senior Vice Presidents,Divisional Vice Presidents and Divisonal Assistant Vice Presidents,or any one of them,be and hereby is authorized,from time to time,to appoint one or more Attorneys-in-Fact to execute on behalf of the Company, as surety,any and all bonds,undertakings and contracts of suretyship,or other written obligations in the nature thereof to prescribe their respective duties and the respective limits of their authority;and to revoke any such appointment at any time. RESOLVED FURTHER: That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the Company may be affixed by facsimile to any power of attorney or certificate of either given for the execution of any bond, undertaking, contract of suretyship, or other written obligation in the nature thereof,such signature and seal when so used being hereby adopted by the Company as the original signature of such officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as though manually affixed CERTIFICATION I,STEPHEN C.BERAHA,Assistant Secretary of Great American Insurance Company,do hereby certify that the foregoing Power of Attorney and the Resolutions of the Board of Directors of June 9,2008 have not been revoked and are now in full force and effect. Signed and sealed this 2nd day of May 2022 Assistant Secretary S1029AH(03/20) � � k t `+ t + a TO c o cu I�-�`a� L7 O � �• �-k ,� � 'p � can IT, (, ai y cd d GG G : pll $F.l' # 44. i su 7* tCN,PEP C tf nSt A t�NAw � }s i s City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov fFB. I7,1999,P \ Office of the City Clerk Robin Estanislau, City Clerk August 5, 2022 Horizons Construction Company Attn: Kinan Kotrash, Vice President 432 W. Meats Avenue Orange, CA 92865 Re: Gothard Restroom Improvements Project—CC No. 1628 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. Sincerely, Robin Estanislau, CMC City Clerk RE:ds Enclosures: Copy of Contract including Proposal Copies of insurance/bonds Bid Bond (original) Sister City. Anjo, Japan RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office after signing/dating (Name) (Date) 0 J CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: SUBJECT: Bond Acceptance I have received the bonds for / - (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. 1-13���'S 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 Approved Re: Tract NO. (Council Approval Date) J CC No. Agen �tem No. 11,2- yS 7 MSC No. City Clerk Vault No. lid U-�R) Other No. SIRE System ID No. 6-501°2:1— g:/forms/bond transmittal to treasurer /MM 2000 Main Street, `\ Huntington Beach,CA 92648 City of Huntington Beach BB 4 \ File #: 22-454 MEETING DATE: 6/7/2022 REQUEST FOR CITY COUNCIL ACTION SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Sean Joyce, Interim City Manager VIA: Sean Crumby, Director of Public Works PREPARED BY: Chris Tanio, Principal Civil Engineer Subject: Accept the lowest responsive and responsible bid and authorize execution of a construction contract with Horizons Construction Company in the amount of$470,219 for the Gothard Restroom Improvements Project CC-1628; and, authorize change orders not to exceed 15% Statement of Issue: On May 3, 2022, bids were received for Gothard Restroom Improvements Project CC-1628. City Council action is requested to award the construction contract to Horizons Construction Company (Horizons), the lowest responsive and responsible bidder. Financial Impact: Horizon's bid is in the amount of$470,219, and sufficient funds for this project are budgeted within the FY 21/22 Capital Improvement Program (CIP). The recommended action advances $640,751.95 of approved funds from account 22645010.82900 ($402,555), 22845028.82900 ($168,496), and 31440001.82900 ($69,701) to fund the project. This funding includes Horizon's construction contract bid amount, construction management and inspection, supplementals, and fifteen percent (15%) construction contingency. Recommended Action: A) Accept the lowest responsive and responsible bid submitted by Horizons Construction Company in the amount of$470,219.00; and, B) Authorize the Mayor and City Clerk to execute a construction contract in a form approved by the City Attorney; and, C) Authorize the Director of Public Works to execute change orders not to exceed a total of 15%. Alternative Action(s): City of Huntington Beach Page 1 of 3 Printed on 6/1/2022 powered Legistar— File #: 22-454 MEETING DATE: 6/7/2022 Reject all bids, and/or provide staff with alternative action. Analysis: The CIP proposes rehabilitation of the existing restroom building located in Central Park. Interior improvements include the remodel of existing restrooms to create 2 unisex ADA restrooms and 2 non -ADA unisex restrooms. Structural improvements include repairs to the existing building structural components that have corroded due to water damage. Other improvements include interior and exterior painting, metal railing, exhaust fans and epoxy floor finish. Bids were received on May 3, 2022 with the following results: BIDDER'S NAME BID AMOUNT Elegant Construction Inc. $361,014.00 (Bid Withdrawal) Horizons Construction $470,219.00 Company Rhome Profile $477,716.72 Construction 2Z Construct Inc $481,556.00 Union Construction $497,783.00 Company H2M Construction Inc $498,037.00 CWS Systems Inc. $541,026.22 Newman Midland Corp $587,175.00 Legion Contractors, Inc. $698,763.00 The apparent lowest bid was submitted by Elegant Construction Inc. However, on May 14, 2022, Elegant Construction Inc. submitted a Letter of Withdrawal due to an error on their bid sheet and has resulted in their bid to be deemed nonresponsive. Staff therefore recommends awarding a construction contract to Horizons Construction Company in the amount of$470,219.00. The total project cost is estimated to be $640,751.95, which includes the construction contract bid amount above, construction management and inspection, supplementals, and fifteen percent (15%) construction contingency. Public Works Commission Action: The Public Works Commission reviewed and approved CC-1628 on April 20, 2022. Environmental Status: The project is categorically exempt pursuant to Class 1, section 15031d of the California Environmental Quality Act. Strategic Plan Goal: City of Huntington Beach Page 2 of 3 Printed on 6/1/2022 pcwereW Legistar- File #: 22-454 MEETING DATE: 6/7/2022 Infrastructure & Parks Attachment(s): 1. Vicinity Map City of Huntington Beach Page 3 of 3 Printed on 6/1/2022 power LegistarT" �o �o G v~i v~i U) BOLSA AVE NTS v Mc FADDEN AVE. s'9� U O J J EDING O w m Q Q (n cn 0 Y HEIL = ~ AVE. m !� Cif Z r } O Fr o w 0:� N WAR ER V w z = AVE. w � o O J 0 SLATER 00 AVE. 405 1 TALBERT AVE. PACIFIC ,o ELLIS AVE. GARFI ELD AVE. o (n (n cn N Of C'0 �� YORKTOWN AVE. < / I F-: N ADAMS g AVE. PROJECT LOCATION Y z O GOTHARD RESTROOM 9 C� INDIANAPOLIS AVE. V) ATLANTA AVE. Of m Q o = J fr_ Y O HAMILTON Oz = O 0 � a D m y�- BANN NG OCEAN AVE. REV 4/7/22 GOTHARD RESTROOM IMPROVEMENTS PROJECT PROJECT VICINITY MAP CITY OF HUNTINGTON BEACH DEPARTMENT OF PUBLIC WORKS 1 OF 1 NOTICE INVITING ELECTRONIC BIDS for the construction of GOTHARD RESTROOM IMPROVEMENTS CC No. 1628 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,April 28, 2022, on the City's Planet Bids System Vendor Portal, at which time or thereafter bids will be opened and made available online. Bids received after this time will be considered non-responsive. Prospective bidders must first register as a vendor and then bid on this project via the City's Planet Bids System Vendor Portal website at: hMs://www.planetbids.com/t)orW/l)ortal.cftn?ComvMID=l 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.cfrn?CompanyID=15340. Bidders must first register as a vendor on the City of Huntington Beach Planet Bids system to view and download the Contract Documents,to be added to the prospective bidders list, and to receive addendum notifications when issued. Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California,the minimum prevailing rate of per diem wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial 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 A-1 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: Gothard Restroom Improvements CC #: 1628 Bid Opening Date: April 28,2022 at 2 PM 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 and B, 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: Rehabilitation of the existing restroom building located in Central Park. Interior improvements include the remodel of existing restrooms to create (2) unisex ADA restrooms and (2)non-ADA unisex restrooms. Structural repairs to existing building structural components that have been corroded due to water damage. New interior and exterior painting, new metal railing, new exhaust fans and epoxy floor finish. The contract shall allow the Contractor 90 working days to complete the contract. All questions related to this bid solicitation must be submitted through the City's Planet Bids System Vendor Portal per the information provided in the Instructions to Bidders. Any other contact to City staff regarding this bid solicitation will be referred back to the Planet Bids system. The AGENCY reserves the right to 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 29h day of June 2020,by Resolution No. 2020-39. Attest: /s/Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTONBEACH A-2 Moore, Tania From: Christine Gonzalez <cgonzales@scng.com> Sent: Friday, April 1, 2022 8:20 AM To: Moore, Tania Cc: Switzer, Donna;Tanio, Chris; Kelly, David Subject: Re: NIEB Gothard Restroom Improvements at Central Park Attachments: 11528004.pdf Cost $1,352.00, pub 4/7, 4/14 OC Register Legal Advertising Sales Coordinator 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, Mar 31, 2022 at 3:14 PM Moore, Tania<Tania.Mooreksurfcity-hb.org>wrote: Good afternoon Chrissy, Please publish the attached notice in The Wave on 4/7 and 4/14. Thank you, Tania Moore, CMC Senior Deputy City Clerk City Clerk's Office 714-536-5209 i tan ia.moore(a--)su rfcity-hb.org z NOTICE INVITING ELECTRONIC BIDS for the construction of GOTHARD RESTROOM IMPROVEMENTS CC No.1628 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, April 28, 2022, on the City's Planet Bids System Vendor Portal, at which time or thereafter bids will be opened and made available online. Bids received after this time will be considered non-responsive. Prospective bidders must first register as a vendor and then bid on this project via the City's Planet Bids System Vendor Portal website at: hftpso//www.planetbids.com/portal/portal.cfm?Companyl D=1 40 Copies of the bid documents, including instructions to bidders, bidder proposal form, and specifications may be downloaded free at: https://www.pI netbids.com/portal/aortal cfm?CompanvlD=1 40. Bidders must first register as a vendor on the City of Huntington Beach Planet Bids system to view and download the Contract Documents, to be added to the prospective bidders list, and to receive addendum notifications when issued. Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California, the minimum prevailing rate of per diem wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial Relations of the State of California, which are available online at www.dar.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 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 fol lows: OFFICIAL BID SECURITY-DO NOT OPEN Project Name: Gothard Restroom Improvements CC#: 1628 Bid Opening Date:April 28,2022 at 2 PM 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 and B,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: Rehabilitation of the existing restroom building located in Central Park. Interior improvements include the remodel of existing restrooms to create (2) unisex ADA restrooms and (2) non-ADA unisex restrooms. Structural repairs to existing building structural components that have been corroded due to water damage. New interior and exterior painting,new metal railing,new exhaust fans and epoxy floor finish. The contract shall allow the Contractor 90 working days to complete the contract. All questions related to this bid solicitation must be submitted through the City's Planet Bids System Vendor Portal per the information provided in the Instructions to Bidders.Any other contact to City staff regarding this bid solicitation will be referred back to the Planet Bids system. The AGENCY reserves the right to reiect any or all bids,to waive any irregularity and to take all bids under advisement for a maximum period of 60 days. BY ORDER of the CITY COUNCI L of the CITY OF HUNTINGTON BEACH,CALI FORMA, the 22th day of June 2020,by Resolution No.2020 39. Attest: /s/Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH Published Huntington Beach Wave April 7,14,2022 11528004 Moore, Tania From: Christine Gonzalez <cgonzales@scng.com> Sent: Friday, April 15, 2022 3:46 PM To: Moore, Tania Cc: Switzer, Donna;Tanio, Chris; Kelly, David Subject: Re: NIEB Gothard Restroom Improvements at Central Park Attachments: 11528004.pdf affidavit OC Register Legal Advertising Sales Coordinator 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 Fri, Apr 1, 2022 at 8:19 AM Christine Gonzalez <cgonzales(a scn com>wrote: Cost $1,352.00, pub 4/7, 4/14 OC Register Legal Advertising Sales Coordinator 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, Mar 31, 2022 at 3:14 PM Moore, Tania<Tania.Mooregsurfcity-hb.org> wrote: 1 Good afternoon Chrissy, Please publish the attached notice in The Wave on 4/7 and 4/14. Thank you, Tania Moore, CIVIC Senior Deputy City Clerk City Clerk's Office 714-536-5209 tania.moorea-surfcity-hb.org 2 Nundupon Beach Wave 1771 S. Lewis Street Anaheim,CA 92805 714-796-2209 5190751 HUNTINGTON BEACH, CITY OF PROOF OF PUBLICATION CITY CLERK DEPARTMENT 2000 MAIN ST Legal No. 0011528004 HUNTINGTON BEACH, CA 92648-2763 ILE NO. Gothard Restroom Impr. Central Par 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: 04/07/2022, 04/14/2022 1 certify(or declare) under the penalty of perjury under the laws of the State of California that the foregoing is true and correct: Executed at Anaheim, Orange County, California, on Date:April 14, 2022. CK?CA Signature r.LP1-12115116 1 NOTICE INVITING ELECTRONIC BIDS for the construction of GOTHARD RESTROOM IMPROVEMENTS CC No.1628 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, April 28, 2022, on the City's Planet Bids System Vendor Portal, at which time or thereafter bids will be opened and made available online. Bids received after this time will be considered non-responsive. Prospective bidders must first register as a vendor and then bid on this proiect via the City's Planet Bids System Vendor Portal website at: https://www.plonetbids.com/portal/portal.cfm?Companyl 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.cfm?CompanylD=15340. Bidders must first register as a vendor on the City of Huntington Beach Planet Bids system to view and download the Contract Documents, to be added to the prospective bidders list, and to receive addendum notifications when issued. Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California, the minimum prevailing rate of per diem wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial 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 Proiect Name:Gothard Restroom Improvements CC#:1628 Bid Opening Date:April 28,2022 at 2 PM 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 and B,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. Proiect Description: Rehabilitation of the existing restroom building located in Central Park. Interior improvements include the remodel of existing restrooms to create (2) unisex ADA restrooms and (2) non-ADA unisex restrooms. Structural repairs to existing building structural components that have been corroded due to water damage. New interior and exterior painting,new metal railing,new exhaust fans and epoxy floor finish. The contract shall allow the Contractor "working days to complete the contract. All questions related to this bid solicitation must be submitted through the City's Planet Bids System Vendor Portal per the information provided in the Instructions to Bidders.Any other contact to City staff regarding this bid solicitation will be referred back to the Planet Bids system. The AGENCY reserves the right to 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 Published Huntington Beach Wave April 7,14,2022 11528004 r.LP1-1 2J1 5/16 2 UNSUCCESSFUL BIDS CC No. 1628 Gothard Restroom Improvements at Huntington Central Park East City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk August 8, 2022 A2Z Construct, Inc. P.O. Box 80425 Rancho Santa Margarita, CA 92688 RE: Gothard Restroom Improvements at Huntington Central Park East— CC No. 1628 Enclosed please find your original bid bond for CC No. 1628 Sincerely, Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister City: Anjo, Japan SECTION C PROPOSAL for the construction of GOTHARD RESTROOM IMPROVEMENTS CC No. 1628 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 90 working days, starting from the date of the Notice to.Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award,BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT.It is agreed.that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded,the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govem over figures. C-1 If awarded the Contract,the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds,and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may,at the AGENCY'S option,be considered null and void. Accompanying this proposal of b I S-5�UD id,find /,in the amount of which said amount is not less than 10%of the aggregate of the total bid price, as required by the Notice Inviting Sealed OR ELECTRONIC Bids,payable to the AGENCY. (Please insert the words "Cash", "Certified Check",or"Bidder'sBond for—% as the case may be)Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bid4q1s Signature One 04/25/22 Two 04/26/22 C-2 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For GOTHARD RESTROOM IMPROVEMENTS AT HUNTINGTON CENTRAL PARK CC NO.1628 in the CITY OF HUNTINGTON BEACH April 25,2022 Notice To All Bidders: Please note the following clarification to the Project Specifications and Bid Requirements: 1) SPECIFICATIONS SECTION A—NOTICE INVITING ELECTRONIC BIDS Replace page A-2 with the attached revision,which removes the requirement.for bidders to possess both Class A and Class B licenses. Upon further consideration, contractors will only be required to possess a State Contractor's License Class B. This is to acknowledge receipt and review of Addendum Number One,dated April 25, 2022. A2Z Construct Inc Matthew Jafari. Company Name By 04/25/2022 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 DJ Kelly at(571)722-2277 within 24 hours of posting. CRY of Huntington Beach Public Works Department 2000 Main Street Tel. (714)536-6431, Fax(714) 374-1573 ADDENDUM NUMBER TWO For GOTHARD RESTROOM IMPROVEMENTS AT HUNTINGTON CENTRAL PARK CC MO.1628 in the CITY OF HUNTINGTON REACH Notice To All Bidders: ftdMgm Per Public Contract Code Section 4104.5. the bid due date is being extended since Addendum Number One was released within 72 hours of the original bid opening. Please note the fbfloWng modifications to The Project Specifications and Bid Requirements: I) SPECIFICATIONS COVER SHEET Replace the cover sheet with the attached revision,which extends the bid opening to 2:00 PM on Tuesday,May 3,2022. 2) SPECIFICATIONS SECTION A—NOTICE INVITING ELECTRONIC BIDS Replace pages A-1 and A-2 With the attached revisions,which extend the bid opening to 2:00 PM on Tuesday,May 3,2022. 3) SPECIFICATIONS SECTION B—INSTRUCTIONS TO BIDDERS Replace page B-2 with the attached revision,which extends the bid opening to 2:00 PM an Tuesday,May 3,2022, This is to acknowledge receipt and review of Addendum Number Two,dated April 26,2022 A2Z Construct Inc Matthew Jafari Company Name BY 04126/2022 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 DJ Kelly at(571)722-2277 within 24 hours of posting. LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor, Bid Name and Address of State Class DIR PWC Dollar %of Items) Subcontractor License RegistrstiOn# Amount Contract Number Specialty Flooring, Inc 19 8956 Redwood Ave., 933651 1000380822 $17,000.00 Fontana, CA 92335 N f (Y'V Y\"Ae in-tA I -2:2-<'-J dal 1 0, AM S;rrl J By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project C-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 on05/03/22,at Rancho Santa Mamala CA Date City State Matthew Jafari ,being first duly sworn, deposes and says that he or she is President of A2Z Construct 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. Name of Bidder A2Z Construct Inc/Matthew Jafari P� 0//X- Signature of Bidder PO Box 80425, Rancho Santa Margarita, CA 92688 Address of Bidder c-s 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 GOTHARD RESTROOM IMPROVEMENTS, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The terra "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. A2Z Construct Inc Contractor Mafthew Jafari By President Title Date:05/03/2022 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? El Yes 34 No If the answer is yes, explain the circumstances in the spaceprovided. 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.. A2Z Construct Inc Contractor Matthew Jafari By President Title vate:05/03/2022 C-s. BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: A2Z Construct Inc Bidder Name PO Box 80425 Business Address Rancho Santa Ma[garita, CA 92688 City, State zip ( 949) 283-5179 a2zconstructincUd-aol.corn Telephone Number Email Address 739539 A3 State Contractor's License No. and Class 08/20/1997 Original Date Issued 03/3112023 Expiration Date The work site was inspected by Matthew Jafari of our office on April 14 20U The following are persons,firms,and corporations having a principal in.nterest in this proposal: Matthew Jafari The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to pe&>rm the contract for the proposed work and improvements in accordance with the plans and specifications set forth. A2Z Constriat Inc Company ame 0 Sig"e'of BWer *-� Mafthew Mari Printed or Typed Signature C-9 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 C a rTfl(n c CA County of Qr(A a q 2 ) On rot 30{4 tZdZ-L beforeme, " R`5SCII W,114e si N4ra( Pu1 11*C Month,Day,and Year Insert Name and Title of Notary personally appeared t a� ,/ 30A(A r. Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the personN) whose name is re sub;n;'bed to the within instrument and acknowled to me tha�he/they executed the same i erftheir authorized capacityO%� and that b his er/their signatureTsgon the instrument the person(3y�,or the entity upon behalf of which.the pees nN 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. MA WITNESS my hand and official seal_ OtAy jl o RUSSEL W AM Notary Public•California Qrange County CommissionO 2372527 Comm.Expires Aug 27,2Q25+ Signature SIAature of Notary Public (PLACE NOTARY SEAL ABOVE) C-1'0 Bidder's Project History For the purposes of this project the contractor and subcontractor must have, in the last five years, constructed at. least five (5) projects of similar work specifically referencing the construction of {Describe specific work and experience necessary for project, for example"Reconstruction or rehabilitation of existing public use facilities'°. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. The following list of projects meet the requirements of above: l City of Newport Beach, 100 Civic Center Drive, Newport Beach, CA 92660 Name and Address of Reference Name and Telephone No. of Project Manager: _ Tom Sandefur, 949-644-3321 $100,000.00 Demo flooring, install (N) tires 12/2021 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: Toilet partitions, plumbing fixtures, copper awning, paint 2 City of Mission Viejo, 200 Civic Center, Mission Viejo, CA 92691 Name and Address of Reference Name and Telephone No. of Project Manager: Jerry Hill 949-470-3085 $161, 555.00 Concrete Walkway August 2020 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: patio and concrete slab, sewer line, and metal column 3. City of Santa Ana, 20 Civic Center Plaza, Santa Ana, CA 92702 Name and Address of Reference Name and Telephone No.of.Project Manager: _ Robert Aguirre 714-647-5051 $96,187.00 Interior renovation 02/2021 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Ceiling, cabinets, wall covering, flooring, and seating upholstery C-1 I 4. City of Placentia, 401 E. Chapman Ave., Placentia, CA 92870 Name and Address of Reference Name and Telephone No. of Project Manager..... -Kevin Koura 714-920-7604 $245,000.00 ADA Restroom Improvement 11/2021 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: 5. City of Newport Beach, 100 Civic Center Drive, Newport Beach, CA 92660 Name and Address of Reference Name and Telephone No. of Project Manager: Tom Sandefur 949-644-3321 $40,000.00 Restroorn Interior Louvers, Paint 12/2021 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: C-12 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. Matthew Jafari Name of proposed Project Manager 949-283-5179 Telephone No. of proposed Project Manager Please refer to "Bidder's Project.History" listed above 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. Matthew Jafari Name of proposed Superintendent 949-283-5179 Telephone No. of proposed Superintendent Please refer to "Bidder's Project History" listed above 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-13 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR)CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations(DIR). Currently the annual non-refundable registration fee for Contractors is$300.Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www_dir.ca-gov/DLSE/PublicWorks/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link—Call(844)522-6734 https://efilin&dir:ca.gov/PWCR/ActionSmlet?action displayPWCRegistrationFormrm DIR's Contractor Registration searchable database: https://efiling.dir.cagov/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. A2Z Construct Inc Contractor Matthew Jafari By a2zconstructinC2@aol.com Email President Date: 05/03/2022 Title PWC Registration#: 1000012937 C-14 RLI Contractors Bonding and Insurance Company BID BOND 9025 N.Lindbergh Dr. Peoria,IL 61615 P.O.Box 3967 Peoria,IL 61612-3967 Phone:309-692-1000 Fax:309-683-1610 KNOW ALL MEN BY THESE PRESENTS, That We, A2Z CONSTRUCT, INC. of P.O.BOX 80425,RANCHO SANTA MARGARITA,CA 92688 as Principal,and Contractors Bonding and Insurance Company ,of Peoria , Illinois ,as Surety,an Illinois corporation duly licensed to do business in the State of CALIFORNIA ,are held and firmly bound unto CITY OF HUNTINGTON BEACH ,as Obligee,in the penal sum of TEN PERCENT OF GREATER AMOUNT BID Dollars ( 10% ),for the payment of which the Principal and the Surety bind themselves,their heirs,executors, administrators,successors and assigns,jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH,That whereas the Principal has submitted,or is about to submit,a proposal or a bid to the Obligee on a contract for GOTHARD RESTROOM IMPROVEMENTS AT HUNTINGTON CENTRAL PARK EAST• INVITATION#CC-1628 NOW,THEREFORE,if the aforesaid principal shall be awarded the contract,the said principal will within the period specified therefore,or if no period be specified,within ten(10)days after the notice of such award enter into a contract and give bond for the faithful performance of the contract,then this obligation shall be null and void,otherwise the principal and the surety will pay unto the obligee the difference in money between the amount of the bid of said principal and the amount for which the obligee may legally contract with another party to perform the work if the latter amount be in excess of the former,in no event shall the liability hereunder exceed the penal sum hereof. PROVIDED AND SUBJECT TO THE CONDITION PRECEDENT,that any suits at law or proceedings in equity brought or to be brought against the Surety to recover any claim hereunder must be instituted and service had upon the Surety within ninety (90)days after the acceptance of said bid of the Principal by the Obligee. SIGNED,SEALED AND DATED this 25TH day of APRIL 2022 A2Z CONSTRUCT, NC. By: Alipal l Contractors Bonding and Insurance Company By: /' ` U tf� MARK D. IATAROLA, Attorney in Fact SK CMJP~MAN,A'1TAMW C0038004-50,0 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 1 County of SAN DIEGO J} On 4/25/2022 before me, SANDRA FIGUEROA, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared MARK D. IATAROLA Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the personH whose names}is/armsubscribed to the within instrument and acknowledged to me that he/s+-�executed the same in his/iei authorized capacity(ies), and that by his/herAheif signature(s) on the instrument the person(s), or the entity upon behalf of which the person(a) acted, executed the instrument. I certify under PENALTY OF PERJURY under the SANDRA FIGUEROA laws of the State of California that the foregoing COMM.#2334108 D paragraph is true and correct. Z SAN DIEGO COUNTY D QQQ NOTARY PUBLIC-CALIFORNIAZ WITNESS my hand and official seal. MY COMMISSION EXPIRES J SEPTEMBER 22,2024 Signature Place Notary Seal and/or Stamp Above Signature of Notary Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: MARK D. IATAROLA Signer's Name: ❑ Corporate Officer—Title(s): ❑ Corporate Officer—Title(s): ❑ Partner— ❑ Limited ❑ General ❑ Partner— ❑ Limited ❑ General ❑ Individual N Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian of Conservator ❑ Trustee ❑ Guardian of Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: 02017 National Notary Association POWER OF ATTORNEY RLI Insurance Company Contractors Bonding and Insurance Company 9025 N.Lindbergh Dr. Peoria,IL 61615 Phone: 800-645-2402 Know AH Men by These Presents: That this Power of Attorney is not valid or in effect unless attached to the bond which it authorizes executed, but may be detached by the approving officer if desired. That RLI Insurance Company and/or Contractors Bonding and Insurance Company, each an Illinois corporation, (separately and together,the"Company")do hereby make,constitute and appoint: Mark D.Iatarola John G.Maloney Helen Maloney Sandra Figueroa Tracy Lynn Rodriguez iointly or severally in the City of Escondido , State of California its true and lawful Agent(s) and Attorney(s) in Fact,with full power and authority hereby conferred, to sign, execute, acknowledge and deliver for and on its behalf as Surety, in general, any and all bonds and undertakings in an amount not to exceed Twenty Five Million Dollars ( $25.000.000.00 )for any single obligation. The acknowledgment and execution of such bond by the said Attorney in Fact shall be as binding upon the Company as if such bond had been executed and acknowledged by the regularly elected officers of the Company. RLI Insurance Company and/or Contractors Bonding and Insurance Company, as applicable, have each further certified that the following is a true and exact copy of a Resolution adopted by the Board of Directors of each such corporation,and is now in force,to-wit: "All bonds,policies,undertakings,Powers of Attorney or other obligations of the corporation shall be executed in the corporate name of the Company by the President,Secretary,any Assistant Secretary,Treasurer,or any Vice President,or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or Agents who shall have authority to issue bonds,policies or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds,policies,undertakings,Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile." IN WITNESS WHEREOF, the RLI Insurance Company and/or Contractors Bonding and Insurance Company, as applicable, have caused these presents to be executed by its respective Vice President with its corporate seal affixed this 1 st day of Aril 2022 RLI Insurance Company �NG AND�,y'''�., ,�J CE Cp�� Contractors Bonding and Insurance Company �00 ••GOPPDR4 TF•9 T�; i�,•O0 POR,�rF•'•'y' SEAL - By �F Zob SEAL: - Barton W.Davis Vice President State of Illinois J} County of Peoria SS CERTIFICATE On this 1st day of April 2022 before me, a Notary Public, I, the undersigned officer of RLI Insurance Company and/or personally appeared Barton W. Davis who being by me duly sworn, Contractors Bonding and Insurance Company, do hereby certify acknowledged that he signed the above Power of Attorney as the aforesaid that the attached Power of Attorney is in full force and effect and is officer of the RLI Insurance Company and/or Contractors Bonding and irrevocable; and furthermore, that the Resolution of the Company as Insurance Company and acknowledged said instrument to be the voluntary set forth in the Power of Attorney, is now in force. In testimony act and deed of said corporation. whereof, I have hereunto set my hand and the seal of the RLI Insurance Company and/or Contractors Bonding a Insurance Company this 2 5 T H day of A P R I L Z 0 By: ���j,�-W�� RLIInsuranceCompany Catherine D.Glover Notary Public Contractors Bonding and Insurance Company CATHEHINE D.GLOVER /� i� OFFICUIL SEAL (,J w,wc Notary PLUIC-Sty of 11 B5' My Comnblon ExpMas Jeffrey is Corporate Secretary MarCh 24,204 0456693020212 A0058D 19 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 Oranqe Subscribed and sworn to (or affirmed) before me on this 30th day of April , 20 22 , by Matthew Jafari---------- proved to me on the basis of satisfactory evidence to be the personN who appeared before me. JED RUSSELL WALTERS _ Notary Public-California � Orange County ` Commission#2372527 My Comm.Expires A,g 27.2025 (Seal) Signature { Q_ a� y 1r x r{ a k 3*��r �• � .�.m (per Y < d tR Joi LA .fir 3 r� M City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov `EB 17,1909. Office of the City Clerk Robin Estanislau, City Clerk August 8, 2022 CWS Systems, Inc. 3814 E. Colorado Blvd. #102 Pasadena, CA 91107 RE: Gothard Restroom Improvements at Huntington Central Park East—CC No. 1628 Enclosed please find your original bid bond for CC No. 1628 Sincerely, �&�anzdj� Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister City. Anjo, Japan CONTRACT DOCUMENTS SPECIFICATIONS AND STANDARD DRAWINGS for the construction of GOTHARD RESTROOM IMPROVEMENTS CC No. 1628 in the CITY OF HUNTINGTON BEACH 2000 MAIN STREET HUNTINGTON BEACH,CALIFORNIA 92648 (714) 536-5431 BIDS ELECTRONICALLY DUE: May 3,2022 NO LATER THAN 2:00 PM SEAN CRUMBY,DIRECTOR. DEPARTMENT OF PUBLIC WORKS SECTION A NOTICE INVITING ELECTRONIC BIDS for the construction of GOTHARD RE,STROOM IMPROVEMENTS CC No. 1628 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 Tuesday,May 3, 2022, on the City's Planet Bids System Vendor Portal, at which time or thereafter bids will be opened and made available online.Bids received after this time wilt be considered non-responsive.Prospective bidders must first register as a vendor and then bid on this project via the City's Planet Bids System Vendor Portal website at: littps://w,vw,planetbids.corn/portal/portal.cfm?CompanylD=15340 Copies of the bid documents, including instructions to bidders, bidder proposal form,and specifications may be downloaded free at: https://www planetbids,cor r/portat/portal.cfm?CompanylD=15340. Bidders must first register as a vendor on the City of Huntington Beach Planet Bids system to view and download the Contract Documents, to be added to the prospective bidders list, and to receive addendum notifications when g issued. Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California, the minimum prevailing rate of per diem wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial Relations of the State of California,which are available online at www.dir.ca.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 A-1 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 he 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: Gothard Restroom Improvements CC#: 1628 Bid Opening Date: May 3, 2022 at 2 PM 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 B, 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: Rehabilitation of the existing restroom building located in Central Park. Interior improvements include the remodel of existing restrooms to create (2)unisex ADA restrooms and (2)non-ADA unisex restrooms. Structural repairs to existing building structural components that have been corroded due to water damage. New interior and exterior painting,new metal railing,new exhaust fans and epoxy floor finish. The contract shall allow the Contractor 90 working days to complete the contract. All questions related to this bid solicitation must be submitted through the City's Planet Bids System Vendor Portal per the information provided in the Instructions to Bidders. Any other contact to City staff regarding this bid solicitation will be referred back to the Planet Bids system. The AGENCY reserves the right to 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�2Q,by Resolution No. 2020-39. Attest: Is/Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTONBEACH A-2 OFFICIAL BID SECURITY-DO NOT OPEN Project Name: Gothard Restroom Improvements CC#: 1628 Bid Opening Date: May 3, 2022 at 2 PM 3. Proposal Signature If the proposal is made by an individual, it shall be signed and his full name with his address shall be given; if it is made by a firm, it shall be signed with the co partnership name by a member of the firm who shall sign his own name and the name and address of each member shall be given; and if it is made by a corporation, the name of the corporation shall be signed by its duly authorized officer or officers attested by the corporate seal, and the names and titles of all officers of the corporation shall be given. 4. Delivery Of Proposal. Bids will only be received electronically through the City's Planet Bids System Vendor Portal website at: https://wwNv.planetbids.coLn/portallportal.cfnl?CompanVID=l5340.Bids will not be accepted after the specified Bid Opening date and time. The bidder shall have the sole exclusive responsibility for ensuring that the bid is received by the specified bid opening date and time.For technical support with the electronic bidding system,please click the Help Center icon from any Planet Bids screen to be directed to the technical support help desk.. Any bidder may personally withdraw his bid from the City's Planet Bids system prior to the bid opening date and time stated in the Notice Inviting Bids. Any request to withdraw a bid after bid opening shall meet all requirements of Public Contract Code section 5100 et seq. and must be submitted in writing within five (5)working days, excluding Saturdays, Sundays and State holidays, specifying in detail the mistake. 5. Return Of Proposal Guarantees The proposal guarantees of the second and third lowest bidders will be held until the awarded bidder has properly executed all contract documents. Within 10 working days after the award of contract, the remaining proposal guarantees accompanying all other proposals will become null and void and returned to the unsuccessful bidders. 6. Taxes No mention shall be made in the proposal of Sales Tax,Use Tax or any other tax, as all amounts bid will be deemed and held to include any such taxes which may be applicable. ' 7. Disqualification OfBidders In the event that any bidder acting as a prime contractor has an interest in more than one proposal, all such proposals will be rejected and the bidder will be disqualified. This restriction does not apply to subcontractors or suppliers who may submit quotations to more than one bidder, and while doing so, may also submit a formal proposal as a prime contractor. 8. Contractor's LicenseRequirement This project requires the Contractor to possess a valid State of California contractor's license of the B-2 SECTION C PROPOSAL for the construction of GOTHARD RESTROOM IMPROVEMENTS CC No. 1628 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 90 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications,Instructions to Bidders and all other contract documents. If this proposal is accepted for award,BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter-into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes,royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded,the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. G1 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. OX Accompanying this proposal of bid,find�+t c �ef' t� in the amount of ►Q , which said amount is not less than 10%of the aggregate of the total bid price, as:required by the Notice Inviting Sealed OR ELECTRONIC Bids,payable to the AGENCY. (Please insert the words"Cash","Certified Check", or "Bidder'sBond for_% ",as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addendallo. Date Receive Bidder's Signature t f �2, C-2 SECTION C PROJECT BID SCHEDULE A GOTHARD RESTROOM IMPROVEMENTS CC1628 BID ITEMS Item Description Quantity Unit Unit Cost Total Cost No. (Ef%tension) 1 Mobilization 1 LS $ 5""5,000 $ `� CY Demolition 2 Existing Concrete Decking 327 SF $_ 3 Existing Structural Steel Elements 1 LS $' i $ '06 4 Existing Ornamental Railing 143 LF $ $ v 5 Existing Entry Gates/Frames]Connections 2 EA $ ' $ 6 Sand Blast Paint at Steel in Need of Repair 1 LS $ 6 2 $ ' 7 Existing Interior Walls,Finishes and Fixtures 1 LS $ k Z,60() $ 8 Additional 100 S.F.of Existing Concrete Decking 100 SF $ _. $ ,Qa� Structural 9 New Concrete Decking and Reinforcement 327 SF $ $ I 10 Additional 100 S.F.of Concrete Decking 100 SF $ $ Zt sr 11 Structural Steel Repair 1 LS $ D ` $ tt� / 12 Concrete Footing Repair 4 EA $„ $ t riy 13 Concrete Curbs at Existing Structural Columns 19 LF $ - $ 1 Architectural-MEP 14 Hazardous Material Abatement Demo/Haul Off 1 LS $ $ ut- 15 Light Ga.Metal Framing 187 SF $" L $ 16 Cement Backer Board 1,122 SF $ { kor7 $ Z Z 17 Ornamental Metal Railing with Paint Finish 160 LF $ 18 Openings(Doors,Frames,Hardware,Signage) 4 EA $ "0 l?cl $ C`JOd 19 Flooring (Epoxy Finish) 1,470 SF $ 7X,tj t $ 20 Interior Painting(including Doors&Frames) 438 SF $ , t)0 $ 0 21 Exterior Painting(Including Doors&Frames) 2,160 SF $ " ,+ $ C-2.1 SECTION C PROJECT BID SCHEDULE A GOTHARD RESTROOM IMPROVEMENTS CC1628 Item Description Quantity Unit Unit;Cost Total Cost No. (Extension) 22 Ceramic Tile/Grouting/Grout Sealer 1,122 SF 23 Plumbing 1 Ls $ -j �jp�,a $31/0 0 24 HVAC(Exhaust Ventilation) 1 LS $ A $ 25 Electrical 1 LS $ l`�,C 60 $ 12(L 0 26 Toilet Accessories/Blocking 1 LS $ I $ 12,c'ro 27 Power Wash Existing Exterior Wall Tile 616 SF $�b u' $ t TOTAL BID AMOUNT(BASIS OF AWARD)—SCHEDULE A $ r TOTAL BID AMOUNT IN WORDS: wi t'1 v w n 5l 44t7 � Notes: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. The estimated quantities listed in the Proposal Bid Sheets are approximate and are to be used only as comparison of bids. Payment for quantities will be made from field measurements. If the actual quantities show either an increase or decrease from the quantities given in the Proposal Bid Sheet, the Contract Unit Prices will prevail. Full compensation will be paid at the contract price for the actual work completed, and no additional compensation will be allowed therefor. Payment will not be made for materials wasted or disposed of in a manner not called for under the Contract; this includes rejected material not unloaded from vehicles and material rejected after it has been placed. No compensation will be allowed for disposing of rejected or excess material.The City reserves the right to reject all bids and to increase or decrease the amount of any quantity shown on the Proposal Bid Sheets. In case of a variation between the unit price and the totals shown by the bidder, the unit price will be considered to be the bid. Bidder's Name: v1d 5 ss,5 f e.M ( ' Telephone No.: (J 26, 7rl 2- 157'S" C-2.2 SECTION C PROJECT BID SCHEDULE Gothard Restroom Improvements CC-1628 PROJECT BASIS OF AWARD: Gothard Restroom Improvements . . . . . . C-2.I ITEM 1. Base Bid Items IN FIGURES RES BASE BID TOTAL AMOUNT LUMP SUM BID (TOTAL FOR ITEMS 1) BASIS OF AWARD IN FIGURE C-3 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For GOTHARD RESTROOM IMPROVEMENTS AT HUNTINGTON CENTRAL PARK CC NO. 1628 in the CITY OF HUNTINGTON BEACH April 25, 2022 Notice To All Bidders: Please note the following clarification to the Project Specifications and Bid Requirements: 1) SPECIFICATIONS SECTION A—NOTICE INVITING ELECTRONIC BIDS Replace page A-2 with the attached revision,which removes the requirement for bidders to possess both Class A and Class B licenses. Upon further consideration, contractors will only be required to possess a State Contractor's License Class B. This is to acknowledge receipt and review of Addendum Number One, dated April 25, 2022. Company Namet By Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal Should you have any questions regarding this Addendum, please call DJ Kelly at(571)722-2277 within 24 hours of posting. City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1.573 ADDENDUM NUMBER TWO For GOTHARD RESTROOM IMPROVEMENTS AT HUNTINGTON CENTRAL PARK CC NO. 1628 in the CITY OF HUNTINGTON BEACH April 26, 2022 Notice To All Bidders: Per Public Contract Code Section 4104.5, the bid due date is being extended since Addendum Number One was released within 72 hours of the original bid opening. Please note the following modifications to the Project Specifications and Bid Requirements: 1) SPECIFICATIONS COVER SHEET Replace the cover sheet with the attached revision,which extends the bid opening to 2:00 PM on Tuesday, May 3,2022. 2) SPECIFICATIONS SECTION A—NOTICE INVITING ELECTRONIC BIDS Replace pages A-1 and A-2 with the attached revisions,which extend the bid opening to 2:00 PM on Tuesday, May 3,2022. 3) SPECIFICATIONS SECTION B—INSTRUCTIONS TO BIDDERS Replace page B-2 with the attached revision,which extends the bid opening to 2:00 PM on Tuesday,May 3,2022. This is to acknowledge receipt and review of Addendum Number Two,dated April 26, 2022. sC - Company Name By Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please call DJ Kelly at(571)722-2277 within 24 hours of posting. 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 andAddress of State Class DIR PWC Dollar %of Rents) Subcontractor License Registration# Amount Contract Number i�/�d✓��h19 c 394gt r—A ofce t3uj1 ;ng5dl(1h J de?kt'i`d q / 7to1 V T 3,4 f 40000 Cn &R-6 Par-krlrl /v d rcc, cl rgoo ���mbif'I.J' C1p rtSObar✓ u� 3 7i C,-vs b st, 9 9y yoZ, 41 tadoha c/100 } VS I3 �40 i Es5e-k c -fin 2`_,1W P,e_d/a,4,7,J,7 172373 r9 reC6 C36 z2/3 AV clecrr'l.cal 7ZfsSSb �U(JGb c� e wso->) any C � 13z 171 2 . 6 �asIl errick trivet-vim CZ2 C Z �- UOYO -?ezi.✓1jer Allf '77610S' Z3 j000bo t 5/^) ; r S'a to 11q J- S '7 z o 2. Y26 By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project C-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 one 3 Zbgat Lo a ci e,I e S , � Date City State J- �t""b being first duly sworn, de oses and says that he or she is r'e S i {,Y? f of C jVG G-,4 5-to t"S rtf-, 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 thecontents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization,bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Name of Bidder )�' A _ 4 Uri rr�5 r Signature of Bidder CWs syshm, Inc. 3814 E.Colorodo Blvd.# 102 Address o CA 41107 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 GOTHARD RESTROOM IMPROVEMENTS, (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 ofexperience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such worst 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. F Contractor PV- _5� i Title Date: i 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 )KNO 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 fallowing 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. CWS Systems,Inc. 3814 E.Colorado Blvd.# 102 Pasadena,CA 91107 Contractor Title Date: - i 1 3 C-8 BIDDER'S INI+'ORMATION BIDDER certifies that the following information is true and correct: c m. Ar' Bidder Name Business Address City, State zip 7 LTZ1 Tel hone Number Email Address 0 Cs State Contractor's License No. and Class Original�D}(a�teJytIss/�sud (�e /} Expiry ion r5ate r The work site was inspected by A d v of'our office on V/Z& ,20 The following are persons,firms, and corporations having a principal interest in this proposal: cw5 5c1 te,r )IL(-. b'2d The undersigned is prepared.to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. K's Company ame Sign e ofBidder / { c - boar Printed or Typed Signature C-9 NOTARY CERTIFICATE Subscribed and sworn to before me this day of r-1 ,t ,2022, 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 ,r'n '+ ) County of L A n c,e I ' ) - 0 n—K before me, / )r f tCt .1R f ` �-' iz'� " p f I C Mo th,Day,and Year In ert Name and Title of Notary personally appeared 'cl L r Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person whose name(,) is/at? subscribed to the within instrument and acknowledged to me that he/sh'e/they executed the same in his/her/ocir authorized capacity(*), and that by hislh4r/tJ,>dir signature)on the instrument the person(,or the entity upon behalf of which the personv)acted,executed the instrument. 3 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. lamy BRIGID FAITHWITNESS my hand and official seal. Notary Publit California Los Angeles County Commission P 2382892 Comm.Expires Nov 12.2025 Signature Si ature o otary Public (PLACE NOTARY SEAL ABOVE) C-10 Bidder's Project History For the purposes of this project the contractor and subcontractor must have, in the last five years, constructed at least five (5) projects of similar work specifically referencing the construction of {Describe specific worts and experience necessary for project, for example"Reconstruction or rehabilitation of existing public use facilities". Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. The following list of projects meet the regturements of above_ i. V 3fat 6tildiriq1 d voe? l\)t4,1 Name and Address of Reference / 11�S CA 9OqOJ Name and Telephone No. of Project Manager: n e l"1 "5% '' 7 �` Contract Amount Type of Work (- 6 rrC �Date Completed Provide additional roje t description to show similarwork:NeW (A p 0Ca t L j°t it1a-) t1V K� f r�s -0 1 U d : F res�r6 0-YrIJ Name a d Address of Reference I/v 11 Name and Telephone No. of Project Manager: Dgst i T Ltt De-Z- -<L/S S EC 2-0 ID krL Contract Amount Type of Work Dat Completed Provide,additional project descri tion to show similarwork- 3. t'f �,� t 1 C`�'S C J�r2 Vic. t ()r k41 I/( C 9f VJ C Name and Address of Reference Name and Telephone No. of Project Manager: A' S,T- K;6, Contract Amount Type of orlc Date Completed Provide additional project description to show similarwork: C-I I 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. fgrj 1'4 4 ► Name of proposed Project Manager Telephone No. of proposed Project Manager r Project Nam6 &Contract Amount Type of Work 4 Date Completed Proj�ecfName&Contract Amount Type of Work Date Completed Mj a.n Project Name&Contract Amouie Type of Work Date Completed 2. Ce ro /cL 1 JQ t j o?_a r,,,,r Name of proposed Superintendent (Ser a l / few elri a-r ,r) 619 b ( � Telephone No. of proposed Superintendent s C!/t Project Vame&Contract Amount Type of Work Date Completed ripe+ V-vi'Cl's ec. /d/ "k) �� .�b ICE zo J Project Name&Contract Amount Typ Work date Completed 5C4_0d) 5CeI2 PV Fctryr 2-/-20 Project Name&Contract Amount Type of Work 6�7L rpv� Date Completed 1 3 C-13 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section. 1771.1(a)), passed by the California State Senate on June 20,2014, established anew 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/DLSL,/PublieWortcs/SB854FactSheet 6.30.14.pdf DIR.'s Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/PWCR/ActionServlet?action—displayPWCRegistrationForm D1R's Contractor Registration searchable database: https://efiling.dit.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. C , S` ' S /c 4 Contractor -�-------'---a---- iv )0, i- . C yV2-5, Email Title Date: PWC Registration#: 1666 It C-14 OLD REPUBLIC SURETY COMPANY BOND NO.: CWSSY-211 BID BOND KNOW ALL MEN BY THESE PRESENTS: That we, CWS SYSTEMS, INC., (hereinafter called the Principal), and OLD REPUBLIC SURETY COMPANY, a corporation organized and doing business under and by virtue of the laws of the State of WISCONSIN, and duly licensed for the purpose of making, guaranteeing or becoming sole surety upon bonds or undertakings required or authorized by the laws of the State of CALIFORNIA, as Surety, are held and firmly bound unto CITY OF HUNTINGTON BEACH, (hereinafter called the obligee) in the sum equal to 10% of the accompanying bid of the Principal, not, however, in excess of TEN PERCENT OF THE TOTAL AMOUNT OF THE BID Dollars (10% OF THE BID AMOUNT), for the payment of which, well and truly to be made, we hereby bind ourselves and our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT WHEREAS, the above bounden Principal as aforesaid, is about to hand in and submit to the obligee a bid for GOTHARD RESTROOM IMPROVMENTS AT HUNTINGTON CENTRAL PARK EAST, CC-1628, in accordance with the plans and specifications filed in the office of the obligee and under the notice inviting proposals therefore. NOW, THEREFORE, if the bid or proposal of said principal shall be accepted, and the contract for such work be awarded to the principal thereupon by the said obligee, and said principal shall enter into a contract and bond for the completion of said work as required by law, then this obligation to be null and void, otherwise to be and remain in full force and effect. IN WITNESS WHEREOF, said principal and said Surety have caused these presents to be duly signed and sealed this 27TH day of APRIL, 2022. CWS SYSTEMS, INC. BY: OLD REPUBLIC SURETY MPANY BY: aalk� �?� RANDk SPOHN Attorn y-in-Fact * OLD REPUBLIC SURETY COMPANY POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That OLD REPUBLIC SURETY COMPANY,a Wisconsin stock insurance corporation,does make,constitute and appoint: Randy Spohn,Matthew R.Dobyns,Ashley M.Spohn of Santa Ana, CA its true and lawful Attorneys)-in-Fact, with full power and authority for and on behalf of the company as surety, to execute and deliver and affix the seal of the company thereto (if a seal is required), bonds, undertakings, recognizances or other written obligations in the nature thereof, (other than bail bonds, bank depository bonds, mortgage deficiency bonds, mortgage guaranty bonds, guarantees of installment paper and note guaranty bonds, self-insurance workers compensation bonds guaranteeing payment of benefits, or black lung bonds),as follows: ALL WRITTEN INSTRUMENTS and to bind OLD REPUBLIC SURETY COMPANY thereby, and all of the acts of said Attorneys-in-Fact, pursuant to these presents, are ratified and confirmed. This appointment is made under and by authority of the board of directors at a special meeting held on February 18,1982. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18,1982. RESOLVED that, the president, any vice-president or assistant vice president, in conjunction with the secretary or any assistant secretary, may appoint attorneys-in-fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case,for and on behalf of the company to execute and deliver and affix the seal of the company to bonds, undertakings, recognizances,and suretyship obligations of all kinds; and said officers may remove any such attorney-in-fact or agent and revoke any Power of Attorney previously granted to such person. RESOLVED FURTHER,that any bond,undertaking,recognizance,or suretyship obligation shall be valid and binding upon the Company (i) when signed by the president,any vice president or assistant vice president,and attested and sealed(if a seal be required)by any secretary or assistant secretary;or (ii) when signed by the president,any vice president or assistant vice president,secretary or assistant secretary,and countersigned and sealed (if a seal be required)by a duly authorized attorney-in-fact or agent;or (iii) when duly executed and sealed (if a seal be required) by one or more attorneys-in-fact or agents pursuant to and within the limits of the authority evidenced by the Power of Attorney issued by the company to such person or persons. RESOLVED FURTHER that the signature of any authorized officer and the seal of the company may be affixed by facsimile to any Power of Attorney or certification thereof authorizing the execution and delivery of any bond,undertaking,recognizance,or other suretyship obligations of the company;and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF, OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper officer,and its corporate seal to be affixed this 18th day of May 2021 " "suote,% OLD REPUBLIC SURETY COMPANY W�cWoeA,ty0� a SEAL - e c O`. raer Assi„an"secreta.V President STATE OF WISCONSIN,COUNTY OF WAUKESHA-SS On this 18th day of May 2021 personally came before me, Alan Pavlic and Karen J Haffner to me known to be the individuals and officers of the OLD REPUBLIC SURETY COMPANY who executed the above instrument, and they each acknowledged the execution of the same, and being by me duly sworn, did severally depose and say:that they are the said officers of the corporation aforesaid,and that the seal affixed to the above instrument is the seal of the corporation,and that said corporate seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors ofsaid corporation. ••,A�iL�,i Notary Public My Commission Expires: September 28, 2022 CERTIFICATE (Expiration of notary's commission does not invalidate this instrument) I,the undersigned, assistant secretary of the OLD REPUBLIC SURETY COMPANY, a Wisconsin corporation,CERTIFY that the foregoing and attached Power of Attorney remains in full force and has not been revoked; and furthermore, that the Resolutions of the board of directors set forth in the Power of Attorney,are now in force. 27th April 2022 747097 g SEAL'_ Signed and sealed at the City of Brookfield,WI this day of s O•, roar ;t r ORSC 22262(3-06) reta R.S. Bonding & Ins. Agency Inc 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 April 27th, 2022 before me, ERIKA G. MORGAN, NOTARY PUBLIC, personally appeared RANDY SPOHN , ® who proved to me on the basis of satisfactory evidence to be the person(s) whose name(a) 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 signatures) on the instrument the person(s), or the entity upon behalf of which the persons) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of d °gym°°°° �f° California that the foregoing paragraph is true and correct. { E.?i!Zq G. [ ORGAN o COiv^f.„2354018 i NC7%1'PU?LT*CALIFORNIA O c,Ra,NGE COUNTY WITNESS m hand and official seal. Cc gym.Expires May 5,2025 c lure otNbtarj Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL ❑ CORPORATE OFFICER ❑ PARTNER(S) ❑ LIMITED ® ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) ewssyslarm,rr 3814ECam&BMI.#102 Pbwc6 w,CA 41107 arA�?9 8ORIGID WHPAITH (626)792-1155 SHP DATE 50 Le 22 cm SYSTEMS WC ACTWGT:0. LB 3814 E COLOPADD BLVD.STE 102 CAD.1001803B1ANET4400 PA^INyI CA%107 I ELL Selo D aTA a a TO PUBLIC WORKS OFFICE CITY OF HUNTINGTON BEACH 2000 MAIN STREET HUNTINGTON BEACH CA 92648 E ,plc��L D .S�C'(i(/e/ -Da Np'7 6AJ R1 536 50 11111119AIAIlIAIINVIIIAIAIIAAIl1EIlARIA® GofGzQ,d �rrtroorn rv-ern -n)�' ram. 'pro�ec� Na,rne . 'nP [Ell Ape-,•J 29r, 2c;2,2- 3) MON-02 MAY 4:30P " 7767 3094 7064 STANDARD OVERNIGHTFo2o I- j 61 �WZ APVA cA-usSNA C a City of Huntington Beach n - 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachea.gov fB. Office of the City Clerk 17,1B0! ` Robin Estanislau, City Clerk August 8, 2022 Elegant Construction, Inc. 2107 Spectrum Irvine, CA 92618 RE: Gothard Restroom Improvements at Huntington Central Park East—CC No. 1628 Enclosed please find your original bid bond for CC No. 1628 Sincerely, Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister City: Anjo, Japan ELEGANT CONSTRUCTION INC. 188 Technology Dr. Suite N, Irvine, CA 92618 ELEGANT CSLB License #1053447, DIR#1000406720 CONSTRUCTION INC. To: City of Huntington Beach Attn. : David Kelly, PE, DBIA Subject: Gothard Restroom Improvements at Huntington Central Park East CC-1628 Mistake in Bid- Letter of Withdrawal We request relief of our bid submitted for the subject project in accordance with chapter 5 of the "California Public Contract Code", Section 5103 "Mistake in Bid" While Entering the unit price for each item on PlanetBids, there were 2 unit prices missing a digit which caused our total bid significantly lower than our actual total price. Please feel free to contact us anytime if you have any questions. Sincerely Sam Al Hakim President ELEGANT CONSTRUCTION INC . WWW.ElegantCon.com I Phone: 949-444-5161 1 E-Mail: Info@ElegantCon.com SECTION C PROPOSAL for the construction of GOTHARD RESTROOM IMPROVEMENTS CC No. 1628 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 90 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications,Instructions to Bidders and all other contract documents. If this proposal is accepted for award,BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded,the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract,the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option,be considered null and void. Accompanying this proposal of bid,find Bid Bond in the amount of 10% of Total Bid which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed OR ELECTRONIC Bids,payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder'sBond for_% ", as the case may be)Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date ReceivedBidder's Signature 1 April -25-2022 2 April -26-2022 C-2 SECTION C PROJECT BID SCHEDULE A GOTHARD RESTROOM IMPROVEMENTS CC1628 BID ITEMS q - 1 Mobilization 1 LS $ $ NO a, Im 2 Existing Concrete Decking 327 SF $ $ 3 Existing Structural Steel Elements 1 LS $ $ 4 Existing Ornamental Railing 143 LF $ $ 5 Existing Entry Gates/Frames/Connections 2 EA $ $ 6 Sand Blast Paint at Steel in Need of Repair 1 LS $ $ 7 Existing Interior Walls, Finishes and Fixtures 1 LS $ $ 8 Additional 100 S.F. of Existing Concrete Decking 100 SF $ $ 9 New Concrete Decking and Reinforcement 327 SF $ $ 10 Additional 100 S.F. of Concrete Decking 100 SF $ $ 11 Structural Steel Repair 1 LS $ $ 12 Concrete Footing Repair 4 EA $ $ 13 Concrete Curbs at Existing Structural Columns 19 LF $ $ ON-'M 14 Hazardous Material Abatement Demo/Haul Off 1 LS $ $ 15 Light Ga.Metal Framing 187 SF $ $ 16 Cement Backer Board 1,122 SF $ $ 17 Ornamental Metal Railing with Paint Finish 160 LF $ $ 18 Openings(Doors, Frames, Hardware, Signage) 4 EA $ $ 19 Flooring(Epoxy Finish) 1,470 SF $ $ 20 Interior Painting(including Doors&Frames) 438 SF $ $ Y9 Exterior Painting(Including Doors&Frames) 2,160 SF $ $ C-2.1 SECTION C PROJECT BID SCHEDULE A GOTHARD RESTROOM IMPROVEMENTS CC1628 61 22 Ceramic Tile/Grouting/Grout Sealer 23 Plumbing 1 LS $ $ Y4 HVAC(Exhaust Ventilation) 1 LS $ $ 25 Electrical 1 LS $ $ 26 Toilet Accessories/Blocking 1 LS $ $ 27 Power Wash Existing Exterior Wall Tile 616 SF $ $ TOTAL BID AMOUNT (BASIS OF AWARD)—SCHEDULE A $ TOTAL BID AMOUNT IN WORDS: Notes: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. The estimated quantities listed in the.Proposal Bid Sheets are approximate and are to be used only as comparison of bids. Payment for quantities will be made from field measurements. If the actual quantities show either an increase or decrease from the quantities given in the Proposal Bid Sheet, the Contract Unit Prices will prevail. Full compensation will be paid at the contract price for the actual work completed, and no additional compensation will be allowed therefor. Payment will not be made for materials wasted or disposed of in a manner not called for under the Contract; this includes rejected material not unloaded from vehicles and material rejected after it has been placed. No compensation will be allowed for disposing of rejected or excess material. The City reserves the right to reject all bids and to increase or decrease the amount of any quantity shown on the Proposal Bid Sheets. In case of a variation between the unit price and the totals shown by the bidder, the unit price will be considered to be the bid. Bidder's Name: Elegant Construction Inc. Telephone No.: 949-444-5161 C-2.2 SECTION C PROJECT BID SCHEDULE Gothard Restroom Improvements CC-1628 PROJECT BASIS OF AWARD: Gothard Restroom Improvements . . . . . . C-2.1 ITEM 1. Base Bid Items IN FIGURES BASE BID TOTAL AMOUNT LUMP SUM BID(TOTAL FOR ITEMS 1) BASIS OF AWARD IN FIGURE 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 I DIR PWC Dollar % of Item(s) Subcontractor License Registration# Amount Contract Number 14 ASTLEROCK ENVIRONMENTAL IN 0040 PAINTER AVENUE ANTA FE SPRINGS, CA 90670 776105 C22 1000003462 6,885 19 DIAMOND CRETE CONCRETE COATINGS INC 1067348 PERRIS CA 25711Y C15 1000701616 14,663 20,21 STENCIL BLAST US INC DBA PAINT BLAST US 700 E OCEAN BLVD#1402 1084260 C33 1000853906 30,600 LONG BEACH, CA 90802 CONTINENTAL MARBLE AND 22 TILE COMPANY 2460 ANSELMO DRIVE 394 C54 1000002594 19,244 CORONA, CA 92879 23 FISCHER INC C36 1372 W 26TH STREET 1000000857 SAN BERNARDINO, CA 92405 853357 69,845 24 ALLISON MECHANICAL INC 679866 C20 1000002213, 1968 ESSEX CT 19,700 REDLANDS, CA 92373 25 J MILLER ELECTRIC INC C10 P O BOX 403839 730588 1000007878 .HESPERIA, CA 92340-3839 11900 By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project C-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 05-03-22 , at Irvine CA Date City State Samer Al Hakim , being first duly sworn, deposes and says that he or she is President of Elegant Construction Inc. the party making the foregoing bid that the bid is not made in the interest of,or on the behalf of,any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid,or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation,partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Name of Bidder Elegant Construction Inc. Samer Al Hakim Signature of Bidder 188 Technology Dr. Suite N, Irvine CA 92618 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 GOTHARD RESTROOM IMPROVEMENTS, (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. Elegant Construction Inc. Contractor Samer Al Hakim By President Title Date:05-03-22 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 m No If the answer is yes, explain the circumstances in the space provided. N/a Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-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. Elegant Construction Inc. Contractor Samer Al Hakim By president Title Date:05-03-22 C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Elegant Construction Inc. Bidder Name 188 Technology Dr. Suite N Business Address Irvine, CA, 92618 City, State Zip ( 949 ) 444-5161 bidding@elegantcon.com Telephone Number Email Address 1053447 (A,B,C8) State Contractor's License No. and Class 05/13/2019 Original Date Issued 05/31/2023 Expiration Date The work site was inspected by Samer Al Hakim of our office on ,20 . The following are persons,firms, and corporations having a principal interest in this proposal: Samer Al Hakim Eyad Mallis Hazem Almassry 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. Elegant Construction Inc. Company Name --v Signature of Bidder Samer Al Hakim Printed or Typed Signature C-9 NOTARY CERTIFICATE Subscribed and sworn to before me this 3rd day of May , 2022. 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 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-10 Bidder's Project History For the purposes of this project the contractor and subcontractor must have, in the last five years, constructed at least five (5) projects of similar work specifically referencing the construction of {Describe specific work and experience necessary for project, for example "Reconstruction or rehabilitation of existing public use facilities". Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. The following list of projects meet the requirements of above: 1. City Hall of Lake Forest 100 civic Center Dr. Lake Forest CA Name and Address of Reference Name and Telephone No. of Project Manager: Douglas A. Erdman. 949-282-5233 $ 336,767.50 Park improvements January 2022 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: Irrigation &Landscape, site improvement, sidewalks, concrete foundations, fencing, Demolition Electrical works 2. City Of Santa Ana 20 Civic Center Plaza , Santa Ana, CA 92701 Name and Address of Reference Name and Telephone No. of Project Manager: Robert Aguirre, M 714.329.9621 $ 100,000 Interior renovations, Remodeling December 2020 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: FRAMING INTERIOR PAINTING & FLOORING REPLACEMENT ON 7TH FLOOR CITY HALL OF SANT ANA 3, City of La Mirada 13700 La Mirada Blvd La Mirada CA 90638 Name and Address of Reference Name and Telephone No. of Project Manager: Tony Moreno $ 180,000 City Gym Remodeling May 2021 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: Interior Renovation -HVAC and finishing improvements, Steel Structurer, Drywall, Demolition, Electrical Painting Framing C-11 4, Orange South Coast District 2701 FAIRVIEW ROAD, COSTA MESA, CALIFORNIA Name and Address of Reference Name and Telephone No. of Project Manager: _ James Farrow _ Phone : 310-704-2776 70,000 Rocket Sculpture Installation, site works, sigange Jan 2021 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: Concret Foundations, Landscape, Sigange 5. City Of Santa Ana 20 Civic Center Plaza , Santa Ana, CA 92701 Name and Address of Reference Name and Telephone No. of Project Manager: Robert Aguirre, M 714.329.9621 $45,000 Site Works Improvements December 2019 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: Fire Station#77 Site Improvements C-12 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions,please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project.Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. l Samer Al Hakim Name of proposed Project Manager 949-630-6029 Telephone No. of proposed Project Manager Arbor Mini Parks Improvement $336,767.50 Site Works Improvements January 2022 Project Name &Contract Amount Type of Work Date Completed 7th floor interior renovations$100,000 Interior Renovation December 2020 Project Name &Contract Amount Type of Work Date Completed City of La Mirada Gymnasium$180,000 Remodeling May 2021 Project Name &Contract Amount Type of Work Date Completed 2. Dan Badenjki Name of proposed Superintendent 949-444-5161 Telephone No. of proposed Superintendent Arbor Mini Parks Improvement Site Works Improvements January 2022 Project Name &Contract Amount Type of Work Date Completed City of La Mirada Gymnasium $180,000 remodeling May 2021 Project Name &Contract Amount Type of Work Date Completed 7th floor interior renovations$100,000 remodeling December 2020 Project Name &Contract Amount Type of Work Date Completed C-13 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20,2014, established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublieWorks/SB 854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/P WCR/ActionServlet?action--displayP WCRegistrationForm DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 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. Elegant Construction Inc. Contractor By sam@elegantcon.com Email President Title Date: 05-03-22 PWC Registration #: 1000406720 C-14 Dr-AIA Document A31 0 TM - 2010 Bid Bond CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status and principal place Elegant Construction, Inc. of business) 2107 Spectrum Merchants Bonding Company (Mutual) This document has important legal Irvine, CA 92618 6700 Westown Parkway consequences.Consultation with OWNER: West Des Moines, IA 50266-7754 an attorney is encouraged with (Name, legal status and address) respect to its completion or City of Huntington Beach modification. 2000 Main Street Any singular reference to Huntington Beach, CA 92647 Contractor,Surety,Owner or BOND AMOUNT: other party shall be considered Ten Percent of Amount Bid------10%------- plural where applicable. PROJECT: (Name, location or address, and Project number, if any) Gothard Restroom Improvements Project Number,if any: Job Location: 18000 Goldenwest St., Huntington Beach, CA 92647 CC No.1628 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 18th day of April, 2022 Elegant Construction, Inc. (Principal) (Seal) (Witness) l (Title) .n r i n V` / • .. (Surety) (Witness) Meliss L p z (Title) Erik Johannson, Attorney-in-Fact d.. 1933 4 ............... Init. AIA Document A310T"—2010.Copyright©1963,1970 and 2010 by The American Institute of Architects.All rights reserved.WARNING:This AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This t document was created on 01/27/2012 07:23:12 under the terms of AIA Documents-on-Demand TM order no. 2008397483,and is not for resale.This document is licensed by The American Institute of Architects for one-time use only,and may not be reproduced prior to its completion.osiiio CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California I County of Orange On APR 9 8 2022 , before me, Christina Marie Rogers , Notary Public, personally appeared Erik Johansson 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 State of California that the foregoing paragraph is true and correct. CHRISTINA MARIE ROGERS NotaryPublk-California WITNESS my hand and official seal. orarw Commkolon M 2305241 Mp COMM Expires Sop 14,2023 S IGNA PLACE NOTARY SEAL ABOVE 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: MERCHANTS BONDING COMPANY. POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC., both being corporations of the State of Iowa(herein collectively called the"Companies' do hereby make,constitute and appoint,individually, Christina Johnson;Christina Rogers;Erik Johansson; Frances Lefler;James W Johnson;Jennifer Anaya;Melissa Lopez their true and lawful Attomey(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company(Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 16,2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attomeys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the'Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and aut hority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attomey-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 26th day of January 2021 P� q ••'•. .' 0\NG CO�Ij••. �•�pQjP ;. p� �p0A .!of•: MERCHANTS BONDING COMPANY(MUTUAL) v0 9�.y,� MERCHANTS NATIONAL BONDING,INC. ?a2 -o- G: -o- o; ; v. 2003 :;�• :y 1933 c; By l/ Ac,,. •......... .• �..... .•`-�•�. President STATE OF IOWA •••°�'"'.... `'•• ••."' COUNTY OF DALLAS ss. On this 26th day of January 2021 before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies;and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. `pµtA(s POLLY MASON O q Commission Number 750576 �� My Commission Expires • /OwP January 07, 2023 Notary Public (Expiration of notary's commission does not invalidate this instrument) I,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full force and effect and has not been amended or revoked. In Witness Whereof,I have hereunto set my hand and affixed the seal of the Companies on this 18th day of April 2022 _ 2003 :�� Q. 1933 c• Secretary ';..d�;.. .;��;: •,,yak � ..`,�o. POA 0018 (1/20) MIERCHANi7�k BONDING COMPANY,. MERCHANTS BONDING COMPANY(MUTUAL) • P.O. BOX 14498 • DES MOINES, IOWA 50306-3498 PHONE: (800) 678-8171 • FAX: (515) 243-3854 ADDENDUM TO BOND This Addendum is in reference to the bond(s)to which it is attached. Merchants Bonding Company (Mutual) ("Merchants") deems the digital or electronic image of Merchants' corporate seal below affixed to the bond(s)to the same extent as if a raised corporate seal was physically stamped or impressed upon the bond(s). The digital or electronic seal below shall have the same force and effect as though manually fixed to the bond(s). All terms of the bond(s)remain the same. Signed and effective March 23, 2020. MERCHANTS BONDING COMPANY(MUTUAL) '\•G C • o�N oy. ;�• A' O?OAPOq .9' a'• 1933 :e: By: Larry Taylor,President U o Q_ L � o Irk 0 Cam' C sb � City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov fFe: Office of the City Clerk Robin Estanislau, City Clerk August 8, 2022 H2M Construction, Inc. 8250 Via Carillo Rancho Cucamonga, CA 91730 RE: Gothard Restroom Improvements at Huntington Central Park East—CC No. 1628 Enclosed please find your original bid bond for CC No. 1628 Sincerely, e& Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City: Anjo, Japan SECTION C PROPOSAL for the construction of GOTHARD RESTROOM IMPROVEMENTS CC No. 1628 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 90 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon.careful examination of the work site, plans, . specifications,Instructions to Bidders and all other contract documents. If this proposal is accepted for award,BIDDER agrees to enter into 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 tinder the contract will be based upon the actual quantities of work.satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY YTEM 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:k� 5 /j 0 N in the amount of 0 which said amount is not less than 10%of the aggregate of the total bid price, as required by the Notice Inviting Sealed OR ELECTRONIC Bids,payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder'sBond for_%o"; as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: M .:'•0 C-2 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For GOTHARD RESTROOM IMPROVEMENTS AT HUNTINGTON CENTRAL PARK CC NO. 1628 in the CITY OF HUNTINGTON BEACH April 25,2022 Notice To All Bidders: Please note the following clarification to the Project Specifications and Bid Requirements: 1) SPECIFICATIONS SECTION A—NOTICE INVITING ELECTRONIC BIDS Replace page A-2 with the attached revision,which removes the requirement for bidders to possess both Class A and Class B licenses:Upon further consideration, contractors will only be required to possess a State Contractor's License Class B. This is to acknowledge receipt and review of Addendum Number One, dated April 25, 202 W 2114 CON S t� lfow INS �` Company Name By s eP-) f� 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 DJ Kelly at(571) 722-2277 within 24 hours of posting. City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For GOTHARD RESTROOM IMPROVEMENTS AT HUNTINGTON CENTRAL PARK CC NO. 16213 in the CITY OF HUNTINGTON BEACH April 26, 2022 Notice To All Bidders: Per Public Contract Code Section 4104.5, the bid due date is being extended since. Addendum Number One was released within 72 hours of the original bid opening. Please note the following modifications to the Project Specifications and Bid Requirements: 1) SPECIFICATIONS COVER SHEET Replace the cover sheet with the attached revision,which extends the bid opening to 2:00 PM on Tuesday,May 3, 2022. 2) SPECIFICATIONS SECTION A-NOTICE INVITING ELECTRONIC BIDS Replace pages A-1 and A-2 with the attached revisions,which extend the bid opening i to 2:00 PM on Tuesday, May 3, 2022. 3) SPECIFICATIONS SECTION B—INSTRUCTIONS TO BIDDERS Replace"page B-2 with the attached revision,which extends the bid opening to 2:00 PM on Tuesday, May 3, 2022. This is to acknowledge receipt and review of Addendum Number Two, dated April 2E! 2O22. Company Name By Ae-P-)f- At, IQ cr.-T e3 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 DJ Kelly at(571)722-2277 within 24 hours of posting. SECTION C PROJECT BID SCHEDULE A OOTHARD RESTROOMf IMPROVEMENTS CC1628 BID ITEMS ` ,.. 1 Mobilization 1 LS $ 80,000 $80,000 2 Existing Concrete Decking 327 SF $ 20 $ 6,540. 3 Existing Structural Steel Elements 1 LS $ 8,000 $ 8,000 4 Existing Ornamental Railing 143 LF $ 15 _ $ 2,145 5 Existing Entry Gates/Frames/Connections 2 EA $ 1,500 $ 3,000 6 Sand Blast Paint at Steel in Need of Repair 1 LS $ 13,000 $ 13,000 7 Existing Interior Walls, Finishes and Fixtures 1 LS $ 28,000 $ 28,000 8 Additional 100 S.F. of Existing Concrete Decking 100 SF $ 20 $ 2,000 �=a u � 9 New Concrete Decking and Reinforcement 327 SF $ 100 $ 32,700 10 Additional 100 S.F.of Concrete Decking 100 SF $ 100 $ 101000 11 Structural Steel Repair 1 LS $ 38,000 $ 38,000 12 Concrete Footing Repair 4 EA $ 4,000 $ 16,000 13 Concrete Curbs at Existing Structural Columns 19 LF $ 100 $ 1,900 �. . ME Mon. 14 Hazardous Material Abatement Demo/Haul Off 1 LS $ 3,000 $ 3,000 15 Light Ga. Metal Framing 187 SF $40 $ 7,480 16 Cement Backer Board 1,122 SF $ 6 $ 6,732 17 Ornamental Metal Railing with Paint Finish 160 LF $ 300. $ 48,000 98 Openings(Doors,Frames, Hardware, Signage) 4 EA $ 4,000 $ 16,000 19 Flooring(Epoxy Finish) 11470 SF $ 15 $ 22,050 20 Interior Painting (Including Doors& Frames) 438 SF $ 20 $ 8.760 21 Exterior Painting()ncluding Doors&Frames) 2,160 SF $ 10 $ 21,600 C-2.l SECTION C PROJEECT DID SCHEDULE A GOTHARD REETROOM IMPROVEMENTS CC1628 22 Ceramic Tile/Grouting/6rout Sealer 1,122 SF $ 25 28,050 23 Plumbing 1 Ls $56,000 ` $.56,000 14,880 24 HVAC(Exhaust Ventilation) 1 LS $ 14,000 "$ 25 Electrical 1 Ls $. 18,000 $ 18,000 26 Toilet Accessories/Blocking 1 LS $ 4,000 $ 4,000 27 Power Wash Existing Exterior Wall Tile 616 SF $ 5 $ 3,080 TOTAL BID AMOUNT (BASIS OF AWARD)--SCHEDULE A $ 498,037.00 TOTAL. BID AMOUNT IN WORDS: four hundred and ninety eight thousand and thirty seven dollars, Notes: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension,the unit price will govern. The Owner reserves the right to. reject any or all proposals and bid items. The estimated quantities listed in the Proposal Bid Sheets are approximate and are to be used only as comparison of bids. Payment for quantities will be made from field measurements. if the actual quantities show either an increase or.decrease from the quantities'given in the Proposal Bid Sheet, the Contract Unit Prices will prevail. Full compensation will be paid at the contract price for the actual work completed, and no additional compensation will be allowed therefor. Payment will not be made for materials wasted.or disposed of in a manner not called for under the Contract; this includes rejected material not unloaded from vehicles and material rejected after it has been placed. No compensation will be allowed for disposing of rejected or excess material. The City reserves the right to reject all bids and to increase or decrease the.amount of any quantity shown on the Proposal Bid Sheets. In case of a variation between the unit price and the totals shown by the bidder, the unit price will be considered to be the bid. Bidder's Name: r C 0^1 --��---Y Telephone No.: z f 0 CU l C-2.2 SECTION C' PROJECT BID SCHEDULE Gothard Restroom Improvements CC-1628 ]PROJECT BASIS OF AWARD -Gothard Restroom Im iovements . . . . . .C-2.1 ITEM 1. Base Bid Items $ 498,037.00 IN FIGURES BASE BID TOTAL AMOUNT LUMP SUM BID (TOTAL FOR ITEMS 1) $ 498,037.00 BASIS OF AWARD IN FIGURE s . 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 $1000, whichever is greater, and the portion of the work to be done by such subcontractor. Y�Ik '... mA1•fFfri� i4dP PuJi _'� i'ha',,, 5 Q0;sT' :<s'g r,. '3"yi-✓ �.� &lif /V' c,�dd �'11�R` kiss�' Ft flStO1L# ➢ldfld4� if? J"(dC " MITI contrast restoration 071*761 c-61 1000463159 $16,300 0 19 3,7/o 11775 silver Brich RD & Corona ,CA 92883 B 16,22 Rsi flooring 1058624 C-15 1000701407 $29,,179> 6% 121 carriage lane suite 10.7 Lancaster,CA93534 11 , 17 Troy's ornamental iron 945177 c-13, 1000412581 78,280 16% 8150 electric avenue, c-23, Stanton,CA90680 By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnshed by subcontractor for this project C4 .NONCOIL]LUSION AFFIDAVIT TO DE EXECUTED BY BIDDER AND SITBMIT'TED WITH BID I declare under penalty of perjury under the laws of the:State of�alifornia that the foregoing is true and correct and that this declaration is executed orw o- Rancho Cucarnooga . CA Date City State Sherif Gerges being first duly sworn,de oses and says that he or she is president of H2M Construction INCH 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. H2M Construction INC Name of Bidder L � Si afore of Bidder. 8250 Via Carrillo ,Rancho Cucamonga , CA01730 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 GOTHARD RESTROOM IMPROVEMENTS, (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. LIl Contractor `r :,e icleavZ Title Date:C2o 4 L--2- 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. Contractor �-r— 13 1 Title Date: 0 3 o^ C-8 BlIDDFR'S INFORMATION BIDDER certifies that the following information is true and correct: Bid er Name g2- 5a Business Address a-eJL 6ZM0 a City, State Zip.; Telephone Number Email Address tate Contractor's License No. and Class C7 20 l r� Original Date Issued n1 � 2 2-7- Expiration Date The work site was inspected by V-S de- of our office on D 2�L__,20 2 The following are persons,firms, and corporations having a principal interest in this proposal: )-'y Co 1VO by { oN INc The undersigned is prepared to'satisfy the Council of the City of.Huhtington Beach of its ability; -financially, or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Company Name Signature of Bi ex ` 10 Printed or Typed SigilGture - , C-9 NOTARY CERTIFICATE Subscribed and sworn to before me this�day of (1 ! , 202rA. 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 n .� �O 1 before me, Month, Day, and Year Ins. rt Name an Title of Notary personally appeared_ '- Name(s) o igner(s) r who proved to me on the basis of satisfactory evidence to be the person(,a� whose name(,0 is/are subscribed to the within instrument �i id aeckilowl edged to me that hehih,/tkey executed the same in his/her/thei-rauthorized capacity(les), and that by his/herttheir signature(4)on the instrument the person(4r), or the entity upon behalf of which thy 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. WTTNESS my hand and official seal. NANCY BIS AY�E1c Commission No.2306956 1 NOTARY,PUBLIC-CALIFORNIA BAN BERNARDINO COUNTY MY COMM.Eapins Sept. 28, 2023 - Signature Signature ofNc�tary hlic (PLACE NOTARY SEAL ABOVE) CAA Bidder's Project History For the purposes of this project the contractor and subcontractor must have, in the last five years, constructed at least five (5) projects of similar work specifically referencing the construction of {Describe specific work and experience necessary for project, for example"Reconstruction or` rehabilitation of existing public use facilities". Bidders- are encouraged to submit supplemental relevant project history in addition to the projects listed herein. The following list of projects meet the requirements of above: 1. a Name and Address of Reference Name and Telephone No. of Project Manager:of o m of �'M v*rt ter'' ontract Amount Type of Work Date Completed v34 5'Z Z Provide additional projeci dE sr,ription to show i.-milarwork: 1 "- --- .ea re%l—E�- ��►�P '� a,. boy s5w-� z. Name and Address of Reference .Name and Telephone No. of Project Manager:44� ��I "9J7 r Contract Amount Type of Work Date ompleted', Provide additional proje-ct description to show similarwork: 3. ---- — Name and Address of Reference C.0 6-/✓/y*/A} v�P-,S'/ 17e Gt G " S P2-i'JeP-s Jck/ Name and Telephone 1`To. of?project Manager: o'R,i�/ 4 Contract Amount _ Ty-e'of W � Date Completed Provide additional project description to show simila'A--ork; u f C-1 I n Name and Address of Reference Name and Telephone No. of Project Manager: be &Nj Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: J tv�1'e.v / r e jPA 5. _ , vw a> Name and Address of Reference s N,4d1 N C.cf- 1015 fiP./-o J ,� Name and Telephone No. of Project Manager: p aa ..�,� L/ 7/44 _3 0 5 SAS C) o cJ O _Cn e/l� a%�" 0 " 2a ontract Amount Type of Work Date Completed Provide additional project description to ssh�o'[w' similarwork:/� , c-12 far tt►e p x ase�.e'f this-pry}ect the ate rare rt r t have, i� ' g last.fi)m Y am castcted a let eve {5} rects w 'k setfeirexc�x the. construction of { eseribe: pe c w�► k tie a iei fleeessary Aor For® LM.Pie"R}eeonstmetion:apt raei ab�tio�r of `s ' n nse:f es'. B�. re e tts '!uo :suxPpletx it reIvral tro;ect h m atrc toproei tz : '1 he; olY i�v g list of c s�noct thoWire r c bdot Name andddess, Rr dame and Te�spkio#e No. cif Prajt Manager: + ontrae pant' `T e o V�rk.., Datetompk picovide adii 66W prt ject descrotp to sl qv� z wozi': Name ark Address of Reereric rTarne and;']'elephcraetc; ract Amount Te,cr# cork' Date Completed Pravi', ad iii i�ai project descrij�tian t s iow su stla work .,.,_. AOr 1 e axid.Ad ess dtRdOence Naixae and Tel hotre N A', Canto Arioux�t � e,of' V o pd tsPo d ad aotepa verk.W Y C-11 4. Nam a id'.Addr-ess:nfRdf repro Exle '. Contract Arnot xut 'Type of w' bate Completed Provide-ad dztao�al prtaject descripicc7n Xv sio simZarwot e� .•-- , Name.arrd A dd ss of R eOrence / Name."and T6ephone Nc7.of Piro Cohtxactnaount . pe:ofoz date-ornpleted Pzovxde additxanal project deaen ition to s4ow ski%lar*d&&is bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. Name of proposed Project Manager QQ �� IX Telephone No. of proposed Project Manager ' , I M' 12o'V-a.�te "^cz 4 Project Name &.Contract Amount Type of Work Date Completed $ 279k Project Name &Contract Amount Type of Work Date Completed. 4(7 ?-N A V 0 IVYME A P"-f p4: 61 'V--eM4 If c ez- of Project Name &Contract Amount Type of Work Date Completed 2. rf n P S ame of proposed Superintendent Telephone No. of proposed Superintendent l! I,000 Ee-AJ i II'M e iQ iM* e.�l 03 ,- 5- 202Z Project Name &Contract Amount Type of Work Date Completed Project Name&Contract Amount Type of Work Date Completed rojectName&Contract Amount .Type of Work Date Completed C-13 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is$300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link-Call (844) 522-6734 https://efiling.dir.ca.gov/PWCR/ActionServlet?action=displayP WCRegistrati.onForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section. 177 1.1(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 furtherinore 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 Contractor Byfe Al I Savo �Cd� Email Title Date: 4 41 2,o PWC Registration #:-1 p 0z0 1 C-14 SECTION I) SAMPLE CONTRACT Bid Bond Bid Bond Number:CSBA-20568 CONTRACTOR: SURETY: (Name,legal status and address) (!Name,legal status and principal place of business) H2M Construction,Inc. The Ohio Casualty Insurance Company 8250 Via Carrillo 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(109/6)of Amount Bid PROJECT:Gothard Restroom Improvements CC No. 1628 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 subcontractors bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be 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 29th day of April.2022 H2M Construction.Inc. (Principal) (Seal) (Fitness) c (Title) nn I`"7rLs P 0,0 The Ohio Casualty Insurance Company (Surety) (Seal itaess)Shane I ' ck stle)Be tong,Attomey-in-Fact By arrangement with the American Institute of Architects, the National Association of Surety Bond Producers(NASBP) (www.nasbp.ore) makes this form document available to its members,affiliates,.and associates in Microsoft Word format for use in the regular course of surety business.NASBP vouches that 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 Riverside ) On 4/29/2022 before me, R.Nappi Notary Public (insert name and title of the officer) personally appeared Ben Stong 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. OF R.NAPPI WITNESS my hand and official seal. �`�' "F Notary Public California z s $ Riverside County = z '` Commissio 7975 ire ��� 024 My Comm.Expires Signature (Seal) R.Nappi This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. Liberty Liberty Mutual Insurance Company Bond No.CSBA-20568 Mutual The Ohio Casualty Insurance Company Certificate No: 8207865-969561 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'Benjamin Wolfe Chelsea Arnold Daniel Huckabay Dwight Reilly Frank Morones;Michael D.Stong;R.Nappi;Shaunna Rozella Ostrom all of the city of Orange state of CA each individually if there be more than one named,its true and lawful attomey-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 21 st day of April 2022 Liberty Mutual Insurance Company 1NSUQ, �14 INSV %Hsu The Ohio Casualty Insurance Company �JP`°avo yJ'°oavoyy��y \�P rpR°°a,,'Y� West American Insurance Company � 3 "ion• r3 �o n � ? b cn 1912 o c 1919 41 0 2 1991 0 y l a) d� cHus�L yid NAsrvS�pD�O S rti°IAK� aa$ B r '1 •d v David M.Carey,Assistant Secretarycc w c`6 State of PENNSYLVANIA — E m County of MONTGOMERY ss 0 0 On this 21st da of Aril 2022 before me personally appeared David M.Care who acknowledged himself to be the Assistant Secrete of Liberty Mutual Insurance v— Y P P Y PP Y, 9 Secretary rtY o 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 m> therein contained by signing on behalf of the corporations by himself as a duly authorized officer. > a� to 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. a0 �.y a O Pa --_ toyP sr O Commonwealth a Pe -Notary Seal >_F< .-' tie°d'k �t�Y Ten nnsylvania O stellar Nan Public 1C�Y b E O N OF My commission aspires March 28,2025 By: _ N .-. c cc �PaQ Commission number 112W" erase Pastella,Notary Public Q o Member,PemsyrvW4 AssoWlloo or Notarks O mARY 1 �`y `04 04 00 a? This Power of Attomey is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual 3 O•S Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: CL M N 0?ARTICLE IV—OFFICERS:Section 12.Power of Attorney. o 0 cc 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- a President may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety m= to ari 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 attomey,shall-v 0 0 Ca o 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 am Z L) 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 attomey-in-fact under the - provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. LL c 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 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 attomeys-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 soais of said Companies this 29th day of April 2022 P` INSul�, a��V L9SG tNSub AJ `oavoryr p tbJ o°�O�r��t �V*Olt 044 1912 0 1919 „ 1991 11 o e . rd�as�CHu, b yid hAsr°, +so �a rNDUM� aa� y Renee C.Llewellyn,Assistant Secretary yl LMS-12873 LMIC OCIC WAIC Multi Co 02/21 O p'' b S 2 !�' �� - �O l�a� O fL N cf�/ v e c f N ecM CT o �� � t(�� M I �ov�'N1 e N/S cam ' � �zC'q i(11 1AA I'-X 3/,, ct- 2- -ddg-IL' S Nuu-e- 1H 21q CoNStP`-C f1�1L1 Nc e add 5s ' g 2-5o \1 I'u- ca-�-(L)'/Zap N c a p6t JO -INI oea C SECTION C PROPOSAL for the construction of GOTHARD RESTROOM IMPROVEMENTS CC No. 1628 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 90 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award,BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses,taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded,the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract,the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option,be considered null and void. Accompanying this proposal of bid, find Ls & d in the amount of which said amount is not less than 10%of the aggregate of the total bid price, as required by the Notice Inviting Sealed OR ELECTRONIC Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder'sBond for_% ", as the case may be)Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: en a o. Date Received i ature" O1 04/25/2022 02 04/26/2022 C-2 SECTION C PROJECT BID SCHEDULE A GOTHARD RESTROOM IMPROVEMENTS CC1628 BID ITEMS Item Ueseciptlpn Quantity Unit Unit Cost Total Cost # No. (Extension) 1 Mobilization 1 LS =a_ Demolition 2 Existing Concrete Decking 327 SF `��}t 3 Existing Structural Steel Elements 1 LS $'29 1' $ 2— 13DO 4 Existing Ornamental Railing 143 LF $ 0 $ 2-9-1 5 Existing Entry Gates/Frames/Connections 2 EA $1C, �JL5^ $ Z 6 Sand Blast Paint at Steel in Need of Repair 1 LS $ q: (F $ t 7 Existing Interior Walls, Finishes and Fixtures 1 LS $ 11 $ 13 t1, 8 Additional 100 S.F. of Existing Concrete Decking 100 SF $ 1 $ �Cy Structural 9 New Concrete Decking and Reinforcement 327 SF $ $ r� 'Lr! 10 Additional 100 S.F.of Concrete Decking 100 SF $ 2`f $ t'ZTt�Gt 11 Structural Steel Repair 1 LS $`f $ 12 Concrete Footing Repair 4 EA $ � 0 $ "( 13 Concrete Curbs at Existing Structural Columns 19 LF $ Architectural=MEP 14 Hazardous Material Abatement Demo/Haul Off 1 LS $t` $ 15 Light Ga. Metal Framing 187 SF $ $ ` �iI 16 Cement Backer Board 1,122 SF $ 17 Ornamental Metal Railing with Paint Finish _ 160 LF $ $ t`T ' 18 Openings(Doors, Frames, Hardware, Signage) 4 EA $ 00 $ � 19 Flooring (Epoxy Finish) 1,470 SF $ l 1.Z.0 $ (c 20 Interior Painting(Including Doors&Frames) 438 SF $ $ iit 5y� 21 Exterior Painting(Including Doors&Frames) 2,160 SF $ �; 2V $ 1�.� / 1 C-2.1 SECTION C PROJECT BID SCHEDULE A GOTHARD RESTROOM IMPROVEMENTS CC 1628 Item De9cription Quantity Unit Unit Cost Total Cost No, (Extension) 22 Ceramic Tile/Grouting/Grout Sealer 1,122 SF $ $ 23 Plumbing 1 LS $ �,q $ q 24 HVAC(Exhaust Ventilation) 1 LS $� $ ���C)C) 25 Electrical 1 LS $2 3CW $)3X0 26 Toilet Accessories/Blocking 1 LS $ y OD $t 43QQ 27 Power Wash Existing Exterior Wall Tile 616 SF $ $HqZg TOTAL BID AMOUNT (BASIS OF AWARD)—SCHEDULE A $ I Z 19 TOTAL BID AMOUNT IN WORDS: four Yfc 5eVW (x, MV0A dk Notes: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. The estimated quantities listed in the Proposal Bid Sheets are approximate and are to be used only as comparison of bids. Payment for quantities will be made from field measurements. If the actual quantities show either an increase or decrease from the quantities given in the Proposal Bid Sheet, the Contract Unit Prices will prevail. Full compensation will be paid at the contract price for the actual work completed, and no additional compensation will be allowed therefor. Payment will not be made for materials wasted or disposed of in a manner not called for under the Contract; this includes rejected material not unloaded from vehicles and material rejected after it has been placed. No compensation will be allowed for disposing of rejected or excess material. The City reserves the right to reject all bids and to increase or decrease the amount of any quantity shown on the Proposal Bid Sheets. In case of a variation between the unit price and the totals shown by the bidder, the unit price will be considered to be the bid. Bidder's Name: Horizons Construction Co. Ind, Inc. Telephone No.: 724-h?�-f�000 C-2.2 SECTION C PROJECT BID SCHEDULE Gothard Restroom Improvements CC-1628 PROJECT BASIS OF AWARD: Gothard Restroom Improvements . . . . . . C-2.1 ITEM 1. Base Bid Items q, IN FIGURES BASE BID TOTAL AMOUNT LUMP SUM BID(TOTAL FOR ITEMS 1) BASIS OF AWARD IN FIGURE C-3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104. the Bidder shall set forth the name and business address of each subcontra:.for 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 +!Ze work to be done by such. subcontractor. Bid Nance and Address of State Class DIR PWC Dollar %of Item(s) Subcontractor License Registration ii. Amount Contract Number CASTLEROCK ENVIRONMENTAL INC776105 A,B,C2 1000003462 $6,885 C15,C21 10040 PAINTER AVENUE C22 0 #14 SANTA FE SPRINGS,CA 90670 haz /o 1 hazardou (562)941-9244 substance jemoAl RSI FLOORING 1058624 B,C15 1000701407 $22,232.88 #22 121 CARRIAGE LANE SUITE 107 5% LANCASTER,CA 93534 (661)618-6757 TROY'S ORNAMENTAL IRON CRAFT INC #11 &#17 dba ROD CONSTRUCTION 945177 B, 1000412581 $78,280 17% 8150 ELECTRIC AVENUE C13 STANTON,CA 90680 C23 (949)587-9604 MIKE'S ELECTRIC #25 7437 GAVIOTA AVE 518691 C10 1000027143 $16,700 4% VAN NUYS,CA 91406 - (818)744-4661 By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project C-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 05 02/22,at Orange _,-CA- Date City State Kinan Kotrash , being first duly sworn, deposes and says that he or she is Vice President of Horizons Construction Co.Int'I.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 thecontents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Name of Bidder Horizons Construction Co.Int'I,Inc. Signa a of 946f&an Kotrash,VP 432 W. Meats Ave, Orange, CA 92865 Address of Bidder C-s 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 GOTHARD RESTROOM IMPROVEMENTS, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Horizons Construction Co. Int'I, Inc. Contractor By K' an tr s Vice President Title Date:05/02/2022 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. a7 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861.of the State Labor Code,each contractorto 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. Horizons Construction Co. Infl. Inc. Contractor By Kin 716trasK/ Vice President Title Date:05/02/2022 C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Horizons Construction Co. Int'I Inc. Bidder Name 432 W. Meats Avenue Business Address Orange, CA 92865 City, State Zip ( 714 )626-0000 Yazmin@Horizonscci.com Telephone Number Email Address 825022 / A,13,C2,C8,C12,C20,C21,C36 State Contractor's License No. and Class 09/25/2003 Original Date Issued 09/30/2023 Expiration Date The work site was inspected by Mike Orteq of our office on 04/19/2022 , 20 . The following are persons, firms,and corporations having a principal interest in this proposal: Hatem Ibrahim. President Kinan Kotrash.Vice President The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Horizons Construction Co. Int'I Inc. Company Name Signature of Bidder Kinan Kotrash Vice President Printed or Typed Signature C-9 NOTARY CERTIFICATE Subscribed and sworn to before me this--02_day of May , 2022. 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 Oran_ ) On 05/02/2022 before me, yazmi n rera. kb�('tY 1/ PU�D�ic Month, Day, and Year Insert Name and Title of Notary personally appeared_ Kinan KOtrash 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. ,,.ad,� YAZMIN BARRERAVALDES Notary Public-California Orange County commission 9 2241343 jjur My Comm.Expires Jun 2,2022 Signature ignat of Notary Public (PLACE NOTARY SEAL ABOVE) C-10 Bidder's Project History For the purposes of this project the contractor and subcontractor must have, in the last five years, constructed at least five (5) projects of similar work specifically referencing the construction of {Describe specific work and experience necessary for project, for example "Reconstruction or rehabilitation of existine public use facilities". Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. The following list of projects meet the requirements of above: CF Station 163 Bathroom Remodel 1• 1350 N. Benson Ave, Upland., CA 91786 Name and Address of Reference Name and Telephone No. of Project Manager: Vasllis Tsangarides 909-387-5000 $270,000.00 Fire station bathroom remodel 04/2021 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: CF station 163 bathroom remodel bourcewell Irvine City Parks 2. One Civic Center Plaza, Irvine, CA 92623 Name and Address of Reference Name and Telephone No. of Project Manager:Tay Chor 949-724-7322 5800,000.00 Various city park restroom improvements 03/2022 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: Various city nark rest room improvements construction of Eos Amigos Park 3. City of Rancho Cucamonga, 10500 Civic Center Dr., Rancho Cucamonga, CA 91730 Name and Address of Reference Name and Telephone No. of Project Manager: Michael Courtney 909-239-6617 $3,130,955.26 Construction of new nark May 2017 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: Construction of brand new nark r C-il Orange County Phase 5 Improvements El Toro, Santa Ana and Anaheim Cemeteries 4. 25751 Trabuco Road, Lake Forest, CA 92630 Name and Address of Reference Name and Telephone No. of Project Manager: Tim Deutsch 949-951-9102 ext 112 $1,550,652.06 Renovation of existing wall niche 08/2019 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: Renovation of existing ce� _metew wall niche at FI Toro Memorial Park, Santa Ana &Anaheim Cemeteries Citrus Community College District Campus Center 5. 1000 W. Foothill Blvd, Glendora, CA 91741 Name and Address of Reference Name and Telephone No. of Project Manager: Fred Diamond 626-523-6041 $3,753,948:15 Renovation improvements to Campus Ctr. 0612019 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: Renovation improvements to Campus Center C-12 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. l• Faysal Fsreb Name of proposed Project Manager 267-269-4463 Telephone No. of proposed Project Manager South Downey Safe Routes to School $441,810.90 Sidewalk&street improvements 02/2022 Project Name&Contract Amount Type of Work Date Completed RUHS BH Restorative Transformation Ctr. $244,000.00 Parkins Improvements 03/2022 Project Name&Contract Amount Type of Work Date Completed Irvine Parks S270.000.00 Playground install, landscape & sitework 11/2021 Project Name &Contract Amount Type of Work Date Completed 2. _Ghandi Innabi Name of proposed Superintendent 760-995-4456 Telephone No. of proposed Superintendent Claremont HS $11,424,294.00 Construct of new student center 02/2021 Project Name&Contract Amount Type of Work Date Completed RCFPD Fire Training Center $4,779,000.00 Constuct of new fire training center 09/2018 Project Name &Contract Amount Type of Work Date Completed Downtown Riverside Pedestrian Various asphalt& sidewalk improvements & bicycle lane improvements S1.233,881.62 throughout Riverside 12/2018 Project Name&Contract Amount Type of Work Date Completed C-13 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July I through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is$300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www,dir.ca.gov/DLSE/PublicWorks/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efi I ing.dir.ca.gov/P WCR/ActionServlet?action=displayP WCRegistrationFortn DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Horizons Construction Co. Infl. Inc. Contractor By inan K sh Yazmin(@Horiznnscci_cnm Email Vice President Title Date: 0S/02/202) PWC Registration #: 1 00001 1017 C-14 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For GOTHARD RESTROOM IMPROVEMENTS AT HUNTINGTON CENTRAL PARK CC NO. 1628 in the CITY OF HUNTINGTON BEACH April 25, 2022 Notice To All Bidders: Please note the following clarification to the Project Specifications and Bid Requirements: 1) SPECIFICATIONS SECTION A—NOTICE INVITING ELECTRONIC BIDS Replace page A-2 with the attached revision,which removes the requirement for bidders to possess both Class A and Class B licenses. Upon further consideration, contractors will only be required to possess a State Contractor's License Class B. This is to acknowledge receipt and review of Addendum Number One; dated April 25, 2022. Horizons Construction Co. Infl. Inc. Company Name By Kan. sh,VP May,,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 DJ Kelly at(571) 722-2277 within 24 hours of posting. 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: Gothard Restroom Improvements CC#: 1628 Bid Opening Date: APRIL 28,2022 at 2:00 PM. 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 B, 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: Rehabilitation of the existing restroom building located in Central Park. Interior improvements include the remodel of existing restrooms to create(2)unisex ADA restrooms and(2)non-ADA unisex restrooms. Structural repairs to existing building structural components that have been corroded due to water damage. New interior and exterior painting,new metal railing, new exhaust fans and epoxy floor finish. The contract shall allow the Contractor 90 working days to complete the contract. All questions related to this bid solicitation must be submitted through the City's Planet Bids System Vendor Portal per the information provided in the Instructions to Bidders. Any other contact to City staff regarding this bid solicitation will be referred back to the Planet Bids system. The AGENCY reserves the right to 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 291h day of June=,by Resolution No. 2020-39. Attest: /s/Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH A-2 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For GOTHARD RESTROOM IMPROVEMENTS AT HUNTINGTON CENTRAL PARK CC NO. 1628 in the CITY OF HUNTINGTON BEACH April 26, 2022 Notice To All Bidders: Per Public Contract Code Section 4104.5, the bid due date is being extended since Addendum Number One was released within 72 hours of the original bid opening. Please note the following modifications to the Project Specifications and Bid Requirements: 1) SPECIFICATIONS COVER SHEET Replace the cover sheet with the attached revision,which extends the bid opening to 2:00 PM on Tuesday, May 3, 2022. 2) SPECIFICATIONS SECTION A—NOTICE INVITING ELECTRONIC BIDS Replace pages A-1 and A-2 with the attached revisions,which extend the bid opening to 2:00 PM on Tuesday, May 3,2022. 3) SPECIFICATIONS SECTION B—INSTRUCTIONS TO BIDDERS Replace page B-2 with the attached revision,which extends the bid opening to 2:00 PM on Tuesday, May 3, 2022. This is to acknowledge receipt and review of Addendum Number Two, dated April 26, 2022. Horizons Construction Co. Ind, Inc. Company Name y M otrash,VP May 2 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 DJ Kelly at(571) 722-2277 within 24 hours of posting. SECTION C PROPOSAL for the construction of GOTHARD RESTROOM IMPROVEMENTS CC No. 1628 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 90 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications,Instructions to Bidders and all other contract documents. If this proposal is accepted for award,BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded,the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract,the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may,at the AGENCY'S option,be considered null and void. Accompanying this proposal of bid, find Bidder's Bond for 10% 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 OR ELECTRONIC Bids,payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for 10% ", as the case may be)Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: en a o. Date keceived Bidder's Signature 1 April 25,2022 2 April 26,2022 C-2 SECTION C PROJECT BID SCHEDULE A GOTHARD RESTROOM IMPROVEMENTS CC1628 BID ITEMS +wJ� ,.. ,•„G, ... .. ..ski ,,, " 1 Mobilization 1 LS $ 50,000 $ 50,000 2 Existing Concrete Decking 327 SF $ 35 $ 11,445 3 Existing Structural Steel Elements 1 LS $14,000 $ 14,000 4 Existing Ornamental Railing 143 LF $ 45 $ 6,435 5 Existing Entry Gates/Frames/Connections 2 EA $ 3,000 $ 6,000 6 Sand Blast Paint at Steel in Need of Repair 1 LS $ 12,000 $ 12,000 7 Existing Interior Walls, Finishes and Fixtures 1 LS $ 25,000 $ 25,000 8 Additional 100 S.F. of Existing Concrete Decking 100 SF $ 35 $ 3,500 a 9 New Concrete Decking and Reinforcement 327 SF $ 60 $ 19,620 10 Additional 100 S.F.of Concrete Decking 100 SF $ 60 $ 6,000 11 Structural Steel Repair 1 LS $ 45,000 $ 45,000 12 Concrete Footing Repair 4 EA $ 25,000 $ 100,000 13 Concrete Curbs at Existing Structural Columns 19 LF $ 100 $ 1,900 W '�Fi' z YF; a 14 Hazardous Material Abatement Demo/Haul Off 1 LS $ 14,000 $ 14,000 15 Light Ga. Metal Framing 187 SF $ 200 $ 37,400 16 Cement Backer Board 1,122 SF $ 6.50 $ 7,293 17 Ornamental Metal Railing with Paint Finish 160 LF $ 400 $ 64,000 18 Openings(Doors, Frames, Hardware, Signage) 4 EA $ 5,500 $ 22,000 19 Flooring(Epoxy Finish) 1,470 SF $ 20 $ 29,400 20 Interior Painting(Including Doors&Frames) 438 SF $ 8 $ 3,504 21 Exterior Painting (Including Doors&Frames) 2,160 SF $ 9.50 $ 20,520 C-2.1 SECTION C PROJECT BID SCHEDULE A GOTHARD RESTROOM IMPROVEMENTS CC1628 yam'i� x ......s a� 22 Ceramic Tile/Grouting/Grout Sealer 1,122 SF $ 25 $ 28,050 23 Plumbing 1 LS $ 85,000 $ 85,000 24 HVAC(Exhaust Ventilation) 1 LS $ 45,000 $ 45,000 25 Electrical 1 LS $ 25,000 $ 25,000 26 Toilet Accessories/Blocking 1 LS $ 13,000 $ 13,000 27 Power Wash Existing Exterior Wall Tile 616 SF $ 6 $ 3,696 TOTAL BID AMOUNT(BASIS OF AWARD)—SCHEDULE A $ $698,763.00 TOTAL BID AMOUNT IN WORDS: Six Hundred Ninety-Eight Thousand Seven Hundred Sixty-Three Dollar and 00/100 Notes: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. The estimated quantities listed in the Proposal Bid Sheets are approximate and are to be used only as comparison of bids. Payment for quantities will be made from field measurements. If the actual quantities show either an increase or decrease from the quantities given in the Proposal Bid Sheet, the Contract Unit Prices will prevail. Full compensation will be paid at the contract price for the actual work completed, and no additional compensation will be allowed therefor. Payment will not be made for materials wasted or disposed of in a manner not called for under the Contract; this includes rejected material not unloaded from vehicles and material rejected after it has been placed. No compensation will be allowed for disposing of rejected or excess material. The City reserves the right to reject all bids and to increase or decrease the amount of any quantity shown on the Proposal Bid Sheets. In case of a variation between the unit price and the totals shown by the bidder, the unit price will be considered to be the bid. Bidder's Name: Legion Contractors, Inc. Telephone No.: 415-655-3535 C-2.2 SECTION C PROJECT BID SCHEDULE Gothard Restroom Improvements CC-1628 PROJECT BASIS OF AWARD: Gothard Restroom Improvements . . . . . .C-2.1 ITEM 1. Base Bid Items $ 698,763.00 IN FIGURES BASE BID TOTAL AMOUNT LUMP SUM BID(TOTAL FOR ITEMS 1) $ 698,763.00 BASIS OF AWARD IN FIGURE 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 Registration# Amount Contract Number Jeff Painting 20, 21,6 3415 S. Sepulveda Blvd., Suite 1100 1007768 C-33 1000031151 $15,000 2.1% Los Angeles, CA 90034 Cal Engineering&Construction, Inc. 24 8 Pandora Irvine, CA 92604 1032743 C-20 1000366648 $20,000 2.9/o 0 Castlerock Environmental, Inc. C-22 14 10040 Painter Avenue 776105 A, B, C2 1000003462 $6,885 0 Santa Fe Springs, CA 90670 C21 0.1 /o C15 D2L Construction, Inc. C-10 25 543 Palisades Dr., 1065415 C-20 1000604650 Pacific Palisades, CA 90272 C-36 $15,000 2.1% A, B Diamond Crete Concrete Coatings, Inc 19 2081 Third Street, Suite 1 1067348 C-15 1000701616 $14,663 2% Riverside, CA 92507 B By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be 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 5/3/2022 , at Irvine , CA Date City State Amir Movafegh , being first duly sworn, deposes and says that he or she is President of Legion Contractors, 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. Legion Contractors, Inc. Name of Bidder Signature of Bidder Amir Movafegh, President 70 Dorman Ave., Suite 3, San Francisco, CA 94124 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 GOTHARD RESTROOM IMPROVEMENTS, (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 S, 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. Legion Contractors, Inc. Contractor 4ft- By Amir Movafegh President Title Date: May 3, 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. Legion Contractors, Inc. Contractor 4/� By Amir Movafegh President Title Date: May 3, 2022 C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Leglon Contractors,Inc. Bidder Name 70Domtn Ave.,Suite 3 Business Address San Freposco,CA 94124 City, State Zip 415 ) 65&3536 InfooLeglonContractors.com Telephone Number Email Address 10612§7 Classes,A.B,C-16,Q-36 Contractor's License No. and Class 12/11/2019 Original Date Issued 12/31/2023 Expiration Date The work site was inspected by Eft *f of our office on April 20 , 20 22 r Projed managor The following are persons, firms, and corporations having a principal interest in this proposal: Legion Contractors,Inc. Amlr Movefegh,President The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Leglon Contractors, Inc. Company Naneo Signature of EKdder Amir Movefegh Printed or Typed Signature C-9 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 ( _ 1,���►�,�d. ) County of 1� S On /LI — rb 2 z before me, A t 1a i 4li t Day,and Year Insert Name and Title of Notary personally appeared P I- , Name(4of SignerW--- who proved to me on the basis of satisfactory evidence to be the ndqsone whose name(or) is/me sub ibed to the within instrument and acknowledgco to me thashe/they executed the same 40er/their authorized capacity0esl',and that b hi erltheir signature(s)-on the instrument the persona);or the entity upon behalf of which the person(ej-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 . WITNESS my hand and official seal. '' =`' _ABRAHAM KANAAN " Notary Public-California = w - Los nngeies County r £ Commission#2371613 My Comm.Expires Aug Signature Si azure of Notary Public (PLACE NOTARY SEAL ABOVE) C-10 Bidder's Project History For the purposes of this project the contractor and subcontractor must have, in the last five years, constructed at least five (5) projects of similar work specifically referencing the construction of {Describe specific work and experience necessary for project, for example "Reconstruction or rehabilitation of existing public use facilities". Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. The following list of projects meet the requirements of above: 1. San Jose Unified School District-855 Lenzen Avenue, San Jose, CA Name and Address of Reference Name and Telephone No. of Project Manager: Johnny Mam, (707)438-3790 $1,283,000 Playground Renovation 12/31/2021 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: Playground Renovation for 7 play boxes in 6 different schools for the San Jose Unified School district which included the Demo, Earthwork, Grading, Concrete,Asphalt, Fencing, and Irrigation. 2. Glendale Community College District-1500 N Verdugo Road, Glendale, CA Name and Address of Reference Name and Telephone No. of Project Manager: Silva Sorkazian, (818)551-5221 $1,070,000 Tenant Improvement 12/31/2020 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: DSA College Campus Renovation and upgrades including a comprehensive Mechanical, Electrical(Including Conduit and pull box), and Plumbing renovation for a 3 story building and all finishes. It also includes a brand new cafe construction for the campus. 3. San Rafael City School District-310 Nova Albion Way San Rafael, CA Name and Address of Reference Name and Telephone No. of Project Manager: Will McManus, (412)295-8211 $224,000 Breezeway 10/12/2021 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: Breezeway railings replacement and all associated work. C-11 4. Temecula Valley Unified School District-31350 Rancho Vista Rd., Temecula, CA Name and Address of Reference Name and Telephone No. of Project Manager: _Jose Loza, (951)506-7924 $760,000 Flooring Replacement and School Modernization 6/7/21 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: Flooring Replacement and School Modernization for 5 Schools 5. San Jose Unified School District-855 Lenzen Avenue, San Jose, CA Name and Address of Reference Name and Telephone No. of Project Manager: Mohammed Mhanna-(650)440-8861 $450,000 Tenant Improvements 12/18/2020 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: Interior finishes replacement for Hester School. C-12 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions,please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. l Amir Movafegh Name of proposed Project Manager 415-655-3535 X102 Telephone No. of proposed Project Manager San Jose Unified 2019 Modernization,$3,149,000 School Renovation 2019 Project Name &Contract Amount Type of Work Date Completed San Jose City College Campus-wide Upgrade, $1,116,000 Campus Renovation 2019 Project Name &Contract Amount Type of Work Date Completed Glendale Community College Mariposa Campus, $1,070,000 DSA Tenant Improvement 2020 Project Name &Contract Amount Type of Work Date Completed 2. Eric Borbely Name of proposed Superintendent (310)429-8642 Telephone No. of proposed Superintendent San Jose Unified Playground Modernization, $1,283,000 Playground Modernization 2021 Project Name &Contract Amount Type of Work Date Completed Glendale Community College Mariposa Campus, $1,070,000 DSA Tenant Improvement 2020 Project Name &Contract Amount Type of Work Date Completed Temecula Unified School District Summer Maintenance, $744,000 School Renovation 2021 Project Name &Contract Amount Type of Work Date Completed C-13 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20,2014, established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is$300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/P WCR/ActionServlet?action=displayP WCRegistrationFonn DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I 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. Legion Contractors, Inc. Contractor 44- By Amir Movafegh Amir@LegionContractors.com Email President Title Date: May 3, 2022 PWC Registration #:_1000543172 C-14 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For GOTHARD RESTROOM IMPROVEMENTS AT HUNTINGTON CENTRAL PARK CC NO. 1628 in the CITY OF HUNTINGTON BEACH April 25,2022 Notice To All Bidders: Please note the following clarification to the Project Specifications and Bid Requirements: 1) SPECIFICATIONS SECTION A—NOTICE INVITING ELECTRONIC BIDS Replace page A-2 with the attached revision,which removes the requirement for bidders to possess both Class A and Class B licenses. Upon further consideration, contractors will only be required to possess a State Contractor's License Class B. This is to acknowledge receipt and review of Addendum Number One, dated April 25, 2022. Legion Contractors, Inc. 4/� Company Name BY Amir Movafegh, President May 3,2022 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 DJ Kelly at(571)722-2277 within 24 hours of posting. City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For GOTHARD RESTROOM IMPROVEMENTS AT HUNTINGTON CENTRAL PARK CC NO. 1628 in the CITY OF HUNTINGTON BEACH April 26, 2022 Notice To All Bidders: Per Public Contract Code Section 4104.5, the bid due date is being extended since Addendum Number One was released within 72 hours of the original bid opening. Please note the following modifications to the Project Specifications and Bid Requirements: 1) SPECIFICATIONS COVER SHEET Replace the cover sheet with the attached revision,which extends the bid opening to 2:00 PM on Tuesday, May 3, 2022. 2) SPECIFICATIONS SECTION A—NOTICE INVITING ELECTRONIC BIDS Replace pages A-1 and A-2 with the attached revisions,which extend the bid opening to 2:00 PM on Tuesday, May 3, 2022. 3) SPECIFICATIONS SECTION B—INSTRUCTIONS TO BIDDERS Replace page B-2 with the attached revision,which extends the bid opening to 2:00 PM on Tuesday, May 3, 2022. This is to acknowledge receipt and review of Addendum Number Two, dated April 26, 2022. Legion Contractors, Inc. -4/� Company Name By Amir Movafegh, President May 3, 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 DJ Kelly at (571)722-2277 within 24 hours of posting. California Secretary of State Electronic Certified Copy I, ALEX PADILLA, Secretary of State of the State of California, hereby certify that the attached transcript of 2 pages is a full, true and correct copy of the original record in the custody of the California Secretary of State's office. OF IN WITNESS WHEREOF, I execute ° •° ' this certificate and affix the Great ` Seal of the State of California on this day of April 03, 2020 y4 i �F t ALEX PADILLA Secretary of State Verification Number: P4A7GW6 Entity (File) Number: C4282259 To verify the issuance of this Certificate, use the Verification Number above ' with the Secretary of State Electronic Verification Search available at bizMe.sos.ca.gov E'a of ih. DI California Secretary of State 0 Electronic Filing Secretary of State .. State Of California Corporation - Statement of Information Entity Name: LEGION CONTRACTORS, INC Entity (File) Number: C4282259 � File Date: 04/01/2020 Entity Type: Corporation 0- Jurisdiction: CALIFORNIA a Document ID: GE58272 E Z Detailed Filing Information O o 1. Entity Name: . LEGION CONTRACTORS, INC v 2. Business Addresses: ; a. Street Address of Principal Office in California: 70 Dorman Ave. Unit#3cc o San Francisco, California 94124 0 United States of America E N a� b. Mailing Address: 70 Dorman Ave. Unit#3 U � San Francisco, California 94124 United States of America c. Street Address of Principal Executive Office: 70 Dorman Ave. Unit#3 San Francisco, California 94124 United States of America `- 3. Officers: N ao LO Lu a. Chief Executive Officer: Amir Movafegh 0 70 Dorman Ave. Unit#3 0 San Francisco, California 94124 — United States of America N b. Secretary: Amir Movafegh E 70 Dorman Ave. Unit#3 0 U San Francisco, California 94124 0 0 United States of America Use bizMe.sos.ca.gov for online filings, searches, business records, and resources. SEttoov.tq California Secretary of State Electronic Filing Officers(cont'd): c. Chief Financial Officer: Amir Movafegh 70 Dorman Ave. Unit#3 San Francisco, California 94124 United States of America co 4. Director: Amir Movafegh ti 70 Dorman Ave. Unit#3 San Francisco, California 94124 0 L N a Number of Vacancies on the Board of United States of America � o Directors: 0 5. Agent for Service of Process: Amir Movafegh 70 Dorman Ave. Unit#3 O ZE San Francisco, California 94124 1-1 United States of America o •� w 6. Type of Business: yP Construction Services > a� O CO � ctr- ZEE y W h By signing this document, I certify that the information is true and correct and that I am authorized by C� California law to sign. Electronic Signature: Amir Movafegh N Use bizfile.sos.ca.gov for online filings, searches, business records, and resources. ti N 00 LO W • C N E U O 0 City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov fB';7.j9p9,p� Office of the City Clerk Robin Estanislau, City Clerk August 8, 2022 Newman Midland Corp. 1355 Redondo Ave., Suite 12 Long Beach, CA 90804 RE: Gothard Restroom Improvements at Huntington Central Park East—CC No. 1628 Enclosed please find your original bid bond for CC No. 1628 Sincerely, ��dnoj Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister City: Anjo, Japan SECTION C PROPOSAL for the construction of GOTHARD RESTROOM IMPROVEMENTS CC No. 1628 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 90 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award,BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded,the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract,the undersigned agrees that in the event of the BIDDEWS default in executing the required contract and filing the necessary;bonds and ins Trance certificates within 14 working days after the date of the AGENCY'S notice of award of cones to,the BIDDER,the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the accept hereof may,at the AGENCY'S option,be considered null and void. Accompanying this proposal of bid, fed BIDDERS BOND in the amount of � which said amount is not less than 10%of the aggregate of the total bid price,as required the Notice Inviting Sealed OR ELECTRONIC Bids,parable to the AGENCY. (Please inert the words"Gash","Certified Check" or"Bidder's Bond for 10",as the case may be)Any standard Surdy Bid Bond form is acceptable. .Bidder shall signify receipt ofall Addenda here,if any: 1 04/25/2022 2 44/26=22 C-2 SECTION C PROJECT BID SCHEDULE A GOTHARD RESTROOM IMPROVEMENTS CC1628 BID ITEMS It �;' sj ,c r ���aiau�da�ax� ✓r�a24�� � a e ��.�� bra ,'. `�v � �,�e ��°";. ��s�-. � �/� - � c. vow ,r �G.3' � 1 Mobilization 1 LS $ - $ 113,000 2 Existing Concrete Decking 327 SF $ 14 $ 4,578 3 Existing Structural Steel Elements 1 LS $ - $ 14,330 4 Existing Ornamental Railing 143 LF $ 21 $ 3,003 5 Existing Entry Gates/Frames/Connections 2 EA $550 $ 1,100 6 Sand Blast Paint at Steel in Need of Repair 1 LS $ - $ 3,900 7 Existing Interior Walls, Finishes and Fixtures 1 LS $ - $ 17,800 8 Additional 100 S.F.of Existing Concrete Decking 100 SF $ 17 $ 1,700 1 8s 9 New Concrete Decking and Reinforcement 327 SF $ 45 $ 14,715 10 Additional 100 S.F. of Concrete Decking 100 SF $ 45 $ 4,500 11 Structural Steel Repair 1 LS $ - $ 52,900 12 Concrete Footing Repair 4 EA $ 7,000 $ 28,000 13 Concrete Curbs at Existing Structural Columns 19 LF $ 330 $ 6,270 i 14 Hazardous Material Abatement Demo/Haul Off 1 LS $ - $ 13,700 15 Light Ga. Metal Framing 187 SF $ 33 $ 6,171 16 Cement Backer Board 1,122 SF $ 10 $ 11,220 17 Ornamental Metal Railing with Paint Finish 160 LF $ 341 $ 54,560 18 Openings(Doors, Frames, Hardware, Signage) 4 EA $ 5,000 $ 20,000 19 Flooring(Epoxy Finish) 1,470 SF $ 15 $ 22,050 Y0 Interior Painting(Including Doors&Frames) 438 SF $ 7 $ 3,066 21 Exterior Painting (Including Doors&Frames) 2,160 SF $ 7 $ 15,120 C-2.1 SECTION C PROJECT BID SCHEDULE A GOTHARD RESTROOM IMPROVEMENTS CC1628 22 Ceramic Tile/Grouting/Grout Sealer 1,122 SF $ 30 $ 33,660 23 Plumbing 1 LS 24 HVAC(Exhaust Ventilation) 1 LS $ - $ 34,700 25 Electrical 1 LS $ - $ 16,300 26 Toilet Accessories/Blacking 1 LS $ - $ 7,400 27 Power Wash Existing Exterior Wall Tile 616 SF $ 2 $ 1,232 TOTAL BID AMOUNT (BASIS OF AWARD)—SCHEDULE A $ 587,175.00 TOTAL BID AMOUNT IN WORDS: five hundred eighty-seven thousand one hundred seventy five dollars and zero cents Notes: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. The estimated quantities listed in the Proposal Bid Sheets are approximate and are to be used only as comparison of bids. Payment for quantities will be made from field measurements. If the actual quantities show either an increase or decrease from the quantities given in the Proposal Bid Sheet, the Contract Unit Prices will prevail. Full compensation will be paid at the contract price for the actual work completed, and no additional compensation will be allowed therefor. Payment will not be made for materials wasted or disposed of in a manner not called for under the Contract; this includes rejected material not unloaded from vehicles and material rejected after it has been placed. No compensation will be allowed for disposing of rejected or excess material. The City reserves the right to reject all bids and to increase or decrease the amount of any quantity shown on the Proposal Bid Sheets. In case of a variation between the unit price and the totals shown by the bidder, the unit price will be considered to be the bid. Bidder's Name: NEWMAN MIDLAND CORP Telephone No.: (562) 494-1773 C-2.2 SECTION C PROJECT BID SCHEDULE Gothard Restroom Improvements CC-1628 PROJECT BASIS OF AWARD: Gothard Restroom Improvements . . . . . . C-2.1 ITEM 1. Base Bid Items $ 587 175.00 IN FIGURES BASE BID TOTAL AMOUNT LUMP SUM BID(TOTAL FOR ITEMS 1) $ 587 175.00 BASIS OF AWARD IN FIGURE 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 Registration# Amount Contract Number 14 T3 Contractors Corp C21, 1000002965 10,000 1.70 17130 Van Buren Blvd., #53 867365 C22' Riverside, CA 92504 ASB ,10,12,13 Gallardo Contractors, Inc. B 1000026072 61,700 10.47 204 East Flora St 926928 Santa Ana, CA 92707 Troys Ornamental Iron Craft Inc. DBA Rod Construction 945177 B,C23 1000412581 73,700 12.51 3,11,17 8150 Electric Ave. C 13 Stanton,CA 90680 Continental Marble and Tile Company 394 C54 1000002594 21,800 3.70 22 2460 Anselmo Drive Corona,CA 92879 Midland Construction Management C36 60,000 10.18 23 1355 Redondo Ave.,#12 625353 1000050871 Long Beach,CA 90804 J Miller Electric Inc. 2.02 25 PO BOX 403839 730588 C10 1000007878 11,900 Hesperia,CA 92340 Dave's Door and Hardware C61/ 232 18 17861 Georgetown Lane 600031 1000010455 13,700 D08 Huntington Beach,CA 92647 By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project C-4 NONCOLLU ION AFFIDAVIT 3; TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID r.. 1 declare under penalty of perjury under e taws of the t.atc of Califc)mia that the foregoing is £' true and correct and that this declaratiortisexecuted ont}51t13J at LONG BEACH , CA ,,. Date City State AP004AWY ,being first duly sworn,deposes and says that he or pis TARY of NEWMAN MIDLAND CORP the party making the ntmade in the interest of,or on the behalf of,any undisclosed person, �py on, organization, or corporaion; that the bid is genuine and not car sihatn tl� r has not directly or indirectly izidueed or solicited any o#tzar bidder "and has not directly or indirectly colluded, conspired, connived,.or y hi -,� , o se to put in a,share bid,or that anyone shall refrain from,bidding, that, eat in a"" er,directly or indirectly,sought by agreement,communication. or "anyone ffi!x„ c bid price, or that of any other bidder, or to secure any � advantage hl� ,y awarding the contract of anyone interested in the proposed comet;tips in the bid are true; and, further, that the bidder has not, dhe� o> to � hip"or her bid price or any breakdown. thereof, or the contents thereof, or divt g�&infbrrnation of data relative thereto, or paid, and will not pay fee to any corporation,partnership,company association.organization, bid depositary,or to any member or agent thereo fto clTectuate a collusive or sham bid. 4 Name of Bidder NEWMAN MIDLAND CORP y � Signature t f Bidder AI3A141 NASRI,E'C{'SIDENT SECRETARY Address of Bidder -0f 1k^d Ni A .... 3, k. H ,,, Y 1 V i " �t x " k� N y � t UTILITY AGREEMENT y. HONORABLE MAYOR AND CITY COUNCIL TY OFEWNTINGTON BEACH,CALIFORNIA +M Gentlemen: rva Th"dmigned"hereby promises and gees that in the performance of the work specified in the co m, t,'known as the GOTHAR.D RESTROOM IMPROVEMENTS, (Iywe)(it)wi[1 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: ,P at: A person who, by reason of experience or instr etion, is familiar with the operation to be performed and the hazards irwolved." `lWWigned also pressed 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 tape steps as are necessary to assure compliance by any said I subcontractor or subcontractors with the requirements contained herein. j NEWMAN MIDLAND CORP T" Contractor h By ADAM NASRY PRESIDENT&SECRETARY Title 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 LaborC;ode,each contractor to whom a public works coat 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. t.y... NMMAN MIDLAND CO" Contractor r7:::AA By ADAM NASRY PRESIDEVrA SECRMARY Title { ,vim; i RIDER'S INFORMATION rtifie that the following information is true and correct: NINA 11`tb LANpCORP Bi e 'BusinessAd&ws IANG.BEAC A1At �x ya State Zip txy TeWphoneNumber !;alai!Address State ` X� IkSC�'+If}a Um Original mate Issued 0 1/3 112 02 3 d Ex p►ratlon Date k site was inspected by kwAsity of our'off ice on,•Arrq13 Is_ 202z z ry The following are persons,fit ins,aiid�orporations having a principal interest in this proposW- I NEWM.AN MIDLAND CORD � � ��I ASRY.1'R►; ►►UNT ADAMN SRY J4ECRE-IARY A13AM NASR Y.1RE:ASUR[R undersigned is prepared to satisfy the Council of the City of tiuntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in x-4 accordance with the plans and specifications set forth. p y. NEWMAN MIDLAND CORP Company Na Signature of Bidder ADAM NASRY,PRLSIDLN'r&SECRETARY Printed orTyped.Signature NOTARY CERTIFICATE Subscribed and sworn to before me this 3RD day of MAY ,2022 . A notary public or other officer completing this certificate: verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness,accuracy,or validity of that document. r ofNl AtiFf3At�i7fi } Ctf Ws ANGF3:F : ..C)n � before rne, TFAGANNIF Month,:Day,and Year Insert Marne and Title of Notary f personally appeared ADAM NASKY Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence t'o, person(s) whose naffs}isJrue subscribed to the within instrument and acknowledged to me iiiai h dshefthey eiecuted the same t, in histherltheir 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. E Signature S' at e ofNotary Public (PLACE NOTARY SEAL.ABC)VE) i C-14 r Bidder's Project History For the purposes of this project the contractor and subcontractor must have, in the last five years, constructed at least five (5) projects of similar work specifically referencing the construction of {Describe specific work and experience necessary for project, for example "Reconstruction or rehabilitation of existing public use facilities". Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. The following list of projects meet the requirements of above: 1 633 90301 Name and Address of Reference Name and Telephone No. of Project Manager: 626 993-6906 13,548,295.70 04 152022 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: 21400 92646 17816 92708 2. 1 an5 92648 Name and Address of Reference 15871 92649 17071 92647 14325 92683 Name and Telephone No. of Project Manager: _ 714 903-7000 2,655,372.39 0731 2019 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: 6 10 3. 1 2- 1175 90029 Name and Address of Reference Name and Telephone No. of Project Manager: 323 526-8279 1,175,558.24 06 30 2019 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: C-11 4 11040 90241 Name and Address of Reference Name and Telephone No. of Project Manager: - 310 204-3400 945,201 A 09 30 2018 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: 5, -9724 90242 Name and Address of Reference Name and Telephone No. of Project Manager: _ - 310 204-3400 3,800,988.00 09 30 2018 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: C-12 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 proposed Project Manager 562 494-1773 Telephone No. of proposed Project Manager 13,548,295.70 04 152022 Project Name &Contract Amount Type of Work Date Completed - 2,655,372.39 0731 2019 Project Name &Contract Amount Type of Work Date Completed 09 30 2018 Project Name &Contract Amount Type of Work Date Completed 2. Name of proposed Superintendent 562 494-1773 Telephone No. of proposed Superintendent 13,548,295.70 04 152022 Project Name &Contract Amount Type of Work Date Completed - 2,655,372.39 07 31 2019 Project Name &Contract Amount Type of Work Date Completed 09 30 2018 Project Name &Contract Amount Type of Work Date Completed C-13 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS(DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each Judy 1 through June 30 state fiscal year) with the California Department of Industrial Relations(DIR).Cwr dy the annual non-refundable registration fee for Contractors is$300.Each contractor totem 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/SB854FactShect-6.30.14. f DIR's Contractor Registration Link—Call (844)522-6734 https.//eftling.dirca,gov/PWCR/AcfionServlet?action=displayPWCR+ istratonForTn DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action l am aware and will comply with the provisions of Labor Code Section 1771.](a)whichatates: "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 we as for ALL subcontractors at the time of submitting the bid. bICWMANMID1.ANbCORP . Contractor By ADAMNASRY ANASRY NEWMANM1DLAND.00M Email E'REsit)FNr'&SECRETARY Tale te: 0 3=22 [} Registration : `)04166 C-I4 W � Cif of Huntington Beach Public Wo 'De, rartment 2000 Aftin Street Tel. (714) 536-5431 Fax (714) 374-1`57 ADDENDUM NUMBER ONE For GOTHARD RESTRC3OM IMPROVINIENTS AT HUNTINGTON CENTRAL PARK 1628 in tare CITY OF HUNTINGTON BEACH April 26.2022 Notice To All Bidders I note the foiloa0V clarificaticn to the Project Specifications arad,BW Requirements: !CATIONS SECTION A—NOTICE INVITING ELEC1*ONIC BIDS ace page A-2 with the attached revision,which removes the requirement for bidders to Po bath Class A and Class B licenses.Upon further consideration,bidders contractors will only be required to possess a State Contractor's License Class:B. s This is to acknowledge receipt and review of Addendum Number One,dated April 25„2022. NEWMAN Company Name . y ADAM NASRY,PRESIDENT&SECRETARY` / must acknovAedge anti include the receipt of this Addendum with your bid proposal. her€ opt have any questions regarding this Addendum,please call DJ Kelly at(571)722-2277 Iu" II . a y � FR F, ZI 9 ? s 0ell MW x s y f ........... .. v ' 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: Gothard Restroom Improvements CC#: 1628 Bid Opening Date: APRIL 28,2022 at 2:00 PM. 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 B, 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: Rehabilitation of the existing restroom building located in Central Park. Interior improvements include the remodel of existing restrooms to create(2)unisex ADA restrooms and(2)non-ADA unisex restrooms. Structural repairs to existing building structural components that have been corroded due to water damage. New interior and exterior painting,new metal railing,new exhaust fans and epoxy floor finish. The contract shall allow the Contractor 90 working days to complete the contract. All questions related to this bid solicitation must be submitted through the City's Planet Bids System Vendor Portal per the information provided in the Instructions to Bidders. Any other contact to City staff regarding this bid solicitation will be referred back to the Planet Bids system. The AGENCY reserves the right to 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 22fjLday of June 2Q,by Resolution No. 20-39. Attest: /s/Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH A-2 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For GOTHARD RESTROOM IMPROVEMENTS AT HUNTINGTON CENTRAL PARK CC NQ.1§28 in the CITY OF HUNTINGTON BEACH April 26,2022 J, Notice To All Bidders: Per Public Contract Code Section 4104.5, the bid due date is being extended since Addendum Number One was released within 72 hours of the original bid opening. Please note the following modffications to the Prom Specif"tions and Bid Requirements: 1) SPECIFICATIONS COVER SHEET Replace the cover sheet with the attached revision,which extends the bid opening to 2:00 PM on Tuesday,May 3,2022. 2) SPECIFICATIONS SECTION A—NOTICE INVITING ELECTRONIC BIDS pages A-1 and'A-2 with the attached revisions,which extend the bid opening M on Tuesday,May 3,2022. TO NSM-0TION 8—INSTRUCTIONS TO BIDDERS 4om*a aftched revision,which extends the bid opening to 2:00 PM This is to acknowledge receipt and review of Addendum Number Two,dated A ril 2 VUMcofzp rly"( tie By ADAM NASRY,PRESIDENT&SECRETARY W 4, --E-,�,- _05==22 "Date All bidders must acknowledge and include the receipt of this Addendum with your bid proposal. �+ txWions regarding this Addendum,please call DJ Kelly at(571)722-2277 olt, III 'I, GOTHARD RESTROOM IMPROVEMENTS CC No. 1628 CITY OF HUNTINGTON BEACH • 2000 MAIN STREET HUNTINGTON BEACH, CALIFORNIA 92648 (714) 536-5431 BIDS ELECTRONICALLY D May 3, 2022 NO LATER THAN 2:00 PM SEAN CRUMBY, DIRECTOR DEPARTMENT OF PUBLIC WORKS SECTION A NOTICE INVITING ELECTRONIC BIDS GOTHARD RESTROOM IMPROVEMENTS CC No. 1628 CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN CITY OF HUNTINGTON BEACH, 2:00 PM 3, 2022, , 15340 15340. 2000 92648. 5 10263. A-1 10 , 52000 , OFFICIAL BID SECURITY -DO NOT OPEN Project Name: Gothard Restroom Improvements CC #: 1628 Bid Opening Date: May 3,2022 at 2 PM Project Description 2 2 - f 90 60 2211L 2420, . 2020-39• A-2 OFFICIAL BID SECURITY- DO NOT OPEN Project Name: Gothard Restroom Improvements CC#: 1628 Bid Opening Date: May 3, 2022 at 2 PM 3. Proposal Signature 4. Delivery Of Proposal 15340. 5100 5 , 5. Return Of Proposal Guarantees 10 6. Taxes 7. Disqualification Of Bidders S. Contractor's License Requirement -2 Firefox https://cadir.secure.force.com/ContractorSearch/PrintRegDetails Contractor Information Registration History Legal Entity Name Effective Date Expiration Date NEWMAN MIDLAND CORP. Legal Entity Type 6/8/2018 6/30/2019 Corporation Status 5/31/2017 6/30/2018 Active Registration Number 6/24/2016 6/30/2017 1000004166 Registration effective date 6/29/2015 6/30/2016 7/1/2021 Registration expiration date 12/19/2014 6/30/2015 6/30/2023 Mailing Address 7/1/2019 6/30/2020 1355 REDONDO AVE,STE 12 LONG BEACH 90804 C... Physical Address 7/1/2020 6/30/2021 1355 REDONDO AVE,STE 12 LONG BEACH 90804 C... Email Address 7/1/2021 6/30/2023 Trade Name/DBA License Number(s) CSLB:757755 CSLB:757755 Legal Entity Information Corporation Number: 330839761 Federal Employment Identification Number: President Name: ADAM AMER NASRY Vice President Name: Treasurer Name: ADAM AMER NASRY Secretary Name: ADAM AMER NASRY CEO Name: ADAM AMER NASRY Agent of Service Name: ADAM AMER NASRY Agent of Service Mailing Address: 957 BLUE HERON SEAL BEACH 90740 CA United States of America Workers Compensation 1 of 2 5/3/2022, 10:00 AM Firefox https://cadir.secure.force.com/ContractorSearch/PrintRegDetail Do you lease employees No through Professional Employer Organization (PEO)?: Please provide your current workers compensation insurance information below: PEO InformationPEO PEO PEO Name Phone Email Insured by Carrier Policy Holder Name:NEWMAN MIDLAND CORP.Insurance Carrier: EVEREST NATIONAL INSURANCE COMPANYPolicy Number:7600013189211 Inception date:5/6/2021Expiration Date:5/6/2022 2 of 2 5/3/2022, 10:00 AN Firefox https://cadir.secure.force.com/ContractorSearch/PrintRegDetails Contractor Information Registration History Legal Entity Name Effective Date Expiration Date T3 CONTRACTORS CORP Legal Entity Type 5/30/2018 6/30/2019 Corporation Status 6/15/2017 6/30/2018 Active Registration Number 6/8/2016 6/30/2017 1000002965 Registration effective date 6/10/2015 6/30/2016 7/1/2019 Registration expiration date 11/20/2014 6/30/2015 6/30/2022 Mailing Address 7/1/2019 6/30/2022 17130 VAN BUREN BLVD.#53 RIVERSIDE 92504 CA... Physical Address 9960 INDIANA AVE.#7 RIVERSIDE 92503 CA Unite... Email Address Trade Name/DBA License Number(s) CSLB:867365 Legal Entity Information Corporation Number: 2699587 Federal Employment Identification Number: President Name: CHAD THOMPSON Vice President Name: TODD THOMPSON Treasurer Name: Secretary Name: MICHAEL DAVIS CEO Name: Agent of Service Name: TODD MARTIN THOMPSON Agent of Service Mailing Address: 17195 LITTLESTONE LANE RIVERSIDE 92504 CA United States of America Workers Compensation Do you lease employees No 1 of 6 5/3/2022, 1:13 PM Firefox https:Hcadir.secure.force.com/ContractorSearch/PrintRegDetail., through Professional f(Eppmployer Organization f�l104rovide your current workers compensation insurance information below: PEO InformationPEO PEO PEO Name Phone Email Insured by Carrier Policy Holder Name:T3 CONTRACTORS CORPInsurance Carrier: GREAT DIVIDE INSURANCE COMPANYPolicy Number:WCA2011062Inception date: 3/1/2017Expiration Date:3/1/2020 Contractor Information Registration History Legal Entity Name Effective Date Expiration Date CONTINENTAL MARBLE AND TILE COMPANY Legal Entity Type 6/4/2018 6/30/2019 Corporation Status 5/8/2017 6/30/2018 Active Registration Number 6/1/2016 6/30/2017 1000002594 Registration effective date 6/2/2015 6/30/2016 7/1/2019 Registration expiration date 11/10/2014 6/30/2015 6/30/2022 Mailing Address 7/1/2019 6/30/2022 2460 ANSELMO DRIVE CORONA 92879 CA Unit... Physical Address 2460 ANSELMO DRIVE CORONA 92879 CA Unit... Email Address Trade Name/DBA License Number(s) CSLB:394 2 of 6 5/3/2022, 1:13 PN Firefox https:Hcadir.secure.force.com/ContractorSearch/PrintRegDetails Legal Entity Information Corporation Number: C0110786 Federal Employment Identification Number: President Name: GEORGE BALLANTYNE Vice President Name: JOHN BALLANTYNE Treasurer Name: PATRICIA PAYNE Secretary Name: PATRICIA PAYNE CEO Name: GEORGE BALLANTYNE Agent of Service Name: GEORGE BALLANTYNE Agent of Service Mailing Address: 2460 ANSELMO DRIVE CORONA 92879 CA United States of America Workers Compensation Do you lease employees No through Professional Employer Organization (PEOP: Please provide your current workers compensation insurance information below: PEO InformationPEO PEO PEO Name Phone Email Insured by Carrier Policy Holder Name:CONTINENTAL MARBLE AND TILE COMPANYInsurance Carrier: FALLS LAKE FIRE AND CASUALTY COMPANYPolicy Number:FLA000699-02 Inception date:8/1/2016Expiration Date:8/1/2019 3 of 6 5/3/2022, 1:13 PM Firefox https://cadir.secure.force.com/ContractorSearch/PrintRegDetail Contractor Information Registration History Legal Entity Name Effective Date Expiration Date GALLARDO CONTRACTORS INC. Legal Entity Type 6/29/2018 6/30/2019 Corporation Status 6/15/2017 6/30/2018 Active Registration Number 6/28/2016 6/30/2017 1000026072 Registration effective date 7/16/2015 6/30/2016 7/1/2021 Registration expiration date 7/1/2019 6/30/2020 6/30/2022 Mailing Address 7/1/2020 6/30/2021 204 E. FLORA ST SANTA ANA 92707 CA United 5... Physical Address 7/1/2021 6/30/2022 204 E. FLORA ST SANTA ANA 92707 CA United 5... Email Address Trade Name/DBA License Number(s) CSLB:926928 CSLB:926928 Legal Entity Information Corporation Number: C3101588 Federal Employment Identification Number: President Name: EDESIO GALLARDO Vice President Name: Treasurer Name: Secretary Name: CEO Name: Agent of Service Name: EDESIO GALLARDO Agent of Service Mailing Address: 204 EAST FLORA ST. SANTA ANA 92707 CA United States of America Workers Compensation Do you lease employees No through Professional 1 of 2 3/10/2022,8:36 AN Firefox https:Hcadir.secure.force.com/ContractorSearch/PrintRegDetails Employer Organization (PEO)?: Please provide your current workers compensation insurance information below: PEO Information PEO PEO PEO Name Phone Email Insured by Carrier Policy Holder Name:GALLARDO CONTRACTORS INC.Insurance Carrier: EVEREST PREMIER INSURANCE COMPANYPolicy Number:7600021509211 Inception date:4/29/2021 Expiration Date:4/29/2022 2 of 2 3/10/2022, 8:36 AM Firefox https://cadir.secure.force.com/ContractorSearch/PrintRegDetail! Contractor Information Registration History Legal Entity Name Effective Date Expiration Date Troy's Ornamental Iron Craft Legal Entity Type 7/1/2019 6/30/2021 Corporation Status 7/1/2021 6/30/2023 Active Registration Number PW-LR-1000412581 Registration effective date 7/1/2021 Registration expiration date 6/30/2023 Mailing Address 8150 Electric Ave Stanton 90680 CA United Stat... Physical Address 8150 Electric Ave Stanton 90680 CA United Stat... Email Address Trade Name/DBA License Number(s) CSLB:945177 Legal Entity Information Corporation Number: Federal Employment Identification Number: President Name: Mansour Rad Vice President Name: Treasurer Name: Secretary Name: CEO Name: Agent of Service Name: FARZANEH MAHLATI ESPANDIARY Agent of Service Mailing Address: 22562 Canaveras Mission Viejo 92691 CA United States of America Workers Compensation 1 of 2 3/10/2022,8:46 AN Firefox https:Hcadir.secure.force.com/ContractorSearch/PrintRegDetails Do you lease employees No through Professional Employer Organization (PEO)?: Please provide your current workers compensation insurance information below: PEO InformationPEO PEO PEO Name Phone Email Insured by Carrier Policy Holder Name:Troy's Iron CraftInsurance Carrier:Berkley NetPolicy Number: BNUWC0144771Inception date:8/6/2020Expiration Date:8/6/2021 2 of 2 3/10/2022,8:46 AM Firefox https://cadir.secure.force.com/ContractorSearch/PrintRegDetail Contractor Information Registration History Legal Entity Name Effective Date Expiration Date MIDLAND CONSTRUCTION MANAGEMENT Legal Entity Type 6/8/2018 6/30/2019 Sole Proprietorship Status 7/7/2017 6/30/2018 Active Registration Number 7/1/2019 6/30/2020 1000050871 Registration effective date 7/1/2020 6/30/2021 7/1/2021 Registration expiration date 7/1/2021 6/30/2022 6/30/2022 Mailing Address 1355 REDONDO AVE.,STE 12 LONG BEACH 90804 C... Physical Address 1355 REDONDO AVE.,STE 12 LONG BEACH 90804 C... Email Address Trade Name/DBA License Number(s) CSLB:625353 CSLB:625353 Legal Entity Information Sole Proprietor Name: Workers Compensation Do you lease employees No through Professional Employer Organization (PEO)?: Please provide your current workers compensation insurance information below: PEOInformationPEO PEO PEO Name Phone Email Insured by Carrier 1 of 2 3/10/2022,7:58 AN Firefox https:Hcadir.secure.force.com/ContractorSearch[PrintRegDetails Policy Holder Name:MIDLAND CONSTRUCTION MANAGEMENTInsurance Carrier: EVEREST NATIONAL INSURANCE COMPANYPolicy Number:7600013189211 Inception date:5/6/2021 Expiration Date:5/6/2022 2 of 2 3/10/2022,7:58 AM Firefox https:Hcadir.secure.force.com/ContractorSearch/PrintRegDetail Contractor Information Registration History Legal Entity Name Effective Date Expiration Date J.MILLER ELECTRIC,INC. Legal Entity Type 6/23/2018 6/30/2019 Corporation Status 5/24/2017 6/30/2018 Active Registration Number 6/8/2016 6/30/2017 1000007878 Registration effective date 7/15/2015 6/30/2016 7/1/2019 Registration expiration date 2/2/2015 6/30/2015 6/30/2022 Mailing Address 7/1/2019 6/30/2022 P O BOX 403839 HESPERIA 92340 CA United States... Physical Address 16978 SMOKETREE AVE,STE.C-2 HESPERIA 92345 C... Email Address Trade Name/DBA License Number(s) CSLB:730588 Legal Entity Information Corporation Number: C1786065 Federal Employment Identification Number: President Name: JACK MILLER Vice President Name: JAMIE MILLER Treasurer Name: JACK MILLER Secretary Name: JAMIE MILLER CEO Name: JACK MILLER Agent of Service Name: JAMIE MILLER Agent of Service Mailing Address: 16978 SMOKETREE AVENUE,STE C-2 HESPERIA 92345 CA United States of America Workers Compensation 1 of 2 3/10/2022,7:44 AN Firefox https:Hcadir.secure.force.com/ContractorSearch/PrintRegDetaits Do you lease employees No through Professional Employer Organization (PEO)?: Please provide your current workers compensation insurance information below: PEO InformationPEO PEO PEO Name Phone Email Insured by Carrier Policy Holder Name:J. MILLER ELECTRIC, INC.Insurance Carrier: Insurance Company of the WestPolicy Number:WSD504364500Inception date: 10/1/2018Expiration Date:10/1/2019 2 of 2 3/10/2022,7:44 AM Firefox https:Hcadir.secure.force.com/ContractorSearch/PrintRegDetailE Contractor Information Registration History Legal Entity Name Effective Date Expiration Date DAVE'S DOOR AND HARDWARE Legal Entity Type 6/19/2018 6/30/2019 Sole Proprietorship Status 5/23/2017 6/30/2018 Active Registration Number 6/27/2016 6/30/2017 1000010455 Registration effective date 6/30/2015 6/30/2016 7/1/2019 Registration expiration date 2/18/2015 6/30/2015 6/30/2022 Mailing Address 7/1/2019 6/30/2022 17861 GEORGETOWN LN. HUNTINGTON BEACH 92647... Physical Address 17861 GEORGETOWN LN. HUNTINGTON BEACH 92647... Email Address Trade Name/DBA License Number(s) CSLB:600031 Legal Entity Information Sole Proprietor Name: Workers Compensation Do you lease employees No through Professional Employer Organization (PEO)?: Please provide your current workers compensation insurance information below: PEO InformationPEO PEO PEO Name Phone Email 1 of 1 5/3/2022, 10:19 AM elm AIA document A31 0TM - 2010 Bid BondBid Bond No:N/A CONTRACTOR: SURETY: (Alame, legal status and address) (Alame, legal status and principal place Newman Midland Corp of business)LInited Fire&Casualty Company 1355 Redondo Ave, Ste 12 P.O. Box 73909 Long Beach,CA 90804 Cedar Rapids, IA 52407 This document has important legal consequences.Consultation with OWNER: an attorney is encouraged with (/game, legal status:and address) respect to its completion or modification. City of Huntington Beach b. 2000 Main Street Any singular reference to Huntington Beach., CA 92648 Contractor,Surety,Owner or BOND AMOUNT. Ten Percent of the Total Amount Bid(10%of Bid Amount) other party shall be considered plural where applicable. PROJECT (Alame,location or z ddress,and Project number, if any) Gothard Restroom Improvements Project Number,if any: 1628 The Contractor and Suiety are bound to die Owner in the amount set forth above,for the payment of which the Contractor and Surety btnd 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.tontractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and.g ves such:bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted in ahe jur.isdtct}on of.the.Projed and otherwise acceptable to the Owner,for the faithful performance of such Contract and for:the prompt. iaymrient 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 shalt be null and void;otherwise to remain in full force and effect.The Surety hereby waives any notice of an:agreement between the;Ow.ner 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 as extension beyond sixty(60)days. (f 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'con.flicting with said statutory ar legal requirement shall be deemed deleted herefrom i an provisions conforming to such statutory or other legal requirement shall.be deemed incorporated herein.When so furnished,the i»teniHs that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 22nd day of April 2022 Newman Midland Corp (Principal) (Seal) {i%'ctness) _i"'1=_ES ► N TSF �__----- -- (:Title} United Fir &C alty Company — (Surety) (Seal) (13'itnes i lTitle) Ch tine H a Attorney-in-Fact Init. AIA Document A310TM—2010.Copyright®1963,1970 and 2010 by The American Institute of Afehl ects.All rights reserved.WARNING:This AIA& Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA'k Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum,extent possible under the law.This document was created on 01127/2012 07:23:12 under the terms of AIA Documents-on-Demand-order no. 2008397483.and is not for resale.This document is licensed by The American Institute of Architects for one-time use only,and may not be reproduced orior to its romoletion.m,++n 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 APR 2 2 2022 before me, Irene Luong Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Christine Hoang 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 IRENE LUONG person(s), or the entity upon behalf of which the person(s) W= "0 Notary Public•California acted, executed the instrument. W orange county JEI certify under PENALTY OF PERJURY under the laws of Commission S 2384919 My<<.•�•-''` Ccmm.Expires Nov 30,2025 the State of California that the foregoing paragraph is true and correct. Witness my handtNotary ial s I. Signatur Place Notary Seal Above natureblic Irene Lu g 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 ana reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer --Title(s): ❑ Partner ❑Limited ❑General ❑ Partner ❑Limited❑General ❑ Attorney in Fact •-- ❑ Attorney in Fact ❑ Trustee OF ❑ Trustee OF ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: >a UNITED FIRE&CASUALTY COMPANY,CEDAR RAPIDS,IA Inquiries: Surety Department ufg UNITED FIRE&INDEMNITY COMPANY,WEBSTER,TX 118 Second Ave SE FINANCIAL PACIFIC INSURANCE COMPANY,LOS ANGELES,CA Cedar Rapids,IA 52401 INSURANCE CERTIFIED COPY OF POWER OF ATTORNEY (original on file at Home Office of Company—See Certification) KNOW ALL PERSONS BY THESE PRESENTS,That United Fire&Casualty Company,a corporation duly organized and existing under the laws of the State of Iowa; United Fire & Indemnity Company, a corporation duly organized and existing under the laws of the State of Texas; and Financial Pacific Insurance Company,a corporation duly organized and existing under the laws of the State of California(herein collectively called the Companies),and having their corporate headquarters in Cedar Rapids,State of Iowa,does make,constitute and appoint JAMES W. MOILANEN, YUNG T. MULLICK, P. AUSTIN NEFF, IRENE LUONG, EMILIE GEORGE, CHRISTINE HOANG, DANIELLE HANSON, EACH INDIVIDUALLY their true and lawful Attomey(s)-in-Fact with power and authority hereby conferred to sign, seal and execute in its behalf all lawful bonds, undertakings and other obligatory instruments of similar nature provided that no single obligation shall exceed $40,000,000.00 and to bind the Companies thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers of the Companies and all of the acts of said Attorney,pursuant to the authority hereby given and hereby ratified and confirmed. The Authority hereby granted shall expire the 6th day of July, 2022 unless sooner revoked by United Fire&Casualty Company,United Fire&Indemnity Company,and Financial Pacific Insurance Company. This Power of Attorney is made and executed pursuant to and by authority of the following bylaw duly adopted by the Boards of Directors of United Fire&Casualty Company,United Fire&Indemnity Company,and Financial Pacific Insurance Company. "Article VI—Surety Bonds and Undertakings" Section 2,Appointment of Attomey-in-Fact. "The President or any Vice President,or any other officer of the Companies may,from time to time, appoint by written certificates attorneys-in-fact to act in behalf of the Companies in the execution of policies of insurance,bonds,undertakings and other obligatory instruments of like nature. The signature of any officer authorized hereby,and the Corporate seal,may be affixed by facsimile to any power of attorney or special power of attorney or certification of either authorized hereby; such signature and seal,when so used,being adopted by the Companies as the original signature of such officer and the original seal of the Companies,to be valid and binding upon the Companies with the same force and effect as though manually affixed. Such attorneys-in-fact,subject to the limitations set of forth in their respective certificates of authority shall have full power to bind the Companies by their signature and execution of any such instruments and to attach the seal the Companies thereto. The President or any Vice President,the Board of Directors or any other officer of the Companies may at any time revoke all power and authority previously given to any attorney-in-fact. IN WITNESS WHEREOF,the COMPANIES have each caused these presents to be signed by its MN """' vice resident and its corporate seal to be hereto affixed this F�r �9, p rP 6th day of July, 2020 °ox yr�•pPPOgq;yam -R CORPORATE 4 s 9 w CORPORATE _ UNITED FIRE&CASUALTY COMPANY SEAL ° SEAL = eee UNITED FIRE&INDEMNITY COMPANY FINANCIAL PACIFIC INSURANCE COMPANY /1111111111r"` State of Iowa,County of Linn,ss: Vice President On 6th day of July, 2020, before me personally came Dennis J. Richmann to me known,who being by me duly sworn,did depose and say;that he resides in Cedar Rapids,State of Iowa;that he is a Vice President of United Fire & Casualty Company, a Vice President of United Fire & Indemnity Company, and a Vice President of Financial Pacific Insurance Company the corporations described in and which executed the above instrument; that he knows the seal of said corporations; that the seal affixed to the said instrument is such corporate seal;that it was so affixed pursuant to authority given by the Board of Directors of said corporations and that he signed his name thereto pursuant to like authority,and acknowledges same to be the act and deed of said corporations. 4 9Art+ Patti Waddell Iowa Notarial mission number 713274 Pw, Notary Public lk mission Expires 10/26/2022 F My commission expires: 10/26/2022 I,Mary A.Bertsch,Assistant Secretary of United Fire&Casualty Company and Assistant Secretary of United Fire&Indemnity Company,and Assistant Secretary of Financial Pacific Insurance Company,do hereby certify that I have compared the foregoing copy of the Power of Attomey and affidavit,and the copy of the Section of the bylaws and resolutions of said Corporations as set forth in said Power of Attorney,with the ORIGINALS ON FILE IN THE HOME OFFICE OF SAID CORPORATIONS,and that the same are correct transcripts thereof,and of the whole of the said originals, and that the said Power of Attomey has not been revoked and is now in full force and effect. In testimony whereof I have hereunto subscribed my name and affixed the corporate seal of the said Corporations this 22nd day of April ,20 22 +`PT INSj \C U�� �NrW°°pb �``""m _4. �11J �`►1NDGMH� �GF CO coaPoaATE I;' =w coxrorsAT= �'� ',7t'3�uLv�� :,o" t���� t1 _ _ r�__ _ - s_ BY A ''• SEAL 5"AC _ ;Z•'.C r;'Z�o� Assistant Secretary, FRAP195`\ �I�III'1111Y� i.41 \`\`.�. „,Irllm� � OF&C&OF&I&FPIC BPOA0045 122017 No.2416-6 STATE OF CALIFORNIA DEPARTMENT OF INSURANCE SAN FRANCISCO Amended Certificate of Authority THIS IS TO CERTIFY that,pursuant to the Insurance Code of the State of California, United Fire&Casualty Company of Iowa, organized under the laws of Iowa, subject to its.4rticles of Incorporation or other_fiindamental 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,Plate Glass,Liability,Workers'Compensation, Common Carrier Liability,Boiler and Machinery,Burglary, Sprinkler,Team and Vehicle,Automobile,and Miscellaneous as such classes are now or may hereafter be defined in the Insurance Laws of the State of California. THIS CERTIFICATE is expressly conditioned upon the holder hereof now and hereafter being in full compliance with all,and not in violation of airy,of the applicable laws and lawful requirements made under authority of the laws of the State of California as long as such laws or requirements are in effect and applicable,and as such laws and requirements now are,or may hereafter be changed or amended. IN WITNESS WHEREOF,effective as of the 151n day ofJuly,2014, I have hereunto set my hand and caused my official seal to be gf xed this 16e day of July, 2014. Dave Jones Insurance Commissioner Susan J.Stapp By pp for Nettie Hoge Chief 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 covenants made in the application therefor and the conditions contained herein. 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 4 County of LOS ANGELES s' On April 26, 2022 before me, TEAGAN N. HEIDENRICH, NOTARY PUBLIC (insert name and title of the officer) personally appeared ADAM NASRY who proved to me on the basis of satisfactory evidence to be the person(s) whose nam 'is subscribed to the within instrument and acknowledged to me that he/she/they execute- his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the insfr person(s), or the entity upon behalf of which the person(s) acted, executed the instru' I certify under PENALTY OF PERJURY under the laws of the State of California tha paragraph is true and correct. TFAGAN N.HFj gft�Y Pubuc.�ENR WITNESS my hand and official won,,,, Mr cajun.Lnptns Signature (Seal) a a $ . co CL 0 2 _ 0 E 0 3 \ r4 - 0 o § o / ak ( q ) \ o co ~ \ k < J ° 00 y ' creq bAe = u D f �Rr � 3 o s $ � ■ � � ƒ / ) \j { R % v $ u = § / o � / u § 0 \ / 7 $ k Z � 41 § E Z w - 0 0 . 7 a City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www•huntingtonbeachca.gov fFa.17, Office of the City Clerk 1lD9. Robin Estanislau, City Clerk August 8, 2022 Rhome Profile Construction 19171 Magnolia Street, Suite 5 Huntington Beach, CA 92646 RE: Gothard Restroom Improvements at Huntington Central Park East—CC No. 1628 Enclosed please find your original bid bond for CC No. 1628 Sincerely, �&�4444,W Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister City. Anjo, Japan SECTION C PROPOSAL for the construction of GOTHARD RESTROOM IMPROVEMENTS CC No. 1628 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 90 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award,BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded,the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract,the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option,be considered null and void. Accompanying this proposal of bid, find Bidder's Bond in the amount of $550,000 which said amount is not less than 10%of the aggregate of the total bid price, as required by the Notice Inviting Sealed OR ELECTRONIC Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder'sBond for 10% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature 1 4/25/2022 C-2 SECTION C PROJECT BID SCHEDULE A GOTHARD RESTROOM IMPROVEMENTS CC1628 BID ITEMS,, r 1 Mobilization 1 LS $29,849 $ " _ 5 2 Existing Concrete Decking 327 SF $ $ 3 Existing Structural Steel Elements 1 LS $ $ 4 Existing Ornamental Railing 143 LF $ $ 5 Existing Entry Gates/Frames/Connections 2 EA $ $ 6 Sand Blast Paint at Steel in Need of Repair 1 LS $ $ 7 Existing Interior Walls, Finishes and Fixtures 1 LS $ $ 8 Additional 100 S.F.of Existing Concrete Decking 100 SF $ $ 4 9 New Concrete Decking and Reinforcement 327 SF $ $ 10 Additional 100 S.F.of Concrete Decking 100 SF $ $ 11 Structural Steel Repair 1 LS $ $ 12 Concrete Footing Repair 4 EA $ $ 13 Concrete Curbs at Existing Structural Columns 19 LF $ $ 14 Hazardous Material Abatement Demo/Haul Off 1 LS $ $ 15 Light Ga. Metal Framing 187 SF $ $ 16 Cement Backer Board 1,122 SF $ $ 17 Ornamental Metal Railing with Paint Finish 160 LF $ $ 18 Openings(Doors, Frames, Hardware, Signage) 4 EA $ $ 19 Flooring(Epoxy Finish) 1,470 SF $ $ 20 Interior Painting(Including Doors&Frames) 438 SF $ $ 21 Exterior Painting (Including Doors&Frames) 2,160 SF $ $ C-2.1 SECTION C PROJECT BID SCHEDULE A GOTHARD RESTROOM IMPROVEMENTS CC1628 IM 22 Ceramic Tile/Grouting/Grout Sealer 1,122 SF $21.09 $ 23,668 23 Plumbing 1 LS $96,546 $ 96.546 24 HVAC(Exhaust Ventilation) 1 LS $29,160 $ 29,160 25 Electrical 1 LS $20,304 $ 20,304 26 Toilet Accessories/Blocking 1 LS $5,502 $ 5,502 27 Power Wash Existing Exterior Wall Tile 616 SF $ 1.31 $ 810 TOTAL BID AMOUNT(BASIS OF AWARD)—SCHEDULE A $ 477,737 TOTAL BID AMOUNT IN WORDS: four hundred seventy-seven thousand seven hundred thirty-seven Notes: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. The estimated quantities listed in the Proposal Bid Sheets are approximate and are to be used only as comparison of bids. Payment for quantities will be made from field measurements. If the actual quantities show either an increase or decrease from the quantities given in the Proposal Bid Sheet, the Contract Unit Prices will prevail. Full compensation will be paid at the contract price for the actual work completed, and no additional compensation will be allowed therefor. Payment will not be made for materials wasted or disposed of in a manner not called for under the Contract; this includes rejected material not unloaded from vehicles and material rejected after it has been placed. No compensation will be allowed for disposing of rejected or excess material. The City reserves the right to reject all bids and to increase or decrease the amount of any quantity shown on the Proposal Bid Sheets. In case of a variation between the unit price and the totals shown by the bidder, the unit price will be considered to be the bid. Bidder's Name: Rod Earwood Telephone No.: (614)499-1534 C-2.2 SECTION C PROJECT BID SCHEDULE Gothard Restroom Improvements CC-1628 PROJECT BASIS OF AWARD: Gothard Restroom Improvements . . . . . . C-2.1 ITEM 1. Base Bid Items $477,737 IN FIGURES BASE BID TOTAL AMOUNT LUMP SUM BID(TOTAL FOR ITEMS 1) $477,737 BASIS OF AWARD IN FIGURE 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 Registration# Amount Contract Number Electrical Automation and Electrical Services, 1062806 C10, 1000668720 $14,460 3% Inc. C7, B 1107 E Elm Ave Unit C, Fullerton, CA 92831 Abatement DiMar Enterprises 959916 C22, 1000022074 $5,915 1.3% 26021 Pala Dr,Suite 101 C36 Mission Viejo, CA 92691 Flooring Diamond Crete 720581 C-36, 1000001568 $14,663 3% 2081 Third Street,Suite I C34 Riverside,CA 92507 HVAC Allison Mechanical 1067348 C20, 1000701616 $19,700 4.5% 1968 Essex Court B, C36 Redlands,CA 92373-8008 Doors Dave's Door&Hardware 600031 C61/D 1000010455 $13,655 3% 17861 Georgetown Lane 08 Huntington Beach, CA 92647 Steel Troy's Iron Craft 945177 B, 1000412581 $67,280 15% 8150 Electric Ave C13, Stanton, CA 90680 C23 Concrete ALMAX Construction Management 1065273 B,C8 1000719299 $38,700 9% 8504 Firestone Blvd.#240 Downey CA 90241 Plumbing ABQ 1081727 C36 1000833272 $50,000 11% 6200 Canoga Ave#205 Woodland Hills, CA 91367 By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 3n0i2022 ,at Huntington Beach , Date City State Rod Earwood , being first duly sworn, deposes and says that he or she is Senior VP of Rhome Profile Construciton 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. Rod Earwood, Rhome Profile Construction Name of Bidder -1�4 I;U� Signature of Bidder 19171 Magnolia St. Huntington Beach, CA 92646 Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH,CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the HARBOUR VIEW PARK IMPROVEMENTS, (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. Rhome Profile Construction Contractor Rod Earwood, Llu� By Senior Vice President Title Date: 5/3/2022 C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162,the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes ❑No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code,each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Rhome Profile Construction Contractor Rod Earwood, Lu4rork- By Senior Vice President Title Date:5/3/2022 C-7 Tuesday, May 3, 2022 1 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Rhome Profile Construction Bidder Name 19171 Magnolia 8t suite 5 Business Address Huntington Beach California 92646 City, State Zip ( 657 )329-1121 rearwood@rhomeconstruction,com Telephone Number Email Address 1049174,A&B State Contractor's License No.and Class 1/18/2019 Original Date-Issued 1/31/2023 Expiration Date The work site was inspected by Rod Earwood of our office on May 2, 2022 20 . The following are persons,firms, and corporations having a principal interest in this proposal: wennie Earwood-President of Rhome Construction 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. Rhome Profile Construction Company Name Y13i&a2-7 Signature,of Bidder Rod Earwood Printed or Typed Signature c-s 3 5 NOTARY CERTIFICATE Subscribed and sworn to before me this�day of ,242Z. 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 644a i.7 ) County of Ojn!a etj _ } On� 3, 2ef 2 z- before me, 41 &0,0*144%Z% � J MAth,Day, Year Insert Name and Tide of Notary personally appeared_ �� Z. Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose names) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the i person(s),or the entity upon behalf of which the person(s)acted,executed the instrument. g 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 offici4 seal. a tiOWyP�ic-C�amis ORWE C—ty ,My Comm Ewa A Y tk 2022 Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) ) l i �ctc..».aH♦ Ac tcn.;�h l�r+: syri��'s f�W'r'�'+h`erU. �-8 C-9 Bidder's Project History For the purposes of this project the contractor and subcontractor must have, in the last five years, constructed at least five (5) projects of similar work specifically referencing the construction of {Describe specific work and experience necessary for project, for example "Reconstruction or rehabilitation of existine public use facilities". Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. The following list of projects meet the requirements of above: l. Carlos Velez, 1000 E Victoria St.Carson,Ca Name and Address of Reference Name and Telephone No. of Project Manager:Doug Somers-310-359-2891 $90,000 Remolding James Welch Hall Police Station January 2022 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: demolition of concrete slab,walls,ceilings. Install new walls,flooring,drywall, lighting, plumbing and painting 2. Bruyn Bevans,3801 West Temple Avenue Pomona,CA 91768 Name and Address of Reference Name and Telephone No. of Project Manager:Bruyn Bevans-951-202-4036 $800,000 New build building ground up. Complete June 2021 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: Survey and prep site for new building foundation. Install slap with grade beams and connect to existing build 13, install transformer, install all framing, electrical for building, flooring, drywall, fis 3, Dick Martin,444 east bonita Avenue San Dimas,CA 91773 Name and Address of Reference Name and Telephone No. of Project Manager:Richard Martin-951-204-2445 100,000 Office electrical,civil work and fencing Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: Install electrical lighting and dimmers in office,demo 2200 SF concrete slab and install new, install 650 LF cf chain link fencing, Prepare asphalt parking lot and stripping to meet ADA compliance C-10 4. Catherin Hahn, 1180 S. Bristol Street Santa Ana, CA Name and Address of Reference Name and Telephone No. of Project Manager:Catherin Hahn-310-710-5193 $120,000 ADA compliance of parking lot and walkways Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: Provide ADA stripping and new asphalt installation of parking areas to meet ADA compliance. Demoed concrete and installed new asphalt to meet ADA compliance. Repaired building roofing . 5. Name and Address of Reference Name and Telephone No. of Project Manager: _ Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: 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. Rod Earwood Name of proposed Project Manager 614-499-1534 Telephone No. of proposed Project Manager Liquid Rocket Lab-$800,000 New 2500 SF building from ground up June 2021 Project Name &Contract Amount Type of Work Date Completed CSU D. Hills Police Station-$90,000 demolition,concrete, plumbing,finishes,electrical January 2022 Project Name &Contract Amount Type of Work Date Completed US Department of Agriculture-$100,000 Concrete Slab,ADA compliance, Lighting, Fencing June 2020 Project Name &Contract Amount Type of Work Date Completed 2. Pearce Ferriter Name of proposed Superintendent 818-216-9314 Telephone No. of proposed Superintendent CSU D. Hills Police Station-$90,000 Remodeling,demo,concrete, plumbing,finishes January 2022 Project Name &Contract Amount Type of Work Date Completed USDA San Dimas-$100,000 Concrete slab,asphalt,stripping,ADA June 2020 Project Name &Contract Amount Type of Work Date Completed Liquid Rocket Lab New 2500 SF building June 2021 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/P WCR/ActionServlet?action=displayPWCRegistrationFonn DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I 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. Rhome Profile Construction Contractor Rod Earwood, ( fs_ By rearwood@rhomeconstruction.com Email Senior Vice President Title Date:5/3/2022 PWC Registration #:PW-LR-1000692372 C-13 U.S. Specialty Insurance Company 601 S.Figueroa St.,Suite 1600,Los Angeles,CA 90017 (310)649-0990 BOND NO. N/A PREMIUM N/A BID DATE: 4/28/2022 BID BOND KNOW ALL MEN BY THESE PRESENTS, That we, RHOME Profile Construction Corp. (hereinafter called Principal),as Principal,and U.S. Specialty Insurance Company ,a corporation, organized and existing under the laws of the State of Texas and authorized to transact a general surety business in the State of California (hereinafter called Surety),as Surety,are held and firmly bound unto City of Huntington Beach (hereinafter called Obligee) in the penal sum of ten percent( 10 %) of amount bid not to exceed Ten percent of amount bid Dollars ($ 10% ) for the payment of which the Principal and the Surety bind themselves, their heirs, executors, administrators, successors and assigns,jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, That, whereas the Principal has submitted or is about to submit a proposal to the Obligee on a contract for Gothard Restroom Improvements at Huntington Central Park East Bid No. CC-1628 NOW, THEREFORE, if the said contract be 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. If the Principal shall fail to do so,then the undersigned shall pay the obligee the damages which the obligee may suffer by reason of such failure up to and not exceeding the penal sum of the bond. SIGNED, SEALED AND DATED THIS 25th DAY OF April 2022 RHOME Profile Construction Corp. PRINCIPAL By: U. . Specialty Insurance Company Cynthia J Y u g, t tt mey-n-Fact }� r u N HCCSZZ220804/10 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California SS. County of San Bernardino On APR 2 5 2022 before me, Rebecca Elizabeth Adcock, Notary Public Name and Title of Officer(e.g.,"Jane Doe,Notary Public") personally appeared Cynthia J. Young Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her authorized capacity, ' and that by her signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. , `N`•' Rebecca Elizabeth Adcock COMMISSION#2327252 m 1 certify under PENALTY OF PERJURY under the laws of ZI NOTARY PUBLIC-CALIFORN[A n � - SAN BERNARDINO COUNTY the State of California that the foregoing paragraph is `?�o My Comm.E�Irea:3-May-2024 true and correct. W TN SS my ha nd official se okuk!L S nature of Notary Public OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: O Individual Top of thumb here O Corporate Officer Title C3 Partner -- O Limited O General O Attorney-in-Fact O Trustee O Guardian or Conservator Other: Signer is Representing: STATE OF CALIFORNU DEPARTMENT OF INSURANCE N4 07984 SAN FIANCISCO Amended CertifxCate of Authority THIS IS TO CERTIFY THAT Pursuant to the Insurance Code of the State of California, U.S. Specialty Insurance Company Of Houston, Texas organized under the laws of Texas ,subject to its Articles of Incorporation or otherfundamenral organizational documents,is hereby authorized to transact within the State,subject to all provisions of this Cert�frcate,the following classes of insurance.- Fire, Marine, Surety, Disability, Liability, Workers' Compensation, Aircraft, and Miscellaneous as such classes are now or may hereafter be defined in the Insurance Caws of the State of California. THIS CERTIFICATE is expressly conditioned upon the holder hereof now and hereafter being in frill 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 herec;fter be changed or amended. IN WITNESS WHEREOF,effective as of the 2 9 th day of December 2004 l have hereunto set my hand and caused my official seal to be affued this 29 th day of December 2 D04 ohn Ga amendi nsurance C irsioner 6y xc[o for Ida Zodrow Depu Deput NOTICE: Qualification with the Secretary of State must be amomplishcd as required by the s ode p «y after issuance of this Certifimtt of Authority.Failum to do so wilLbc a violation of Insurance Code Section 701 and 11 be groundi for revolons this Cenlffeate of Authority pursuant to.tht convcnants made in the application therefor and the conditions contained herein. ron+cs� �p oapco xrui ..I,, I I' "II I' I , I. II 'I'll' I�Iilll I t Pd lnl ill 'll'III I 'll'll'� nl'lllli IIII +ah 'llrr'o: � � 'r'.o 'L 'I°rlp' I I' II IIIIIII I I I I I 'I I�, II I 11 I IIII,I III II 'll II. II I I, I I II III'lll IIII III I Glll I � IL. lull I.I I' � i I' L,I IIII pi' I I d IIII Ill IIII I li I ' III 'll IIV dll IIU I I 'll I. ,IIIII I. IIIII@ �Idll IIII ,II ';IIIII ll IiUlld „�II,II IIII IIIII III,IIL,I II III ,III,I ,I,I III hull LIII ,,IIII (IIII III I I I IIIIII �,II,,'I I IIII ,�I IJI �i I• IIIiIIil�dll�,l ,Illlil,l II II' ��I'IuIII�II�llllllllll„ III��IIII.IIII uIIllllllllll IIVIIIII�II�I IIlll�ll�m�ll�ulll�ll� IIIIIIIII III!!!I!!!!illll� II�IIIII��II IIIIIIIIIIIIIIIII�III IIIIIIIIIII IIIIIIi�u ���IIII�III� I��IIImIII�IIIII�II Ii�IdUI IIIIII�IV� TOK10 MARINE Rclf -- -_ — = =VOWER OFTtE —_ AMEIT ( RS INDEMNI BONDING( Y— UNlfifi STESURETY COMPANY S. 4ftMSU CO1GA KNOW ALL MEN BY THESE PRESENTS: That American Contractors Indemnity Company, a California corporation, Texas Bonding r I�III.II I'I,, IIIIIIIII,I'IIlIlIlII!p I liuulIl Company, ompany,I1aIIIIInI cIIIaiassumed name ame II of:I American merican Contractors oIIIInI„I r;I aIII IoI ors Indemnity UIl CI rIo'l iImvIIIIII Ip Iu'uIyiauIlIl lI nlI IIyI, United I I'llStates Suretyr 1C�11IVIIIo1 1I•IImII l'ppil ranylpIl llll,lll lulal�lp�I IIIIMI��aII'I r!ILI yr lan1, I.tl 11I111c IIo rporatio n oration oi " , do b the gof Institutelty Insurj� 4o P T I n Berristlna M i II ung or IIIIIIIIIIII II I'IIIIIII�II II its true and lawful Attorneys)-in-fact, each in their separate capacity if more than one is named above, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undue s or other instruments on c�tacts of suretyship to includeAC ers, amendments, and consent& of surety, - r� U.00*** bond enal 6� DIM &� = = * million***** _ _ — — — Dollars P _). T & mall expire w"f9h r anuary 31St ( I. i e ttorney is anWd user and by autlty%W-Roirr�esolutions ado boisirectors of theme_ Be it Resolved,that the President,any Vice-President,any Assistant Vice-President,any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: III II °li yllilf J t may be given full owe�lll �d the 'Ilf rand in the name of an II IIII belie I' fi I�I�uIlCompany,to execute,aco I IIII wl Igil, ells Idlq I�leliver,any IIIIII,Iq II gll'u u I I QI� III II I +� consents I o ICI Sl��ecognizance�Ill LLr �,I r s I indemnity a I' otl r ,���I �� I'b I I�tory undert�'j g�l`Ilin� c)11 '� I tl II I III I I'I IIIIIIIIIIIIII' �II�I�I ill I IIII IIIIIIII' I I III ' I I' �I�I• I II J I III �IIIIIIII6 pll' .,IIIII 11 �',I I I Ilj P.I ,f III IIIII Ild ' 1. I I ,III I I ocumen I I. IIII' IIIII ��� I � II n e n r� ' estimates on e � �n . I a� I c t �', contracts, al I I I, ,a I al Il�q,�crsgs ts II I fl IIIII t'16 a r u u II' of retained n Im IIII' I I O ' II III �j I u I'I III IIy I uul III IIIIIII II l'III coding upon IIIII I rminatin the C� an ye '��6t I�I�h�'�nder,a Y del II� Y , II111iI'llllll III II 9 � �I IIIIII I• i si ned b the I�resident and sealed and effected by f��Corporate Secretary. II the Company as f g y Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon thempany with respect to any bond or unddaking to which it is attached_ = f V HEREOF, i c p iMb used this in &r o_ _ their corpo t _e a fixed,this rdy�_eptember, 20 == - = = iAERICAN CONTRACTORS INDEMNICOM�NY TEXAS BONDING COI TINY = UNITED STATES SURETY COMPANY U.S.SPECIALTY INSURANCE COMPANY �\tpAGTOkB"b .d,\DING*lW,y &r 886U1�'H. a�"dlnsuraq " Boa �aF° *y�° State of California � � € k�s idol r'lllllll,;l gllupul Ip'IIIIIIpuIlllilll„ "" :< �I� a ,3, .r'�. Ir,� - Ir IIIII By: uuuul, ;uliuiiuil ,uIIIIIIIIIIIIIIIIIuI Illldlll (lull'IIIIII@I, ,III• IIII IIIIII.0'I IIOf II,�S Angeles II Ill,, .I II IIL �II'. I III;S:I' L. _ :prr: •,yryl II ;r II I II yullllii,.inl, Ilp•,q Illw lu I .L. III nolll sident IIII III IIII IIIIIII I it III , IIIIII 'll II a p IIIIII D el 1p! a I� I I I g�ll���l����IIIII� IIII Il�lo��� I�IIII''11 1, ,,.IIII• IIIIIIIIU III�I� IIIIIIIII,IIiIIII IIIIIIIIIIIIIII I I.� �IIIIx I IIIIIII IIIII III IIIII aulll IIIIIIIIIIIIIIIJIIIIU'' IIIWINI "'I""""" ''II,IIIP' ''u)' lal' IIIIIIIV 'IIIIIII'llall" IIPI@III' "IIIIIIU,m IIIIW IIII IIIIIII 'lul!IIIIIIUIu' IIIIIiIIII"li'.IRIIIIIIIIIIIIuI' ''auupmu '' A Notary Public or otherIl�fiicer complemg thrs certificate ven �l�on�yllllll a i�entity of the individua�lllu�hor�nedhe a�ocument to III II which this certifrcate is attached, and not the truthfulness, accurac , or validi of that document On this 23rd day of September, 2021, before me, D. Littlefield, a notary public, personally appeared Daniel P. Aguilar, Vice Preside American Contractors Indemnitypany,Texas Bonding Com�nyyJnited States Surety Company and1J.S. Specialty sitpany whool� hhs of satisfacirrid terson whosnebshe within — td acknowle t�dOl cuted the r thiic capacity, a ay on the rstr ,erhe person,or nforrelof which the pew a -eut_ffhe instrument= _ = WN I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ~ D.in-n ei''a,o WIT IIuI�I.I,IiI,IIII IIIIIIIIII,I IIII,I IIIII.IIIl;l''I,I.l,lIlIllIIlIlIiI IilI lIIIII I lIIsII I,I�II IIIIII��.I;aSI'III�II I„,II IInI ll.t Il�Il��II hand ad ofII fI I s II III I-.,'I I,II I III I'I IIIs eI'UlIlI aI IlIu IIIIpIIIIII�I a III'I I'' IIIIIlIIuIIIl IIIIIIIII I'I IIIIluIIuIlIIuI Inl1u�Il�IIIIIII I Il,II�lI IllIl,Il, l I.v .IIIIIII.uul_lNllKoI OI It aiI''ryI Ill'm�l,ubm�i SI DIluI I,IIII,I I I(seal)'eta American Cont r��",:2"70�'2 4_ IIIIII II III I I�I II'II�I II IIIII III I II I II any, n IIIyIII lIIIIIlI i,Ii ImUI liIl IIulUIlI u III II InI IiIIItII II eII IIIII IIIdIII IIII�State I IIIII tII IIIIaI'II IIIII I tlIIe I, Kio Lo, Assistant ecr ractors Inde �ity Company, Texas Bonding uIIyIIl'Is IIIIIIIIIIII II III IIIIII IIII IIIIII I Surety Company and U.S.Specialty Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies,which is still in full force and effect;furthermore,the resolutions of the Boards of Directors, set Qut in-Ahe Power of Attorney are in fullfbrce.-and effect. _ — V ,e thereof -ham & r nd and of l s fa[companies ar l rnia this y of \I,111IIIL V 11 II 1114 \al IlxlUll I" \lN�11111/ Corporate Seals ��tiacioy ANON°e"�" r{ESsuRF�, a°r'y��<I.Q�s Bond No. JIIuIIIIII II r m�,l I IIIIII o^s Grp °a \ 101 !, 'llllli S t- 10 L IIIIIIIII S „ tary II IIII IIIIIIII * Ll 8 r r 3501 IIhIIIIIPI ,Illlllllltll' ,IIIIIIIIU IIIII � o� �'' ,"plod' TIC` I-' Ili*� I .� �'' IIIII' P' � 'I I I I II I�III' I I/IllUlllnt�.,'IIIIII, tINII -,��.l I , III���FMllx I,I llli it IIII II I I I I I III III ,II I I III IIIII' IIII IIII II IIIIIIII I II IIII Ili, I I II II �1,III II II IIIIII 'II IIII"'fl" IIIII I,II III IIIII I�II� I I IIIIIIIII�� III VIII Illi,l;Il. ,IIIIII II IIII IIIIIII III III II IIII II 'III' I I' II�IU��1 IIIII IP` I�� I �1111 II�I,u IIIIII�IU ; II II IIIII.,� IIIIIIIII IIII IIII II li I d: I I IIIIIIIIU I I II I I I LI IIII III IIldllulll Till. IIIII, IIIIIIII i II I IIIIIIIIIIIIII Illllllli IIiIIIIIIIIII li II HCCSMANPO Ao9,2oz, I, IJIIIIIII IIIIIIIII, �hlh IIIIIII visit tmhcc.com/surety frr more inf:rrmation 1 � j j • • • • • • • • • • • • • • • • y A j a N Dg[n CL ! DgcnmDD02 2 n n .0.. O n w y » p O. » C-To o - o6c o° m o d d d� o', m0 N .Oi TTK G� w 9 I N .O..T�`� •w•y L T O nwi S O i T» n W S.O. A O C0 j' y 0 m o= y O F I I 0 m O o c w r I Q F ! X O % I I I 0d3�wD(� c 2 aa .w�c °em�- 0om2. m SO p ow0 Epp o Sw m Tom. - I w V m o C)S� � 7c mma co ! I o mpm o 1 j »N O M y w I .w 0 l 1 o w� Qic S I �m O Sw ,p I O X I ?0 O S F S ! j Tuesday, May 3, 2022 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Rhome Profile Construction Bidder Naive 19171 Magnolia St suite 5 Business Address Huntington Beach California 92646 City, State Zip 657 ) 329-1121 rearwood@rhomeconstruction.com Telephone Number Email Address 1049174, A&B State Contractor's License No. and Class 1/18/2019 Original Date Issued 1/31/2023 Expiration Date The work site was inspected by Rod Earwood of our office on May 2, 2022 20 . The following are persons, firms, and corporations having a principal interest in this proposal: Wennie Earwood-President of Rhome Construction 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. Rhome Profile Construction Company Name Signature of Bidder Rod Earwood Printed or Typed Signature C-s NOTARY CERTIFICATE Subscribed and sworn to before me this ` .ay of , 2022. 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 T ) County of /fit e ) On 3, 26 2 L before me, av/ A LI; M th, Day, and Year Insert Name and Title of Notary personally appeared_ Adl n L ca"ej d-Z'4 Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and offici seal. •'"" '' C�VIVVI NA ANN , • Notary Public-California ORANGE County My Comm.Expires JULY 15,2022 Signature r, Signature of Notary Public (PLACE NOTARY SEAL ABOVE) fdotulY.oHf AcicJl,Ph'vrt : "cQoQ¢/ 's �.1 �wh'o�. 0--do C-9 ri SECTION C PROPOSAL for the construction of GOTHARD RESTROOM IMPROVEMENTS CC No. 1628 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 90 working days,starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications,Instructions to Bidders and all other contract documents.If this proposal is accepted for award,BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses,taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded,the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govem over figures. C-1 Document A31OTM - 2010 Conforms with The American Institute of Architects AIA Document 310 Bid Bond CONTRACTOR: SURETY: (Name,legal slants mid addrety) (h'imre,legal status arrd pdnelpal place(irbralnexs) Union Construction Company Merchants Bonding Company(Mutual) 1353 N.Pacific Avenue PO Box 14498 Glendale,CA 91202 Des Moines,IA 50306-3498 This document has Important legal consequences.Consultation Maiiing Address for Notices with an attorney Is encouraged Merchants Bonding Company(Mutual) with respect to Its completion of OWNER' PO Box 14498 modification. (Name.legal status and address) Des Moines,IA 50306-3498 Any singular reference to City of Huntington Beach Contractor,Surety,Owner or 2000 Main Street other party shall be considered Huntington Beach,CA 92648 plural where applicable. BOND AMOUNT' $Ten Percent of Amount Bid(10%) PROJECT: Wame,location or address andProjeetsraaber.ifmty) CC No.1628:Gothard Restroom Improvements The Contractor and Surety arc bound to the Owncr 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 tins 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 ntay be aerced to by the Owner and Contractor,and the Contractor either(1)enters into a contract with Use Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding orContmel Documents,with a surety admitted in the jurisdiction of tale Project arrd otherwise acceptable to the Owner,for the faithful performance of stick Contract and for the prompt payment of labor and material furnished in the prosecution theroof:or(2)pays to die 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 perturm the wort:covered by said hid,than this obligation shall be null and void,otherwise to remain in lull lbrce and eil'ect.The Surety hereby waives any notice el'on agreement between(lie Owner and Contractor to extend the time in which the Owner may accept the bid.Waiverol'notice by the Surely shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time tear acceptame ol'bids spcwytied in the bid documents,and the Owner and Contractor shall obtain the Surety°s consent t'or an extension beyond sixty(60)days If this Bond is issued in connection with a subcontractors bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the tern Owner shall be deemed to be Contractor. When this Bond has been furnished k>comply with a statutory or other legal requirement in the location al'Ihe Project,any provision in this ilond amllicting with said statutory or legal requirement shall be deemed deleted hereltum and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.When so famished,the intent is that this Bond:dull be construed as a statutory hotul and not as a common law bond. Signed and scaled this 22nd day of April,2022 Union Construction Company (Prindpal) (Seal) (IYitsess) By: 3 / �^ a chants Bonding Co ¢d ty(Mutual) od ( Inmxs) Lisa Pe eritoC.'A A VA A (Title)Vanessa Co a and A e-y-n- t S•00541AS 8t10 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached and not the truthfulness,accuracy,or validity of that document. State of California ) County of Orange ) On qj—`�r,' c711`,0-,-- before mc, Lisa Pellerito ,Notay Public, personally appeared Vanessa Copeland Natne(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 -,rithin instrument and acknowledged to me that he/she/thee executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(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 California that the foregoing T LISA PELLERITO Notary P;:biic•Cai{tor-iia paragraph is true and correct. i Orange County Commission a 2383234 WITNESS my stand and official seal. My Comm.Expires Nov 16,2025 raw Signature: Signature of Notary Public Place Notary Seat Above ��� ------ ------- OPTTONAL -- ------------- Though the infortnation below is not required by law,it may prove valuable to persons relying on the document and could present fraudulent and reattachment of this form to another document. Description of Attached Document Type or Title of Document: Document Date: Number of Pages: Signer(s)Other Than Named Above: Capacity(ies)Claimed by Signer(s) Capacity(ies)Claimed by Signer(s) Signer's Name: Vanessa Copeland Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer—Title(s): ❑ Partner: ❑Limited ❑General ❑ Partner: ❑Limited ❑General ® Attorney in Fact ❑ Attorney in Fact ❑ Trustee ❑ Trustee ❑ Guardian or Conservator ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: Rev. 1-15 }C I MERCHANT BONDING COMPANY- POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC., both being corporations of the State of Iowa(herein collectively called the"Companies")do hereby make,constitute and appoint,individually, Eric Lowey;Jennifer Grenrood;Karyl A Richter,Kevin Cathcart;Lisa Pellerito;Mark Richardson;Michael Castaneda;Natassia Smith;Teresa I Jackson;Vanessa Copeland their true and lawful Attomey(s)-in-Fact,to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments In the nature thereof, on behalf of the Companies In their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power-of-Attomey is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company(Mutual)on April 23,2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 16,2015. 'The President,Secretary,Treasurer,or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-In-Fact,and to authorize them to execute on behalf of the Company,and attach the seal of the Company thereto,bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and aut hority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,It is agreed that the power and authority hereby given to the Attomey-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 11th day of January 2021 ��.�P1ION44 ••. :•.......... . � ,COMA ±h6j;GpApQR. ,4�,:OoZ: 0� ¢�:OFtgq•,9y; MERCHANT MERCHANTS BONDING COMPANY(MUTUAL) NATIONAL BONDING,INC. Ze 2003 ;�A :y, 1933 �'c: By � •�'.aJ� •... ...... ••.�6.� �r ''`.alb. President STATE OF IOWA °""'`""�� •••"'•° COUNTY OF DALLAS ss. On this 11th day of January 2021 before me appeared Larry Taylor, to me personally known,who being by me duly swom did say that he is President of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies;and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. �IIAJ POLLY MASON oyCommission Number 750576Z My Commission Expires ' � P January 07,2023 Notary Public (Expiration of notary's commission does not invalidate this instrument) I,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full force and effect and has not been amended or revoked. In Witness Whereof,I have hereunto set my hand and affixed the seal of the Companies on this 22nd day of April 2022 4 . j 2003 v`z) 1933 c: Secretary POA 0018 (1/20) """•"' °° City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For GOTHARD RESTROOM IMPROVEMENTS AT HUNTINGTON CENTRAL PARK CC NO. 1628 in the CITY OF HUNTINGTON BEACH Aaril 25,2022 Notice To All Bidders: Please note the following clarification to the Project Specifications and Bid Requirements: 1) SPECIFICATIONS SECTION A—NOTICE INVITING ELECTRONIC BIDS Replace page A-2 with the attached revision,which removes the requirement for bidders to possess both Class A and Class B licenses. Upon further consideration, contractors will only be required to possess a State Contractor's License Class B. This is to acknowledge receipt and review of Addendum Number One,dated April 25, 2022. 1 Company Name By Dat6 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 DJ Kelly at(571)722-2277 within 24 hours of posting. City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER TWO For GOTHARD RESTROOM IMPROVEMENTS AT HUNTINGTON CENTRAL PARK CC NO. 1628 in the CITY OF HUNTINGTON BEACH _April 26,2022 Notice To All Bidders: Per Public Contract Code Section 4104.5, the bid due date is being extended since Addendum Number One was released within 72 hours of the original bid opening. Please note the following modifications to the Project Specifications and Bid Requirements: 1) SPECIFICATIONS COVER SHEET Replace the cover sheet with the attached revision,which extends the bid opening to 2:00 PM on Tuesday, May 3,2022. 2) SPECIFICATIONS SECTION A—NOTICE INVITING ELECTRONIC BIDS Replace pages A-1 and A-2 with the attached revisions,which extend the bid opening to 2:00 PM on Tuesday, May 3,2022. 3) SPECIFICATIONS SECTION B—INSTRUCTIONS TO BIDDERS Replace page B-2 with the attached revision,which extends the bid opening to 2:00 PM on Tuesday, May 3,2022. This is to acknowledge receipt and review of Addendum Number Two,dated April 26,2022. Clll? CI~��—nn Company Name 2- 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 DJ Kelly at(571)722-2277 within 24 hours of posting. If awarded the Contract,the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may,at the AGENCY'S option,be considered null and void. Accompanying this proposal ofbid,find t;d Q onl 10�( in the amount of which said amount is not less than 10%of the aggregate of the total bid price, as required by the Notice Inviting Sealed OR ELECTRONIC Bids,payable to the AGENCY. (Please insert the words "Cash", "Certified Check",or"Bidder'sBond for % ",as the case may be)Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: en a o. Date Received Bidder's iAnature 6 C-a SECTION C PROJECT BID SCHEDULE A GOTHARD RESTROOM IMPROVEMENTS CC1628 BID ITEMS Item Descnptiots ;Quantity Unit Unit Cost , Tofal Cost No (Extension)` 1 Mobilization 1 LS $ $ wo y A is tUemO�ItIOn i f' t 1 2 Existing Concrete Decking 327 SF $ $ �_ 3 Existing Structural Steel Elements 1 LS $ $_Cno— 4 Existing Ornamental Railing 143 LF $ $ 5 Existing Entry Gates/Frames/Connections 2 EA $ 3 bDa $ of,: 6M 6 Sand Blast Paint at Steel in Need of Repair 1 LS $ $— OC 1= 7 Existing Interior Walls, Finishes and Fixtures 1 LS $ $ 64t6- 8 Additional 100 S.F.of Existing Concrete Decking 100 SF $ � $---z,►�`"— Structpral 9 New Concrete Decking and Reinforcement 327 SF $� $ lrg 3 10 Additional 100 S.F.of Concrete Decking 100 SF $ $ 11 Structural Steel Repair 1 LS $ $ 17, 12 Concrete Footing Repair 4 EA $ { $_ // 200 13 Concrete Curbs at Existing Structural Columns 19 LF $ Q $ b,C7br Architectural. MEPr` 14 Hazardous Material Abatement Demo/Haul Off 1 LS $ $ 15 Light Ga.Metal Framing 187 SF $- 415_ $ Z' 16 Cement Backer Board 1,122 SF $ $ 17 Ornamental Metal Railing with Paint Finish 160 LF $ �,�d $ p 18 Openings(Doors,Frames, Hardware, Signage) 4 EA $ $ 6 19 Flooring(Epoxy Finish) 1,470 SF $_/7 _ $ Y0 Interior Painting(Including Doors&Frames) 438 SF $ _ $ 6 21 Exterior Painting(Including Doors&Frames) 2,160 SF $ $Z3zo C-2.1 SECTION C PROJECT BID SCHEDULE A GOTHARD RESTROOM IMPROVEMENTS CC1628 Item Descnphon QuautiUmt,Gost Totat Cost 22 Ceramic Tile/Grouting/Grout Sealer 1,122 SF $_ $ 23 Plumbing 1 Ls $ 24 HVAC(Exhaust Ventilation) 1 LS $ $ 25 Electrical 1 LS $ $ a 26 Toilet Accessories/Blocking 1 LS $ $ 17 — 27 Power Wash Existing Exterior Wall Tile 616 SF $ _ $ TOTAL BID AMOUNT(BASIS OF AWARD)—SCHEDULE A $ 42 7, 78� TOTAL BID AMOUNT IN WORDS: ^Foul (#tfad G�1 �.�a� Se+�►? T�la Sa�� d.na �� N-U�t c�� Notes: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. The estimated quantities listed in the Proposal Bid Sheets are approximate and are to be used only as comparison of bids. Payment for quantities will be made from field measurements. If the actual quantities show either an increase or decrease from the quantities given in the Proposal Bid Sheet, the Contract Unit Prices will prevail. Full compensation will be paid at the contract price for the actual work completed, and no additional compensation will be allowed therefor. Payment will not be made for materials wasted or disposed of in a manner not called for under the Contract; this includes rejected material not unloaded from vehicles and material rejected after it has been placed. No compensation will be allowed for disposing of rejected or excess material.The City reserves the right to reject all bids and to increase or decrease the amount of any quantity shown on the Proposal Bid Sheets. In case of a variation between the unit price and the totals shown by the bidder,the unit price will be considered to be the bid. Bidder's Name: untan cuft-d;iso c Telephone No.: C210 41-111— "o C-2.2 SECTION C PROJECT BID SCHEDULE Gothard Restroom Improvements CC-1628 PROJECT BASIS OF AWARD: Gothard Restroom Improvements. . . . . . C-2.1 ITEM 1. Base Bid Items $ 4177 7 IN FIGURES BASE BID TOTAL AMOUNT LUMP SUM BID(TOTAL FOR ITEMS 1) $ 4c? T, 7 80 3 l? BASIS OF AWARD IN FIGURE 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 Items) Subcontractor License Registration# Amount Contract Number ��lJarl 1q6.8 �ss� •R cS /ox>�,u.�3 19,Tbo7' 1ZSLA c- So NW"Wille Bf tJ#- i PI-emon d 1 ad 7 6813"501,ef 9"Vet:974- ,643¢a /P6 o C By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project C-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!rl/22 ,at 4Qr6 j oje —Ana } Date City State Paw G�(�,t ah I pi ,being first duly sworn, deposes and says that he or she is p�/' J— of(Anjb h �M� Cb.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. Name of Bidder afore oftiMeL /. �6. N-Cr9c Ave. 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 GOTHARD RESTROOM IMPROVEMENTS, (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. N n C �C E- ib In CID Contractor ;yv:; 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? ❑ Yes �4No 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. RAW 600AWE�M- n Contractor y Title Date:%�bq12 C-8 1 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: •��O CnAS Ldl rUR1flY Bidder Name a!& X. PAC", `C Business Address gpAddo-lie City, State Zip 1213 ) 422— fiM q UAiancpc to Y'k oo, Telephone Number Email Address A. . State Contractor's License No. and Class Original Date Issued ,Zz� 23 Expiration Date The work site was inspected by N l,�--ShIn of our office on .2021. The following are persons,firms, and corporations having a principal interest in this proposal: �a ul�s_h N The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. (,Tian Cis relt4ia n�.s.��n n Company Name ignature idder PeAull �h ISO Printed or Typed Signature C-9 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.. State Coy of Los Angeles ) On DS-03- AaUa before me, Naushaba Azam (Notary Public) (insert name and title of the officer) personally appeared who proved to me on the basis of satisfactory evidence to be the person(,)wh.ose name(, islare subscribed to the within instrument and acknowledged to me that he/slA/they executed the same in his/hpr/their authorized capacity(igs),.and that by his/yrer/their signature(g)on the instrument the person(,f), 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 foregojng paragraph is true and correct. WITNESS my hand and official seal. NASNA A�ZA M CobhM2324M96 rA L An -CW os LSC Aly owEzn. q� oA1A 6 4 Signature Seal) OPT10AW 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 �N Title or Type of Document: rYD 0-0s � Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies)Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer -- Title(s): ❑ Corporate Officer — Title(s): O Partner — ❑Limited ❑General [) Partner — ❑ Limited ❑General ElIndividual ❑Attorney in Fact [IIndividual ❑Attorney in Pact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: NOTARY CERTIFICATE Subscribed and swom to before me this ay 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 sa.. ) On Z— o7 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-10 Bidder's Project History For the purposes of this project the contractor and subcontractor must have, in the last five years, constructed at least five (5) projects of similar work specifically referencing the construction of {Describe specific work and experience necessary for project, for example "Reconstruction or rehabilitation of existing public use facilities". Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. The following list of projects meet the requirements of above: Name and Address of Reference Name and Telephone No. of Project Manager: JdC111c.S 9,. bao— Re►�oy ,-- l5-2dZ2 Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: 2. � Name and Address of Reference 1)obbs fi r - CC�, Name and Telephone No. of Project Manager:&A-eu h, f � L313—c?8 tR�53, 000 1013 ontract Amount Type of Work Date Completed Provide additional project description to show similarwork: 3. L% t6 612k C-4d C.I&. Name and Address of Reference , rc�rA Name n Telephone o. of Projec Manager: if OOa— Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: C-11 4. Name and Address of Reference Av pm"n y -SCE3- *C Qi Name and Telephone No. of Project Manager:!F,-.L-Qh n Kit� 7 K�!N 3'—'6� Contract Amount Type of Work 0ateCompleted Provide additional project description to show similarwork: 5. Name and Address of Reference Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similarwork: C-12 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. g i Name of proposed Project Manager 2-13) — �5-0 a An Telephone No. of proposed Project Manager Project Name&Contract Amount Type of Work Date Completed Project Name&Contract Amount Type of Work Date Completed Project Name&Contract Amount Type of Work Date Completed 2. REC6R " Name of proposed Superintendent Telephone No. of proposed Superintendent Project Name&Contract Amount Type of Work Date Completed Project Name&Contract Amount Type of Work Date Completed Project Name&Contract Amount Type of Work Date Completed C-13 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June.30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is$300.Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublieWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call(844)522-6734 https://efiling.dir.ca.gov/PWCR/ActionServiet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract 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. 'al'ron u_CJ-;-6 10 Contractoz Y (1 I 0 f'ICAC 0 a .Ct��✓t Email 60 (�e Date: Title PWC Registration#:_ 1000 P IT Z5-- C-14